Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Insufficient Analysis or Research
08. Insufficient Prior Research
09. Insufficient Danger Evaluation
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Bad Event
14. Chemical Phenomenon
15. Abnormal Reaction
16. Secondary Damage
17. External Damage
18. Explosion
19. Loss to Organization
20. Economic Loss
21. Reactor Damaged

Explosion of ozonide caused due to neglect of a reaction from improper temperature measurement
Case Details

Knowledge Comment:
Although handling of potential hazard material is required carefulness, it is too irresponsible to react without observation of the reaction temperature.

Field Chemicals and Plants
Author ARAI, Mitsuru (Environmental Science Center, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)