2016NIAN11YUE3RI16SHI30FEN，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIXIASHUDIANLIGONGSI2MINGZHIGONGZAIJINGHUAZUOYEQUCHUCHENGANGWEI2#DIANBUQINEIJIANXIUZUOYESHI，FASHENGYIQIZHONGDUHEZHIXISHIGU，ZAOCHENGYIRENSIWANG，YIRENSHOUSHANG。
一、事故單位基本情況
JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICHENGLIYU1999NIAN12YUE29RI，SHIGANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIZIGONGSI，CHIYOU《ANQUANSHENGCHANXUKEZHENG》（BIANHAO：GANWHANXUZHENGZI（0478）HAO），ZHUYAOFUZERENHEGUANLIRENYUANANQUANZIGEQIQUAN，DANWEIDIZHI：JINCHANGSHIYONGCHANGXIANHEXIBAOZHENHEYALU173HAO，JINGJILEIXING：YOUXIANZERENGONGSI。2015NIAN1YUEFENKAISHIDULIYUNYING。XIANYOUZHIGONG820REN，SHEZHIXINGMEI、ZAOQI、JINGHUA、HECHENG、GUOLU、LIANJIANLIUGESHENGCHANZUOYEQUHEDIANLI、YIBIAOLIANGGEZHUANYEHUAGONGSI。ZHUYAOSHENGCHANYEAN、CHUNJIAN、NONGYONGLVHUAAN、TANSUANQINGAN。SHIGUFASHENGSHIGAIQIYECHUYUTINGCHANJIANXIUZHUANGTAI。
二、事故經過和搶救過程
（一）事故發生經過
11YUE3RIXIAWU15SHIZUOYOU，CHENTONGMING、LIUXINGLIANG、WANGYONGGANG、ZHANGZHITAODENGRENZAIDIANLIGONGSIANQUJIANXIUGONGDUANXIUXI，FUGONGCHANGZHANGZHITAOJIEDAOGONGCHANGZHAOXUDEDIANHUA，DIANHUAZHONGANPAICHENTONGMINGHELIUXINGLIANGQUJIANXIUCHUCHENGANGWEI2#DIANBUQI，BINGDAOCAOZUOSHILINGQU《SHOUXIANKONGJIANZUOYEHEZHUNZHENG》，ZHANGZHITAOXIANGCHENTONGMINGHELIUXINGLIANGCHUANDALEZHAOXUDEDEGONGZUOANPAI。15SHI40ZUOYOU，CHENTONGMINGHELIUXINGLIANGDAIGONGJUQU2#DIANBUQIJIANXIU，ZAICAOZUOSHIWEIJIANDAOBANLI《SHOUXIANKONGJIANZUOYEHEZHUNZHENG》DEREN，BIANJINXINGLEDUANDIANQUEREN。CHENTONGMINGDIANHUAXIANGGONGCHANGZHAOXUDEQUERENWEIXIUGANGWEIHOU，SHANGDAO2#DIANBUQITATAI，DAKAIDIBURENKONG，GUANCHAGUZHANGWEIZHIHOU，YOUPADAOSHANGBUPINGTAI，DAKAISHANGBUDERENKONGJINXINGTONGFENG。GUOLEYIHUI，LIUXINGLIANGZAISHANGBURENKONGGUANCHAHOUSHUO“KEYILE”。LIUXINGLIANGTONGGUOSHANGBURENKONGJINRU2#DIANBUQI，CHENTONGMINGBATOUYESHENJINDIANBUQIZHUNBEIJINRU，LIUXINGLIANGZAILIMIANSHUO“BUXING”，CHENTONGMINGJIUYONGSHOULALIUXINGLIANG，ZAILADEGUOCHENGZHONGCHENTONGMINGHUNDAO。CHENTONGMINGXINGLAIHOU，FAXIANZIJIYANGMIANTANGZAIPINGTAISHANG，YONGSHOUJIGEIGONGCHANGZHAOXUDEDADIANHUASHUO：“WOHELIUXINGLIANGBEIMEIQIDALE，KUAILAI”。CHENTONGMINGPAQILAIKANDAOLIUXINGLIANGHUANZAIDIANBUQILI，YOUSHENSHOUQULATA，ZAILADEGUOCHENGZHONGZAICIHUNDAO。
（二）搶救過程
16SHI30FENZUOYOU，ZHAOXUDEJIEDAOCHENTONGMINGQIUJIUDIANHUAHOU，DAIZHANGMINGYI、ZHANGZHITAODENGRENGANWANGSHIFADIDIAN，TONGSHIDIANHUATONGZHIZHANGDEZHISHANGTAJIUREN。ZHANGDEZHIDIYIGEDAODASHIGUXIANCHANG，JIANDAOCHENTONGMINGSHOUBARENKONG，SHENTIFARUAN，HUXIBUSHUNCHANG，LIMIANQITIXIANGWAICHONG，YOUFEICHANGCIBIDEWEIDAO，ZHANGDEZHIBAIKAICHENTONGMINGDESHOUBINGBATALADAOTONGFENGCHU。KANDAOLIUXINGLIANGZAIDIANBUQILILIRENKONGBUYUANCHU，MIANCHAOSHANGTANGZHU，JIUYONGSHOUXIANBATADETUILACHULAI，ZHESHIDIANLIGONGSIDERENDAODAXIANCHANG，HELIJIANGLIUXINGLIANGJIUCHU。16SHI40FENZUOYOU，ZHAOXUDEDAOTAXIAQULAIYANGQIGUANGEICHENTONGMINGHELIUXINGLIANGXIYANG，BINGLUNHUANZUORENGONGHUXIHEXIONGYADETONGSHI，DIANHUAHUJIAOLE120JIJIUCHE。120JIJIUCHEDAODAHOU，XIANHOUJIANGCHENTONGMINGHELIUXINGLIANGSONGWANGJINCHANGSHIDIYIRENMINYIYUANJIUZHI，LIUXINGLIANGQIANGJIUWUXIAOSIWANG。
三、事故發生時間
2016NIAN11YUE3RI16SHI30FEN。
四、事故發生地點
JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICHUCHENGANGWEI2#DIANBUQI。
五、事故類別：
ZHONGDUHEZHIXI
六、事故傷亡人員情況
SHIGUZAOCHENGLIUXINGLIANGSIWANG，CHENTONGMINGSHOUSHANG。LIUXINGLIANG，NAN，HANZU，SHENFENZHENGHAOWEIxxx，JIATINGZHUZHI：GANSUSHENGYONGCHANGXIANHEXIBAOZHENSIMENCUNWUSHE030HAO。CHENTONGMING，NAN，HANZU，SHENFENZHENGHAOWEIxxx，JIATINGZHUZHI：GANSUSHENGYONGCHANGXIANHEXIBAOZHENHEYALUJINHUAXICUN19DONG101HAO。
七、事故直接經濟損失
95WANYUAN
八、事故性質
SHENGCHANANQUANZERENSHIGU
九、事故原因分析
（一）直接原因
JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDUIZHENGGEMEIQIXITONGJINXINGLEDUOXINGQITIHEKONGQIZHIHUANHOU，GEXITONGJINRUQUANMIANJIANXIUJIEDUAN，DINGBUFANGKONGFAWEIDAKAIGUO，YOUYUDIANBUQIGAOYUMEIQIJUHELUOCIFENGJIJINCHUKOUGUANDAO，BIKONGQIQINGDEMEIQIJUJIZAITADING，SUIZHUSHIJIANDETUIYI，DIANBUQINEIFUJILEDALIANGMEIQI。DIANBUQICHUYUGONGYIDEGAOWEI，JINCHUKOUGUANDAOZHIJINGCU、GUANDAOCHANG、WANTOUDUO、GAODIQIFU，GUANDAONEICANLIUDEMEIQI，SUIZHU3#LUOCIFENGJIRUKOUGUANDAOGENGHUANSHIGONG，QITILIUDONGHOU，LUXUYOUFUJIDAODIANBUQINEI，ZAOCHENGDINGBUMEIQIJUJI。
LIUXINGLIANG、CHENTONGMINGZAIWEIJINGXUKE，WEICAIQURENHEGERENANQUANFANGHUCUOSHI，WEIBANLIRENHEZUOYESHOUXU，MINGZHI2#DIANBUQISHIMEIQIJINGHUACHUCHENSHEBEI，SHUYUSHOUXIANKONGJIANZUOYE，CUNZAIMEIQIFUJIWEIXIANDEQINGKUANGXIA，WEIZHANGMAOXIANJINRU2#DIANBUQINEIZUOYE。
ZONGSHANGSUOSHU，DUISHOUXIANKONGJIANNEIMEIQIZHIHUANBUCHEDI，YUANGONGWEIZHANGMAOXIANZUOYE，SHIDAOZHISHIGUFASHENGDEZHIJIEYUANYIN。
（二）間接原因
1.JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIANQUANSHENGCHANZHUTIZERENLUOSHIBUDAOWEI，ANQUANGUANLIHUNLUAN，DUIXIGUANXINGWEIZHANGMAOXIANZUOYESHIERBUJIAN，SHIDAOZHICICISHIGUFASHENGDEZHUYAOYUANYIN。
2.JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIWEIYANGELUOSHI《YOUXIANKONGJIANANQUANZUOYEWUTIAOGUIDING》DENGGUIZHANGZHIDU。TEZHONGZUOYERENYUANWEIJINGPEIXUN，WEIQUDEXIANGGUANZUOYEZHENGDEQINGKUANGXIAJINXINGTEZHONGZUOYE；ZAIWEISHENPI、WEIPEIBEIGERENFANGZHONGDUZHIXIDENGFANGHUZHUANGBEI、XIANCHANGWEIPEIBEIYINGJIZHUANGBEIDEQINGKUANGXIASHANZIJINRUYOUXIANKONGJIANZUOYE，SHIDAOZHICICISHIGUFASHENGDEZHONGYAOYUANYIN。
3.GANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIDUIXIASHUZIGONGSIGUANLIBUDAOWEI，DUIANQUANSHENGCHANGONGZUOZHONGSHICHENGDUBUGOU，ZAIXIASHUHAN10GEZIGONGSIDEQINGKUANGXIA，ZHIPEIBEI2MINGANQUANGUANLIRENYUAN，QIEJIANRENJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIANQUANGUANLIRENYUAN，WUFABAOZHANGDUIQUANGONGSIANQUANGONGZUODEYOUXIAOGUANLI，SHIDAOZHICICISHIGUFASHENGDEYOUYIZHONGYAOYUANYIN。
十、事故責任認定及處理建議
1.LIUXINGLIANG、CHENTONGMINGZAIWEIJINGXUKE，WEICAIQURENHEGERENANQUANFANGHUCUOSHI，WEIBANLIRENHEZUOYESHOUXU，MINGZHI2#DIANBUQISHIMEIQIJINGHUACHUCHENSHEBEI，SHUYUSHOUXIANKONGJIANZUOYE，CUNZAIMEIQIFUJIWEIXIANDEQINGKUANGXIA，WEIZHANGMAOXIANJINRU2#DIANBUQINEIZUOYE，DUICICISHIGUDEFASHENGFUYOUZHUYAOZEREN。JIANYULIUXINGLIANGZAISHIGUZHONGSIWANG，MIANYUZERENZHUIJIU，JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDUICHENTONGMINGDIAOZHENGGONGZUOGANGWEI。
2.ZHANGDEZHI，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIJINGHUAZUOYEQUGANGCHANG，ZAIDEDAODANGTIANXIAWU2#DIANBUQIJINXINGWEIXIUDEQINGKUANGXIA，ZHUNBEIGONGZUOBUCHONGFEN，FENGXIANYUPANBUGOU，DUICICISHIGUDEFASHENGFUYOUZHONGYAOZEREN。JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICANZHAO《ANQUANSHENGCHANLINGYUWEIFAWEIJIXINGWEIZHENGJICHUFENZANXINGGUIDING》GEIYUCHEZHICHUFEN。
3.ZHAOXUDE，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDIANLIGONGSIGONGCHANG，ANQUANGUANLIBUDAOWEI，DUIXIGUANXINGWEIZHANGMAOXIANZUOYESHIERBUJIAN，ANPAIWEIJINGGUOZHENGGUIPEIXUN，WEIQUDEXIANGGUANZUOYEZHENGRENYUANCONGSHITEZHONGZUOYE，DUICICISHIGUDEFASHENGFUYOUZHIJIELINGDAOZEREN。JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICANZHAO《ANQUANSHENGCHANLINGYUWEIFAWEIJIXINGWEIZHENGJICHUFENZANXINGGUIDING》GEIYUXINGZHENGJIDAGUOCHUFEN。
4.ZHANGZHITAO，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDIANLIGONGSIFUGONGCHANG，ANPAIBUJUBEIZIZHIDIANGONGJINRUSHOUXIANKONGJIANZUOYE，ANQUANQUERENBUDAOWEI，FENGXIANSHIBIENENGLIBUQIANG，DUICICISHIGUDEFASHENGFUYOUZHIJIELINGDAOZEREN。JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICANZHAO《ANQUANSHENGCHANLINGYUWEIFAWEIJIXINGWEIZHENGJICHUFENZANXINGGUIDING》GEIYUXINGZHENGJIGUOCHUFEN。
5.LUYONGQIANG，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIJINGHUAZUOYEQUJINGLIJIANSHUJI，DUIZHENGGEMEIQIXITONGJINXINGLEDUOXINGQITIHEKONGQIZHIHUANHOU，WEIJINXINGJUBUSHOUXIANKONGJIANMEIQIZHIHUAN，YEWEIQUYANGFENXI，DUICICISHIGUDEFASHENGFUYOUZHUYAOLINGDAOZEREN。JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICANZHAO《ANQUANSHENGCHANLINGYUWEIFAWEIJIXINGWEIZHENGJICHUFENZANXINGGUIDING》GEIYUXINGZHENGCHEZHICHUFEN。
6.CHENMIAN，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDIANLIGONGSIJINGLI，ANQUANGUANLIHUNLUAN，DUIXIGUANXINGWEIZHANGMAOXIANZUOYESHIERBUJIAN，DUICICISHIGUDEFASHENGFUYOUZHUYAOLINGDAOZEREN。JIANYIJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSICANZHAO《ANQUANSHENGCHANLINGYUWEIFAWEIJIXINGWEIZHENGJICHUFENZANXINGGUIDING》GEIYUXINGZHENGJINGGAOCHUFEN。
7.DUDEHAI，JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIDONGSHICHANG，ZHUTIZERENLUOSHIBUDAOWEI，DUICICISHIGUDEFASHENGFUYOUZHONGYAOLINGDAOZEREN。JIANYIYIJU《ZHONGHUARENMINGONGHEGUOANQUANSHENGCHANFA》DIJIUSHIERTIAOZHIGUIDING，CHUSHANGNIANDUNIANSHOURU30%DEXINGZHENGCHUFA。
8.GANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIDUIXIASHUZIGONGSIANQUANGUANLIBUDAOWEI，DUIANQUANSHENGCHANGONGZUOZHONGSHICHENGDUBUGOU，ZAIXIASHUHAN10GEZIGONGSIDEQINGKUANGXIA，ZHIPEIBEI2MINGANQUANGUANLIRENYUAN，QIEJIANRENJINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIANQUANGUANLIRENYUAN，WUFABAOZHANGDUIQUANGONGSIANQUANGONGZUODEYOUXIAOGUANLI，DUICICISHIGUDEFASHENGFUYOUZHONGYAOLINGDAOZEREN。JIANYIGANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIXIANGSHIZHENGFUZUOCHUSHUMIANJIANCHA。
9.JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIWEICICISHIGUDEZERENDANWEI。YIZHAO《ZHONGHUARENGONGHEGUOANQUANSHENGCHANFA》DIYIBAILINGJIUTIAOGUIDING，JIANYIGEIYUXINGZHENGCHUFA25WANYUAN。
十一、事故防范措施
1.GANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIYAOJIAQIANGDUIXIASHUZIGONGSIDEANQUANGUANLI，PEIQIANGANQUANGUANLIRENYUAN，TISHENGGUANLINENGLI，DUCUXIASHUZIGONGSIPEIBEIHELIDEYINGJIJIUYUANZHUANGBEI。
2.GANSUJINCHANGHUAXUEGONGYEJITUANYOUXIANGONGSIYAODUCUXIASHUDANWEIRENZHENGUANCHELUOSHIGUOJIAFALVFAGUIJISHENGWEISHENGZHENGFU、SHIWEISHIZHENGFUGUANYUANQUANSHENGCHANGONGZUOXIANGGUANGUIDINGHEYAOQIU，YANGELUOSHIQIYEANQUANSHENGCHANZHUTIZEREN，CUJINGONGSIANQUANSHENGCHANXINGSHIZHENGTIHAOZHUAN。
3.JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIYAOYANGELUOSHI《YOUXIANKONGJIANANQUANZUOYEWUTIAOGUIDING》DENGGUIZHANGZHIDU，PEIBEIHELIDEYINGJIJIUYUANZHUANGBEI，DUJUEBUKEXUEDEJIUYUANXINGDONG。
4.JINCHANGBENMANONGYONGHUAGONGGUFENYOUXIANGONGSIYAOJISHIXIUDINGANQUANSHENGCHANZERENZHI，JIAQIANGDUIYUANGONGDEJIAOYUPEIXUN，DUJUEWUZHENGSHANGGANG。