基于鱼刺图的自动扶梯“吃人”事故分析——以荆州“7·26”电梯“吃人”事故为实证

Analysis of Escalator Death Accident Based on Fishbone Diagram——A Case Study on the“7·26”Escalator Accident

利用鱼刺图法,从环境、设备、人员、管理四大方面揭示出自动扶梯伤人事故的原因,并通过湖北荆州某商场"7·26"自动扶梯"吃人"事故案例分析,论证了利用鱼刺图法进行自动扶梯伤人事故分析所得结论的正确性,最后从加强安全教育、管理体系建设、管理制度落实三大方面提出了防止自动扶梯伤人事故发生的建议。

Based on fishbone diagram,this paper reveals the causes of escalator injury accidents from four as- pects of environment, device, human and management. Then the paper demonstrates the conclusions ob- tained from fishbone diagram by a case study of the ＂7 ·26＂ escalator death accident in a shopping mall in Jinzhou, Hubei province. Finally, the paper gives some suggestions on preventing escalator injury accidents from three aspects including social safety education strengthening,management system construction and management system implementation.