Scenario

01. Organizational Problems
02. Inflexible Management Structure
03. Insufficient Education/Training
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Ignorance
08. Insufficient Knowledge
09. No Knowledge that LPG is Dangerous
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Secondary Damage
14. External Damage
15. Explosion/Fire
16. Bodily Harm
17. Death
18. 2 person died
19. Bodily Harm
20. Injury
21. 6 person injured
22. Loss to Organization
23. Economic Loss
24. LPG filling station and others burnt
25. Damage to Society
26. Social Systems Failure
27. Infrastructure of the local area

Explosion of LPG due to indoor discharge of a residue in a cylinder at a LPG filling station, and spread of fire caused due to the rupture of the cylinders
Case Details

Knowledge Comment:
An indication of a work not showing the reason or the result may be ignored by workers sometimes. When LPG burns, fired gas of 60,000 times of LPG is generated !

Field Chemicals and Plants
Author ITAGAKI, Haruhiko (Japan National Institute of Occupational Safety and Health)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)