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Question : 4.2.Unplanned shutdowns of reactors have been a chronic problem. After

4.2.Unplanned shutdowns of reactors have been a chronic problem. After much discussion, the consensus—called the “wisdom”—identified “cylinder changes” and “human error” as the primary causes. A diagnostic approach based on facts was instituted. Here are data on the causes of previous shutdowns:

Cause

Frequency

Cylinder changes

21

Human error

16

Hot melt system

65

Initiator system

25

Interlock malfunction

19

Other

23

 

169

 

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