Scenario

01. Insufficient Analysis or Research
02. Insufficient Practice
03. Lack of Imagination
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Planning and Design
08. Poor Planning
09. Poor Planning for Purge
10. Non-Regular Action
11. Change
12. Change of Operation Procedure
13. Bad Event
14. Chemical Phenomenon
15. Abnormal Reaction
16. Secondary Damage
17. External Damage
18. Explosion

Fire and explosion in a butadiene rectifying column during preparation for turnaround shutdown maintenance
Case Details

Knowledge Comment:
It is very difficult to purge out the gas inside the polymer.

Field Chemicals and Plants
Author KOBAYASHI, Mitsuo (Office K)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)