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01. |
Poor Value Perception |
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02. |
Poor Safety Awareness |
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03. |
Inadequate Safety Measure |
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04. |
Carelessness |
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05. |
Insufficient Precaution |
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06. |
Carelessness of Operator |
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07. |
Planning and Design |
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08. |
Poor Planning |
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09. |
Poor Repair Management Planning |
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10. |
Poor Hot Insulaton Design |
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11. |
Usage |
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12. |
Maintenance/Repair |
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13. |
Restration |
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14. |
Malfunction |
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15. |
Poor Hardware |
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16. |
Gasket Leakage |
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17. |
Secondary Damage |
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18. |
External Damage |
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19. |
Fire |
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Fire of leaked hydrogen due to misuse of a gasket at a solvent manufacturing plant
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Knowledge Comment: |
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Leakage occurred by using a smaller gasket than specified. Where is the management system ! |
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