Scenario

01. Insufficient Analysis or Research
02. Insufficient Prior Research
03. Insufficient Grasping of Prpperty
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Planning and Design
08. Poor Planning
09. Poor Design
10. Bad Event
11. Chemical Phenomenon
12. Abnormal Reaction
13. Secondary Damage
14. External Damage
15. Explosion
16. Bodily Harm
17. Injury
18. 1 person injured

Explosion of 2-chloropyridine-N-oxide left as a distillation residue
Case Details

Knowledge Comment:
An abnormal reaction occurred by leaving the material which properties were not known in detail at the halfway of the operation.

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)