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01. |
Misjudgment |
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02. |
Misperception |
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03. |
Mis-Convincement |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Insufficient Safety Measure |
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07. |
Organizational Problems |
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08. |
Inflexible Management Structure |
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09. |
Insufficient Education/Training |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Pepair Work Schedule Planning |
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13. |
Usage |
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14. |
Maintenance/Repair |
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15. |
Welding |
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16. |
Malicious Act |
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17. |
Rule Violation |
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18. |
Safety Rule Violation |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Explosion |
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22. |
Bodily Harm |
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23. |
Death |
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24. |
1person died |
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25. |
Bodily Harm |
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26. |
Injury |
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27. |
3 person injured |
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28. |
Loss to Organization |
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29. |
Economic Loss |
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30. |
Tank Failure |
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|
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Explosion due to flame during welding to install piping to a neutralization tank at a hydrocarbon resin plant
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Knowledge Comment: |
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A waste water of a plant may solved many kind of organics, amd the organics may be released as fllamable gas if condition changes. |
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