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01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Carelessness |
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05. |
Insufficient Precaution |
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06. |
Mannerism |
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07. |
Poor Value Perception |
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08. |
Poor Safety Awareness |
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09. |
Inadequate Protector |
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10. |
Nitration |
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11. |
Regular Movement |
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12. |
Careless Movement |
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13. |
Insufficient Acid Removal |
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14. |
Planning and Design |
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15. |
Poor Planning |
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16. |
No Remote Control of Dangerous Work |
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17. |
Bad Event |
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18. |
Chemical Phenomenon |
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19. |
Abnormal Reaction |
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20. |
Secondary Damage |
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21. |
External Damage |
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22. |
Explosion |
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23. |
Bodily Harm |
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24. |
Injury |
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25. |
3person burnt |
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Explosion during the final process of nitration for nitrocellulose manufacturing
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Knowledge Comment: |
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Thinking to be safe with no confirmation is a taboo, even if you will do the regular work. |
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