 |
01. |
Poor Value Perception |
 |
02. |
Poor Safety Awareness |
 |
03. |
Inadequate Risk Recognition |
 |
04. |
Organizational Problems |
 |
05. |
Poor Management |
 |
06. |
Slackness of Management/Habit |
 |
07. |
Carelessness |
 |
08. |
Insufficient Precaution |
 |
09. |
Mannerism |
 |
10. |
Planning and Design |
 |
11. |
Poor Planning |
 |
12. |
Poor Inspection Planning |
 |
13. |
Bad Event |
 |
14. |
Mechanical Event |
 |
15. |
Fault |
 |
16. |
Regular Operation |
 |
17. |
Erroneous Operation |
 |
18. |
Not Closing Valve |
 |
19. |
Failure |
 |
20. |
Fracture/Damage |
 |
21. |
Secondary Damage |
 |
22. |
External Damage |
 |
23. |
Leakage/Fire |
 |
24. |
Bodily Harm |
 |
25. |
Injury |
 |
26. |
4 person injured |
 |
27. |
Loss to Organization |
 |
28. |
Economic Loss |
 |
29. |
Direct Monetary Damage 63 million yen |
|
|
 |

Fire of hydraulic oil caused due to damage to a drain hose during a performance test of a hydraulic motor
|
 |
Knowledge Comment: |
 |
Even the inspection is executed regularly, preparation for the test must be completely. |
|
|
|
|