 |
01. |
Insufficient Analysis or Research |
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02. |
Insufficient Practice |
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03. |
Lack of Imagination |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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07. |
Non-Regular Action |
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08. |
Change |
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09. |
Change of Operation Procedure |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Design |
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13. |
Usage |
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14. |
Maintenance/Repair |
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15. |
Overhaul |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Burning |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Fire |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Tank Damaged |
|
|
|
Fire of iron sulfide in an asphalt tank during a turnaround shutdown
|
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Knowledge Comment: |
|
Please study carefully a demerit of a change beforehand when an operation procedure is going to change. |
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