 |
01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Process Engineering |
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10. |
Bad Event |
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11. |
Chemical Phenomenon |
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12. |
Detonation in the Column |
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13. |
Secondary Damage |
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14. |
External Damage |
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15. |
Fire |
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16. |
Secondary Damage |
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17. |
Damage to Environment |
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18. |
Very Large Damage in the Neighbourhood |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
4 person died |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
59 Persons injured |
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25. |
Loss to Organization |
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26. |
Social Loss |
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27. |
Abolish of the Factory |
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|
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Explosion and fire of highly-concentrated hydroxylamine at a re-distillation unit
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Knowledge Comment: |
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Why did they handle easily the super dangerous material which occurs self detonation at high concentration? |
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