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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. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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07. |
Misjudgment |
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08. |
Misjudgment of Situation |
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09. |
Malicious Act |
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10. |
Rule Violation |
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11. |
Safety Rule Violation |
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12. |
Usage |
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13. |
Operation/Use |
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14. |
Operation of Machine |
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15. |
Bad Event |
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16. |
Mechanical Event |
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17. |
Friction |
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18. |
Bad Event |
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19. |
Chemical Phenomenon |
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20. |
Heat Generation/Ignition |
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21. |
Secondary Damage |
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22. |
External Damage |
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23. |
Explosion |
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Explosion of dinitrosopentamethylenetetramine(DPT) during continuous operation of the rotary valve for measuring DPT caused due to frictional heat because of continuously abnormal condition
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Knowledge Comment: |
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When the machine was bad condition, explosion occurred by treating sensitive material at the machine. |
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