 |
01. |
Misjudgment |
|
02. |
Misperception |
|
03. |
Mis-Convincement |
|
04. |
Poor Value Perception |
|
05. |
Poor Safety Awareness |
|
06. |
Insufficient Safety Measure |
|
07. |
Oxidation |
|
08. |
Planning and Design |
|
09. |
Poor Planning |
|
10. |
Poor Design |
|
11. |
Usage |
|
12. |
Operation/Use |
|
13. |
Operation at Computer Trouble |
|
14. |
Bad Event |
|
15. |
Chemical Phenomenon |
|
16. |
Abnormal Reaction |
|
17. |
Secondary Damage |
|
18. |
External Damage |
|
19. |
Explosion |
|
20. |
Bodily Harm |
|
21. |
Death |
|
22. |
1 person died |
|
23. |
Loss to Organization |
|
24. |
Economic Loss |
|
25. |
Direct Monetary Damage 150 million yen |
|
|
|
Explosion due to excess charge of oxidizer following malfunction of instrument during manufacturing of carboxymethylcellulose
|
 |
Knowledge Comment: |
|
A fire occurred by computer error |
|
|
|
|
