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01. |
Insufficient Analysis or Research |
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02. |
Insufficient Practice |
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03. |
Insufficient Image of Abnormal Situation |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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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. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Ibadequate Inspection |
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13. |
Failure |
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14. |
Abrasion |
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15. |
Erosion/Crack |
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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. |
Injury |
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21. |
5 person injured |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Direct Monetary Damage 40 million yen |
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Explosion caused due to leak of niter as a heating medium in the distillation drum at a phthalic anhydride manufacturing plant
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Knowledge Comment: |
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Two materials, which must react if the direct contact of the two occurrs, were separated by only one thin plate. Are there any countrmeasure? |
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