基于HFACS的空中相撞事故分析及建议

空中相撞事故往往是由诸多人为差错相互叠加、耦合和作用而导致的,要找出事故的真正诱因,防止类似事故再次发生,难度非常大。为了有效地分析和定位人为差错,以更好地服务于防相撞的管理与决策,提出一种基于人为因素分析分类系统（HFACS）的空中相撞事故分析方法,它按照从显性差错到隐性差错的思路来分析事故的诱因,最终找出组织因素对事故的影响。并利用HFACS对巴西卡欣布上空发生的一起空中相撞事故进行了系统分析。案例分析结果表明,该方法不仅能够找出导致空中相撞事故的人为差错,解释事故发生的原因和过程,而且能够据此提供防止相撞事故发生的安全建议。     

由一起厂内机动车事故引发的思考

本文对一起叉车安全事故的直接原因进行分析,并分别讨论了叉车本身缺陷导致事故发生的可能性、驾驶人员自身的不规范操作,以及使用单位在制度建设及实施方面存在的缺陷.     

Analysis of underlying causes of investigated loss of containment incidents in Dutch Seveso plants using the Storybuilder method

In the Netherlands there are around 400 “Seveso” sites that fall under the Dutch Major Hazards Decree (BRZO) 1999. Between 2006 and 2010 the Dutch Labour Inspectorate's Directorate for Major Hazard Control completed investigations of 118 loss of containment incidents involving hazardous substances from this group. On the basis of investigation reports the incidents were entered in a tailor-made tool called Storybuilder developed for the Dutch Ministry of Social Affairs and Employment for identifying the dominant patterns of technical safety barrier failures, barrier task failures and underlying management causes associated with the resulting loss of control events. The model is a bow-tie structure with six lines of defence, three on either side of the central loss of containment event. In the first line of defence, failures in the safety barriers leading to loss of control events were primarily equipment condition failures, pre start-up and safeguarding failures and process deviations such as pressure and flow failures. These deviations, which should have been recovered while still within the safe envelope of operation, were missed primarily because of inadequate indication signals that the deviations have occurred. Through failures of subsequent lines of defence they are developing into serious incidents. Overall, task failures are principally failures to provide adequate technical safety barriers and failures to operate provided barriers appropriately. Underlying management delivery failures were mainly found in equipment specifications and provisions, procedures and competence. The competence delivery system is especially important for identifying equipment condition, equipment isolation for maintenance, pre-start-up status and process deviations. Human errors associated with operating barriers were identified in fifty per cent of cases, were mostly mistakes and feature primarily in failure to prevent deviations and subsequently recover them. Loss of control associated with loss of containment was primarily due to the containment being bypassed (72% of incidents) and less to material strength failures (28%). Transfer pipework, connections in process plant and relief valves are the most frequent release points and the dominant release material is extremely flammable. It is concluded that the analysis of a large number of incidents in Storybuilder can support the quantification of underlying causes and provide evidence of where the weak points exist in major hazard control in the prevention of major accidents.     

Quantitative assessment in safety reports of the consequences from the detonation of solid explosives

Safety reports are mandatory documents in member states of European Union whenever any threshold limits of amounts of either stored or processed hazardous substances are exceeded. After a short introduction to EU Seveso Directives on major-accident hazards involving dangerous substances and to the transposition and implementation by member states, with a brief comment on last 2012/18/EU Directive (also known as Seveso III directive), the paper focuses on drafting of safety reports for industrial activities involving solid explosives. Specifically, the quantitative assessment of consequences from detonation is tackled respect to the side-on overpressure and the debris production. Both direct and inverse problems are illustrated to determine respectively the overpressure value at a given distance, and the explosive amount that allows respecting the regulations. Their solution is based on either analytic or numerical techniques and being based on recent scientific publications on the matter either evaluates or zeroes nonlinear algebraic equations. The availability of these equations avoids grounding the consequences assessment on diagrams and nomograms that otherwise would lead to interpretation and usage errors besides avoiding the automatic solution of the inverse problem. The paper focuses also on details such as embankment, crater, munitions, rocket propellant, building structure, and wall material that, at different levels, play a role in the assessment of detonation consequences. A discussion on debris formation, the available literature, and the evaluation of the impact probability of fragments on both fixed and moving targets closes the paper.     

A new approach for layout optimization in maintenance workshops with safety factors: The case of a gas transmission unit

In this study, an Integrated Simulation-Data Envelopment Analysis (DEA) approach is presented for optimum facility layout of maintenance workshop in a gas transmission unit. The process of repair of incoming parts includes various operations on different facilities. The layout problem in this system involves determining the optimum location of all maintenance shop facilities. Layout optimization plays a crucial role in this type of problems in terms of increasing the efficiency of main production line. Standard types of layouts including U, S, W, Z and straight lines are considered. First, the maintenance workshop is modeled with discrete-event-simulation. Time in system, average waiting time, average machine utilization, average availability of facilities, average queue length of facilities (AL) and average operator utilization are obtained from simulation as key performance indicators (KPIs) of DEA. Also, safety index and number of operators are considered as other KPIs. Finally, a unified non-radial Data Envelopment Analysis (DEA) is presented with respect to the stated KPIs to rank all layouts alternatives and to identify the best configuration. Principle Component Analysis (PCA) is used to validate and verify the results. Previous studies do not consider safety factor in layout design problems. This is the first study that presents an integrated approach for identification of optimum layout in a maintenance workshop of gas transmission unit by incorporating safety and conventional factors.     

基于CIS理论的绿色大学评价指标体系研究

通过研究绿色大学建设过程中出现的不足,提出构建绿色大学评价指标体系是建设绿色大学的前提。以CIS（企业识别系统）理论为依据,从理念层、行为层和物质层三个层面进行研究,构建了一个由3个一级指标12个二级指标和45个三级指标构成的绿色大学评级指标体系。最后对绿色大学的评价方法进行了简单陈述。     

Control Issues in the Design of a Gas Turbine Cycle for CO2 Capture

This article is concerned with control issues related to the design of a semi-closed O ₂/CO ₂ gas turbine cycle for CO ₂ capture. Some control strategies and their interaction with the process design are discussed. One control structure is implemented on a dynamic simulation model using a predictive controller, and simulations assess the performance and compare its merits with a conventional PI structure. The results indicate that it can be advantageous for operability to allow a varying (as opposed to fixed) compressor inlet pressure, at the cost of a more expensive design. Furthermore, the results show that a predictive controller has some advantages with respect to the simpler conventional PI control structure, in particular in terms of constraint handling.     

快开门式压力容器安全管理现状及建议

快开门式压力容器是一种广泛应用于建材、纺织、橡胶、医药、食品、玻璃等行业的固定式压力容器,因其结构的特殊性,对安全联锁保护装置和作业人员操作及应急处置能力要求较高,一旦安全联锁装置失效或作业人员应急处置不当,极易发生安全事故。本文针对快开门式压力容器安全管理的法律法规要求、几种典型快开门式压力容器现状及存在问题,从设计、制造、检验、监管等环节提出快开门式压力容器安全管理措施及建议,以确保其安全运行。     

Increasing land pressure in East Africa: The changing role of cassava and consequences for sustainability of farming systems

Increasing land pressure during the past three to four decades has transformed farming systems in the mid-altitude zone of East Africa. Traditional millet-, cotton-, sugarcane- and/or banana-based farming systems with an important fallow and/or grazing component have evolved into continuously cultivated cassava or cassava/maize-based systems. Within three to four decades, cassava cultivation increased from 1–11 to 16–55% of cropped fields in our six study sites. Declining soil fertility, and not labour or food shortage, was apparently the primary trigger for this transformation. The land use changes have increased nutrient offtakes and reduced nutrient recycling rates. Cassava and maize now account for 50–90% of nutrient removal. Whereas single-season fallows were the most important source of nutrient recycling on cropped fields in the past, currently cassava litterfall and maize stover contribute roughly 70% of nutrient recycling, with 50–70% of N, P and K recycled in cassava litterfall. This may explain why many farmers reason that cassava ‘rests’ the soil. With increasing land use pressure farmers progressively use cassava as an ‘imitation fallow’ throughout their farm. Farmers increasingly target cassava to poor fertility fields characterized by low pH and available P. High cassava intensities are nonetheless maintained on more fertile fields, probably to guarantee regeneration of soil fertility on all fields. Once cassava is targeted to poor fertility soils, farmers have run out of low-input management options and need to intensify management to maintain system productivity. As cassava is now used by more farmers and on a larger acreage than fallowing in the studied farming systems, cassava cropping could perhaps serve as an excellent entry point to strengthen system sustainability.     

流域农业面源污染动态监控系统的建立和运行

提出建立农业面源污染动态监控系统的技术构思,构筑了“辽宁省农业面源污染动态监控系统”的功能及运行机制的构架,阐述了推进此动态监控系统完善的研究方案与系统实施的保证措施。