Scenario

01. Organizational Problems
02. Inflexible Management Structure
03. Insufficient Information Transfer
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Carelessness
08. Insufficient Precaution
09. Inadequate Handling
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Planning and Design
14. Poor Planning
15. Poor Design
16. Secondary Damage
17. External Damage
18. Leakage
19. Secondary Damage
20. Damage to Environment
21. Sea Pollution

Leakage of varnish for ink after transfer to a fully occupied tank where an alarm lamp lit
Case Details

Knowledge Comment:
Level control of a tank is one of the basis of operation, please watch the level!

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