The Ministry of Emergency Management notified the "April 15" major fire and poisoning accident

Announcement of the General Office of the Emergency Management Department on the "4·15" Major Fire Poisoning Incident of Shandong Jinan Qilutianhe Huishi Pharmaceutical Co.
, Ltd.
Emergency Department [2019] No.
44Emergency Management Departments (bureaus) of all provinces, autonomous regions and municipalities directly under the Central Government, Xinjiang Production and Construction Corps Emergency Management Bureau, relevant central enterprises: At about15:37 on April 15, 2019, Qilutianhe Huishi Pharmaceutical Co.
, Ltd.
, located in Licheng District, Jinan City, Shandong Province, tested the refrigerant water (B) in the basement of the freeze-dried powder injection production workshop.
Diol solution) A major accident occurred during the renovation of the system pipeline, causing 10 deaths and 12 minor injuries.
After preliminary investigation and analysis, the direct cause of the accident was that the contractor Xinbang Construction Group Co.
, Ltd.
ignited the refrigerant corrosion inhibitor (inflammable solid, belonging to Hazardous chemicals must be stored away from fire sources), and toxic fumes such as nitrogen oxides are generated during combustion, causing deaths and injuries to personnel on site.
The detailed cause of the accident is under further investigation.
The accident exposed the company’s weak safety awareness, failed to learn lessons from similar accidents, out-of-control management of fires and access to restricted spaces, inadequate management of contractors, severely inadequate emergency response capabilities, and lack of understanding of the hazardous characteristics of the chemicals used.
.
The company has experienced many safety accidents in recent years, exposing outstanding issues such as confusion in corporate safety management, hot fires in local regulatory agencies, inadequate special rectification of safety in restricted spaces, and inadequate safety supervision.
  The accident occurred during the period when the country deeply learned the lessons of the "3·21" special major explosion accident of Tianjiayi Company, Jiangsu Xiangshui, further strengthened the safety production of chemical and hazardous chemicals, and the special inspection of hazardous chemicals by the State Council Security Committee.
Widespread concern, heavy casualties, and extremely bad effects.
After the accident, the leading comrades of the Party Central Committee and the State Council attached great importance to it and issued important instructions, demanding that all efforts be made to deal with the accident and the wounded, as soon as possible to find out the cause, and to be held accountable.
It is necessary to further strengthen the safety production supervision of chemical and pharmaceutical enterprises to prevent accidents.
In order to draw lessons from accidents, draw inferences from others, strengthen risk management and hidden danger investigation and governance, effectively implement the main responsibility of enterprise safety production, further strengthen the safety production of hazardous chemicals, and resolutely prevent and contain major accidents, the following work requirements are hereby proposed:  1.
Earnestly implement the spirit of General Secretary Jinping’s important instructions, and resolutely prevent and resolve major safety risks.
  All regions and related companies must earnestly implement the spirit of General Secretary Jinping’s important instructions on safe production of hazardous chemicals, and implement the decisions and deployments of the Party Central Committee and the State Council.
, Strengthen and improve political positions, firmly establish the "four awareness", resolutely achieve the "two maintenance", attach great importance to the extreme importance of the safe production of hazardous chemicals, and have a deep understanding of the existing systemic risks and the severe situation facing them.
Thoroughly investigate the existing basic systemic root cause bottlenecks, deeply learn from accidents, concentrate on making great determination, take decisive and effective measures, further strengthen the political requirements for implementation, firmly grasp the implementation attitude, and enhance the professionalism of implementation Ability, strengthen the work style of implementation, resolutely prevent and dissolve major hazards of hazardous chemicals, high-consequence areas of oil and gas pipelines, special operations such as hot fires and access to restricted spaces, inspection and maintenance operations and other major safety risks, and effectively prevent the occurrence of major accidents , Resolutely curb the trend of frequent accidents.
  2.
Effectively strengthen the safety management of special operations such as hot fires and entry into restricted spaces.
  Chemical and hazardous chemicals production and operation enterprises must fully understand the major safety risks of entering restricted spaces and hot fires and other special operations, and strictly follow the "Chemical Production Units" Special Operation Safety Regulations (GB30871-2014) require that the safety management system is improved and perfected, risk identification and control are strengthened, operation procedure confirmation and operation permit approval are strictly enforced, the number of on-site operations must be strictly controlled, and on-site supervision shall be strengthened to ensure that each Safety requirements are put in place.
All regions shall continue to carry out special rectification of special operation safety, organize and carry out special operation safety inspections such as hot fires, entering restricted spaces, and other special operation safety inspections.
Enterprises that find violations of laws and regulations shall be severely punished in accordance with the law.
  3.
Strict safety management of contractors  Relevant enterprises shall incorporate contractors into their own safety management, establish a sound contractor management system, and strictly review contractors' qualifications; conduct strict entry safety education and training for contractor operators, and those who fail the training should not enter the factory for operations.
Before the contractor works, the owner unit shall strictly review the contractor’s construction plan, provide on-site safety clarifications to the contractor’s operators, inform in detail the safety risks in the working environment, prevention and control measures, emergency measures, etc.
, and strengthen the cleanup and process of combustible materials on the construction site Supervise, arrange personnel with monitoring ability to be responsible for on-site monitoring of the whole process of operation.
  4.
Conscientiously implement the "One Book, One Sign" requirement that   all relevant companies should fully understand the importance of "One Book, One Sign" (chemical safety technical specifications and safety labels).
Manufacturers must strictly comply with the relevant laws and regulations, strictly chemical packaging requirements, and provide “one book, one signature” that is consistent with the chemicals they produce and meets the requirements of national standards to ensure that downstream users are provided with packaging requirements and accurate chemical safety.
information.
The user company must carefully compare the chemical safety technical specifications, identify the risks, train the relevant operators to ensure that they have a detailed understanding of the physical and chemical properties and hazardous characteristics of the chemicals, and store and use them in strict accordance with the requirements.
All regions should increase the supervision and inspection of the implementation of the “one book, one signature” requirement for relevant enterprises, and strictly comply with laws and regulations in the event of failure to provide or provide information that is inconsistent with the chemicals produced, or even deliberately conceal information on chemical hazards.
Strictly investigate and deal with regulations.
  5.
Deeply carry out the centralized investigation and remediation   of
hidden dangers of hazardous chemicals.
All regions and related enterprises must deeply learn from the lessons of the "3.
21" special major accident of Jiangsu Xiangshui Tianjiayi Chemical Company, and earnestly implement the Office of the State Council Security Committee and the Emergency Management Department.
The video conference on further strengthening of safety precautions held on the 27th requested that experts be organized to re-"screen" explosive, flammable, and highly toxic and hazardous chemical companies, and strictly enforce the inspection and punishment.
If the standard requirements are not met, the production should be stopped.
Production must be stopped, production reductions must be reduced, and shutdowns must be submitted for closure.
In order to educate the main persons in charge and management teams of hazardous chemicals enterprises on safety and legal system one by one, they must be on the job, watch hard, strictly implement the duty-replacement system for leading cadres, strictly implement the main responsibility of the enterprise, and continuously improve the level of safe production.

  6.
Deepen the implementation of source governance, comprehensive governance and precise governance  All regions must closely rely on the party committee, government and all sectors of society to implement hierarchical and classified management and control of hazardous chemical companies in accordance with "red, orange, yellow, and blue".
It is necessary to strictly control and control those who do not understand, dishonest and violate laws and regulations to continue to set up factories and enterprises, and participate in business management.
For those who have no technical strength and no professional management team, we must resolutely stop.
It is necessary to give full play to the coordination and promotion role of the Safety Committee, promote the practical implementation of the "three must" responsibilities proposed by General Secretary Jinping, and form a joint force for joint management.
It is necessary to make greater efforts to promote implementation, and resolutely correct the tendency of some localities and departments to stay on the surface, the implementation intensity is attenuated, and the work is not proactively implemented.
The work is not implemented, and the risk investigation is not serious, not thorough, and serious.
Hidden dangers are insensitive and unresolved for a long time, and irresponsible for the lives of the people.
They will hold on to them, be held accountable seriously, and will never tolerate them.
  Please promptly convey this notice to local emergency management departments at all levels and relevant enterprises in your jurisdiction.
Office of the Emergency Management Department April 17, 2019