危險化學(xué)品重大危險源深度檢查表格附依據(jù)（全套）參考模板范本

檢查項(xiàng),實(shí)得分,可能得分,得分率

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1安全基礎(chǔ)管理安全風(fēng)險隱患排查表,,,

（一）安全領(lǐng)導(dǎo)能力,0,95,0.0%

（二）安全生產(chǎn)責(zé)任制,0,20,0.0%

（三）安全教育和崗位操作技能培訓(xùn),0,20,0.0%

（四）安全生產(chǎn)信息管理,0,55,0.0%

（五）安全風(fēng)險管理,0,30,0.0%

（六）變更管理,0,10,0.0%

（七）作業(yè)安全管理,0,30,0.0%

（八）承包商管理,0,20,0.0%

（九）安全事故事件管理,0,10,0.0%

（十）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,290,0.0%

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2設(shè)計與總圖安全風(fēng)險隱患排查表,,,

（一）設(shè)計管理,0,40,0.0%

（二）總圖布局,0,90,0.0%

3試生產(chǎn)管理安全風(fēng)險隱患排查表,,,

試生產(chǎn)管理,0,20,0.0%

(七)檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,150,0.0%

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4裝置運(yùn)行安全風(fēng)險隱患排查表,,,

（一）工藝風(fēng)險評估,0,15,0.0%

（二）操作規(guī)程與工藝卡片,0,20,0.0%

（三）工藝技術(shù)及工藝裝置的安全控制,0,65,0.0%

（四）工藝運(yùn)行管理,0,20,0.0%

（五）現(xiàn)場工藝安全,0,35,0.0%

（六）開停車管理,0,10,0.0%

（七）儲運(yùn)系統(tǒng)安全設(shè)施,0,85,0.0%

（八）危險化學(xué)品倉儲管理,0,45,0.0%

（九）重大危險源的安全控制,0,35,0.0%

（九）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,330,0.0%

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5設(shè)備安全風(fēng)險隱患排查表,,,

（一）設(shè)備設(shè)施管理體系的建立與執(zhí)行,0,40,0.0%

（二）設(shè)備的預(yù)防性維修和檢測,0,55,0.0%

（三）動設(shè)備的管理和運(yùn)行狀況,0,25,0.0%

（四）靜設(shè)備的管理,0,35,0.0%

（五）安全附件的管理,0,30,0.0%

（六）設(shè)備拆除和報廢,0,10,0.0%

（七）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,195,0.0%

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6儀表安全風(fēng)險隱患排查表,,,

（一）儀表安全管理,0,30,0.0%

（三）儀表系統(tǒng)設(shè)置,0,15,0.0%

（三）儀表系統(tǒng)設(shè)置,0,45,0.0%

（四）氣體檢測報警管理,0,25,0.0%

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7電氣安全風(fēng)險隱患排查表,,,

（一）電氣安全管理,0,10,0.0%

（二）供配電系統(tǒng)設(shè)置及電氣設(shè)備設(shè)施,0,20,0.0%

（三）防雷、防靜電設(shè)施,0,40,0.0%

（四）現(xiàn)場安全,0,20,0.0%

（五）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,205,0.0%

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8應(yīng)急與消防安全風(fēng)險隱患排查表,,,

（一）應(yīng)急管理,0,45,0.0%

（二）應(yīng)急器材和設(shè)施,0,35,0.0%

（三）消防安全,0,70,0.0%

（四）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,150,0.0%

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9重點(diǎn)危險化學(xué)品特殊管控安全風(fēng)險隱患排查表,,,

（一）液化烴,0,85,0.0%

（二）液氨,0,35,0.0%

（三）液氯,0,125,0.0%

（四）硝酸銨,0,50,0.0%

（五）光氣,0,55,0.0%

（六）氯乙烯,0,70,0.0%

（七）硝化工藝,0,40,0.0%

（八）檢查中發(fā)現(xiàn)的其他問題,0,/,/

小計,0,460,0.0%

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10重大危險源辨識分級評估排查表,,,