Professional Documents
Culture Documents
NORTH GRID
TRANSFORMER
TAP CHANGER
EXPLOSION
7th May 2008
W F Bates
HM Specialist Inspector
HSE
The Red phase changeover switch was not fully engaged on contact 12 and
was overlapping the contact by approximately 12mm (20mm shown above as
remaining).
Red phase X
selector switch
moving contact.
Incident Management
After the incident the following recommendation was
made.
" All tap changers of this type should be checked for
free motion of the mechanism and integrity of the
epoxy resin drive linkages. Any unusual opposition to
the movement ( as experienced manually or indicated
by a tap change motor trip) should be examined
immediately and no on load tap changing operations
should be allowed until such reports are examined and
solutions implemented"
Check
Follow Up Actions
Check
All modifications have been completed
Competence of staff in fault and maintenance work
Robust asset management system to schedule and record
work
Operation through full tapping range
Understand
Failure modes
Significance of repeated alarms and malfunctions
Risk of manual operation of tap changers
HSE Prosecution
On 4th January 2013 UK Power Networks (Operations) Limited,
of Newington House, 237 Southwark Bridge Road, London,
was fined 275,000 with 145,000 in prosecution costs after
pleading guilty to breaching Section 2(1) of the Health and
Safety at Work etc. Act 1974.
After sentencing HSE Inspector Steven Gill said:
John Higgins lost his life in tragic circumstances that could have been
avoided had this activity had been properly assessed and managed by
UK Power Networks.
His death illustrates how dangerous work on or near electrical
distribution networks can be, and how imperative it is that employers
large or small - ensure that all activities involving high voltage
electrical equipment are properly assessed and that safe systems of
work in place.
There is no room for error or complacency when working with high
voltage equipment.
HSL animation
An animation explaining the incident
is available at
http://rnn.cabinetoffice.gov.uk/ImageLibrary/
detail.aspx?MediaDetailsID=6241