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    Home > Medical News > Latest Medical News > Preliminary investigation on the cause of "April 15" major fire poisoning accident of Qilu pharmaceutical

    Preliminary investigation on the cause of "April 15" major fire poisoning accident of Qilu pharmaceutical

    • Last Update: 2019-05-07
    • Source: Internet
    • Author: User
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    Emergency management departments (bureaus) of all provinces, autonomous regions and municipalities directly under the central government, Emergency Management Bureau of Xinjiang production and Construction Corps, and relevant central enterprises: At about 15:37 on April 15, 2019, Qilu Tianhe Huishi Pharmaceutical Co., Ltd., located in Licheng District, Jinan City, Shandong Province, had a major accident during the transformation of the refrigerant water (glycol solution) system pipeline in the basement of the freeze-dried powder injection production workshop, resulting in 10 deaths and 12 minor injuries According to the preliminary investigation and analysis, the direct cause of the accident is that the construction personnel of the contractor Xinbang Construction Group Co., Ltd ignited the refrigerant corrosion inhibitor (flammable solid, hazardous chemicals, storage requirements far away from the fire source) stacked nearby during the hot work cutting of the refrigerant water system pipeline in the confined space, and toxic fumes such as nitrogen oxides were generated during the combustion, which resulted in the poisoning, death and injury of the site personnel 。 The detailed cause of the accident is under further investigation The accident exposed that the safety awareness of the accident enterprise was weak, the similar accident lessons were not carefully learned, the management of hot work and operation in confined space was out of control, the contractor management was not in place, the emergency response ability was seriously insufficient, and the hazard characteristics of the chemicals used were not understood In recent years, many safety accidents have occurred in the enterprise, which exposed some outstanding problems, such as the confusion of safety management in the enterprise, the inadequate special rectification of hot work and work safety in confined space by the local regulatory authorities, and the lack of safety supervision over soft work The accident occurred during the period of drawing lessons from the "3.21" special major explosion accident of Jiangsu Xiangshui tianjiayi company, further strengthening the safety production of chemical and hazardous chemicals and the special inspection on the safety of hazardous chemicals by the safety committee of the State Council, causing widespread concern of the society, heavy casualties and extremely bad impact After the accident, the leading comrades of the Party Central Committee and the State Council attached great importance to it and made important instructions, requiring that all efforts should be made to deal with the accident and treat the wounded, find out the causes as soon as possible and be held responsible seriously, further strengthen the supervision of production safety of chemical and pharmaceutical enterprises, and strictly prevent the accident In order to draw lessons from the accident, draw lessons from the past, mend the past, strengthen risk control and hidden danger investigation and control, earnestly implement the main responsibility of enterprise safety production, further strengthen the work of safety production of hazardous chemicals, and resolutely prevent and contain major accidents, the following work requirements are proposed: First, conscientiously implement the spirit of general secretary Xi Jinping's important instructions and resolutely prevent and resolve major security risks All regions and enterprises concerned should conscientiously implement the spirit of the important instructions of general secretary Xi Jinping on safe production of dangerous chemicals, implement the decision-making and deployment of the Party Central Committee and the State Council, enhance political standing, firmly establish "Four Consciousnesses", firmly adhere to the "two maintenance", and attach great importance to the extreme importance of dangerous chemicals safety production work In the face of systematic risks and severe situation, we should thoroughly investigate the existing fundamental and systematic root bottleneck problems, deeply learn from the accident lessons, concentrate our efforts to make great determination, take decisive and effective measures, further strengthen the political requirements for implementation, firmly grasp the practical attitude, enhance the professional ability for implementation, strengthen the working style for implementation, and resolutely prevent them Resolve major safety risks such as major dangerous sources of hazardous chemicals, high consequence areas of oil and gas pipelines, special operations such as hot work and confined space entry, inspection and maintenance operations, effectively prevent major and major accidents, and resolutely curb the trend of frequent accidents 2、 Strengthen the safety management of hot work, confined space and other special operations Chemical and hazardous chemical production and operation enterprises shall fully understand the major safety risks in the process of entering the confined space, hot work and other special operations, improve and perfect the safety management system, strengthen risk identification and control, strictly confirm the operation procedure and approve the operation permit, and have limited space in strict accordance with the requirements of the safety code for special operations of chemical production units (gb30871-2014) Strictly control the number of operators on site, strengthen on-site supervision, and ensure that all safety requirements are implemented in place All regions shall continue to carry out in-depth special rectification of special work safety, organize special law enforcement inspection of special work safety, such as hot work, access to confined space, etc., and any enterprise found to have problems in violation of laws and regulations shall be punished strictly and severely according to law 3、 Strict contractor safety management related enterprises shall include contractors into their own safety management, establish and improve the contractor management system, and strictly review the Contractor's qualification; carry out strict safety education and training for the Contractor's operating personnel, and those who fail to pass the training shall not enter the plant for operation Prior to the Contractor's operation, the owner unit shall strictly review the Contractor's construction scheme, make on-site safety disclosure to the Contractor's operating personnel, inform them of the safety risks, prevention and control measures, emergency measures, etc in the operation environment in detail, strengthen the combustible cleaning and process supervision on the construction site, and arrange the personnel with monitoring ability to take charge of the on-site monitoring of the whole operation process 4、 Seriously implementing the "one book one sign" requires all relevant enterprises to fully understand the importance of "one book one sign" (chemical safety technical specifications and safety labels) According to the relevant laws and regulations, the production enterprise shall strictly enforce the requirements of chemical packaging, provide "one book one signature" that is consistent with the chemicals it produces and meets the requirements of national standards, so as to ensure that the downstream users are provided with the chemical safety information that meets the packaging requirements and is accurate The user enterprise shall carefully refer to the chemical safety technical specifications, identify risks, train relevant operators, ensure that they have a detailed understanding of the physical and chemical properties and hazard characteristics of the chemicals, and store and use the chemicals in strict accordance with the requirements All regions should strengthen the supervision and inspection of the implementation of the requirements of "one book, one signature" for relevant enterprises, and strictly investigate and punish the acts such as failing to provide, or providing information inconsistent with the chemicals produced, or even deliberately concealing the hazardous information of chemicals 5、 Carry out in-depth investigation and treatment of potential safety hazards of hazardous chemicals All regions and relevant enterprises should deeply learn from the "3.21" special major accident lesson of Jiangsu Xiangshui tianjiayi Chemical Co., Ltd., earnestly implement the requirements of the video conference on further strengthening safety prevention held by the office of the safety committee of the State Council and the emergency management department on March 27, organize experts to "sift" the explosive, flammable and highly toxic hazardous chemical enterprises again, and strictly enforce the law and inspect the Department Penalty: if the standard requirements are not met, the production must be stopped, the production must be reduced, and the closure must be requested In order to carry out safety legal education for the main principals and management teams of hazardous chemicals enterprises one by one, we must be on duty, watch hard, strictly implement the system of leading cadres on duty, strictly implement the main responsibility of the enterprise, and constantly improve the level of safety production 6、 In order to deepen the implementation of comprehensive source control and precise management, all regions should rely on the Party committee, government and social forces to implement classified management and control of hazardous chemical enterprises in accordance with the principle of "red, orange, yellow and blue" We should strictly control those who do not understand, do not trust and violate laws and regulations to continue to run factories and enterprises and participate in enterprise management We should resolutely stop those who do not have technical strength and do not employ a professional management team We should give full play to the coordinating and promoting role of the security committee, and promote the effective implementation of the "three necessary" responsibilities put forward by general secretary Xi Jinping, so as to form a concerted effort to achieve joint management We should make greater efforts to promote the implementation, resolutely correct the tendency that some local and departmental work stays on the surface, the implementation strength declines at all levels, and the work is not carried out on its own initiative Those who do not implement the work in place, do not investigate the risks seriously and thoroughly, are insensitive to major hidden dangers, and are not responsible for the safety of the people's lives should be seized, held accountable and determined No appeasement Please convey this circular to the local emergency management departments at all levels and relevant enterprises within your jurisdiction General Office of emergency management department April 17, 2019
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