Raporo y'iperereza ku mpanuka y'ibinyabutabire

Raporo y'iperereza ku mpanuka y'ibinyabutabire

Urubuga rwemewe rwa Guangxi Zhuang Autonomous Region Emergency Department rwasohoye Raporo y’Iperereza ku mpanuka ikomeye y’inkongi y’umuriro yabereye muri Beihai LNG Co., LTD ku ya 2 Ugushyingo 2020. Nk’uko raporo ibivuga, abantu 7 bapfuye, abantu 2 barakomereka bikomeye naho igihombo cy’ubukungu kikaba miliyoni 20.293 z’amayuan.

Impamvu y'impanuka ihita itera

Mu gihe cy'ishyirwa mu bikorwa ry'icyiciro cya kabiri cy'umushinga, valve yo kwitandukanya irafungurwa, hanyuma THE LNG (gaze karemano ishongeshejwe) iri mu gipimo cyo hanze cy'umuvuduko muto irasohoka mu kanwa k'umuyoboro waciwe, maze uruvange rw'umwuka n'umwuka bya LNG bitanga umuriro iyo ingufu zo gutwika zishoboka.

Impamvu itaziguye y'impanuka

Uburyo butari bwo bwo kwitandukanya n’ibikoresho, injeniyeri w’ibikoresho adakurikije amabwiriza y’uburyo bwo gusuzuma no kwemeza no gukoresha ibikoresho, imiterere y’akazi gashyushye yemeje ko kudahagije, kudahagije mu bijyanye no kumenya no kugenzura ingaruka z’umutekano, uburyo bwo gukora imirimo “bw’abafite ubucuruzi buto” butuma inshingano zo gucunga umusaruro mu mutekano zitagera ku mwanya wagenwe, ubuyobozi bw’umucuruzi ntibugera ku mwanya wagenwe, n’ibindi.

Raporo y'iperereza yavuzwe

Mu gitondo cy'uwo munsi, injeniyeri w'ibikoresho Lai Xiaolin ntiyakoze ibikorwa bitandukanye nko gusuzuma no kwemeza itike y'akazi k'ibikoresho bifatanye, ahubwo yinjiye muri sitasiyo y'injeniyeri akora wenyine nta buyobozi bw'abandi banjeniyeri b'ibikoresho.

Ku isaha ya saa kumi n'imwe n'iminota mirongo ine n'ine n'amasegonda 48, Lai Xiaolin yakoresheje sisitemu ya SIS kugira ngo afunge ku ngufu valve 0301-XV-2001. Ako kanya, valve 0301-XV-2001 yarafunguwe maze LNG itangira gutera. Ku isaha ya saa kumi n'imwe n'iminota mirongo ine n'itanu n'amasegonda 00, valve iba ifunguye neza. Nyuma y'amasegonda agera ku icumi LNG iteye, inkongi y'umuriro yadutse ku rubaraza imbere y'ikigega cy'amazi cya TK-02. Hari abantu 8, barimo Liang, ku rubaraza imbere y'ikigega cy'amazi cya TK-02 n'umuntu 1, harimo na Tian, ​​hejuru y'ikigega ubwo LNG yashyaga.

Raporo yavuze ko

Muri iyi mpanuka, ikigo cya sinopec Zhongyuan Petroleum Bureau, Beihai LNG Company, Sinopec Tenth Construction, Henan Hongyu, Sichuan Yitong, Sinopec Guangzhou Engineering, Qingdao Transocean gifite ibibazo bitemewe n'amategeko. Muri byo, ikigo cya tekiniki ya gaze karemano cya Zhongyuan Petroleum Bureau cya Sinopec cyishe amabwiriza agenga uburyo bwo kurinda ibyuma kandi nticyashyize mu bikorwa neza uburyo bwo kwemeza ibyuma bifunganye nk'uko amabwiriza abiteganya. Injeniyeri w'ibikoresho Lai Xiaolin yakoze igikorwa cyo guhuza ibikoresho mbere yuko icyemezo cy'igikorwa cyo guhuza ibikoresho kirangira kandi nta muntu wari uhari.

Itsinda ry'inzobere mu by'ubuvuzi bw'ibinyabuzima mu mwuga runaka ryaganiriye ku by'umwihariko ku mpanuka. Nyuma yo kubona amagambo ya buri mpuguke, namenye byinshi. Dore isesengura n'incamake:
1. Iyi mpanuka yabayeho hatabayeho kwitandukanya neza n'ingufu ziteje akaga. Hari ibibazo mu buryo bwo gufunga byihutirwa ESD muri sisitemu ya SIS, kandi pumping ya plaque idakora neza ntiyagize uruhare. Ikirenzeho, ntukizere cyane "sisitemu", sisitemu iyo ari yo yose ishobora kwangirika.LOTOTO (Gufunga/guhagarika/ ikizamini)hamwe n'imikoranire ifatika aho bishoboka. Kwemeza no kwemeza bigomba gukorwa hakurikijwe ububasha n'inshingano by'abakozi b'ubuyobozi ku nzego zose.

2.Nta buryo bwo kwemeza neza akazi gashobora guteza akaga, kandi ntabwo yakoze isuzuma ry’umutekano mbere yo gukora akazi (JSA) mbere yo gukora. Dukurikije uburyo bwo gusuzuma no kwemeza ibikorwa biteza akaga, usaba akazi n’umuyobozi bagomba gushyira mu bikorwa isuzuma ry’umutekano mbere yo gukora, kandi icyemezo kigomba kujya aho hantu kugira ngo cyemezwe mbere yo kwemezwa.

3. Raporo y'iperereza ku mpanuka isa nkaho yitonze cyane, ndetse n'ingingo n'iminota birasobanutse neza: saa 11:20, uruhande rwegereye ikigega rwaciwe, naho saa 11:40, kuki usaba gufata itike y'akazi ihuza igikoresho? Icya kabiri, iyi valve igomba kuba valve yo gukata ifite urwego rwo hasi rw'amazi. Yafunzwe ryari kandi ite? Abantu benshi ntibasobanukiwe neza ivali ifunze kugira ngo bashishikarize injeniyeri kongera gufunga ivali. Hari ibibazo byinshi ku bisobanuro birambuye, ariko nta kwibanda, nta n'umugozi. Biragoye kubyumva.