Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Carelessness
05. Insufficient Precaution
06. Carelessness of Operator
07. Insufficient Analysis or Research
08. Insufficient Practice
09. Lack of Imagination
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Incorrect Reaction
14. Poor Communication
15. No Communication
16. Malfunction
17. Poor Hardware
18. Valve Seat Leak
19. Secondary Damage
20. External Damage
21. Explosion
22. Loss to Organization
23. Economic Loss
24. Manetary Damage 15 million yen

Explosion of an air heater of a boiler at an agricultural chemical manufacturing plant
Case Details

Knowledge Comment:
The process exhaust gas mixed with air for burning at the boiler. The boiler became unstable when conc-hydrocarbon contaminated. Take carefull attention against particular burning !

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)