2023年11月份典型案例教育材料
北京豐臺長峰醫院“4·18”重大火災事故
致29人死亡
一、起火建筑消防安全情況
北京(jing)(jing)長峰醫院(yuan)消(xiao)(xiao)(xiao)防(fang)控(kong)制室設(she)置在東(dong)樓一層。東(dong)樓通(tong)道墻(qiang)面裝修(xiu)采用(yong)大(da)芯板(ban)（刷防(fang)火(huo)涂料），樓內設(she)有火(huo)災(zai)自(zi)動報(bao)警(jing)系統(tong)(tong)、自(zi)動噴水(shui)滅火(huo)系統(tong)(tong)、室內消(xiao)(xiao)(xiao)火(huo)栓(shuan)系統(tong)(tong)。消(xiao)(xiao)(xiao)防(fang)用(yong)電設(she)備未采用(yong)專用(yong)的供電回路。2021年至2023年，長峰醫院(yuan)公司委托第(di)三(san)方消(xiao)(xiao)(xiao)防(fang)技術服務機(ji)構對北京(jing)(jing)長峰醫院(yuan)東(dong)樓消(xiao)(xiao)(xiao)防(fang)設(she)施進行 3 次年度檢(jian)測，結論(lun)均為不合(he)(he)格。其中，2023年檢(jian)測報(bao)告由第(di)三(san)方消(xiao)(xiao)(xiao)防(fang)技術服務機(ji)構上 傳至“北京(jing)(jing)市消(xiao)(xiao)(xiao)防(fang)技術服務機(ji)構監督管(guan)理(li)系統(tong)(tong)”，顯(xian)示“消(xiao)(xiao)(xiao)防(fang)應急照(zhao)明和疏(shu)散(san)指示系統(tong)(tong)、消(xiao)(xiao)(xiao)防(fang)給(gei)水(shui)、消(xiao)(xiao)(xiao)火(huo)栓(shuan)系統(tong)(tong)、自(zi)動噴水(shui)滅火(huo)系統(tong)(tong)、火(huo)災(zai)自(zi)動報(bao)警(jing)系統(tong)(tong)等(deng)存在不合(he)(he)格項，綜合(he)(he)結論(lun)為不合(he)(he)格”。
二、相關單位情況
1.中源(yuan)信(xin)誠（北(bei)京）建筑(zhu)裝(zhuang)(zhuang)飾有限公司（以下簡稱中源(yuan)信(xin)誠 公司）成(cheng)立于2021年3月(yue)。現法定(ding)代表人(ren)王偉峰，統一(yi)社會(hui)信(xin)用代碼91110109MA020N0E6X，經(jing)營范圍包含施工(gong)(gong)總(zong)承包、專業承 包、工(gong)(gong)程勘察(cha)、工(gong)(gong)程設計等。持有建筑(zhu)施工(gong)(gong)安(an)全生(sheng)產許(xu)可證，具有防(fang)水防(fang)腐保溫(wen)工(gong)(gong)程專業承包二(er)級、建筑(zhu)裝(zhuang)(zhuang)修裝(zhuang)(zhuang)飾工(gong)(gong)程專業承包二(er)級等資質。
2.北京宏(hong)玉(yu)浩祥(xiang)科技有限(xian)公(gong)司（以下簡稱宏(hong)玉(yu)浩祥(xiang)公(gong)司）成立(li)于(yu) 2009年(nian)8月。現法定(ding)代表人王(wang)偉峰(feng)，統一社會(hui)信用代碼91110106693246635P，經營范圍包含(han)住宅(zhai)室內(nei)裝(zhuang)飾裝(zhuang)修、建(jian)設工(gong)程(cheng)施工(gong)、建(jian)設工(gong)程(cheng)勘察(cha)、建(jian)設工(gong)程(cheng)設計(ji)等(deng)。該公(gong)司無建(jian)筑(zhu)業企業資質(zhi)和(he)建(jian)筑(zhu)施工(gong)安(an)全生產許(xu)可證。
3.山東淞泰(tai)醫(yi)用工(gong)程有限(xian)公(gong)司(si)（以下簡稱(cheng)淞泰(tai)公(gong)司(si)）成立于 2015年7月。現法定代表人(ren)孫嘉政，統一(yi)社(she)會信用代碼 913711023490967892，經營范圍包(bao)含醫(yi)療(liao)器械銷(xiao)售、普通機(ji)械設備安裝服務等(deng)。
2023年3月(yue)23日，王偉峰(feng)未(wei)經長(chang)(chang)峰(feng)醫院公(gong)司(si)認可，以(yi)宏玉浩祥(xiang)公(gong)司(si)名(ming)義將(jiang)北京長(chang)(chang)峰(feng)醫院 ICU 凈化工(gong)程(cheng)及吊橋設備安裝分包給陳(chen)(chen)光(guang)(guang)(guang)輝。陳(chen)(chen)光(guang)(guang)(guang)輝以(yi)淞泰(tai)公(gong)司(si)名(ming)義與宏玉浩祥(xiang)公(gong)司(si)簽訂合同（合同簽名(ming)處(chu)為陳(chen)(chen)光(guang)(guang)(guang)輝）。淞泰(tai)公(gong)司(si)未(wei)參與實際(ji)施(shi)工(gong)，將(jiang)收取的(de)工(gong)程(cheng)款全部轉至(zhi)陳(chen)(chen)光(guang)(guang)(guang)輝個人(ren)賬戶。陳(chen)(chen)光(guang)(guang)(guang)輝將(jiang)凈化工(gong)程(cheng)款轉給姜(jiang)冬春，由(you)姜(jiang)冬春組織工(gong)人(ren)施(shi)工(gong)。
三、事故發生經過
2023年4月17日(ri)，凈化(hua)門(men)(men)安裝(zhuang)(zhuang)(zhuang)作(zuo)(zuo)業(ye)(ye)人(ren)(ren)(ren)員馮(feng)大(da)文、韓勇(yong)敢、 梁(liang)升(sheng)飛(fei)到(dao)(dao)達施(shi)(shi)(shi)工(gong)(gong)現(xian)場(chang)安裝(zhuang)(zhuang)(zhuang)凈化(hua)門(men)(men)；中源信誠公司員工(gong)(gong)張(zhang)偉鵬通(tong)(tong)知 自(zi)流平(ping)(ping)地(di)面(mian)作(zuo)(zuo)業(ye)(ye)人(ren)(ren)(ren)員于4月18日(ri)進(jin)場(chang)施(shi)(shi)(shi)工(gong)(gong)。4月18日(ri)7時(shi)(shi)(shi)(shi)(shi)04分(fen)(fen)(fen)，自(zi)流平(ping)(ping)地(di)面(mian)作(zuo)(zuo)業(ye)(ye)人(ren)(ren)(ren)員孫啟(qi)(qi)(qi)學(xue)、李(li)志高、宋守業(ye)(ye)到(dao)(dao)達施(shi)(shi)(shi)工(gong)(gong)現(xian)場(chang)。7 時(shi)(shi)(shi)(shi)(shi)21分(fen)(fen)(fen)，凈化(hua)門(men)(men)安裝(zhuang)(zhuang)(zhuang)作(zuo)(zuo)業(ye)(ye)人(ren)(ren)(ren)員馮(feng)大(da)文等(deng)(deng)3人(ren)(ren)(ren)返回(hui)施(shi)(shi)(shi)工(gong)(gong)現(xian)場(chang)繼(ji)續安裝(zhuang)(zhuang)(zhuang)凈化(hua)門(men)(men)。9時(shi)(shi)(shi)(shi)(shi)19分(fen)(fen)(fen)，孫啟(qi)(qi)(qi)學(xue)等(deng)(deng)3 人(ren)(ren)(ren)將環氧(yang)(yang)樹(shu)脂底涂(tu)(tu)(tu)材料(liao)的(de)主劑及固化(hua)劑混合后開始用掃(sao)帚涂(tu)(tu)(tu)刷地(di)面(mian)。12時(shi)(shi)(shi)(shi)(shi)23分(fen)(fen)(fen)許，李(li)志高將殘留的(de)環氧(yang)(yang)樹(shu)脂底涂(tu)(tu)(tu)材料(liao)掃(sao)出(chu)ICU 西(xi)北門(men)(men)口外。12時(shi)(shi)(shi)(shi)(shi)33 分(fen)(fen)(fen)，孫啟(qi)(qi)(qi)學(xue)等(deng)(deng)3人(ren)(ren)(ren)完成(cheng)作(zuo)(zuo)業(ye)(ye)離場(chang)。12時(shi)(shi)(shi)(shi)(shi)47分(fen)(fen)(fen)，韓勇(yong)敢使用角(jiao)(jiao)磨機切割修整金屬凈化(hua)板墻板，梁(liang)升(sheng)飛(fei)安裝(zhuang)(zhuang)(zhuang)門(men)(men)框，未(wei)(wei)辦(ban)理動(dong)(dong)(dong)火(huo)(huo)(huo)(huo)審批手(shou)續，無(wu)動(dong)(dong)(dong)火(huo)(huo)(huo)(huo)監(jian)護人(ren)(ren)(ren)進(jin)行現(xian)場(chang)監(jian)護。12時(shi)(shi)(shi)(shi)(shi)50分(fen)(fen)(fen)，施(shi)(shi)(shi)工(gong)(gong)現(xian)場(chang)發生(sheng)爆燃(ran)形(xing)成(cheng)3處(chu)(chu)火(huo)(huo)(huo)(huo)點(dian)，梁(liang)升(sheng)飛(fei)等(deng)(deng)3人(ren)(ren)(ren)相(xiang)繼(ji)跑出(chu)。12時(shi)(shi)(shi)(shi)(shi)50分(fen)(fen)(fen)至(zhi)(zhi)12時(shi)(shi)(shi)(shi)(shi)53分(fen)(fen)(fen)，梁(liang)升(sheng)飛(fei)兩(liang)次返回(hui)現(xian)場(chang)使用滅火(huo)(huo)(huo)(huo)器(qi)撲滅了(le)兩(liang)處(chu)(chu)火(huo)(huo)(huo)(huo)點(dian)，隨后關(guan)閉角(jiao)(jiao)磨機并離開，但未(wei)(wei)發現(xian)西(xi)北門(men)(men)外坡道(dao)(dao)下(xia)(xia)方堆放的(de)可燃(ran)物起火(huo)(huo)(huo)(huo)。監(jian)控視頻顯(xian)示，12時(shi)(shi)(shi)(shi)(shi)50分(fen)(fen)(fen)，坡道(dao)(dao)下(xia)(xia)方可燃(ran)物燃(ran)燒(shao)產(chan)生(sheng)的(de)高溫煙(yan)氣通(tong)(tong)過坡道(dao)(dao)進(jin)入(ru)北通(tong)(tong)道(dao)(dao)五(wu)層(ceng)(ceng)、南(nan)通(tong)(tong)道(dao)(dao)六層(ceng)(ceng)并水(shui)(shui)平(ping)(ping)蔓(man)延(yan)(yan)。12 時(shi)(shi)(shi)(shi)(shi)56分(fen)(fen)(fen)許，坡道(dao)(dao)下(xia)(xia)方明火(huo)(huo)(huo)(huo)相(xiang)繼(ji)引燃(ran)坡道(dao)(dao)附(fu)近及北通(tong)(tong)道(dao)(dao)五(wu)層(ceng)(ceng)、南(nan) 通(tong)(tong)道(dao)(dao)六層(ceng)(ceng)墻面(mian)木質裝(zhuang)(zhuang)(zhuang)修材料(liao)，并產(chan)生(sheng)高溫煙(yan)氣。之后，北通(tong)(tong)道(dao)(dao)五(wu) 層(ceng)(ceng)煙(yan)氣沿東側(ce)樓梯間蔓(man)延(yan)(yan)至(zhi)(zhi)北通(tong)(tong)道(dao)(dao)七(qi)層(ceng)(ceng)、八層(ceng)(ceng)；南(nan)通(tong)(tong)道(dao)(dao)六層(ceng)(ceng)煙(yan)氣 通(tong)(tong)過管(guan)道(dao)(dao)豎井和西(xi)側(ce)樓梯間蔓(man)延(yan)(yan)至(zhi)(zhi)南(nan)通(tong)(tong)道(dao)(dao)七(qi)層(ceng)(ceng)、八層(ceng)(ceng)。12時(shi)(shi)(shi)(shi)(shi)50 分(fen)(fen)(fen)，北京(jing)長峰醫(yi)院(yuan)東樓感(gan)煙(yan)探(tan)測器(qi)發出(chu)報警(jing)信號，消(xiao)防(fang)控制(zhi)(zhi)室值班員李(li)長虹未(wei)(wei)報警(jing)。隨后，李(li)長虹及1名后勤維修人(ren)(ren)(ren)員試(shi)圖進(jin)入(ru)施(shi)(shi)(shi)工(gong)(gong)現(xian)場(chang)處(chu)(chu)置(zhi)但未(wei)(wei)成(cheng)功。13時(shi)(shi)(shi)(shi)(shi)05分(fen)(fen)(fen)，醫(yi)院(yuan)副院(yuan)長汪麗指派1名電工(gong)(gong)拉閘斷(duan)電（臨時(shi)(shi)(shi)(shi)(shi)斷(duan)電導致(zhi)供(gong)氧(yang)(yang)停(ting)止。15時(shi)(shi)(shi)(shi)(shi)18分(fen)(fen)(fen)，醫(yi)院(yuan)總務(wu)科主任王朝陽手(shou)動(dong)(dong)(dong)恢復供(gong)氧(yang)(yang)操(cao)作(zuo)(zuo)），因醫(yi)院(yuan)消(xiao)防(fang)用電設(she)備無(wu)專用供(gong)電回(hui)路導致(zhi)消(xiao)防(fang)用電同時(shi)(shi)(shi)(shi)(shi)被切斷(duan)，約(yue)2分(fen)(fen)(fen)鐘后該(gai)電工(gong)(gong)重(zhong)新合閘供(gong)電。12時(shi)(shi)(shi)(shi)(shi)50分(fen)(fen)(fen)至(zhi)(zhi)13時(shi)(shi)(shi)(shi)(shi)05分(fen)(fen)(fen)，醫(yi)院(yuan)火(huo)(huo)(huo)(huo)災自(zi)動(dong)(dong)(dong)報警(jing)聯動(dong)(dong)(dong)控制(zhi)(zhi)器(qi)共收到(dao)(dao)東樓反饋(kui)信號132個(ge)，但火(huo)(huo)(huo)(huo)災聲光警(jing)報器(qi)、噴(pen)淋(lin)泵、消(xiao)火(huo)(huo)(huo)(huo)栓(shuan)泵未(wei)(wei)自(zi)動(dong)(dong)(dong)啟(qi)(qi)(qi)動(dong)(dong)(dong)。13時(shi)(shi)(shi)(shi)(shi)18分(fen)(fen)(fen)，醫(yi)院(yuan)值班人(ren)(ren)(ren)員到(dao)(dao)泵房手(shou)動(dong)(dong)(dong)啟(qi)(qi)(qi)動(dong)(dong)(dong)噴(pen)淋(lin)泵和消(xiao)火(huo)(huo)(huo)(huo)栓(shuan)泵，但自(zi)動(dong)(dong)(dong)噴(pen)水(shui)(shui)滅火(huo)(huo)(huo)(huo)系統(tong)和消(xiao)火(huo)(huo)(huo)(huo)栓(shuan)系統(tong)管(guan)網無(wu)水(shui)(shui)，未(wei)(wei)撲滅初期火(huo)(huo)(huo)(huo)災。
四、事故原因分析
（一）直接原因
通過視頻分(fen)(fen)(fen)(fen)析、現(xian)場(chang)勘驗、檢測鑒定及(ji)模擬實(shi)驗分(fen)(fen)(fen)(fen)析，認定 事故(gu)直接原(yuan)因是：北京長峰醫院改造(zao)工(gong)程施(shi)工(gong)現(xian)場(chang)，施(shi)工(gong)單位(wei)違(wei)規進(jin)行自流(liu)平地面施(shi)工(gong)和門框安裝切(qie)割(ge)交叉(cha)作業(ye)，環氧(yang)樹脂底涂材料(liao)中的(de)易(yi)燃(ran)(ran)(ran)易(yi)爆成分(fen)(fen)(fen)(fen)揮發、形成爆炸性(xing)氣(qi)體混合物，遇角磨機 切(qie)割(ge)金屬凈化板(ban)產生的(de)火花發生爆燃(ran)(ran)(ran)；引燃(ran)(ran)(ran)現(xian)場(chang)附近可燃(ran)(ran)(ran)物，產 生的(de)明火及(ji)高溫煙(yan)(yan)氣(qi)引燃(ran)(ran)(ran)樓(lou)內(nei)木質裝修材料(liao)，部分(fen)(fen)(fen)(fen)防火分(fen)(fen)(fen)(fen)隔未發揮作用，固定消防設施(shi)失效，致使火勢擴大、大量煙(yan)(yan)氣(qi)蔓延；加 之初期處置不(bu)力，未能(neng)有效組織高樓(lou)層患者疏散轉移(yi)，造(zao)成重(zhong)大 人員傷亡(wang)。
原因(yin)分析(xi)
1.起火原因分析
一是北(bei)京(jing)長峰醫院(yuan)南配樓三(san)層(ceng)ICU改造工(gong)(gong)程(cheng)施(shi)工(gong)(gong)現(xian)場(chang)，作業(ye)人員開(kai)展(zhan)自流平(ping)地面(mian)施(shi)工(gong)(gong)和凈化門門框(kuang)安裝切割(ge)動火時，違規(gui)交(jiao)叉作業(ye)。二是自流平(ping)地面(mian)施(shi)工(gong)(gong)涂刷(shua)的環氧(yang)樹(shu)脂底涂材料中易燃(ran)易爆成分揮發(fa)，加之現(xian)場(chang)未(wei)保(bao)持有效通風，形成爆炸(zha)性(xing)(xing)氣體混合(he)物，且濃度達到爆炸(zha)下限(xian)。三(san)是角磨(mo)機切割(ge)金(jin)屬凈化板(ban)產生(sheng)的火花，遇爆炸(zha)性(xing)(xing)氣體混合(he)物引起(qi)爆燃(ran)，并引燃(ran)西北(bei)門外坡道下方堆放的 可(ke)燃(ran)物。
2.火災蔓延原因分析
一是爆(bao)燃發(fa)生后，作(zuo)業人(ren)員未(wei)(wei)(wei)(wei)將現場(chang)形成的多處(chu)火(huo)(huo)點全部(bu)(bu)撲 滅，且未(wei)(wei)(wei)(wei)第(di)一時(shi)間(jian)報(bao)警(jing)；事(shi)發(fa)醫院(yuan)工(gong)作(zuo)人(ren)員發(fa)現火(huo)(huo)情(qing)后也(ye)未(wei)(wei)(wei)(wei)第(di)一 時(shi)間(jian)報(bao)警(jing)，未(wei)(wei)(wei)(wei)有效組織初期(qi)火(huo)(huo)災撲救；固定消(xiao)防(fang)(fang)設施失效，自動(dong) 噴水滅火(huo)(huo)系(xi)統和消(xiao)火(huo)(huo)栓系(xi)統管(guan)網無水，未(wei)(wei)(wei)(wei)能有效控制火(huo)(huo)勢。二是 坡道和醫院(yuan)通道墻面采用(yong)木質裝修材(cai)料(liao)、施工(gong)區域與非施工(gong)區域 未(wei)(wei)(wei)(wei)按(an)規定采用(yong)不燃材(cai)料(liao)進行(xing)防(fang)(fang)火(huo)(huo)分(fen)(fen)隔，導(dao)致(zhi)明火(huo)(huo)蔓(man)延至(zhi)東樓(lou)主體 建筑內。三是部(bu)(bu)分(fen)(fen)管(guan)道豎井(jing)未(wei)(wei)(wei)(wei)進行(xing)防(fang)(fang)火(huo)(huo)封堵(du)且未(wei)(wei)(wei)(wei)設置防(fang)(fang)火(huo)(huo)門；部(bu)(bu) 分(fen)(fen)樓(lou)梯(ti)間(jian)防(fang)(fang)火(huo)(huo)門閉(bi)門器損壞，無法正常(chang)關閉(bi)，北通道五層東側(ce)樓(lou) 梯(ti)間(jian)常(chang)閉(bi)式防(fang)(fang)火(huo)(huo)門未(wei)(wei)(wei)(wei)保持關閉(bi)狀態；南通道六層西側(ce)樓(lou)梯(ti)間(jian)防(fang)(fang)火(huo)(huo)門上(shang)方石膏板隔墻被燒穿，導(dao)致(zhi)煙氣蔓(man)延擴(kuo)散(san)。
3.人員傷亡原因分析
未(wei)(wei)能及時轉(zhuan)移疏散、吸入含一氧化碳的(de)(de)煙氣是(shi)造成(cheng)大(da)(da)量人(ren)員 傷亡的(de)(de)主(zhu)要原因(yin)。一是(shi)火災初期(qi)事發醫院(yuan)未(wei)(wei)啟動應急預案，未(wei)(wei)有 效組(zu)織(zhi)疏散轉(zhuan)移被(bei)困人(ren)員。二(er)是(shi)病(bing)區(qu)設置不(bu)合理(li)，事發醫院(yuan)將行 動不(bu)能自理(li)或行動不(bu)便的(de)(de)患(huan)者集中安置在(zai)七層、八層等高(gao)樓層， 大(da)(da)部(bu)分患(huan)者無自主(zhu)逃生(sheng)能力。三是(shi)危(wei)重病(bing)患(huan)者移動難度大(da)(da)，樓內 通道(dao)狹窄(zhai)、轉(zhuan)移條件差，救援轉(zhuan)移困難。
五、有關責任單位存在的主要問題
（一(yi)）有關企業
1.長峰醫院公司
（1）不符合醫療機構管理規定。北京長(chang)峰醫院床位數量(liang)增(zeng)加(jia)后未(wei)按規定向(xiang)豐臺區衛生健康(kang)委(wei)申(shen)請辦理(li)變更登(deng)記(ji)；每(mei)床衛生技(ji)術人員配比、護(hu)士配比均不符合《醫療(liao)機構基本標準(zhun)（試(shi)行）》有關規定。住院部公共走道寬僅有1.4米，不滿足規范要求。
（2）未履行建筑施工法定義務。2017 年以來北(bei)京長峰(feng)醫院 陸續(xu)進行維修(xiu)、施(shi)工(gong)改造的 51 個項(xiang)目(mu)（含 ICU 改造工(gong)程）中(zhong)， 需要(yao)辦理(li)(li)相關手續(xu)的38 個項(xiang)目(mu)（含ICU 改造工(gong)程）均未(wei)按規定(ding)向(xiang)(xiang)住(zhu)房(fang)城鄉(xiang)(xiang)建設(she)部(bu)(bu)門申請辦理(li)(li)施(shi)工(gong)許可或向(xiang)(xiang)街道鄉(xiang)(xiang)鎮申請辦理(li)(li)開工(gong)登(deng)記手續(xu)，其(qi)中(zhong)部(bu)(bu)分項(xiang)目(mu)也未(wei)按規定(ding)向(xiang)(xiang)消(xiao)防、住(zhu)房(fang)城鄉(xiang)(xiang)建設(she)部(bu)(bu)門申請消(xiao)防設(she)計審(shen)查驗收。
（3）未落實施工現場安全管理職責。長峰(feng)醫(yi)院公司將(jiang)工(gong)(gong)(gong)(gong)(gong)程(cheng) 發包(bao)給中(zhong)源信誠公司后，在未(wei)聘用工(gong)(gong)(gong)(gong)(gong)程(cheng)監理(li)的(de)情況(kuang)下，未(wei)發現并制(zhi)止現場交叉作業(ye)行為，未(wei)承擔(dan)工(gong)(gong)(gong)(gong)(gong)程(cheng)監理(li)法定責任和義務；對施工(gong)(gong)(gong)(gong)(gong)現場消(xiao)防安(an)全檢查不到位，未(wei)及時督促施工(gong)(gong)(gong)(gong)(gong)單位清理(li)現場可(ke)燃物；未(wei)對動用明火(huo)實(shi)行嚴格的(de)消(xiao)防安(an)全管理(li)，未(wei)及時發現施工(gong)(gong)(gong)(gong)(gong)現場違(wei)規動火(huo)作業(ye)行為。
（4）未按規定履行消防安全主體責任。符合界定(ding)(ding)標準但未(wei)進(jin)(jin)行消(xiao)防(fang)(fang)(fang)安(an)全(quan)重(zhong)點單位申報(bao)；未(wei)確定(ding)(ding)消(xiao)防(fang)(fang)(fang)安(an)全(quan)重(zhong)點部位并(bing)實行每日防(fang)(fang)(fang)火巡(xun)查，未(wei)及時消(xiao)除火災隱(yin)患；未(wei)按規(gui)定(ding)(ding)落實消(xiao)防(fang)(fang)(fang)控(kong)制室(shi)24小時雙人值班制度(du)，值班人員證書未(wei)達到(dao)相(xiang)應資質等級；未(wei)對消(xiao)防(fang)(fang)(fang)設(she)(she)施(shi)、器材定(ding)(ding)期組(zu)織維修，未(wei)對建筑(zhu)消(xiao)防(fang)(fang)(fang)設(she)(she)施(shi)檢測(ce)發現的問(wen)題進(jin)(jin)行整改，火災自(zi)動(dong)報(bao)警系(xi)統、自(zi)動(dong)噴水滅火系(xi)統、室(shi)內消(xiao)火栓系(xi)統未(wei)保(bao)持完好有效；部分管道豎井未(wei)進(jin)(jin)行防(fang)(fang)(fang)火封(feng)堵且未(wei)設(she)(she)置丙級防(fang)(fang)(fang)火門，消(xiao)防(fang)(fang)(fang)用(yong)電設(she)(she)備未(wei)采用(yong)專(zhuan)用(yong)的供電回(hui)路，東樓(lou)(lou)西(xi)側封(feng)閉樓(lou)(lou)梯間無自(zi)然通風。
（5）未按規定開展應急準備及應急處置。滅(mie)火和(he)應(ying)急(ji)疏散(san)(san)(san)(san) 預案中，未(wei)(wei)針對無自理(li)能力(li)和(he)行動不便的(de)患(huan)者專門制定(ding)疏散(san)(san)(san)(san)、轉 移方案；未(wei)(wei)根(gen)據(ju)事(shi)故風險(xian)特點，組織(zhi)針對失能患(huan)者疏散(san)(san)(san)(san)等關鍵環節的(de)應(ying)急(ji)演(yan)練，僅組織(zhi)部分醫護人員開(kai)展模擬疏散(san)(san)(san)(san)演(yan)練；未(wei)(wei)對每名員工定(ding)期開(kai)展消防安全培訓；火災發生(sheng)后未(wei)(wei)第一時間報(bao)警(jing)，未(wei)(wei)有(you)效組織(zhi)初期火災撲救(jiu)和(he)人員疏散(san)(san)(san)(san)。
2.中源信誠公司
（1）施工現場安全管理缺失。未(wei)(wei)根據(ju)施(shi)(shi)(shi)(shi)工(gong)現場實(shi)際(ji)情況(kuang)制(zhi)(zhi)定施(shi)(shi)(shi)(shi)工(gong)方案，未(wei)(wei)對(dui)作(zuo)(zuo)業(ye)人(ren)員開(kai)展(zhan)安全生產教育和培訓，并進(jin)行(xing)針對(dui)性技術交底；未(wei)(wei)建立用火(huo)(huo)、用電管理(li)制(zhi)(zhi)度并采取防(fang)火(huo)(huo)措(cuo)施(shi)(shi)(shi)(shi)，施(shi)(shi)(shi)(shi)工(gong)區和非施(shi)(shi)(shi)(shi)工(gong)區之(zhi)間未(wei)(wei)進(jin)行(xing)防(fang)火(huo)(huo)分隔，未(wei)(wei)配有(you)專人(ren)值(zhi)守；作(zuo)(zuo)業(ye)人(ren)員在未(wei)(wei)辦理(li)動火(huo)(huo)審批手續違規(gui)進(jin)行(xing)明火(huo)(huo)作(zuo)(zuo)業(ye)、現場無人(ren)監(jian)護(hu)、未(wei)(wei)對(dui)現場可燃物(wu)進(jin)行(xing)清(qing)理(li)的(de)情況(kuang)下，使用角磨機進(jin)行(xing)切割作(zuo)(zuo)業(ye)；未(wei)(wei)針對(dui)易燃易爆物(wu)品制(zhi)(zhi)定防(fang)火(huo)(huo)安全措(cuo)施(shi)(shi)(shi)(shi)，違規(gui)在作(zuo)(zuo)業(ye)場所(suo)調料；環氧樹脂(zhi)自流平地面施(shi)(shi)(shi)(shi)工(gong)與(yu)凈化門安裝交叉作(zuo)(zuo)業(ye)。
（2）未保持建筑業企業資質許可條件。作(zuo)為建(jian)筑裝修裝飾工程二級承(cheng)包資(zi)質公司，事發(fa)時僅有1名注冊建(jian)造師、6名繳納社保人(ren)員；未按(an)規(gui)定設立安全生產管理(li)機構并配(pei)備專職安全生產管理(li)人(ren)員。
3.淞泰公司
將營(ying)業執照借給陳光輝，使其有(you)(you)條件承攬 ICU 凈化工程及(ji)吊 橋設備安裝(zhuang)，違(wei)反《中(zhong)華(hua)人民共(gong)和國市場主體登記管理條例》有(you)(you)關規定。
六、對有關責任人員及責任單位的處理建議
（一）司法機關已采取(qu)強制措(cuo)施的(de)人員
長(chang)(chang)峰醫(yi)院(yuan)公司(si)汪文(wen)(wen)杰(jie)（法(fa)定代(dai)(dai)表(biao)人(ren)(ren)）、汪接兵（副總裁）、 羅威（基建組負(fu)責(ze)(ze)人(ren)(ren)），北京長(chang)(chang)峰醫(yi)院(yuan)王曉玲(ling)（執行總經(jing)理(li)、院(yuan) 長(chang)(chang)）、汪麗（后勤副院(yuan)長(chang)(chang)）、潘殿卿（業務副院(yuan)長(chang)(chang)）、王朝陽（總 務科(ke)主任(ren)）、李長(chang)(chang)虹（消防控制室(shi)負(fu)責(ze)(ze)人(ren)(ren)），中源信誠公司(si)王偉峰（法(fa)定代(dai)(dai)表(biao)人(ren)(ren)）、張偉鵬（事發項目現(xian)場(chang)管理(li)人(ren)(ren)員），陳光輝(hui) （凈化工(gong)程及吊橋(qiao)設備安(an)裝負(fu)責(ze)(ze)人(ren)(ren)），姜冬春（凈化工(gong)程負(fu)責(ze)(ze)人(ren)(ren)）， 程福君（自(zi)流平(ping)地(di)面施工(gong)負(fu)責(ze)(ze)人(ren)(ren)），馮大文(wen)(wen)、韓勇敢(gan)、梁升飛（凈 化門安(an)裝作業人(ren)(ren)員），孫啟(qi)學、李志高、宋守業（自(zi)流平(ping)地(di)面施 工(gong)作業人(ren)(ren)員）等19人(ren)(ren)因涉(she)嫌重大責(ze)(ze)任(ren)事故罪，已被司(si)法(fa)機關(guan)批 準(zhun)逮捕(bu)。
（二）有關公職人員
; 對在事故調(diao)(diao)查(cha)中發(fa)現的地方黨委政府及(ji)有關部門的公職員履職方面存在的問題等線索及(ji)相關材(cai)料，移交(jiao)中央紀(ji)委國(guo)家監 委北京(jing)豐(feng)臺長峰(feng)醫院(yuan)“4·18”火災(zai)事故追(zhui)責問責審查(cha)調(diao)(diao)查(cha)組。
（三(san)）事(shi)故涉(she)及有關單位和人員的(de)行政處(chu)罰(fa)
1.長峰醫院公司
對事故發生(sheng)負(fu)有責任(ren)，由(you)北京市應急管理(li)等(deng)部(bu)門(men)依據《中華人民共(gong)和國(guo)安(an)全生(sheng)產(chan)法(fa)》第一(yi)百一(yi)十(shi)四條有關規定，依法(fa)處罰。
2.中源信誠公司
對(dui)事故發生負有責任，由北(bei)京市(shi)應急管理(li)等部(bu)門依(yi)據《中(zhong)華 人民共和(he)國安(an)全生產法》第一百一十四(si)條有關規(gui)定，依(yi)法處罰(fa)。 北(bei)京市(shi)住房城(cheng)鄉建(jian)設(she)部(bu)門對(dui)該公司建(jian)筑企業資質依(yi)法依(yi)規(gui)處理(li)。
3.淞泰公司
由北京(jing)(jing)市市場監督(du)(du)管(guan)理部(bu)門(men)對該公(gong)司涉(she)嫌出借公(gong)司營業執 照等(deng)行為依法依規(gui)(gui)處(chu)理。此外(wai)，由北京(jing)(jing)市市場監督(du)(du)管(guan)理等(deng)部(bu)門(men)對宏玉浩祥公(gong)司、北京(jing)(jing)硬實建筑建材(cai)科技(ji)有限公(gong)司等(deng)2家單位及(ji)其(qi)有關人員涉(she)嫌違法違規(gui)(gui)問(wen)題依法依規(gui)(gui)處(chu)理。由北京(jing)(jing)市人力資(zi)源社會(hui)保障部(bu)門(men)對李長(chang)虹、姚清波的(de)“建（構(gou)）筑物消防員”從業資(zi)格依法依規(gui)(gui)處(chu)理。
4.其他方面
鑒(jian)于北京市(shi)委、市(shi)政府(fu)對事(shi)故(gu)的發生(sheng)負有重要領導責任，應深刻汲取事(shi)故(gu)教訓(xun)，持續改進工作，切(qie)實(shi)把確(que)保人民生(sheng)命安(an)全放(fang)在第一(yi)位落(luo)到實(shi)處，建議北京市(shi)委、市(shi)政府(fu)向黨中央、國務院作出深刻檢查(cha)。
七、事故主要教訓
（一(yi)(yi)）防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)意識薄弱。習(xi)近平(ping)總(zong)書記多(duo)次強調， 防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)是(shi)各(ge)級黨委(wei)政府和領導干(gan)部(bu)的(de)(de)政治(zhi)職(zhi)責，要(yao)(yao)堅 持守土有(you)(you)(you)責、守土盡責，把防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)工作(zuo)(zuo)做(zuo)(zuo)實(shi)做(zuo)(zuo)細(xi)(xi)做(zuo)(zuo)好。 北(bei)京作(zuo)(zuo)為超大(da)(da)(da)(da)城市(shi)，各(ge)類市(shi)政工程、地(di)下管網等(deng)系統復(fu)雜，高層 建筑、人(ren)員密集(ji)場所數量(liang)龐大(da)(da)(da)(da)，許多(duo)安(an)(an)全(quan)(quan)(quan)(quan)風(feng)險(xian)(xian)(xian)(xian)隱患(huan)也進入(ru)(ru)集(ji)中暴 露(lu)期(qi)，安(an)(an)全(quan)(quan)(quan)(quan)防(fang)(fang)范壓力很大(da)(da)(da)(da)。但北(bei)京市(shi)、豐臺區一(yi)(yi)些(xie)(xie)領導干(gan)部(bu)對(dui)本(ben) 地(di)區存在(zai)的(de)(de)重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)認識不足，沒(mei)有(you)(you)(you)及時(shi)發(fa)現并有(you)(you)(you)效防(fang)(fang)控重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng) 險(xian)(xian)(xian)(xian)，也沒(mei)有(you)(you)(you)把他人(ren)的(de)(de)教訓當作(zuo)(zuo)自己的(de)(de)教訓，對(dui)河(he)南(nan)安(an)(an)陽“11·21”、 河(he)北(bei)滄(cang)州(zhou)“3·27”等(deng)重(zhong)(zhong)(zhong)特(te)大(da)(da)(da)(da)火災事故暴露(lu)出的(de)(de)違規動火或電焊 作(zuo)(zuo)業問(wen)題(ti)沒(mei)有(you)(you)(you)引起(qi)足夠(gou)重(zhong)(zhong)(zhong)視。豐臺區對(dui)安(an)(an)全(quan)(quan)(quan)(quan)生產(chan)工作(zuo)(zuo)落后局面和 嚴峻(jun)復(fu)雜形勢認識不足，對(dui)北(bei)京市(shi)委(wei)、市(shi)政府安(an)(an)全(quan)(quan)(quan)(quan)生產(chan)督(du)察(cha)反(fan)饋 的(de)(de)“豐臺區防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)特(te)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)的(de)(de)系統性思考不夠(gou)深入(ru)(ru)，在(zai)破解 一(yi)(yi)些(xie)(xie)重(zhong)(zhong)(zhong)點(dian)領域安(an)(an)全(quan)(quan)(quan)(quan)生產(chan)問(wen)題(ti)上存在(zai)短板”等(deng)問(wen)題(ti)，紙面整改(gai)，沒(mei)有(you)(you)(you)深查細(xi)(xi)究、舉(ju)一(yi)(yi)反(fan)三。這些(xie)(xie)問(wen)題(ti)根本(ben)原因在(zai)于(yu)，學(xue)習(xi)貫(guan)徹習(xi)近平(ping)總(zong)書記關于(yu)防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)的(de)(de)重(zhong)(zhong)(zhong)要(yao)(yao)論述(shu)不認真不深刻，沒(mei)有(you)(you)(you)結合(he)實(shi)際認真研(yan)究和排查本(ben)地(di)區風(feng)險(xian)(xian)(xian)(xian)隱患(huan)。各(ge)地(di)區要(yao)(yao)進一(yi)(yi)步增(zeng)強風(feng)險(xian)(xian)(xian)(xian)意識、底線思維(wei)，真正把職(zhi)責范圍內(nei)的(de)(de)風(feng)險(xian)(xian)(xian)(xian)防(fang)(fang)控好，不讓(rang)小風(feng)險(xian)(xian)(xian)(xian)演化(hua)(hua)(hua)成大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)，尤(you)其北(bei)京市(shi)要(yao)(yao)深刻汲取事故教訓，切實(shi)扛起(qi)防(fang)(fang)范化(hua)(hua)(hua)解重(zhong)(zhong)(zhong)大(da)(da)(da)(da)風(feng)險(xian)(xian)(xian)(xian)、維(wei)護(hu)首都安(an)(an)全(quan)(quan)(quan)(quan)穩定的(de)(de)重(zhong)(zhong)(zhong)大(da)(da)(da)(da)政治(zhi)責任，堅決(jue)遏(e)制重(zhong)(zhong)(zhong)特(te)大(da)(da)(da)(da)事故發(fa)生。各(ge)有(you)(you)(you)關主管部(bu)門應加強對(dui)危險(xian)(xian)(xian)(xian)化(hua)(hua)(hua)學(xue)品生產(chan)、儲存、經(jing)營、運(yun)輸、使用等(deng)全(quan)(quan)(quan)(quan)環節(jie)、全(quan)(quan)(quan)(quan)過(guo)程、全(quan)(quan)(quan)(quan)鏈(lian)條的(de)(de)安(an)(an)全(quan)(quan)(quan)(quan)監(jian)管，及時(shi)消(xiao)除安(an)(an)全(quan)(quan)(quan)(quan)隱患(huan)。
（二）醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)行(xing)(xing)業行(xing)(xing)政(zheng)審(shen)批和安(an)(an)全管理(li)(li)不嚴格(ge)。醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)構是救死扶傷(shang)、為人民群(qun)眾生(sheng)命健康保駕(jia)護(hu)航的(de)重要場所，但卻發生(sheng)如此慘(can)痛的(de)事故，亟需深刻反(fan)思警(jing)醒(xing)。豐臺區(qu)(qu)衛(wei)(wei)生(sheng)健康部(bu)門(men)工作(zuo)作(zuo)風不實(shi)不細(xi)，審(shen)批許(xu)可(ke)流于形式，1998年以來(lai)先后對(dui)事發醫(yi)(yi)(yi)(yi)院(yuan)校驗18次，在病(bing)床數量成(cheng)倍增加卻未變更(geng)登記、醫(yi)(yi)(yi)(yi)護(hu)配比不符合要求等情況下，每次校驗結(jie)果均為合格(ge)；對(dui)安(an)(an)全生(sheng)產(chan)工作(zuo)面上重視(shi)，實(shi)際卻撤(che)銷安(an)(an)全生(sheng)產(chan)科，嚴重弱化了(le)安(an)(an)全監管力量；沒有(you)定(ding)期(qi)開展醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)構消防(fang)安(an)(an)全檢(jian)查，也沒有(you)對(dui)事發醫(yi)(yi)(yi)(yi)院(yuan)近 3年消防(fang)檢(jian)測發現(xian)的(de)重大問(wen)題進行(xing)(xing)督促整改。北(bei)京市現(xian)有(you)各(ge)類醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)構12000多家，數量龐大、辦醫(yi)(yi)(yi)(yi)主(zhu)體多元，且(qie)相當(dang)部(bu)分(fen)醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)構建筑(zhu)時間較長、消防(fang)等設施設備逐漸老化，安(an)(an)全風險隱(yin)患(huan)突出。北(bei)京市衛(wei)(wei)生(sheng)健康部(bu)門(men)要切實(shi)落(luo)實(shi)行(xing)(xing)業管理(li)(li)職責(ze)，嚴格(ge)行(xing)(xing)政(zheng)審(shen)批許(xu)可(ke)、校驗審(shen)查，狠抓醫(yi)(yi)(yi)(yi)療衛(wei)(wei)生(sheng)機(ji)(ji)構安(an)(an)全生(sheng)產(chan)和消防(fang)安(an)(an)全工作(zuo)，其(qi)他(ta)地區(qu)(qu)也要舉一(yi)反(fan)三，堅決堵塞安(an)(an)全管理(li)(li)漏洞，為人民群(qun)眾營造(zao)安(an)(an)全放心的(de)就醫(yi)(yi)(yi)(yi)環境。
（三）建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)規劃(hua)(hua)、施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)安(an)全監(jian)(jian)管(guan)存在短板漏洞。北京(jing)市(shi)(shi) 住房(fang)城(cheng)鄉(xiang)建(jian)設(she)(she)(she)部(bu)(bu)門(men)(men)對建(jian)筑(zhu)業(ye)(ye)企(qi)業(ye)(ye)資質條(tiao)(tiao)件保持情況疏(shu)(shu)于監(jian)(jian)管(guan)，動(dong) 態排查清理(li)不(bu)(bu)符合條(tiao)(tiao)件企(qi)業(ye)(ye)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)滯后，中源信誠公司(si)建(jian)筑(zhu)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)專 業(ye)(ye)注(zhu)冊(ce)建(jian)造師(shi)、持有(you)(you)崗位證書的施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)現場管(guan)理(li)人(ren)員和(he)專業(ye)(ye)技(ji)術(shu)工(gong)(gong)(gong)(gong)(gong)(gong)(gong) 人(ren)數量(liang)遠不(bu)(bu)滿足相關資質條(tiao)(tiao)件，不(bu)(bu)具(ju)備安(an)全生(sheng)產條(tiao)(tiao)件，卻一直從 事建(jian)筑(zhu)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)業(ye)(ye)。北京(jing)市(shi)(shi)建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)管(guan)理(li)自我設(she)(she)(she)“限”，主(zhu)要 關注(zhu)辦(ban)理(li)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)許可(ke)(ke)手續(xu)的建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)，對限額(e)以上未(wei)辦(ban)理(li)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)許可(ke)(ke) 證的建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)未(wei)主(zhu)動(dong)開展監(jian)(jian)督管(guan)理(li)，把不(bu)(bu)具(ju)備申請辦(ban)理(li)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)許可(ke)(ke) 條(tiao)(tiao)件的建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)排除(chu)在監(jian)(jian)管(guan)范圍外(wai)，“只管(guan)合法、不(bu)(bu)管(guan)非法”； 對限額(e)以下工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)安(an)全疏(shu)(shu)于管(guan)理(li)，對屬(shu)地培(pei)訓(xun)指導、協調督促 又(you)沒跟上，導致基層接(jie)不(bu)(bu)住、管(guan)不(bu)(bu)好(hao)。北京(jing)市(shi)(shi)城(cheng)鄉(xiang)規劃(hua)(hua)部(bu)(bu)門(men)(men)履(lv)行 制止和(he)查處(chu)違(wei)法建(jian)設(she)(she)(she)職責不(bu)(bu)到(dao)位，未(wei)能有(you)(you)效指導屬(shu)地政(zheng)府及其相 關部(bu)(bu)門(men)(men)違(wei)法建(jian)設(she)(she)(she)查處(chu)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)作(zuo)，對轄(xia)區(qu)內(nei)無規劃(hua)(hua)手續(xu)即(ji)新建(jian)、擴建(jian)的 行為查不(bu)(bu)出、管(guan)不(bu)(bu)住。各級住房(fang)城(cheng)鄉(xiang)建(jian)設(she)(she)(she)、城(cheng)鄉(xiang)規劃(hua)(hua)等有(you)(you)關部(bu)(bu)門(men)(men) 要切實履(lv)行好(hao)建(jian)設(she)(she)(she)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)程(cheng)(cheng)(cheng)(cheng)相關職責，堅(jian)決杜絕不(bu)(bu)想管(guan)就(jiu)不(bu)(bu)管(guan)、不(bu)(bu)好(hao) 管(guan)就(jiu)不(bu)(bu)管(guan)，堅(jian)決消(xiao)除(chu)違(wei)法建(jian)設(she)(she)(she)安(an)全隱患，堅(jian)決防止小施(shi)(shi)(shi)工(gong)(gong)(gong)(gong)(gong)(gong)(gong)引(yin)發大 事故。
（四）消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)督(du)(du)(du)檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)和專項整治(zhi)不(bu)深(shen)入。醫(yi)療(liao)衛生機構作為 典(dian)型人員(yuan)密集場所(suo)，消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全至關重(zhong)(zhong)要(yao)(yao)。當地消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)部門未(wei)認真履 行消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全監(jian)(jian)管(guan)(guan)職(zhi)責(ze)，2009年事發(fa)(fa)醫(yi)院已符(fu)合(he)(he)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全重(zhong)(zhong)點(dian)單(dan)(dan)位(wei)界定標準(zhun)，但未(wei)及時(shi)督(du)(du)(du)促醫(yi)院主動申報，至2022年才將其確 定為重(zhong)(zhong)點(dian)單(dan)(dan)位(wei)進行監(jian)(jian)管(guan)(guan)；確定為重(zhong)(zhong)點(dian)單(dan)(dan)位(wei)后，消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)督(du)(du)(du)檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)質效(xiao) 依(yi)然不(bu)高，未(wei)及時(shi)發(fa)(fa)現和督(du)(du)(du)促整改(gai)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)設施、消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)供電等問題(ti)隱 患。屬地消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)部門日常消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)督(du)(du)(du)檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)和消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全專項整治(zhi)不(bu)扎 實，2018 年、2021 年，北京市先后組織開展醫(yi)療(liao)場所(suo)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全 檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)和醫(yi)療(liao)機構消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全組團(tuan)(tuan)體檢(jian)(jian)(jian)(jian)(jian)式檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)，豐(feng)臺區(qu)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)救援支隊 將部門聯合(he)(he)組團(tuan)(tuan)式檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)變更為單(dan)(dan)位(wei)自查(cha)(cha)(cha)(cha)。北京市消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)救援總隊在 全市部署開展的(de)建設工程施工現場消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)全專項檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)中(zhong)，未(wei)能(neng)有(you) 效(xiao)指導豐(feng)臺區(qu)消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)救援支隊嚴格落(luo)實消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)督(du)(du)(du)檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)職(zhi)責(ze)，防(fang)(fang)(fang)(fang)(fang)(fang)火安(an) 全委員(yuan)會辦公室統籌(chou)協調作用(yong)發(fa)(fa)揮(hui)不(bu)明(ming)顯(xian)、未(wei)能(neng)有(you)效(xiao)推(tui)動落(luo)實行 業監(jian)(jian)管(guan)(guan)和專項監(jian)(jian)管(guan)(guan)職(zhi)責(ze)，檢(jian)(jian)(jian)(jian)(jian)查(cha)(cha)(cha)(cha)效(xiao)果打折扣。各級消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)部門要(yao)(yao)切實 履行消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)督(du)(du)(du)管(guan)(guan)理職(zhi)責(ze)，充分(fen)運用(yong)綜合(he)(he)監(jian)(jian)管(guan)(guan)方法手段，堅持問題(ti) 導向、精準(zhun)治(zhi)理、高效(xiao)監(jian)(jian)管(guan)(guan)，切實提高消(xiao)(xiao)(xiao)(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)(jian)管(guan)(guan)質效(xiao)。
（五(wu)）初(chu)期(qi)應(ying)急處(chu)置(zhi)能力不足(zu)。最早發現事故和(he)(he)(he)最早應(ying)對(dui)處(chu) 置(zhi)至(zhi)關重要(yao)，但一(yi)些單(dan)(dan)位底(di)線思維不夠，應(ying)急預案針對(dui)性不強(qiang)， 安(an)(an)(an)全(quan)(quan)教育培(pei)訓(xun)(xun)、應(ying)急演(yan)練流于形式，以致大(da)(da)量從業(ye)人(ren)員(yuan)(yuan)安(an)(an)(an)全(quan)(quan)素(su)養(yang) 不高，面對(dui)突(tu)發情況(kuang)往(wang)往(wang)手忙腳亂、不知(zhi)所措，容易錯失(shi)最佳處(chu) 置(zhi)時機，導致事故后(hou)果擴大(da)(da)。這(zhe)次(ci)事故中，自(zi)流平地面和(he)(he)(he)凈化(hua)工程作業(ye)人(ren)員(yuan)(yuan)均為臨時雇傭人(ren)員(yuan)(yuan)，未(wei)(wei)經任何(he)施工交(jiao)底(di)和(he)(he)(he)安(an)(an)(an)全(quan)(quan)教育培(pei) 訓(xun)(xun)直接上崗(gang)，違規(gui)(gui)交(jiao)叉作業(ye)導致發生(sheng)火(huo)災，之(zhi)后(hou)作業(ye)人(ren)員(yuan)(yuan)均未(wei)(wei)第 一(yi)時間(jian)報警(jing)，僅有(you)1名作業(ye)人(ren)員(yuan)(yuan)開(kai)展了滅火(huo)撲救，但也未(wei)(wei)能撲滅全(quan)(quan)部火(huo)點。醫院值班人(ren)員(yuan)(yuan)、管(guan)理人(ren)員(yuan)(yuan)和(he)(he)(he)醫護(hu)人(ren)員(yuan)(yuan)，在發現火(huo)情后(hou)均未(wei)(wei)第一(yi)時間(jian)報警(jing)，醫院未(wei)(wei)有(you)效組織初(chu)期(qi)火(huo)災撲救和(he)(he)(he)人(ren)員(yuan)(yuan)疏(shu)散，僅個別醫護(hu)人(ren)員(yuan)(yuan)自(zi)行組織現場人(ren)員(yuan)(yuan)疏(shu)散。同(tong)時，這(zhe)次(ci)事故也暴露出一(yi)些政府(fu)部門和(he)(he)(he)單(dan)(dan)位存在事故信息(xi)報送特別是傷亡(wang)人(ren)員(yuan)(yuan)信息(xi)報送不及時不規(gui)(gui)范等問題。各(ge)地區、各(ge)部門、各(ge)單(dan)(dan)位必須引以為戒，加強(qiang)應(ying)急預案制修訂，強(qiang)化(hua)安(an)(an)(an)全(quan)(quan)教育培(pei)訓(xun)(xun)，定期(qi)組織開(kai)展應(ying)急演(yan)練，提(ti)高應(ying)急處(chu)置(zhi)能力。
八、事故整改和防范措施建議
（一）切實扛起防范化解重大風險政治責任。各(ge)(ge)級領導(dao)干部 要(yao)結合學習(xi)貫徹習(xi)近平新時代中國(guo)特色社會(hui)主義思想主題(ti)(ti)教育， 全(quan)(quan)(quan)面深入學習(xi)領會(hui)習(xi)近平總書(shu)記(ji)關于(yu)安(an)全(quan)(quan)(quan)生產重(zhong)(zhong)要(yao)論述，堅(jian)持(chi)(chi)人 民至上、生命至上，不(bu)折不(bu)扣落實(shi)(shi)(shi)《地(di)方(fang)黨(dang)政領導(dao)干部安(an)全(quan)(quan)(quan)生產 責(ze)(ze)任(ren)(ren)(ren)制規定(ding)》，站在全(quan)(quan)(quan)面推進(jin)中國(guo)式現代化(hua)的(de)高度，立足從根(gen)本 上消(xiao)除(chu)事故隱患、從根(gen)本上解(jie)決問(wen)題(ti)(ti)，強化(hua)風險(xian)意識和(he)底線思維， 牢固樹(shu)立安(an)全(quan)(quan)(quan)發展理念，進(jin)一(yi)(yi)步增(zeng)強防(fang)范化(hua)解(jie)重(zhong)(zhong)大(da)風險(xian)的(de)政治自(zi)(zi) 覺(jue)、思想自(zi)(zi)覺(jue)和(he)行(xing)動自(zi)(zi)覺(jue)。各(ge)(ge)地(di)區(qu)、各(ge)(ge)部門(men)、各(ge)(ge)單位要(yao)切(qie)(qie)實(shi)(shi)(shi)提(ti)高 風險(xian)隱患排查整(zheng)改(gai)質量，切(qie)(qie)實(shi)(shi)(shi)提(ti)升(sheng)發現問(wen)題(ti)(ti)解(jie)決問(wen)題(ti)(ti)的(de)強烈意愿 和(he)能(neng)力(li)水(shui)平，進(jin)一(yi)(yi)步壓緊壓實(shi)(shi)(shi)企業主體責(ze)(ze)任(ren)(ren)(ren)、部門(men)監管責(ze)(ze)任(ren)(ren)(ren)、地(di) 方(fang)領導(dao)責(ze)(ze)任(ren)(ren)(ren)，深刻汲(ji)取(qu)事故教訓(xun)，建立安(an)全(quan)(quan)(quan)風險(xian)防(fang)范長(chang)效(xiao)機(ji)制， 堅(jian)決守牢安(an)全(quan)(quan)(quan)紅(hong)線底線。各(ge)(ge)地(di)區(qu)、各(ge)(ge)部門(men)、各(ge)(ge)單位要(yao)深刻反思近 年來重(zhong)(zhong)特大(da)事故教訓(xun)，深入落實(shi)(shi)(shi)防(fang)范事故的(de)各(ge)(ge)項措施，以“時時 放心不(bu)下”的(de)責(ze)(ze)任(ren)(ren)(ren)感，抓(zhua)細抓(zhua)實(shi)(shi)(shi)安(an)全(quan)(quan)(quan)生產和(he)消(xiao)防(fang)安(an)全(quan)(quan)(quan)工作，統籌 好發展和(he)安(an)全(quan)(quan)(quan)兩(liang)件(jian)大(da)事，以實(shi)(shi)(shi)際(ji)行(xing)動和(he)實(shi)(shi)(shi)際(ji)效(xiao)果堅(jian)定(ding)擁護“兩(liang)個確立”，堅(jian)決做到“兩(liang)個維護”，持(chi)(chi)續推進(jin)安(an)全(quan)(quan)(quan)生產形勢穩定(ding)向 好。
（二）著力補齊醫療衛生機構安全管理短板。各(ge)級衛生(sheng)(sheng)健康 部門要加強醫療(liao)衛生(sheng)(sheng)行(xing)(xing)業安(an)(an)(an)(an)(an)全(quan)管理，督(du)促(cu)各(ge)類(lei)醫療(liao)衛生(sheng)(sheng)機構嚴格(ge) 執(zhi)行(xing)(xing)安(an)(an)(an)(an)(an)全(quan)生(sheng)(sheng)產(chan)和(he)(he)(he)消防(fang)安(an)(an)(an)(an)(an)全(quan)管理規定，落實(shi)安(an)(an)(an)(an)(an)全(quan)生(sheng)(sheng)產(chan)和(he)(he)(he)消防(fang)安(an)(an)(an)(an)(an)全(quan)責(ze) 任(ren)制，加強安(an)(an)(an)(an)(an)全(quan)風險分級管控和(he)(he)(he)隱患(huan)排查(cha)(cha)治(zhi)(zhi)理，組(zu)織(zhi)開展(zhan)醫療(liao)衛 生(sheng)(sheng)機構安(an)(an)(an)(an)(an)全(quan)生(sheng)(sheng)產(chan)和(he)(he)(he)消防(fang)安(an)(an)(an)(an)(an)全(quan)專項(xiang)排查(cha)(cha)整(zheng)治(zhi)(zhi)。嚴格(ge)醫療(liao)衛生(sheng)(sheng)機構登(deng) 記校驗、行(xing)(xing)政(zheng)審批等(deng)，堅決(jue)杜(du)絕違(wei)(wei)規審批許可(ke)現(xian)象，組(zu)織(zhi)開展(zhan)醫 療(liao)衛生(sheng)(sheng)機構依法執(zhi)業情況核(he)查(cha)(cha)，嚴查(cha)(cha)不如(ru)實(shi)申報情況、超許可(ke)范 圍執(zhi)業、違(wei)(wei)規開展(zhan)醫養結合(he)服務等(deng)行(xing)(xing)為。深刻汲取(qu)事故教訓(xun)，督(du) 促(cu)醫療(liao)衛生(sheng)(sheng)機構統籌考(kao)慮(lv)院感防(fang)治(zhi)(zhi)和(he)(he)(he)病(bing)患(huan)應(ying)急(ji)(ji)疏散(san)轉移(yi)，尤其要 針對長期行(xing)(xing)動(dong)不便和(he)(he)(he)失能(neng)患(huan)者科學(xue)合(he)理分布病(bing)區，將(jiang)集中收治(zhi)(zhi)病(bing) 房和(he)(he)(he)醫療(liao)用(yong)房設置在(zai)較低樓層等(deng)便于疏散(san)轉移(yi)區域。指(zhi)導各(ge)類(lei)醫 療(liao)衛生(sheng)(sheng)機構制定專項(xiang)滅火(huo)預(yu)案和(he)(he)(he)應(ying)急(ji)(ji)疏散(san)預(yu)案，按照標準規定設 置避難(nan)間，配(pei)備(bei)輪椅、擔架等(deng)疏散(san)輔助(zhu)設備(bei)，病(bing)房內實(shi)現(xian)一鍵(jian)報 警功能(neng)并(bing)配(pei)備(bei)簡易呼吸面罩(zhao)，提高初期火(huo)災撲救處(chu)置和(he)(he)(he)應(ying)急(ji)(ji)疏散(san) 能(neng)力。
（三）堅決堵塞建設工程安全監督管理漏洞。各級(ji)住房城鄉 建(jian)(jian)設(she)部門要(yao)(yao)加大(da)資質審批后動態監(jian)管力度，組(zu)織開展建(jian)(jian)筑(zhu)業企業 許(xu)(xu)可條(tiao)件保持(chi)情況專項排查，及時發(fa)現(xian)并(bing)嚴(yan)厲查處擅自降低許(xu)(xu)可 條(tiao)件的行為；嚴(yan)格建(jian)(jian)設(she)工(gong)(gong)程施(shi)工(gong)(gong)許(xu)(xu)可管理(li)(li)，加強(qiang)(qiang)全(quan)(quan)口徑建(jian)(jian)設(she)工(gong)(gong)程 施(shi)工(gong)(gong)安全(quan)(quan)監(jian)管，嚴(yan)查不辦理(li)(li)施(shi)工(gong)(gong)許(xu)(xu)可等法(fa)(fa)定建(jian)(jian)設(she)手續(xu)、違(wei)(wei)(wei)法(fa)(fa)承接(jie) 工(gong)(gong)程、轉包(bao)掛靠、違(wei)(wei)(wei)法(fa)(fa)分包(bao)、違(wei)(wei)(wei)法(fa)(fa)違(wei)(wei)(wei)規施(shi)工(gong)(gong)、冒險作業等行為； 加強(qiang)(qiang)施(shi)工(gong)(gong)現(xian)場特(te)別是施(shi)工(gong)(gong)動火作業安全(quan)(quan)管理(li)(li)，督促有(you)關單位嚴(yan)格 落實(shi)建(jian)(jian)設(she)工(gong)(gong)程安全(quan)(quan)主(zhu)體責(ze)任，及時發(fa)現(xian)并(bing)消除事故隱患(huan)。北京市 要(yao)(yao)盡快修改完善《限額(e)以下小型(xing)工(gong)(gong)程施(shi)工(gong)(gong)安全(quan)(quan)管理(li)(li)辦法(fa)(fa)（試(shi)行）》， 切實(shi)加強(qiang)(qiang)限額(e)以下小型(xing)工(gong)(gong)程施(shi)工(gong)(gong)安全(quan)(quan)管理(li)(li)。各地區要(yao)(yao)抓緊(jin)修訂完 善禁止(zhi)使(shi)用(yong)建(jian)(jian)筑(zhu)材料(liao)目錄，對(dui)施(shi)工(gong)(gong)現(xian)場使(shi)用(yong)的含有(you)揮發(fa)性有(you)機化(hua) 合(he)物涂料(liao)等產品實(shi)施(shi)目錄清單管理(li)(li)。城鄉規劃等部門要(yao)(yao)加大(da)對(dui)違(wei)(wei)(wei) 法(fa)(fa)建(jian)(jian)設(she)的巡查和處置(zhi)力度，對(dui)新增(zeng)(zeng)違(wei)(wei)(wei)建(jian)(jian)實(shi)行“零容忍”，堅(jian)決遏 制增(zeng)(zeng)量(liang)，有(you)序化(hua)解存量(liang)。
（四）全面織牢織密消防安全風險防控網。各地區(qu)要(yao)(yao)按(an)照“三(san) 管(guan)(guan)三(san)必須”要(yao)(yao)求，進(jin)(jin)一步壓實(shi)(shi)(shi)行(xing)(xing)業部門消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)管(guan)(guan)理(li)(li)責(ze)(ze)任，推(tui)行(xing)(xing) 行(xing)(xing)業消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)標(biao)準(zhun)(zhun)(zhun)化管(guan)(guan)理(li)(li)；對職(zhi)能交叉和(he)新(xin)業態(tai)新(xin)風(feng)險，按(an)照“誰 主管(guan)(guan)誰牽(qian)頭(tou)(tou)、誰為主誰牽(qian)頭(tou)(tou)、誰靠近誰牽(qian)頭(tou)(tou)”的(de)(de)原(yuan)則及(ji)時明確監(jian) 管(guan)(guan)責(ze)(ze)任。推(tui)動街道(dao)鄉鎮建設(she)應急站、消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)所，發揮(hui)公(gong)(gong)安(an)(an)(an)(an)派出所、 社區(qu)、網格等(deng)(deng)(deng)群防(fang)(fang)(fang)(fang)(fang)(fang)群治(zhi)力量，切實(shi)(shi)(shi)加強對小場所小單位(wei)的(de)(de)消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an) 全(quan)管(guan)(guan)理(li)(li)。分領域分場所建立(li)健全(quan)火災風(feng)險分級管(guan)(guan)控和(he)隱患排(pai)查(cha)(cha)(cha)雙 重預(yu)防(fang)(fang)(fang)(fang)(fang)(fang)體系，深入推(tui)行(xing)(xing)單位(wei)風(feng)險隱患自知(zhi)、自查(cha)(cha)(cha)、自改和(he)公(gong)(gong)示承 諾機(ji)制，嚴(yan)格督促(cu)落實(shi)(shi)(shi)消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)主體責(ze)(ze)任。修訂完善消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)重 點(dian)單位(wei)界定標(biao)準(zhun)(zhun)(zhun)，依法(fa)督促(cu)單位(wei)主動對照標(biao)準(zhun)(zhun)(zhun)進(jin)(jin)行(xing)(xing)申報，規范重 點(dian)單位(wei)備(bei)案流程(cheng)。各級消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)部門要(yao)(yao)嚴(yan)格履(lv)行(xing)(xing)消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)督管(guan)(guan)理(li)(li)職(zhi)責(ze)(ze)， 推(tui)動公(gong)(gong)共消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)治(zhi)理(li)(li)模式向事前預(yu)防(fang)(fang)(fang)(fang)(fang)(fang)轉(zhuan)型，緊盯(ding)醫(yi)院、養老院、 大(da)型商業綜合(he)體等(deng)(deng)(deng)高風(feng)險場所和(he)群租房(fang)、“三(san)合(he)一”、經營性自建房(fang)等(deng)(deng)(deng)低(di)設(she)防(fang)(fang)(fang)(fang)(fang)(fang)區(qu)域，實(shi)(shi)(shi)行(xing)(xing)分級分類差異化監(jian)管(guan)(guan)，做到精(jing)(jing)準(zhun)(zhun)(zhun)研(yan)判(pan)、 精(jing)(jing)準(zhun)(zhun)(zhun)執法(fa)、精(jing)(jing)準(zhun)(zhun)(zhun)治(zhi)理(li)(li)，堅(jian)決整治(zhi)消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)設(she)施癱瘓、占用(yong)堵(du)塞疏(shu)散通 道(dao)、安(an)(an)(an)(an)全(quan)出口鎖(suo)閉等(deng)(deng)(deng)突出隱患問題(ti)，堅(jian)決查(cha)(cha)(cha)處違規動火作業等(deng)(deng)(deng)違 法(fa)行(xing)(xing)為，強化消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)技(ji)術服務機(ji)構消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)設(she)施檢測結(jie)果在消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)安(an)(an)(an)(an)全(quan)檢 查(cha)(cha)(cha)工作中的(de)(de)運(yun)用(yong)，切實(shi)(shi)(shi)提升消(xiao)(xiao)(xiao)防(fang)(fang)(fang)(fang)(fang)(fang)監(jian)督檢查(cha)(cha)(cha)質(zhi)效。
（五）加(jia)快(kuai)提(ti)升基(ji)層(ceng)一(yi)線應(ying)(ying)急(ji)(ji)處(chu)置(zhi)能(neng)(neng)力(li)和水平。各(ge)(ge)(ge)地(di)區要(yao)進 一(yi)步強化(hua)對(dui)各(ge)(ge)(ge)類企事(shi)業單位應(ying)(ying)急(ji)(ji)預(yu)案、演練、培(pei)訓(xun)(xun)等(deng)(deng)應(ying)(ying)急(ji)(ji)準備的(de) 組織指(zhi)導(dao)、監督檢查，著(zhu)(zhu)力(li)解決應(ying)(ying)急(ji)(ji)預(yu)案流于形式、應(ying)(ying)急(ji)(ji)演練走 過場(chang)、應(ying)(ying)急(ji)(ji)培(pei)訓(xun)(xun)不(bu)專業等(deng)(deng)突出問題，著(zhu)(zhu)力(li)解決涉及人(ren)員(yuan)密集和高 風險場(chang)所的(de)各(ge)(ge)(ge)類企事(shi)業單位初期應(ying)(ying)急(ji)(ji)處(chu)置(zhi)、組織疏散逃生、自救(jiu) 互救(jiu)等(deng)(deng)應(ying)(ying)急(ji)(ji)能(neng)(neng)力(li)不(bu)足(zu)問題。加(jia)強基(ji)層(ceng)一(yi)線作業人(ren)員(yuan)安全(quan)(quan)教(jiao)育和應(ying)(ying) 急(ji)(ji)培(pei)訓(xun)(xun)，深入開(kai)展(zhan)(zhan)實(shi)操(cao)實(shi)訓(xun)(xun)應(ying)(ying)急(ji)(ji)演練，確保熟悉作業場(chang)所現場(chang)處(chu) 置(zhi)方案。北京市要(yao)加(jia)快(kuai)安全(quan)(quan)生產和消(xiao)防教(jiao)育培(pei)訓(xun)(xun)服務平臺建設進 度，面向全(quan)(quan)社會(hui)提(ti)供隨(sui)時(shi)隨(sui)地(di)進行線上安全(quan)(quan)知識(shi)技能(neng)(neng)培(pei)訓(xun)(xun)學(xue)習(xi)的(de) 條件，提(ti)升早(zao)發現、早(zao)報告、早(zao)預(yu)警、早(zao)處(chu)置(zhi)能(neng)(neng)力(li)。加(jia)強應(ying)(ying)急(ji)(ji)文 化(hua)建設，強化(hua)應(ying)(ying)急(ji)(ji)科普(pu)宣(xuan)傳，積(ji)極開(kai)展(zhan)(zhan)火(huo)災案例警示(shi)教(jiao)育和應(ying)(ying)急(ji)(ji) 知識(shi)宣(xuan)傳，切實(shi)增(zeng)強社會(hui)公眾安全(quan)(quan)意(yi)識(shi)，做到(dao)人(ren)人(ren)講安全(quan)(quan)、個個 會(hui)應(ying)(ying)急(ji)(ji)。
