118 Fei Ao Rd, Pudong International Airport, Shanghai P.R. China 201207

Tel: +86 (21)2021 5000 Fax: +86 (21)6835-8016 FAA Approved Repair Station No.: 3BSY195B CAAC Approved Maintenance Organization No.: D.200093

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安全提示 safety reminder

编号No.： BS_SR_2010_002 日期Date: July 21, 2010

主题： 修理坞的使用注意事项 Subject: The cautions of the use of Dock

一. 背景 Background

在环境的人为差错评估中，一个明显的推论是理解这些事是如何及为什么会发生，这样类

似的事情就有可能被阻止。分析过程，不关心责任的归属，而是在于分析其基本的错误及

其潜在的因素。这将有助于我们了解人们的行为及让我们有机会在未来管理并矫正人为的

差错，以避免事故的发生。 One of the obvious consequences of assessing human error in the environment is that, in understanding how and why it happened, similar events may be prevented. The analysis process is not concerned therefore with the attribution of blame, but rather the analysis of the error and its underlying factors. It is hoped that this will help our understanding of human performance and therefore give us the opportunity to recover and manage occurrences of human error in the future. 二. 事件经过 Course of incident 我们公司最近发生了一起767/777修理坞在机

坪上由于大风影响，失去控制，撞击上东航梯

架及车辆事故。

Our company has taken place an incident of lost control of moving docking recently, when it moving on ramp in storm. The docking directly impacted to some dock and equipments of East Airline.

这件事件提醒我们维修工作中存在各种不可

预知的风险。我们必须从预防方法上完善各种

措施和程序，才能减少或及时制止事故的发

生。

This incident has reminded us there are any various unpredictable risks in the process of maintenance work. We must Complete or perfect in every respect of the preventive measure and procedure. And then we could reduce or stopped the ongoing accident ASAP.

三. 执行方式的建议 Performance suggestions 修理坞移动的注意事项

Docking Moving Notes:

每次修理坞的移动必须由一个有经验的的管

理人员(全职的经理人员)策划或指挥。在移动

之前，管理人员必须向小组成员讲述移动修理

坞的注意事项和规则。

Each move needs to be managed by an experienced manager (a member of the full time management team). Prior to the move, the manager must brief the team on precautions and rules.

118 Fei Ao Rd, Pudong International Airport, Shanghai P.R. China 201207

Tel: +86 (21)2021 5000 Fax: +86 (21)6835-8016 FAA Approved Repair Station No.: 3BSY195B CAAC Approved Maintenance Organization No.: D.200093

Page 2 of 3

1、 确保阵风风速不超过每小时30公里。检查

机场天气预报，以确保没有风暴进入该地

区。

Ensure that the winds are not gusting about 30 kilometers per hour. Check airport forecast to ensure that no storm cells are moving into the area.

2、 获取轮脚刹车，以确保修理坞不能被移

动，需要将所有四个角的轮子做前后移动

的检查。

Obtain wheel chocks to secure the dock so that it cannot roll. Need front and back wheel checks for all four corners.

3、 确保有足够的人员安全地移动修理坞，移

动修理坞的人手不应少于30人。

Ensure enough personnel to safely move the dock, never move it with less than 30 people.

4、 在将修理坞移出机库之前，确保所有的伸

出滑板收回并锁定到位

Prior to moving it outdoors insure that all sliders are retracted and locked in place.

5、 检查以确保在修理坞上没有任何工具，零

部件，紧固件或其他物件，以避免异物从

平台上跌落击伤下面的人员。

Inspect to make sure that no tools, parts, fasteners or other objects are anywhere on the platforms to avoid things falling onto people.

6、 确保所有液压轴承完全收回并上锁 Ensure that all hydraulic rams are fully retracted and locked.

7、 分配两个人担任安全观察员（如在飞机移

动时在大翼下方的观察者）。如果需要停

止运动时，他们应该有信号装置，如口哨

给予警告

Assign two people to act as safety observers (like wing walkers on an airplane move). They should have signaling devices such as whistles to give alerts if movement needs to stop.

8、 移动修理坞时应该只是推，不应有人站在

修理坞的向前的运动方向上。所有转向动

作应在修理坞停止或接近停止时进行，因

为它的重量原因，转向机构只需要很轻微

的转向动作）

Movement should be by pushing only, no one should be in front of the dock in the direction of movement. All steering motions should be done with the dock stopped or nearly stopped (because of its weight the steering mechanism may require very slight movement to turn)

9、 修理坞移动时不应超过每分钟10米 The dock should not be moved any faster than ten meters per minute.

10、 如果修理坞需要停在机库门外，所有的轮

脚必须锁定并且档上轮档或做等效锁定。

Once in place outdoors, all wheels need to be chocked and all downlocks in place.

11、 当需要停放在机库门外时，在任何情况下

均不应将修理坞移动或停放到临近飞机

的区域

Under no circumstances should these docks be moved near an airplane.while outdoors.

12、 如果由于某种原因，该修理坞失去控制，

所有员工都应躲避，直到修理坞的在运动

方向减缓下来。

If for some reason control of the dock is lost, all employees are to get out of its way until it comes to rest.

118 Fei Ao Rd, Pudong International Airport, Shanghai P.R. China 201207

Tel: +86 (21)2021 5000 Fax: +86 (21)6835-8016 FAA Approved Repair Station No.: 3BSY195B CAAC Approved Maintenance Organization No.: D.200093

Page 3 of 3

事故的发生似乎是非常复杂的结果，

这些巧合可以预见到的很少...人们总认为意外不会发生，因为人们有 赌博意识，但不幸通常都赌输了，事故发生的原因在于人们不 相信事故发生是在任何可能的情况下都会产生的！

Accidents appear to be the result of highly complex coincidences which could rarely be foreseen by those involved … accidents do not occur because people gamble and lose, they occur because people do not believe that the accident that is about to occur, is at all possible.

波音上海 质量安全部 Boeing Shanghai Quality Safety Department

2010 年 7 月 21 日