An unusual noise on line 3. Nobody dwells on it : the shift changes ten minutes later.
The equipment stops dead. Production stops with it. Every hour of downtime costs several thousand euros.
The maintenance manager looks for the heat exchanger's history. Nothing in the CMMS. The paper archives have to be reopened.
The report turns up : an inspection paid for two years earlier already flagged local corrosion to watch.
The data existed. Nobody ever looked at it again. This is not a checking problem : it is a memory problem.






