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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. |
Poor Management |
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06. |
Slackness of Management |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Design |
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10. |
Usage |
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11. |
Maintenance/Repair |
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12. |
No Inspection in 11 Years |
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13. |
Bad Event |
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14. |
Mechanical Event |
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15. |
Vibration |
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16. |
Failure |
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17. |
Abrasion |
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18. |
Corrosion |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Leakage/Fire |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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Leakage and fire of heavy gas oil from an opening in vent piping of a reflux pump at a distillation column
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Knowledge Comment: |
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A leakage and a fire occurred caused by wrong pipe support and no inspection at 1/2 inch vent piping from the pump top. |
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