 |
01. |
Poor Value Perception |
|
02. |
Poor Safety Awareness |
|
03. |
Inadequate Risk Recognition |
|
04. |
Insufficient Analysis or Research |
|
05. |
Insufficient Prior Research |
|
06. |
Insufficient Pre-Study of Reaction Safety |
|
07. |
Reduction Reaction |
|
08. |
Planning and Design |
|
09. |
Poor Planning |
|
10. |
Poor Design |
|
11. |
Usage |
|
12. |
Maintenance/Repair |
|
13. |
Insufficient Observation |
|
14. |
Bad Event |
|
15. |
Chemical Phenomenon |
|
16. |
Abnormal Reaction |
|
17. |
Malfunction |
|
18. |
Poor Hardware |
|
19. |
No Action of Safety Equipment |
|
20. |
Secondary Damage |
|
21. |
External Damage |
|
22. |
Leakage/Explosion |
|
23. |
Bodily Harm |
|
24. |
Death |
|
25. |
Bodily Harm |
|
26. |
Injury |
|
|
|
Explosion due to no function of safety equipment in the abnormal reaction during manufacturing phenetidine
|
 |
Knowledge Comment: |
|
Overhaul should be done carefully, because safety device must operate surely. |
|
|
|
|
