Scenario

01. Carelessness
02. Insufficient Precaution
03. Inadequate Handling
04. Organizational Problems
05. Poor Management
06. Slackness of Management
07. Malicious Act
08. Rule Violation
09. Safety Rule Violation
10. Usage
11. Maintenance/Repair
12. Insufficient Inspection
13. Failure
14. Fracture/Damage
15. Rupture
16. Secondary Damage
17. External Damage
18. Explosion
19. Bodily Harm
20. Death
21. 1person died
22. Bodily Harm
23. Injury
24. Loss to Organization
25. Economic Loss
26. Direct Monetary Damage 800 million yen

Leakage and explosion of a vinyl chloride monomer caused due to damage of a valve at distillation column feed piping at a manufacturing plant of vinyl chloride monomers
Case Details

Knowledge Comment:
The valve was broken by over-excess power to close the valve, then the catastrophe came.

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)