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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Risk Recognition |
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04. |
Organizational Problems |
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05. |
Poor Management |
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06. |
Poor Operation Management |
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07. |
Insufficient Analysis or Research |
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08. |
Insufficient Practice |
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09. |
Lack of Imagination |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Process Design |
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13. |
Regular Operation |
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14. |
Erroneous Operation |
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15. |
Unthinkable Operation |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Loss to Organization |
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20. |
Economic Loss |
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21. |
Manetary Damage 7000 million yen |
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Fire and explosion due to molten magnesium leaked at a titanium factory
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Knowledge Comment: |
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A material which makes dangerous situation by contacting hot magnesium was put next to the melting magnesium pan, a fire occurred and enlarged. |
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