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01. |
Insufficient Analysis or Research |
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02. |
Insufficient Prior Research |
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03. |
No Check of Thermal Stability |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Insufficient Recognition of Risk |
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07. |
Poor Value Perception |
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08. |
Poor Safety Awareness |
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09. |
Insuficient Education/Training for Safety |
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10. |
Nitrosation Reaction |
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11. |
Malicious Act |
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12. |
Rule Violation |
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13. |
Safety Rule Violation |
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14. |
Non-Regular Action |
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15. |
Change |
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16. |
Temperature Rise |
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17. |
Bad Event |
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18. |
Chemical Phenomenon |
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19. |
Unexpected Reaction |
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20. |
Secondary Damage |
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21. |
External Damage |
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22. |
Explosion |
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23. |
Bodily Harm |
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24. |
Injury |
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25. |
2 person injured |
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Explosion due to temperature rise from careless handling in the nitrosation reaction
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Knowledge Comment: |
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An experiment is the confirmation work of unknown, sufficient preparation is absolutely neccesary |
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