Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Insufficient Recognition of Risk
04. Ignorance of Procedure
05. Disregard of Procedure
06. Disregard of Working Procedure
07. Esterification
08. Planning and Design
09. Poor Planning
10. Poor Design
11. Unbalance of Heating and Condensation
12. Regular Operation
13. Erroneous Operation
14. Erroneous Operation by Mis Misjudgment
15. Bad Event
16. Chemical Phenomenon
17. Abnormal Reaction
18. Secondary Damage
19. External Damage
20. Explosion
21. Bodily Harm
22. Death
23. Bodily Harm
24. Injury

Leakage and explosion of benzene vapor due to a pressure rise in the reactor where steam for heating could not be completely stopped
Case Details

Knowledge Comment:
A valve may not be closed tightly when it is closed. Did you think the measure against that time?

Field Chemicals and Plants
Author KOSEKI, Hirosi (National Research Institute of Fire and Disaster)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)