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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insufficiet Safety Measure |
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04. |
Carelessness |
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05. |
Insufficient Precaution |
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06. |
Insufficient Confirmation |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
No facicity against Leakage |
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10. |
Regular Operation |
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11. |
Erroneous Operation |
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12. |
Valve was not Closed Tightly |
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13. |
Secondary Damage |
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14. |
Damage to Environment |
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15. |
Environmental Pollution |
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Leakage of heat medium oil from a varnish manufacturing plant caused due to an error in judgment and a mistake in operation at startup
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Knowledge Comment: |
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An accident occurred from insufficient facilities and erroneous operation |
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