Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Carelessness
05. Insufficient Understanding
06. Insufficient Recognition of Risk
07. Usage
08. Maintenance/Repair
09. Rpair
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Failure
14. Fracture/Damage
15. GasketFailure
16. Secondary Damage
17. External Damage
18. Leakage/Fire
19. Loss to Organization
20. Economic Loss
21. Direct Monetary Damage 120 million yen

Leakage and fire of fuel oil caused due to reuse of an old gasket at a diesel power generator
Case Details

Knowledge Comment:
Reuse of a gasket absolutely prohibited even the outlook of the gasket is just like a new.

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)