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When a quality accident occurs, it is generally necessary to write an accident analysis report, because quality accidents are the focus of everyone’s attention, and there are many people involved in the interests, such reports must be of high quality and must be able to withstand the test of time . Professional high precision custom titanium parts
Quality accidents are generally dealt with in accordance with the principle of “four never let go”, cause analysis, safety rectification facilities, punishment of responsible persons and education of employees.
A high-quality quality accident analysis report must adhere to the principles, not only to discuss the matter, but also to decide what to do in the future based on this matter.
A high-quality accident analysis report is a solid basis for punishing the responsible person, and the accident analysis report itself forms a high-quality training material for educating the masses.
If the quality of the accident analysis report is not high, the result is often that the responsible person is not convinced even if he is punished, and the employees talk a lot. Such an accident analysis report is unqualified. Professional high precision custom titanium parts
The analysis of the cause of the accident must be precise and clear, grasp the root of the problem, dig deep from the appearance of the accident, and analyze layer by layer until the layers can no longer be distinguished, and there must be no ambiguity.
It is generally divided into direct cause and indirect cause. The direct cause is the most fundamental objective cause that directly leads to the accident. Generally speaking, there is only one direct cause. The indirect cause is the reason for analyzing the direct cause, that is to say, the indirect cause is developed around the direct cause. The direct cause and the indirect cause form a relationship between the first level and the second level in the logical structure. There are many kinds of indirect causes, and the internal ones are also Hierarchical, large aspects are divided into technical analysis and management analysis.
Technical analysis is often to find the reason objectively.
For example, the material of the workshop materials, the physical properties of various items, and the chemical properties and reaction mechanism of hazardous chemicals are involved. This is not over yet. For example, if there is a problem with the material of the material, it is also necessary to analyze whether there is a problem with the selection of the material or the aging of the material. Professional high precision custom titanium parts
If there is a problem with material selection, is there a lack of corresponding national or industry standards? The next step is to formulate standards. If there is a standard, is it because the standard formulation is not perfect, and if it is not perfect, the standard must be revised. If there is a standard and it is perfect, it means that it is not implemented according to the standard, then it is necessary to analyze why it is not implemented according to the standard? Is it a design problem, a procurement problem, a problem of picking in and out of the warehouse, or a problem of installation and construction. For example, if it is a procurement problem, it is necessary to analyze why there is a procurement problem? Is there a problem with the procurement process, or a problem with personnel skills, or someone has used improper means to shoddy and so on.
Management analysis often seeks reasons subjectively.
Finding the reason subjectively is almost the same requirement of the management of all organizations, and sometimes it is even the most important reason. Professional high precision custom titanium parts
On the one hand, all accidents are inseparable from people. Human problems are management problems. On the other hand, if an accident occurs that has nothing to do with all people, it is not an accident, but a disaster. , Disasters such as earthquakes and tsunamis.
Management analysis is generally easier to carry out, because all management is systematic and structured. There are relatively complete measures for the development of a job, from organizational planning, personnel preparation, tool preparation, task arrangement, task execution, and task inspection. From ancient times to the present, there are countless management methods that can be used from home to abroad.
What can be used in management analysis is a method similar to benchmarking, using an ideal working model to benchmark the organization (company) where the accident occurred, to see what went wrong.
What we need to pay attention to here is that the reason cannot be found too broadly, and it cannot be too empty, but must be refined to the point. For example, it is not possible to write in the cause of the accident that employees’ awareness is not strong. This thing cannot be quantified. What is strong and what is not strong cannot be measured. Even if this reason is written, it will not be implemented. In the later stage When checking the rectification progress, the rectification results cannot be obtained.
In short, the analysis of the cause of the accident must start from the surface to the point, and gradually find the specific point that caused the accident from the surface of the accident appearance. This is a bit like targeted therapy in medical treatment. specific point. Professional high precision custom titanium parts
Accident cause analysis is the vanguard of the entire accident handling, and it lays the foundation for subsequent safety rectification, punishment of responsible persons, and education of the masses. There is a cause that must correspond to an effect in the follow-up work.
Security rectification measures must be specific, detailed, quantifiable, have indicators, nodes, time limits, and result feedback. With the detailed cause analysis above, it is relatively easy to propose corresponding safety rectification measures. What needs to be noted is that measures must be taken in a realistic manner, and any measures that are divorced from reality are meaningless.
If it is necessary to put forward a punishment opinion on the responsible person, then the punishment of the responsible person’s opinion is based on a detailed and meticulous accident analysis. It is necessary to speak with facts and evidence, so that the responsible person is truly aware of his own problems, and at the same time follow the Choosing the appropriate punishment method based on organizational regulations and the size of the impact of the accident can really achieve the purpose of learning from past mistakes and avoiding future ones, curing diseases and saving lives. Professional high precision custom titanium parts