 |
01. |
Organizational Problems |
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02. |
Poor Management |
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03. |
Slackness of Management |
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04. |
Carelessness |
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05. |
Insufficient Understanding |
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06. |
Insufficient Recognition of Risk |
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07. |
Poor Value Perception |
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08. |
Poor Safety Awareness |
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09. |
Inadequate Risk Recognition |
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10. |
Malicious Act |
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11. |
Rule Violation |
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12. |
Safety Rule Violation |
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13. |
Planning and Design |
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14. |
Poor Planning |
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15. |
Poor Design |
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16. |
Regular Movement |
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17. |
Careless Movement |
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18. |
Not take the grounding |
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19. |
Secondary Damage |
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20. |
External Damage |
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21. |
Explosion |
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22. |
Bodily Harm |
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23. |
Injury |
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24. |
2 person injured |
|
|
|
Fire of xylene remaining in solid piperazine separated in a centrifuge
|
 |
Knowledge Comment: |
|
An accident occurred by the doubled mistake; air contamination and forgetting of the grounding. |
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