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