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01. |
Organizational Problems |
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02. |
Inflexible Management Structure |
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03. |
Insufficient Education |
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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. |
Ignorance |
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08. |
Insufficient Knowledge |
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09. |
Insufficient Study of Danger of Treating Material |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Quantity Control |
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13. |
Regular Movement |
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14. |
Careless Movement |
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15. |
Contamination under Unconsciousness |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Spontaneous Ignition |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Explosion/Fire |
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Ignition caused due to contamination of impurities during storage of methyl ethyl ketone peroxide
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Knowledge Comment: |
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Because of receiving an excess quantiry of the dangerous material, the remainings which was contaminated with impurities, was returned to the storage place. An explosion occrred. |
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