Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequte Safety Measure
04. Ignorance of Procedure
05. Insufficient Communication
06. Insufficient Confirmation
07. Planning and Design
08. Poor Planning
09. Poor Planning of Repair
10. Incorrect Reaction
11. Poor Communication
12. Bad Event
13. Chemical Phenomenon
14. Abnormal Reaction
15. Secondary Damage
16. External Damage
17. Explosion
18. Bodily Harm
19. Death

Explosion of accumulated substances on opening of exhaust piping at a semiconductor manufacturing factory
Case Details

Knowledge Comment:
Did costruction orderer know the danger at procedure mistake of the work? He must educate the subcontractor with the reason in order not to mistake the procedure.

Field Chemicals and Plants
Author ARAI, Mitsuru (Environmental Science Center, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)