01.
Carelessness
02.
Insufficient Precaution
03.
Ignorance of Procedure
04.
Insufficient Communication
05.
Planning and Design
06.
Design Misuse
07.
Non-Regular Action
08.
Inaction
09.
Bad Event
10.
Thermo-Fluid Event
11.
Bodily Harm
12.
Death
Train Fire at Sakuragi-cho
Field
Mechanical Engineering
Author
HARITA, Yoshiaki (FlowNet Company)
NAKAO, Masayuki (Institute of Engineering Innovation, School of Engineering, The University of Tokyo)