职业与健康 ›› 2026, Vol. 42 ›› Issue (2): 156-160.

• 论著 • 上一篇    下一篇

4种职业健康风险评估方法在高原地区管道防腐企业粉尘接害岗位健康风险评估中的应用

时佳, 赵树海, 徐密娟, 张丽芳, 贾煜, 侯文胜()   

  1. 河北中石油中心医院职业卫生技术服务中心,河北 廊坊 065000
  • 收稿日期:2025-03-23 修回日期:2025-04-08 出版日期:2026-01-15 发布日期:2026-02-06
  • 通信作者: 侯文胜,E-mail:409421589@qq.com
  • 作者简介:时佳,女,高级工程师,主要从事职业卫生检测工作。
  • 基金资助:
    2022年廊坊市科学技术研究与发展计划(第一批)自筹经费项目(2022013017)

Application of four kinds of occupational health risk assessment methods in health risk assessment of dust exposure positions in pipeline anti-corrosion enterprises in plateau areas

SHI Jia, ZHAO Shuhai, XU Mijuan, ZHANG Lifang, JIA Yu, HOU Wensheng()   

  1. Occupational Health Technical Service Centre,Hebei Petro China Central Hospital,Langfang,Hebei 065000,China
  • Received:2025-03-23 Revised:2025-04-08 Online:2026-01-15 Published:2026-02-06

摘要:

目的 比较4种职业健康风险评估方法在高原地区管道防腐企业粉尘作业岗位健康风险评估中的适用性。 方法 以青海省某管道防腐公司为研究对象,2023年对其开展职业病危害因素现场调查及检测,采用GBZ/T 229.1—2010《工作场所职业病危害作业分级第1部分:生产性粉尘》作业分级法、GBZ/T 298—2017《工作场所化学有害因素职业健康风险评估技术导则》中的综合指数法、国际采矿和金属委员会(International Council on Mining and Metals,ICMM)的职业健康风险评估模型法以及职业危害风险指数法对重点粉尘接害岗位的风险进行评估,并比较4种风险评估结果。 结果 各粉尘接害岗位的职业健康风险评估结果显示,作业分级法均评估为相对无害作业(1级);综合指数法均评估为低风险(2级);ICMM法中评估喷涂岗为不可容忍风险(5级),管端打磨岗为非常高风险(4级),其余岗位均为高风险(3级);职业危害风险指数法中均评估为无危害风险(1级)。4种方法分别计算风险比值并使用SPSS 25.0进行分析,计算Fleiss Kappa值为-0.274<0.2,整体一致性较低,差异有统计学意义(P<0.01)。 结论 4种风险评估方法均可对高原地区管道防腐企业粉尘接害岗位职业健康风险进行评估,但评估结果不尽一致,其中作业分级法可用于评估接触游离二氧化硅含量较高粉尘的岗位,ICMM法可以快速识别企业粉尘接害岗位中重点关注的岗位,综合指数法和职业危害风险评估法可以帮助企业对自身危害控制措施进行改进完善。

关键词: 高原地区, 管道防腐, 职业卫生, 风险评估

Abstract:

Objective To compare the applicability of four occupational health risk assessment methods in the health risk assessment of dust operation positions in pipeline anti-corrosion enterprises in high-altitude areas. Methods Taking dust exposure posts in pipeline anti-corrosion company in Qinghai Province as the research object,an on-site investigation and detection of occupational hazards were conducted in 2023.The classification of occupational hazards in the workplace of GBZ/T 229.1-2010 "Classification of Occupational Hazards in the Workplace Part 1:Productive Dust",the comprehensive index method of GBZ/T 298-2017 "Technical Guidelines for Occupational Health Risk Assessment of Chemical Hazardous Factors in the Workplace",the occupational health risk assessment model method(the quantitative method) of the International Council on Mining and Metals (ICMM),and the occupational hazard risk index method were used to evaluate the occupational health risk level in key dust exposure positions,and the results of four risk assessments were compared. Results The occupational health risk assessment results of each dust exposure position showed that all the posts were rated as relatively harmless operations(1st level) in the method of classification of occupational hazards in the workplace,and low risk(2nd level) in the comprehensive index method. The spraying position was rated as intolerable risk(5th level),the grinding position as very high risk(4th level),and the remaining positions all as high risks in ICMM quantitative method,all the positions as no hazard risk(1st level) in the occupational hazard risk index method. Four different methods were employed to calculate the risk ratios,and statistical analysis was performed using the statistical software SPSS 25.0. The Fleiss' Kappa value was calculated to be -0.274,which was less than 0.2,indicating a low overall consistency and statistically significant differences(P<0.01). Conclusion All four risk assessment methods can evaluate the occupational health risks of dust exposure positions in pipeline anti-corrosion enterprises in high-altitude areas,but the assessment results are not consistent. Among them,the classification of occupational hazards in the workplace can be focusing on the posts exposed to dust with a high content of free silica,the ICMM quantitative method can quickly identify the key posts that enterprises should focus on in terms of dust exposure,and both the comprehensive index method and the occupational hazard risk assessment method can help enterprises improve and perfect their own hazard control measures.

Key words: Plateau area, Pipeline anti-corrosion, Occupational health, Risk assessment

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