Scenario

01. Organizational Problems
02. Poor Management
03. Slackness of Management
04. Carelessness
05. Insufficient Understanding
06. Insufficient Recognition of Risk
07. Planning and Design
08. Poor Planning
09. Construction Control Planning
10. Usage
11. Maintenance/Repair
12. Restration
13. Malfunction
14. Poor Hardware
15. GasketLeakage
16. Secondary Damage
17. External Damage
18. Fire

Leakage and fire of hydrogen from a mounting flange of a safety valve in a reactor at a succinic acid manufacturing plant
Case Details

Knowledge Comment:
If you use the smaller gasket than piping size, the leakage is a matter of course. Wonder why all the members, selector of the gasket, delivere to the worker and the worker did not notice it.

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)