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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insufficient Safety Measure |
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04. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Insufficient Information and Communication |
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07. |
Carelessness |
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08. |
Insufficient Precaution |
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09. |
Supervisor Carelessness |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Planning of Repair |
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13. |
Non-Regular Action |
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14. |
Inaction |
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15. |
No Safety Reconfirmation |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Burning |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Fire |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
9 person injured |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Damage to Society |
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28. |
Social Systems Failure |
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Fire of a soil-covered underground oil tank of U.S. Army caused due to hot work at an adjacent tank
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Knowledge Comment: |
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By the myth that soil overlayed tank is absolutely safety, a hot work was performed near the vent piping of the tank without any countermeasure. It is a matter of course to occur a fire ! |
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