Scenario

01. Insufficient Analysis or Research
02. Insufficient Prior Research
03. Oversight of Reaction Danger
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Planning and Design
08. Poor Planning
09. Much Influences from Other Usage
10. Regular Movement
11. Careless Movement
12. Insufficient Flow Rate
13. Bad Event
14. Chemical Phenomenon
15. Hydrolysis
16. Secondary Damage
17. External Damage
18. Leakage
19. Bodily Harm
20. Sickness
21. 42 person nearby sickness

Runaway reaction during manufacturing pesticide due to a decomposition reaction of tarry waste.
Case Details

Knowledge Comment:
Generaly speaking, utilities are used commonly in many plants. Sufficient consideration should be required from the design.

Field Chemicals and Plants
Author YOSHINAGA, Jun (Graduate School of New Frontier Sciences, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)