Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Planning and Design
08. Poor Planning
09. Poor Planning of Repair
10. Usage
11. Maintenance/Repair
12. Wrong Hot Work
13. Secondary Damage
14. External Damage
15. Fire
16. Secondary Damage
17. Damage to Environment
18. Generation Poisonous Gas
19. Damage to Society
20. Social Systems Failure
21. 8000 Inhabitant Refuge
22. Bodily Harm
23. Injury
24. 3 person injured
25. Loss to Organization
26. Economic Loss
27. Direct Manetary Damage 800 million yen

Fire caused due to mismanagement of welding at a warehouse storing poisonous substances such as sodium cyanide
Case Details

Knowledge Comment:
A welding work was executed just near the outdoor plastic stock point, fire occurring is natural.

Field Chemicals and Plants
Author WAKAKURA, Masahide (Kanagawa Industrial Technology Research Institute)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)