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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insufficient Recognition of Risk |
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04. |
Misjudgment |
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05. |
Misjudgment of Situation |
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06. |
Misjudgment of Using Environment |
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07. |
Carelessness |
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08. |
Insufficient Precaution |
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09. |
Carelessness of Operator |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Wrong Material Selection |
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13. |
Usage |
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14. |
Maintenance/Repair |
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15. |
Insufficient Inspection |
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16. |
Failure |
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17. |
Abrasion |
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18. |
Corrosion |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Leakage/Fire |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Manetary Damage 45 million yen |
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![](../dfen/DC1200075.jpg)
Fire of a vacuum residue leaked from an opening of pipe caused due to corrosion in the bottom recycling line at a vacuum distillation unit.
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Knowledge Comment: |
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The trigger is the material selection which was done by overlooking the environment with high temperature and high sulfur. |
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