| Case Name |
Hot water overflowed from the supply piping, and the corridor and the dining room flooded. |
| Pictograph |
|
| Date |
June 22, 2000 |
| Place |
Fukuoka Prefecture. |
| Location |
The architecture ( addition and improvement ) construction. |
| Overview |
This failure is a case in the architecture ( addition and improvement ) construction.
The hot water supply piping overflowed in the ceiling of the hospital, and the corridor and dining room flooded. |
| Incident |
Hot water supply piping, and the corridor and the dining room flooded. |
| Sequence |
This failure is a case in the architecture ( addition and improvement ) construction. Hot water supply piping in the ceiling of the hospital overflowed, and the corridor and the dining room flooded. It caused patients and hospital staff considerable trouble. ( for cost of repairing : \ 800000 ). |
| Cause |
1) The opening of the piping tip was treated only with vinyl tape wrapping.
2) Someone had released the management valve of piping. |
| Response |
1) Temporary joint plug was installed at the piping end.
2) The management plug was made to be removable. |
| Countermeasures |
1) To make the prior review meeting better.
2) The full confirmation of protection measures by the manager.
3) The completeness of the education to workers. |
| Knowledge Comment |
The importance of the prior consultation.
The importance of the confirmation.
The importance of the education. |
| Reason for Adding to DB |
This accident would have been a large-scale disaster, if someone had taken one wrong step. |
| Scenario |
| Primary Scenario
|
Ignorance of Procedure, Disregard of Procedure, Misjudgment, Misperception, Insufficient Analysis or Research, Insufficient Prior Research, Poor Concept, Poor Strategy or Concept, Organizational Problems, Inflexible Management Structure, Organizational Problems, Poor Management, Usage, Maintenance/Repair, Regular Operation, Erroneous Operation, Failure, Fracture/Damage, Loss to Organization, Economic Loss, Loss to Organization, Social Loss
|
|
| Sources |
KUMAGAI GUMI CO.,LTD Kyushu branch failure example utilization workshop.
|
| Number of Deaths |
0 |
| Number of Injuries |
0 |
| Field |
Civil Engineering
|
| Author |
Fujimoto Masaru (KUMAGAI GUMI Co., Ltd.)
|
