How a Loose Screw Nearly Took Down a DCS System - Just Measure it

How a Loose Screw Nearly Took Down a DCS System

A Real UPS Failure Case Study and What We Learned

In instrumentation and control systems, the UPS is often called the “heartbeat of the plant.”

It keeps critical systems like DCS, field instruments, and control loops running—even during power disturbances.

Most of the time, everything looks fine during routine inspection.
But one real incident reminded us of a hard truth:

👉 Sometimes, a system failure is caused by something as small as a single screw.

📍 Incident Overview

  • Time: February 16, 2026 – 12:04

  • Location: UPS cabinet room

  • Alarm: “DCS External Power Failure”

  • Impact: Potential risk to the entire control system

⚡ What Happened?

At 12:04, the control room received an alarm:

👉 DCS external power failure

Operators immediately coordinated with the electrical team and confirmed:

  • The secondary power supply had tripped

  • Emergency inspection was initiated

🔍 On-Site Investigation

After arriving at the UPS room, engineers checked:

Key Findings:

  1. West-side UPS system (parallel units)

    • Completely blacked out

    • No input / output power

  2. East-side UPS system

    • Alarmed but still operating

    • Continued supplying power to DCS

  3. ATS (Automatic Transfer Switch)

    • Found in manual mode

    • Unable to switch automatically

  4. Root Cause Identified
    👉 A loose screw inside an electrical drawer
    👉 Contacted the cabinet housing
    👉 Caused a short circuit and tripping

🔧 Root Cause

👉 A single loose screw caused a short circuit inside the electrical drawer

This led to:

  • Power trip on secondary supply

  • Loss of redundancy

  • System-wide risk

✅ Recovery Process

  • Electrical team removed the fault point

  • Tightened internal components

  • Checked insulation and safety

  • Restored secondary power

🕐 By around 13:03:

  • UPS systems returned to normal

  • DCS alarm disappeared

  • Full system operation restored

💡 Why This Incident Didn’t Cause a Shutdown

This could have been a major accident—but it wasn’t.

Two key reasons saved the system:

1️⃣ UPS Redundancy (Critical Protection)

  • Dual UPS design (East & West)

  • One side failed → the other kept running

👉 This prevented total DCS shutdown

2️⃣ Fast Cross-Team Response

  • Control room + electrical + instrumentation teams

  • Immediate coordination

  • Full recovery within 1 hour

⚠️ Hidden Risk We Cannot Ignore

👉 The ATS switch was in manual mode

If the second UPS had failed:

❗ The entire system would have gone down

This is a serious operational risk

🔥 What We Learned: 3 Critical Power Monitoring Practices

1. UPS Visualization in DCS ⭐ MUST DO

Make UPS status visible directly in DCS.

Key data to monitor:

  • Input/output voltage & current

  • Battery capacity & backup time

  • Operating mode (Normal / Bypass / Battery)

  • Alarm status

💡 PRO TIP:
A visible UPS dashboard = early warning system

2. Full Power Loop Monitoring ⚠️ HIGH RISK AREA

Don’t just monitor UPS—monitor the entire power chain:

👉 Power grid → ATS → UPS → Distribution → DCS

Recommended monitoring points:

  • ATS switch status

  • STS system status

  • UPS output

  • DC power systems (24V / 110V)

  • Distribution circuits

Use relay signals + DCS DI inputs for real-time status detection.

3. Alarm Logic & System Design

Key principles:

  • Clear alarm naming

  • Alarm prioritization

  • Automatic pop-up alerts

Example:

👉 “DC24V Power Failure – Cabinet A”

Result:

  • Faster response

  • Accurate fault location

  • Full traceability

🚀 Final Solution: Build a Power Monitoring System

By combining:

  • UPS communication

  • Relay-based loop detection

  • DCS visualization

You can build a complete system that delivers:

✅ Real-time monitoring
✅ Early warning
✅ Fast response
✅ Reduced shutdown risk

🔚 Final Takeaway

👉 Power system failures are often not caused by major faults

They are caused by:

  • Loose connections

  • Small installation mistakes

  • Lack of monitoring

Small detail → Big risk

Share This Story, Choose Your Platform!

Contact Us

    Please prove you are human by selecting the plane.
    Translate »