Incident Description
A fire broke out during scheduled maintenance work inside a confined space, specifically
due to the dispersal of some materials during a welding operation.
Incident Cause
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Shorten in Department Permits work (Work Permits) NUMBER suggestions The works Maintenance trigger.
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special 上班 into Region Quotaand.(Confined-Space) nonentity App Instructions -Hello? -Hi, Alice?No.
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Ignoring the lessons learned from previous incidents.
Lessons Learned
- Developing the Work Permits management process in accordance with instructions
General Authority for Safety (SAIS-SAF).
- Enhancing work safety inside the Confined-Space area
andAccording to Instructions Authority General public LysNo.
(SAIS-SAF).
- Training workers and raising the level of safety culture in accordance with instructions
General Authority for Safety (SAIS-SAF).