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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 Analysis of Danger |
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07. |
Ignorance |
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08. |
Insufficient Knowledge |
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09. |
Convincement |
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10. |
Usage |
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11. |
Operation/Use |
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12. |
Accumulation of Impurities |
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13. |
Bad Event |
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14. |
Chemical Phenomenon |
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15. |
Abnormal Reaction |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Explosion |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
11 person died |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
40 person injured |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Direct Monetary Damage 240 million yen |
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Sudden explosion of the combustion gas at a low-temperature liquefaction separation plant
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Knowledge Comment: |
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There is remaining of flammables at partial oxydation, and even in a low temperature separation, flammables was oxidized and generate the heat with oxidizer. |
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