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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. |
Non-Regular Action |
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08. |
Change |
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09. |
Change of Operation Procedure |
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10. |
Malicious Act |
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11. |
Rule Violation |
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12. |
Neglect of Indication |
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13. |
Bad Event |
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14. |
Chemical Phenomenon |
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15. |
Abnormal Reaction |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Explosion |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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Explosion caused due to a condensation reaction of benzyl chloride during being left in a vessel
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Knowledge Comment: |
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A instruction not showing any reason why it is necessary to do may be neglected. It is very important to explain "Know-why". |
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