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01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Misjudgment |
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05. |
Misperception |
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06. |
Mis-Convincement |
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07. |
Poor Value Perception |
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08. |
Poor Safety Awareness |
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09. |
Inadequate Risk Recognition |
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10. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Wrong Indication |
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13. |
Regular Movement |
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14. |
Careless Movement |
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15. |
Wrong Line-up |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Leakage/Fire |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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21. |
Direct Monetary Damage 54 million yen |
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|
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Fire of methanol leaked from piping removed accidentally due to welding sparks
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Knowledge Comment: |
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They started the transfer without reconfirmation of repair work result and without doing final confirmation of a line-up ! It is natural to occur the accident ! |
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