Analysis of "2·28" KEEPER Chemical Industries Hazardous Chemical Explosion Accident Based on FTA and HFACS

Analysis of Human Factors Relationship in Hazardous Chemical Storage Accidents

Human factors are important causes of hazardous chemical storage accidents, and clarifying the relationship between human factors can help to identify the logical chain between unsafe behaviors and influential factors in accidents. Therefore, the human factor relationship of hazardous chemical storage accidents was studied in this paper. First, the human factors analysis and classification system (HFACS), which originated from accident analysis in the aviation field, was introduced. Since some items were designed for aviation accident analysis, such as the item "Crew Resource Management", it is not fully applicable to the analysis of hazardous chemical storage accidents. Therefore, this article introduced some modifications and changes to make the HFACS model suitable for the analysis of hazardous chemical storage accidents. Based on the improved HFACS model, 42 hazardous chemicals storage accidents were analyzed, and the causes were classified. After analysis, we found that under the HFACS framework, the most frequent cause of accidents is resource management, followed by violations and inadequate supervision, and finally the organizational process and technological environment. Finally, according to the statistical results for the various causes of accidents obtained from the improved HFACS analysis, the chi-square test and odds ratio analysis were used to further explore the relevance of human factors in hazardous chemical storage accidents. The 16 groups of significant causal relationships among the four levels of factors include resource management and inadequate supervision, planned inappropriate operations and technological environment, inadequate supervision and physical/mental limitations, and technological environment and skill-based errors, among others.

Bayesian Network-Based Risk Analysis of Chemical Plant Explosion Accidents

The chemical industry has made great contributions to the national economy, but frequent chemical plant explosion accidents (CPEAs) have also caused heavy property losses and casualties, as the CPEA is the result of interaction of many related risk factors, leading to uncertainty in the evolution of the accident. To systematically excavate and analyze the underlying causes of accidents, this paper first integrates emergency elements in the frame of orbit intersection theory and proposes 14 nodes to represent the evolution path of the accident. Then, combined with historical data and expert experience, a Bayesian network (BN) model of CPEAs was established. Through scenario analysis and sensitivity analysis, the interaction between factors and the impact of the factors on accident consequences was evaluated. It is found that the direct factors have the most obvious influence on the accident consequences, and the unsafe conditions contribute more than the unsafe behaviors. Furthermore, considering the factor chain, the management factors, especially safety education and training, are the key link of the accident that affects unsafe behaviors and unsafe conditions. Moreover, effective government emergency response has played a more prominent role in controlling environmental pollution. In addition, the complex network relationship between elements is presented in a sensitivity index matrix, and we extracted three important risk transmission paths from it. The research provides support for enterprises to formulate comprehensive safety production management strategies and control key factors in the risk transmission path to reduce CPEA risks.

Cause Analysis of Unsafe Behaviors in Hazardous Chemical Accidents: Combined with HFACs and Bayesian Network

Hazardous chemical accidents (HCAs) seriously endanger public life, property, and health. Human and organizational factors are important causes of many kinds of accidents. In order to systematically explore the influencing factors of unsafe behaviors in HCAs in China, the method of human factors analysis and classification system based on the Bayesian network (BN-HFACs) was introduced. According to the 39 investigation reports of HCAs in China, the origin Bayesian network (BN) was obtained and the failure sensitivity of every node in BN was calculated. The results have shown that hazardous material environment (1.63) and mechanical equipment (0.49) in the level of preconditions of unsafe behavior have the same direction failure effect with operation error, while there is no factor has the same direction failure effect with operation violate. Some factors in organization influence and unsafe supervision, such as organization climate (0.34), operation guidance (0.37), planned operation (0.22), and legal supervision (0.19), are also important reasons for operational errors, while resource management (0.12), hidden investigation (0.18) and legal supervision (0.13) have an impact on operation violates. Moreover, there are still close relationships between other hierarchical elements, such as the operation guidance effect on the hazardous material environment (6.60), and the organizational climate has the most obvious impact on other factors at the level of organizational factors. Based on the above research conclusions, suggestions for individual, enterprise, and government were put forward, respectively, and the limitations of this study were also clarified.

Analysis of a Historical Accident in a Spanish Coal Mine

There has been a long history of coal mine accidents and these, usually, involve serious injuries, fatalities, and the destruction of facilities. In the seventies, an explosion killed 28 miners in a Spanish coal mine. This paper gives insight into the main factors of the accident by means of the causation mode, using two well-known alternatives: (1) the method from the Spanish Instituto Nacional de Seguridad y Salud en el Trabajo (INSST), where the causes and circumstances of the accident are classified into immediate causes and basic causes, and (2) the Feyer and Williamson method, where the classification is done using precursor events and contributing factors. The analysis identifies the lessons to be learned from the disaster. Both methods have given very similar results, verifying the goodness of the analysis. Methane emissions due to a variation in the exploitation method, the electrical installation, and a lack of safety procedures and training were the main causes of the accident. These findings explain the real causes of this accident and can be very valuable for the prevention of future accidents.

Emerging Issues in Occupational Safety and Health

Working environments have various risks, which result in accidents and casualties. [...].