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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insuficient Education/Training for Safety |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Sulfonation Reaction |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Design |
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10. |
Malicious Act |
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11. |
Rule Violation |
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12. |
Safety Rule Violation |
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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/Leakage |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
1 person died |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
6 person injured |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
2 factory buildings burnt |
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Explosion on restarting agitation during the sulfonation reaction of toluene
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Knowledge Comment: |
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It cannot be detected automaticaly to stop the important machine. It is strange. |
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