Scenario

01. Insufficient Analysis or Research
02. Insufficient Prior Research
03. Properties, Material for Use
04. Organizational Problems
05. Poor Management
06. Slackness of Management
07. Planning and Design
08. Poor Planning
09. Poor Design
10. Malfunction
11. Poor Hardware
12. Check Valve Leakage
13. Bad Event
14. Thermo-Fluid Event
15. Reverse Flow
16. Secondary Damage
17. External Damage
18. Explosion
19. Bodily Harm
20. Death
21. 2 person died
22. Bodily Harm
23. Injury
24. 5 person injured
25. Loss to Organization
26. Economic Loss
27. Laboratory Burnt and Water Damage

Explosion caused due to mixture of nitrous oxide gas with mono-silane gas at university
Case Details

Knowledge Comment:
For the newly handling of a material, careful research is required its dangerouness and materials to be able to use for handling of it.

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)