 |
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. |
Usage |
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08. |
Maintenance/Repair |
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09. |
No repair for 30 years |
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10. |
Failure |
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11. |
Fracture/Damage |
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12. |
Fatugue |
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13. |
Bad Event |
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14. |
Mechanical Event |
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15. |
Friction |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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21. |
Direct Monetary Damage 50 million yen |
|
|
|
Fire due to accumulated material in an exhaust gas duct at a finishing section of a synthetic rubber plant
|
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Knowledge Comment: |
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Having not overhauled for 30 years, the impeller of the fan broke. |
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