 |
01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Carelessness |
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05. |
Insufficient Precaution |
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06. |
Mannerism |
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07. |
Usage |
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08. |
Maintenance/Repair |
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09. |
Hot Bolting |
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10. |
Failure |
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11. |
Fracture/Damage |
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12. |
GasketFailure |
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13. |
Secondary Damage |
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14. |
External Damage |
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15. |
Leakage/Fire |
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16. |
Loss to Organization |
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17. |
Economic Loss |
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18. |
Direct Monetary Damage 34 million yen |
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|
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Fire of gas leaked from a flange of piping at a vacuum gas oil hydro-desulfurization unit
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Knowledge Comment: |
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Mistake of hot bolting that should be established ! To have overconfidence must be a taboo. |
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