Scenario

01. Insufficient Analysis or Research
02. Insufficient Prior Research
03. No Check of Thermal Stability
04. Carelessness
05. Insufficient Understanding
06. Insufficient Recognition of Risk
07. Poor Value Perception
08. Poor Safety Awareness
09. Insuficient Education/Training for Safety
10. Nitrosation Reaction
11. Malicious Act
12. Rule Violation
13. Safety Rule Violation
14. Non-Regular Action
15. Change
16. Temperature Rise
17. Bad Event
18. Chemical Phenomenon
19. Unexpected Reaction
20. Secondary Damage
21. External Damage
22. Explosion
23. Bodily Harm
24. Injury
25. 2 person injured

Explosion due to temperature rise from careless handling in the nitrosation reaction
Case Details

Knowledge Comment:
An experiment is the confirmation work of unknown, sufficient preparation is absolutely neccesary

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)