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INTERRUPTION SYNOPSIS
Gujarat Refinery : HGU-I unit tripped owing to actuation of
reformer trip command from control room Push button.
Gujarat Refinery
• At the same time, i.e. at 22:34:02 hrs, activation of another six inputs HS1108,
HS2202, CHS1111, CHS1112, CHS1208, STEAMLO was also observed.
• All these seven inputs were from the same card and were powered through
the same power source.
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Why –Why Analysis
Failure in Push Button or Relay
Ruled out - Stamping of all six buttons has been recorded in SOE at the same time.
Fuse
Not Blown
Digital Inputs' were chattering through fuse of negative supply terminal (Schematic attached).
Minor gap found in the fuse holder at one end of terminal strip, which was making/breaking contact with the fuse.
Deformation due to heating Ruled out as the current flow in this TB is in the range of mAs and there is no physical evidence of heated TB.
It can be concluded that trip has been initiated on spurious activation of HS1607 due to the problem in fuse holder terminal of negative power
supply of PUSH BUTTON. Since this negative supply is looped in all 16 channels of Dl card, energized input toggled their state after fault.
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Root Cause Analysis – Gujarat Refinery
Terminal
Block
PLC input • Minor gap
Deformed Fuse
module & • Spurious
Activation Holder
processor
• System
Diagnostics
Push Button ok
• Simultaneous
recording of
all 06 buttons
Panipat Refinery
Defective
Terminal
Cables Block
No looseness
Fuse
in order
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RECOMMENDATIONS