Scenario

01. Organizational Problems
02. Inflexible Management Structure
03. Schedule and Budget Prior
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Insufficient Analysis or Research
08. Insufficient Practice
09. Lack of Imagination
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Malicious Act
14. Rule Violation
15. Safety Rule Violation
16. Bad Event
17. Mechanical Event
18. Stress Concentration
19. Failure
20. Large-Scale Damage
21. Destruction
22. Secondary Damage
23. Damage to Environment
24. Sea Pollution fuel oil 43,000 kL
25. Loss to Organization
26. Economic Loss

Outflow of 43000 kL fuel oil into Setonaikai sea caused due to a crack at the base plate of a tank
Case Details

Knowledge Comment:
Who dig the foundation and surroundings of the tank with 12 meter heigt water?

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)