Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Inflexible Management Structure
06. Insufficient Information Transfer
07. Insufficient Analysis or Research
08. Insufficient Practice
09. Forestudy of Influence at Accident
10. Planning and Design
11. Poor Planning
12. Poor Design
13. Bad Event
14. Mechanical Event
15. Vibration
16. Secondary Damage
17. External Damage
18. Leakage/Fire
19. Loss to Organization
20. Social Loss
21. Resesrch Interruption of Fast Breeder Reactor

Fire caused due to leakage of molten sodium (a cooling agent) from piping for a cooling system at a fast breeder reactor
Case Details

Knowledge Comment:
All went to zero by a result of only a simple design mistake. Nuclera energy relations which is always expected to be perfect is very difficult.

Field Chemicals and Plants
Author ITAGAKI, Haruhiko (Japan National Institute of Occupational Safety and Health)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)