摘要
为提高煤矿重大事故致因分析的准确性,通过利用STEP模型对现有的FRAM系统理论模型进行改进来对煤矿重大事故进行致因分析。结果表明,改进后FRAM模型共发现6处导致案例事故发生的关键失效链接,包括下达生产任务和安全生产之间失效连接,维修设备和通风、瓦斯监测之间失效连接等。最后,根据失效连接制定相对应屏障措施来保证对重大事故的控制。
In order to improve the accuracy of cause analysis of major accidents in coal mines, the existing FRAM system theoretical model is improved by using STEP model to analyze the causes of major accidents in coal mines. The results show that the improved FRAM model has found six critical failure links, including failure links between production tasks and safety production, failure links between maintenance equipment and ventilation, gas monitoring and so on. Finally, the corresponding barrier measures should be made according to the failure connections to ensure the control of major accidents.
作者
乔万冠
李新春
刘全龙
QIAO Wanguan;LI Xinchun;LIU Quanlong(School of Management, China University of Mining & Technology, Xuzhou 221116, China)
出处
《煤矿安全》
CAS
北大核心
2019年第2期249-252,256,共5页
Safety in Coal Mines
基金
国家自然科学基金资助项目(71704176)
关键词
煤矿重大事故
事故致因模型
改进FRAM模型
事故分析
系统理论
major coal mine accidents
accident causation theory
improved FRAM model
accident analysis
system theory