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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insufficient Safety Measure |
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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. |
Halogenation 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. |
Opeartion accompanied with Machine Switching |
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14. |
Bad Event |
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15. |
Chemical Phenomenon |
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16. |
Abnormal Reaction |
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17. |
Failure |
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18. |
Large-Scale Damage |
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19. |
Leakage |
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20. |
Secondary Damage |
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21. |
Damage to Environment |
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22. |
Environmental Pollution |
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Hydrogen chloride gas leakage from a reactor due to the pressure rise from an abnormal reaction at a chloroform manufacturing plant
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Knowledge Comment: |
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In an case of emergncy, a oprator may become panic. Automation of operation and training for emergency case are required for the countermeasures. |
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