Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Insufficient Recognition of Risk
04. Misjudgment
05. Misperception
06. Mis-Convincement
07. Organizational Problems
08. Inflexible Management Structure
09. Schedule the First
10. Planning and Design
11. Poor Planning
12. Poor Planning of Repair
13. Failure
14. Abrasion
15. Erosion
16. Failure
17. Large-Scale Damage
18. Leakage
19. Secondary Damage
20. External Damage
21. Fire
22. Bodily Harm
23. Death
24. Bodily Harm
25. Injury

Leakage and fire of LPG caused due to inadequate repair work at a gasification-desulphurization plant
Case Details

Knowledge Comment:
For a high pressure gas plant, a scamped work is not allowed at repair.

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)