 |
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. |
Ignorance |
|
08. |
Insufficient Knowledge |
|
09. |
Insufficient Collection of Related Information |
|
10. |
Planning and Design |
|
11. |
Poor Planning |
|
12. |
Unsuitable for Operatiom Condition |
|
13. |
Failure |
|
14. |
Abrasion |
|
15. |
Corrosion |
|
16. |
Secondary Damage |
|
17. |
External Damage |
|
18. |
Leakage/Explosion/Fire |
|
19. |
Bodily Harm |
|
20. |
Injury |
|
21. |
3 person injured |
|
22. |
Loss to Organization |
|
23. |
Economic Loss |
|
24. |
Direct Monetary Damage 480 million yen |
|
|
|
Leakage and explosion of hydrogen at outlet piping of a reactor in the indirect hydrodesulfurization unit of a fuel oil
|
 |
Knowledge Comment: |
|
Although save energy and rationarization are important, safety is more important. |
|
|
|
|
