Scenario

01. Insufficient Analysis or Research
02. Insufficient Practice
03. Lack of Imagination
04. Organizational Problems
05. Poor Staff
06. Poor Experiment of Staff
07. Unknown Cause
08. Occurrence of Abnormal Phenomenon
09. Big Rain over Assumption
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Bad Event
14. Thermo-Fluid Event
15. Thermal Schrinkage
16. Secondary Damage
17. External Damage
18. Leakage/Fire

Leakage and fire of hydrogen and gas oil mist from a flange at outlet piping of a reactor due to a heavy rain at a desulphurization plant
Case Details

Knowledge Comment:
Even if the small work like decision of location of weep-holes on a floor, which deciced at the construction site and at the last stage of consruction , the decision may be failed without experiences and good judgment.

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