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01. |
Misjudgment |
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02. |
Misperception |
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03. |
Misread |
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04. |
Organizational Problems |
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05. |
Poor Management |
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06. |
Insufficient Preparation |
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07. |
Usage |
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08. |
Maintenance/Repair |
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09. |
Regular Operation |
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10. |
Erroneous Operation |
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11. |
Mistake of Operation Object |
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12. |
Bad Event |
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13. |
Mechanical Event |
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14. |
Rapture Disk Operated |
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15. |
Secondary Damage |
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16. |
External Damage |
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17. |
Fire |
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![](../dfen/DC1000065.jpg)
Fire from a vent stack of an extruder during a shutdown at a polyethylene manufacturing plant
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Knowledge Comment: |
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Insufficient preparation for the turnaround shutdown may result a fire. |
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