 |
01. |
Ignorance |
|
02. |
Insufficient Knowledge |
|
03. |
Insufficient Study of Heat Stability |
|
04. |
Poor Value Perception |
|
05. |
Poor Safety Awareness |
|
06. |
Inadequate Risk Recognition |
|
07. |
Malicious Act |
|
08. |
Rule Violation |
|
09. |
Heating without Temperature Measurment |
|
10. |
Planning and Design |
|
11. |
Poor Planning |
|
12. |
Only One Thermometer for Important Temperature Control |
|
13. |
Bad Event |
|
14. |
Chemical Phenomenon |
|
15. |
Abnormal Reaction |
|
16. |
Secondary Damage |
|
17. |
External Damage |
|
18. |
Explosion |
|
|
|
Explosion of DMTP caused due to improper temperature control at a manufacturing plant of pesticide intermediates
|
 |
Knowledge Comment: |
|
An explosion occurred due to heating without any thermometer |
|
|
|
|
