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01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Insuficient Education/Training for Safety |
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07. |
Carelessness |
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08. |
Insufficient Understanding |
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09. |
Insufficient Recognition of Risk |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor planning for Operating Work |
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13. |
Non-Regular Operation |
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14. |
Change in Operation |
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15. |
Change Operation Procedure |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Leakage/Explosion |
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19. |
Bodily Harm |
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20. |
Injury |
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21. |
1person injured |
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Explosion at a furnace caused due to fuel gas leakage on starting-up of a catalytic reforming unit.
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Knowledge Comment: |
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An operation change, which intends to decrease the work duty, may result the unstable state. Please a careful study should be considered without flattering to the masses. |
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