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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 Precaution |
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06. |
Carelessness of Operator |
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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. |
Usage |
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11. |
Maintenance/Repair |
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12. |
Recovery |
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13. |
Malfunction |
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14. |
Poor Hardware |
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15. |
Poor Control System |
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16. |
Bad Event |
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17. |
Mechanical Event |
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18. |
Over Speed |
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19. |
Failure |
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20. |
Large-Scale Damage |
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21. |
Rapture |
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22. |
Secondary Damage |
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23. |
External Damage |
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24. |
Fire |
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25. |
Loss to Organization |
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26. |
Economic Loss |
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27. |
Direct Monetary Damage 1100 million yen |
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Leakage and fire of carbon monoxide caused due to breakage of a gas expander from over revolutions at a fluidized catalytic cracker unit
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Knowledge Comment: |
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Restoration of the important instrument for safety shoul be execued after sufficient examination. |
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