|
01. |
Organizational Problems |
|
02. |
Inflexible Management Structure |
|
03. |
Insufficient Education/Training |
|
04. |
Poor Value Perception |
|
05. |
Poor Safety Awareness |
|
06. |
Inadequate Risk Recognition |
|
07. |
Insufficient Analysis or Research |
|
08. |
Insufficient Practice |
|
09. |
Lack of Imagination |
|
10. |
Planning and Design |
|
11. |
Poor Planning |
|
12. |
Poor Design |
|
13. |
Regular Movement |
|
14. |
Careless Movement |
|
15. |
Contact With Steam Piping |
|
16. |
Bad Event |
|
17. |
Chemical Phenomenon |
|
18. |
Abnormal Reaction |
|
19. |
Failure |
|
20. |
Large-Scale Damage |
|
21. |
Rapture |
|
22. |
Secondary Damage |
|
23. |
External Damage |
|
24. |
Explosion |
|
25. |
Bodily Harm |
|
26. |
Injury |
|
27. |
3 person injured |
|
|
|
Explosion of acrylic acid in the drum can in the heating cabinet for dissolution
|
|
Knowledge Comment: |
|
It is out of question that there was no education about danger of heating and handling care, but the accident was not generated by only small invention on the facility. |
|
|
|
|