01.
Misjudgment
02.
Narrow Outlook
03.
Ignorance
04.
Insufficient Knowledge
05.
Ignorance of Procedure
06.
Insufficient Communication
07.
Insufficient Analysis or Research
08.
Insufficient Practice
09.
Non-Regular Action
10.
Emergency Action
11.
Poor Response to Change in Environment
12.
Change in Environment
13.
Failure
14.
Fracture/Damage
15.
Organizational Problems
16.
Inflexible Management Structure
17.
Failure
18.
Degradation
19.
Failure
20.
Fracture/Damage
21.
Failure
22.
Fracture/Damage
23.
Bad Event
24.
Thermo-Fluid Event
25.
Bodily Harm
26.
Death
27.
Bodily Harm
28.
Injury
The Titanic Disaster
Field
Mechanical Engineering
Author
IINO, Kenji (SYDROSE LP)
NAKAO, Masayuki (Institute of Engineering Innovation, School of Engineering, The University of Tokyo)
