Scenario

01. Poor Value Perception
02. Poor Organizational Culture
03. All the Company Illeagal
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Organizational Problems
08. Poor Management
09. The Priority is always the Opinion of the Site
10. Planning and Design
11. Poor Planning
12. Insufficient Operation Design
13. Non-Regular Action
14. Change
15. Change of Operation Procedure
16. Bad Event
17. Chemical Phenomenon
18. Critical State
19. Secondary Damage
20. External Damage
21. Bodily Harm
22. Death
23. 2 person died
24. Bodily Harm
25. Harm to Physical Well-being
26. Radioactivity Exposure
27. Damage to Society
28. Social Systems Failure
29. Forced Refuge ,etc.
30. Loss to Organization
31. Social Loss
32. Trust Damage

Accident caused due to a critical phenomenon of nuclear fission at the JCO uranium-processing plant
Case Details 100 Selected Cases

Knowledge Comment:
It is no good to change the working method by selfish all over the company as the work was not easy to proceed.

Field Chemicals and Plants
Author KOBAYASHI, Mitsuo (Office K)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)