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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. |
Insufficient Analysis or Research |
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05. |
Insufficient Prior Research |
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06. |
Insufficient Pre-Study of Reaction Safety |
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07. |
Reduction Reaction |
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08. |
Planning and Design |
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09. |
Poor Planning |
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10. |
Poor Design |
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11. |
Usage |
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12. |
Maintenance/Repair |
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13. |
Insufficient Observation |
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14. |
Bad Event |
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15. |
Chemical Phenomenon |
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16. |
Abnormal Reaction |
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17. |
Malfunction |
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18. |
Poor Hardware |
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19. |
No Action of Safety Equipment |
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20. |
Secondary Damage |
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21. |
External Damage |
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22. |
Leakage/Explosion |
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23. |
Bodily Harm |
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24. |
Death |
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25. |
Bodily Harm |
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26. |
Injury |
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![](../dfen/DC1000094.jpg)
Explosion due to no function of safety equipment in the abnormal reaction during manufacturing phenetidine
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Knowledge Comment: |
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Overhaul should be done carefully, because safety device must operate surely. |
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