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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Organizational Problems |
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05. |
Poor Management |
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06. |
Poor Work Management |
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07. |
Ignorance |
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08. |
Insufficient Knowledge |
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09. |
Insuficient Study and Experience |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Design |
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13. |
Malicious Act |
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14. |
Rule Violation |
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15. |
Safety Rule Violation |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Explosion/Fire |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
8 person died |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
5 person injured |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Direct Monetary Damage 50 million yen |
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Explosion and fire of light oil evaporated at a waste oil regeneration factory
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Knowledge Comment: |
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There are too many defects in equipment, operation planning and education. They forgot that a waste oil treating has to be a same as a dangerous material treating. |
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