At about 18:25 on July 25, 2024, Jiuyou Refractory Products Factory, Nanpiao District, Huludao City, Shaguotun Township, Huludao District, Huludao District, Liaoning Province, was repairing the roof color plate of the brick-making workshop.
A few days ago, the Emergency Management Bureau of Nanpiao District, Huludao City announced the "Investigation Report on the Production Safety Accident of the 7·25 Fall from a Height of the Jiuyou Refractory Products Factory in Nanpiao District, Huludao City".
How the accident happened
On July 25, 2024, safety officer Zhang * Wei saw that the color board had been transported to the roof of the brick-making workshop, so he notified Zhang *, Fan *yu, and Li *hua not to go home after work and repair the color plate on the roof of the brick-making workshop. At about 16 o'clock, Zhang * Wei led Zhang * and other 3 people along the north ladder of the brick-making workshop to the roof, Zhang * and other 3 people are responsible for transporting the board from north to south near the ridge side, Zhang * Wei is responsible for nailing and fixing, when the fifth color plate is transported to the top of the brick-making machine on the west side of the roof of the factory, Zhang * Wei who has finished nailing will take the color plate on the west side of the ridge of the herringbone frame and Zhang * 3 people in the opposite direction, and the ridge will go to the east side of the board, Zhang * Wei Shun board is about 3 meters on the east side of the ridge, and the feet wearing rain boots step backwards on the sunny board of the roof and fall to the ground of the brick-making workshop.
Brick-making workshop
The place where the fall fell
Sunlight plate stepping on leaks
The roof of the brick-making workshop and replace the new single color board
There are two workshops in the refractory products factory in Nanpiao District, Huludao City, one is a brick-making workshop and the other is a brick-burning workshop. Due to the long time of the construction of the brick-making workshop, the roof of the brick-making workshop leaks rain above the brick-making machine. The brick-making workshop is 40 meters long and 26.6 meters wide, the whole adopts a steel structure frame, the roof of the workshop is a herringbone structure, the herringbone frame is laid with thermal insulation color board and a sunshine board, the ridge is about 7 meters from the ground, the inclination angle of the herringbone is about 6 °, and the top angle is about 168 °. 12 sunshine panels for lighting are symmetrically laid on both sides of the roof herringbone frame, which is about 5.5 meters away from the ridge, the length of the sunshine board is 6 meters, the width is 0.97 meters, the thickness is 0.004 meters, and the length of the newly replaced single-color steel plate is 14 meters and the width is 0.97 meters.
The business operator is suspected of late reporting
The time of the accident was about 18:25 on July 25, 2024, after the accident, the operator and main person in charge Liang *you called Jinzhou 120 to send the injured to the nearest Jinzhou Central Hospital for rescue. At 7:38 on July 26, the sub-district emergency bureau received a telephone report from Liang * You and Shaguotun Township, the main unit of the accident was Huludao Xiangxintai Refractory Co., Ltd., and on July 29, Huludao City, Nanpiao District, Jiuyou Refractory Products Factory reported to the Nanpiao District Emergency Management Bureau the change of the main body of the accident, combined with the actual material situation of the Jiuyou Refractory Products Factory in Nanpiao District, Huludao City, the investigation team held a meeting to study and decide, the main unit of the accident was Jiuyou Refractory Products Factory in Nanpiao District, Huludao City.
The cause of the accident
1. In order to facilitate the labor protection equipment for high-altitude operations such as safety helmets and safety ropes, the safety officer Zhang *wei stepped on the sunshine board that had lost its safety performance when wearing raincoats and rain boots on the roof of the factory during the rain stop, causing the sunshine board to break and fall from the sunshine board;
2. For a long time, the safety education and training of the refractory products factory in Nanpiao District of Huludao City were not in place, and the risk identification and management were not in place, which caused the occurrence of this illegal operation accident.
The business operator was dismissed from his position
The handling suggestions of the responsible persons and responsible units in the investigation report point out:
Liang *you, male, the operator (main person in charge) of Jiuyou Refractory Products Factory in Nanpiao District, Huludao City, is responsible for the overall work, and did not organize the establishment and implementation of the dual prevention mechanism of safety risk classification control and hidden danger investigation and management, and did not report production safety accidents in a timely manner. Responsible for the occurrence of the accident, suspected of late reporting, in violation of the provisions of Article 21 (5) and (7) of the "People's Republic of China Work Safety Law", in accordance with the provisions of Article 11 (1) of the "Provisions on Fines and Penalties for Production Safety Accidents" (Order No. 14 of the Ministry of Emergency Management), it is recommended that the Nanpiao District Emergency Management Bureau impose a fine of 60% of the annual income of Wu 10,000 yuan in the previous year, totaling 30,000 yuan (30,000 yuan); It is recommended that the Jiuyou Refractory Products Factory in Nanpiao District, Huludao City revoke the position of the main person in charge of Liang *you, and not allow him to serve as the main person in charge of any production and business operation unit within 5 years, which will be implemented from the date of dismissal.
The main lessons of the accident
First, it is necessary to identify and control risks in advance, investigate and confirm hidden dangers in advance, develop safety disclosure and safety reconfirmation habits, supervise the correct wearing and use of individual labor protection equipment for high-risk operations such as climbing, and set up reliable hook points such as safety ropes in advance.
Second, it is necessary to conscientiously organize and implement safety education, carry out safety operation skills training, improve employees' lack of safety awareness, put an end to illegal operations, improve the ability to respond to emergencies, and report accidents in a timely manner in accordance with the regulations.
Work at height belongs to the category of special operations
In addition to safety precautions, employees should take good precautions
Specialized training in safety techniques is required
And pass the assessment
After obtaining the special operation certificate
before you can work on the job
Safety measures must be taken when working at height
Please put away this "magic weapon" to prevent falling from a height
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