Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Poor Value Perception
05. Poor Safety Awareness
06. Insufficient Safety Measure
07. Carelessness
08. Insufficient Understanding
09. Insufficient Recognition of Risk
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Bad Event
14. Electrical Failure
15. Power Failure
16. Bad Event
17. Chemical Phenomenon
18. Abnormal Reaction
19. Secondary Damage
20. External Damage
21. Leakage/Fire
22. Loss to Organization
23. Economic Loss
24. Manetary Damage 80 million yen

Ignition of leaked gas caused due to a runaway reaction during a power failure at an expanded polystyrene manufacturing plant
Case Details

Knowledge Comment:
As the power failure triggered, a wrong design and a poor management of the facilities were revealed.

Field Chemicals and Plants
Author ITAGAKI, Haruhiko (Japan National Institute of Occupational Safety and Health)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)