[1]冀成楼,张宏.工业事故调查和分析的发展历程及趋势[J].中国安全生产科学技术,2011,7(6):151-155.
JI Cheng-lou,ZHANG Hong.The track of industrial incident investigation and analysis and developing trends[J].JOURNAL OF SAFETY SCIENCE AND TECHNOLOGY,2011,7(6):151-155.
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工业事故调查和分析的发展历程及趋势()
JI Cheng-lou,ZHANG Hong.The track of industrial incident investigation and analysis and developing trends[J].JOURNAL OF SAFETY SCIENCE AND TECHNOLOGY,2011,7(6):151-155.
《中国安全生产科学技术》[ISSN:1673-193X/CN:11-5335/TB]
- 卷:
- 7
- 期数:
- 2011年6期
- 页码:
- 151-155
- 栏目:
- 职业安全卫生管理与技术
- 出版日期:
- 2011-06-30
文章信息/Info
- Title:
- The track of industrial incident investigation and analysis and developing trends
- 文章编号:
- 1673-193X(2011)-06-0151-05
- Keywords:
- -
- 分类号:
- X92
- DOI:
- -
- 文献标志码:
- A
- 摘要:
- 工业事故调查伴随着工业革命的发展而开展,而事故分析,特别是系统的分析开展于上世纪的五六十年代。事故调查和分析研究的发展历程可以分成四个阶段,单一原因-结果阶段、多原因-结果阶段、系统化分析阶段以及产业化发展阶段。事故调查和分析从最早的仅仅查找事故(直接)原因单一目的,发展到现在查找(根本)原因、分析原因、制定措施、监督执行等多个目的。事故调查和分析已经发展成为一个学科,一种职业。事故调查和分析的理论和方法也从最初的单方面、表面、短期发展到了全面、深入和系统化。本文在介绍事故调查和分析的发展阶段和过程的同时还将对各阶段代表性的调查方法和理论给予介绍,主要包括"鱼骨(F ishbone)图"、"领结图(BowTie)"、"直根(Taproot)图"和"三脚架(Tripod)"。
- Abstract:
- Industrial incidents investigation study came along with industrial revolution, and root cause analysis, especially systematic analysis started in 50’s and 60’s last century. It could be said there are four stages in the development of incident investigation and root cause analysis, single Cause-Effect, Multiple Causes-Effect, Systematic Causes-Effect and Professional Causes-Effect Analysis. In early time, incident investigation and cause analysis focus on single, immediate and seemingly factors (causes), and now, are to search root causes, recommend corrective actions and improve performance. Root cause analysis, today, have become a professional business. The incident investigation and analysis track and stages will be introduced and popular theories and practices, Fishbone, Bowtie--Fault Tree and Event Tree, Triopod and Taproot, in different stages will be described in this paper.
参考文献/References:
1.《生产安全事故报告和调查处理与重大责任事故追究工作标准及案例分析全书》，全国安全生成标准化技术委员会秘书处，中国安全生产科学研究院，《中国安全生产科学技术》杂志社。2007年6月第一版。ISBN 7-6586-6858-32.《事故调查与分析技术》，蒋军成，化学工业出版社，2004年1月，ISBN 7-5025-5019-43.Rasmussen Report4.W.H.Heinrich《Industrial Accident Prevention》published in 19315.Cause and Effect “Fishbore” Diagram by Dr. Kaoru Ishikawa6.Tripod Beta User Guide7.Structure and Expression of Failure Knowledge Database, Dr. Yotarou Hatamura March 20058.TapRoot-Changing the Way the World Solves Problem,9.冯肇瑞 . 崔国璋 . 安全系统工程 . 北京：冶金工业出版社，198710.韦冠俊 . 安全原理与事故预测 . 北京：冶金工业出版社，199511.韩军等 . 现代安全管理方法 . 北京：机械工业出版社会，199212.曲和鼎等 . 安全软科学的理论与应用 . 天津：科技翻译出版公司，199113.肖爱民等 . 事故管理 . 北京：冶金工业出版社，199014.徐江等 . 安全管理学 . 北京：航空工业出版社，199315.机械工业部生产管理局 . 事故树分析与应用 . 北京：机械工业出版社，1986
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备注/Memo
- 备注/Memo:
- 收稿日期：2011-01-14
