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01. |
Unknown Cause |
|
02. |
Occurrence of Abnormal Phenomenon |
|
03. |
Poor Value Perception |
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04. |
Poor Safety Awareness |
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05. |
Inadequate Risk Recognition |
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06. |
Carelessness |
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07. |
Insufficient Precaution |
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08. |
Carelessness of Operator |
|
09. |
Planning and Design |
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10. |
Poor Planning |
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11. |
No Hypothesis of the Worst Case |
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12. |
Non-Regular Operation |
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13. |
Emergency Operation |
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14. |
Emergency Shutdown |
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15. |
Bad Event |
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16. |
Thermo-Fluid Event |
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17. |
Exfoliation/Scatter |
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18. |
Secondary Damage |
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19. |
External Damage |
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20. |
Fire |
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|
|
Turf grass fire caused due to scatter from a flare stack
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Knowledge Comment: |
|
May-be, this accident was the first accident in Japan which occurred from an accumulation of suit inside a flare stack. Warning to the Manager of the factory. |
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