Scenario

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
Case Details

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.

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)