Scenario

01. Insufficient Analysis or Research
02. Insufficient Prior Research
03. No Grasping the Properties of Material
04. Organizational Problems
05. Inflexible Management Structure
06. Insufficient Information Transfer
07. Planning and Design
08. Poor Planning
09. Poor Design
10. Malfunction
11. Poor Hardware
12. Contamination of Foreign Material
13. Bad Event
14. Chemical Phenomenon
15. Abnormal Reaction
16. White Smoke Generation

White fumes generated from a tolylene diisocyanate (TDI) solution tank due to moisture contamination at a epichlorohydrin manufacturer
Case Details

Knowledge Comment:
An abnormal reaction occurred with contamination of water through the inadequate vent piping which was diverted

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)