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01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Poor Working Management |
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04. |
Ignorance |
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05. |
Insufficient Knowledge |
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06. |
Convincement |
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07. |
Misjudgment |
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08. |
Misperception |
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09. |
Selfish Judgment |
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10. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Painting |
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13. |
Malicious Act |
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14. |
Rule Violation |
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15. |
Safety Rule Violation |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Burning |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Fire/Explosion |
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22. |
Bodily Harm |
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23. |
Death |
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24. |
Bodily Harm |
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25. |
Injury |
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Explosion and fire due to use of an electric spray during painting work inside a pontoon of a floating roof tank
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Knowledge Comment: |
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They painted using oil paint with a big amount of organic thinner in the vessel by electric spray gan without ventilation. It was just like a suicide. |
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