Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Ignorance
05. Insufficient Knowledge
06. Convincement
07. Malicious Act
08. Rule Violation
09. Safety Rule Violation
10. Usage
11. Maintenance/Repair
12. Not repaired
13. Malfunction
14. Poor System
15. Bad condition of Safety System
16. Bad Event
17. Electrical Failure
18. Breaking of Wire
19. Secondary Damage
20. External Damage
21. Explosion
22. Loss to Organization
23. Economic Loss

Explosion at a rotating filter caused due to high oxygen concentration generated from operation with defective monitoring instrument
Case Details

Knowledge Comment:
Because the plant was operated without safety instruments, an explosion occurred.

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)