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01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Insufficient Recognition of Risk |
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07. |
Misjudgment |
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08. |
Misjudgment of Situation |
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09. |
Polymerization Reaction |
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10. |
Usage |
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11. |
Operation/Use |
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12. |
Operation of Machines |
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13. |
Non-Regular Operation |
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14. |
Emergency Operation |
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15. |
Operation of Risk Avoidance |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Heat Generation/Pressurize |
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19. |
Failure |
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20. |
Fracture/Damage |
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21. |
Rapture |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
Direct Monetary Damage 180 million yen |
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Rupture of metal drum cans containing extracted reaction liquid at a manufacturing plant of phenolic resin
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Knowledge Comment: |
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Image the worst case from the small bad event, and prepare the countermeasure ! |
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