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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Insufficient Analysis or Research |
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05. |
Insufficient Practice |
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06. |
Lack of Imagination |
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07. |
Organizational Problems |
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08. |
Poor Management |
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09. |
Slackness of Management |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Planning of Repair |
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13. |
Bad Event |
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14. |
Mechanical Event |
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15. |
Valve Seat Leakage |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Bodily Harm |
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20. |
Injury |
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21. |
2 person injured |
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Leakage and fire of hydrogen during exchange of a dehydrogenation catalyst at an alkylbenzene manufacturing plant
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Knowledge Comment: |
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A valve may leak when it is required to shut off tightly. To eatimate leakage quantity is too difficult! |
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