摘要
为进一步提高我国事故调查报告的质量,更好地满足企业对事故案例学习的需要,通过案例分析事故调查报告中事故原因部分存在的问题及其原因,并在此基础上提出采用事故致因理论来改进事故调查报告的思路;应用24Model改进天嘉宜化工有限公司“3·21”特别重大爆炸事故的事故原因分析,以此来验证本文思路的可行性和有效性。研究结果表明,使用事故致因理论能够更加科学地归纳事故原因,增强措施的针对性和可操作性,可有效改善事故调查报告的质量。
In order to improve the quality of accident investigation reports in China and better meet the needs of accident cases learning and training in the enterprises,the problems and their causes of accident cause part in the accident investigation reports were analyzed by case study.On this basis,an idea of using the accident causation theory to improve the accident investigation reports was put forward.The 24Model was applied to improve the cause analysis of the“3·21”extraordinarily serious explosion accident of Tianjiayi chemical company to verify the feasibility and effectiveness of the new idea.The results showed that the accident causation theory could be used to scientifically summarize the accident causes,enhance the pertinence and operability of measures,and effectively improve the quality of accident investigation reports.
作者
吕千
傅贵
LYU Qian;FU Gui(School of Emergency Management and Safety Engineering,China University of Mining&Technology-Beijing,Beijing 100083,China)
出处
《中国安全生产科学技术》
CAS
CSCD
北大核心
2021年第10期172-178,共7页
Journal of Safety Science and Technology
基金
国家自然科学基金项目(51534008)
中国矿业大学(北京)本科教育教学改革与研究重点项目(J20ZD03)
中央高校基本科研业务费专项资金资助项目(2021YJSAQ26)。
关键词
事故调查报告
原因分析
案例学习
改进建议
事故致因理论
accident investigation report
cause analysis
cases learning
improvement suggestion
accident causation theory
