Scenario

01. Carelessness
02. Insufficient Precaution
03. Carelessness of Operator
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Organizational Problems
08. Inflexible Management Structure
09. Insufficient Education/Training
10. Regular Operation
11. Erroneous Operation
12. No Operation
13. Bad Event
14. Chemical Phenomenon
15. Vaporization
16. Failure
17. Large-Scale Damage
18. Rapture
19. Bodily Harm
20. Injury
21. 3 person injured

Rupture of a flush liquid cooler for a mechanical seal after repairing a high-temperature pump
Case Details

Knowledge Comment:
By forgetting the water remained in the shell, a hot material was fed into the tube. Steam was generated and it generated the high pressure.

Field Chemicals and Plants
Author WADA, Yuji (National Institute of Advanced Industrial Science and Technology)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)