Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Insufficient Analysis or Research
05. Insufficient Prior Research
06. No Care Poor Condition of Small Parts
07. Carelessness
08. Insufficient Understanding
09. Insufficient Recognition of Risk
10. Planning and Design
11. Poor Planning
12. Insufficient Design
13. Regular Movement
14. Careless Movement
15. Overlooking
16. Bad Event
17. Mechanical Event
18. Blockade
19. Secondary Damage
20. External Damage
21. Leakage/Fire
22. Loss to Organization
23. Social Loss
24. Trust Damage
25. Loss to Organization
26. Economic Loss
27. Sales Decrease, etc.

Emergency shutdown caused due to ignition of bearing insulation of a steam turbine at a nuclear power plant
Case Details

Knowledge Comment:
Emergency shutdown caused due to poor condition of such a small parts, Ah !

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