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01. |
Misjudgment |
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02. |
Misjudgment of Situation |
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03. |
Poor Value Perception |
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04. |
Poor Safety Awareness |
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05. |
Insufficient Safety Measure |
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06. |
Organizational Problems |
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07. |
Poor Management |
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08. |
Slackness of Management |
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09. |
Reduction |
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10. |
Non-Regular Operation |
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11. |
Emergency Operation |
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12. |
Planning and Design |
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13. |
Poor Planning |
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14. |
Poor Design |
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15. |
Bad Event |
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16. |
Chemical Phenomenon |
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17. |
Abnormal Reaction |
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18. |
Secondary Damage |
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19. |
External Damage |
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20. |
Explosion/Fire |
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21. |
Bodily Harm |
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22. |
Death |
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23. |
Loss to Organization |
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24. |
Economic Loss |
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25. |
Direct Monetary Danage 2500 million yen and + No Running Loss |
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Fire at an acetylene hydrogenation section on rapid re-startup after an emergency shutdown at an ethylene plant
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Knowledge Comment: |
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At a selective reaction, substances which are not the selected substance may react due to change of slite oeration condition, and the reaction becomes very dangerous |
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