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01. |
Ignorance |
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02. |
Insufficient Knowledge |
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03. |
Insufficient Study |
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04. |
Poor Value Perception |
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05. |
Poor Safety Awareness |
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06. |
Inadequate Risk Recognition |
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07. |
Insufficient Analysis or Research |
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08. |
Insufficient Practice |
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09. |
Lack of Imagination |
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10. |
Planning and Design |
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11. |
Poor Planning |
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12. |
Poor Design |
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13. |
Bad Event |
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14. |
Chemical Phenomenon |
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15. |
Burning |
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16. |
Secondary Damage |
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17. |
External Damage |
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18. |
Fire |
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19. |
Bodily Harm |
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20. |
Death |
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21. |
Bodily Harm |
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22. |
Injury |
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23. |
4 person injured |
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24. |
Loss to Organization |
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25. |
Economic Loss |
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26. |
Manetary Damage 3300 million yen |
|
|
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Fire in an exhaust air duct for silane gas
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Knowledge Comment: |
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They operated without knowing the danger of newly handling material, then big damage occurred ! |
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