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中国危险化学品事故中的人为与组织因素:运用HFACS-HC对“8·12”天津港火灾爆炸事故的案例研究

Human and organizational factors in Chinese hazardous chemical accidents: a case study of the '8.12' Tianjin Port fire and explosion using the HFACS-HC.

作者信息

Zhou Lin, Fu Gui, Xue Yujingyang

机构信息

a College of Resources and Safety Engineering , China University of Mining and Technology (Beijing) , China.

出版信息

Int J Occup Saf Ergon. 2018 Sep;24(3):329-340. doi: 10.1080/10803548.2017.1372943. Epub 2017 Nov 7.

Abstract

Human and organizational factors have been proven to be the prime causes of Chinese hazardous chemical accidents (HCAs). A modified version of the Human Factors Analysis and Classification System (HFACS), namely the HFACS-Hazardous Chemicals (HC), was developed to identify the human factors involved in Chinese HCAs. The '8.12' Tianjin Port fire and explosion, the costliest HCA in recent years, was reanalyzed using this framework, and the results were compared with the official accident inquiry report to determine their differences related to the identification of human and organizational factors. The study revealed that interacting human factors from different levels in Ruihai Company led to this catastrophe, and the inquiry report had limitations in the identification of human factors and the guidance for similar accident prevention. This study showed the applicability of the HFACS-HC in HCA analyses as well as the necessity to recommend this approach for future HCA investigations.

摘要

人为和组织因素已被证明是中国危险化学品事故(HCA)的主要原因。开发了一种改进版的人为因素分析与分类系统(HFACS),即HFACS-危险化学品(HC),以识别中国危险化学品事故中涉及的人为因素。使用该框架重新分析了近年来代价最高的危险化学品事故——“8·12”天津港火灾爆炸事故,并将结果与官方事故调查报告进行比较,以确定它们在人为和组织因素识别方面的差异。研究表明,瑞海公司不同层面相互作用的人为因素导致了这场灾难,并且调查报告在人为因素识别以及对类似事故预防的指导方面存在局限性。本研究展示了HFACS-HC在危险化学品事故分析中的适用性,以及推荐该方法用于未来危险化学品事故调查的必要性。

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