 |
01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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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. |
Insufficient Analysis or Research |
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08. |
Insufficient Prior Research |
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09. |
Structure of Equipment and Danger based on It |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Design |
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13. |
Usage |
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14. |
Maintenance/Repair |
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15. |
Insufficient Cleaning |
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16. |
Bad Event |
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17. |
Chemical Phenomenon |
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18. |
Heat Generation |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Explosion |
|
|
|
Explosion in dead space of a reactor at a naphthalene oxidation plant
|
 |
Knowledge Comment: |
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The dangerous material accumulated by insufficient cleaning of the reactor. |
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