隧道安全风险评估表

隧道安全风险评估

历史记录TunnelHistory

编号No.:项目和问82TopicAndQuestions评价Comments

现有隧道的历史情况

1

Existingtunnelconditions?

隧道是否有可燃、有毒气体环境的历史记录TDoesthe

1.1.1tunnelhaveahistoryoffhimnableortoxicgas无

environment?

隧遒是否浮现过好塌？Doesthetunnelhaveahistoryof

1.1.2无

collapac?

隧道是否有溶洞/人为孔洞的历史记录？Doesthetunnel

1.1.3无

haveahistoryofkarstic/nianmadevoids?

隧道是否浮现过突水？Doesthetunnelhaveahistoryof

1.1.4无

suddenwaterinflow?

安全评估TunnelSafetyEvaluation

检查和评估程序InspectionandEvaluationProcedures

隧道/位置:Tunnel/Location:

日期:Date:

检查人员:Inspector:

漏号评估项目EvaluationTopic评价质量权或Weighting

息权出ActualOveral1

No.:评估问题EvaluationQuestionsComments评级1-3

安全管理体系

1

SafetyManagementSystemTBD43

1.1安全管理体系要求Safetymanagementsyste«requirements

AA

1.1.1有无安全管理体系？Doesasafetymanageaenlsystemexist?B39

C

A

作为质At管理体系一部份的安全管理体系是否得到贯彻执行？

1.1.2Asapartofthequalitymanngementsysten.isthesafetyA39

B

ttingementsystem

C

所

是否A

frfiftr

都

人

现场相关人员是否能安得安全笆理体系的资料？员

Arethe播木

个A

1.1.3以3

战B

的

documentsofthesafetymangcmentsystcaavailableonsite?短

落fwJlr

d陷？C

ArealA

1.1.4现场是否设有安全工程师？Isasafetyengineeronsite?AB2

C

是否告知当地相关部门(公安、消防、医院.女监等单位)正在A

A

进行旗工？AreIhelocaliiulhorilies(police,fire

1.1.52

departBcnt,hospitals,sufeproductioninspectionB

depar(Bent)informedoftheongoingconstruction?C

紧急痂散计划是否与当地相关部门进行了协调？AretheA

1.1.6energencyevacuationplanscoordinatedththelocalBB2

authorities?C

2施工人员的安全WorkersSafety

个体防护装备/劳动保护用品(PPEJPersonalprotective

2.1

equipment(PPE)

A

是否所有施工人员都接受过个人标令安全培训？是否定期进A

2.1.1行?HaveallworkersreceivedcooprehcnsivepersonalB3

safetytraining?Isitconductedatregularintervals?C

是否所有施工人员都配得/佩贼个体防护装缶,包括防护眼镜、防A

B

尘口罩、耳寤、便携式手提灯或者的灯？Aieallworkers

2.1.23

inposession/wearingPPE,includingsafetyglasses,B

rkistmasks,earplugs,andportablehand.amporcapC

1fll1rle__________________________________________________

2.1.3A1

9

6

6

4

64

9

6

workersfaailiarwiththeriskofnotwearingPPE?AB3

C

应急培训和程序,包括诚敢计划Emergencytraining,

2.2

procedures,includingevacuationplans

是否所行族工人员都可获得准备好的自救呼吸装两？DoallAA

2.2.1workershaveselfrescuingbreathingequipmentreadilyB26

accessibleforeachworker?C

是否已进行了紧急疏散演习？上次演练是什么时候？HaveA

2.2.2aiergencyevacuationexercisesbeencarriedout?Whenwa.BB24

thelasttraining?C

急救箱的数量是否足好？急救箱的位置是否适当在隧道的所有A

B

二作区都易获得使用？Istheamountandlocationoffirstaid

2.2.3B36

kitssufficientandaretheyreadilyaccessibleinall

workingareasofthetunnel?C

A

有无紧急疏敌救援计划？Doesanemergencyevacuationand

2.2.4AB39

rescueplanexist?

C

隹工人员紧急集合点及说散线路有无标识？Are枚*“A

2.2.5emergencygatheringpointsandevacuationrouteAB26

identified?C

2.3安全工程师SafetyEngineer

BA

是否向来有安全工程师在场？Isasafetyengineerpresentat

2.3.1B36

alltimes?

C

是否所有施工人员都能认出安全工程师，都能与安全工程师取得AA

2.3.22

联系？Canal1workersidentifyandcontactthesafetyB9

engineer?C

3隧道现场安全控制程序TunnelSiteSafetyControlProcedures193

3.1答到/登记离开程序Check-in/check-oulprocedures

所有族工人仍必须在隧道进口的签到板上签到/肾记离开(•个签

A

到标签放在签到板上.，另一个由施工人员持有)。AllworkersA

3.1.1nustcheck-in/check-outattheboardatthetunnelB39

aitrance.(Onesign-intagisplacedonthetoard,theother

C

remainswiththeworker)

隧道内出工的临工人员数量是否正瑜？IsthenumberofA

3.1.2voi-kersonthesign-inboardandinthetunnelrepresentedAB26

correctly?C

A

安全工程师有无隧道内施工人M的名弟？Ooesthesafety

3.1.3BB12

engineerkeepalistofofworkersinthetunnel?

C

A

米班时是否有专人清点人数？Isaaancountperformedduring

3.1.4AB26

shiftchanges?

C

3.2进出控制Controlofaccessandegress

A

应急车辆是否能进入所有隧道进场区?Areniltunnelacces

AB26

areasaccessibleforemergencyvehicles?

C

是否能通过安全的人行道或者公路进入隧道内的所有能工区？A

A

3.2.2是否有足够可用的施工便道？Arcallworkingareasin

thetunnelaccessibleeitherbyproperlysecuredB26

or

roadways?Aresufficientaccesswaysavailable?C

定否所有未使用的孔洞包括滑道和人行卷道都被产空置芾、设附

A

隔板、拦网或者榭栏，并张贴警告标志，标明“切勿入内”或者

A

类似标语？Areal1unusedopenings,includingchutesnnd

3.2.3B26

■anMays»tiKhtlycovered,bulkheaded,barricaded,or

fencedoff,andpostedwithwarningsignsthatread.

C

“KeepOut*orsiroilar1nngunge?

洞口及沉降区的地面支护Groundsupportofportaland

3.3

subsidencearc^is

是否所有洞口及迸洞区域都有哲时支护、护栏、然墙、喷混或者

A

类似防护措施保证工作人员和设备能够安全进入这些区域？

A

Areallportalopeningsandaccessareasguardedby

3.3.1B26

shoring,fencing,headwalls,shotcretingorequivalent

protectiontoensurethatenployeesandequipmenthavea

C

safeaeanstoaccesstheseareas?

是否所有的沉降区都有利时支拧、设置了踣障和瞥示标志以防他A

人进入？ArealIsubsidenceareassimilarlyguardedby

3.3.2BB12

shoring,fillingin»orplacingburricadesandwarning

signstoprevententry?C

3.4地卜区域的地面支护Groundsupportofundergroundareas

是否所有开挖都即时设置临时支护，如喷混？A

TAreall3

3.4.1excavationsinmedialelysupportedbytemxjrarysupportAB9

i.e.shotcrete?C

现场是否有合格的专业人仍来决定实际的附岩类别？IsnA

3.4.2qualifiedprofessionalonsitetodetcininetheactualrock3

AB9

classifications?

C

A

开挖•个砧环的长度是否符合设计/实际条件？Istheexcavated

3.4.3BB36

roundlengthincompliancewiththedesign'actualconditions0

c

A

开挖面和内村之间的距肉是否符合设计/实际条件？IstheA

3.4.4cistancebetweentheexcavationfaceandinnerlininginB39

compliancewiththedesignstandards/actualconditions?C

己安装的结构支护是否符合现有岩层条件？IstheinstalledA

3.4.5structuralsupportcompliantwiththeexistinRrockAB39

conditions?C

A

测M布置是否符合设计？测/点位置、•测录频率和测M类型(收

A

致、沉降・,•.)Isthesurveylayoutincompliancewithth<

3.4.6B39

design?Locationofsurveypoints,frequencyofsurvey,and

typeofsurvey(convergence,settlements”)C

A

符步支护变形是否超过限(ft?审核测量人员的E录Havethe

3.4.7deformationsoftheinitialsupportexceededthethresholdBB36

values?Checksurveyor*sdocu»entationC

A

裸眼可见的变形、裂缝和漏水是否显示出潜在的危(wei)险条A

3.4.8B39

件？Arcdeforni<i(ion>cracks>leukdKevisiblewith(he

rekedeye,whichindicateapotentiallydangerous

C

itiryn')

A

3.4.9是否编制专门的超前地版预报方案？走否经过H.批？执行情况A3

如何？DoesaspecialadvancedgeologicalpredictionplanB9

exist?Isitapproved?Howistheiniplcmcnialion?

c

A

地质预报中是否显示有岩溶或者其他地下空隙和/或者地下水？

拉、记录类型/嫉率怎样？Doesthegeolocicalforecast

3.4.10BB36

indicatekarsticorotherundergroundvoidsand/orwater?

Whattype/frequencyofforceast,documentatioi?

C

A

支护措任、设备和材料是否及时到位以解决岩溶空隙问跑？Are

3.4.11supportBcasurcs,equipmentandmaterialsinplacetoAB26

imncdialelysecurekursticorothervoidproblcus?C

竖井的地而支护(如果行)Groundsupportofshafts(ifthere

3.5

isshaft)

A

竖井入口处是否有坚冏的护栏作为保障？Istheshaftentrance

3.5.1AB26

seeurndwithrnbnstjniardrails?

C

A

竖井梯是否设置安全？Aretheshaftladdersproperly

3.5.2AB26

secured?

C

A

足否安装广(临时/永久)结构支护？Isstructuralsupport2

3.5.3AB6

installed(temporary/permanent)?

C

3.6人行通道Walkways

人行通道是否安全?其标志是否到位？最小宽度1.0m.最小高度A

L8m;是否按规范每500m设置一个避车•洞.两侧交织设置？

B

Arewalkwayssecuredandispropersigi-egeinplace?

3.6.1B26

Minimumwidth1.0m,minimumheight1.8m;Aresafety

richesplacedat500mintervalsoneachside(staggered

arrangementondoublesides)accordingtotheregulations?C

A

人行道路面是否通畅？Isthewalkingsurfacefreeof

3.6.2AB13

obstructions?

C

3.7脚手架、模板台车Scaffolding,fonnworkcarriage

AA

是否所有脚手架的结构都是安全的？是否安装了安全栏杆，Are

3.7.1B26

ellscaffoldsstructurallysecured,safetyrailingnstalled?

C

模板台车是否有照明标识标出车辆净空的轮廓？IsMA

3.7.2formworkcarriageilluminatedtoout1in;thevehicleAB13

clearance?C

3.8入口坡道栏杆和照明Accessrauprailingandlighting

A

开挖入口坡道是否有栏杆和足眩照明？Doaccessrampsfor

3.8.1BB24

excavationhaverailingsandsufficientlighting?

C

A

入口战道是否安全？是否有不必要的坡度？AretheaccessB

3.8.2B26

raiipssecuredanddonothaveunnecceassryslope?

C

A

入门坡道是否存在会造成滑坡的岩屑？Areaccessramps

3.8.3AB13

freeofdebristhatmaycausesiippage?

C

3.9里程标记Chainagemarkings

便道里程是否按一定间隔(10m或者仰拱预制块)标识清晰？A

3.9.1Isthetunnelchainagemarkeddearyinequalintervals(10mBB24

crinvertblocklength)?C

A

3.9.2里程标记是否布'照明？Arechainagemarkingsi1luminated?CB11

C

A

是否能保证里程标记不受到意外落石的伤方?Arethechainage

3.9.3AB13

markerssecuredagainstaccidentalfall?

C

4火灾预防和控制FirePreventionandControl98

4.1防火材料Fireresistantmaterials

是否所有的地下结构以及地下施工材料(如防水板、排水管、土A

二布等)入口30米范的内的时火等级至少为一小时？Areall

mdergroundstructuresandthosewithin30mofanopeningto

4.1.1AB26

theundergroundconstructedofmaterials(e.g.waterproofing

membrane,drainagepipe,geotextileetc.)withafire

resistanceratingofatleastonehour?C

可燃液体和/或者压缩气体是否安全的储存在隧这内(容器或者其