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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Insufficient Safety Measure |
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04. |
Organizational Problems |
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05. |
Inflexible Management Structure |
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06. |
Insufficient Check System |
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07. |
Carelessness |
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08. |
Insufficient Precaution |
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09. |
Insufficient Confirmtion |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Measuring Mangement Planning |
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13. |
Regular Operation |
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14. |
Erroneous Operation |
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15. |
Miss Setting |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Abnormal Reaction |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Leakage |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Manetary Damage 16 million yen |
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Eruption due to a runaway reaction from incorrect charging quantity in the preparation of acrylic resin adhesive
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Knowledge Comment: |
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Wrong quantity was charged without any check because a computor input was mistaken. |
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