Raporo yiperereza yimpanuka yimiti

Raporo yiperereza yimpanuka yimiti

Urubuga rwemewe rwa guangxi Zhuang Ishami rishinzwe imicungire y’ubutabazi mu karere rwashyize ahagaragara raporo y’iperereza ku mpanuka nini y’umuriro yabereye i Beihai LNG Co, LTD ku ya 2 Ugushyingo 2020. Nk’uko iyi raporo ibigaragaza, abantu 7 barapfuye, abantu 2 barakomereka bikabije ndetse n’uburyo butaziguye igihombo cy'ubukungu cyari miliyoni 20.293.

Impamvu ako kanya

Mugihe cyo gushyira mu bikorwa icyiciro cya kabiri cyumushinga, hafunguwe valve yo kwigunga, hanyuma LNG (gaze gasanzwe ya lisukiya) mumashanyarazi yumuvuduko muke wo hanze isohoka mumunwa waciwe, hamwe nuruvange rwa LNG atomize ikirere n'umwuka bibyara umuriro iyo ingufu zo gutwika zishoboka.

Impamvu itaziguye

Uburyo budakwiye bwo kwigunga bwa valve, injeniyeri yibikoresho bidakurikijwe ibiteganijwe guhuza ibikoresho kugirango bisuzumwe kandi byemezwe hamwe nuburyo bukoreshwa, imiterere yakazi ishyushye yemeje ko umutekano udahagije, umutekano muke udahagije kandi ukagenzura, "abafite imishinga mito mito bafite amasezerano" uburyo bwo gutunganya abakozi bakora ishyirwa mu bikorwa ry’imicungire y’umusaruro neza ntirigera ku mwanya wabigenewe, ubuyobozi bwa rwiyemezamirimo ntibugera ku mwanya wabigenewe, n'ibindi.

Raporo y'iperereza yavuzwe

Mu gitondo cy'uwo munsi, injeniyeri w’ibikoresho Lai Xiaolin ntabwo yigeze akora inzira zitandukanye nko gukurikirana ikizamini no kwemeza itike ihuza akazi, ariko yinjiye kuri sitasiyo ya injeniyeri kandi akora wenyine atabanje kugenzurwa n’abandi bahanga mu bikoresho.

Ku minota 11:44 n'amasegonda 48, Lai Xiaolin yakoresheje sisitemu ya SIS kugirango afunge ku gahato valve 0301-XV-2001.Ako kanya, valve 0301-XV-2001 irakingurwa maze LNG itangira gutera.Ku isaha ya 11:45 amasegonda 00, valve irakinguye rwose.Nyuma yamasegonda 10 nyuma yo guterwa LNG, umuriro wadutse kuri platifomu imbere yikigega cya TK-02.Hano hari abantu 8, barimo Liang, kuri platifomu imbere yikigega cya TK-02 hamwe n’umuntu 1, Harimo na Tian, ​​hejuru yikigega igihe LNG yatwitse.

Raporo yavuze

Muri iyi mpanuka, sinopec Zhongyuan Ibiro bya peteroli Ikigo gishinzwe serivisi z’ikoranabuhanga rya gazi, Isosiyete ya Beihai LNG, Ubwubatsi bwa cumi bwa Sinopec, Henan Hongyu, Sichuan Yitong, Sinopec Guangzhou Engineering, Qingdao Transocean ifite ibibazo bitemewe kandi bitemewe.Muri byo, Ikigo gishinzwe Tekinike Gasi ya Biro ya Biro ya peteroli ya Zhongyuan ya Sinopec yarenze ku mabwiriza y’imicungire ya sisitemu yo kurinda ibikoresho kandi ntiyashyize mu bikorwa uburyo bwo kwemeza guhuza ibikoresho hakurikijwe amabwiriza.Injeniyeri y'ibikoresho Lai Xiaolin yakoze igikorwa cyo guhuza ibikorwa mbere yo kwemeza itike yo guhuza ibikorwa irangiye kandi nta murinzi wari uhari.

Itsinda ryimiti ya HSE yinzobere mu mwuga runaka baganiriye ku mpanuka.Nyuma yo kubona disikuru ya buri mpuguke, nize byinshi.Dore isesengura n'incamake:
1.Iyi mpanuka yabaye nta gutandukanya neza amasoko yingufu.Hariho ibibazo muri logique ya sisitemu yo guhagarika byihutirwa muri sisitemu ya SIS, kandi kuvoma amasahani ahumye ntibyabigizemo uruhare.Icyingenzi cyane, ntukizere cyane "sisitemu", sisitemu iyo ariyo yose ifite amahirwe yo gutsindwa.LOTOTO (Gufunga / tagout / ikizamini)hamwe no guhuza umubiri aho bishoboka.Kwemeza no kwemezwa bikorwa hakurikijwe ububasha ninshingano z'abakozi bashinzwe imiyoborere mu nzego zose.

2.Ntabwo yari afite uburyo bunoze bwo kwemeza bwo gukora imirimo iteje akaga, kandi ntiyigeze akora isuzuma ryumutekano mbere yakazi (JSA) mbere yakazi.Ukurikije uburyo bukomeye bwo gusuzuma no kwemeza ibikorwa biteje akaga, usaba nuyobora agomba gushyira mu bikorwa byimazeyo isuzuma ry’umutekano mbere y’igikorwa, kandi ibyemezo bigomba kujya ku rubuga kugira ngo byemeze mbere yo kubyemeza.

3. Raporo yiperereza ryimpanuka isa nkiyitondeye cyane, ndetse ningingo niminota birasobanutse neza: saa 11:20, uruhande rwegereye ikigega rwaciwe, naho 11h40, kuki usaba gukoresha igikoresho? guhuza itike y'akazi?Icya kabiri, iyi valve igomba kuba urwego ruto rwamazi rwaciwe.Ryari ryarafunzwe ryari kandi gute?Ntabwo abantu benshi cyane batigeze bumva valve ifunze kugirango basabe injeniyeri kongera gufunga valve.Ibibazo byinshi bijyanye nibisobanuro, ariko nta kwibanda, nta mutwe.Biragoye kubyumva.