 |
01. |
Poor Value Perception |
|
02. |
Poor Safety Awareness |
|
03. |
Inadequate Risk Recognition |
|
04. |
Organizational Problems |
|
05. |
Inflexible Management Structure |
|
06. |
Insufficient Education/Training |
|
07. |
Ignorance |
|
08. |
Insufficient Knowledge |
|
09. |
Convincement |
|
10. |
Malicious Act |
|
11. |
Rule Violation |
|
12. |
Act Violation |
|
13. |
Planning and Design |
|
14. |
Poor Planning |
|
15. |
Poor Design |
|
16. |
Secondary Damage |
|
17. |
External Damage |
|
18. |
Fire |
|
19. |
Bodily Harm |
|
20. |
Injury |
|
21. |
Loss to Organization |
|
22. |
Economic Loss |
|
23. |
Direct Monetary Damage 34 million yen |
|
|
|
Fire of toluene during use with placing a toluene vessel near the ignition source at a joint sheet manufacturing process
|
 |
Knowledge Comment: |
|
No recognition that toluene is dangerous ! Public relations for danger of toluene to general consumer is needed. |
|
|
|
|
