Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Poor Management
06. Slackness of Management
07. Misjudgment
08. Narrow Outlook
09. Influences of Water was Out of Thought 'Lack of Imagination'
10. Usage
11. Maintenance/Repair
12. No Inspection among 13 Years
13. Failure
14. Abrasion
15. Corrosion
16. Secondary Damage
17. External Damage
18. Leakage

Outflow of quenching oil caused due to bumping from water contamination in a gas atmosphere furnace at a heat treatment factory
Case Details

Knowledge Comment:
When a oil contaminated with water becomes hot, the water evaporates and spouts out. Take care the water even the content is very small amount.

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)