Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Poor Management
06. Inadequate Operation Manual
07. Carelessness
08. Insufficient Understanding
09. Insufficient Recognition of Risk
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Regular Operation
14. Nonobservance of Procedure
15. Bad Event
16. Mechanical Event
17. Reverse Flow
18. Failure
19. Large-Scale Damage
20. Rapture
21. Secondary Damage
22. External Damage
23. Fire
24. Bodily Harm
25. Injury
26. 2 person injured

Fire and explosion of high-pressure hydrogen caused due to failure of a stopping operation of a feed pump of raw oil at a demonstration unit for catalytic cracking of a residue
Case Details

Knowledge Comment:
You may be better to think that check valve may leak from the high pressure to the low pressure.

Field Chemicals and Plants
Author WADA, Yuji (National Institute of Advanced Industrial Science and Technology)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)