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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. |
Ignorance |
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05. |
Insufficient Knowledge |
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06. |
Insufficient Study/Experience |
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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. |
Regular Operation |
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11. |
Erroneous Operation |
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12. |
Temperature abnormal high |
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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 |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
8 person died |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
117 person injured |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Tank Completely Raptured |
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Explosion due to hypergolic hazards in the intermediate tank of a propylene oxide manufacturing plant
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Knowledge Comment: |
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Never install a common tank without thinking of reaction danger by the substances coming into the tank. Blowdown materials could not be predicted perfectly. |
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