Recently, the Emergency Management Bureau of Huzhu Tu Autonomous County issued the "5.11" Mechanical Injury Accident Investigation Report of Haidong Jianxiang Concrete Development Co., Ltd. At 14:30 on May 11, 2026, a mechanical injury accident occurred in the drum screening and maintenance operation of the sand washing plant of Haidong Jianxiang Concrete Development Co., Ltd., resulting in one death and a direct economic loss of 1.3 million yuan.
1. Basic information
of the accident (1) Overview of
the accident-occurring unit and related units 1. Construction Enterprise Qualification Certificate No. D363006510, valid until June 28, 2029; The qualification category and grade are ready-mixed concrete professional contracting regardless of grade (2024/06/28 to 2029/06/28). The "three simultaneous" procedures for safety facilities of construction projects have been fulfilled according to law. 2.3
.
(II) Safety management of
the unit where the accident occurred Haidong Jianxiang Concrete Development Co., Ltd. has fulfilled the relevant procedures of "three simultaneous" (simultaneous design, simultaneous construction, simultaneous production and use) of safety facilities for construction projects in accordance with the law. The company has set up a safety production management organization, identified the person responsible for safety production, appointed Wu Qifan as the first person responsible for safety production, who holds the training certificate of safety management personnel within the validity period, and the training certificate of the main person in charge is under training; appointed Lin Murong as the main person in charge of safety production, who holds the training certificate of the main person in charge within the validity period; Appoint Hai Yurong as the safety production management personnel, who holds the safety management personnel training certificate within the validity period.
1. The safety production responsibility system of the whole staff formulated by the company is not perfect, and the relevant contents of the safety production responsibility system of the financial personnel are missing. Although the safety production target responsibility letter has been signed with all employees, the safety production responsibility system of all employees has not been assessed, and the implementation of safety production responsibility lacks effective verification basis.
2. The company's safety management system is imperfect, lacking key systems such as safety meeting system and equipment management (including inspection and maintenance) system; The safety operation rules of the drum screen have not been formulated, and the safety management system of the maintenance operation has not been established (covering the core contents of the examination and approval system of the maintenance operation, the management system of the maintenance work ticket, and the system of the shutdown, listing and locking). Although the dangerous operation management system has been formulated, the provisions of the system are too general and lack of specific operational implementation standards and control requirements, which makes it difficult to effectively guide the actual operation.
3. For the roller screening and maintenance work carried out on May 11, 2026, the company failed to provide complete process management data, including inspection and maintenance application records, approval records, safety technical disclosure records and maintenance records; At the same time, the relevant records of previous roller screening and maintenance were not provided, and the continuity and traceability of equipment maintenance and repair could not be guaranteed. In addition, due to the long time of plant construction, the technical documents of the rotary screen have been lost, which has brought adverse effects on equipment safety management, maintenance and risk identification.
4. The company has formulated a safety education and training system, which clearly stipulates that "management personnel should be organized to conduct a centralized learning and education once a month, and all employees should be organized to conduct a centralized learning and education once a quarter", but in fact, the education and training work has not been implemented according to the frequency stipulated in the system. Although the 2026 safety production education and training plan has been formulated and the safety education and training before the resumption of work in 2026 has been carried out, the training objects only cover the company leaders, heads of departments, safety management personnel and staff representatives, and the full coverage of all employees has not been achieved; Haiyongqi's three-level safety education and training (factory level, workshop level and post level) did not meet the relevant requirements of the Regulations on Safety Training of Production and Business Units, and the training was not standardized enough. In addition, electric welder Hai Yurong holds the qualification certificate of fusion welding and thermal cutting operation within the validity period, and special operators are on duty with certificates in accordance with relevant regulations.
5. The company has formulated a management system for hidden danger investigation, and provided a hidden danger investigation account led by Wu Qifan, the principal person in charge, and Lin Murong, the principal person in charge of safety production, but failed to provide a hidden danger investigation account led by Hai Yurong, the safety manager. The responsibility of safety management personnel for hidden danger investigation has not been effectively implemented. At the same time, no special inspection records for key safety components such as drum screen protection device, transmission part and emergency stop device are provided, nor regular inspection records for safety protection facilities such as drum screen protection shield, protective fence and emergency stop device are provided, and the integrity and effectiveness of safety protection facilities lack normal control. The company has established a registration form for the distribution of labor protection articles, and the distribution of labor protection articles for employees can be checked.
6. The company has signed a labor contract with all employees (the deceased Haiyong's labor contract has been copied and retained), but has not participated in industrial injury insurance and safety production liability insurance according to law, and has only purchased commercial accident injury insurance for employees. It does not meet the mandatory requirements of the Safety Production Law of the People's Republic of China and the Regulations on Industrial Injury Insurance for production and business units to pay relevant insurance for employees, and there are shortcomings in the protection of the legitimate rights and interests of employees.
7. The company has formulated contingency plan for production safety accidents and completed the filing procedures; The emergency drill plan for 2026 has been formulated, but only fire emergency drills have been carried out in 2026, and other types of emergency drills for production safety accidents have not been carried out as planned. The coverage of emergency drills is insufficient, and the emergency handling ability of employees to deal with different types of accidents has not been effectively improved.
(3) Safety management
of industry departments 1. The Bureau strictly meets the requirements of laws and regulations such as the Safety Production Law of the People's Republic of China, and thoroughly studies and implements General Secretary Xi Jinping's important expositions on safety production. Fully implement the decision-making and deployment of safety production at provincial and municipal levels. Through the convening of the meeting of the Party and Labor Committee, the enlarged meeting of the Party and Labor Committee, the executive meeting, the Plenary meeting of the Safety Committee and the special working meeting on safety production, the key work of safety production in 2026 was Co ordinated and deployed, and the implementation of safety production in 2025 and the first quarter of 2026 was specially listened to, and the relevant meeting minutes, meeting notices and other account information were complete. Combining with the actual supervision of the park, we should scientifically compile and issue the work plan of supervision and inspection of production safety in 2026, keep a close eye on the key periods such as the Spring Festival and holidays, issue warning letters of production safety risks, and do a good job of safety precautions in key periods; Regularly carry out the publicity and popularization of standards for determining hidden dangers of major accidents, improve and perfect the reward mechanism for reporting complaints about production safety, and all kinds of system documents are officially issued and based on evidence. Steadfastly promote the daily safety supervision and law enforcement work, in 2025, Haidong Jianxiang Concrete Co., Ltd. has completed the special inspection of flood control safety, production and operation safety, and retained complete inspection accounts and rectification records; In strict accordance with the 2026 annual supervision and inspection plan, the full coverage law enforcement inspection has been carried out in an orderly manner, and 83 enterprises in the jurisdiction have completed the safety supervision and inspection, and the regular review and supervision of Haidong Jianxiang Concrete Co., Ltd. will be completed as planned. Focus on high-risk industries and implement precise policies, urge Haidong Hongshi Semiconductor Co., Ltd. to firmly promote the special rectification action of chlorine production and storage safety, track the rectification effect throughout the process, and file complete special work data; regularly organize internal fire safety drills, and strengthen the emergency response capabilities of cadres and workers; Actively cooperate with the competent departments of the industry to jointly carry out joint law enforcement and inspection of production safety, gather supervision efforts, and comprehensively build a strong line of defense for production safety in the park.
2. Always adhere to the concept of people first and life first, thoroughly and systematically study and comprehend the spirit of General Secretary Xi Jinping's important expositions on safety in production and a series of important instructions and instructions, and deeply grasp the core gist and practical requirements of safety in production. Strictly check the standards and tables, comprehensively implement the spirit and decision-making arrangements of the provincial, municipal and county work conferences on safety in production, plan as a whole and precisely refine the key tasks of safety in production in the whole county in accordance with the actual situation of the jurisdiction, and scientifically and comprehensively promote the implementation of the work of safety in production in the whole region. Give full play to the core functions of the county security committee office, such as overall coordination, leading, supervision and inspection, assessment and evaluation, and regularly supervise and guide the members of the township (street) and county security committee to strictly abide by the working principle of "three management and three necessities" for safe production, and comprehensively compact the territorial management responsibility, department supervision responsibility and enterprise responsibility. Combining with the actual situation of safety risks in the field of industry in the jurisdiction, we should scientifically compile and issue the annual work plan of safety production supervision and law enforcement, clarify the key points of supervision, the frequency of law enforcement and work measures, focus on high-risk key industries such as industry, mining, commerce, dangerous chemicals, fireworks and firecrackers, and regularly carry out hidden danger investigation and remediation, routine inspection and supervision. Strictly build a solid defense line for safe production in the county, make every effort to prevent and resolve all kinds of potential safety risks, and firmly hold the bottom line of the situation of safe production.
(4) Safety management of
territorial government Gaozhai Street Office attaches great importance to the work of safety production, strictly implements the responsibility of territorial management of safety production, and firmly promotes various safety management measures. Strengthen theoretical study and overall deployment, organize and study General Secretary Xi Jinping's important expositions on safety in production, and study and deploy safety in production through street Party and Labor Committee meetings and office meetings; To formulate the annual safety production work plan and the 2026 Safety Production Work Implementation Plan, clarify the annual work objectives, key tasks and division of responsibilities, and make the relevant meeting minutes and information complete and standardized. Compact the main responsibility of enterprises and education and training.Organize responsible persons of enterprises in the jurisdiction to hold safety production work meetings and deploy key safety work; simultaneously carry out safety business training and warning education activities, strengthen the safety responsibility awareness and risk prevention ability of responsible persons of enterprises, and complete training and warning education materials. Deepening supervision and inspection and hidden danger investigation and management. Regularly carry out safety production supervision and inspection, focusing on the special safety inspection of Haidong Jianxiang Concrete Development Co., Ltd.; actively coordinate with relevant functional departments, carry out joint supervision and inspection, form a joint force of supervision, and promote closed-loop rectification of hidden dangers. Safety publicity and atmosphere building should be carried out extensively. Strictly implement the work deployment of the county security committee, organize and carry out safety production publicity and education activities through various channels and forms, popularize safety knowledge, enhance the safety awareness of the people and employees in the jurisdiction, and build a strong ideological defense line for safety production.
(5) After
the accident occurred on May 11, 2026, Haiyulong, the site manager, found that the screen mesh of the drum screen of the sand washing equipment was seriously damaged during the daily equipment inspection, and the equipment could not meet the safety production standards, so it was necessary to stop the machine immediately for maintenance and replacement. Haiyulong immediately reported the equipment damage to Lin Murong, the relevant person in charge of the project. After approval and approval of the shutdown operation, Haiyongqi, the assistant operator, and Haiyurong, the full-time safety officer, arrived at the equipment maintenance platform at 13:30 on the same day to carry out the special operation of replacing the roller screen. Before operation, the hot work permit shall be handled in accordance with the safety management regulations. This operation has a clear division of labor and the responsibility is assigned to each person: the site management personnel Hai Yulong holds a valid qualification certificate for fusion welding and thermal cutting, and is responsible for the whole process of the electric welding operation of this operation; the full-time safety officer Hai Yurong is stationed at the operation site, and carries out on-site safety monitoring throughout the process; Hai Yongqi is responsible for the screen disassembly, auxiliary cooperation and other operations. Before the operation, the safety pre-operation such as equipment power failure and listing has been completed, but the equipment locking protection measures have not been implemented. After the completion of various operation preparations, at 13:40, the removal and maintenance of the roller screen were officially started. After the operation, Haiyulong entered the interior of the drum screen to carry out cutting operations, Haiyong cooperated with the edge of the drum screen to carry out screw disassembly operations, and Haiyurong monitored the safety of on-site operations throughout the maintenance platform. At about 14:00, full-time safety officer Hai Yurong temporarily went to the warehouse and left the operation monitoring site for a short time due to the use of the operation tool steel drill. At about 14:10, in order to improve the efficiency of screw removal and speed up the operation progress, Haiyongqi went to the tool room to collect the electric wrench for auxiliary operation. After receiving the tools and returning to the operation area, Haiyong stepped on the surface of the drum screen equipment in the process of going down from the maintenance platform to the drum screen. Due to the accumulation of a large amount of sediment in the operation site, the sole of the shoe is attached to the sediment, resulting in insufficient skid resistance, sudden skidding under the foot, instantaneous imbalance of the body, and inadvertent contact with the drum screen equipment. Influenced by the inertial force of human touch, the drum screen rotates, causing Haiyong to be involved in the gap between the drum screen and the equipment box, and his body slides down to the low-lying area of the drum screen after being squeezed by the equipment, and is continuously squeezed by the equipment parts, unable to extricate himself. At this time, Haiyulong, who was carrying out the welding operation inside the drum screen, noticed the sudden half-circle rotation of the drum screen, and then found that Haiyong was trapped at the bottom of the screen. He shouted for help at the first time and started the on-site rescue.
(6)
The scene of the accident is located in the drum screen section on the west side of the production area of the sand washing plant of Haidong Jianxiang Concrete Development Co., Ltd. in Haidong Industrial Park, Haidong City. After the accident, the sand washing plant immediately stopped all production operations and arranged special personnel to protect the site. Except for the necessary mobile operations for rescuing the deceased, no adjustment, disassembly or repair was made to the drum screen and the surrounding related equipment, and all unrelated personnel were cleared from the site. The whole plant area faces south. The roller screen section is located in the west of the plant area, adjacent to the raw material yard in the north, adjacent to the south wall of the shed in the south, sand washers and sedimentation tanks are distributed in the south of the section in turn, and adjacent to the plant wall and drainage ditches in the west. The rotary screen section is the working area in the work shed, the ground is hardened with concrete, the surface is left with water and silt, and no obvious traces of oil are found. According to the field measurement, the basic parameters of the drum screen are as follows: the length of the screen drum is 3.76 m, the diameter of the screen drum is 1.8 m (the feeding end is higher than discharging end), and the height of the screen drum from the ground is 3.8 m. The screen drum is made of Q235B steel plate and steel wire screen mesh; The inspection platform is set below the upper edge of the box body. 1. Arc-shaped iron plates (4mm thick) are installed on both sides of the drum screen. There is a gap between the iron plates and the drum. The width of the gap in the middle of the west side of the machine body is 0. The coupling between the motor and the reducer has been equipped with a protective cover, which is intact after inspection; However, the chain transmission part between the output sprocket of the reducer and the big gear ring of the roller is not provided with any protective cover or protective net, and the chain is completely exposed, which can be directly touched by the operator when standing. In addition, there is no protective fence or protective net outside the arc iron plate on both sides of the roller, so when standing on the ground or maintenance platform, any part of the body can directly contact the gap between the roller and the iron plate. The existing transmission protective cover is fixed by a common hexagon bolt, can be disassembled by a common wrench, and is not provided with an interlocking protective device which needs to be opened by a special tool; Basic safety warning labels such as "Beware of Mechanical Injury" are not posted on the frame of the drum screen, and targeted warning signs such as "No Hands" and "No Maintenance in Operation" are not set near the gaps on both sides of the drum and the key parts of the chain transmission. The main power cabinet is located in the independent power distribution room 5m to the west of the drum screen, and the iron door of the power distribution room is not locked; the main circuit breaker in the power distribution cabinet is disconnected, and the drum screen control circuit switch in the shunt switch is also disconnected. The site control box is installed on the west wall of the second floor of the power distribution room, and a temporary warning sign of "under maintenance, no closing" has been hung outside the control box. A hammer, a steel drill with a length of 1.5m and two welding rods were found in the drum 1.1m away from the feeding port. 3. According to the description of Hai Yulong, the manager and witness of the sand washing site, when the deceased was found, his whole body was involved in the bottom of the drum. 2.
Direct economic loss: 1.3 million yuan.
2. Emergency disposal and assessment
of accidents (1) Reporting of accident information. At 18:35 on May 11, the duty room of the county emergency Bureau received a telephone report from Haidong Jianxiang Concrete Development Co., Ltd., saying that Haiyongqi was injured by falling from the equipment when our company was repairing the equipment (vibrating screen), and was immediately sent to the New District Hospital of high-speed rail for treatment. After receiving the report, the county emergency organization Gaozhai Street, public security and other departments rushed to the scene for disposal. The accident was reported to the People's Government of Huzhu County and the Emergency Management Bureau of Haidong City.
(2) Emergency disposal at the scene of the accident. After the accident, Hai Yulong, a field worker, immediately reported the situation to Wu Qifan and the relevant person in charge. Wu Qifan and the person in charge rushed to the scene of the accident and organized the early emergency rescue work. At about 14:24, Wu Qifan arranged Shi Shengzhang, the driver of the loader, to call 120 emergency calls and 119 fire rescue calls respectively, requesting professional rescue forces to be present for disposal. After coordinated rescue at the scene, Haiyong, who was trapped and injured, was successfully rescued at about 14:40 on the same day and sent to Haidong high-speed rail Hospital for emergency treatment at about 15:00. In the end, Hai Yongqi was officially declared clinically dead at 19:22 on May 11, 2026 because of his serious injuries and ineffective rescue by the hospital.
(3) Pre-assessment of emergency response to accidents. From the overall situation of emergency disposal of the accident, the county emergency Bureau, the county public security Bureau and Gaozhai Street rushed to the scene of the accident in time for disposal, and the county emergency management Bureau issued a decision on on-site disposal measures, requiring the company to suspend the operation of the sand washing plant, without causing secondary accidents.
3. Analysis of
accident causes (1) Direct causes. The maintenance operation is not provided with protective railings. Although the equipment is out of service, it is not locked and braked, and the parts can still rotate flexibly. Operators have weak safety awareness and are greedy for convenience. They go down from the maintenance platform to the drum screen in violation of regulations. They accidentally slip and touch the rotation of the drum screen, and are involved in the gap between the drum screen and the box body.
(2) Indirect causes.
1. The operation rules, inspection and maintenance system of the drum screen have not been formulated, and the safety production responsibility system and training assessment of the whole staff are not perfect.
2. During the maintenance operation, no technical disclosure was carried out, no work ticket was handled, no maintenance plan was made, and no special person was assigned to supervise the whole process.
3. The three-level safety education of employees is not qualified (the training time is 3 hours), the safety education training is a mere formality, and Haiyongqi has not received the special training of drum screen maintenance.
4. Failure to implement the rectification instructions of the Emergency Management Bureau and start construction while rectifying. 5. Failure to pay industrial injury insurance according to law, lack of safety protection and warning facilities.
(3) Other possible factors shall be excluded
through the investigation of the scene of the accident and the inquiry of the persons concerned, and such factors as intentional destruction and sudden disasters shall be excluded.
4. The main problems existing in the responsible units and the performance
of the supervisory departments (1) Haidong Jianxiang Concrete Development Co., Ltd.
Failure to perform the statutory duties of full-time safety management personnel in daily safety inspection and hidden danger management and control.
2. The formulation of the responsibility system for production safety of the whole staff is imperfect, and the safety responsibility of financial posts is lacking, which does not meet the requirements of the Safety Production Law for the full coverage of the responsibility system for production safety of the whole staff and one post and one responsibility. Lack of responsibility system assessment mechanism, only signing safety target responsibility letter, not carrying out responsibility system assessment, no basis for responsibility implementation verification, safety responsibility is mere formality, violating the relevant management regulations of enterprise safety responsibility assessment.
3. Absence of core safety management system, lack of necessary systems such as safety meetings, equipment inspection and maintenance management, failure to establish core management and control systems such as shutdown, listing and locking, operation tickets, etc., and the system does not conform to the general safety management norms of industrial and trade enterprises. The special operation rules are blank, the special safety operation rules for drum screen are not formulated, and the equipment operation has no compliance basis. The management system of dangerous operation lacks practicability, and the clauses are general and have no practical standards, so it is impossible to realize the closed-loop management of the whole process of dangerous operation, which violates the requirements of relevant laws and regulations on the safety management of dangerous operation.
4. There is no closed-loop account for inspection and maintenance operations. On May 11, there is no application, approval, safety disclosure, on-site operation, completion and acceptance of the whole process data for drum screen maintenance. There is no record of previous maintenance. There is no traceability for equipment maintenance, which violates the safety management regulations for equipment and facilities maintenance. The original technical data of the equipment is lost, the technical documents of the roller screen are lost, the equipment risk identification, compliance maintenance and hidden danger determination can not be carried out, and the intrinsic safety management of the equipment loses the basic basis.
5. Failure to strictly implement the established training frequency, failure to carry out training according to the system of monthly management learning and quarterly centralized education for all staff, the training system is in vain. The coverage of safety education and training is not complete, and the annual resumption training only covers the management and staff representatives, failing to achieve full coverage of all employees, which violates the statutory requirements of safety training for all employees. The three-level safety training is not up to the standard, the three-level safety education of Haiyongqi personnel involved is not up to the standard, and the training process, duration and content do not meet the requirements of the Regulations on Safety Training of Production and Business Units.
6. The division of responsibilities for hidden danger investigation is not fully implemented, only the principal responsible person carries out the investigation, the full-time safety officer does not perform the investigation, and the daily grading hidden danger investigation mechanism has not been implemented. The special investigation of key equipment is blank, the special and regular inspection of key safety facilities such as drum screen protection device, transmission parts, emergency stop device and protective cover is not carried out, and the integrity of safety protection facilities is not normally controlled, which can easily lead to mechanical injury accidents.
7. Failure to pay industrial injury insurance in accordance with the law violates the compulsory insurance provisions of the Regulations on Industrial Injury Insurance and the Safety Production Law, and fails to guarantee the statutory compensation rights and interests of workers for industrial injury.
8. Although the contingency plan has been compiled and filed, the emergency drill has not been carried out in full according to the annual plan, only the fire drill has been carried out, and the targeted drills such as mechanical injury and equipment accident have been omitted. The type of emergency drill is single, the coverage is insufficient, and the ability of emergency disposal, on-site refuge and accident rescue of employees is not up to the standard, which does not meet the requirements of normalization and full coverage of emergency drill in the Measures for contingency plan and Management of Production Safety Accidents.
(2) Relevant supervisory units
1. Adhering to the principle of "safety first, prevention first and comprehensive management", all the work presented in the performance of their duties has been deployed, implemented, recorded and filed. It meets the relevant requirements of the Safety Production Law of the People's Republic of China on safety production supervision and management, and effectively fulfills the main responsibility of safety production supervision in the park.
2. Strictly abide by the Safety Production Law and other laws and regulations, adhere to the concept of "people first, life first", fully fulfill the legal responsibility of safety production, and promote the county's safety production situation to continue to stabilize and improve. Give full play to the overall coordination, supervision and assessment functions of the county security committee office, urge the implementation of the "three management and three necessities", tighten the "tripartite responsibility" of territorial management, department supervision and enterprise main body, link up the work deployment of provinces, cities and counties, scientifically formulate the annual supervision and law enforcement plan, and clarify the key points and measures of supervision. Keep a close eye on high-risk areas such as industry, mining, commerce, dangerous chemicals, fireworks and firecrackers, regularly carry out hidden danger investigation and remediation, routine inspection, special law enforcement, strictly standardize fair and civilized law enforcement, closed-loop management of potential safety hazards, severely crack down on violations of laws and regulations, and build a strong security line. To carry out publicity and education on safety production laws and regulations and safety knowledge, to urge enterprises to implement the statutory requirements for safety training of employees, to enhance the intrinsic safety level of enterprises and the awareness of the rule of law and self-rescue ability of the masses, to carry out law enforcement inspections on enterprises involved, and to carry out closed-loop management of potential safety hazards identified.
3. Attach importance to the work of safety in production, shoulder the responsibility of territorial management, and take solid and effective measures to perform their duties. Firstly, we should strengthen overall planning and deployment, thoroughly study and implement General Secretary Xi Jinping's important expositions on safety in production, study and deploy relevant work through Party and Labor Committee meetings and special meetings, formulate annual work plans and special implementation plans, clarify the division of objectives, tasks and responsibilities, and make the minutes of meetings and related information complete and standardized. The second is to consolidate the responsibility of enterprises, organize the leaders of enterprises in the jurisdiction to hold working meetings, carry out safety business training and warning education, and strive to enhance the awareness of enterprise safety responsibility and risk prevention ability, with complete training materials. Thirdly, we should deepen the management of hidden dangers, normalize the supervision and inspection of production safety, focus on special inspections for enterprises such as Haidong Jianxiang Concrete Development Co., Ltd., and actively coordinate the joint supervision of functional departments to form a joint force of supervision and promote the closed-loop rectification of hidden dangers. Fourthly, we should create a safe atmosphere, strictly implement the work deployment of the county security committee, carry out safety publicity and education activities through various channels and forms, popularize safety knowledge, and effectively enhance the safety awareness of the people and employees in the jurisdiction.
5. Opinions
on the handling of the responsible persons and units (1) Opinions
on the handling of the persons responsible for the accident 1. The technicians of Haidong Jianxiang Concrete Development Co., Ltd. are mainly responsible for sand screening, loading and unloading, cleaning and auxiliary operation of equipment. Safety awareness is weak. In the maintenance operation, he violated the operating procedures and was directly responsible for the accident. In view of his death in the accident, it is suggested that he be exempted from accountability.
2. The deputy general manager (actual controller) of Haidong Jianxiang Concrete Development Co., Ltd. has not established and improved the responsibility system for safety production of all staff, established and improved safety production rules and regulations and operating rules, organized and implemented the safety production education and training plan, and guaranteed the safety production input of the unit. Have the responsibility of leadership. In violation of the provisions of Article 5 and Paragraph 1 (1) (2) (3) (4) of Article 21 of the Safety Production Law of the People's Republic of China, it is suggested that the Emergency Management Bureau of Huzhu County impose penalties in accordance with the provisions of Paragraph 1 (1) of Article 95 of the Safety Production Law of the People's Republic of China.
3. The person in charge of safety production of Haidong Jianxiang Concrete Development Co., Ltd. is responsible for safety production, fails to organize or participate in the establishment and improvement of safety production rules and regulations and operation rules, fails to stop and correct illegal operations and violations of operation rules, and is responsible for management. In violation of the provisions of Article 25 (1) (2) and Article 27 (1) of the Safety Production Law of the People's Republic of China, it is suggested that the Emergency Management Bureau of Huzhu County should impose penalties in accordance with the provisions of Article 96 of the Safety Production Law of the People's Republic of China.
4. The person in charge of the sand washing plant of Haidong Jianxiang Concrete Development Co., Ltd. did not stop the illegal operation, did not carry out the investigation of potential safety hazards, and was responsible for the management, which violated the provisions of Article 25, paragraph 1 (5) (6), of the Safety Production Law of the People's Republic of China. It is suggested that the Emergency Management Bureau of Huzhu County should impose penalties in accordance with the provisions of Article 96 of the Safety Production Law of the People's Republic of China.
5. The full-time safety officer of Haidong Jianxiang Concrete Development Co., Ltd. has not led the team to investigate hidden dangers, failed to perform the statutory duties of routine inspection and control of hidden dangers, and is responsible for management, which violates the provisions of Article 25, paragraph 1 (5) (7), of the Safety Production Law of the People's Republic of China. It is suggested that the Emergency Management Bureau of Huzhu County should impose penalties in accordance with the provisions of Article 96 of the Safety and Production Law of the People's Republic of China.
(2
) Haidong Jianxiang Concrete Development Co., Ltd.The implementation of the responsibility system for production safety is not in place, the safety management system and operation rules are missing and not standardized, the safety management of equipment inspection and maintenance is seriously out of control, the education and training of production safety is in violation of laws and regulations, the payment of employment and safety insurance is in violation of mandatory laws and regulations, the industrial injury insurance is not paid for employees according to law, and the emergency management work is not implemented according to law. Article 4, Article 20, Article 21, paragraph 1 (1) (2) (3) (5) (6), Article 22, Article 36, Article 43, Article 51, Article 81, and Article 33 of the Measures for contingency plan and Management of Production Safety Accidents of the Safety Production Law of the People's Republic of China. In accordance with the provisions of Article 3, Article 6, Article 12 and Article 13 of the Regulations on Safety Training of Production and Business Units and Article 2 of the Regulations on Industrial Injury Insurance, the Emergency Management Bureau of Huzhu County shall impose penalties on accidents caused by violation of laws and regulations on production safety in accordance with the provisions of Article 114, paragraph 1 (1), of the Safety Production Law of the People's Republic of China. Suggestions for violation of the Regulations on Industrial Injury Insurance shall be dealt with by the Comprehensive Law Enforcement Bureau of Urban Management of Huzhu County according to law.
(3) Suggestions on the investigation of criminal responsibility. After verification and judgment by the accident investigation team, the accident was caused by the lack of safety awareness of the deceased himself, which was directly caused by illegal operations, and his personal behavior was the main cause of the accident. Considering the work of optimizing the business environment, it is suggested that the relevant responsible personnel should not be investigated for criminal responsibility in the field of production safety.
(4) Suggestions
on the handling of relevant regulatory authorities 1. It has fulfilled the responsibility of managing the safety of the industry in accordance with the law, but it is not strict with the management of the enterprises involved. It is suggested that the industry supervision responsibility should not be investigated and a written inspection should be made to the Haidong Industrial Park Management Committee.
2. The responsibilities of the competent department of production safety have been fulfilled according to law, and it is suggested that the responsibility of the competent department of production safety should no longer be investigated.
3. The responsibility of territorial supervision has been fulfilled according to law, and it is suggested that the responsibility of territorial supervision should no longer be investigated.
6. The main lesson
of the accident is that the accident is not accidental, but the inevitable result of the superposition of multiple factors, such as the serious suspension of the main responsibility of the enterprise's safety production, the complete failure of the safety management system, and the imprecise implementation of the supervision responsibility, which exposes the outstanding problems in the safety production management of the industrial and trade enterprises. The main lessons are as follows:
(1) The sense of responsibility of the main body of the enterprise is weak, and safety management exists in name only. Haidong Jianxiang Concrete Development Co., Ltd. pays insufficient attention to safety production, regards legal requirements such as system construction, education and training, hidden danger investigation as "formalized tasks", and fails to truly integrate safety into the whole process of production and operation. The responsibility system for production safety of the whole staff lacks the content of key posts and has no assessment mechanism, which leads to "the responsibility is signed on paper and implemented orally"; The core safety management system and equipment operation rules have been blank for a long time, which makes dangerous operations such as inspection and maintenance in an out-of-control state of "no rules to follow, no rules to follow", which fully reflects the lack of awe for safe production and the weak legal awareness of enterprises.
(2) The intrinsic safety level of equipment is very low, and the bottom line of risk provention and control is lost. As the key production equipment, the drum screen involved did not set up the protective cover of the transmission part, the peripheral protective fence and the targeted safety warning signs according to the specifications, the brake locking device of the equipment was not enabled, and the intrinsic safety guarantee was completely missing; The technical documents of the equipment are lost, and there is no record of the previous inspection and maintenance, which leads to the long-term accumulation of hidden dangers of the equipment and the risk can not be identified, thus burying the core hidden dangers for the accident. This problem highlights that enterprises fail to fulfill their statutory responsibilities of equipment safety management, lack of awareness of the serious consequences of "equipment operation with risk", and break through the basic bottom line of safety production.
(3) The management and control of dangerous operations are seriously absent, and illegal operations have become normal . The roller screening maintenance operation did not handle the special operation ticket, did not carry out safety technical disclosure, did not formulate the maintenance plan, only handled the hot work ticket but ignored the core risk of mechanical maintenance; Although there are safety officers standing beside the operation site, they have not fulfilled their risk management and control duties, and have not stopped the operators from trampling on equipment in violation of regulations and taking safety protection measures in time, and the chain of management and control of the whole process of dangerous operations has been completely broken. This reflects that enterprises have insufficient risk awareness of dangerous operations, safety management measures are superficial, and illegal operations become the norm of production.
(4) Serious violations of safety education and training and inadequate capacity of employees. Enterprises fail to implement training frequency according to the system, fail to achieve full coverage of training for all staff, fail to meet the standards for the duration and content of three-level safety education for personnel involved, and fail to carry out special training for maintenance of trommel screen, resulting in weak safety awareness, inadequate risk identification ability and habitual illegal operation of employees. Although the safety officer holds a certificate of qualification, he has not fulfilled the core responsibilities of hidden danger investigation and on-site management and control, reflecting that the training has not been combined with the actual work and has not achieved the fundamental purpose of improving the ability to perform his duties.
(5) There are major defects in compliance management and inadequate protection of workers'rights and interests. Enterprises fail to pay industrial injury insurance for employees according to law and only replace it with commercial accident insurance, which violates the mandatory provisions of the Safety Production Law and the Regulations on Industrial Injury Insurance, which not only damages the legitimate rights and interests of employees, but also exposes the serious lack of awareness of safety production compliance in enterprises; The coverage of emergency drills is insufficient, and special drills are not carried out for high-frequency accidents such as mechanical injuries, resulting in inadequate emergency response, self-rescue and mutual rescue capabilities of employees, and the consequences of injuries can not be effectively reduced after the accident.
(6) There are weak links in supervision and territorial management, and lack of precise control. Although the regulatory authorities and territorial governments have carried out regular inspections, they have failed to find out in time the deep-seated and systematic hidden dangers such as the lack of system, inadequate equipment protection and training violations, which have existed for a long time, and the effectiveness of the enterprise safety management system has not been checked thoroughly enough; Insufficient on-site supervision of dangerous operations such as inspection and maintenance fails to stop enterprises'illegal operations in time, reflecting the problems of "emphasizing surface, neglecting essence", "emphasizing deployment, neglecting implementation" in supervision work, and the ability of precise supervision and closed-loop management and control needs to be improved.
7. Suggestions on
accident prevention and rectification measures are to draw lessons from accidents, draw inferences from each other to prevent similar accidents, and aim at the problems exposed by accidents. Put forward the following rectification measures and suggestions:
(1) Enterprise level
1. Improve the safety management system and operating procedures in an all-round way. Immediately revise the responsibility system for safety production of all staff, complete the safety responsibilities of key positions such as finance, and establish a closed-loop mechanism of "responsibility signing-execution-assessment-rewards and punishments" to ensure the implementation of one post, one responsibility and layers; To formulate core systems such as safety meeting system, equipment management (including inspection and maintenance) system, shutdown, listing and locking system, and operation ticket management system, to prepare special safety operation rules and special plans for inspection and maintenance of key equipment such as drum screen, to clarify the management and control requirements for the whole process of dangerous operation, and to ensure that the system is operable, executable and traceable.
2. Immediately carry out a comprehensive investigation of hidden dangers in all production equipment, focusing on the problems of no protection in transmission parts, lack of protective fences and insufficient warning signs, and install protective covers and fences that meet the specifications for trommel screen and other equipment. Set up targeted warning signs such as "No trampling" and "No approaching during operation"; Improve the equipment management files, retrieve or complete the technical documents of equipment delivery, establish the whole process account of equipment maintenance, inspection and repair, clarify the maintenance cycle, content and responsible personnel, and implement "who is responsible for maintenance, who is responsible for acceptance, who is responsible for signature" to ensure that the equipment is always in safe operation.
3. Establish a special management system for dangerous operations (including inspection and maintenance, hot work, high altitude, etc.), and clarify the requirements of the whole process of operation ticket approval, safety technical disclosure, on-site monitoring, completion acceptance, etc; Before operation, risk identification must be carried out, special safety measures must be formulated, full-time safety officers must be assigned to monitor the whole process, and special safety training and technical disclosure must be carried out for operators; safety measures such as shutdown, tagging and locking, energy quarantine must be implemented on the operation site, and operation without tickets and operation against regulations are strictly prohibited.
4. Immediately formulate a special education and training plan to supplement the safety production education and training of the whole staff to ensure that all employees are covered; Strictly implement the three-level safety education and training system, ensure that the training duration and content meet the requirements of the Regulations on Safety Training of Production and Business Units, and focus on strengthening the special training of equipment operation, inspection and maintenance, risk identification of dangerous operations and emergency disposal skills; Regularly organize safety management personnel and special operation personnel to participate in legal training, ensure that they are on duty with certificates and certificates are valid, establish training files and conduct regular assessment, and those who fail to pass the assessment shall not be allowed to work.
5. Establish a hierarchical hidden danger investigation and management system of "leading by the principal responsible person, leading by safety management personnel and participating by post personnel", and clarify the frequency, content and division of responsibilities of the investigation; Focus on strengthening the special investigation of key links such as equipment protection facilities, transmission parts and emergency stop devices, establish a hidden danger investigation account, and implement the closed-loop management of "discovery-registration-rectification-acceptance-cancellation"; the safety officer must perform the duty of leading the investigation, immediately stop production and rectify the major hidden dangers found, and ensure that the hidden dangers are rectified in place.
6. Immediately pay industrial injury insurance for all employees according to law, insure safety production liability insurance according to regulations, and protect the legitimate rights and interests of workers; Revise the contingency plan of production safety accidents, supplement the special emergency response plan for mechanical injuries and other accidents, carry out full-coverage and combat-oriented emergency drills according to the annual plan, and focus on improving the self-rescue, mutual rescue and on-site disposal capabilities of employees; equip sufficient emergency rescue materials, regularly inspect and maintain them to ensure their effective use in emergency situations.
(2) Regulatory level.
1. Carry out special rectification actions for industrial and trade enterprises. Under the leadership of the County Emergency Bureau, the Safety and Environmental Protection Bureau of Haidong Industrial Park and the County Bureau of Industry and Information Technology, special renovations such as equipment safety protection, dangerous operation control, safety education and training, and system construction are carried out for industrial and trade enterprises such as concrete and sand processing within their jurisdiction; Focus on checking whether the key equipment protection facilities of enterprises are in place, whether the dangerous operation tickets are standardized, whether the training files are complete, whether the hidden danger investigation is closed-loop, and severely punish enterprises with serious violations of laws and regulations according to law, and resolutely put an end to "running with illness".
2. Strengthen random spot checks and on-site law enforcement of dangerous operations such as inspection and maintenance, fire and height of enterprises, focusing on the implementation of measures such as examination and approval of operation tickets, safety technical disclosure, on-site monitoring and energy quarantine, and immediately order enterprises that fail to carry out operations in accordance with regulations to stop operations, and order them to stop operations. Rectify within a time limit and punish according to law; establish a law enforcement account for dangerous operations, include enterprises that repeatedly violate the regulations in the list of key supervision, and increase the frequency of inspection.
3. Change the inspection mode of "emphasizing data and neglecting actual effect", go deep into the production site of enterprises, and verify the implementation effect of safety management system and operation rules by inquiring employees, on-site operation assessment and checking actual operation records; Focus on checking the implementation of the core work such as the assessment of the whole staff's responsibility system for production safety, the effectiveness of training, the investigation and management of hidden dangers, and interviewing and rectifying the enterprises whose system is in vain and whose implementation is not in place within a time limit.
4. Incorporate the illegal acts of production safety, the rectification of hidden dangers and the implementation of training into the credit evaluation system, and take disciplinary measures such as restricting bidding, interview warning and public exposure for dishonest enterprises; Promote the linkage mechanism between safety production liability insurance and credit evaluation, and guide enterprises to actively implement the main responsibility of safety production.
(3) Territorial government level
1. Carry out full coverage investigation of enterprises in the jurisdiction. Gaozhai Street Office takes the lead in organizing all production and business units within its jurisdiction to carry out a full coverage investigation of production safety, focusing on equipment safety, system construction, training and education, emergency management, etc., establishing enterprise safety management accounts, implementing "one enterprise, one file, special person tracking" for enterprises with hidden dangers, and urging rectification to be in place.
2. Regularly organize the responsible persons and safety management personnel of enterprises in the jurisdiction to carry out safety production laws and regulations, accident case warning education and training, focusing on the relevant provisions of the Safety Production Law and the Regulations on the Report and Investigation of Production Safety Accidents. Strengthen the responsibility consciousness of "safety first, life first" of the person in charge of the enterprise, and promote the enterprise to actively implement the main responsibility.
3. Improve the emergency linkage mechanism between territorial governments and enterprises, organize joint emergency drills regularly, and enhance emergency response and coordinated disposal capabilities; To urge enterprises to improve contingency plan, strengthen the connection with emergency forces such as hospitals and fire rescue in their jurisdictions, and ensure rapid response and effective disposal after accidents.
(4) Industry level
1 . Formulate industry safety management norms. Led by the County Bureau of Industry and Information Technology, combined with the characteristics of concrete production and sand and gravel processing industry, the industry safety production management guidelines are formulated to clarify the key contents of equipment safety protection standards, dangerous operation control requirements, training and education bottom line, and guide enterprises to meet the standards.
2. Organize enterprises in the industry to carry out safety management exchange activities, promote advanced experience and technologies such as equipment intrinsic safety improvement, intelligent management and control of dangerous operations, and digital management of hidden danger investigation; encourage enterprises to increase investment in safety, eliminate old and unsafe equipment, and improve the overall safety level of the industry.
(5) Long-term mechanism construction
1. Carry out county-wide safety production warning education activities. Led by the county emergency Bureau, taking the accident as a typical case, safety production warning education activities were carried out throughout the county, and various industries, enterprise leaders and safety management personnel were organized to watch accident cases, study investigation reports, draw lessons profoundly, and self-check and self-correct existing problems.
2. County Emergency Response Bureau, Haidong Industrial Park Safety and Environmental Protection Bureau and Gaozhai Street Office jointly set up a special supervision group to carry out a "look back" inspection on the implementation of the rectification of Haidong Jianxiang Concrete Development Co., Ltd. to ensure that all rectification measures are effective; Conduct spot checks on the rectification of other enterprises within the jurisdiction to prevent problems from rebounding.
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