类似原因造成的职业死亡;为什么?

G. Shittu
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引用次数: 0

摘要

多年来,尽管有以往的经验、教训和可用的工具来确保事件不再发生,但为什么类似的原因会再次发生,这一直是公司管理层关注的问题,不同的原因归因于这个问题。在最近的过去,下面是一些类似原因的事件的例子。2012年1月25日,在DIL桩钻机操作人员(机械-24岁)和他的主管对桩荷载测试泵进行预检测期间,该装置成功地施加了三次压力,但泵活塞没有移动。当泵第四次承受压力时,宣布压力为500巴,桩荷载试验机法兰突然松动,造成操作人员多名严重受伤。他于18时30分左右被证实死亡。机组全新,有检测合格证;IP对此进行了培训,并注意到桩荷载测试仪的设计压力为690bar。此外,当机组发生故障时,26个法兰螺栓中有25个被切断,而最后一个的螺母被拉出。2017年5月15日,一名分析仪工程师在执行当天例行任务时拆下了防爆外壳上的盖子,发生了一起致命事故。重约5.5公斤,直径14英寸的螺纹盖被强行从外壳中推出,工程师拧开它,造成致命的头部伤害。由泄漏的样品气体或仪表空气组成的外壳内的压力引起外壳盖的强力推进。机壳上没有压力表或指示灯来监测机壳内部的压力,也没有办法释放内部压力(http://www.safteng.net/images/2017_Posts_Pics/CVXIndustryAlertJune2017.pdf)。
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Occupational deaths from Similar Causes; Why?
Understanding why incidents re-occur from similar causes despite the previous experiences, lessons and available tools to ensure that they do not happen again has been a cause of concern for company management for years and different reasons have been attributed to this issue. In recent past, below are few examples of incidents from similar causes. On 25 January 2012, during the pre-mob inspection of a pile load tester pump by a DIL pile rig operator (Mechanical-24yrs old) with his Supervisor, the unit was put under pressure three times successfully but there was no movement of the pump piston. The pump was put under pressure the fourth time with a declared pressure of 500 bars, the pile load tester flange suddenly gave way and caused several severe injuries to the operator. He was confirmed dead at around 18h30. The unit was brand new with test certificate; IP was trained for it and note that the design pressure of the pile load tester was 690bars. In addition, when the unit failed, the 25 out of 26 bolts of the flange cut off while the last one had its nut pulled out. On 15 May 2017, a fatal accident occurred when an analyzer engineer removed the cover on an explosion-proof enclosure as part of the routine task for the day. The ~5.5kg weighing threaded cover and with a 14 inches in diameter was propelled forcefully from the enclosure as the Engineer unscrewed it inflicting a fatal head injury. The pressure inside the enclosure from leaking sample gas or instrument air components caused the forceful propulsion of the enclosure cover. There was no gauge or indicator on the enclosure to monitor the internal pressure inside the enclosure and there was no means to relieve internal pressure (http://www.safteng.net/images/2017_Posts_Pics/CVXIndustryAlertJune2017.pdf).
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