 |
01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Organizational Problems |
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05. |
Poor Management |
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06. |
Poor Operation Management |
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07. |
Ignorance |
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08. |
Insufficient Knowledge |
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09. |
Insufficient Study |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Tuenaround Shutdown Planning |
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13. |
Regular Operation |
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14. |
Erroneous Operation |
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15. |
No Service in Cooling Water |
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16. |
Bad Event |
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17. |
Thermo-Fluid Event |
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18. |
Friction Heat |
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19. |
Bad Event |
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20. |
Chemical Phenomenon |
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21. |
Abnormal Reaction |
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22. |
Secondary Damage |
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23. |
External Damage |
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24. |
Explosion/Fire |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Manetary Damage 15 million yen |
|
|
|
Explosion and fire caused due to decomposition of an organic peroxide catalyst
|
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Knowledge Comment: |
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A circulation operation of a pump generates a heat ! All the input to a pump becomes heat ! |
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