Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Insuficient Education/Training for Safety
04. Carelessness
05. Insufficient Understanding
06. Sulfonation Reaction
07. Planning and Design
08. Poor Planning
09. Poor Design
10. Malicious Act
11. Rule Violation
12. Safety Rule Violation
13. Bad Event
14. Chemical Phenomenon
15. Abnormal Reaction
16. Secondary Damage
17. External Damage
18. Explosion/Leakage
19. Bodily Harm
20. Death
21. 1 person died
22. Bodily Harm
23. Injury
24. 6 person injured
25. Loss to Organization
26. Economic Loss
27. 2 factory buildings burnt

Explosion on restarting agitation during the sulfonation reaction of toluene
Case Details

Knowledge Comment:
It cannot be detected automaticaly to stop the important machine. It is strange.

Field Chemicals and Plants
Author OGAWA, Terushige (Graduate School of Environment and Information Sciences, Yokohama National University)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)