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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Carelessness |
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05. |
Insufficient Precaution |
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06. |
Carelessness of Operator |
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07. |
Organizational Problems |
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08. |
Poor Management |
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09. |
Slackness of Management |
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10. |
Malicious Act |
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11. |
Rule Violation |
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12. |
Safety Rule Violation |
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13. |
Bad Event |
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14. |
Chemical Phenomenon |
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15. |
Melting |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Leakage/Fire |
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Fire caused due to an outflow of bottom oil on opening of a drain valve at the bottom of a column at a vacuum distillation unit
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Knowledge Comment: |
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Never talk together by leaving the drain valve opend, even though the valve was blockaded ! |
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