Scenario

01. Organizational Problems
02. Poor Management
03. Poor Process Management
04. Ignorance of Procedure
05. Disregard of Procedure
06. Ignorance of Process Documentation
07. Usage
08. Maintenance/Repair
09. Management of Oil's Quality
10. Cleaning
11. Accumulator
12. Bad Event
13. Thermo-Fluid Event
14. Fluid Reaction
15. Difference of Pressure
16. Burnable mixture air
17. Bad Event
18. Chemical Phenomenon
19. Ignition
20. Burn
21. Failure
22. Large-Scale Damage
23. Burst
24. Air Bottle
25. Secondary Damage
26. External Damage
27. Equipments of Factory
28. Buildings Outside of Factory
29. Bodily Harm
30. Death
31. Bodily Harm
32. Injury

Explosion of air bottle by mixing oil
Case Details 100 Selected Cases


Field Material Science
Author KOBAYASHI, Hideo (Yokohama National University)