Scenario > Explosion and fire of benzoyl peroxide (BPO)

01.

Poor Value Perception

02.

Poor Organizational Culture

03.

Concealment Tendency of the Company

04.

Organizational Problems

05.

Inflexible Management Structure

06.

Insufficient Education/Training

07.

Carelessness

08.

Insufficient Understanding

09.

Insufficient Recognition of Risk

10.

Planning and Design

11.

Poor Planning

12.

Poor Process Design

13.

Regular Operation

14.

Erroneous Operation

15.

Insufficient Drying

16.

Secondary Damage

17.

External Damage

18.

Fire/Explosion

19.

Bodily Harm

20.

Death

21.

8 person died

22.

Bodily Harm

23.

Injury

24.

18 person injured

25.

Loss to Organization

26.

Economic Loss

27.

Direct Monetary Damage 150 million yen, Conpensation 700 million yen

28.

Damage to Society

29.

Social Systems Failure

Explosion and fire of benzoyl peroxide (BPO)

	Knowledge Comment:
	Fundementals of safety are the clarity and observation safety laws.

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