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01. |
Organizational Problems |
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02. |
Inflexible Management Structure |
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03. |
Insufficient Education/Training |
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04. |
Insufficient Analysis or Research |
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05. |
Insufficient Practice |
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06. |
Lack of Imagination |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Bad Event |
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10. |
Chemical Phenomenon |
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11. |
Abnormal Reaction |
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12. |
Secondary Damage |
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13. |
External Damage |
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14. |
Explosion |
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15. |
Failure |
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16. |
Large-Scale Damage |
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17. |
Leakage |
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18. |
Secondary Damage |
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19. |
External Damage |
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20. |
Fire |
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21. |
Bodily Harm |
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22. |
Death |
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23. |
Bodily Harm |
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24. |
Injury |
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25. |
3 person injured |
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26. |
Loss to Organization |
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27. |
Economic Loss |
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28. |
Manetary Damage 1500 million yen |
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29. |
Damage to Society |
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30. |
Social Systems Failure |
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31. |
Big Blow to Semiconductor Manufacture |
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Explosion of a DMSO recovery drum caused due to foreign material contamination at an epoxy resin manufacturing plant
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Knowledge Comment: |
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If a contamination hazards was not foreseen at the basic design stage, it is very difficult to revise at the folliwing stage. |
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