Scenario

01. Carelessness
02. Insufficient Precaution
03. Inadequate Handling
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Safety Countermeasure
07. Usage
08. Maintenance/Repair
09. Overhaul
10. Malfunction
11. Poor Hardware
12. Leak from O-ring
13. Failure
14. Fracture/Damage
15. Bolt Breakage
16. Secondary Damage
17. External Damage
18. Leakage/Explosion
19. Loss to Organization
20. Economic Loss
21. Dirct Monetary Damage 6 million yen

Fire due to inadequate finishing of an O- ring seal at a polyethylene manufacturing plant using a high-pressure method
Case Details

Knowledge Comment:
A small leakage from the seal part changed to a large leakage.

Field Chemicals and Plants
Author DOBASHI, Ritsu (School of Engineering, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)