近年来各类安全事件频发,财产损失与人员伤亡严重,分析事故原因、汲故经验教训、避免类似事件重发已成为社会各界关注的重点问题。本文利用RCA方法,基于CLOC表,以“4·20深圳地铁踩踏事件”为例,分析了导致该起事故发生的直接原因和根本原因,并据此提出了对应的预防策略建议,可有效预防此类事件再次发生。 In recent years, all kinds of frequent security incidents, property damage and serious personal injury, analyze the causes of the accident, learn from the experience and lessons learned, to avoid the recurrence of similar incidents has become the focus of attention of all sectors of society. Based on the CLOC table and the “4.20 stampede in Shenzhen Metro” as an example, this article analyzes the direct cause and the root cause of the accident and proposes the corresponding preventive strategy recommendations based on the RCA method. Effectively prevent such incidents from happening again.