系统化事故调查方法研究
发布时间：2019-01-21 18:57
【摘要】：事故或未遂事故的调查与分析对潜在风险的辨识及事故控制具有重要作用。事故调查的主要目的是为了解事故发生的真相,进而改善风险控制与管理系统不足之处,避免相同、相似的事故一再发生,而非着重于责任归属或指责特定人士。 我国至今仍然缺乏有效的事故调查方法和专精事故调查的人员,成为预防职业伤害和工业安全事故的主要障碍,因此本研究主要的目的是研究开发一套实用和有效的事故调查方法。 本文调研分析了目前国内外常用的事故调查方法如屏障分析方法、变更分析方法、事件及成因图、TRIPOD理论、系统化原因分析技术、故障树分析、管理疏忽与风险树、事件树分析、为何树分析、原因树方法和作业事故调查技术等的优缺点及适用范围。在此基础上,借鉴I. S. Sutton建议的事故调查流程,通过改进事件及成因图和根本原因分析,建立了系统化事故调查方法。该方法主要包括初步调查、组成调查组、证据收集、发展时间序列、根本原因分析、调查报告和建议六个步骤。 论文最后应用构建的系统化事故调查方法对某采气厂发球筒爆炸事故进行了分析,找出了事故发生的直接原因、间接原因和根本原因,分析结果较为满意,从而验证了该方法的可行性。
[Abstract]:Investigation and analysis of accidents or attempted accidents play an important role in the identification of potential risks and accident control. The main purpose of the accident investigation is to understand the truth of the accident, and then to improve the deficiency of the risk control and management system, to avoid the recurrence of the same and similar accidents, rather than to focus on the attribution of responsibility or blame of a particular person. Our country still lacks the effective accident investigation method and the specialized accident investigation personnel so far, becomes the main obstacle to prevent the occupational injury and the industrial safety accident. Therefore, the main purpose of this study is to develop a set of practical and effective accident investigation methods. This paper investigates and analyzes the commonly used accident investigation methods at home and abroad, such as barrier analysis method, change analysis method, event and cause map, TRIPOD theory, systematic cause analysis technology, fault tree analysis, management negligence and risk tree. The advantages and disadvantages of event tree analysis, why tree analysis, cause tree method and accident investigation techniques are discussed. On this basis, the systematic accident investigation method is established by improving the accident and cause map and the root cause analysis by referring to the accident investigation flow suggested by I. S. Sutton. This method mainly includes six steps: preliminary investigation, investigation group, evidence collection, development time series, root cause analysis, investigation report and suggestion. In the last part of the paper, the systematic accident investigation method is used to analyze the explosion accident of the serve tube in a gas production plant, and the direct, indirect and fundamental causes of the accident are found out, and the results are satisfactory. The feasibility of the method is verified.
【学位授予单位】：华东理工大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：X928.02
本文编号：2412939
[Abstract]:Investigation and analysis of accidents or attempted accidents play an important role in the identification of potential risks and accident control. The main purpose of the accident investigation is to understand the truth of the accident, and then to improve the deficiency of the risk control and management system, to avoid the recurrence of the same and similar accidents, rather than to focus on the attribution of responsibility or blame of a particular person. Our country still lacks the effective accident investigation method and the specialized accident investigation personnel so far, becomes the main obstacle to prevent the occupational injury and the industrial safety accident. Therefore, the main purpose of this study is to develop a set of practical and effective accident investigation methods. This paper investigates and analyzes the commonly used accident investigation methods at home and abroad, such as barrier analysis method, change analysis method, event and cause map, TRIPOD theory, systematic cause analysis technology, fault tree analysis, management negligence and risk tree. The advantages and disadvantages of event tree analysis, why tree analysis, cause tree method and accident investigation techniques are discussed. On this basis, the systematic accident investigation method is established by improving the accident and cause map and the root cause analysis by referring to the accident investigation flow suggested by I. S. Sutton. This method mainly includes six steps: preliminary investigation, investigation group, evidence collection, development time series, root cause analysis, investigation report and suggestion. In the last part of the paper, the systematic accident investigation method is used to analyze the explosion accident of the serve tube in a gas production plant, and the direct, indirect and fundamental causes of the accident are found out, and the results are satisfactory. The feasibility of the method is verified.
【学位授予单位】：华东理工大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：X928.02
【参考文献】
相关期刊论文 前10条
1 王建国,祝少辉,田水承;生产安全事故调查处理工作存在的问题及建议[J];矿业安全与环保;2005年05期
2 李志峰;范晴晴;;爆炸火灾事故调查分析[J];河南理工大学学报(自然科学版);2010年05期
3 牛旭琼;;浅析火灾事故调查的现状与改革措施[J];科学之友;2012年07期
4 张宏波;;改进我国事故调查工作的建议[J];劳动保护;2006年03期
5 冀成楼;张宏;;工业事故调查与分析的发展历程及趋势[J];中国安全生产科学技术;2011年06期
6 曹吉有,王德章;事故调查与分析[J];辽宁警专学报;2003年06期
7 孟凡强;;企业事故调查分析方法探讨[J];林业劳动安全;2011年04期
8 白芳勇;;浅析安全生产事故调查程序与方法[J];民营科技;2011年07期
9 牟善军;姜春明;;过程安全与设备完整性管理技术[J];安全、健康和环境;2006年08期
10 张玲;陈国华;;事故调查分析方法与技术述评[J];中国安全科学学报;2009年04期
相关硕士学位论文 前1条
1 田兴华;我国生产安全事故调查处理机制研究[D];山东大学;2011年
，本文编号：2412939
本文链接：https://www.wllwen.com/kejilunwen/anquangongcheng/2412939.html
