Due to the collision and wear of the ice used in the chlorination reaction post on the r1503 tank glass lined agitator paddle, the enamel on the surface of the agitator paddle fell off. After cleaning, the post operators did not check carefully, resulting in the damage of r1503 tank agitator paddle which was not found in time.<br>Because r1503 tank agitator only involves enamel falling off on the surface, the material in contact with the liquid is still glass lined, and the liquid is not in contact with the iron material in the inner layer of glass lined. This material solution will not react with glass lining, and will be extracted by dichloromethane, decolorized by activated carbon, dehydrated by anhydrous sodium sulfate and filtered by filter in subsequent posts. By checking the seven batch production records of 1035-a191107 to 1035-a191201 related to the deviation, the filter bags were intact before and after filtration. After the chlorination reaction post, there are also the cyclization reaction post and the refining post. The refining post has the filtration operation of 0.45um membrane, which can remove the enamel mixed with the material liquid. Therefore, the enamel of r1503 can be effectively removed by the above treatment process. Since the glass lining will not dissolve in all materials used in cyclophosphamide production, the risk is controllable. See d-tz-api-205-19004-r r1503 deviation investigation and risk assessment report for details.<br>1. According to h3-tm-10102 glass lined reaction tank maintenance procedures, repair the inner surface of r1503 tank glass lined agitator paddle, and conduct electric spark test.<br>2. Check other glass lined reaction tanks of cyclophosphamide production line to see if the reactor is damaged.<br>3. Train the operators according to the use and maintenance management procedure of h0-sop-20074 equipment, and emphasize: record whether there is any damage on the glass lining surface after each cleaning.<br>4. Revise h3-mpd-10116-01 cyclophosphamide chlorination post operation procedure and h3-mpd-10116-r01 ~ R05 cyclophosphamide batch production record (y36), add: before production, test whether there is damage on the glass lining surface of r1503 tank. And train the relevant personnel.<br>
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