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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Organizational Problems |
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05. |
Poor Management |
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06. |
Poor Maintennce Management |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Repair Planning |
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10. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Inspection |
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13. |
Failure |
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14. |
Large-Scale Damage |
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15. |
Rapture |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Bodily Harm |
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20. |
Injury |
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21. |
2 person injured |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Direct Monetary Damage 69 milion yen |
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Fire caused due to sudden rupture of a buffer drum of a compressor at a light fuel oil desulfurization unit
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Knowledge Comment: |
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They knew the wet condition with hydrogen sulfide, why was an insufficient inspection was executed? |
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