Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Inflexible Management Structure
06. The Schedule The Prior
07. Ignorance
08. Insufficient Knowledge
09. Insuficient Study
10. Usage
11. Maintenance/Repair
12. Removal of Blockade
13. Malicious Act
14. Rule Violation
15. Safety Rule Violation
16. Bad Event
17. Chemical Phenomenon
18. Generation of Dangerous Sustance
19. Secondary Damage
20. External Damage
21. Explosion
22. Bodily Harm
23. Injury
24. 7 person injured
25. Loss to Organization
26. Economic Loss
27. Factory Damaged Severely, Manetary Damage 850 million yen

Explosion due to an incompatible reaction in a nitration workroom for TNT
Case Details

Knowledge Comment:
You should prepare the basic countermeasure to do non-regular operation ! Much less, you must not take the allopathic method when you treat very powerful dangerous material like explosives.

Field Chemicals and Plants
Author OGAWA, Terushige (Graduate School of Environment and Information Sciences, Yokohama National University)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)