事故发生的根源分析英文版
事故发生的根源分析(英文版)(ppt 50页)
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...Working Safely Is!
但工作安全是可以自觉控制的!
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
Because we don’t get to pick where we land…
尽可能快当场面谈
• Put at ease 营造轻松的气氛
– fact finding, not fault finding 调查事故情况,不是调查当事人的过失
– start with easily answered questions (conditions, etc.) 以容易回答的问题开始提问(受访者身份等)
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
But we can pick where we focus…
但是我们能选择努力 的方向。
1 FATAL 身亡
30 DISABLING 残疾
(Severe 重伤)
300 MEDICAL 疗伤
Secondary 首要和其次问题
Leading 引导性
vs. Neutral 公正性
Individual 个人
vs. Group 小组
During the Interview 在面谈中
What techniques can you use for more effective interviews? 有效的面谈可采用哪些技巧? • As soon as possible and at the scene
Fact Finding: Interview Questions 事件调查:面谈的问题
安全事故根源分析图中英文
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根源分析第3步: 分析根源RCA step3:Identify Root Cause
可能的直接原因Possible immediate causes 行为Behaviors 1. 疏 忽 / 缺 乏 安 全 意 识 2. 遵 守 工 作 程 序 Following 1. of awareness Inattention/Lack疏忽/缺乏安全意识 procedures 1.1位置不当 1.1位置不当Position in danger 2.1例外违规exceptional violation 1.2无意识的人为差错 by individual/group/supervisor 1.2 无 意 识 的 人 为 差 错 Unintentional1.3忽视周围环境 human error 2.2个人/班组/主管习惯性违规 1.4注意力分散 to routine violation by 1.3忽视周围环境Inattention surroundings 1.5未向他人提供警告 individual/group/supervisor 1.6不假思索的常规活动2.3个人/班组/主管故意破坏 1.4 注 意 力 分 散 distracted by 1.7嬉闹/暴力等不当行为 other concerns Acts of sabotage by 1.8使用药物或酒精 individual/group/supervisor 1.5 未 向 他 人 提 供 警 告 No 1.9其它因素 warning provided to others 2.4 无 程 序 可 用 procedure was not available 1.6不假思索的常规活动Routine activity without thought 2.5不理解程序 Procedure was not understand 1.7嬉闹/暴力等不当行为 Horseplay/violence or other 2.6采用了错误的程序 inappropriate workplace Use of improper procedure behaviors 2.7其它因素Other 1.8使用药物或酒精Use of drugs or alcohol 1.9其它因素Other 3.工具或设备使用 Use of tools or equipment 3.1设备/车辆使用不当 Improper use of equipment/vehicle 3.2工具使用不当 Improper use of tools 3.3使用有缺陷设备(明知)Use of defective equipment(aware) 3.4使用有缺陷工具(明知) Use of defective tools(aware) 3.5工具、设备或物料放置欠妥 Improper placement of tools, equipment or materials 3.6 设 备 / 车 辆 操 作 速 度 欠 妥 operation of equipment/vehicle at improper speed 3.7对正在运行的设备进行维修 Servicing of equipment in operation 3.8其它因素other
事故反思总结模板英语版
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---Title: [Accident Title] Reflection and SummaryDate of Incident: [Date of Accident]Location of Incident: [Location of Accident]Incident Description:[Provide a detailed description of the accident, including what happened, when it happened, and any contributing factors.]Injuries or Damage:[Describe any injuries sustained or damage caused by the accident. Include the extent of the damage and any impact on property or personnel.]Initial Response:[Explain the immediate actions taken after the incident. This should include any emergency responses, first aid provided, or steps taken to secure the area.]Investigation Findings:[Summarize the findings of the investigation into the cause of the accident. Include any violations of policies, procedures, or safety standards.]Root Cause Analysis:[Discuss the root cause(s) of the accident. This should involve a thorough analysis of the factors that led to the incident, including human error, equipment failure, environmental conditions, and management issues.]Lessons Learned:[Identify key lessons learned from the accident. This should include insights into what could have been done differently to prevent the incident.]1. Human Factors:- [List any human factors that contributed to the accident, such as fatigue, inexperience, or inadequate training.]2. Equipment and Process Issues:- [Discuss any equipment failures or process inefficiencies that may have led to the accident.]3. Environmental Conditions:- [Analyze how environmental conditions, such as weather or terrain, may have played a role in the incident.]4. Management and Organizational Factors:- [Identify any management or organizational factors that may have contributed to the accident, such as inadequate communication, lack of resources, or poor safety culture.]Preventive Measures:[Outline specific actions that will be taken to prevent similar incidents from occurring in the future. This should include both short-term and long-term measures.]1. Training and Education:- [Detail any additional training or education programs that will be implemented to improve safety awareness and skills.]2. Policy and Procedure Updates:- [List any changes to existing policies and procedures that will be made to address the root causes of the accident.]3. Equipment Upgrades or Maintenance:- [Discuss any equipment upgrades or maintenance schedules that will be implemented to ensure the reliability of safety equipment.]4. Environmental Control Measures:- [Describe any changes to the work environment that will mitigate the risks posed by environmental factors.]5. Monitoring and Auditing:- [Explain how the effectiveness of the preventive measures will be monitored and audited to ensure ongoing compliance with safety standards.]Follow-Up Actions:[Outline the steps that will be taken to ensure the implementation of the preventive measures and to monitor their effectiveness.]1. Responsibility Assignment:- [Assign responsibilities to individuals or teams for implementing and monitoring the preventive measures.]2. Timeline:- [Establish a timeline for the implementation of the preventive measures, including deadlines for completion.]3. Reporting and Communication:- [Define the reporting and communication channels that will be used to keep stakeholders informed of progress and any issues that arise.]Conclusion:[Conclude the reflection and summary by reiterating the importance of safety and the commitment to preventing future accidents. Emphasize the organization's dedication to creating a safe work environment.]---Signature of Authorizing Officer:[Name of Officer][Title][Date]Date of Approval:[Date]---This template provides a comprehensive structure for reflecting on and summarizing an accident. It ensures that all relevant aspects are addressed, from the initial incident description to the implementation of preventive measures and follow-up actions.。
事故WHY_TREE分析方法
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假设核实查表
• 使用下面的检查表並保留作为调查记录用
序號
假設
核實的方法
責任人 時間
結論
当假设很困难的时候
• 当你不能在会议上核实假设时可以试用以 下的方法:
– 转向WHY TREE的另一个分支 – 将假设细化,使其更容易分析核实 – 创造“如果—就”模式分析假设,直到假设可
事故WHY TREE 分析法
RootCauseFailureAnalysisApproach 一種根本原因的分析方法
• 物理
事故原因分类
– 物料、机器
– 物理的原因通常可通过观察发现
•人
– 人员的原因通常由于失误或背离 操作标准而导致
• 系统
– 系统的原因通常由于管理系统中 某环节的故障导致
什麼是根本原因
• 遗误 (FAULT)
– 遗误是指如果该行为发生的话,就可以防止事件的 发生。
• 为什么?因为安全阀没有打开 • 为什么?因为操作员及时报告
五、假设问题的思考(续) :
• 贴士:
– 需要 WHY TREE 小组的每个人参与 – 尽可能长的时间停留在“物理原因”并在每一步
都询问“如果可能发生以上的事件,还有甚么可 能的”物理原因“。
–提供尽可能多的信息包括故障的照片、图纸和样品到第一次 WHY TREE会议来。 –按照现象发生频率或对事件发生的可能性筛选出优先分析的 现象和信息。 –从最优先的现象开始 WHY TREE。 5. 假设: –通过问“为什么,如何能”寻找现象的假设原因,也可以通 过问“由于 导致的”将一个原因延伸到另一个原因。
• 工厂在实施纠正措施的同时更要注重预防措施。 • 沿着 WHY TREE 的每个枝向上验证逻辑关系,确认改
交通事故原因的英语作文
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When discussing the causes of traffic accidents,it is essential to consider a variety of factors that contribute to the occurrence of such incidents.Here are some of the primary reasons that lead to traffic accidents:1.Distracted Driving:One of the leading causes of traffic accidents is distracted driving. This includes activities such as texting,using a mobile phone,eating,or engaging in any other activity that takes the drivers attention away from the road.2.Speeding:Exceeding the speed limit is another significant factor.Speeding reduces the drivers ability to react to sudden changes in traffic conditions,increasing the risk of accidents.3.Intoxication:Driving under the influence of alcohol or drugs impairs a drivers judgment,coordination,and reaction time,leading to a higher likelihood of accidents.4.Fatigue:Drowsy driving can be as dangerous as driving under the influence.Fatigue affects the drivers ability to concentrate and make quick decisions,which can result in accidents.5.Poor Weather Conditions:Adverse weather such as rain,snow,fog,or ice can reduce visibility and traction,making it difficult for drivers to maintain control of their vehicles.6.Defective Vehicles:Mechanical failures,such as brake failure or tire blowouts,can cause accidents.Regular vehicle maintenance is crucial to prevent such issues.7.Aggressive Driving:Behaviors like tailgating,weaving through traffic,and excessive honking can lead to road rage and increase the risk of collisions.8.Inexperienced Drivers:New drivers may lack the experience to handle complex traffic situations,which can lead to accidents.9.Poor Road Conditions:Potholes,uneven surfaces,or unclear road markings can contribute to accidents,especially if drivers are not paying full attention to the road.10.Failure to Obey Traffic Rules:Not following traffic signals,signs,or rules such as not yielding the right of way can result in collisions.11.Pedestrian and Cyclist Factors:Accidents can also occur due to pedestrians or cyclists not following traffic rules or being in the drivers blind spot.12.Animals on the Road:Sudden appearances of animals on the road can cause drivers to swerve or brake abruptly,leading to accidents.To prevent traffic accidents,it is important for drivers to be aware of these factors and take necessary precautions such as staying focused on the road,adhering to speed limits, avoiding intoxicants before driving,ensuring adequate rest,and maintaining their vehicles in good condition.Additionally,road authorities should ensure that roads are wellmaintained and clearly marked to enhance safety for all road users.。
事故发生的根源分析(英文版)(ppt 50页)
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– Every Imerys employee is a valuable asset.
每个Imerys的员工都是公司的重要财富
Getting hurt is not generally a conscious decision...
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
But we can pick where we focus…
但是我们能选择努力 的方向。
1 FATAL 身亡
30 DISABLING 残疾
(Severe 重伤)
300 MEDICAL 疗伤
受伤都是意外的,不是自觉的…
...Working Safely Is!
但工作安全是可以自觉控制的!
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
Because we don’t get to pick where we land…
• 5 minutes 5分钟时间
Responsibility 职责
• Ensure employees understand what an accident is. 确保员工明白什么是事故。
• Ensure that all associates understand why they must report accidents. 确保所有人员理解为什么一定要报告事故。
During the Interview 面谈过程中
• Phrases to remember 记住适用下列用语
(全面报告)研究交通事故的起因和防范措施英文版
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(全面報告)研究交通事故的起因和防範措施英文版Comprehensive Report: Causes and Prevention Measures of Traffic AccidentsTraffic accidents are a major concern worldwide, causing loss of lives, property damage, and economic repercussions. Understanding the root causes of these accidents and implementing effective prevention measures are crucial in improving road safety.Causes of Traffic Accidents1. Distracted Driving: One of the leading causes of accidents is drivers being distracted by their phones, passengers, or other activities while driving. This diverts their attention from the road, resulting in collisions.2. Speeding: Driving at excessive speeds reduces the driver's reaction time, making it difficult to avoid obstacles or sudden changes in traffic conditions. Speeding is a common factor in fatal accidents.3. Driving Under the Influence: Alcohol and drugs impair a driver's judgment, coordination, and reaction time, increasing the likelihood of accidents. Driving under the influence is a significant risk factor for crashes.4. Weather Conditions: Adverse weather conditions such as rain, snow, or fog can reduce visibility and traction, leading to accidents. Drivers must adjust their driving behavior to accommodate these conditions.5. Poor Road Infrastructure: Inadequate road design, lack of signage, and poorly maintained roads contribute to accidents. Improving infrastructure can help reduce the risk of crashes.Prevention Measures1. Education and Awareness: Promoting road safety through education campaigns can raise awareness about the dangers of distracted driving, speeding, and driving under the influence. Public awareness can encourage responsible driving behavior.2. Enforcement of Traffic Laws: Strict enforcement of traffic laws, including speed limits, seat belt usage, and DUI regulations, can deter reckless driving and reduce the number of accidents. Police presence on the roads can act as a deterrent.3. Road Safety Audits: Regular inspections and assessments of road infrastructure can identify potential hazards and safety issues. Implementing necessary improvements can make roads safer for drivers and pedestrians.4. Technological Solutions: Advancements in technology, such as automatic emergency braking systems, lane departure warnings, and adaptive cruise control, can help prevent accidents by alerting drivers to potential dangers.5. Community Involvement: Engaging the community in road safety initiatives, such as neighborhood watch programs and safe driving campaigns, can foster a culture of responsibility and cooperation in preventing accidents.In conclusion, understanding the causes of traffic accidents and implementing effective prevention measures are essential in reducing the number of crashes and ensuring road safety for all. By addressing the root causes and taking proactive steps towards prevention, we can work towards a safer and more secure transportation environment.。
事故根源综合分析表(中英文)
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••Collect Evidence 收集证据•••People, Parts, Positions and Paper 人证、物证、位置和文件•••Preserve Evidence 保护证据•可能的直接原因 Possible immediate causes123456工具、设备及车辆 Tools,Equipment & Venires781-12-13-14-15-16-1设备有缺陷 Defective equipment 7-18-11-22-23-24-25-26-2设备不足 Inadequate equipment 7-28-21-32-33-34-35-36-3设备准备不够 Improperly prepared 7-38-31-42-43-44-45-46-4工具缺陷 Defective tools 7-48-41-52-53-54-55-56-5工具欠妥 inadequate tools7-58-51-62-63-64-65-66-6工具准备不妥 Improperly prepared tools 7-61-72-73-74-75-76-7车辆有缺陷 Defective Vehicle7-71-82-83-84-85-86-8车型和用途不符 Inadequate vehicle for the purpose7-81-93-94-95-96-9车辆准备欠妥 Improperly prepared vehicle 7-91-105-106-10其它因素 Others7-101-117-118-67-12可能的系统原因 Possible system causes1体力 Physical Capability 2身体状况 Physical condition 3精神状态 Mental State4精神压力 Mental Stress5行为 Behavior6技术水平 Skill Level7训练/知识转换 Training/ Knowledge transfer 8管理/监督/员工的领导关系Management/ supervision/ Employee 9承包商的选择和审查contractor selection & oversight 10工程/设计Engineering/ Design 11工作计划 Work Planning12采购、材料处理及材料控制Purchasing, Material handing & Material 13工具和设备 Tools & Equipment 14工作规程/政策/标准/程序(PSP ) Work Rules/ Policies /Standards /Procedures(PSP)15沟通 Communication 1-1视力低下 Vision deficiency 2-1原先受伤或得病Previous injury or illness3-1判断力差 Poor judgment 4-1全神贯注于别的问题Preoccupation with problems5-1不合格的操作近观到奖赏Improper performance is rewarded6-1对所需求技术没有充分评估 Inadequate assessment ofrequired skills 7-1没有进行充分的知识转换 inadequate knowledge transfer8-1角色和职责冲突 Conflicting roles/responsibilities9-1承包商未进行资格预审 Lack of contractor pre-qualifications 10-1技术设计欠妥 inadequate technical design11-1工作计划欠妥 Inadequate work planning12-1收货项目与订购项目不符 Incorrect item received13-1需求和风险评估欠妥 Inadequate assessment of needs and risks14-1执行任务缺乏PSP Lack of PSP for the task15-1在同伴间水平沟通不完善 Inadequate horizontal communication between peers 1-2听力低下 Hearing deficiency 2-2疲劳 Fatigue3-2记忆力丧失 Memory failure 4-2受到挫折 Frustration •节省时间努力 saves time or effort 6-2缺乏技术实践 Inadequatepractice of skill•不能领会 inability to comprehend •报告关系不明确 unclear reporting relation ship9-2承包商资格预审欠妥 inadequate contractor per-qualifications •设计输入陈旧 design input obsolete 11-2预防性保养欠妥 Inadequate preventive maintenance•给供应商的规范不正确 Inadequate specification to vendor13-2人的因素及人机控制考虑欠缺 Inadequate human factors/ ergonomics considerations •缺乏PSP 的详细职责 lack of defined responsibility for PSP15-2上下级间垂直沟通不完善 Inadequate vertical communication between supervisor and person 1-3基它感觉缺陷 Other Sensory Deficiency•由于工作量 Due to workload 3-3协调不好或反应时间长 Poor coordination or reaction time 4-3对工作方向及要求模糊不清 Contusing Directions /demands•避免不便 avoids discomfort 6-3不经常操作的技术Infrequent performance of skill•导师资格欠缺 inadequate instructor qualifications•报告关系矛盾 conflicting reporting relation ship9-3承包商选用欠妥 inadequate contractor selection•设计输入不正确 design input not correct•维护需求评估 assessment of needs •订购书上的规范不明确 inadequate specification on requisition13-3标准和堆满不合适 Inadequate standards or specifications•缺乏作业安全分析 lack of job safety analysis 15-3不同机构间沟通不完善 Inadequatecommunication between different organizations 1-4肺活量下降 Reduced Respiratory Capacity •由于缺乏休息 due to lack of rest3-4情绪干扰 Emotional disturbance 4-4目标或要求相冲突Conflicting directions •哗众取宠 gains attention 6-4缺乏技术指导 Lack ofcoaching on skill •培训设备不够 Inadequate training equipment•职责分配不清 unclear assignment of responsibility9-4雇用未经审核批准的承包商use of non-approved contractor•设计输入不可用 design input not available•润滑/维修 lubrication/ servicing •对订单修改控制不当 inadequate control on changes to orders13-4不适当的可用性 Inadequate availability •作业安全分析不当 inadequate job safety analysis 15-4工作组之间沟通不完善 Inadequate communication between work groups 1-5其它良久性身体残疾 Other Permanent Physical disabilities •由于感官超载 due to sensory overload3-5恐惧 Fears or phobias 4-5无意义的或品味低的活动 Meaningless or degrading activities 5-2没有适当的监督示范improper supervisory example6-5没有充分温习训练以巩固技术 Instruction to establishskill•误解指令说明 misunderstood instructions •职责分配矛盾 conflicting assignment of responsibility9-5无工程监管 Lack of job oversight•设计输入不妥 design output inadequate•调整/装配 adjustment/ assembly•供应商未经批准擅自更换替代品unauthorized substitution13-5调节、修理、保养欠妥 Inadequate adjustment/ repair /maintenance 14-2PSP 工作展开不力 Inadequate development of PSP15-5班组之间沟通不完善 Inadequate communication between shifts1-6暂时残疾 Temporary disabilities2-3操作能力降低 Diminished performance3-6缺乏机械知识 Low mechanical aptitude 4-6情绪超负荷 Emotional overload5-3对关键的安全行为没有充分的认识 inadequate identification of critical safe6-6其它因素 Other7-2不能充分回想起训练内容 inadequate recall of training material•授权不清或不妥 improper or insufficient delegation of authority9-6工程监管欠妥 inadequate oversight•设计输入不可行 design input infeasible•清洁/涂层 deaning/ resurfacing •产品验收不完善 inadequate product acceptance requirements13-6废旧物品和再次利用物资处理不妥Inadequate salvage and reclamation•程序和设备设计不相一致 inadequate coordination with process /equipment design 15-6沟通方法不完善 inadequate communication methods1-7无力支撑身体姿势 Inability to sustain body positions •由于温度极限 due to temperature extremes 3-7理解能力差 Low learning aptitude 4-7过渡的评价/决定要求Extreme judgment/ decision demands5-4没有充分强调养分的安全行为 inadequate rein for cement critical safe behaviors □不适用 Not Applicable•缺乏强化培训 Training not reinforced on the job8-2不适宜的领导关系 Inadequate lead ship9-7其它因素 Other •设计输出不清 design output nuclear11-3维护性保养欠缺 Inadequate repair•未进行产品验收 no acceptance verification performance 13-7不合适部件白拆卸和更换欠妥 Inadequateremoval/ replacement of unsuitable items •员工参与PSP 制定安排不当 Inadequate employee involvement in the development 15-7沟通手段缺乏 No communication method available1-8身体活动范围受限 Restricted range of body movement •由于缺氧 due to oxygen deficiency3-8受药物影响 Infected by medication 4-8过度的精力集中 Extremeconcentration /perceptiondemands•正确的行为被指责 proper performance is criticized•缺乏再培训 inadequate refresher training frequency•业绩标准缺乏或力度不够 standards of performance missing or not enforced □不适用 Not Applicable •设计输出不正确 design output not correct•维修需求信息沟通 communication of needed repair12-2对材料和研究不足 Inadequate research onmaterials/ equipment13-8无记录档案 No equipment record history•纠正行为的详细说明不充分 inadequate definition of corrective action format for easy use 15-8指令不准确 Incorrect instructions1-9物质过敏症 Substance sensitivities or allergies •由于大气压变化 due to atmospheric pressure variation 3-9其它因素 Other 4-9极度的乏味 Extreme boredom •同事的不当压力inappropriate peer pressure7-3培训工作欠缺 Inadequate training effort•职责和底图不明 inadequate accountability•设计输出不一致 design output inconsistent•工作计划安排 scheduling of work 12-3产品运输方式线路欠妥 Inadequate mode or route of shipment13-9设备记录档案不完备 Inadequate equipment record history14-3由于内容不完善,PSP 执行不力 Inadequate implementation of PSP, due to deficiencies 15-9工作更换没有很好沟通 Inadequatecommunication due to job turnover1-10身高不够或体力不足Inadequate size or strength2-4血糖降低 Blood sugar insufficiency□不适用 Not Applicable4-10其它因素 Other •不适当的表现反馈inadequate performance feedback培训计划设计不当 inadequate training program design•执行情况反馈不够或错误 inadequate or incorrect performance feedback •没有独立的设计审查 no independent design review•部件检查 examination of parts12-4材料处理欠妥 Improper handling of materials13-10其它因素 Other •自相矛盾的要求 contradictory requirements 15-10安全和健康保护资料、规章制度或指导准则没有很好沟通 Inadequate communication ofsafety and health data, regulations or guidelines 1-11由于药物疗法造成能力下降Diminished capacity due tomedication 2-5由于使用药物或酒精而使能力削弱 Impairment due to drugor alcohol use □不适用 Not Applicable•不适当的纪律处置inadequate disciplinary process•培训目标不明确 inadequate training goats/ objectives•缺少现场走访 inadequate work site walk-through10-2所采用标准、规范和设计指导思想欠妥 inadequate standards,specifications, and /or design criteria •部件更换 parts substitution12-5材料或零件保管不妥 Improper storage of materials or spare parts□不适用 Not Applicable•混乱含糊的格式 confusing format 15-11没有使用标准术语 Standard terminology not used1-12其它因素 Other 2-6其它因素 Other 5-5过分的急功好进Inappropriate aggression•对新员工缺乏教育 inadequate new employee orientation•安全推广不力 inadequate safety promotion10-3潜在问题估计不足 inadequate assessment of potential failure 11-4过度磨损和撕裂 Excessive wear and tear12-6材料包装不妥 Inadequate material packaging•每一步超过一个行为 more than one action per step15-12没有使用查证和重复技术 Verification /repeat back techniques not used □不适用 Not Applicable□不适用 Not Applicable5-6使用不适当的方法刺激生产 Improper use of productionincentives•初始培训不妥 inadequate initial training 8-3工地和工作中隐患(危险)整改不力inadequate correction of prior hazard/incident10-4人机工程学设计欠妥 inadequate ergonomic design•使用计划不当 inadequate planning for use 12-7材料存放超期 material shelf lift exceeded •程序中无确认步骤 no check-off spaces provided15-13口信过长 Messages too long 5-7监督暗中催促 Supervisor implied haste•无法判断是否合适上岗 inadequate means to determine if qualified for job 8-4不能明确鉴别工地和工作中危险隐患inadequate identification of worksite /job 10-5施工监察欠妥 inadequate monitoring of construction •超期服役 extension of service life 12-8危险品不能正确鉴别 Improper identification of hazardous materials •不准确的步骤顺序 inaccurate sequence of steps15-14讲话干扰 Speech interference 5-8雇员性急 Employee perceived haste7-4没有提供培训 No training provided8-5不合适的变更管理系统 inadequate management of change system10-6操作准备工作评估欠妥inadequate assessment of operational •装载不当 improper loading 12-9使用不当或废弃材料处理 improper salvage and /or waste disposal•混乱模糊的指令 confusing instructions 15-15其它因素 Other 5-9其它因素 Other•没有认识到培训的必要性 need for training not identified8-6事故报告调查机制不完善 inadequate incident reporting/ investigation system 10-7对最初操作监察不力 inadequate monitoring of initial operation•未经训练的人使用 use by untrained people12-10健康安全资料使用不当 Inadequate use of safety and health data •技术性错误 technical error /missing steps □不适用 Not Applicable□不适用 Not Applicable•培训记录不对或过期 training records incorrect or out of data8-7安全会议不足或没有 inadequate or lack of safety meetings10-8评估欠妥和文档变更管理欠妥inadequate evaluation and /ordocumentation of change •使用意图错误 use for wrong purpose 12-11其它因素 Other •过多的说明 excessive references•未经培训就使用新的操作方法 new work methods introduced without training 8-8安全业绩考核和评估不当inadequate performance measurement& assessment10-9其它因素 Other 11-5有关参考资料或文献资料不足Inadequate reference materials or□不适用 Not Applicable•潜在的情形没有覆盖 potential situations not covered•故意不参加培训 decision made not to train8-9其它因素 Other □不适用 Not Applicable11-6审核/检查/监视欠缺 Inadequate audit/inspection / monitoring 14-4PSP 强化措施不力 Inadequate enforcement of PSP7-5其它因素 Other □不适用 Not Applicable•无文件 no documentation•对工作缺乏监察 inadequate monitoring of □不适用 Not Applicable•未明确整改责任 no correction responsibility assigned•监督知识不足 inadequate supervisory knowledge•整改措施不落实 no accountability for corrective action•强化不充分 inadequate reinforcement 11-7工作安排欠妥 Inadequate job placement•没有纠正不符合 non-compliance not•没有确定合适的人选 appropriate personnel not identified14-5PSP 沟通传达不力 Inadequate communication of PSP•没有可用的合适人选 appropriate personnel not available•给工作组分发不完全 incomplete distribution to work groups•没有提供合适的人选 appropriate personnel not provided •培训整合不完善 incomplete integration with training11-8其它因素 Other •不妥的翻译 inadequate translation to appropriate languages□不适用 Not Applicable•已过时的PSP 仍在使用 Out of data revisions still in use14-6其它因素 Other□不适用 Not Applicable •缺乏控制 controls less than adequate •安置不妥 displays less than adequate •标示不妥 labels less than adequate•位置超出可及或视力范围 location out of reach or sight •相矛盾的信息 conflicting information is presented 其它因素 Others作业场所环境/布置 Work place Environment/ Layout 拥护或活动受制 Congestion or restricted motion照明不适或光线太强 Inadequate or excessive illumination 通风不宜 Inadequate ventilation 无保护的高度 unprotected height工作场所布局不妥 Inadequate work place layout 幅射 Radiation极湿 Temperature extremes凌乱或石屑碎片 Clutter or debris风暴或自然现象 Storms or acts of nature 地面或过道打滑 Slippery floors or walkways 其它因素 Other工具使用不当 Improper use of tools使用有缺陷设备(明知) Use of defective equipment (aware)加载欠妥 Improper loading 走捷径 Shortcuts 其它因素 Others工作暴露 Work Exposures to 明火和爆炸物品 Fire or explosion 噪音 Noise带电系统 Energized electrical systems除电力外能源系统 Energized system, other than electrical 保护装置、警示系统或安全装置失效 Disabled guards,保护装置、警示系统、安全装置失效 Disabled guards,其它因素 Other 集体违规 Violation by group 监督违规 Violation by supervisor未经许可操作设备 Operation of equipment without authority 工作位置或姿态不正确 Improper position or posture for the task 超体能工作 Overexertion of physical capability工作或运载速度不适宜 Work or motion at improper speed吊装欠妥 Improper lifting 没有个人保护用品 Personal protective equipment not available 其它因素 Others无思索地进行常规活动 Routine activity without thought 其它因素 Others保护方法的使用 Use of Protective Methods 工具或设备使用 Use of Tools or Equipment 使用有缺陷工具(明知) Use of defective tools (aware)工具、设备和材料放置欠妥 Improper placement of tools,设备操作速度欠妥 Operation of equipment at improper speed 对正在运行的设备进行维修 Servicing of equipment in operation未作警告 Failure to warn使用药物或酒精 Use of drugs or alcohol遵守工作程序方面 Following Procedures 个人违规 Violation by individual 设备使用欠妥 Improper use of equipment 缺乏隐患存在意识 Lack of knowledge of Hazards present 未使用个人保护用品 Personal protective equipment not used 个人保护用品使用不正确 Improper use of proper personal 动力设备维修保养 Servicing of energized equipment 设备和材料未能固定 Equipment of materials not secured 个人保护用品不适宜 Inadequate warning systems个人保护用品缺陷 Defective personal protective equipment 安全装置欠妥 Inadequate safety devices 安全装置有缺陷 Defective safety devices 其它因素 Others决定欠妥或缺乏判断 Improper decision making or lack of judgment 注意力分散 Distracted by other concerns忽视地面和周围环境 inattention to footing and surrounding 嬉闹 Horseplay暴力行为 Acts of violence 警示系统不适 Inadequate warning systems 警示系统缺陷 Defective warning systems工艺或设备隔离不妥 Inadequate iodation of process or equipment 化学危险品 Hazardous chemicals 行为类 Actions条件类 Conditions保护系统 Protective systems疏忽/缺乏安全意识 Inattention/ Lack of Awareness 护罩和保护性装置不够 Inadequate guards or protective devices 护罩或保护性装置有缺陷 Defective guards or protective devices RCA Step 2: Identify Critical Factors Identify Critical Cause Factors 识别事故关键起因Analyze information 分析所收集的信息Causal Factor Charting 重建起因事件链管理体系要素 Managerment systemDocument the type /Severity of event 记录事故的类型和严重程Cover the who /what / when / where / how as know at the time 包括所涉及的人、事件、时间、地点和目前的进展Investigation team establishment 成立事故调查小组机械危险物 Mechanical hazardsPreparing Investigation人为因素 Job factors工作因素 Job factors调查准备根源分析第1步:收集证据RCA Step 1: Data Collection根源分析第2步:找出关键起因领导及职责Leadership and Accountability风险评估和管理Risk Assessment and Management人员、培训和行为People, Training and Behaviors与承包商和其它方合作 Working with Contractors andothers装置设计和安装Facilities Design and Construction实施和运行Implementation and Operation变更管理Management of change信息和文档Information and Documentation客户和产品Customers and Products社区和相关方意识Community and stakeholder Awareness危机和应急管理Crisis and Emergency Management事故分析和预防Incidents Analysis and Prevention评估、保障和改进 Assessment Assurance &Improvement事故For each identified critical factor, consider if any of the listed rort cause categories apply. if 'yes', circle the specific root cause.If none of the root causes in the category apply, then check the 'not applicable' box at the bottom of the column.针对每个关键起因,逐个分析所列的事故根源是否适用。
交通事故原因观点英语作文
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交通事故原因观点英语作文Traffic accidents are one of the leading causes of death and injury worldwide. There are many reasons why these accidents occur, and it is important to understand them in order to prevent them from happening.One of the main causes of traffic accidents is driver error. This can include speeding, driving under the influence of drugs or alcohol, distracted driving, and reckless driving. Drivers who are tired or fatigued can also be a danger on the road. It is important for drivers to be alert and focused when they are behind the wheel, and to avoid any distractions that may take their attention away from the road.Another factor that contributes to traffic accidents is road conditions. Poorly maintained roads, lack of signage, and hazardous weather conditions can all contribute to accidents. It is important for drivers to be aware of the road conditions and adjust their driving accordingly.Vehicle malfunctions can also cause accidents. This can include faulty brakes, worn tires, and malfunctioning steering or suspension systems. Regular maintenance and inspections can help prevent these types of accidents from occurring.Finally, human factors such as aggression, impatience, and stress can also contribute to traffic accidents. Drivers who are in a hurry or who are experiencing emotional distress may be more likely to make poor decisions on the road. It is important for drivers to remain calm and patient while driving, and to avoid aggressive or reckless behavior.In conclusion, there are many factors that can contribute to traffic accidents. By understanding these factors and taking steps to prevent them, we can work to reduce the number of accidents on our roads and make our communities safer for everyone.。
了解事故原因英文作文
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了解事故原因英文作文英文回答:Understanding the causes of accidents is crucial for preventing their recurrence and promoting safety. Accidents can be caused by a wide range of factors, including human error, mechanical failures, environmental hazards, and organizational failures.Human Error: Human error is often a major contributing factor in accidents. This can include mistakes made by individuals, such as operating machinery incorrectly or failing to follow safety protocols. Fatigue, distraction, and lack of training can all increase the likelihood of human error.Mechanical Failures: Mechanical failures can also lead to accidents, particularly in complex systems such as aircraft or industrial machinery. These failures can be caused by design flaws, manufacturing defects, impropermaintenance, or wear and tear.Environmental Hazards: Environmental hazards, such as weather conditions, terrain, or lighting, can also play a role in accidents. For example, slippery road conditions or poor visibility can increase the risk of traffic accidents.Organizational Failures: Organizational failures, such as inadequate safety management systems, poor communication, and lack of training, can create conditions that make accidents more likely to occur. Organizations mustprioritize safety and establish robust systems to identify and mitigate risks.By understanding the different causes of accidents, we can develop targeted strategies to prevent them. This may involve improving training, implementing safety protocols, enhancing equipment maintenance, and addressing organizational failures. By proactively addressing these factors, we can create a safer environment for individuals and organizations.中文回答:事故原因分析。
事故根源分析方法-Root Cause Analysis (RCA)
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International Isocyanate Institute
9 设备
•
• • • • • • • • • • •
设备
购买/后勤不足 • 说明书或通知单不完全 • 对原料/设备的研究不充分 • 卖主的说明书不完全 • 装运方式或路线不当 • 接收,检查和承诺不当 • 安全和健康数据的沟通 • 不充分 • 原料处理不当 原料储存不当 原料运输不当 危险品的鉴别不充分 磨损和消耗 使用计划编制不充分 工作寿命范围的不当 检查和/或监控不当 装载不当或超标准装载 维护不当 由没有资格或未经培训 的人使用 使用频度超过指定限制
那里为什么 会有一个原子?
International Isocyanate Institute
为什么不能生产出合格的零件?
原料材质不合格 不合格零件 设计不合理 不合适的生产工具 工艺过程出错 • 除了你个人所能知道的原因之外,要把所有有可能的影响条件、因素 都尽量考虑进去,在这个阶段“头脑风暴”是一个很有用的方法。 •“头脑风暴”(Brain Storming - BS): 9一种通过集思广益、发挥团体智慧,从各种不同角度找出问题所有 原因或构成要素的会议方法。 9BS几大原则:严禁批评、思维自由奔放、结果多多益善。
• 这种分类方法是根据引起事故的主要原因来分类,设备材料、程序、人员是完成任何工 作的基本要素,设计和培训工作则决定了人机协调工作的质量和有效性。
International Isocyanate Institute
物
设计不合理 物料放置不当 设备有缺陷 休息不好 违章
人
未戴防护用品 未穿劳保服装 经验不足 侥幸心理
International Isocyanate Institute
交通事故原因英语作文
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交通事故原因英语作文英文回答:Traffic accidents can be caused by a variety of factors. One of the most common reasons is reckless driving. For example, when a driver is speeding or weaving in and out of traffic, they are more likely to cause an accident. Another reason is distracted driving, such as using a cell phone or eating while driving. I remember a time when I was driving and I saw a car swerving in and out of their lane because the driver was texting on their phone. It was a clear example of how distraction can lead to a dangeroussituation on the road.Another common cause of traffic accidents is driving under the influence of alcohol or drugs. This impairs a driver's ability to make sound judgments and react quicklyto potential hazards. I once witnessed a car swerving all over the road and eventually crashing into a barrier, andit turned out that the driver was under the influence ofalcohol. It was a scary reminder of the dangers of driving while intoxicated.Other factors that can contribute to traffic accidents include poor road conditions, such as wet or icy roads, and vehicle malfunctions. I remember a time when I was drivingin heavy rain and my car hydroplaned, causing me to lose control for a moment. It made me realize how important itis to adjust my driving to the current road conditions.中文回答:交通事故的原因有很多。
矿山斜井跑车事故分析报告范文
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矿山斜井跑车事故分析报告范文英文版Mine Inclined Shaft Trolley Accident Analysis Report1. BackgroundOn [Date], a mine inclined shaft trolley accident occurred at the [Mine Name] located in [Location]. This accident resulted in [Number] fatalities and [Number] injuries, prompting an immediate investigation to understand the root causes and recommend corrective measures.2. Accident DescriptionAt approximately [Time], while the trolley was carrying [Material/Workers], it derailed at the inclined shaft, causing a severe impact with the shaft walls. The impact led to the collapse of the trolley's structure, trapping and injuring several workers.3. Cause AnalysisMechanical Failure: Inspection records revealed that the trolley's braking system had not been maintained properly, resulting in a failure during the descent.Human Error: The operator was found to be fatigued due to extended working hours, which might have led to a lapse in concentration.Safety Protocols: The mine's safety procedures were not followed strictly, as regular inspections of the trolley and its components were overdue.4. RecommendationsImmediate Repairs: The mine management should immediately repair and replace damaged equipment, ensuring the safety of all future operations.Operator Training: Enhanced operator training should be conducted to ensure they are well-rested and熟悉操作规程。
调查事故的原因英语作文
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调查事故的原因英语作文标题,Investigation of the Causes of Accidents。
Accidents happen for various reasons, often leaving devastating consequences in their wake. Understanding these causes is crucial for preventing future mishaps and ensuring the safety of individuals and communities. In this essay, we will delve into the investigation of the causes of accidents, analyzing common factors and proposing solutions to mitigate risks.One of the primary causes of accidents is human error. Whether it's negligence, recklessness, or lack of proper training, human actions can lead to disastrous outcomes. For instance, distracted driving, such as texting ortalking on the phone while operating a vehicle, increases the likelihood of collisions. Similarly, in industrial settings, workers failing to follow safety protocols can result in accidents ranging from minor injuries to fatalities.Moreover, environmental factors play a significant role in accidents. Adverse weather conditions like heavy rain, fog, or snow reduce visibility and traction, contributingto road accidents. Poorly maintained infrastructure, suchas crumbling roads or malfunctioning traffic signals, also increases the risk of accidents. Additionally, natural disasters like earthquakes, hurricanes, or floods can cause widespread destruction and accidents if proper preventive measures are not in place.Another crucial aspect to consider is equipment failure. In industries reliant on machinery and technology, equipment malfunction can lead to accidents with severe consequences. For example, in the aviation sector, mechanical failures or technical glitches can result in plane crashes. Similarly, in manufacturing plants, faulty equipment can cause explosions or fires, endangering the lives of workers and nearby residents.Furthermore, organizational factors within institutions or companies can contribute to accidents. Poor managementpractices, lack of clear communication, and inadequatesafety protocols can create an environment ripe for mishaps. Moreover, cost-cutting measures that compromise safety standards in favor of profit margins can have disastrous consequences in the long run.To address these issues and prevent future accidents, proactive measures must be taken. Firstly, comprehensive education and training programs should be implemented to raise awareness about safety practices and protocols. This applies not only to individuals operating vehicles but also to workers in high-risk industries.Secondly, strict regulations and enforcement mechanisms must be put in place to ensure compliance with safety standards. Government agencies responsible for overseeing safety regulations should conduct regular inspections and audits to identify potential hazards and enforce corrective actions.Additionally, investments in infrastructure maintenance and improvement are essential to minimize environmentalrisks. Repairing roads, upgrading transportation systems, and reinforcing buildings against natural disasters can significantly reduce the likelihood of accidents and mitigate their impact when they occur.Furthermore, technological advancements can play a crucial role in accident prevention. The development of advanced safety features in vehicles, such as automatic emergency braking and lane departure warnings, can help prevent collisions. Similarly, predictive maintenance techniques using data analytics can identify equipment failures before they occur, allowing for timely repairs and replacements.Lastly, fostering a culture of safety within organizations is paramount. Companies should prioritize employee well-being and safety over profit margins, implementing robust safety management systems and encouraging reporting of hazards and near-misses.In conclusion, accidents are often the result of multiple factors, including human error, environmentalconditions, equipment failure, and organizational shortcomings. By understanding these causes and implementing preventive measures, we can work towards creating safer environments and reducing the frequency and severity of accidents. It requires a concerted effort from individuals, organizations, and governments to ensure the safety and well-being of all.。
交通事故原因英语作文
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交通事故原因英语作文英文回答:Attention Captivating Opening HookIn the heart-stopping moments before a catastrophic collision, the gears shift, and fate takes a sinister turn. The echoes of screeching tires and shattering glass reverberate through the air like a chilling symphony of destruction. It's a sobering reminder that life can change in an instant, leaving behind a trail of pain and shattered dreams.Paragraph 1: Human ErrorThe dominant factor contributing to traffic accidents is undoubtedly human error. Distracted driving, speeding, and impaired judgment account for a significant portion of road fatalities. The lure of mobile devices, the rush ofadrenaline, and the effects of alcohol or drugs can cloud our focus, leading to catastrophic consequences. Addressing human behavior through awareness campaigns, stricter enforcement, and advanced vehicle safety features can mitigate these risks.Paragraph 2: Environmental FactorsThe environment also plays a crucial role in traffic safety. Poor road conditions, inadequate lighting, and adverse weather can create hazardous driving environments. Potholes, uneven surfaces, and slippery roads can compromise vehicle stability and increase the likelihood of accidents. By investing in infrastructure improvements, enhancing road signage, and providing real-time weather updates, we can minimize the impact of external factors on road safety.Paragraph 3: Vehicle Defects and MaintenanceWhile human error and environmental factors dominate the discussion, vehicle defects and inadequate maintenance cannot be overlooked as significant contributors to traffic accidents. Faulty brakes, malfunctioning airbags, and tire blowouts can lead to catastrophic failures, rendering drivers helpless in the face of an impending collision. Regular vehicle inspections, stringent quality control measures, and responsible driving practices can reduce the risks associated with vehicle-related defects.Paragraph 4: Intersection Hazards and CongestionIntersections and congested areas present unique hazards that contribute to traffic accidents. Poor visibility, inadequate signage, and aggressive driving often lead to collisions at these critical points. Additionally, traffic congestion can increase driver frustration, leading to risky maneuvers and heightened accident risks. By optimizing traffic flow, redesigning intersections, and promoting safe driving practices, we can mitigate these risks and enhance road safety.中文回答:引人入胜的开头:在灾难性碰撞发生的令人心惊胆战的时刻之前,齿轮换档,命运发生了险恶的转变。
爆炸事故的原因后果解决办法英语作文
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爆炸事故的原因后果解决办法英语作文Causes, Consequences and Solutions to Explosion AccidentsExplosion accidents are a major concern in various industries and contexts around the world. These accidents can have devastating consequences, leading to loss of life, property damage, and environmental pollution. It is important to understand the causes of explosion accidents, their consequences, and effective solutions to prevent them from occurring. In this essay, we will discuss these aspects in detail.Causes of Explosion Accidents:1. Ignition Sources: One of the primary causes of explosion accidents is the presence of ignition sources such as open flames, sparks, or static electricity in areas where flammable gases, liquids, or dust are present. These ignition sources can trigger a sudden explosion.2. Chemical Reactions: Some explosive materials can react with each other or with other substances, leading to a rapid release of energy and causing an explosion. Improper storage or handling of chemicals can increase the risk of such accidents.3. Equipment Failure: Malfunctioning equipment, such as pressure vessels, pipelines, or electrical systems, can lead to thebuildup of pressure or release of hazardous materials, resulting in an explosion.4. Human Error: Negligence, poor training, and failure to follow safety procedures can increase the likelihood of explosion accidents. Human error can include improper maintenance, inadequate supervision, or lack of safety protocols.Consequences of Explosion Accidents:1. Loss of Life and Injury: Explosion accidents can result in fatalities and injuries to workers, bystanders, and emergency responders. The blast wave, flying debris, and toxic gases released during an explosion can cause severe harm to individuals in the vicinity.2. Property Damage: Explosions can cause extensive damage to buildings, vehicles, and infrastructure, leading to financial losses for businesses and individuals. The destruction of property can disrupt operations, displace residents, and impact the local economy.3. Environmental Pollution: Explosions can release hazardous chemicals, pollutants, and contaminants into the air, water, and soil, causing environmental pollution and long-term health risks.Contaminated sites may require remediation efforts to mitigate the impact on ecosystems and public health.Solutions to Prevent Explosion Accidents:1. Risk Assessment: Conducting thorough risk assessments to identify potential hazards, assess their likelihood and consequences, and implement preventive measures can help mitigate the risk of explosion accidents.2. Safety Training: Providing comprehensive safety training to workers, contractors, and personnel on handling hazardous materials, operating equipment safely, and responding to emergencies can improve awareness and preparedness.3. Maintenance and Inspection: Regular maintenance, inspection, and testing of equipment, machinery, and systems can detect defects, leaks, or malfunctions early and prevent catastrophic failures that can lead to explosions.4. Emergency Response Planning: Developing and practicing emergency response plans, conducting drills, and training personnel on evacuation procedures, first aid, and firefighting can enhance readiness and minimize the impact of explosion accidents.In conclusion, explosion accidents are a serious threat to human safety, property, and the environment. By understanding the causes, consequences, and solutions to prevent these accidents, we can effectively manage risks, ensure workplace safety, and protect our communities from the devastating impact of explosions. It is essential for organizations, regulatory authorities, and individuals to collaborate and prioritize safety measures to prevent explosion accidents and create a safer environment for everyone.。
交通事故原因 英语作文
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交通事故原因英语作文Traffic accidents can be caused by a variety of factors. One common reason is reckless driving. This includes speeding, running red lights, and not yielding to other drivers. It can also involve aggressive behaviors such as tailgating and weaving in and out of traffic.Another cause of traffic accidents is distracted driving. This can include using a cell phone, eating or drinking, adjusting the radio, or even talking to passengers. When drivers are not fully focused on the road, they are more likely to make mistakes that can lead to accidents.In addition, driving under the influence of alcohol or drugs is a major cause of traffic accidents. Impaireddrivers have slower reaction times and decreased judgment, making them more likely to cause accidents. It is important for people to understand the dangers of driving while intoxicated and to make alternative arrangements fortransportation.Poor road conditions can also contribute to traffic accidents. Potholes, uneven pavement, and debris on the road can all cause drivers to lose control of their vehicles. Inadequate signage and poorly designed intersections can also lead to confusion and accidents.Finally, weather conditions play a significant role in traffic accidents. Rain, snow, and fog can all reduce visibility and make roads slippery, increasing the likelihood of accidents. It is important for drivers to adjust their driving behavior to accommodate for these conditions and to be extra cautious.In conclusion, traffic accidents can have a variety of causes, from reckless driving to poor road conditions to inclement weather. It is important for drivers to be aware of these potential hazards and to take steps to minimize the risk of accidents. By driving responsibly and staying focused on the road, we can all help to make the roads safer for everyone.。
为什么交通事故频发英语作文
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为什么交通事故频发英语作文English:Traffic accidents occur frequently due to a combination of various factors. Firstly, human error plays a significant role, including speeding, reckless driving, and driving under the influence of alcohol or drugs. Secondly, inadequate infrastructure and poorly maintained roads contribute to accidents, with factors such as potholes, insufficient signage, and lack of proper lighting increasing the risk. Thirdly, the rapid increase in the number of vehicles on the roads exacerbates congestion, leading to higher chances of accidents, especially in densely populated urban areas. Moreover, distractions caused by mobile phones, passengers, or external factors divert drivers' attention from the road, further increasing the likelihood of accidents. Additionally, inadequate enforcement of traffic laws and lenient penalties for violations fail to deter reckless behavior on the roads. Furthermore, lack of proper education and awareness about road safety among drivers and pedestrians results in a disregard for traffic rules and precautions. Overall, addressing traffic accidents requires a multi-faceted approach involving improved infrastructure,stricter enforcement of laws, enhanced public awareness campaigns, and comprehensive education on road safety measures.中文翻译:交通事故频发是由多种因素共同作用造成的。
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– provided adequate resources and support 是否提供了足够的资源和支持使别人能遵守纪律
Before You Discipline (5 Questions) 在你开始严肃纪律前 (问自己5个问题)
Things that make you go Hmmm… 解决问题的策略
Cause & Corrective Action: 原因&整改措施
Employee failed to notice protrusion of table in line of path…
员工未能注意到桌子挡住了行走区域 Discipline employee to be aware of walking path
Protect company interests 维护公司的利益(表明公司对员工生命安全的高度重视)
– Every Imerys employee is a valuable asset.
每个Imerys的员工都是公司的重要财富
Getting hurt is not generally a conscious decision...
(Serious 受伤)
3,000 FIRST AID 急救
(Minor 轻伤) 30,000 NEAR MISSES
侥幸脱险 (Unsafe acts-Unsafe conditions 不安全的操作和状态)
Effort 努力方向
Group Exercise 分组练习
• Discuss other reasons we should investigate near misses and close calls 讨论我们调查未遂事件的其他原因
– There will typically be several causes to an incident. 一般来说事故是由多方面的原因造成的
Prevent similar incidents 避免类似事故的发生
– Performing an incident investigation, and communicating the results, will prevent similar incidents. 开展事故调查并传达事故调查的结果以可以避免类似事故的发生
训练员工注意行走区域
Before You Discipline (5 Questions) 在你开始严肃纪律前 (问自己5个问题)
• Leadership requires discipline when justified! 即使理由充分,领导也需要严肃纪律!
• Before you discipline ask yourself “Have I”: 在你开始推行纪律前,问问你自己“我是否”:
因为我们无法预知事情 的结果。
1 FATAL
死亡
30 DISABLING 残疾
(Severe 重伤)
300 MEDICAL 需要治疗
(Serious 受伤)
3,000 FIRST AID 急救பைடு நூலகம்
(Minor 轻伤) 30,000 NEAR MISSES
未遂事件 (Unsafe acts-Unsafe conditions 不安全的行为和状态)
– Examples of how techniques can be applied to incidents and near misses. 举例说明如何利用技巧分析事故和未遂事件的原因
Why Investigate Incidents? 为什么要进行事故调查?
Find the causes 找出事故原因
Root Cause Analysis 事故根源分析
Objectives 目标
– Best Practice techniques for conducting effective root cause analysis 分析事故根源时常用的有效技巧
– Identifying Countermeasures, Hierarchy of Control 确定相应的对策并实施有层次的控制手段
– provided adequate training 是否提供了足够的培训
– insisted on compliance by enforcing safety rules in the past 在过去是否坚持遵守安全法规
• 5 minutes 5分钟时间
Responsibility 职责
• Ensure employees understand what an accident is. 确保员工明白什么是事故。
• Ensure that all associates understand why they must report accidents. 确保所有人员理解为什么一定要报告事故。
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
But we can pick where we focus…
但是我们能选择努力 的方向。
1 FATAL
身亡
30 DISABLING 残疾
(Severe 重伤)
300 MEDICAL 疗伤
Responsibility 职责
• Investigate every accident! 调查每次事故的原因 – Major 重大事故 – Minor 小事故 – Property 财产损失 – Near Miss 未遂事件
KEY INVESTIGATION POINT 调查的重点
• Do Not Look for Someone to Blame! 调查不是为了追究责任!
受伤都是意外的,不是自觉的…
...Working Safely Is!
但工作安全是可以自觉控制的!
Why Investigate Incidents and Near misses? 为什么要调查事故和未遂事件?
Because we don’t get to pick where we land…