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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. |
リスク認識不良 |
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04. |
組織運営不良 |
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05. |
運営の硬直化 |
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06. |
工期最優先 |
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07. |
無知 |
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08. |
知識不足 |
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09. |
勉強不足 |
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10. |
使用 |
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11. |
保守・修理 |
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12. |
詰りの除去 |
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13. |
不良行為 |
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14. |
規則違反 |
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15. |
安全規則違反 |
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16. |
不良現象 |
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17. |
化学現象 |
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18. |
危険物質の生成 |
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19. |
二次災害 |
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20. |
損壊 |
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21. |
爆発 |
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22. |
身体的被害 |
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23. |
負傷 |
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24. |
2名重傷、5名軽傷 |
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25. |
組織の損失 |
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26. |
経済的損失 |
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27. |
工場大破、被害額8.5億円 |
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混蝕反応が引き金となってTNT硝化工室で爆発
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◆ |
知識化コメント |
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非定常時の作業は根本的な安全対策を!まして、火薬類のような威力の大きい危険物を扱うには対症療法はやめて! |
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