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Analysis of Typical Accident Cases Involving Special Equipment

2022-04-20View Original

Thread Content

The “9·25” gas cylinder accident in Harbin: 1. A brief description of the incident. At 8:16 a.m. on September 25, 2020, Wang Mohé drove a white Foton van carrying 26 empty oxygen cylinders to a certain industrial gas company in Harbin. Upon arriving at the unloading platform, Wang Mohé unloaded the cylinders from the vehicle. Without conducting any inspections before filling them, Wang Mengcun, the person responsible for checking the cylinders, along with Wu Motie, the person who filled the cylinders, took them directly to the oxygen filling room for filling. The filling room has two rows of busbars, one on the left and one on the right, with 12 filling positions on each side. At 8:55:50, Wang Moucun closed the main valve of the left-side busbar; at 8:56:02, an explosion occurred as worker Wu Muitie was closing the third oxygen cylinder on the left side. After the accident, the personnel on site at a certain industrial gas company in Harbin immediately called emergency numbers such as 119, 120, and 110 for assistance. Rescue workers arrived at the scene to provide help; the medical team from 120 confirmed that Wu Moutie and Wang Moucun no longer had any vital signs. The injured person, Wang Mouhe, was promptly taken by an ambulance from 120 to the Second Hospital affiliated with Harbin Medical University for treatment. 2. Direct cause of the accident: Wang, a field worker at a certain industrial gas company in Harbin, failed to inspect the gas cylinders before filling them, allowing oxygen cylinders contaminated with grease to enter the filling area. During the filling process, the operator Wu Muitie performed the task improperly; high-pressure oxygen came into contact with grease, and upon exposure to an ignition source (such as closing the door too quickly or the generation of static electricity), a violent oxidation reaction occurred, resulting in the explosion of the oxygen cylinder. This was the direct cause of the accident. 3. Indirect causes of the accident: 1) Harbin’s certain industrial gas company failed to properly implement its safety production responsibilities; it provided inadequate safety training for its employees and did not enforce strict safety management practices. The company also failed to comply with the requirements of the \"Regulations on Safety Inspection of Gas Cylinders\" and other relevant laws and regulations, thus failing to ensure the safety of gas cylinder filling processes. Filling operations were not carried out in accordance with the requirements of the quality assurance system, and safety management at the filling site was chaotic. 2) The person who provided the gas cylinders, Wang Mouhe, did not possess the necessary licenses and qualifications such as those required for handling hazardous chemicals; he engaged in the transportation and distribution of hazardous gases such as oxygen, hydrogen, carbon dioxide, and acetylene without authorization. He delivered oxygen cylinders contaminated with oils to a certain industrial gas company in Harbin for refilling, and entered the site where cylinder refilling took place in violation of regulations.
Reply #22022-04-20
How important is degreasing of pure oxygen pipelines and equipment?
Reply #32022-04-22
The filling of special equipment must be carried out in accordance with the operating procedures.
Reply #42022-04-24
A profound lesson: a careless verification check led to serious consequences.

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