Scenario

01. Poor Concept
02. Poor Strategy or Concept
03. Wrong Work Content/Schedule/Environment
04. Poor Value Perception
05. Poor Safety Awareness
06. Inadequate Risk Recognition
07. Misjudgment
08. Misjudgment of Situation
09. Dangerous Limit and Countermeasure
10. Planning and Design
11. Poor Planning
12. Poor Planning of Repair
13. Non-Regular Action
14. Inaction
15. Insufficient Safety Measure
16. Secondary Damage
17. External Damage
18. Fire
19. Bodily Harm
20. Death
21. 6 person died
22. Bodily Harm
23. Injury
24. Loss to Organization
25. Economic Loss
26. Loss to Organization
27. Social Loss
28. Trust Damage

Fire of gasoline vapor during remodeling two gasoline tanks at the same time at an oil terminal
Case Details

Knowledge Comment:
If you want to execute a hot work by knowing flammable gas generation from the near-by tank, how will you protect the danger?

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