SlideShare a Scribd company logo
1 of 38
Understanding the Cause
Alan Burns – Mangoola Coal
Gerard Chitty – MTI, Monash University
1
• Incident Summary
• Post Incident investigation process
• Understanding the cause of the failure
• Conclusions & recommendations
Content
EX151 Incident
3
Background
The cabin on the Liebherr R9250
excavator is supported by four
resilient rubber mounts that are
secured to a cab “riser”.
The cab riser is retained by four
vertical bolts and two horizontal
bolts. These cab riser bolts
(30mm dia. x 300mm long) secure
the entire cab and riser to the LH
front chassis of the machine.
Cabin
Cab Riser
Background
At the time of the incident, the machine had approximately 32,000 SMU hours
on it with no previous faults reported on the cab riser bolts before the 13th of
May 2016
Events leading up to the Incident
13/5/2016 23/5/2016
• 2 broken bolts identified during service
• Work Order raised and task scheduled to replace broken bolts
• Maintenance Planner contacted the OEM
• Unsuccessful attempt made to remove and replace bolts
• Second unsuccessful attempt made to remove and replace broken bolts.
21/6/2016 7/7/2016
Events leading up to the Incident
250mm to the
broken part of
the bolt
Broken bolts were unable to be removed due to some misalignment and
inability to effectively reach approximately 250mm to the broken part of the
bolt
Events leading up to the Incident
13/5/2016 10/8/2016
• 3rd broken bolt identified during inspection.
• OEM notified and inspected the machine.
• Risk assessment / discussion was conducted involving a number of
personnel - combined experience of over 75 years
• Estimated 5 days to replace bolts as the cab and riser had to be
disconnected and removed from the machine
• Decision made to carry out an interim repair and implement additional
inspections to monitor the effectiveness of the repair.
• Inspections to be carried out at crib breaks - 12 and 4 on each shift.
• Plan to remove bolts at the November Shutdown unless results from
inspections determine otherwise.
11/2016
Events leading up to the Incident
13/5/2016 11/8/2016
• An incident occurred where a rock had rolled onto the track and made
contact with the support under the cab riser.
11/2016
Events leading up to the Incident
13/5/2016
12/8/2016
11/2016
• 4th broken bolt identified.
• Risk assessment/discussion conducted between Maintenance Personnel
• Reinforcement of interim repaired carried out
• Inspections to monitor the effectiveness of the repair being carried out
• Further reinforcement to the interim repair with gussets
• OEM records the broken bolt status in their internal system
13/8/2016
15/8/2016
Events leading up to the Incident
13/5/2016 11/20161/9/2016
• Cab to riser rubber mounts
replaced as a further control
measure to minimise cabin
movement.
Cabin
Cab Riser
Events leading up to the Incident
13/5/2016 11/201610/10/2016
• At 8:45pm, the cabin and cab riser dislodged from its normal position and
tipped over damaging hydraulic hoses, electrical harnesses and causing
minor structural damage to cab riser mounting.
• No Injuries were reported at the time of the incident.
The Investigation
• Investigations commenced.
• Required notifications made and the Resource Regulator visited the site
• ICAM investigation initiated on 12th October 2016.
• External facilitator and participates external and internal to Mangoola
The Investigation
Root Cause
• Failure of the design of the interim repair
• Monitoring program not detecting the failing state of the interim repair
• Failure of the bolts indicates misalignment between the riser and the
chassis mounts as the probable cause. The misalignment placing
additional stress on the bolts causing them to fatigue and progressively fail
over time.
The Investigation
Significant Learnings
• Failure of cab riser bolts not completely understood.
• Apart from the requirement to inspect bolts, there is no other definitive
requirements relating to planned maintenance of the cab or riser in OEM
manuals or site documentation.
• Interim repairs are common place and considered a routine part of
maintenance but there is no process or procedure that clearly deals with
the specific requirements involved in the management of interim repairs
• The integrity of the interim repair was heavily reliant on a routine
inspections being conducted each shift.
• Insufficient formal documentation to control the interim repair design and
monitoring given the length of time the interim repair was relied upon.
• Interim repair inspection criteria not clearly defined or communicated and
limited documented evidence of the routine inspections being conducted
The Investigation
Recommendations
• Develop an Interim Repair TARP / Procedure
• Communicate the requirement to maintain accurate and timely records for
ongoing monitoring of equipment.
• Review the Maintenance Strategy around Cab Riser maintenance
• Share learnings with OEM and other sites
• Review Mechanical Engineering Control Plan
Post Investigation
10/10/2016 31/1/2017
• Presentation to the Resource Regulator Representatives & District Check
Inspector on the implementation and completion of the recommended
actions.
• Perceived that the presentation was well received.
Post Investigation
• Notification that another inspector was taking over the investigation.
• Section 155 notice was going to be issued to provide information.
• Intention to conduct interviews
• Section 155 notice received
• Interviews commence
10/10/2016 9/3/201714/3/2017 31/3/2017
Post Investigation
10/10/2016
• Second Section 155 notice received.
11/5/2017
Post Investigation
10/10/2016
• Interviews Continued
5/5/2017 - 11/7/2017
Post Investigation
10/10/2016 13/11/201716/8/201722/11/17 & 29/11/17
• Notified that the investigation was being handed over to the Investigation
Unit.
• 3rd Section 155 notice received
• Interviews Continued
Post Investigation
10/10/2016 5/12/2017 25/9/2018
• 4th Section 155 notice received
• Investigation to continue into 2018
• Enforceable Undertaking
Enforceable Undertaking Action
• Engage the Maintenance Technology Institute within the Department of
Mechanical Engineering at Monash University to understand the root cause
of failure and provide recommendations to eliminate such failures in the
future
Understanding the Cause
Learnings from Liebherr R9250 Cab Riser Detachment Failure
at Glencore Mangoola Mine
Dr Daya Dayawansa, Amanda Gonzago, Tony Carpinteri, Dr Michael Lo & Gerard Chitty (MTI)
Understanding the Root Cause of Failure
Methodology Adopted
The methodology adopted are as follows:
1. Review available failure information
2. Conducted preliminary FEA on the cab riser to understand the structural behavior
and determine the instrumentation plan and sensors locations.
3. Install MTI’s Structural Monitoring System (SMS) on excavator EX151 with additional
instrumentation.
4. Conduct specific testing to determine major influencing practices that effect the cab
riser connection bolts.
5. Conducted FEA based on measured SMS data.
6. Conduct fatigue assessments based on measured data and FEA.
7. Development a comprehensive risk management strategy to minimise risk of failure.
Instrumentation used
The instrumentation consisting the following :
• The MTI Structural Monitoring System (SMS) which monitors the structural performance of
the machine and identify how the machine is being operated.
• The system includes
– 10 strain gauges on the boom stick and main frame
– 3 position inclinometers on the boom, stick and bucket
– Pressure transducers to measure boom, stick and bucket strut and swing forces.
Cab Riser Instrumentation
Strain gauge
Terminations
to SMS logger
M30x300 bolt
The instrumentation of the cab riser consisted of the following:
• The six instrumented connection bolts
• Three displacement transducers to measure any movement between the
riser chassis.
• 1 tri-axial accelerometer and some additional strain gauge on the
connection block
The strain gauges were zeroed prior to installation so that the pretension
of the bolts could be measured at the time of install.
Instrumented bolt installed on
the outer rear of the riser
Position of vertical and horizontal bolts
Displacement transducers
Tri-Axial
Accelerometer
Front
Horizontal Bolt
Transverse
measurement
Vertical
measurement
Chassi
s
Riser
Bolt Pretention Measurements
Pretension applied to a bolted connection has the ability to significant
change fatigue loading on the bolt.
The OEM specified a torque of 1920 Nm to tension the bolts which is
equivalent to ~ 57% of proof load (570 MPa) for the bolt.
Measured bolt tensions after the installation:
Bolt
Notation
Instrumented Bolt Pretension Stress
(MPa)
Pretension Stress
(% Proof Stress)
B SG01 – Vertical Bolt Front (Outer) 755 75.5
A SG02 – Vertical Bolt Front (Inner) 180 18
E SG03 – Horizontal Bolt Front 590 59
F SG04 – Horizontal Bolt Rear 980 98
C SG05 – Vertical Bolt Rear (Inner) 125 12.5
D SG06 – Vertical Bolt Rear (Outer) 275 27.5
Operator Practices – Normal Digging
SMS Dashboard
showing no alarms
Operator Practices – Sudden Impact with Side Load
SMS Dashboard showing operating
practice causing strength alarms
Normal Operations with High Damaging Dig Conditions
High fatigue life usage in rear connection bolts mostly when digging not ripped coal was dug.
Sudden increase in Bolt SG06
cumulative damage
FE Modelling Results
FE Results showed that
• 34% of the measured transverse
displacement was due to the
deflection of the riser and the
remaining 66% was due to the
riser sliding relative to the chassis
which caused bolt bending.
• In the vertical directions, almost
all of the measured displacements
are due to the cab riser sliding
which causes bolt bending.
Transverse
Longitudinal
Vertical
Strain gauge
Fatigue Assessment – Axial + Bending Loads
BS7608 was used to estimate the fatigue life considering only axial loads and both axial
and bending.
Comparison of the estimated fatigue life for bolts are summarised in table below
`
The analysis showed that:
• Bending of the connection bolts due to sliding the movement of the riser accounted
for ~85% of the fatigue damage.
• The estimated fatigue life of the bolts were significantly different with the lowest
estimated fatigue life being ~4500 hours in Bolt D.
• The estimated fatigue life of horizontal bolts were higher than the vertical bolts.
Estimated Fatigue
Life (Hrs)
Bolt Notation Instrumented Bolt Axial Axial + Bending
B SG01 – Vertical Bolt Front (Outer) 60000+ 12500
A SG02 – Vertical Bolt Front (Inner) 50000+ 12500
E SG03 – Horizontal Bolt Front 50000+ 20000+
F SG04 – Horizontal Bolt Rear 50000+ 20000+
C SG05 – Vertical Bolt Rear (Inner) 60000+ 10000
D SG06 – Vertical Bolt Rear (Outer) 20000+ 4500
Design concepts
1. The bolted connections should be designed to prevent bolt bending as the
sliding movement contributed to 85% of the bolt fatigue.
2. Another weaknesses of the connection design is that if one bolt is broken, it
can not be replaced without completely removing the riser and cabin
assembly.
Chassis
Cab riser
block
Connection
features a tapered
section to prevent
movement.
Use bolt and nut
arrangement for easy
replacement where
possible
(1) (2)
Conclusions
The following conclusions can be made:
• The pretension of the bolts at installation
– Varied significantly between each bolt.
– Not all bolts achieved the recommended pretension.
– Currently the pretension set to 57% of proof stress is relatively low.
– Procedure to achieve recommended pretension of bolts was not provided by the
OEM.
• Sudden application of vertical force with side force causes significant stresses in
the excavator structure and the cab riser connection bolts and high relative
movement between the cab riser and the chassis.
• The operating conditions and operator practices have a large influence on the life
of the bolts. High fatigue life usage occurred when digging coal not ripped.
• The movement of the cab riser relative to the chassis with the current bolt
connection design cause bolts to experience significant bending during
operations, which contributed to 85% of the fatigue damage.
Recommendations
The following recommendations can be made for the study:
• Higher attention should be given to pretension of the bolts:
– Adopt a bolt pretension procedure to ensure all the bolts are tensioned to the
specified value which includes a bolt pretension sequence and re-tightening
processes.
– The pretensions should be checked at the next schedule day after.
• With the current connection detail bolts should be inspected every 3 months and
replaced every year to avoid bolt crack initiation/failure.
• Inspect the attachment block (of the two horizontal bolts) every 5000 hours.
Cracks in these areas will lead to loss of pretensions in the horizontal bolts.
• Conduct operator awareness training programs to eliminate stress spikes which
cause strength alarms and reduce the number of fatigue alarms provided by
utilising the SMS real-time feedback which will improve production and minimise
cumulative damage.
• The connections between cab riser and chassis should be redesigned to prevent
the movement of the cab riser w.r.t. the chassis (prevent bolt bending).
Key Learnings
Key Learnings from the investigation can be summarised as follows:
• Understanding the loading the structure/structural component experiences during
operations is critical in understanding the Root Cause of the Failure.
• Most mining structures will experience fatigue cracking. The crack initiation and
the crack growth rate will depend on:
– Magnitude of the stress cycles experienced by the component (operating
conditions)
– The number of stress cycles (operating conditions)
– Fatigue category of the connection (design)
• To develop a comprehensive risk management strategy to maintain structural
integrity of dynamic structures the loading/stresses experienced by the structures
should be clear understood and the inspection frequencies should be based on
estimated crack growth rates for each component
• FEA is great engineering tool. However the loading used for the analysis and
boundary conditions used in the FE models are critical to get accurate
results/predictions
Acknowledgements
End of
Presentation

More Related Content

What's hot

vikash kumar NOV 2014 - project - Commissioning
vikash kumar NOV 2014 - project - Commissioningvikash kumar NOV 2014 - project - Commissioning
vikash kumar NOV 2014 - project - Commissioningvikash kumar
 
Concrete method rev02
Concrete method rev02Concrete method rev02
Concrete method rev02Minh Bui Si
 
Travis herriot resumé 2016
Travis herriot resumé 2016Travis herriot resumé 2016
Travis herriot resumé 2016Travis Herriot
 
Hard Rock Literature and Information
Hard Rock Literature and InformationHard Rock Literature and Information
Hard Rock Literature and Informationjacob Burkett
 
Deepwater rig & equipment selection
Deepwater rig & equipment selection Deepwater rig & equipment selection
Deepwater rig & equipment selection amrhaggag
 
Concreting of super structure
Concreting of super structureConcreting of super structure
Concreting of super structureMinh Bui Si
 
Method of Statement - Pavement works
Method of Statement - Pavement worksMethod of Statement - Pavement works
Method of Statement - Pavement worksMohd Nizam Mohd Zan
 
Intro to oil well drilling ops pt 2
Intro to oil well drilling ops pt 2 Intro to oil well drilling ops pt 2
Intro to oil well drilling ops pt 2 amrhaggag
 
Jeremy L Hardin Updated Resume11-04-16
Jeremy L Hardin Updated Resume11-04-16Jeremy L Hardin Updated Resume11-04-16
Jeremy L Hardin Updated Resume11-04-16Jeremy Hardin
 
Safety & Quality Aspects in '3-S' System of Construction
Safety & Quality Aspects in '3-S' System of ConstructionSafety & Quality Aspects in '3-S' System of Construction
Safety & Quality Aspects in '3-S' System of ConstructionSandeep Jain
 
Ms 12.doc 7.6.13.
Ms 12.doc 7.6.13.Ms 12.doc 7.6.13.
Ms 12.doc 7.6.13.maqsood1459
 
Ali Khidr CV
Ali Khidr CVAli Khidr CV
Ali Khidr CVAli Khidr
 
2007-049 Matthee Conveyor idlers
2007-049 Matthee Conveyor idlers2007-049 Matthee Conveyor idlers
2007-049 Matthee Conveyor idlersHennie Matthee
 
Stephen Jones October 2016
Stephen Jones October 2016Stephen Jones October 2016
Stephen Jones October 2016Stephen Jones
 

What's hot (20)

ATTEEQUE CV
ATTEEQUE CVATTEEQUE CV
ATTEEQUE CV
 
vikash kumar NOV 2014 - project - Commissioning
vikash kumar NOV 2014 - project - Commissioningvikash kumar NOV 2014 - project - Commissioning
vikash kumar NOV 2014 - project - Commissioning
 
Concrete method rev02
Concrete method rev02Concrete method rev02
Concrete method rev02
 
Travis herriot resumé 2016
Travis herriot resumé 2016Travis herriot resumé 2016
Travis herriot resumé 2016
 
Hard Rock Literature and Information
Hard Rock Literature and InformationHard Rock Literature and Information
Hard Rock Literature and Information
 
Liffting supervisor
Liffting supervisorLiffting supervisor
Liffting supervisor
 
Mark McCroy resume
Mark McCroy resumeMark McCroy resume
Mark McCroy resume
 
Deepwater rig & equipment selection
Deepwater rig & equipment selection Deepwater rig & equipment selection
Deepwater rig & equipment selection
 
Concreting of super structure
Concreting of super structureConcreting of super structure
Concreting of super structure
 
Method of Statement - Pavement works
Method of Statement - Pavement worksMethod of Statement - Pavement works
Method of Statement - Pavement works
 
Don's #2
Don's #2Don's #2
Don's #2
 
Intro to oil well drilling ops pt 2
Intro to oil well drilling ops pt 2 Intro to oil well drilling ops pt 2
Intro to oil well drilling ops pt 2
 
Jeremy L Hardin Updated Resume11-04-16
Jeremy L Hardin Updated Resume11-04-16Jeremy L Hardin Updated Resume11-04-16
Jeremy L Hardin Updated Resume11-04-16
 
Safety & Quality Aspects in '3-S' System of Construction
Safety & Quality Aspects in '3-S' System of ConstructionSafety & Quality Aspects in '3-S' System of Construction
Safety & Quality Aspects in '3-S' System of Construction
 
Ms 12.doc 7.6.13.
Ms 12.doc 7.6.13.Ms 12.doc 7.6.13.
Ms 12.doc 7.6.13.
 
nasrulla resume
nasrulla resumenasrulla resume
nasrulla resume
 
Ali Khidr CV
Ali Khidr CVAli Khidr CV
Ali Khidr CV
 
2007-049 Matthee Conveyor idlers
2007-049 Matthee Conveyor idlers2007-049 Matthee Conveyor idlers
2007-049 Matthee Conveyor idlers
 
Stephen Jones October 2016
Stephen Jones October 2016Stephen Jones October 2016
Stephen Jones October 2016
 
2009 Face Conference Orosha Cranes Wooley
2009 Face Conference Orosha Cranes Wooley2009 Face Conference Orosha Cranes Wooley
2009 Face Conference Orosha Cranes Wooley
 

Similar to Understanding the cause - Alan Burns and Gerard Chitty

90915 03006 wp928-80 genuine toyota oil filter
90915 03006 wp928-80 genuine toyota oil filter90915 03006 wp928-80 genuine toyota oil filter
90915 03006 wp928-80 genuine toyota oil filterFilter Expert Co.,Ltd.
 
Work Sampling in the excavator
Work Sampling in the excavatorWork Sampling in the excavator
Work Sampling in the excavatorSriguru Aithal
 
Targeted assessment program update Greg Connolly
Targeted assessment program update Greg ConnollyTargeted assessment program update Greg Connolly
Targeted assessment program update Greg ConnollyNSW Environment and Planning
 
Root Cause Of Piping Failures | COMPRESSORtech2
Root Cause Of Piping Failures | COMPRESSORtech2 Root Cause Of Piping Failures | COMPRESSORtech2
Root Cause Of Piping Failures | COMPRESSORtech2 dieselpub
 
Resume David Young
Resume David YoungResume David Young
Resume David YoungDavid Young
 
Albany Expeller project (2)
Albany Expeller project (2)Albany Expeller project (2)
Albany Expeller project (2)Paul Richardson
 
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENT
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENTREPAIR METHODS FOR MATERIAL HANDLING EQUIPMENT
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENTlaxtwinsme
 
Rigger safety .pdf
Rigger safety                        .pdfRigger safety                        .pdf
Rigger safety .pdfMuhammad Saqib
 
Rigging Course .pdf
Rigging Course                       .pdfRigging Course                       .pdf
Rigging Course .pdfMuhammad Saqib
 
Day-to-day condition monitoring for a large fleet of wind turbines
Day-to-day condition monitoring for a large fleet of wind turbinesDay-to-day condition monitoring for a large fleet of wind turbines
Day-to-day condition monitoring for a large fleet of wind turbinesWindpower Engineering & Development
 
Crane Operation - Lifting
Crane Operation -  LiftingCrane Operation -  Lifting
Crane Operation - Liftinghafiz abdul majid
 
ALS MOVUS Case Study - Scrubber Fan
ALS MOVUS Case Study - Scrubber FanALS MOVUS Case Study - Scrubber Fan
ALS MOVUS Case Study - Scrubber FanMOVUS Australia Pty Ltd
 
LECTURE 01.pptx
LECTURE 01.pptxLECTURE 01.pptx
LECTURE 01.pptxMdSazolAhmmed
 
WCM_PRESENTATION_Flange_Management_Rev4
WCM_PRESENTATION_Flange_Management_Rev4WCM_PRESENTATION_Flange_Management_Rev4
WCM_PRESENTATION_Flange_Management_Rev4Afiman Abdul Rahman
 
Baumann, Erik Resume 1
Baumann, Erik Resume 1Baumann, Erik Resume 1
Baumann, Erik Resume 1Erik Baumann
 

Similar to Understanding the cause - Alan Burns and Gerard Chitty (20)

90915 03006 wp928-80 genuine toyota oil filter
90915 03006 wp928-80 genuine toyota oil filter90915 03006 wp928-80 genuine toyota oil filter
90915 03006 wp928-80 genuine toyota oil filter
 
Work Sampling in the excavator
Work Sampling in the excavatorWork Sampling in the excavator
Work Sampling in the excavator
 
Imcasf12 14
Imcasf12 14Imcasf12 14
Imcasf12 14
 
Mill & Kiln Gear Asset Management
Mill & Kiln Gear Asset ManagementMill & Kiln Gear Asset Management
Mill & Kiln Gear Asset Management
 
Targeted assessment program update Greg Connolly
Targeted assessment program update Greg ConnollyTargeted assessment program update Greg Connolly
Targeted assessment program update Greg Connolly
 
Root Cause Of Piping Failures | COMPRESSORtech2
Root Cause Of Piping Failures | COMPRESSORtech2 Root Cause Of Piping Failures | COMPRESSORtech2
Root Cause Of Piping Failures | COMPRESSORtech2
 
Resume David Young
Resume David YoungResume David Young
Resume David Young
 
Albany Expeller project (2)
Albany Expeller project (2)Albany Expeller project (2)
Albany Expeller project (2)
 
Hoist drop from monorail investigation
Hoist drop from monorail investigationHoist drop from monorail investigation
Hoist drop from monorail investigation
 
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENT
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENTREPAIR METHODS FOR MATERIAL HANDLING EQUIPMENT
REPAIR METHODS FOR MATERIAL HANDLING EQUIPMENT
 
2016 Resume
2016  Resume2016  Resume
2016 Resume
 
Rigger safety .pdf
Rigger safety                        .pdfRigger safety                        .pdf
Rigger safety .pdf
 
Rigging Course .pdf
Rigging Course                       .pdfRigging Course                       .pdf
Rigging Course .pdf
 
Day-to-day condition monitoring for a large fleet of wind turbines
Day-to-day condition monitoring for a large fleet of wind turbinesDay-to-day condition monitoring for a large fleet of wind turbines
Day-to-day condition monitoring for a large fleet of wind turbines
 
Crane Operation - Lifting
Crane Operation -  LiftingCrane Operation -  Lifting
Crane Operation - Lifting
 
ALS MOVUS Case Study - Scrubber Fan
ALS MOVUS Case Study - Scrubber FanALS MOVUS Case Study - Scrubber Fan
ALS MOVUS Case Study - Scrubber Fan
 
Chris Turner
Chris TurnerChris Turner
Chris Turner
 
LECTURE 01.pptx
LECTURE 01.pptxLECTURE 01.pptx
LECTURE 01.pptx
 
WCM_PRESENTATION_Flange_Management_Rev4
WCM_PRESENTATION_Flange_Management_Rev4WCM_PRESENTATION_Flange_Management_Rev4
WCM_PRESENTATION_Flange_Management_Rev4
 
Baumann, Erik Resume 1
Baumann, Erik Resume 1Baumann, Erik Resume 1
Baumann, Erik Resume 1
 

More from NSW Environment and Planning

06. how the regulator communicates with the industry
06. how the regulator communicates with the industry06. how the regulator communicates with the industry
06. how the regulator communicates with the industryNSW Environment and Planning
 
Control focused inspection tools (Mark Smith)
Control focused inspection tools (Mark Smith)Control focused inspection tools (Mark Smith)
Control focused inspection tools (Mark Smith)NSW Environment and Planning
 
Fires on mobile plant refuelling (Ross Stutchbury)
Fires on mobile plant refuelling (Ross Stutchbury)Fires on mobile plant refuelling (Ross Stutchbury)
Fires on mobile plant refuelling (Ross Stutchbury)NSW Environment and Planning
 
Mobile plant rollovers and collisions (Bill McGlynn)
Mobile plant rollovers and collisions (Bill McGlynn)Mobile plant rollovers and collisions (Bill McGlynn)
Mobile plant rollovers and collisions (Bill McGlynn)NSW Environment and Planning
 
Electrical performance presentation (Craig Harris)
Electrical performance presentation (Craig Harris)Electrical performance presentation (Craig Harris)
Electrical performance presentation (Craig Harris)NSW Environment and Planning
 
Where do I stand for fire protection on mobile and transportable equipment an...
Where do I stand for fire protection on mobile and transportable equipment an...Where do I stand for fire protection on mobile and transportable equipment an...
Where do I stand for fire protection on mobile and transportable equipment an...NSW Environment and Planning
 

More from NSW Environment and Planning (20)

12 Small mines report card 2020
12 Small mines report card 202012 Small mines report card 2020
12 Small mines report card 2020
 
11 occupational hygiene monitoring of dust
11 occupational hygiene monitoring of dust11 occupational hygiene monitoring of dust
11 occupational hygiene monitoring of dust
 
09 learning from disasters
09 learning from disasters09 learning from disasters
09 learning from disasters
 
13 explosives awareness
13 explosives awareness13 explosives awareness
13 explosives awareness
 
10 incident reporting to the regulator 2020
10 incident reporting to the regulator 202010 incident reporting to the regulator 2020
10 incident reporting to the regulator 2020
 
08 dust safety and health surveillance
08 dust safety and health surveillance08 dust safety and health surveillance
08 dust safety and health surveillance
 
07 feedback and consultation
07 feedback and consultation07 feedback and consultation
07 feedback and consultation
 
06. how the regulator communicates with the industry
06. how the regulator communicates with the industry06. how the regulator communicates with the industry
06. how the regulator communicates with the industry
 
05 reviewing your SMS
05 reviewing your SMS05 reviewing your SMS
05 reviewing your SMS
 
04. slinging and lifting equipment
04. slinging and lifting equipment04. slinging and lifting equipment
04. slinging and lifting equipment
 
Control focused inspection tools (Mark Smith)
Control focused inspection tools (Mark Smith)Control focused inspection tools (Mark Smith)
Control focused inspection tools (Mark Smith)
 
Central assessment unit CAU(Steve Bentham)
Central assessment unit CAU(Steve Bentham)Central assessment unit CAU(Steve Bentham)
Central assessment unit CAU(Steve Bentham)
 
Autonomous mining equipment (Owen Barry)
Autonomous mining equipment (Owen Barry)Autonomous mining equipment (Owen Barry)
Autonomous mining equipment (Owen Barry)
 
Fires on mobile plant refuelling (Ross Stutchbury)
Fires on mobile plant refuelling (Ross Stutchbury)Fires on mobile plant refuelling (Ross Stutchbury)
Fires on mobile plant refuelling (Ross Stutchbury)
 
Mobile plant rollovers and collisions (Bill McGlynn)
Mobile plant rollovers and collisions (Bill McGlynn)Mobile plant rollovers and collisions (Bill McGlynn)
Mobile plant rollovers and collisions (Bill McGlynn)
 
Metropolitan colliery gas (Dave Gordon)
Metropolitan colliery gas (Dave Gordon)Metropolitan colliery gas (Dave Gordon)
Metropolitan colliery gas (Dave Gordon)
 
Airborne dust update (Mark Shepherd)
Airborne dust update (Mark Shepherd)Airborne dust update (Mark Shepherd)
Airborne dust update (Mark Shepherd)
 
Emergency planning (Matt U'Brien)
Emergency planning (Matt U'Brien)Emergency planning (Matt U'Brien)
Emergency planning (Matt U'Brien)
 
Electrical performance presentation (Craig Harris)
Electrical performance presentation (Craig Harris)Electrical performance presentation (Craig Harris)
Electrical performance presentation (Craig Harris)
 
Where do I stand for fire protection on mobile and transportable equipment an...
Where do I stand for fire protection on mobile and transportable equipment an...Where do I stand for fire protection on mobile and transportable equipment an...
Where do I stand for fire protection on mobile and transportable equipment an...
 

Recently uploaded

0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdfRenandantas16
 
Catalogue ONG NUOC PPR DE NHAT .pdf
Catalogue ONG NUOC PPR DE NHAT      .pdfCatalogue ONG NUOC PPR DE NHAT      .pdf
Catalogue ONG NUOC PPR DE NHAT .pdfOrient Homes
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in managementchhavia330
 
Sales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for SuccessSales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for SuccessAggregage
 
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝soniya singh
 
Call Girls Miyapur 7001305949 all area service COD available Any Time
Call Girls Miyapur 7001305949 all area service COD available Any TimeCall Girls Miyapur 7001305949 all area service COD available Any Time
Call Girls Miyapur 7001305949 all area service COD available Any Timedelhimodelshub1
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfpollardmorgan
 
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...lizamodels9
 
2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis UsageNeil Kimberley
 
Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni
 
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...anilsa9823
 
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In.../:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...lizamodels9
 
Progress Report - Oracle Database Analyst Summit
Progress  Report - Oracle Database Analyst SummitProgress  Report - Oracle Database Analyst Summit
Progress Report - Oracle Database Analyst SummitHolger Mueller
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Serviceankitnayak356677
 
Pitch Deck Teardown: NOQX's $200k Pre-seed deck
Pitch Deck Teardown: NOQX's $200k Pre-seed deckPitch Deck Teardown: NOQX's $200k Pre-seed deck
Pitch Deck Teardown: NOQX's $200k Pre-seed deckHajeJanKamps
 
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurVIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurSuhani Kapoor
 
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
Keppel Ltd. 1Q 2024 Business Update  Presentation SlidesKeppel Ltd. 1Q 2024 Business Update  Presentation Slides
Keppel Ltd. 1Q 2024 Business Update Presentation SlidesKeppelCorporation
 
Marketing Management Business Plan_My Sweet Creations
Marketing Management Business Plan_My Sweet CreationsMarketing Management Business Plan_My Sweet Creations
Marketing Management Business Plan_My Sweet Creationsnakalysalcedo61
 

Recently uploaded (20)

0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf0183760ssssssssssssssssssssssssssss00101011 (27).pdf
0183760ssssssssssssssssssssssssssss00101011 (27).pdf
 
Catalogue ONG NUOC PPR DE NHAT .pdf
Catalogue ONG NUOC PPR DE NHAT      .pdfCatalogue ONG NUOC PPR DE NHAT      .pdf
Catalogue ONG NUOC PPR DE NHAT .pdf
 
GD Birla and his contribution in management
GD Birla and his contribution in managementGD Birla and his contribution in management
GD Birla and his contribution in management
 
Sales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for SuccessSales & Marketing Alignment: How to Synergize for Success
Sales & Marketing Alignment: How to Synergize for Success
 
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
Call Girls in Mehrauli Delhi 💯Call Us 🔝8264348440🔝
 
Call Girls Miyapur 7001305949 all area service COD available Any Time
Call Girls Miyapur 7001305949 all area service COD available Any TimeCall Girls Miyapur 7001305949 all area service COD available Any Time
Call Girls Miyapur 7001305949 all area service COD available Any Time
 
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdfIntro to BCG's Carbon Emissions Benchmark_vF.pdf
Intro to BCG's Carbon Emissions Benchmark_vF.pdf
 
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
Call Girls In Connaught Place Delhi ❤️88604**77959_Russian 100% Genuine Escor...
 
2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage2024 Numerator Consumer Study of Cannabis Usage
2024 Numerator Consumer Study of Cannabis Usage
 
Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.Eni 2024 1Q Results - 24.04.24 business.
Eni 2024 1Q Results - 24.04.24 business.
 
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
Lucknow đź’‹ Escorts in Lucknow - 450+ Call Girl Cash Payment 8923113531 Neha Th...
 
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In.../:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...
/:Call Girls In Indirapuram Ghaziabad ➥9990211544 Independent Best Escorts In...
 
Progress Report - Oracle Database Analyst Summit
Progress  Report - Oracle Database Analyst SummitProgress  Report - Oracle Database Analyst Summit
Progress Report - Oracle Database Analyst Summit
 
KestrelPro Flyer Japan IT Week 2024 (English)
KestrelPro Flyer Japan IT Week 2024 (English)KestrelPro Flyer Japan IT Week 2024 (English)
KestrelPro Flyer Japan IT Week 2024 (English)
 
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts ServiceVip Female Escorts Noida 9711199171 Greater Noida Escorts Service
Vip Female Escorts Noida 9711199171 Greater Noida Escorts Service
 
Best Practices for Implementing an External Recruiting Partnership
Best Practices for Implementing an External Recruiting PartnershipBest Practices for Implementing an External Recruiting Partnership
Best Practices for Implementing an External Recruiting Partnership
 
Pitch Deck Teardown: NOQX's $200k Pre-seed deck
Pitch Deck Teardown: NOQX's $200k Pre-seed deckPitch Deck Teardown: NOQX's $200k Pre-seed deck
Pitch Deck Teardown: NOQX's $200k Pre-seed deck
 
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service JamshedpurVIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
VIP Call Girl Jamshedpur Aashi 8250192130 Independent Escort Service Jamshedpur
 
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
Keppel Ltd. 1Q 2024 Business Update  Presentation SlidesKeppel Ltd. 1Q 2024 Business Update  Presentation Slides
Keppel Ltd. 1Q 2024 Business Update Presentation Slides
 
Marketing Management Business Plan_My Sweet Creations
Marketing Management Business Plan_My Sweet CreationsMarketing Management Business Plan_My Sweet Creations
Marketing Management Business Plan_My Sweet Creations
 

Understanding the cause - Alan Burns and Gerard Chitty

  • 1. Understanding the Cause Alan Burns – Mangoola Coal Gerard Chitty – MTI, Monash University 1
  • 2. • Incident Summary • Post Incident investigation process • Understanding the cause of the failure • Conclusions & recommendations Content
  • 4. Background The cabin on the Liebherr R9250 excavator is supported by four resilient rubber mounts that are secured to a cab “riser”. The cab riser is retained by four vertical bolts and two horizontal bolts. These cab riser bolts (30mm dia. x 300mm long) secure the entire cab and riser to the LH front chassis of the machine. Cabin Cab Riser
  • 5. Background At the time of the incident, the machine had approximately 32,000 SMU hours on it with no previous faults reported on the cab riser bolts before the 13th of May 2016
  • 6. Events leading up to the Incident 13/5/2016 23/5/2016 • 2 broken bolts identified during service • Work Order raised and task scheduled to replace broken bolts • Maintenance Planner contacted the OEM • Unsuccessful attempt made to remove and replace bolts • Second unsuccessful attempt made to remove and replace broken bolts. 21/6/2016 7/7/2016
  • 7. Events leading up to the Incident 250mm to the broken part of the bolt Broken bolts were unable to be removed due to some misalignment and inability to effectively reach approximately 250mm to the broken part of the bolt
  • 8. Events leading up to the Incident 13/5/2016 10/8/2016 • 3rd broken bolt identified during inspection. • OEM notified and inspected the machine. • Risk assessment / discussion was conducted involving a number of personnel - combined experience of over 75 years • Estimated 5 days to replace bolts as the cab and riser had to be disconnected and removed from the machine • Decision made to carry out an interim repair and implement additional inspections to monitor the effectiveness of the repair. • Inspections to be carried out at crib breaks - 12 and 4 on each shift. • Plan to remove bolts at the November Shutdown unless results from inspections determine otherwise. 11/2016
  • 9. Events leading up to the Incident 13/5/2016 11/8/2016 • An incident occurred where a rock had rolled onto the track and made contact with the support under the cab riser. 11/2016
  • 10. Events leading up to the Incident 13/5/2016 12/8/2016 11/2016 • 4th broken bolt identified. • Risk assessment/discussion conducted between Maintenance Personnel • Reinforcement of interim repaired carried out • Inspections to monitor the effectiveness of the repair being carried out • Further reinforcement to the interim repair with gussets • OEM records the broken bolt status in their internal system 13/8/2016 15/8/2016
  • 11. Events leading up to the Incident 13/5/2016 11/20161/9/2016 • Cab to riser rubber mounts replaced as a further control measure to minimise cabin movement. Cabin Cab Riser
  • 12. Events leading up to the Incident 13/5/2016 11/201610/10/2016 • At 8:45pm, the cabin and cab riser dislodged from its normal position and tipped over damaging hydraulic hoses, electrical harnesses and causing minor structural damage to cab riser mounting. • No Injuries were reported at the time of the incident.
  • 13. The Investigation • Investigations commenced. • Required notifications made and the Resource Regulator visited the site • ICAM investigation initiated on 12th October 2016. • External facilitator and participates external and internal to Mangoola
  • 14. The Investigation Root Cause • Failure of the design of the interim repair • Monitoring program not detecting the failing state of the interim repair • Failure of the bolts indicates misalignment between the riser and the chassis mounts as the probable cause. The misalignment placing additional stress on the bolts causing them to fatigue and progressively fail over time.
  • 15. The Investigation Significant Learnings • Failure of cab riser bolts not completely understood. • Apart from the requirement to inspect bolts, there is no other definitive requirements relating to planned maintenance of the cab or riser in OEM manuals or site documentation. • Interim repairs are common place and considered a routine part of maintenance but there is no process or procedure that clearly deals with the specific requirements involved in the management of interim repairs • The integrity of the interim repair was heavily reliant on a routine inspections being conducted each shift. • Insufficient formal documentation to control the interim repair design and monitoring given the length of time the interim repair was relied upon. • Interim repair inspection criteria not clearly defined or communicated and limited documented evidence of the routine inspections being conducted
  • 16. The Investigation Recommendations • Develop an Interim Repair TARP / Procedure • Communicate the requirement to maintain accurate and timely records for ongoing monitoring of equipment. • Review the Maintenance Strategy around Cab Riser maintenance • Share learnings with OEM and other sites • Review Mechanical Engineering Control Plan
  • 17. Post Investigation 10/10/2016 31/1/2017 • Presentation to the Resource Regulator Representatives & District Check Inspector on the implementation and completion of the recommended actions. • Perceived that the presentation was well received.
  • 18. Post Investigation • Notification that another inspector was taking over the investigation. • Section 155 notice was going to be issued to provide information. • Intention to conduct interviews • Section 155 notice received • Interviews commence 10/10/2016 9/3/201714/3/2017 31/3/2017
  • 19. Post Investigation 10/10/2016 • Second Section 155 notice received. 11/5/2017
  • 20. Post Investigation 10/10/2016 • Interviews Continued 5/5/2017 - 11/7/2017
  • 21. Post Investigation 10/10/2016 13/11/201716/8/201722/11/17 & 29/11/17 • Notified that the investigation was being handed over to the Investigation Unit. • 3rd Section 155 notice received • Interviews Continued
  • 22. Post Investigation 10/10/2016 5/12/2017 25/9/2018 • 4th Section 155 notice received • Investigation to continue into 2018 • Enforceable Undertaking
  • 23. Enforceable Undertaking Action • Engage the Maintenance Technology Institute within the Department of Mechanical Engineering at Monash University to understand the root cause of failure and provide recommendations to eliminate such failures in the future
  • 24. Understanding the Cause Learnings from Liebherr R9250 Cab Riser Detachment Failure at Glencore Mangoola Mine Dr Daya Dayawansa, Amanda Gonzago, Tony Carpinteri, Dr Michael Lo & Gerard Chitty (MTI)
  • 25. Understanding the Root Cause of Failure Methodology Adopted The methodology adopted are as follows: 1. Review available failure information 2. Conducted preliminary FEA on the cab riser to understand the structural behavior and determine the instrumentation plan and sensors locations. 3. Install MTI’s Structural Monitoring System (SMS) on excavator EX151 with additional instrumentation. 4. Conduct specific testing to determine major influencing practices that effect the cab riser connection bolts. 5. Conducted FEA based on measured SMS data. 6. Conduct fatigue assessments based on measured data and FEA. 7. Development a comprehensive risk management strategy to minimise risk of failure.
  • 26. Instrumentation used The instrumentation consisting the following : • The MTI Structural Monitoring System (SMS) which monitors the structural performance of the machine and identify how the machine is being operated. • The system includes – 10 strain gauges on the boom stick and main frame – 3 position inclinometers on the boom, stick and bucket – Pressure transducers to measure boom, stick and bucket strut and swing forces.
  • 27. Cab Riser Instrumentation Strain gauge Terminations to SMS logger M30x300 bolt The instrumentation of the cab riser consisted of the following: • The six instrumented connection bolts • Three displacement transducers to measure any movement between the riser chassis. • 1 tri-axial accelerometer and some additional strain gauge on the connection block The strain gauges were zeroed prior to installation so that the pretension of the bolts could be measured at the time of install. Instrumented bolt installed on the outer rear of the riser Position of vertical and horizontal bolts Displacement transducers Tri-Axial Accelerometer Front Horizontal Bolt Transverse measurement Vertical measurement Chassi s Riser
  • 28. Bolt Pretention Measurements Pretension applied to a bolted connection has the ability to significant change fatigue loading on the bolt. The OEM specified a torque of 1920 Nm to tension the bolts which is equivalent to ~ 57% of proof load (570 MPa) for the bolt. Measured bolt tensions after the installation: Bolt Notation Instrumented Bolt Pretension Stress (MPa) Pretension Stress (% Proof Stress) B SG01 – Vertical Bolt Front (Outer) 755 75.5 A SG02 – Vertical Bolt Front (Inner) 180 18 E SG03 – Horizontal Bolt Front 590 59 F SG04 – Horizontal Bolt Rear 980 98 C SG05 – Vertical Bolt Rear (Inner) 125 12.5 D SG06 – Vertical Bolt Rear (Outer) 275 27.5
  • 29. Operator Practices – Normal Digging SMS Dashboard showing no alarms
  • 30. Operator Practices – Sudden Impact with Side Load SMS Dashboard showing operating practice causing strength alarms
  • 31. Normal Operations with High Damaging Dig Conditions High fatigue life usage in rear connection bolts mostly when digging not ripped coal was dug. Sudden increase in Bolt SG06 cumulative damage
  • 32. FE Modelling Results FE Results showed that • 34% of the measured transverse displacement was due to the deflection of the riser and the remaining 66% was due to the riser sliding relative to the chassis which caused bolt bending. • In the vertical directions, almost all of the measured displacements are due to the cab riser sliding which causes bolt bending. Transverse Longitudinal Vertical Strain gauge
  • 33. Fatigue Assessment – Axial + Bending Loads BS7608 was used to estimate the fatigue life considering only axial loads and both axial and bending. Comparison of the estimated fatigue life for bolts are summarised in table below ` The analysis showed that: • Bending of the connection bolts due to sliding the movement of the riser accounted for ~85% of the fatigue damage. • The estimated fatigue life of the bolts were significantly different with the lowest estimated fatigue life being ~4500 hours in Bolt D. • The estimated fatigue life of horizontal bolts were higher than the vertical bolts. Estimated Fatigue Life (Hrs) Bolt Notation Instrumented Bolt Axial Axial + Bending B SG01 – Vertical Bolt Front (Outer) 60000+ 12500 A SG02 – Vertical Bolt Front (Inner) 50000+ 12500 E SG03 – Horizontal Bolt Front 50000+ 20000+ F SG04 – Horizontal Bolt Rear 50000+ 20000+ C SG05 – Vertical Bolt Rear (Inner) 60000+ 10000 D SG06 – Vertical Bolt Rear (Outer) 20000+ 4500
  • 34. Design concepts 1. The bolted connections should be designed to prevent bolt bending as the sliding movement contributed to 85% of the bolt fatigue. 2. Another weaknesses of the connection design is that if one bolt is broken, it can not be replaced without completely removing the riser and cabin assembly. Chassis Cab riser block Connection features a tapered section to prevent movement. Use bolt and nut arrangement for easy replacement where possible (1) (2)
  • 35. Conclusions The following conclusions can be made: • The pretension of the bolts at installation – Varied significantly between each bolt. – Not all bolts achieved the recommended pretension. – Currently the pretension set to 57% of proof stress is relatively low. – Procedure to achieve recommended pretension of bolts was not provided by the OEM. • Sudden application of vertical force with side force causes significant stresses in the excavator structure and the cab riser connection bolts and high relative movement between the cab riser and the chassis. • The operating conditions and operator practices have a large influence on the life of the bolts. High fatigue life usage occurred when digging coal not ripped. • The movement of the cab riser relative to the chassis with the current bolt connection design cause bolts to experience significant bending during operations, which contributed to 85% of the fatigue damage.
  • 36. Recommendations The following recommendations can be made for the study: • Higher attention should be given to pretension of the bolts: – Adopt a bolt pretension procedure to ensure all the bolts are tensioned to the specified value which includes a bolt pretension sequence and re-tightening processes. – The pretensions should be checked at the next schedule day after. • With the current connection detail bolts should be inspected every 3 months and replaced every year to avoid bolt crack initiation/failure. • Inspect the attachment block (of the two horizontal bolts) every 5000 hours. Cracks in these areas will lead to loss of pretensions in the horizontal bolts. • Conduct operator awareness training programs to eliminate stress spikes which cause strength alarms and reduce the number of fatigue alarms provided by utilising the SMS real-time feedback which will improve production and minimise cumulative damage. • The connections between cab riser and chassis should be redesigned to prevent the movement of the cab riser w.r.t. the chassis (prevent bolt bending).
  • 37. Key Learnings Key Learnings from the investigation can be summarised as follows: • Understanding the loading the structure/structural component experiences during operations is critical in understanding the Root Cause of the Failure. • Most mining structures will experience fatigue cracking. The crack initiation and the crack growth rate will depend on: – Magnitude of the stress cycles experienced by the component (operating conditions) – The number of stress cycles (operating conditions) – Fatigue category of the connection (design) • To develop a comprehensive risk management strategy to maintain structural integrity of dynamic structures the loading/stresses experienced by the structures should be clear understood and the inspection frequencies should be based on estimated crack growth rates for each component • FEA is great engineering tool. However the loading used for the analysis and boundary conditions used in the FE models are critical to get accurate results/predictions

Editor's Notes

  1. Incident Summary Post Incident investigation process Understanding the cause of failure Conclusions & recommendations
  2. The cabin on the Liebherr R9250 excavator is supported by four resilient rubber mounts that are secured to a cab “riser”. The cab riser is retained by four vertical bolts and two horizontal bolts. These cab riser bolts (30mm dia. x 300mm long) secure the entire cab and riser to the LH front chassis of the machine.
  3. At the time of the incident, the machine had approximately 32,000 SMU hours on it with no previous faults reported on the cab riser bolts before the 13th of May 2016
  4. 13th May 2016 Two broken bolts identified during service (1 horizontal bolt and 1 vertical bolt) 23rd May 2016 Work Order raised to replace with new bolts and task scheduled Maintenance Planner contacted Liebherr (OEM) to advise of broken bolt and requests information of any history or known causes of broken bolts. 21st June 2016 First attempt made to remove and replace bolts with the cabin and riser in position. This was unsuccessful due to some misalignment and inability to effectively reach approximately 250mm to the broken part of the bolt. 7th July 2016 Second unsuccessful attempt made to remove and replace broken bolts.
  5. Broken bolts were unable to be removed due to some misalignment and inability to effectively reach approximately 250mm to the broken part of the bolt
  6. 10th August 2016 An additional (3rd) broken bolt identified during inspection (2nd vertical bolt). Liebherr site representative notified of the failure & inspected the machine with the Maintenance Step-up Supervisor. An inspection and informal risk assessment / discussion was conducted involving a number of Maintenance Personnel with a combined experience of 75 years to identify the suitability and effectiveness of a potential interim repair for the purpose of securing the cab riser to the chassis. It was estimated, that to remove and replace the broken bolts would take approximately 5 days as the cabin and riser had to be removed to gain access to the broken parts of the bolts It was determined that if an effective interim repair could be done and supported by an additional inspection program to detect any deterioration of the repair, then the bolts broken bolts may be able to be removed and replaced during the scheduled shutdown in November. The interim repair was welding across the affected bottom & side mounts. Although not welded on all sides due to access restrictions it was seen necessary for additional reinforcement of the first weld repairs. These repairs was intended to be further reinforced on the 13th August. GCOM communication commenced from the night shift on 10th August to inform Maintenance Teams of interim repairs to EX151 and requirement to inspect and monitor repair and riser each shift during cribs. Crib breaks are at 12 and 4 on both day and night shifts The inspection program was intended to continue until the planned permanent repair in November 2016 was undertaken, unless the inspection identified a need to take alternative action. These inspections complemented the existing ongoing controls and monitoring programs that were in place.
  7. 11th August 2016 An incident occurred where a rock had rolled onto the track and made contact with the support under the cab riser. Maintenance inspected the area and reported no cause for concern.
  8. 12th August 2016 Another (4th) broken bolt identified. Informal risk assessment/discussion conducted between Maintenance Personnel to identify suitability and effectiveness of a modification to reinforce the current interim repair The group inspected EX151 and discussed options to reinforce the temporary weld. The group determined through application of knowledge and experience that adding gussets would provide additional weld length and strength across the joint to provide effective reinforcement in the aim of conducting full repair to the cab riser mounts during the scheduled November Shutdown. It was the intention that the shift inspections would identify any deterioration of the interim repair in time to repair it before a catastrophic failure occurred. 13th August 2016 Further reinforcement to the interim repair carried out to secure front horizontal mount to boss with gussets. 15th August 2016 Liebherr (OEM) representative documented cab riser broken bolt status and interim repair measures taken and entered into the Liebherr PIR System
  9. 1st September 2016 Cab to riser rubber mounts replaced as a further control measure to minimise cabin movement.
  10. 10th October 2016 At 8:45pm one of the two remaining cab riser bolts has failed causing overload on the remaining bolt and interim welds which have then failed OR the interim weld on has failed causing overload on the remaining bolts The cabin and cab riser on unit EX151 dislodged from its normal position and tipped over damaging hydraulic hoses, electrical harnesses and causing minor structural damage to cab riser mounting. No Injuries were reported at the time of the incident.
  11. Investigations commenced. Required notifications made and the Resource Regulator visited the site ICAM investigation initiated on 12th October 2016. The ICAM Team consisted of persons External and Internal to M: External Maintenance & Engineering Manager / facilitator External Statutory Mechanical Engineer Internal Statutory Mechanical Engineer Site Check Inspector H&S Representative (Maintenance) H&S Manager Mine Manger
  12. Root Cause The root cause of the incident was the failure of the design and monitoring program to detecting the failing state of the interim repair. Post incident analysis to determine the root cause for the failure of several riser retaining bolts after more than 30,000 hours indicates misalignment between the riser and the chassis mounts as the probable cause. The misalignment, likely caused by an unidentified event or impact, has placed additional stress on the bolts causing them to fatigue and progressively fail over time.
  13. Significant Learnings Root cause of initial failure of Cab Riser Bolts not completely understood or investigated. Maintenance strategy needs to be reviewed in reference to the cab mounts and cab riser to minimise risk of bolt failure. Apart from the requirement to inspect, there is no other definitive requirements relating to planned maintenance of the cab or riser in OEM manuals or site documentation. PM Service task to inspect cab mounts not specific to identify cab mounts vs cab riser mounts and relative positions. No pass / fail specification provided to maintainers. Evidence suggests interim repairs are common place and considered a routine part of maintenance. Despite the existence of Risk Management Procedures there is no process or procedure in the Mangoola Health & Safety Management System that clearly deals with the specific requirements involved in the management of interim repairs in maintenance. The integrity of the interim repair was heavily reliant on a routine inspections being conducted each shift. Insufficient formal documentation was in place to control the interim repair design and monitoring given the consequence of failure and length of time the interim repair was relied upon. Interim repair inspection criteria not clearly defined or communicated. There was limited documented evidence of the routine inspections of the interim repair being conducted.
  14. Recommendations Develop an Interim Repair TARP which will provide a structured process for decision making, risk based approval and monitoring of interim repairs. Communicate to key personnel the requirement to maintain accurate and timely records for ongoing monitoring of equipment with Interim Repairs and the requirement to escalate deteriorating conditions. Review the Maintenance Strategy around Cab Riser maintenance and update PM documents to be more descriptive in pass / fail limits Share learnings with OEM and obtain any feedback or forward recommendations relation to cab and riser maintenance recommendations for Mangoola and other sites Review Mechanical Engineering Control Plan as required in the triggers for review
  15. Presentation to the Resource Regulator Representatives & District Check Inspector on the implementation and completion of the recommended actions. Perceived that the presentation was well received. Comment: “we may put out an industry safety alert as the interim repair procedure would be a benefit to other operations’’
  16. Notification that another inspector was taking over the investigation. Section 155 notice was going to be issued to provide information. Intention to conduct interviews Section 155 notice received Interviews commence – The Operator, Site Check Inspector & Maintenance HSR
  17. Draft Consultation Investigation Information release was received for review Interviews Continued – another operator & 3 tradespersons Second Section 155 notice received. Interviews Continued - 2 tradespersons
  18. Draft Consultation Investigation Information release was received for review Interviews Continued – another operator & 3 tradespersons Second Section 155 notice received. Interviews Continued - 2 tradespersons
  19. Interviews Continued – Maintenance Superintendent (2nd time), Maintenance Planning Superintendent & Maintenance Supervisor Notified that the investigation was being handed over to the Investigation Unit. 3rd Section 155 notice received Interviews Continued - HS&T Manager
  20. Interviews Continued - Mining Manager & Maintenance Manager 4th Section 155 notice received Further interviews planned Enforceable Undertaking