Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Carelessness
05. Insufficient Precaution
06. Carelessness of Operator
07. Poor Value Perception
08. Poor Safety Awareness
09. Insufficient Recognition of Risk
10. Regular Operation
11. Erroneous Operation
12. Opening Different Valve without Consciousness
13. Secondary Damage
14. External Damage
15. Fire
16. Bodily Harm
17. Injury
18. 2 person injured
19. Loss to Organization
20. Economic Loss
21. Direct Monetary Damage 5 million yen

Fire of hexene-1 in the piping of a hydrocarbon vapor recovery unit (VRU) at a tank lorry filling station
Case Details

Knowledge Comment:
A trouble occurred by leaving the work only to subcontractor's worker.

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)