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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 Practice |
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06. |
Lack of Imagination |
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07. |
Other Reaction |
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08. |
Planning and Design |
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09. |
Poor Planning |
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10. |
Poor Design |
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11. |
Non-Regular Operation |
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12. |
Emergency Operation |
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13. |
Start Spare Machine |
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14. |
Malfunction |
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15. |
Poor System |
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16. |
Abnormal Flow Rate |
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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. |
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. |
5 person injured |
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Explosion of the nitroaniline preparation reactor due to error in the quantity of supply of raw materials
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Knowledge Comment: |
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Feed rate change of raw materials is the biggest cauce of the system instability. You must consider from the beginning of design about it. |
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