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High Temperature Sulfidation
Ф52” just upstream of bend ruptured
Low Silicon CS
8”
Tesoro Refinery, 2 Apr 2010, six fatalities
Thinning & Over pressurization
CLSCC
Normal event Quick fixing based on symptoms & no RCA
Fast repair , Quick production back & staff get recognition
Attending the next problem and then next & next
Develop- reactive staff - reactive role models
Prone to Catastrophes
Solar Potential
Thank YOU
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