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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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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. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Planning of Repair |
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10. |
Non-Regular Operation |
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11. |
Emergency Operation |
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12. |
Operate Wrong Valve |
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13. |
Secondary Damage |
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14. |
External Damage |
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15. |
Explosion/Fire |
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16. |
Bodily Harm |
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17. |
Death |
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18. |
4 person died |
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19. |
Bodily Harm |
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20. |
Injury |
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21. |
9 person injured |
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22. |
Loss to Organization |
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23. |
Economic Loss |
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24. |
The plant burnt |
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Explosion caused due to miss-handling of only one remote control valve separated from atmosphere in the polymerization reactor at a polypropylene manufacturing plant
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Knowledge Comment: |
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Shutting off by only one remote valve is not absolutely permitted. It may opened by mistake and may leak. |
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