Scenario

01. Organizational Problems
02. Poor Management
03. Habit/looseness
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Carelessness
08. Insufficient Precaution
09. Mannerism
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Usage
14. Maintenance/Repair
15. Hot Work
16. Secondary Damage
17. External Damage
18. Explosion
19. Bodily Harm
20. Death
21. 8 person died
22. Bodily Harm
23. Injury
24. 2 person injured

Explosion of a dangerous material left near during repair work of a reduction reactor
Case Details

Knowledge Comment:
A fire occurred at the place without descipline and cleaning.

Field Chemicals and Plants
Author OGAWA, Terushige (Graduate School of Environment and Information Sciences, Yokohama National University)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)