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01. |
価値観不良 |
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02. |
安全意識不良 |
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03. |
安全対策不足 |
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04. |
調査・検討の不足 |
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05. |
仮想演習不足 |
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06. |
想像力不足 |
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07. |
ニトロ化反応 |
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08. |
非定常操作 |
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09. |
緊急操作 |
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10. |
反射的操作 |
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11. |
計画・設計 |
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12. |
計画不良 |
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13. |
設計不良 |
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14. |
不良現象 |
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15. |
化学現象 |
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16. |
異常反応 |
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17. |
二次災害 |
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18. |
損壊 |
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19. |
爆発・火災 |
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20. |
組織の損失 |
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21. |
経済的損失 |
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22. |
工場建物全焼他 |
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5‐t‐ブチルメタキシレンのニトロ化反応中の攪拌機の再起動による爆発
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◆ |
知識化コメント |
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危険が分かっているなら、設備対応の検討を |
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