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01. |
Organizational Problems |
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02. |
Inflexible Management Structure |
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03. |
Insufficient Education/Training |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Insufficient Recognition of Risk |
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07. |
Usage |
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08. |
Maintenance/Repair |
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09. |
Left the Mal-Function |
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10. |
Regular Operation |
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11. |
Erroneous Operation |
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12. |
Procedure Discrepancy |
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13. |
Failure |
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14. |
Deformation |
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15. |
Leakage by Valve not Closed |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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21. |
Direct Monetary Damage 45 milion yen |
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Fire of heptane due to improper valve handling at a polypropylene manufacturing plant
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Knowledge Comment: |
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When the leakage occurs after many valves was opened, you must close the first valve to atmosphere. It is natuaral ! |
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