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01. |
Ignorance |
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02. |
Insufficient Knowledge |
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03. |
Insufficient Study |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Insufficient Safety Education/Training |
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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. |
Poor Design |
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13. |
Regular Operation |
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14. |
Erroneous Operation |
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15. |
Not Confirm the Valve Closed |
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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. |
Explosion/Fire |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
2 person injured |
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Explosion caused due to a catalytic effect of contaminant in the reactor at a resin intermediate manufacturing plant
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Knowledge Comment: |
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If the manager did not know the reaction danger, he could not perfoam education and safety management. |
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