|
01. |
Poor Value Perception |
|
02. |
Poor Safety Awareness |
|
03. |
Poor Recognition of Importance about Structure and Parts |
|
04. |
Carelessness |
|
05. |
Insufficient Understanding |
|
06. |
Insufficient Recognition of Risk |
|
07. |
Usage |
|
08. |
Maintenance/Repair |
|
09. |
Repair |
|
10. |
Oversight of Secure Deterioration |
|
11. |
Failure |
|
12. |
Large-Scale Damage |
|
13. |
Rapture |
|
14. |
Secondary Damage |
|
15. |
External Damage |
|
16. |
Explosion |
|
17. |
Bodily Harm |
|
18. |
Death |
|
19. |
10 peson died |
|
20. |
Bodily Harm |
|
21. |
Injury |
|
22. |
7 person injured |
|
23. |
Loss to Organization |
|
24. |
Economic Loss |
|
25. |
Direct Monetary Damage 2900 million yen |
|
|
|
Leakage and explosion at a heat exchanger having a special structure caused due to insufficient maintenance of a vacuum gas oil hydrodesulfurization unit
|
|
Knowledge Comment: |
|
For special type equipment, you must understand sufficiently the structure and the function of the equipment. |
|
|
|
|