T\u00fcrkiye Ta\u015fk\u00f6m\u00fcr\u00fc Kurumu (TTK) Amasra M\u00fcessesesi’nde 14 Ekim’de meydana gelen patlamaya ili\u015fkin ihmaller, Bart\u0131n Emniyet M\u00fcd\u00fcrl\u00fc\u011f\u00fcnce haz\u0131rlanan fezlekede yer ald\u0131.<\/b><\/p>\n
Amasra\u2019daki maden oca\u011f\u0131nda ya\u015fanan patlamaya ili\u015fkin \u0130l Emniyet M\u00fcd\u00fcrl\u00fc\u011f\u00fcnce haz\u0131rlanan ve Bart\u0131n Cumhuriyet Ba\u015fsavc\u0131l\u0131\u011f\u0131na sunulan 270 sayfal\u0131k fezlekenin ayr\u0131nt\u0131lar\u0131 ortaya \u00e7\u0131kt\u0131.<\/p>\n
Fezlekede, patlamadan yaral\u0131 kurtulan madenciler ve yak\u0131nlar\u0131, ayn\u0131 ve di\u011fer vardiyalarda \u00e7al\u0131\u015fan madenciler, hayat\u0131n\u0131 kaybeden madencilerin yak\u0131nlar\u0131 ile \u015f\u00fcpheli ve patlamada kusuru g\u00f6r\u00fclenlerin aralar\u0131nda oldu\u011fu 350 ki\u015finin ifadeleri ile denetim raporlar\u0131n\u0131n sonu\u00e7lar\u0131na yer verildi.<\/p>\n
T\u00dcM SENS\u00d6RLER DEVRE DI\u015eI KALDI<\/strong><\/p>\n Olay g\u00fcn\u00fc saat 17.56 itibar\u0131yla ocak i\u00e7indeki (CH4-27) kod numaral\u0131 metan gaz\u0131 yo\u011funlu\u011funu g\u00f6steren sens\u00f6r\u00fcn \u00f6l\u00e7\u00fcm de\u011ferlerinde art\u0131\u015f\u0131n ba\u015flad\u0131\u011f\u0131 (0.71), saat 18.09\u2019a kadar art\u0131\u015f\u0131n istikrarl\u0131 \u015fekilde devam etti\u011fi (1.69), saat 18.10 itibar\u0131yla sens\u00f6r de\u011ferinin 0.00 seviyesine indi\u011fi aktar\u0131lan fezlekede, bunun sonras\u0131nda patlaman\u0131n etkisiyle t\u00fcm sens\u00f6rlerin devre d\u0131\u015f\u0131 kald\u0131\u011f\u0131n\u0131n anla\u015f\u0131ld\u0131\u011f\u0131 belirtildi.<\/p>\n Fezlekede, k\u00f6m\u00fcr \u00fcretimi i\u00e7in dinamitle kontroll\u00fc patlatma yap\u0131ld\u0131\u011f\u0131 zaman ortamda ani karbonmonoksit gaz\u0131 art\u0131\u015f\u0131n\u0131n oldu\u011fu anlat\u0131larak, dinamit patlamas\u0131 neticesinde ortama ayn\u0131 anda metan gaz\u0131 ve karbonmonoksit sal\u0131nd\u0131\u011f\u0131 de\u011ferlendirildi\u011fi kaydedildi.<\/p>\n \u201cARIZAYA RA\u011eMEN \u00dcRET\u0130M G\u00d6REVL\u0130LER\u0130N\u0130N OCA\u011eA \u0130ND\u0130\u011e\u0130 ANLA\u015eILMI\u015eTIR\u201d<\/strong><\/p>\n Fezlekede, \u201cMerkezi Gaz \u0130zleme Defteri\u201dnde 13 Ekim P1 (00.00-08.00) vardiyas\u0131 g\u00f6revlilerinin \u201cCH4-20 -300\/350 Nefeslik \u00e7\u0131k\u0131\u015f\u0131 sens\u00f6r ar\u0131zas\u0131 verdi, veri al\u0131nam\u0131yor.\u201d \u015feklinde a\u00e7\u0131klamalar\u0131n\u0131n bulundu\u011fu, ilerleyen vardiyalarda bu ar\u0131zan\u0131n giderildi\u011fine dair herhangi bir a\u00e7\u0131klaman\u0131n bulunmad\u0131\u011f\u0131n\u0131n tespit edildi\u011fi, en yak\u0131n havaland\u0131rma vantilat\u00f6rlerinin birisinin yeterli \u00e7al\u0131\u015fmad\u0131\u011f\u0131n\u0131n ve 2 de\u011ferinin alt\u0131ndaki vantilat\u00f6r de\u011ferinin temiz havay\u0131 g\u00f6nderme kapasitesinin olmad\u0131\u011f\u0131n\u0131n beyanlardan anla\u015f\u0131ld\u0131\u011f\u0131 anlat\u0131ld\u0131.<\/p>\n \u00dcretim g\u00f6revlilerinin, 08.00-16.00 vardiyas\u0131nda ar\u0131zay\u0131 merkez izleme sistemine bildirdi\u011fi ancak bu vardiyada i\u015f g\u00fcvenli\u011fi \u00f6nlemleri al\u0131nmad\u0131\u011f\u0131 ve tamirin yap\u0131lmad\u0131\u011f\u0131n\u0131n anla\u015f\u0131ld\u0131\u011f\u0131 vurgulanan fezlekede, \u201c16.00-00.00 vardiyas\u0131nda giderilmeyen ar\u0131zaya ra\u011fmen \u00fcretim g\u00f6revlilerinin oca\u011fa indi\u011fi, elektromekanik ve tamir tarama g\u00f6revlilerinin ar\u0131zalar\u0131 gidermedi\u011fi ayr\u0131ca zorunlu hale getirilen havaland\u0131rma sisteminin modernizasyonu i\u015fleminin halen yerine getirilmemi\u015f oldu\u011fu anla\u015f\u0131lm\u0131\u015ft\u0131r.\u201d ifadesine yer verildi.<\/p>\n Belirtilen hususlardan sorumlu ki\u015filerin g\u00f6revlerini ihmal ettiklerinin de\u011ferlendirildi\u011fi aktar\u0131lan fezlekede, 14 Ekim\u2019de saat 17.52 s\u0131ralar\u0131nda la\u011f\u0131m (dinamit patlamas\u0131) ger\u00e7ekle\u015ftirildi\u011fi, akabinde saat 18.09\u2019da metan patlamas\u0131na m\u00fcteakip \u00f6l\u00fcmlerin ya\u015fand\u0131\u011f\u0131n\u0131n anla\u015f\u0131ld\u0131\u011f\u0131 kaydedildi.<\/p>\n \u201cZAF\u0130YET VE \u0130HMAL NOKTASI\u2026\u201d<\/strong><\/p>\n Her t\u00fcrl\u00fc metan y\u00fckselmesinin; takip, de\u011ferlendirme ve analize tabi tutulmas\u0131 gerekirken, s\u0131radan bir olay gibi kar\u015f\u0131land\u0131\u011f\u0131n\u0131n g\u00f6r\u00fcld\u00fc\u011f\u00fc bilgisine yer verilen fezlekeye, \u015f\u00f6yle devam edildi:<\/p>\n \u201cSadece y\u00fczde 1 (ikaz) y\u00fczde 1,5 (alarm) ile s\u0131n\u0131rlar\u0131na bakarak dinamit patlatmas\u0131 ve bu i\u015flerin m\u00fchendislik bilgisi ve karar\u0131 d\u0131\u015f\u0131nda yap\u0131lmas\u0131, her olay\u0131n maden k\u00fclt\u00fcr\u00fc ve tekni\u011fi i\u00e7inde de\u011ferlendirilmesi ve analiz edilmesi gerekirken normal bir ta\u015f k\u0131rma i\u015flemi veya in\u015faat i\u015flemi gibi i\u015f\u00e7ilerin karar ve ihtiya\u00e7lar\u0131na b\u0131rak\u0131lmas\u0131, ba\u015fl\u0131 ba\u015f\u0131na zafiyet ve ihmal noktas\u0131d\u0131r.\u201d<\/p>\n \u201cHer ad\u0131m\u0131 \u00f6l\u00e7\u00fclere dayal\u0131 mevzuat d\u00fczenlemelerine ra\u011fmen incelenen olayda bir tedbirsizlik zincirinden ve koordinasyonsuzluktan s\u00f6z etmek m\u00fcmk\u00fcnd\u00fcr.\u201d ifadesi yer alan fezlekede, maden i\u015f\u00e7ilerinin, oksijen maskesi takma e\u011fitimini almad\u0131klar\u0131 halde ka\u011f\u0131t \u00fczerinde alm\u0131\u015f gibi g\u00f6sterildiklerinin anla\u015f\u0131ld\u0131\u011f\u0131 belirtildi.<\/p>\n \u201cG\u00d6STERMEL\u0130K TEDB\u0130RLER ALINMI\u015e\u201d<\/strong><\/p>\n Ocak i\u00e7erisindeki havaland\u0131rma sisteminde ar\u0131zalar\u0131n bulundu\u011funa, bunlar\u0131n zaman\u0131nda giderilmedi\u011fine i\u015faret edilen fezlekede, vardiyalarda g\u00f6revli m\u00fchendis ve \u015fef stat\u00fcs\u00fcndeki personelin oca\u011fa inmedikleri, baz\u0131 personelin ise oca\u011fa inmedikleri halde oca\u011fa inmi\u015f gibi g\u00f6sterildiklerinin belirlendi\u011fi anlat\u0131ld\u0131.<\/p>\n Fezlekede, \u201ci\u015fletmede yap\u0131lan denetlemeden \u00f6nce haber geldi\u011fi, g\u00f6stermelik tedbirlerin al\u0131nd\u0131\u011f\u0131, \u00fcretimin art\u0131r\u0131lmas\u0131 i\u00e7in bask\u0131 yap\u0131ld\u0131\u011f\u0131 ve yap\u0131lacak tamir ve tadilat\u0131n bu sebeple ertelendi\u011fi, oca\u011fa \u00e7al\u0131\u015fmaya inen personelin kendi lambalar\u0131n\u0131n d\u0131\u015f\u0131nda ba\u015fka \u00e7al\u0131\u015fanlar\u0131n (yetkili\/madenci) lambalar\u0131n\u0131 da indirdikleri ve ocak i\u00e7erisinde bulunuyorlarm\u0131\u015f gibi g\u00f6sterdikleri\u201dnin anla\u015f\u0131ld\u0131\u011f\u0131 aktar\u0131ld\u0131.<\/p>\n Gaz izleme merkezinde bulunan, ocak i\u00e7erisiyle yap\u0131lan eski tarihli dahili telefon kay\u0131tlar\u0131 incelendi\u011finde ayn\u0131 b\u00f6lgede la\u011f\u0131m \u00e7al\u0131\u015fmas\u0131 yap\u0131ld\u0131\u011f\u0131nda metan seviyesinin ikaz\/alarm seviyesine \u00e7\u0131kt\u0131\u011f\u0131, baca i\u00e7erisinde istenmeyen metan birikiminin oldu\u011fu ifade edilen fezlekede, \u201cBu b\u00f6lgenin metan birikimi a\u00e7\u0131s\u0131ndan sorunlu oldu\u011funun bilinmesine ra\u011fmen gerekli havaland\u0131rma tertibat\u0131n\u0131n al\u0131nmad\u0131\u011f\u0131 ve metan patlamas\u0131na sebebiyet verildi\u011fi anla\u015f\u0131lm\u0131\u015ft\u0131r.\u201d bilgisi yer ald\u0131.<\/p>\n HAVALANDIRMA VANT\u0130LAT\u00d6R\u00dc DE\u011eERLER\u0130 355 KEZ ALARM VERM\u0130\u015e<\/strong><\/p>\n Fezlekede, havaland\u0131rma vantilat\u00f6r\u00fc de\u011ferlerinin, 13 Ekim saat 23.43 ile 14 Ekim saat 18.49 aral\u0131\u011f\u0131nda 355 kez alarm (0mm\/s-1mm\/s) seviyesini g\u00f6sterdi\u011fi vurguland\u0131.<\/p>\n Maden oca\u011f\u0131ndaki faaliyetlerin y\u00f6netildi\u011fi \u201cizleme merkezi\u201dnde ocak i\u00e7erisiyle telsiz ve telefon haberle\u015fmesinin, gaz sens\u00f6rlerinin takibinin yap\u0131ld\u0131\u011f\u0131, mevzuat gere\u011fi merkezde en az iki g\u00f6revli bulunmas\u0131 gerekirken, bir g\u00f6revlinin bulundu\u011fu aktar\u0131lan fezlekede, olay g\u00fcn\u00fc izleme merkezinde \u00e7al\u0131\u015fan bir g\u00f6revlinin, haberle\u015fme ayg\u0131tlar\u0131 ve gaz sens\u00f6r\u00fc izleme verilerini bir arada takiple kullanamad\u0131\u011f\u0131\/kullanmas\u0131n\u0131n m\u00fcmk\u00fcn olmad\u0131\u011f\u0131, gerekli personel planlamas\u0131n\u0131n yap\u0131lmamas\u0131n\u0131n y\u00f6netimsel zafiyet ve ihmal oldu\u011funun anla\u015f\u0131ld\u0131\u011f\u0131 kaydedildi.<\/p>\n \u201cKA\u00c7INILMAZ KILDI\u201d<\/strong><\/p>\n Fezlekede, \u015fu ifadeler yer ald\u0131:<\/p>\n \u201cAmasra K\u00f6m\u00fcr \u0130\u015fletmeleri M\u00fcessesesinin genel i\u015fleyi\u015fine bak\u0131ld\u0131\u011f\u0131nda, ihmaller zincirinden bahsetmek m\u00fcmk\u00fcnd\u00fcr. Kural ihlallerinin yayg\u0131nl\u0131\u011f\u0131 ve denetimsizli\u011fin t\u00fcm i\u015fletmeyi uzunca bir s\u00fcredir disiplinsiz b\u0131rakt\u0131\u011f\u0131, \u00f6zellikle i\u015f sa\u011fl\u0131\u011f\u0131 ve g\u00fcvenli\u011fi a\u00e7\u0131s\u0131ndan bir vurdumduymazl\u0131\u011fa s\u00fcr\u00fckledi\u011fi anla\u015f\u0131lm\u0131\u015ft\u0131r. Personelin yetkin ve norm kadroya uygun olmamas\u0131, hatta m\u00fcessesede 43 y\u0131ld\u0131r g\u00f6revli olan m\u00fcd\u00fcr yard\u0131mc\u0131s\u0131n\u0131n i\u015f hayat\u0131 boyunca yer alt\u0131na hi\u00e7 girmedi\u011fini beyan etmi\u015f olmas\u0131 ve benzeri bir\u00e7ok konu, ihmaller zincirini olu\u015fturmu\u015ftur. Ayr\u0131ca y\u00f6netimsel zafiyet ve ihmalin en risk olu\u015fturan k\u0131sm\u0131 ise i\u015f g\u00fcvenli\u011fi i\u00e7in gerekli analizlerin yap\u0131lmamas\u0131d\u0131r ve ya\u015fanan patlama olay\u0131n\u0131 ka\u00e7\u0131n\u0131lmaz k\u0131lm\u0131\u015ft\u0131r.\u201d (AA)<\/p>\n","protected":false},"excerpt":{"rendered":" T\u00fcrkiye Ta\u015fk\u00f6m\u00fcr\u00fc Kurumu (TTK) Amasra M\u00fcessesesi’nde 14 Ekim’de meydana gelen patlamaya ili\u015fkin ihmaller, Bart\u0131n Emniyet M\u00fcd\u00fcrl\u00fc\u011f\u00fcnce haz\u0131rlanan …<\/p>\n","protected":false},"author":1,"featured_media":53357,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[9362,83,1146,7708,157],"class_list":["post-53356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gundem","tag-ihmal","tag-is","tag-maden","tag-metan","tag-patlama"],"_links":{"self":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/53356","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=53356"}],"version-history":[{"count":1,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/53356\/revisions"}],"predecessor-version":[{"id":53358,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/posts\/53356\/revisions\/53358"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=\/wp\/v2\/media\/53357"}],"wp:attachment":[{"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53356"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53356"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/haberulus.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}