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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. |
Slackness of Management |
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07. |
Insufficient Analysis or Research |
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08. |
Insufficient Practice |
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09. |
Lack of Imagination |
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10. |
Ignorance |
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11. |
Insufficient Knowledge |
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12. |
Insuficient Study and Experience |
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13. |
Planning and Design |
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14. |
Poor Planning |
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15. |
Poor Design |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Abnormal Reaction |
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19. |
Bad Event |
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20. |
Mechanical Event |
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21. |
Clogging |
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22. |
Bad Event |
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23. |
Chemical Phenomenon |
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24. |
Temperature Rise |
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25. |
Secondary Damage |
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26. |
External Damage |
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27. |
Rapture/Fire |
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28. |
Loss to Organization |
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29. |
Economic Loss |
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Fire caused due to an abnormal reaction at a high temperature of waste oil at the bottom of a waste oil tank at styrene recovery facilities
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Knowledge Comment: |
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For the handling of a easy polymerized material, a operation that had been executed by not to consider the plugging due to polymerized material and not to be prepare sufficient observation instruments resulted a fire at last. |
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