Scenario

01. Carelessness
02. Insufficient Precaution
03. As Usual
04. Organizational Problems
05. Poor Management
06. Slackness of Management
07. Planning and Design
08. Poor Planning
09. Inadequate Design
10. Regular Movement
11. Wrong Movement
12. No Action
13. Secondary Damage
14. External Damage
15. Leakage/Fire
16. Bodily Harm
17. Injury
18. 1person injured

Leakage and fire of naphtha caused due to overlooking of an open drain valve at an ethylene plant
Case Details

Knowledge Comment:
Because of the usual work, a confirmation was forgotten!

Field Chemicals and Plants
Author YOSHINAGA, Jun (Graduate School of New Frontier Sciences, The University of Tokyo)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)