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01. |
Ignorance |
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02. |
Insufficient Knowledge |
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03. |
Insufficient Study/Experience |
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04. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Inadequate information Communication |
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07. |
Usage |
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08. |
Maintenance/Repair |
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09. |
Repair |
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10. |
Bad Event |
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11. |
Mechanical Event |
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12. |
Heat Generation by Over-Tightenning |
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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. |
Injury |
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21. |
8 person injured |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Reactor severe damaged |
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Explosion of azobisisobutyronitrile (AIBN) caused due to overheat from excessive tightening of the gland packing of a drier
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Knowledge Comment: |
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The materials in a vessel invade into a gasket and a glandpacking. The over tightening of shaft seal generates heat and rersults a trouble. |
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