Scenario

01. Poor Value Perception
02. Poor Safety Awareness
03. Inadequate Risk Recognition
04. Organizational Problems
05. Inflexible Management Structure
06. Insufficient Education/Training
07. Ignorance
08. Insufficient Knowledge
09. Stuck-up
10. Planning and Design
11. Poor Planning
12. Poor Obsevation Point of Operation
13. Malicious Act
14. Rule Violation
15. Safety Rule Violation
16. Bad Event
17. Chemical Phenomenon
18. Abnormal Reaction
19. Secondary Damage
20. External Damage
21. Fire/Explosion
22. Bodily Harm
23. Injury
24. Loss to Organization
25. Social Loss
26. Unification of Organization and Stop the Experiment
27. Loss to Organization
28. Economic Loss

Fire and explosion caused due to an abnormal reaction at treatment facilities to solidify radioactive wastes
Case Details 100 Selected Cases

Knowledge Comment:
From a small mistake of management of change, sometimes the business itself may be vanished or diminished.

Field Chemicals and Plants
Author ITAGAKI, Haruhiko (Japan National Institute of Occupational Safety and Health)
TAMURA, Masamitsu (Center for Risk Management and Safety Sciences, Yokohama National University)