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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. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Insufficient Information Transfer |
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07. |
Carelessness |
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08. |
Insufficient Understanding |
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09. |
Insufficient Recognition of Risk |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Cleaning Planning |
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13. |
Usage |
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14. |
Maintenance/Repair |
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15. |
Decommissioning |
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16. |
Malicious Act |
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17. |
Rule Violation |
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18. |
Safety Rule Violation |
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19. |
Bad Event |
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20. |
Chemical Phenomenon |
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21. |
Burning |
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22. |
Secondary Damage |
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23. |
External Damage |
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24. |
Fire |
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Fire of residual oil during repairing at a fuel oil tank of refinery
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Knowledge Comment: |
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It is very difficult to dismantle of a large equipment like a tank. Dangerous materials hide in crevice and gasket where finding the materials is difficult. Moreover, heavy residue oil is more difficult to purge ! |
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