Scenario

01. Organizational Problems
02. Poor Management
03. Poor Operation Management
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Ignorance
08. Insufficient Knowledge
09. Convincement
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Malicious Act
14. Rule Violation
15. Safety Rule Violation
16. Secondary Damage
17. External Damage
18. Fire
19. Bodily Harm
20. Injury
21. 1 person burnt

Fire of ethanol caused due to air intake in the ejector of a treatment drum at a surfactant manufacturing plant
Case Details

Knowledge Comment:
Air was positively taken into a nitrogen seal drum, and accident occurred! What can I say,OH !

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)