Scenario

01. Organizational Problems
02. Inflexible Management Structure
03. Acceptance of Unfair Requirement
04. Insufficient Analysis or Research
05. Insufficient Prior Research
06. No Evaluation about Potential Hazard
07. Non-Regular Action
08. Change
09. Execution of New Experiment
10. Secondary Damage
11. External Damage
12. Explosion
13. Bodily Harm
14. Death
15. 2 pereson died
16. Bodily Harm
17. Injury
18. 12 person injured
19. Damage to Society
20. Social Systems Failure
21. 600 person emergency refuge, 400 houses damaged
22. Loss to Organization
23. Economic Loss

Explosion of 5- chloro -1,2,3- thiadiazole (5CT)
Case Details

Knowledge Comment:
For the treating new materials which was not known its properties of danger, you must investigate more than sufficient. If the treatment was done by subcontractor, the responsibility for safety treatment is remained partially in the orderer.

Field Chemicals and Plants
Author ARAI, Mitsuru (Environmental Science Center, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)