Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Safety Countermeasure
04. Misjudgment
05. Misunderstanding
06. Poor Detail Planning
07. Usage
08. Maintenance/Repair
09. Repair at Open to Atmosphere
10. Bad Event
11. Chemical Phenomenon
12. Pluggng
13. Secondary Damage
14. External Damage
15. Leakage
16. Bodily Harm
17. Death
18. Bodily Harm
19. Injury

Spouting of hot cleaning liquid from a manhole opened for inspection at an acrylamide purifying column
Case Details

Knowledge Comment:
You should confirm the safety at two or more points when an opening of the equipment to atmosphere was planned. You may misjudge from plugging when only one point confirmation was executed.

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)