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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. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Insufficient Information Transfer |
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07. |
Sulfonation Reaction |
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08. |
Usage |
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09. |
Maintenance/Repair |
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10. |
Inadequate Inspection |
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11. |
Planning and Design |
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12. |
Poor Planning |
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13. |
Poor Design |
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14. |
Failure |
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15. |
Abrasion |
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16. |
Corrosion |
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17. |
Bad Event |
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18. |
Chemical Phenomenon |
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19. |
Abnormal Reaction |
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20. |
Failure |
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21. |
Fracture/Damage |
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22. |
Failure |
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23. |
Large-Scale Damage |
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24. |
Rapture |
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25. |
Bodily Harm |
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26. |
Injury |
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27. |
12 person injured |
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28. |
Loss to Organization |
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29. |
Economic Loss |
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30. |
Factory Complete Damage |
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|
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Rupture of the reactor due to a leak of cooling water during sulfonation reaction of nitrobenzene
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Knowledge Comment: |
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Countermeasure might be taken in mechanical if a contamination danger occurrs when leaked. It is a limit to care only by human attention. |
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