 |
01. |
Poor Value Perception |
|
02. |
Poor Safety Awareness |
|
03. |
Inadequate Risk Recognition |
|
04. |
Organizational Problems |
|
05. |
Poor Management |
|
06. |
Poor Operation Management |
|
07. |
Carelessness |
|
08. |
Insufficient Understanding |
|
09. |
Insufficient Recognition of Risk |
|
10. |
Usage |
|
11. |
Transport/Storage |
|
12. |
Wrong Storage Environment |
|
13. |
Bad Event |
|
14. |
Chemical Phenomenon |
|
15. |
Abnormal Reaction |
|
16. |
Secondary Damage |
|
17. |
External Damage |
|
18. |
Explosion |
|
19. |
Loss to Organization |
|
20. |
Economic Loss |
|
21. |
Manetary Damage 30 million nyen |
|
|
|
Explosion and fire at a butadiene cylinder exposed to the sunshine
|
 |
Knowledge Comment: |
|
They did many items that are inhibited for maintain the safety. Let both of individuals and the organization restart from fundementals. |
|
|
|
|
