 |
01. |
Misjudgment |
|
02. |
Misperception |
|
03. |
Misread |
|
04. |
Organizational Problems |
|
05. |
Poor Management |
|
06. |
Insufficient Preparation |
|
07. |
Usage |
|
08. |
Maintenance/Repair |
|
09. |
Regular Operation |
|
10. |
Erroneous Operation |
|
11. |
Mistake of Operation Object |
|
12. |
Bad Event |
|
13. |
Mechanical Event |
|
14. |
Rapture Disk Operated |
|
15. |
Secondary Damage |
|
16. |
External Damage |
|
17. |
Fire |
|
|
|
Fire from a vent stack of an extruder during a shutdown at a polyethylene manufacturing plant
|
 |
Knowledge Comment: |
|
Insufficient preparation for the turnaround shutdown may result a fire. |
|
|
|
|
