标签归档 西安品茶

　　Xinhua News Agency, Beijing, February 2 nd

Regulations on coal mine safety production

　　Chapter I General Provisions

　　Article 1 These Regulations are formulated for the purpose of strengthening coal mine safety production, preventing and reducing coal mine production safety accidents, and ensuring the safety of people’s lives and property.

　　Article 2 These Regulations shall apply to the safe production of coal mines in People’s Republic of China (PRC) and other sea areas under the jurisdiction of People’s Republic of China (PRC).

　　Third coal mine safety production work adhere to the leadership of the Communist Party of China (CPC).

　　Coal mine safety production work should be people-oriented, adhere to the people first, life first, put the protection of people’s life safety in the first place, implement the concept of safe development, adhere to the policy of safety first, prevention first and comprehensive management, and prevent and resolve major safety risks from the source.

　　Safety in production in coal mines must be managed by industry, business, production and operation, and the responsibility for safety in production should be strengthened and implemented according to national supervision, local supervision and enterprise responsibility.

　　Article 4 Coal mining enterprises shall fulfill the main responsibility of safety production, strengthen the management of safety production, establish and implement the responsibility system for safety production for all employees and safety production rules and regulations, increase the investment guarantee for safety production funds, materials, technology and personnel, improve the conditions of safety production, strengthen the standardization and informatization construction of safety production, build a dual prevention mechanism of safety risk classification control and hidden danger investigation and management, improve the risk prevention and resolution mechanism, improve the level of safety production, and ensure safety production.

　　The main person in charge of a coal mining enterprise (including the actual controller, the same below) is the first person responsible for the safety production of the enterprise, and is fully responsible for the safety production of the enterprise. Other responsible persons are responsible for the work of production safety within the scope of their duties.

　　Article 5 The people’s governments at or above the county level shall strengthen their leadership over the work of coal mine safety production, establish and improve the work coordination mechanism, support and urge all relevant departments to perform their duties of coal mine safety production according to law, and coordinate and solve major problems in coal mine safety production in a timely manner.

　　Article 6 The departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall supervise and administer coal mine safety production, and other relevant departments shall perform their duties related to coal mine safety production according to the division of responsibilities.

　　Article 7 The State practices a coal mine safety supervision system. The national mine safety supervision organization and its local mine safety supervision organization are responsible for coal mine safety supervision, and supervise and inspect the supervision and management of coal mine safety production of local people’s governments according to law.

　　The national mine safety supervision institutions and their local mine safety supervision institutions shall perform their duties of coal mine safety supervision according to law, and shall not be interfered by any unit or individual.

　　Article 8 The State practices a system of accountability for coal mine production safety accidents. The units and personnel responsible for coal mine production safety accidents shall be investigated for legal responsibility in accordance with the provisions of these regulations and relevant laws and regulations.

　　The national mine safety supervision institutions and their local mine safety supervision institutions shall organize or participate in the investigation and handling of coal mine production safety accidents according to law.

　　Article 9 The departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production, the national mine safety supervision institutions and their local mine safety supervision institutions shall establish a reporting system, publicly report online reporting platforms such as telephone numbers, mail boxes or e-mail addresses, accept reports on coal mine safety production and deal with them in a timely manner according to law; If it needs to be investigated and handled by other relevant departments, it shall be handed over to other relevant departments for handling.

　　Any unit or individual shall have the right to report the hidden dangers of accidents or illegal activities in production safety to the departments and institutions specified in the preceding paragraph. If the report is verified, it will be rewarded according to the law.

　　Article 10 Employees of coal mining enterprises shall have the right to obtain the guarantee of safety in production according to law, and shall perform their obligations in respect of safety in production according to law.

　　Article 11 The national mine safety supervision institution shall, in accordance with the requirements of ensuring coal mine safety production, and under the guidance of the emergency management department of the State Council, draw up national standards or industrial standards for coal mine safety production in a timely manner according to law, and be responsible for proposing, organizing drafting, soliciting opinions and conducting technical review of the mandatory national standards for coal mine safety production.

　　Article 12 The State encourages and supports scientific and technological research on coal mine safety production and the popularization and application of advanced technologies and processes for coal mine safety production, so as to improve the level of intelligent mining in coal mines, promote scientific management of coal mine safety production and raise the level of safety production.

　　Chapter II Responsibility for Safety in Production of Coal Mining Enterprises

　　Article 13 Coal mining enterprises shall abide by the laws and regulations concerning safety in production and coal mine safety regulations, and implement the national or industrial standards for ensuring safety in production.

　　Fourteenth new construction, renovation and expansion of coal mine engineering projects (hereinafter referred to as coal mine construction projects) the construction unit shall entrust a design unit with the qualification of construction engineering design enterprises to design safety facilities.

　　The design of safety facilities shall include prevention and control measures for major disasters such as coal mine water, fire, gas, rockburst, coal dust and roof, which meet the requirements of national standards or industry standards, and shall be submitted to the departments of the people’s governments of provinces, autonomous regions and municipalities directly under the Central Government responsible for the supervision and administration of coal mine safety production for review. If the design of safety facilities needs to make major changes, it shall be reported to the original examination department for re-examination, and shall not be submitted for approval after construction and modified while construction.

　　Fifteenth coal mine construction project construction units should be unified and coordinated management of the design, construction, supervision and other units involved in coal mine construction projects, and take overall responsibility for the safety management of coal mine construction projects.

　　The construction unit shall design and construct in accordance with the approved safety facilities, and shall not change the design content without authorization.

　　Article 16 Before a coal mine construction project is completed and put into production or use, the construction unit shall be responsible for organizing the acceptance of safety facilities and be responsible for the acceptance results; Only after passing the inspection can it be put into production and use.

　　Seventeenth coal mining enterprises shall obtain a safety production license in accordance with the provisions of the Regulations on Safety Production License. Those who have not obtained the safety production license shall not produce.

　　Eighteenth the main person in charge of a coal mining enterprise shall have the following responsibilities for the safety production of the enterprise:

　　(1) Establish, improve and implement the responsibility system for safety production for all employees, and strengthen the standardization of safety production;

　　(two) to organize the formulation and implementation of safety production rules and regulations and operating procedures;

　　(three) to organize the formulation and implementation of safety education and training programs;

　　(four) to ensure the effective implementation of safety production input;

　　(five) to organize the establishment and implementation of the double prevention mechanism of safety risk classification management and hidden danger investigation and management, supervise and inspect the work of safety in production, and eliminate hidden dangers in time;

　　(six) to organize the formulation and implementation of emergency rescue plans for production safety accidents;

　　(seven) timely and truthfully report the coal mine production safety accidents.

　　Article 19 Coal mining enterprises shall set up safety production management institutions and be equipped with full-time safety production management personnel. Safety production management institutions and safety production management personnel shall have the following safety production responsibilities:

　　(a) to organize or participate in the formulation of safety production rules and regulations, operating rules, operating rules and emergency rescue plans for production safety accidents;

　　(two) organize or participate in the education and training of production safety, and truthfully record the education and training of production safety;

　　(3) Organizing the publicity and education of laws and regulations on production safety;

　　(4) Organizing safety risk identification and assessment, and urging the implementation of major safety risk control measures;

　　(five) to stop and correct illegal command, force risky operations, violations of regulations, and have the right to demand that operations in dangerous areas be stopped immediately and operators be evacuated when an emergency threatening safety is discovered;

　　(six) to check the situation of safe production, timely investigate the hidden dangers of accidents, make statistical analysis on the investigation and management of hidden dangers of accidents, and put forward suggestions for improving the management of safe production;

　　(7) Organizing or participating in emergency rescue drills;

　　(eight) to supervise the implementation of safety production rectification measures.

　　Coal mining enterprises should be equipped with the main technical person in charge, establish and improve the technical management system.

　　Article 20 Employees of coal mining enterprises shall have the following responsibilities for production safety:

　　(a) abide by the rules and regulations of coal mine enterprise safety production and operating rules, operating rules, and strictly implement the post safety responsibility;

　　(two) to participate in the education and training of production safety, to master the knowledge of production safety required by their own work, to improve the skills of production safety, and to enhance the ability of accident prevention and emergency handling;

　　(three) timely report the hidden dangers of accidents or other unsafe factors found.

　　Employees of coal mining enterprises have the right to refuse and report to the departments of local people’s governments at or above the county level that are responsible for the supervision and administration of coal mine safety production and the local mine safety supervision institutions.

　　Coal mining enterprises shall not reduce their wages, welfare and other benefits because employees refuse to command in violation of regulations or force them to take risks, adjust their jobs without justifiable reasons, or terminate their labor contracts.

　　Twenty-first coal mining enterprises, the main person in charge and safety management personnel should pass the safety production knowledge and management ability assessment, and continue to maintain the corresponding level and ability.

　　Employees in coal mining enterprises can only work at their posts after passing the education and training on safety production. Special operators in coal mining enterprises shall pass special safety technical training and examination in accordance with relevant state regulations, and obtain corresponding qualifications.

　　Article 22 Coal mining enterprises shall equip coal mines with full-time mine managers, chief engineers, deputy mine managers in charge of safety, production and electromechanical, and professional and technical personnel.

　　For coal mines with coal (rock) and gas (carbon dioxide) outburst, high gas, rock burst, easy spontaneous combustion of coal seams, complicated hydrogeological types and extremely complicated coal mines, corresponding special prevention and control institutions should also be established, equipped with full-time deputy chief engineers.

　　Article 23 Coal mining enterprises shall, in accordance with the relevant provisions of the state, establish and improve the system of leading and leading classes and strictly examine them.

　　The person in charge of the underground coal mine enterprise and the production, operation and management personnel shall take turns to lead the class to go down the well, and establish the registration file for going down the well.

　　Twenty-fourth coal mining enterprises should provide employees with labor protection articles that meet the national standards or industry standards, and supervise and educate employees to wear and use them in accordance with the rules of use.

　　Coal mine underground workers to implement the safety limit system. Coal mining enterprises shall formulate underground working time management system according to law. Underground coal mine jobs shall not use labor dispatch.

　　Article 25 The design, manufacture, installation, use, testing, maintenance, modification and scrapping of safety equipment used by coal mining enterprises shall conform to national standards or industrial standards.

　　Coal mining enterprises shall establish safety equipment ledger and traceability management system, conduct regular maintenance, maintenance and regular inspection of safety equipment to ensure normal operation, and record and archive the whole process of safety equipment purchase, warehousing, use, maintenance, inspection, maintenance, transformation and scrapping.

　　Coal mining enterprises shall not use the equipment and technology that should be eliminated and endanger production safety. The specific catalogue shall be formulated and published by the national mine safety supervision institution.

　　Article 26 The main production systems, such as coal mining, tunneling, electromechanical, transportation, ventilation, drainage and dumping, and the safety facilities such as gas prevention, coal (rock) and gas (carbon dioxide) outburst prevention, rock burst prevention, fire prevention, water prevention, dust prevention, heat damage prevention, landslide prevention, monitoring and communication in coal mines shall meet the management and technical requirements stipulated by the coal mine safety regulations and national standards or industry standards.

　　Coal mining enterprises and their relevant personnel shall not shut down or destroy monitoring, alarm, protection and life-saving equipment and facilities directly related to production safety, or tamper with, conceal or destroy their relevant data and information, and shall not affect their normal use in any way.

　　Article 27 Underground coal mines shall have safety exits, independent ventilation systems, safety monitoring systems, dust-proof water supply systems, fire prevention and extinguishing systems, power supply and distribution systems, personnel transport devices and drawings reflecting the actual situation of coal mines, and shall identify the gas grade, rock burst, spontaneous combustion tendency of coal seams and coal dust explosiveness in accordance with regulations.

　　Underground coal mines shall select the corresponding permissible explosives and electric detonators according to the mine gas grade, and the blasting work shall be undertaken by full-time blasters.

　　Twenty-eighth open-pit coal mine stope and dump slope and important buildings and structures should leave enough safety distance.

　　Coal mining enterprises shall regularly evaluate the slope stability of open-pit coal mines, and the evaluation scope shall cover all slopes of open-pit coal mines. If the requirements of slope stability cannot be met, the mining design should be revised or safety measures should be taken, and the slope monitoring should be strengthened.

　　Twenty-ninth coal mining enterprises shall formulate emergency rescue plans for production safety accidents according to law, which shall be connected with the emergency rescue plans for production safety accidents formulated by local people’s governments at or above the county level, and organize regular drills.

　　Coal mining enterprises shall set up full-time rescue teams; Do not have the conditions to set up a full-time ambulance team, should set up a part-time ambulance team, and signed an ambulance agreement with the adjacent full-time ambulance team. When an accident occurs, the full-time rescue team shall arrive at the coal mine to carry out rescue within the specified time.

　　Thirtieth coal mining enterprises shall carry out production within the mining scope determined according to law, and shall not exceed the layer or cross the border.

　　Mining operations shall not exploit security pillars without authorization, and shall not adopt dangerous methods such as water breakthrough, blasting and roadway penetration that may endanger the production safety of adjacent coal mines.

　　Article 31 Coal mining enterprises shall not organize production with super capacity, strength or quota. If the production capacity of a normal production coal mine changes greatly due to changes in geology, production technical conditions, coal mining methods or techniques, its production capacity shall be re-approved according to law.

　　Local people’s governments at or above the county level and their relevant departments shall not require coal mining enterprises that do not have the conditions for safe production to carry out production.

　　Article 32 Coal mining enterprises shall implement disaster control according to the degree and types of coal mine disasters, prepare annual disaster prevention and treatment plans, and make timely amendments according to specific conditions.

　　Thirty-third coal mining in any of the following circumstances, special design should be prepared:

　　(a) coal (rock) and gas (carbon dioxide) are prominent;

　　(two) there is a risk of rock burst;

　　(3) Mining buildings, water bodies and railways that need to be protected, or leaving coal pillars in main shafts and lanes;

　　(four) the hydrogeological type is complex, extremely complex or there are goaf around the old kiln;

　　(five) mining easy spontaneous combustion and spontaneous combustion of coal seam;

　　(six) other special design needs to be prepared.

　　Article 34 In coal mines, special safety technical measures shall be taken, and special personnel shall be arranged for on-site safety management, when uncovering coal at crosscut, exploring and draining water, connecting tunnels, cleaning coal bunkers, forced caving, sealing and unsealing fire areas, and hot work, as well as other dangerous operations stipulated by the national mine safety supervision institutions.

　　Article 35 Coal mining enterprises shall establish a safety risk classification control system, carry out safety risk identification and evaluation, and take corresponding control measures according to the safety risk classification.

　　Coal mining enterprises should establish and improve the system of investigation and management of hidden dangers of accidents, and take technical and management measures to find and eliminate hidden dangers of accidents in time. The investigation and management of hidden dangers of accidents shall be truthfully recorded, and the employees shall be informed regularly. After being signed by the person in charge of the coal mining enterprise, the written report on the investigation and management of major accidents shall be submitted quarterly to the departments of the local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production and the local mine safety supervision institutions.

　　Coal mining enterprises should strengthen the safety management of their coal mines and conduct regular safety inspections of their coal mines.

　　Thirty-sixth coal mining enterprises in any of the following circumstances, which are major accidents, should immediately stop production and construction in the affected areas, and promptly eliminate the hidden dangers of accidents:

　　(a) super-capacity, super-strength or super-quota organization of production;

　　(two) the gas exceeds the limit;

　　(three) coal (rock) and gas (carbon dioxide) outburst mines failed to implement outburst prevention measures in accordance with the provisions;

　　(four) coal (rock) and gas (carbon dioxide) outburst mines, high gas mines are not established in accordance with the provisions of the gas extraction system, or the system can not operate normally;

　　(five) the ventilation system is not perfect and reliable;

　　(six) super layer, cross-border mining;

　　(seven) there was a serious flood and no effective measures were taken;

　　(eight) there is a danger of rock burst, and no effective measures have been taken;

　　(nine) serious spontaneous combustion, did not take effective measures;

　　(ten) the use of equipment and technology that should be eliminated and endanger production safety;

　　(eleven) the monitoring and communication system is not established in accordance with the provisions, or the system can not operate normally;

　　(twelve) the slope angle of open-pit coal mine is greater than the design maximum or the slope is seriously deformed, and no effective measures are taken;

　　(thirteen) failing to adopt the dual-loop power supply system in accordance with the provisions;

　　(fourteen) the production of new coal mines while building, during the reconstruction and expansion of coal mines, production in the reconstruction and expansion area, or production in other areas beyond the scope and scale specified in the design;

　　(15) engaging in production without re-obtaining or timely changing the safety production license after the implementation of the overall contract production and operation, or the contractor subcontracts again, and outsources the maintenance work of underground mining face and roadway;

　　(sixteen) during the period of restructuring, merger and division, the person in charge of production safety and the safety production management organization were not clearly defined, or after the completion of restructuring, merger and division, the safety production license was not re-acquired or changed in time;

　　(seventeen) there are other major accidents.

　　Article 37 Coal mining enterprises and their relevant personnel shall cooperate with the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production, the national mine safety supervision institutions and their local mine safety supervision institutions in performing their duties according to law, and shall truthfully provide relevant information as required, and shall not conceal, refuse or obstruct them.

　　Coal mining enterprises shall immediately rectify the hidden dangers of accidents investigated and dealt with by the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production, the national mine safety supervision institutions and the local mine safety supervision institutions, and report the rectification results as required.

　　Thirty-eighth coal mining enterprises should arrange safety production expenses and other funds in time and in full to ensure that they meet the requirements of safety production. The decision-making bodies and principal responsible persons of coal mining enterprises shall be responsible for the consequences caused by insufficient capital investment necessary for safe production.

　　Chapter III Supervision and Administration of Coal Mine Safety Production

　　Thirty-ninth coal mine safety production shall implement the responsibility system for safety production of local party and government leading cadres and strengthen the territorial management of coal mine safety production.

　　Article 40 The people’s governments of provinces, autonomous regions and municipalities directly under the Central Government shall, in accordance with the principle of classified supervision, define the main body of safety production supervision of coal mining enterprises.

　　The relevant competent departments of the people’s governments at or above the county level shall investigate and deal with those who engage in coal mine production without obtaining a safety production license according to law.

　　The Township People’s Government shall take effective measures to stop coal mine production without obtaining a safety production license according to law within its jurisdiction, and report to the relevant competent departments of the people’s government at the county level.

　　Article 41 The departments of the people’s governments of provinces, autonomous regions and municipalities directly under the Central Government responsible for the supervision and administration of coal mine safety production shall review the design of safety facilities for coal mine construction projects, complete the review within 30 days from the date of acceptance, sign the opinions of approval or disapproval, and give a written reply.

　　The departments of the people’s governments of provinces, autonomous regions and municipalities directly under the Central Government responsible for the supervision and administration of coal mine safety production shall strengthen the supervision and verification of the acceptance activities and results of the safety facilities of the construction units.

　　Article 42 The departments of the people’s governments of provinces, autonomous regions and municipalities directly under the Central Government responsible for the supervision and administration of coal mine safety production are responsible for the issuance and administration of safety production licenses for coal mining enterprises, and accept the supervision of the state mine safety supervision institutions and their local mine safety supervision institutions.

　　Forty-third departments of local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall prepare annual supervision and inspection plans for coal mine safety production and conduct supervision and inspection according to the plans.

　　The annual supervision and inspection plan for coal mine safety production shall be copied to the local mine safety supervision institution.

　　Article 44 The departments of local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall supervise and inspect coal mine enterprises according to law, and take the safety production situation at the coal mine site as the key content of supervision and inspection. Supervision and inspection can take the following measures:

　　(a) to enter the coal mining enterprises for inspection, focusing on the first-line production and workplace inspection, access to relevant information, to the relevant units and personnel to understand the situation;

　　(two) the illegal acts of production safety found in the inspection shall be corrected on the spot or required to be corrected within a time limit;

　　(three) the hidden dangers of accidents found in the inspection shall be ordered to be eliminated immediately; If the safety cannot be guaranteed before or during the elimination of major accident hazards, it shall be ordered to evacuate the workers from the dangerous area, and be ordered to temporarily stop production or stop using related facilities and equipment;

　　(4) To seal up or detain facilities, equipment and equipment that are deemed not to meet the national or industrial standards for ensuring safe production.

　　Supervision and inspection shall not affect the normal production and business activities of coal mining enterprises.

　　Article 45 The departments of the local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall incorporate the hidden dangers of major accidents into the relevant information systems, establish and improve the management and supervision system of hidden dangers of major accidents, and urge coal mining enterprises to eliminate hidden dangers of major accidents.

　　Forty-sixth departments of local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall strengthen the supervision of technical service institutions for coal mine safety production.

　　Coal mine safety production technical service institutions that undertake the responsibilities of safety evaluation, certification, testing and inspection shall carry out safety production technical service activities in accordance with the provisions of relevant laws and regulations and national standards or industry standards, and be responsible for the reports issued, and shall not lease qualifications, link up or issue false reports.

　　Article 47 People’s governments at or above the county level and their relevant departments shall punish coal mining enterprises, coal mine safety production technical service institutions and relevant employees for dishonesty in production safety according to laws and regulations.

　　Article 48 For coal mining enterprises ordered to suspend production for rectification, the relevant local people’s governments shall take effective measures to carry out supervision and inspection during the period of suspension of production for rectification.

　　If a coal mining enterprise is ordered to suspend production for rectification due to illegal activities in production safety or major accidents, it shall formulate a rectification plan and carry out rectification. Where it is required to resume production after the rectification, the local people’s government at or above the county level, which is responsible for the supervision and administration of coal mine safety production, shall organize the acceptance and complete the acceptance within 20 days from the date of receiving the application for resuming production. Those who pass the acceptance inspection shall be signed by the principal responsible person of the department, approved by the local mine safety supervision institution and reported to the principal responsible person of the people’s government at the corresponding level for approval before resuming production.

　　Forty-ninth departments of local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production shall announce to the public the coal mining enterprises ordered to suspend production for rectification or closure within five working days; If a coal mining enterprise ordered to suspend production for rectification resumes production after acceptance, it shall make an announcement to the public within 5 working days from the date of resuming production.

　　Chapter IV Coal Mine Safety Supervision

　　Article 50 The national mine safety supervision institutions and their local mine safety supervision institutions shall perform their duties of coal mine safety supervision according to law, strengthen supervision and inspection over the supervision and management of coal mine safety production of local people’s governments at or above the county level, inform the relevant local people’s governments of the supervision and inspection in a timely manner, put forward supervision opinions and suggestions on improving and strengthening coal mine safety production, and urge the rectification and review of major accidents.

　　The local people’s governments at or above the county level shall cooperate with and accept the supervision and inspection of the national mine safety supervision institutions and their local mine safety supervision institutions, and timely implement the supervision opinions and suggestions.

　　Fifty-first local mine safety supervision institutions shall supervise the safety production of coal mines within their jurisdiction; In accident-prone areas, key supervision should be implemented. The national mine safety supervision institution shall, according to the actual situation, organize comprehensive supervision or key supervision of coal mine safety production throughout the country.

　　Fifty-second national mine safety supervision institutions and their local mine safety supervision institutions can supervise and inspect the supervision and management of coal mine safety production of local people’s governments at or above the county level in the following ways:

　　(a) to listen to the work reports of the relevant local people’s governments and their departments responsible for the supervision and administration of coal mine safety production;

　　(two) access, copy and coal mine safety production related documents, files, work records and other information;

　　(three) to require the relevant local people’s governments and their departments and relevant personnel responsible for the supervision and administration of coal mine safety production to explain the relevant issues concerning coal mine safety production;

　　(four) it is necessary to take other ways.

　　Article 53 The state mine safety supervision institutions and their local mine safety supervision institutions shall perform their duties of coal mine safety supervision, and have the right to enter the coal mine workplaces for inspection, attend the safety production meetings of coal mine enterprises, and get information from relevant coal mine enterprises and personnel.

　　The national mine safety supervision organization and its local mine safety supervision organization have the right to require immediate elimination or elimination within a time limit if they find hidden dangers of accidents at the coal mine site; If it is found that there is illegal command, forced risky operation, illegal operation and other illegal activities in production safety, it has the right to immediately correct or demand immediate stop of operation; In case of an emergency that threatens safety, have the right to demand that the operation in the dangerous area be stopped immediately and the operators be evacuated.

　　Mine safety supervisors shall show their law enforcement certificates when performing their duties of coal mine safety supervision.

　　Article 54 If the national mine safety supervision organization and its local mine safety supervision organization find that there are major hidden dangers in coal mining enterprises and order them to stop production for rectification, they shall promptly transfer them to the departments of the local people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production for handling and supervision.

　　Article 55 If the state mine safety supervision organization and its local mine safety supervision organization find that there are illegal acts in coal mining enterprises that should be handled by other departments, they shall promptly transfer them to the relevant departments for handling.

　　Fifty-sixth national mine safety supervision institutions and their local mine safety supervision institutions and relevant departments of the people’s governments at or above the county level shall establish information sharing and case transfer mechanisms, and strengthen cooperation and cooperation.

　　Fifty-seventh national mine safety supervision institutions and their local mine safety supervision institutions shall strengthen the informatization construction of coal mine safety production and improve the level of law enforcement by means of informatization.

　　Coal mining enterprises shall network and upload electronic data in real time according to the safety production electronic data specification formulated by the national mine safety supervision institution, and be responsible for the authenticity, accuracy and completeness of the uploaded electronic data.

　　Article 58 The state mine safety supervision institutions and their local mine safety supervision institutions shall supervise and inspect the implementation of laws and regulations on safety in production, coal mine safety regulations and national or industrial standards for ensuring safety in production by coal mining enterprises according to law, and exercise their functions and powers as stipulated in Article 44 of these Regulations.

　　Article 59 After a coal mine production safety accident occurs, the coal mining enterprise and its responsible person shall promptly take effective measures to organize rescue, and immediately and truthfully report to the local emergency management department, the department responsible for the supervision and administration of coal mine production safety and the local mine safety supervision institution in accordance with the Regulations on the Reporting, Investigation and Handling of Production Safety Accidents.

　　The national mine safety supervision institution and its local mine safety supervision institution shall, according to the accident level and work needs, send a working group to the scene of the accident to guide and cooperate with the local people’s government where the accident occurred to carry out emergency rescue work.

　　Sixtieth coal mine production safety accidents shall be investigated and dealt with according to the accident level.

　　Particularly serious accidents shall be investigated and handled by the relevant departments authorized by the State Council or the State Council in accordance with the Regulations on Reporting, Investigation and Handling of Production Safety Accidents. Major accidents, major accidents and general accidents shall be investigated and handled by the national mine safety supervision institutions and their local mine safety supervision institutions in accordance with the provisions of the Regulations on Reporting, Investigation and Handling of Production Safety Accidents.

　　Chapter V Legal Liability

　　Article 61 Whoever engages in coal mine production without obtaining a safety production license according to law shall be ordered to stop production immediately, and the illegal income and mined coal and mining equipment shall be confiscated; If the illegal income is more than 100,000 yuan, a fine of more than 2 times and less than 5 times of the illegal income shall be imposed; If there is no illegal income or the illegal income is less than 100,000 yuan, a fine of not less than 100,000 yuan but not more than 200,000 yuan shall be imposed.

　　If a closed coal mining enterprise resumes production without authorization, it shall be punished in accordance with the provisions of the preceding paragraph.

　　Sixty-second coal mining enterprises have one of the following acts, shall be punished in accordance with the relevant provisions of the "People’s Republic of China (PRC) production safety law":

　　(1) Failing to set up a safety production management organization and provide safety production management personnel in accordance with regulations;

　　(two) the main person in charge and the safety production management personnel have failed to pass the examination in accordance with the provisions and continue to maintain the corresponding level and ability;

　　(3) Failing to conduct safety education and training in accordance with regulations, failing to truthfully inform relevant safety matters in accordance with regulations, or failing to truthfully record the safety education and training;

　　(four) special operations personnel have not received special safety training and obtained corresponding qualifications in accordance with the regulations, and they have been working at their posts;

　　(five) dangerous operations, without taking special safety technical measures and arranging special personnel for on-site safety management;

　　(6) Failing to establish and implement the safety risk classification control system and the accident hidden danger investigation and management system in accordance with the provisions, or failing to report the investigation and management of major accident hidden dangers in accordance with the provisions;

　　(seven) failing to formulate an emergency rescue plan for production safety accidents in accordance with the regulations or organizing drills on a regular basis.

　　Sixty-third coal mining enterprises have one of the following acts, shall be ordered to make corrections within a time limit, and be fined between 100 thousand yuan and 200 thousand yuan; If no correction is made within the time limit, it shall be ordered to suspend production for rectification, and a fine of not less than 200,000 yuan but not more than 500,000 yuan shall be imposed, and the directly responsible person in charge and other directly responsible personnel shall be fined not less than 30,000 yuan but not more than 50,000 yuan:

　　(1) Failing to formulate and implement safety production rules and regulations such as the responsibility system for safety production of all employees and the leadership shift;

　　(2) failing to equip coal mines with mine managers and other personnel and institutions in accordance with regulations, or failing to set up rescue teams in accordance with regulations;

　　(three) the main production system and safety facilities of coal mines do not meet the requirements of coal mine safety regulations and national standards or industry standards;

　　(four) the special design is not prepared in accordance with the provisions;

　　(five) the underground coal mine failed to identify the gas grade, rock burst, spontaneous combustion tendency of coal seam and coal dust explosion in accordance with the regulations;

　　(six) the safety distance between the stope and dump slope of open-pit coal mine and important buildings and structures is not in conformity with the provisions, or the slope of open-pit coal mine is not kept stable in accordance with the provisions;

　　(seven) illegal command or force risky operations, in violation of regulations.

　　Article 64 Coal mining enterprises that are still producing with major accidents shall be ordered to stop production for rectification, and the specific requirements such as the content and time of rectification shall be specified, and a fine of not less than 500,000 yuan but not more than 2 million yuan shall be imposed; The main person in charge of a coal mining enterprise shall be fined between 30,000 yuan and 150,000 yuan.

　　Article 65 Coal mining enterprises that mine beyond the legally determined mining scope shall be dealt with in accordance with the provisions of relevant laws and regulations.

　　Unauthorized mining of security pillars or the use of dangerous methods that may endanger the production safety of adjacent coal mines, such as water bursting, blasting, and roadway penetration, shall be ordered to immediately stop operations and confiscate illegal income; If the illegal income is more than 100,000 yuan, a fine of more than 2 times and less than 5 times of the illegal income shall be imposed; If there is no illegal income or the illegal income is less than 100,000 yuan, a fine of 100,000 yuan to 200,000 yuan shall be imposed; If losses are caused, they shall be liable for compensation according to law.

　　Sixty-sixth coal mining enterprises have one of the following acts, shall be ordered to make corrections; Refuses to correct, at more than 100 thousand yuan to 200 thousand yuan fine; The person in charge who is directly responsible and other directly responsible personnel shall be fined between 10,000 yuan and 20,000 yuan:

　　(a) in violation of the provisions of the first paragraph of article thirty-seventh, concealing the hidden dangers of accidents and other safety issues;

　　(two) in violation of the provisions of the first paragraph of Article 44 of these regulations, unsealing or using the facilities, equipment and equipment that have been sealed up or detained without authorization;

　　(three) there are other acts of refusing or obstructing supervision and inspection.

　　Article 67 In the event of a coal mine production safety accident, the responsible coal mine enterprise shall be fined in accordance with the following provisions, in addition to requiring it to bear corresponding responsibilities such as compensation according to law:

　　(a) a general accident, a fine of 500 thousand yuan and 1 million yuan;

　　(two) a major accident, a fine of 1.5 million yuan and 2 million yuan;

　　(three) a major accident, a fine of 5 million yuan and 10 million yuan;

　　(four) in the event of a particularly serious accident, a fine of more than 10 million yuan and less than 20 million yuan shall be imposed.

　　In the event of a coal mine production safety accident, if the circumstances are particularly serious and the impact is particularly bad, a fine may be imposed on the responsible coal mining enterprise in accordance with the amount of the fine mentioned in the preceding paragraph, which is more than 2 times but less than 5 times.

　　Article 68 If the decision-making bodies, principal responsible persons, other responsible persons and safety production management personnel of coal mining enterprises fail to perform their duties of safety production management according to law, they shall be punished in accordance with the relevant provisions of the Safety Production Law of People’s Republic of China (PRC) and bear corresponding responsibilities.

　　The main person in charge of a coal mine enterprise fails to perform the duties of safety production management according to law, resulting in a coal mine production safety accident, and shall be fined in accordance with the following provisions:

　　(a) in the event of a general accident, a fine of 40% of the annual income of the previous year shall be imposed;

　　(two) in the event of a major accident, a fine of 60% of the annual income of the previous year;

　　(three) in the event of a major accident, a fine of 80% of the annual income of the previous year;

　　(four) in the event of a particularly serious accident, a fine of 100% of the annual income of the previous year shall be imposed.

　　Article 69 Coal mining enterprises and their relevant personnel who have concealed or lied about accidents shall be punished in accordance with the relevant provisions of the Law of People’s Republic of China (PRC) on Safety in Production and the Regulations on Reporting, Investigation and Handling of Production Safety Accidents.

　　Relevant local people’s governments and their emergency management departments, departments responsible for coal mine safety production supervision and management, and local mine safety supervision institutions have concealed or lied about accidents, and the responsible leaders and directly responsible personnel shall be punished according to law.

　　Article 70 In any of the following circumstances, a coal mining enterprise shall be submitted to the local people’s government at or above the county level for closure:

　　(a) unauthorized production without obtaining a safety production license according to law;

　　(two) 2 or more times within 3 months found that there are major accidents still in production;

　　(3) It is difficult to effectively prevent and control major disasters under the existing technical conditions as demonstrated by experts organized by local people’s governments;

　　(four) there are other circumstances stipulated in the "People’s Republic of China (PRC) production safety law" that should be submitted for closure.

　　The relevant local people’s government shall immediately organize the implementation of the decision to close it down. The closure of coal mines shall meet the following requirements:

　　(a) in accordance with the relevant provisions of laws and regulations to revoke or cancel the relevant licenses;

　　(2) Stop supplying and properly handle explosives for civilian use;

　　(three) to stop power supply and dismantle mine production equipment, power supply and communication lines;

　　(four) closed, filled mine shaft, flat wellhead site, restore the landform;

　　(5) Properly handle labor relations, pay economic compensation and work-related injury insurance benefits according to laws and regulations, organize occupational health examination when leaving work, repay unpaid wages, and pay back unpaid social insurance premiums;

　　(six) the establishment of signs;

　　(seven) submit and hand over relevant reports, drawings and materials, etc.;

　　(eight) other requirements stipulated by relevant laws and regulations.

　　Seventy-first any of the following circumstances, shall be punished in accordance with the relevant provisions of the "People’s Republic of China (PRC) production safety law":

　　(a) the coal mine construction project has no design of safety facilities or the design of safety facilities has not been reported to the relevant departments for examination and approval in accordance with the provisions;

　　(two) the construction unit of the coal mine construction project fails to design and construct the safety facilities approved;

　　(three) before the coal mine construction project is completed and put into production or use, the safety facilities have not passed the acceptance;

　　(four) coal mining enterprises in violation of the provisions of the first paragraph of article twenty-fourth, the first and second paragraphs of article twenty-fifth and the second paragraph of article twenty-sixth.

　　Article 72 If a technical service institution for coal mine safety production, which is responsible for safety evaluation, certification, testing and inspection, issues false reports, leases qualifications, links, issues false reports, etc., the institution and the directly responsible person in charge and other directly responsible personnel shall be punished and investigated for corresponding responsibilities in accordance with the relevant provisions of the People’s Republic of China (PRC) Safety Production Law. The main person in charge is responsible for major and especially serious coal mine production safety accidents, and shall not engage in technical services related to coal mine safety production for life.

　　Article 73 The administrative punishment stipulated in these Regulations shall be decided by the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production and other relevant departments, the national mine safety supervision institutions and their local mine safety supervision institutions in accordance with the division of responsibilities, and the same illegal act shall not be given an administrative punishment of more than two fines. Coal mining enterprises ordered to suspend production for rectification shall temporarily suspend their safety production licenses, etc. Serious violations of these regulations shall be severely punished according to law.

　　Article 74 Where the local people’s governments at all levels, the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production and other relevant departments, the national mine safety supervision institutions and their local mine safety supervision institutions are under any of the following circumstances, the responsible leaders and the persons directly responsible shall be punished according to law:

　　(a) the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production, the national mine safety supervision institutions and their local mine safety supervision institutions do not perform their duties according to law, and do not promptly investigate and deal with major hidden dangers of accidents and illegal acts in production safety within their jurisdiction; Other relevant departments of the people’s governments at or above the county level fail to perform their duties related to coal mine safety production according to law;

　　(two) the Township People’s Government found that coal production was carried out without obtaining a safety production license according to law in the area under its jurisdiction, and did not take effective measures to stop it or report it to the relevant competent departments of the people’s government at the county level;

　　(3) Coal mining enterprises ordered to suspend production for rectification continue to produce during the period of suspension of production for rectification due to ineffective supervision and inspection by relevant local people’s governments;

　　(four) the closure of coal mines did not meet the requirements of the second paragraph of article seventieth of this Ordinance;

　　(five) the departments of the people’s governments at or above the county level responsible for the supervision and administration of coal mine safety production, the national mine safety supervision institutions and their local mine safety supervision institutions fail to deal with the report in time after receiving it;

　　(six) the local people’s governments at or above the county level and their relevant departments require coal mining enterprises that do not have the conditions for safe production to carry out production;

　　(seven) there are other cases of abuse of power, dereliction of duty, favoritism.

　　Article 75 Whoever violates the provisions of these Regulations and constitutes a crime shall be investigated for criminal responsibility according to law.

　　Chapter VI Supplementary Provisions

　　Article 76 These Regulations shall come into force as of May 1, 2024. "Regulations on Coal Mine Safety Supervision" and "the State Council Special Provisions on Preventing Coal Mine Production Safety Accidents" shall be abolished at the same time.

　　　　　　　　　　　　　　　　　General standards for physical examination of civil servants (for Trial Implementation)

　　Article 1 Organic heart diseases such as rheumatic heart disease, cardiomyopathy, coronary heart disease, congenital heart disease and Keshan disease are unqualified. Those with congenital heart disease who do not need surgery or who are cured by surgery are qualified.

　　In case of any of the following circumstances, the rational change of heart disease is ruled out and qualified:

　　(a) the heart auscultation physiological murmur;

　　(2) Preoccasional contractions less than 6 times per minute (strictly controlled by those with a history of myocarditis);

　　(3) The heart rate is 5o-60 beats or 100-110 beats per minute;

　　(4) Other circumstances in which the electrocardiogram is abnormal.

　　Article 2 If the blood pressure is within the following range, it is qualified:

　　Systolic blood pressure is 90mmhg-140mmhg (12.00-18.66kpa);

　　Diastolic pressure is 60 mmhg-90 mmhg (8.00-12.00 kpa).

　　Article 3 Blood disease, unqualified. Simple iron deficiency anemia, with hemoglobin higher than 90g/L in men and 80g/L in women, is qualified.

　　Article 4 Tuberculosis is unqualified. But the following conditions are qualified:

　　(a) primary pulmonary tuberculosis, secondary pulmonary tuberculosis, tuberculous pleurisy, stable for 1 year after clinical cure;

　　(2) Extrapulmonary tuberculosis: renal tuberculosis, bone tuberculosis, peritoneal tuberculosis, lymph node tuberculosis, etc., which have not recurred for 2 years after clinical cure and have not changed after examination in specialized hospitals.

　　Article 5 Chronic bronchitis with obstructive emphysema, bronchiectasis and bronchial asthma is unqualified.

　　Sixth serious chronic stomach and intestinal diseases, unqualified. Gastric ulcer or duodenal ulcer has healed, there is no bleeding history within 1 year, and those who have no symptoms for more than 1 year are qualified; Those who have no serious complications after subtotal gastrectomy are qualified.

　　Seventh kinds of acute and chronic hepatitis, unqualified. The carrier of hepatitis B pathogen is qualified if hepatitis is excluded after examination.

　　Article 8 All kinds of malignant tumors and liver cirrhosis are unqualified.

　　Article 9 Acute and chronic nephritis, chronic pyelonephritis, polycystic kidney disease and renal insufficiency are unqualified.

　　Tenth diabetes, diabetes insipidus, acromegaly and other endocrine system diseases, unqualified. Those who have no symptoms and signs for one year after hyperthyroidism is cured are qualified.

　　Article 11 Those who have a history of epilepsy, mental illness, hysteria, nocturnal sleepwalking, severe neurosis (frequent headache, dizziness, insomnia, obvious memory loss, etc.), and psychoactive substance abuse and dependence are unqualified.

　　Twelfth lupus erythematosus, dermatomyositis and/or polymyositis, scleroderma, polyarteritis nodosa, rheumatoid arthritis and other diffuse connective tissue diseases, Takayasu arteritis, unqualified.

　　Thirteenth advanced schistosomiasis, advanced filariasis with rubber swelling or chyluria, unqualified.

　　Fourteenth skull defect, intracranial foreign body retention, brain malformation, post-traumatic syndrome, unqualified.

　　Fifteenth severe chronic osteomyelitis, unqualified.

　　Sixteenth degree simple goiter, unqualified.

　　Seventeenth gallstones or urinary stones with obstruction are unqualified.

　　Eighteenth gonorrhea, syphilis, chancre, sexually transmitted lymphogranuloma, condyloma acuminatum, genital herpes, AIDS, unqualified.

　　Nineteenth binocular corrected vision is less than 0.8 (standard logarithmic vision 4.9) or eye disease with obvious visual impairment, unqualified.

　　Article 20 Both ears have hearing impairment, and those who can’t hear when they whisper within 3 meters when wearing hearing AIDS are not qualified.

　　Twenty-first other serious diseases that are not included in the medical examination standards and affect the normal performance of duties are unqualified.

　　　　Notice on Revising the General Standard of Civil Servant Employment Physical Examination (Trial) and the Operation Manual of Civil Servant Employment Physical Examination (Trial)

　　　　　　　　　　　　　　　　　　　　　　No.19 [2010] issued by the Ministry of Human Resources and Social Security

Departments (bureaus) of human resources and social security (personnel) of all provinces, autonomous regions and municipalities directly under the Central Government, Civil Service Bureau, Health Department (bureau), Personnel Bureau and Health Bureau of Xinjiang Production and Construction Corps, and personnel (cadre) departments of various ministries and commissions in the State Council:

　　According to the requirements of the State Council, the Ministry of Human Resources and Social Security, the Ministry of Education and the Ministry of Health jointly issued the Notice on Further Standardizing the Admission and Employment Physical Examination Items and Safeguarding the Admission and Employment Rights of HBsAg Carriers (No.12 [2010] issued by the Ministry of Human Resources and Social Security). According to the provisions of the document, the relevant matters concerning the revision of the General Standard for Civil Servant Employment Physical Examination (Trial) and the Operation Manual for Civil Servant Employment Physical Examination (Trial) are hereby notified as follows:

　　First, the "general standard of civil service recruitment physical examination (Trial)" Article 7 "All kinds of acute and chronic hepatitis, unqualified. The carrier of hepatitis B pathogen is qualified if hepatitis is excluded after examination. " Revised as "all kinds of acute and chronic hepatitis, unqualified".

　　Two, the revision of the "civil service recruitment physical examination operation manual (Trial)" article 3, article 7 "on hepatitis" content (see annex).

　　Third, the article 1.3.5 in "Physical Examination Items and Operating Procedures" in Chapter 2 of "Manual for Physical Examination of Civil Servants (Trial)" 3) "Grading of goiter: I degree, those who can’t see the enlargement but can touch it; Second degree, swelling can be seen, but it can also touch but not exceed the anterior edge of sternocleidomastoid muscle; Third degree, goiter exceeds the anterior edge of sternocleidomastoid muscle. " Revised as "Grading of goiter: I degree, which can not be seen but can be touched; ⅱ degree, swelling can be seen and touched, but it is within sternocleidomastoid muscle; ⅲ degree, exceeding the outer edge of sternocleidomastoid muscle. "

　　Fourth, the eighth line of 6.3.3 in the Physical Examination Items and Operating Procedures in Chapter 2 of the Manual for Physical Examination of Civil Servants (Trial) is revised as "Serum ALT is more than 1 time higher than the upper limit of the reference value".

　　5. Amend Article 7.2 (3) of Physical Examination Items and Operating Procedures in Chapter 2 of the Manual for Physical Examination of Civil Servants (for Trial Implementation) to read "No conclusion for the time being: generally speaking, further examination is needed", which generally means re-examination or further examination is needed.

　　VI. Revise the "occasional benign premature beats" in 1.1.6 (4) (14) of Chapter 3 "Detailed Rules for the Implementation of General Standards for Civil Servants’ Employment Physical Examination (Trial)" to "occasional premature beats".

　　VII. Revise "Pre-excitation syndrome with tachycardia history" as "Pre-excitation syndrome" in Item 4) and Item 5 (20) of Article 3 "Implementation Rules of General Standard for Civil Servant Employment Physical Examination (Trial)" in the Operating Manual for Civil Servant Employment.

　　VIII. The 10.3.3 "This Manual revises the threshold value of impaired fasting blood glucose (IFG) to 5.7-6.9mmol/L" in Chapter 3 "Implementation Rules of General Standards for Physical Examination of Civil Servants (for Trial Implementation)" is revised to "This Manual revises impaired fasting blood glucose (IFG).

　　All localities and departments should conscientiously implement the revised General Standard for Civil Servant Recruitment Physical Examination (Trial) and the Manual for Civil Servant Recruitment Physical Examination (Trial), and earnestly do a good job in civil servant recruitment physical examination.



　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　Ministry of Human Resources and Social Security
　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　health department
　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　March 8, 2010
　

Attachment: Revision of Article 7 "About Hepatitis" in Chapter 3 of the Manual for Physical Examination of Civil Servants (Trial)

　　Seventh kinds of acute and chronic hepatitis, unqualified.

　　7.1 The article explains that the liver, like other parts of the human body, can also have inflammation, swelling, pain and hepatocyte necrosis for various reasons, which is manifested by the significant increase of serum alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels in liver biochemical examination. There are many causes of hepatitis, the most common one in clinic is viral hepatitis caused by hepatitis virus, in addition to alcoholic hepatitis, drug hepatitis, autoimmune hepatitis, hereditary metabolic liver disease and many other types. Hepatitis is very harmful to human health, especially viral hepatitis has been listed as a legal class B infectious disease, which may develop into cirrhosis in the later stage. Therefore, all kinds of patients with hepatitis, whether acute or chronic, are judged to be unqualified once diagnosed.

　　7.1.1 Viral hepatitis is a common infectious disease caused by hepatitis virus, which has the characteristics of strong infectivity, wide epidemic area and high incidence rate. The main clinical manifestations are fatigue, loss of appetite, nausea, vomiting, liver pain, hepatomegaly and hepatocyte damage, and some patients may have jaundice and fever. According to the different pathogenic viruses, viral hepatitis can be divided into many types. At present, there are five internationally recognized viral hepatitis types: A, B, C, D and E. Among them, hepatitis A and hepatitis E are mostly acute and belong to self-limiting diseases. After treatment, most patients recover in 3 ~ 6 months and generally do not turn into chronic hepatitis. Hepatitis B, C and D are easy to develop into chronic diseases, a few of them can develop into posthepatitic cirrhosis, and a few of them show severe course. Chronic hepatitis B and C are closely related to the occurrence of primary hepatocellular carcinoma.

　　7.1.2 Other hepatitis includes alcoholic hepatitis, drug-induced hepatitis, autoimmune hepatitis, ischemic hepatitis, hereditary metabolic liver disease, chronic hepatitis with unknown causes, etc., which are briefly described as follows:

　　1) Alcoholic hepatitis: liver damage caused by long-term heavy drinking. In addition to alcohol itself can directly damage liver cells, acetaldehyde, a metabolite of alcohol, also has obvious toxic effect on liver cells, which leads to degeneration and necrosis of liver cells, and then fibrosis, and in severe cases, liver cirrhosis can be caused by repeated hepatitis attacks. Clinically, alcoholic hepatitis can be divided into three stages, namely alcoholic fatty liver, alcoholic hepatitis and alcoholic cirrhosis, which can exist alone or simultaneously.

　　2) Drug-induced hepatitis: The liver is an important organ for drug concentration, transformation and metabolism, and most drugs are eliminated in the liver by biotransformation. However, some drugs will damage liver cells in clinic, resulting in degeneration and necrosis of liver cells and abnormal biochemical examination of liver, leading to acute or chronic drug-induced hepatitis, such as isoniazid, rifampicin and sulfonamides. Drug-induced liver cell damage can be divided into two categories. One is dose-dependent damage, that is, the drug will only cause liver cell damage when it reaches a certain high dose, such as alcoholic hepatitis. The other is allergic drug poisoning, that is, individuals will have a strong allergic reaction to certain drugs, and once they take these drugs (regardless of the dose), they can cause liver cell damage. Most of these patients are accompanied by other related allergic manifestations, such as acute urticaria and eosinophilia in the blood.

　　3) Autoimmune hepatitis: This disease is mainly seen in young and middle-aged women, and its onset is mostly hidden or slow, and its clinical manifestations are similar to those of chronic hepatitis B.. Mild symptoms are not obvious, only abnormal liver biochemical examination occurs; In severe cases, fatigue, jaundice, skin itching and other symptoms may occur, which often develop into cirrhosis in the later stage, often accompanied by autoimmune diseases of extrahepatic system, such as thyroiditis and ulcerative colitis.

　　4) Ischemic hepatitis: Ischemic hepatitis is the secondary damage of liver cells caused by various related primary diseases, such as heart failure caused by cardiovascular diseases, venous blood can not return to the heart and stay in the liver, resulting in hyperemia and swelling of the liver, degeneration and necrosis of liver cells and abnormal biochemical examination of the liver.

　　5) Hereditary metabolic liver disease: refers to a group of diseases caused by hereditary metabolic disorder. Their common feature is that they have some metabolic disorder, and the lesions involve the liver and other organs and tissues at the same time. Therefore, in addition to hepatomegaly and liver function damage, the clinical manifestations are accompanied by corresponding symptoms, signs and abnormal laboratory examination of damaged organs and tissues. Such as hepatolenticular degeneration, hematoporphyria, glycogen storage disease and hepatic amyloidosis.

　　6) Chronic hepatitis with unknown causes: it is not a specific type of hepatitis, but only refers to some hepatitis with unknown etiology and medical history. With the development of medical science and technology, these diseases will find out the specific causes and gradually decrease. It is estimated that about a quarter of this kind of hepatitis is caused by virus.

　　7.2 Diagnostic Points

　　1. Liver examination:

　　1) Routine detection of ALT and AST, these two enzymes can be increased in the incubation period and early onset of hepatitis, which is helpful for early diagnosis.

　　2) Abdominal B-ultrasound: The sonogram of viral hepatitis often shows diffuse liver disease, but the liver diseases caused by drug hepatitis, alcoholic hepatitis, liver cirrhosis and various metabolic diseases can also show diffuse changes, which are difficult to distinguish on the sonogram. Therefore, it is necessary to make a comprehensive analysis in combination with clinical and other examination results.

Ultrasonic manifestations of diffuse liver disease: The acute stage is characterized by hepatomegaly, low echo of liver parenchyma and sparse light spots. Some patients may have biliary system changes, gallbladder wall thickening and mucosal edema with low echo. In persistent cases, the liver is enlarged, the liver echo is enhanced, uneven, and the light spot is thick, which may be accompanied by spleen enlargement or/and portal vein diameter widening.

　　2. Criteria:

　　1) The increase of serum ALT or AST exceeds the upper limit of reference value by 2 times (for example, the upper limit of normal reference value is X, and exceeding the upper limit of reference value by 2 times means exceeding 2X), and it is unqualified.

　　2) The increase of serum ALT or AST does not exceed 2 times of the upper limit of the reference value, but the B-ultrasound image shows diffuse liver disease (except fatty liver), which is unqualified.

　　As a selective physical examination, the epidemiological data, clinical symptoms and etiological data of the subjects are often unreliable, and the signs are generally not obvious. Therefore, hepatitis should be diagnosed or excluded mainly based on liver biochemistry and abdominal B-ultrasound examination.

　　7.3 Precautions

　　7.3.1 All hepatitis detection items are not allowed to be tested for hepatitis B..

　　7.3.2 The liver biochemical examination in civil servants’ physical examination refers to ALT and AST. If the detection value is slightly abnormal (that is, not more than 2 times the upper limit of the reference value), and other detection results are normal, the conclusion that the physical examination is qualified can be directly made.

　　7.3.3 The diagnosis of hepatitis includes clinical diagnosis, etiological diagnosis and pathological diagnosis. As a physical examination, it is only necessary to make a conclusion on whether it is qualified according to the criteria, and the invasive pathological diagnosis method of liver puncture is not suitable as an auxiliary examination item.


　　　　　　　　　　　　　　　　　Special standards for physical examination of civil servants (for Trial Implementation)

　　　　　　　　　　　　　　　　　　　No.82 [2010] issued by the Ministry of Human Resources and Social Security

　　This standard is applicable to candidates who apply for civil servants with special physical requirements. Candidates who apply for positions of civil servants with special requirements for physical conditions shall meet the requirements of the General Standard for Physical Examination of Civil Servants (Trial) and the relevant positions in this standard for physical conditions.
　
　　The first part of the people’s police positions

　　Article 1 One-sided naked eye vision is less than 4.8, and it is unqualified (except for professional and technical positions in state security organs). Forensic medicine, physical evidence inspection and identification, information and communication, network security management, financial accounting, foreign language and minority language translation, traffic safety technology, safety prevention technology, explosive ordnance disposal, police dog technology and other positions, unilateral corrected vision is less than 5.0, unqualified.

　　Article 2 color blindness, unqualified. Weak color, forensic, physical evidence inspection and appraisal positions, unqualified.

　　Article 3 Skin diseases that affect the face and are difficult to cure (such as vitiligo, psoriasis, hemangioma, spotted nevus, etc.), or obvious disease features (such as facial deformity, torticollis that cannot be corrected by itself, abnormal gait, etc.), are unqualified.

　　Article 4 Tattoos are unqualified.

　　Article 5 Limb dysfunction is unqualified.

　　Article 6 If the hearing of one-sided whisper is less than 5 meters, it is unqualified.

　　Article 7 The sense of smell is dull and unqualified.

　　Article 8 HBV pathogen carriers, special police positions, are unqualified.

　　Article 9 China Civil Aviation air marshal’s position is 170-185cm in height, and meets the medical standard of Class IVb medical certificate (except item 67.415-c) in the Management Rules of Medical Standards and Medical Certificate for Civil Aviation Personnel in China, and is qualified.

　　Article 10 The national standards for the health examination of seafarers and the Notice on Adjusting the Requirements for the Health Examination of Seafarers (H.J. [2010] No.306) shall also be implemented in the customs’ maritime anti-smuggling ship driving position, maritime anti-smuggling marine engineer management position, maritime anti-smuggling inspection position and entry-exit frontier inspection ship driving position.

　　Part II Other positions

　　Article 11. The posts of on-site passenger inspection at ports, customs cargo inspection, surveying and mapping and map printing, medical inspection, textile inspection supervision, instrument inspection supervision, cosmetics inspection supervision and animal and plant quarantine are unqualified; Color blindness (except those with normal monochrome recognition ability), positions in foreign affairs departments, electromechanical inspection and supervision positions, chemical products inspection and supervision positions, chemical mineral products inspection and supervision positions, coal mine safety supervision and law enforcement positions and boarding quarantine appraisal positions are unqualified.

　　Twelfth physical dysfunction, coal mine safety supervision and law enforcement positions, boarding quarantine appraisal positions, on-site inspection positions and customs cargo inspection positions, unqualified.

　　Article 13 The hearing of both sides whispering is less than 5 meters, and the positions of electromechanical inspection and supervision, chemical products inspection and supervision, chemical and mineral products inspection and supervision, animal quarantine and coal mine safety supervision and law enforcement are unqualified.

　　Article 14 The positions of food inspection supervision, cosmetics inspection supervision, animal and plant quarantine, medical inspection, health quarantine, chemical products inspection supervision and customs goods inspection are unqualified.

　　Fifteenth infectious, suppurative or exudative skin diseases, medical inspection posts, health and quarantine posts, food inspection and supervision posts, cosmetics inspection and supervision posts, animal and plant quarantine posts, chemical products inspection and supervision posts and port on-site passenger inspection posts are unqualified.

　　Article 16 The positions of flight technical supervision of civil aviation in China shall be subject to the medical standards of Class I (except item 67.115(5)) or Class II medical certificate in the Administrative Rules on Medical Standards and Medical Certificate of Civil Aviation Personnel in China.

　　Article 17 For the position of water operators, the national standards for the health examination of seafarers and the Notice on Adjusting the Requirements for the Health Examination of Seafarers (H.J. [2010] No.306) shall be implemented.

　　High incidence in summer!

　　Be wary of children suffering from herpetic angina!

　　After entering the summer, children’s herpetic angina has entered a trend of concentrated high incidence. Xi ‘an Children’s Hospital receives more than 500 children with herpetic angina and hand, foot and mouth every day.

　　Zhang Huifang, deputy chief physician of the fever clinic of Xi ‘an Children’s Hospital, said that the main harm of herpetic angina is easy to cause febrile convulsions and viral encephalitis. Children may be prone to dehydration, shock and other clinical symptoms due to sore throat and reduced food intake.

　　Zhang Huifang, deputy chief physician of the fever clinic of Xi ‘an Children’s Hospital, reminds parents that to prevent herpetic angina, they should keep their children’s hands and mouth clean, avoid going to crowded places, and seek medical advice in time if they have high fever.

　　Xiaobian query found that

　　near future

　　Some kindergartens in Xi’ an have also been released.

　　How to prevent hand, foot and mouth,

　　Health tips for herpetic angina

　　before

　　We have sent relevant reports.

　　A 4-year-old boy in Hangzhou suddenly had a high fever of 40℃

　　Febrile drugs don’t work either.

　　Not long ago, 4-year-old Nannan suddenly had a high fever, and her body temperature went straight to 40 degrees. The heat peak reached 3 or 4 times a day. Even if she took antipyretics, she could not drop to normal temperature.

　　After going to the hospital, the attending doctor made a careful physical examination and found that Nannan had a lot of herpes in his mouth, which hurt when he touched it, and there were red rashes in other parts of his body. According to the typical rash manifestations and the location of the rash, the doctor judged that Nan Nan was infected with hand, foot and mouth disease.

　　Brother and sister suddenly convulsed

　　Confirmed hand, foot and mouth disease

　　At 1 am on June 15th, a 1-year-old boy, Yue Yue (pseudonym), was taken into the pediatric emergency room of Changsha Central Hospital (Changsha Central Hospital affiliated to Nanhua University) by his mother Li Ru (pseudonym) and was diagnosed with hand, foot and mouth disease. At 3 pm on the same day, my 3-year-old sister MengMeng (a pseudonym) was also admitted to the hospital due to convulsions, and was also diagnosed with hand, foot and mouth disease.

　　Herpes angina & how to prevent hand, foot and mouth

　　What are the performances?

　　Hand, foot and mouth disease: fever, maculopapules and herpes of hands and feet, herpes or ulcer of oral mucosa (herpes is more common in the front of oral cavity, such as tongue and lips and teeth), pain and difficulty in eating.

　　1-2 months after the onset, some children will have finger/toenail shedding.

　　Herpetic angina: fever, sore throat, mucosal herpes in pharyngeal isthmus and superficial ulcer.

　　Relationship between hand, foot and mouth disease and herpetic angina?

　　They are all caused by a variety of enterovirus infections, and many enteroviruses can cause both diseases at the same time, such as the red virus in the picture below.

　　After being infected with the same virus, if herpes is only in the throat, it is herpetic angina, and if it appears in the hands, feet, mouth and anus, it is hand, foot and mouth disease.

　　The study found that the blood routine of hand, foot and mouth disease or herpetic angina indicated that white blood cells increased, the proportion of neutrophils increased, and sometimes CRP(C-reactive protein) increased, which was not necessarily accompanied by bacterial infection, so parents should not blindly use antibiotics.
.

　　How did it spread?

　　Droplets in digestive tract or respiratory tract spread and contact with herpes fluid of patients’ skin and mucosa, which is highly contagious and fast.

　　How to prevent it?

　　Vaccinate hand, foot and mouth vaccine (although it can only prevent EV71, most severe hand, foot and mouth diseases are caused by EV71), wash hands frequently and pay attention to hygiene.

　　Ventilation frequently, avoid going to public places where crowds gather and air circulation is poor during the epidemic period, and see a doctor in time when symptoms appear.

　　People with hand, foot and mouth disease should avoid contact with other children.

　　Synthesis: Shaanxi Radio and Television Media Group, Shaanxi News, People’s Daily Popular Science, Northwest Women and Children’s Hospital.

　　Reporter: Hui Xin