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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Ignorance |
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05. |
Insufficient Knowledge |
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06. |
Convincement |
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07. |
Malicious Act |
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08. |
Rule Violation |
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09. |
Safety Rule Violation |
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10. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Not repaired |
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13. |
Malfunction |
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14. |
Poor System |
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15. |
Bad condition of Safety System |
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16. |
Bad Event |
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17. |
Electrical Failure |
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18. |
Breaking of Wire |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Explosion |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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Explosion at a rotating filter caused due to high oxygen concentration generated from operation with defective monitoring instrument
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Knowledge Comment: |
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Because the plant was operated without safety instruments, an explosion occurred. |
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