Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Convince as Safe
04. Planning and Design
05. Poor Planning
06. Poor measure against thunderbplt
07. Secondary Damage
08. External Damage
09. Explosion
10. Bodily Harm
11. Injury
12. 1 person injured

Fire and explosion at a jet fuel tank caused due to a thunderbolt from design error of an instrument device
Case Details

Knowledge Comment:
Although a system which appeared to be safe, a default was to be cleared after an occurring ccident. It is important to find the weak point before a trouble occur.

Field Chemicals and Plants
Author KOSEKI, Hirosi (National Research Institute of Fire and Disaster)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)