Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Carelessness
05. Insufficient Understanding
06. Inadequate Risk Recognition
07. Planning and Design
08. Poor Planning
09. Poor Design
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Failure
14. Fracture/Damage
15. Valve Failure and Leakage
16. Bodily Harm
17. Injury
18. 1 person injured

Leakage of high-pressure ethylene gas from gland packing of an acetone injection valve at a low-density polyethylene manufacturing plant
Case Details

Knowledge Comment:
If you open the small size valve by force, the valve may be damaged easily!

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