首页|基于DEMATEL-ISM-MICMAC法的黑色金属冶炼企业职业卫生风险因素研究

基于DEMATEL-ISM-MICMAC法的黑色金属冶炼企业职业卫生风险因素研究

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目的 分析黑色金属冶炼企业职业卫生风险因素间的逻辑关系、层级结构和属性特征,为进一步控制和降低职业卫生风险提供依据.方法 对2020-2022年广东省某大型钢铁生产企业职业病危害因素检测与评价报告、职业卫生监督检查记录和同行业职业病危害事故调查报告涉及的职业卫生风险因素进行三级编码提取,运用决策实验室分析法(decision-making trial and evaluation laboratory,DEMATEL)定量分析各风险因素之间的关联特征,应用解释结构模型(interpretative structural modeling method,ISM)分析风险因素的层级特征并建立多层结构模型,结合交叉影响矩阵相乘法(matrices impacts croises-multiplication appliance classement,MICMAC)分析风险因素的属性特征.结果 确定21个黑色金属冶炼企业职业卫生风险因素,9个风险因素原因度<0,为原因因素,其余为结果因素.职业卫生风险因素从上到下划分为6层,其中职业卫生管理机构缺陷、法规政策不健全、行政监管不到位、职业卫生培训不足是影响黑色金属冶炼企业职业卫生风险的根源因素,也是驱动力最强的因素.职业健康素养不高、产害点位浓(强)度超标、有害物质意外泄漏、职业禁忌证未调离是黑色金属冶炼企业发生职业危害事故的直接因素.结论 黑色金属冶炼企业的职业危害事故是由一个6层21个风险因素构成的复杂系统共同作用的结果.应优先控制可能导致职业危害事故的直接因素,同时确保间接因素的正向传递,阻断负向传递,对中心度和驱动力较高的关键根源因素应给予高度重视.
Study on occupational health risk factors in ferrous metal smelting enterprises based on DEMATEL-ISM-MICMAC
Objective To analyze the logical relationship,hierarchical structure and attribute characteristics of occupational health risk factors in ferrous metal smelting enterprises,and to provide basis for further control and reduction of occupational health risk.Methods Three level coding extraction was performed on the occupational health risk factors involved in the detection and evaluation report of occupational health hazard factors,the occupational health supervision and inspection record and the occupational disease hazard accident investigation report in a large iron and steel production enterprise in Guangdong Province from 2020 to 2022.Decision-making trial and evaluation laboratory(DEMATEL)was used to quantitatively analyze the correlation characteristics among various risk factors.Interpretative structural modeling method(ISM)was applied to analyze the hierarchical characteristics of risk factors and establish a multi-layer structural model.Attribute characteristics of risk factors were analyzed using matrices impacts croises-multiplication appliance classement(MICMAC).Results Totally 21 occupational health risk factors in ferrous metal smelting enterprises were identified,9 risk factors were cause factors,with cause degree<0,and the rest were result factors.Occupational health risk factors were divided into 6 levels from top to bottom.Among them,the defects of occupational health management institutions,imperfect laws and regulations,inadequate administrative supervision,and insufficient occupational health training were the root factors affecting the occupational health risk of ferrous metal smelting enterprises,and they were also the strongest driving factors.The direct factors of occupational hazard accidents in ferrous metal smelting enterprises were low occupational health literacy,excessive concentration(strength)of harmful substances,accidental leakage of harmful substances,and failure to transfer occupational contraindications.Conclusion The occupational hazard accidents in ferrous metal smelting enterprises are the result of a complex system composed of 6 layers and 21 risk factors.Priority should be given to controlling the direct factors that may lead to occupational hazard accidents,while ensuring the positive transmission of indirect factors and blocking the negative transmission.Great attention should be paid to the key root factors with high centrality and driving force.

Ferrous metal smeltingOccupational health riskDecision-making trial and evaluation laboratoryInterpretative structural modeling method

王陆阳、赵旭鹏、张晓军、毕明丽、王晓舜、丁晓文

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北京市化工职业病防治院 职业健康研究所,北京 100093

北京市化工职业病防治院 职业卫生室,北京 100093

黑色金属冶炼 职业卫生风险 决策实验室分析 解释结构模型

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(21)