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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. |
Slackness of Management |
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07. |
Ignorance |
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08. |
Insufficient Knowledge |
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09. |
Insuficient Study and Experience |
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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. |
Malicious Act |
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14. |
Rule Violation |
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15. |
Safety Rule Violation |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Explosion |
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19. |
Bodily Harm |
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20. |
Death |
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Explosion during charging operation of raw material powder into a reactor containing dioxane
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Knowledge Comment: |
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An inert gas sealing has to be broken when a gap was made. Moreover static electricity acuumulates by handling with rubber glove. |
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