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01. |
Unknown Cause |
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02. |
Occurrence of Unknown Phenomenon |
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03. |
Not Trapped at Study and Development |
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04. |
Misjudgment |
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05. |
Misjudgment of Situation |
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06. |
Planning and Design |
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07. |
Poor Planning |
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08. |
Poor Poor Design |
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09. |
Bad Event |
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10. |
Chemical Phenomenon |
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11. |
Concentration |
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12. |
Secondary Damage |
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13. |
External Damage |
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14. |
Explosion/Fire |
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15. |
Bodily Harm |
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16. |
Death |
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17. |
2 person died |
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18. |
Bodily Harm |
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19. |
Injury |
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20. |
13 person injured |
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21. |
Loss to Organization |
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22. |
Economic Loss |
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23. |
Manetary Damage 1000 million yen |
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Explosion and fire caused due to accumulation of methyl hydroperoxide at a methanol rectification column of a surfactant manufacturing plant
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Knowledge Comment: |
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At the operation, it is very difficult to solve the problem that was not solved at research and development stage. |
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