01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Poor Management
06. Slackness of Management/habit
07. Carelessness
08. Insufficient Precaution
09. Mannerism
10. Planning and Design
11. Poor Planning
12. Purge Planning
13. Malicious Act
14. Rule Violation
15. Safety Rule Violation
16. Secondary Damage
17. External Damage
18. Explosion/Fire
19. Bodily Harm
20. Death
21. 8 person died
22. Bodily Harm
23. Injury
24. Loss to Organization
25. Economic Loss
26. Direct Monetary Damage 47 million yen

Explosion and fire caused due to insufficient purging during inspection work on a continuous extractor
Case Details

Knowledge Comment:
Although you had many experiences of the vessel inside works, you must take care for the purge of inflammables carefully.

Field Chemicals and Plants
Author WAKAKURA, Masahide (Kanagawa Industrial Technology Research Institute)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)