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01. |
Ignorance |
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02. |
Insufficient Knowledge |
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03. |
Insufficient Study /ExperienceInsufficient Study/Experience |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Insufficient Recognition of Risk |
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07. |
Organizational Problems |
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08. |
Poor Management |
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09. |
Slackness of Management |
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10. |
Non-Regular Movement |
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11. |
Movement During Transition |
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12. |
Operation at Plugging |
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13. |
Malicious Act |
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14. |
Rule Violation |
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15. |
Safety Rule Violation |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Leakage/Fire |
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19. |
Bodily Harm |
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20. |
Death |
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Fire during hot melting work for a valve blocked with hydrocarbons
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Knowledge Comment: |
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You heated to melt the plugged flammables in a piping with opened valve and bare fire nearthere. It is matter of course to be fred. |
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