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01. |
Carelessness |
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02. |
Insufficient Precaution |
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03. |
Carelessness of Operator |
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04. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Insufficient Education/Training |
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07. |
Organizational Problems |
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08. |
Poor Management |
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09. |
Poor Operation Management |
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10. |
Malicious Act |
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11. |
Rule Violation |
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12. |
Safety Rule Violation |
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13. |
Secondary Damage |
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14. |
External Damage |
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15. |
Fire |
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16. |
Loss to Organization |
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17. |
Economic Loss |
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18. |
Direct Monetary Damage 40 million yen |
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Fire of naphtha caused due to an operator who went another site to do other work leaving a drain valve opened at an ethylene plant
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Knowledge Comment: |
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You must not leave the site with opning valve before finishing the drain work. |
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