[转帖]事故案例教材7

施杨华龙

<h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107392"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">走错位置操作</span></a><span style="mso-bookmark: _Toc113107392;"><span lang="EN-US" style="mso-font-kerning: 0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></span><span style="mso-bookmark: _Toc113107392;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">低真空保护跳机</span></span><span style="mso-bookmark: _Toc113107392;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="4" year="2000"><span lang="EN-US">2000</span>年<span lang="EN-US">9</span>月<span lang="EN-US">4</span>日</chsdate>，某发电厂因运行人员误操作，造成<span lang="EN-US">#5</span>机凝汽器严重落真空，导致<span lang="EN-US">#5</span>机因低真空保护动作而跳机。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【事故经过】<chsdate wst="on" isrocdate="False" islunardate="False" day="4" year="2006"><span lang="EN-US">9</span>月<span lang="EN-US">4</span>日</chsdate>，<span lang="EN-US">#6</span>机停备，<span lang="EN-US">#5</span>机正常运行。<chmetcnv wst="on" tcsc="1" numbertype="3" negative="False" hasspace="False" sourcevalue="0" unitname="米">零米</chmetcnv>值班员在接到主值班员下达的“开<span lang="EN-US">#6</span>机凝汽器至室外放水门”的命令时，没有认真执行“五要领”，心不在焉，拿着工具就去操作，将<span lang="EN-US">#5</span>机的凝汽器汽侧放水门误当成<span lang="EN-US">#6</span>机凝汽器至室外放水门进行操作，致使运行中的<span lang="EN-US">#5</span>机真空急剧下降，汽机“凝汽器真空低”保护动作跳机。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【原因分析】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 306.0pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">无票操作，习惯性违章。<chmetcnv wst="on" tcsc="1" numbertype="3" negative="False" hasspace="False" sourcevalue="0" unitname="米">零米</chmetcnv>值班员在接到主值“开<span lang="EN-US">#6</span>机凝汽器至室外放水门”的命令时，没有填写操作票和危险点分析预测卡，没有认真执行“五要领”，心不在焉，拿着工具就去操作，走错位置，误将<span lang="EN-US">#5</span>机的凝汽器汽侧放水门当成<span lang="EN-US">#6</span>机设备进行操作。是<span lang="EN-US">#5</span>机低真空保护动作跳闸的直接原因。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">责任心不强。违反了《防止电力生产重大事故的二十五项重点要求实施细则》第<span lang="EN-US">8.16</span>条：“运行人员必须严格遵守值班纪律、集中思想监盘，经常分析各运行参数的变化，调整要及时、准确判断及处理事故。”的要求。运行主值班员发出命令后，既没有派监护人对其操作进行监护，也没有注意单元表计的参数变化，更没有直接到就地去查看，没有及时发现人员误操作。错失了异常处理的宝贵时间，最终使异常扩大，保护动作而停机。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">设备管理粗放，设备标示牌严重缺损。<span lang="EN-US">#5</span>机与相邻的<span lang="EN-US">#6</span>机，许多设备、阀门都没有明确的标识，即使有标识，部分也因设备陈旧字迹模糊不清，运行人员多是凭经验及对系统的熟悉程度进行相关操作，操作时缺乏必要的提醒和确认。为异常的发生埋下了隐患。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">培训工作缺乏针对性和有效性，培训工作流于形式。运行人员虽然每年都进行规程、系统图考试，但平时运行人员的培训、学习流于形式，运行值内部的现场培训跟不上，不能充分利用学习时间进行岗位培训，造成操作出错，事发后不能及时正确判断处理，延误了处理时间。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强管理。首先要加强设备管理。要落实“严、细、实”的工作作风，对设备标示牌缺损等问题，要“小题大做”，充分认识其缺损和标识错误的危害性，使设备标识正确、清晰、明了，设备管理规范、标准。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强“两票三制”管理，杜绝习惯性违章。切实落实“操作票”和危险点分析预控制度，操作要执行“五要领”，值班员要复述操作命令，监护人要监护到位，杜绝无票操作，打手势传达命令，传达命令不报姓名等习惯性违章行为。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强人员管理。要了解值班人员的精神状态，提高工作责任心，真正做到精心监护，精心操作，及时发现异常现象，采取对策及时处理，防止因操作人员一时“糊涂”，酿成事故。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强培训。加强运行人员的现场培训和岗位操作技能培训，采取现场考问、知识竞赛等多种形式的培训，使培训工作规范化、标准化，提高运行人员学习的积极性和主动性，加强培训工作的针对性和有效性。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">5.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">重视停机后的监视和操作。时<span lang="EN-US">#6</span>机停备，<span lang="EN-US">#5</span>机组在运行，因主值班员下达的是<span lang="EN-US">#6</span>机组的操作，对停机后的操作掉以轻心，以至于忽略了要求操作员重复命令，对其监护操作的重要步骤。终使操作员发生误操作没有及时得到发现和纠正，铸成一次<span lang="EN-US">#5</span>机异常停机事故。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="right" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; TEXT-ALIGN: right; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107393"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">擅自解除闭锁</span></a><span style="mso-bookmark: _Toc113107393;"><span style="mso-font-kerning: 0pt;"><font face="Times New Roman"> </font></span></span><span style="mso-bookmark: _Toc113107393;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">带电合接地刀闸</span></span><span style="mso-bookmark: _Toc113107393;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt 17.95pt; TEXT-INDENT: 26.9pt; tab-stops: 270.75pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="10" year="2002"><span lang="EN-US">2002</span>年<span lang="EN-US">12</span>月<span lang="EN-US">10</span>日<span lang="EN-US">15</span>时<span lang="EN-US">18</span>分</chsdate>，某发电厂在<span lang="EN-US">112-4</span>刀闸准备做合拉试验中，运行操作人员不认真核对设备名称、编号和位置，走错位置，又未经许可，擅自解除闭锁，造成一起带电合接地刀闸的恶性误操作事故。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【事故经过】<span lang="EN-US">112-4</span>刀闸消缺工作应该在<span lang="EN-US">112</span>开关检修工作结束（工作票全部终结），并将<span lang="EN-US">112</span>系统内地线全部拆除后，重新办理工作票。在<span lang="EN-US">112-4</span>刀闸准备做合拉试验中，运行操作人员不认真核对设备名称、编号和位置，错误地走到<span lang="EN-US">112-7</span>接地刀闸位置，不经值长许可，擅自解除闭锁，将<span lang="EN-US">112-7</span>接地刀闸合入，造成带电合接地刀闸的恶性误操作事故。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【原因分析】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">安全生产疏于管理，习惯性违章长期得不到有效制止。在本次操作中，操作人、监护人不认真核对设备的名称、编号和位置，在执行拉开<chsdate wst="on" isrocdate="False" islunardate="False" day="7" year="112"><span lang="EN-US">112-2-7</span></chsdate>接地刀闸的操作中，错误走到了与<span lang="EN-US">112-2-7</span>接地刀闸在同一架构上的<span lang="EN-US">112-7</span>接地刀闸位置，将在分闸位置的<span lang="EN-US">112-7</span>接地刀闸错误的合入。是事故发生的直接原因。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">电磁锁是防止电气误操作的重要设备，管理人员和各级领导对电磁锁的管理长期地不重视（时常出现正常操作时电磁锁打不开的缺陷和故障，影响了正常的操作，某些运行人员才在操作中同时携带两把电磁锁的钥匙，其中一把为正常操作的大钥匙，一把为解除闭锁的小钥匙，以备正常操作电磁锁打不开时用小钥匙解除闭锁。由于操作人员随身携带着解除闭锁的钥匙，并且不履行审批手续，致使误操作事故随时都有可能发生）。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">电磁锁发生缺陷，运行人员不填写缺陷通知单。检修人员“二五”检查也走了过场，管理人员和各级领导对电磁锁的运行状况无人检查，对缺陷情况不掌握，致使电磁锁缺陷长期存在。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">电磁锁及其解锁钥匙的管理不完善，存在漏洞。按照规定，电磁锁解锁操作需经当值值长批准。但在本次操作中，在值长不在场的情况下，电气运行班长没有执行规定，未经值长批准，未填写“解除闭锁申请单”，致使操作人在盲目操作情况下强行解除闭锁合上了<span lang="EN-US">112-7</span>接地刀闸。不允许随意修改操作票，不允许擅自解除闭锁装置。违反<span lang="EN-US">25</span>项反措中防止电气误操作事故的相关规定。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">5.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">操作监护制流于形式，监护人未起到监护的作用。操作中，监护人、操作人走错位置，操作人执行拉开接地刀闸操作时变成了合闸操作，监护人未能及时发现错误，以致铸成大错。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">6.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">值长缺乏电网观念，没有站在保电网安全的高度来指挥全厂生产工作。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强安全生产管理，加强对<span lang="EN-US">25</span>项反措中防止电气误操作事故的相关规定学习和理解，建立严格的考核奖惩制度，关键要加大对管理者的考核，使安全的工作条件来保障运行人员的生命安全，并以督促其对安全生产及其设备的管理。值班负责人在工作安排时要交代清运行方式此项工作的安全注意事项。在时间许可的情况下，要填制操作票，按票执行，做到按章办事。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">设备缺陷利用<span lang="EN-US">MIS</span>网络进行闭环管理，对电磁锁等设备缺陷的处理严格按时考核，提高设备的健康水平。尽快编制、实施与落实电气防误闭锁管理制度，从技术、制度等源头上实行事前防范。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强职工的安全教育和业务技能的学习，提高安全责任感，严格执行电气倒闸操作票制度，落实安全生产责任制，定期举办机械闭锁和电气闭锁专业知识讲座。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">值长、班长是值班现场的安全生产第一责任人，要树立全局观念，安全生产工作要全面考虑，严细认真地安排操作，建立安全生产互保机制。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">5.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强运行倒闸危险点分析与预控管理工作，危险点的分析要具体、有针对性，防范措施要具有可操作性。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">6.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">值长要有电网观念，站在保电网安全的高度来指挥全厂生产工作。各级管理工作者都要加强管理责任感。提高对安全生产的认识，严肃执行各项规章制度，及时向大家宣讲上级部门有关安全生产的规定、制度、事故通报，并将精神实质贯彻到具体工作中。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="right" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; TEXT-ALIGN: right; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107394"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">漏雨保护误动</span></a><span style="mso-bookmark: _Toc113107394;"><span lang="EN-US" style="mso-font-kerning: 0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></span><span style="mso-bookmark: _Toc113107394;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">导致全厂停电</span></span><span style="mso-bookmark: _Toc113107394;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="3" year="2003"><span lang="EN-US">2003</span>年<span lang="EN-US">8</span>月<span lang="EN-US">3</span>日</chsdate>，某电厂因下大雨汽机车间漏水，导致保护误动，<span lang="EN-US">2</span>台机组相继跳闸，全厂失电。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【事故经过】<chsdate wst="on" isrocdate="False" islunardate="False" day="3" year="2006"><span lang="EN-US">8</span>月<span lang="EN-US">3</span>日<span lang="EN-US">13</span>时<span lang="EN-US">40</span>分</chsdate>，突降狂风暴雨，<span lang="EN-US">13</span>时<span lang="EN-US">43</span>分，因暴雨太大，雨水从汽机房天窗侧向卷吸落到瓦振保护测点上，导致<span lang="EN-US">2</span>号机“<span lang="EN-US">#1-4</span>瓦<span lang="EN-US">(2</span>瓦<span lang="EN-US">)</span>振动大二值”保护误动作，机组跳闸停运。<span lang="EN-US">13</span>时<span lang="EN-US">50</span>分，同样因大雨导致<span lang="EN-US">1</span>号机组“<span lang="EN-US">1</span>号主变压力释放”保护触点漏雨短路，保护误动作，<span lang="EN-US">4533</span>出线主开关跳闸，<span lang="EN-US">1</span>号机组停运解列。事故发生后，厂长、副厂长、总工及各生产部室负责人、技术人员立即赶到现场，组织开展事故处理，采取相应的防范措施，在确认正常后，启动机组，<span lang="EN-US">2</span>号机组于<span lang="EN-US">17</span>时<span lang="EN-US">20</span>分并列，<span lang="EN-US">1</span>号机组于<span lang="EN-US">18</span>时<span lang="EN-US">53</span>分投运正常。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【原因分析】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">管理工作不到位，缺乏严、细、实的工作作风。对防止“非计划停运”重视不够，特别是在天气异常的情况下，防范措施执行不力。该厂六月份曾发生一起因大雨造成水位保护误动跳机事故；洛河电厂刚刚发生因大雨造成的主变跳闸事故，该厂虽然制定防范措施，但现场检查不到位，措施落实不到位，整治工作不彻底。未能认真吸取教训，举一反三，致使机组因天气原因再次发生“非计划停运”。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">违反了《防止电力生产重大事故的二十五项重点要求实施细则》第<span lang="EN-US">21.8</span>条“各企业要充分研究本单位发供电设施可能出现的汛情和险情，备足防汛抢险物资和设备，建立台帐，专项保管”和第<span lang="EN-US">21.9</span>条“各单位要在全面做好防汛准备工作的同时，明确本单位防汛的重点工程，重点部位和重点环节，做到全面部署，重点突出”的要求。隐患未能及时发现，致使保护触点漏雨短路，<span lang="EN-US">2</span>号机、<span lang="EN-US">1</span>号机组保护相继误动作，机组跳闸停运。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">人员责任心不强，异常天气下未做好事故预想和防范措施。对存在的安全隐患检查不细致，不到位。恶劣天气下没有事故预想，缺乏应急事件的处理措施。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强管理，重视机组的“非计划停运”。加强组织措施和技术措施的制定和落实，提高人员防范事故责任心和处理事故的能力，进一步落实防止“非停”工作责任制，特别是加强对基础设施的管理。立即开展全厂性防雨措施普查，尤其是要认真检查保护设施及执行机构装置防雨情况，针对查出的问题，制定相应的整改措施并尽快落实。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">做好异常情况下的事故预想，制定应急事件处理预案。按照《防止电力生产重大事故的二十五项重点要求实施细则》，提高重点部位暴雨、雷电、持续高温等灾害性气侯的应对能力，确保机组在恶劣天气下的安全可靠运行。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">严格执行“两票三制”，重点是抓好工作票制度和巡回检查制度的执行情况检查和考核，规范运行、检修管理，确保人身和设备安全。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">严格按“四不放过”的原则，进行责任追究，尤其是对管理层和专业技术人员的追究。<span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107395"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">更换设备不核对</span></a><span style="mso-bookmark: _Toc113107395;"><span lang="EN-US" style="mso-font-kerning: 0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></span><span style="mso-bookmark: _Toc113107395;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">电压互感器爆炸</span></span><span style="mso-bookmark: _Toc113107395;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="15" year="2003"><span lang="EN-US">2003</span>年<span lang="EN-US">4</span>月<span lang="EN-US">15</span>日</chsdate>，某发电厂发生一起接在<span lang="EN-US">380V</span>保安三段的负荷电源<span lang="EN-US">A</span>相发生金属性接地时，造成<span lang="EN-US">380V</span>保安三段失电，导致机组给水泵断油跳闸，机组最终汽包低水位跳闸停运<span lang="EN-US">4</span>小时<span lang="EN-US">19</span>分钟。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 27pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><b><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【</span></b><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">事故经过<b>】</b><chsdate wst="on" isrocdate="False" islunardate="False" day="15" year="2006"><span lang="EN-US">4</span>月<span lang="EN-US">15</span>日<span lang="EN-US">20</span>时<span lang="EN-US">0</span>分</chsdate>，<span lang="EN-US">#3</span>机组负荷<span lang="EN-US">271MW</span>，机组<span lang="EN-US">380V</span>五段及<span lang="EN-US">380V</span>保安三段母线接地信号发，查<span lang="EN-US">380V</span>保安三段<span lang="EN-US">A</span>相金属性接地，随即保安三段失电，两台汽泵跳闸，电泵未自启，柴油发电机自启后，手动开启电泵抢水，但汽包水位已低至跳闸值，<span lang="EN-US">20</span>时<span lang="EN-US">03</span>分，<span lang="EN-US">#3</span>机组<span lang="EN-US">MFT</span>动作。就地检查为<span lang="EN-US">#5</span>联变风扇电源<span lang="EN-US">A</span>相金属性接地，且<span lang="EN-US">380V</span>保安三段开关室内有轻微焦糊味，在<span lang="EN-US">380V</span>保安三段母线电压互感器间隔，发现该电压互感器的<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相线圈过热，<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相一次保险熔断，测绝缘发现<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相匝间短路。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 27pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><b><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【</span></b><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">原因分析<b>】<span lang="EN-US"><p></p></span></b></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">小于设计容量的电压互感器更换到<span lang="EN-US">380V</span>保安三段前没有进行容量核对，不同容量或不同型号的设备未经核算不得代换。电压互感器容量未经核算就进行代换，是事故发生的直接原因。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.380V</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">保安三段<span lang="EN-US">A</span>相金属性接地，该系统应是中性点直接接地系统，“零序速断”或“电流速断”保护应跳闸，而不是发展到电压互感器线圈<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相匝间短路，低电压保护动作。<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相相电压不应升高，即便不跳闸也不会发生<span lang="EN-US">B</span>、<span lang="EN-US">C</span>两相相电压升高。说明一次系统工作接地部分出现了问题，应进一步检查。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">巡视和运行检查流于形式。变更的电压互感器容量小于设计容量发热不是瞬间的，设备温度长时间的高于其他电压互感器温度没有被发现。说明巡回检查不认真，不到位。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">备品备件管理不严谨，备品备件台帐不齐全。设备的更换即便材料管理部门没有台账可查，专业分场的专业工程师和专业班组应有明细的设备替换数据。材料部门设备的采购、进货验收应以专业要求进行，实行闭环管理。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强备品备件和专业技术管理。设备选型、成套、采购和安装调试要标准化、专业化管理，坚决杜绝“凑乎”的现象发生；依据备品备件的实际情况建立设备替（更）换对应的台账。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">专业技术人员要真正担负起专业职责，设备的替换要经专业工程师计算。紧急情况下的设备替换也要进行基本的核算，不符合要求的坚决不得替换。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强设备的专业巡视和运行检查，利用非接触红外测温仪或热像仪对更换以后的设备跟踪测量和检查，发现异常及时处理。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">对一次系统工作接地部分进行检查试验，发现有不符合规范和反措要求者立即整改。<span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><p class="MsoNormal" align="center" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; TEXT-ALIGN: center; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107396"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">对异常情况麻痹</span></a><span style="mso-bookmark: _Toc113107396;"><span lang="EN-US" style="mso-font-kerning: 0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></span><span style="mso-bookmark: _Toc113107396;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">致使发电机烧瓦</span></span><span style="mso-bookmark: _Toc113107396;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; TEXT-ALIGN: left; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="30" year="2001"><span lang="EN-US">2001</span>年<span lang="EN-US">9</span>月<span lang="EN-US">30</span>日</chsdate>，某水电站<span lang="EN-US">#8</span>机组，因设备缺陷处理不及时，运行人员设备巡视检查不到位，导致<span lang="EN-US">#8</span>机组烧瓦。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【事故经过】<chsdate wst="on" isrocdate="False" islunardate="False" day="29" year="2006"><span lang="EN-US">9</span>月<span lang="EN-US">29</span>日<span lang="EN-US">18</span>时<span lang="EN-US">26</span>分</chsdate><span lang="EN-US">, </span>在<span lang="EN-US">#8</span>机发<span lang="EN-US">PLC</span>通讯失败信号后，运行人员只是检查机械、电气设备无明显异常现象，就草草了事，而未通知检修人员对设备作进一步详细检查，<chsdate wst="on" isrocdate="False" islunardate="False" day="30" year="2001"><span lang="EN-US">2001</span>年<span lang="EN-US">9</span>月<span lang="EN-US">30</span>日</chsdate>零时<span lang="EN-US">45</span>分<span lang="EN-US">#8</span>机突然强烈振动，并从发电机下方冒出一股烟雾和摩擦产生的焦臭味。手动解列后检查发现推力瓦、镜板严重磨损，推力油跑漏尽。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【原因分析】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">管理松懈。设备缺陷管理不到位，消缺不及时，该机自改为计算机监控后，由于设计及设备不过关，时常误发信号和死机，该站管理部门对此缺陷可能造成的后果估计不足；因该缺陷一直未能消除，致使<span lang="EN-US">#8</span>机长期带着隐患运行。为事故的发生埋下了祸根。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">“两措”落实不到位。对长期存在隐患运行的机组，无明确的处理预案和措施，以致使运行人员无应急处理措施。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">运行人员责任心差。首先表现在思想麻痹，安全意识淡薄。长期的非正常运行现象导致运行人员思想麻痹大意，对异常现象习以为常，以至于<span lang="EN-US">#8</span>机监控计算机于<chsdate wst="on" isrocdate="False" islunardate="False" day="29" year="2006"><span lang="EN-US">9</span>月<span lang="EN-US">29</span>日</chsdate><span lang="EN-US">18</span>时<span lang="EN-US">30</span>分至<chsdate wst="on" isrocdate="False" islunardate="False" day="30" year="2006"><span lang="EN-US">9</span>月<span lang="EN-US">30</span>日</chsdate>零时<span lang="EN-US">45</span>分出事故止，死机时间长达<span lang="EN-US">6</span>小时之久，竟无人发现，充分说明值班人员麻木不仁。其次表现在检查不认真。<chsdate wst="on" isrocdate="False" islunardate="False" day="29" year="2006"><span lang="EN-US">9</span>月<span lang="EN-US">29</span>日</chsdate><span lang="EN-US">#8</span>机发故障信号，运行人员仅仅检查机械、电气设备无明显异常现象，未认真查找真正原因，也未通知检修人员对设备作进一步详细检查，就草草了事。再者，现场巡回检查不及时、不到位。推力油位下降，推力油泵停止运行，均没能及时检查发现，说明运行人员未按规定要求巡视设备，工作不到位，错失了发现和处理异常的最佳时机，最终酿成轴瓦烧损事故。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强设备管理，提高设备的健康水平。管理部门一定要高度重视对设备缺陷的管理，制定规范化、标准化的管理考核办法，并落实到位。对威胁机组安全运行的隐患，要积极提供消缺机会，保证机组健康、安全运行。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">制定和完善“两措”。对安全技术措施和反事故措施要结合实际情况，如对控制系统的计算机死机后的处理等，要制定切实可行的应急措施和预案。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" align="left" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; TEXT-ALIGN: left; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.<span style="mso-tab-count: 1;"> </span></span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">严格管理，提高运行人员责任心。要尽快安装巡回检查系统，从“硬件”上对巡检系统进行完善；落实巡回检查制度，并将巡回检查纳入检查和考核内容，从“软”件上加以管理。<span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><h1 align="center" style="MARGIN: 17pt 0cm 16.5pt; TEXT-INDENT: 42.4pt; TEXT-ALIGN: center; mso-char-indent-count: 1.92;"><a name="_Toc113107397"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">保护试验无方案</span></a><span style="mso-bookmark: _Toc113107397;"><span lang="EN-US" style="mso-font-kerning: 0pt;"><span style="mso-spacerun: yes;"><font face="Times New Roman"> </font></span></span></span><span style="mso-bookmark: _Toc113107397;"><span style="FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman'; mso-ascii-font-family: 'Times New Roman';">机组异步启动</span></span><span style="mso-bookmark: _Toc113107397;"></span><span lang="EN-US" style="mso-font-kerning: 0pt;"><p></p></span></h1><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【简述】<chsdate wst="on" isrocdate="False" islunardate="False" day="10" year="1995"><span lang="EN-US">1995</span>年<span lang="EN-US">11</span>月<span lang="EN-US">10</span>日</chsdate>，某发电厂<span lang="EN-US">#3</span>机组小修后，做<span lang="EN-US">#3</span>发电机励磁变过流速断保护做静态试验时，因无试验方案，致使<span lang="EN-US">#3</span>发电机异步启动，发电机转子及轴瓦烧损。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【事故经过】<chsdate wst="on" isrocdate="False" islunardate="False" day="10" year="2006"><span lang="EN-US">11</span>月<span lang="EN-US">10</span>日上午<span lang="EN-US">8</span>时<span lang="EN-US">30</span>分</chsdate>，电气继电保护班电话联系电气运行班长，准备对发电机励磁系统做静态试验，要求电气运行人员合上<span lang="EN-US">#3</span>发电机<span lang="EN-US">7503</span>主油开关及<span lang="EN-US">MK</span>灭磁开关的操作动力保险器，<span lang="EN-US">9</span>时<span lang="EN-US">50</span>分合上<span lang="EN-US">#3</span>发电机<span lang="EN-US">MK</span>开关，当合上<span lang="EN-US">7503</span>开关后，造成<span lang="EN-US">#3</span>发电机异步起动，<span lang="EN-US">#3</span>机主变控制屏后上部有弧光，<span lang="EN-US">3</span>号主变<span lang="EN-US">220kV</span>、<span lang="EN-US">110kV</span>侧电流表指示到头。主盘警铃响，喇叭叫，<span lang="EN-US">2203.1103.103.603</span>开关红灯闪光，<span lang="EN-US">#3</span>主变跳闸，<span lang="EN-US">#0</span>电抗器联动成功。立即手动拉开<span lang="EN-US">7503</span>开关。经检查发现<span lang="EN-US">#3</span>发电机过流保护掉牌，<span lang="EN-US">#3</span>发电机本体两端冒烟且有焦糊味，<span lang="EN-US">#3</span>发电机出口<span lang="EN-US">7503</span>刀闸在合闸位置。<span lang="EN-US">10</span>时<span lang="EN-US">10</span>分<span lang="EN-US">#3</span>主变投运，发电机、轴瓦经抢修后于<chsdate wst="on" isrocdate="False" islunardate="False" day="1" year="2006"><span lang="EN-US">12</span>月<span lang="EN-US">1</span>日<span lang="EN-US">2</span>时<span lang="EN-US">10</span>分</chsdate>并网。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【原因分析】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">安全生产疏于管理，对<span lang="EN-US">#3</span>发电机励磁变过流速断保护做静态试验事前没有周密的试验方案，运行人员更没有根据试验步骤进行操作的操作票。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">设备管理粗心大意。从前述的事故经过可看出“<span lang="EN-US">#3</span>发电机<span lang="EN-US">7503</span>主油开关”和“<span lang="EN-US">#3</span>发电机出口<span lang="EN-US">7503</span>刀闸”设备编号重叠，给事故留下隐患。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">《电业安全工作规程》中对高压配电室的钥匙管理做了明确规定，但执行的不严格，检修人员借钥匙变更设备状态没有记录；检修人员私自改变设备状态的是谁、由谁同意的、在什么时间合上了“<span lang="EN-US">#3</span>发电机出口<span lang="EN-US">7503</span>刀闸”，没有记录，事故报告内也未涉及，如何追究事故引发原因？分析这次事故的根源。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">安全意识淡薄。机组大小修后的相关试验方案、安全措施一直是口头进行联系，无书面试验方案，安全措施无法把关。忽视了“安全第一、预防为主”的电力安全生产方针。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">【防范措施】<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">1.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">对设备的编号和名称出现错误的进行修正，从源头上避免事故的发生。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">2.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强对对高压配电室钥匙的管理，任何时间出借钥匙必须查明借钥匙者的工作任务或目的并进行登记。检修人员不经值班负责人许可不得变更设备状态，设备状态在检修过程中确须变更设备状态者，也必须由运行人员来执行。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">3.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">机组大小修后的相关试验工作必须制定安全措施周密的方案，检修工作要安照工作票安措分步填制试验票，并提前一天（或几个工作班次）交到运行值班现场，值班负责人依据方案填制操作票。按常规倒闸操作进行。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">4.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">检修工作过程中确须扩大工作范围，必须履行新的工作许可手续，检修工作负责人绝对不可擅自扩大工作范围。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">5.</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">加强职工的安全教育培训，提高责任心，安排工作要合理并保证其连续性。<span lang="EN-US"><p></p></span></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">6.#3</span><span style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';">发电机出口开关的主闸刀是谁合的，通过此事要立即落实：“四个凡事”（凡事有章可循、凡事有人负责、凡事有据可查，凡事有人监督），杜绝人为责任性事故的发生。<span lang="EN-US"><span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: blue; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><a href="http://www.safe1860.com/post.asp?action=new&boardid=41#_top"><span lang="EN-US" style="COLOR: purple;"><span lang="EN-US">返回目录</span></span></a></span><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 26.9pt; tab-stops: 63.8pt 109.6pt 155.4pt 201.2pt 247.0pt 292.8pt 338.6pt 384.4pt 430.2pt 476.0pt 521.8pt 567.6pt 613.4pt 659.2pt 705.0pt 750.8pt; mso-char-indent-count: 1.92; mso-line-height-alt: 12.0pt; mso-layout-grid-align: none;"><span lang="EN-US" style="FONT-SIZE: 14pt; COLOR: black; FONT-FAMILY: 宋体; mso-font-kerning: 0pt; mso-hansi-font-family: 'Times New Roman';"><p></p></span></p>

vivi

[em44]

ysr88

为李毅中局长分担一点，为自己生活改善一点，为劳动人民保重身体奉献一点