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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 Equipment Management |
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07. |
Usage |
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08. |
Maintenance/Repair |
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09. |
Inspection |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Excess Operation Planning |
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13. |
Bad Event |
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14. |
Thermo-Fluid Event |
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15. |
Mixed Flow |
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16. |
Failure |
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17. |
Abrasion |
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18. |
Errosion |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Leakage/Explosion |
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Explosion and fire caused due to gas leakage from high-pressure ethylene piping at an ethanol manufacturing plant
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Knowledge Comment: |
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Erosion due to the mixed flow was acceralated by increaing the flow speed when the injection water to recycle gas increased. |
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