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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Insufficient Analysis or Research |
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05. |
Insufficient Prior Research |
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06. |
Insufficient Gathering of External Information |
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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. |
Bad Event |
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11. |
Chemical Phenomenon |
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12. |
Oxidation/Heat Accumulation |
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13. |
Failure |
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14. |
Large-Scale Damage |
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15. |
Rapture |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire/Leakage |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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21. |
Direct Monetary Damage 15 million yen |
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Fire due to heat accumulation from oxidation of stuck materials on the wall of a blown asphalt tank of a refinery
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Knowledge Comment: |
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They overlooked the behavior of the light hydrocabons in the blown asphaltl, and an explosion occurred. |
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