In order to reduce the probability of fault occurrence of local ventilation system in coal mine and prevent gas from exceeding the standard limit, an approach incorporating the reliability analysis, rough set theory, genetic algorithm (GA), and intelligent decision support system (IDSS) was used to establish and develop a fault diagnosis system of local ventilation in coal mine. Fault tree model was established and its reliability analysis was performed. The algorithms and software of key fault symptom and fault diagnosis rule acquiring were also analyzed and developed. Finally, a prototype system was developed and demonstrated by a mine instance. The research results indicate that the proposed approach in this paper can accurately and quickly find the fault reason in a local ventilation system of coal mines and can reduce difficulty of the fault diagnosis of the local ventilation system, which is significant to decrease gas exploding accidents in coal mines. In order to reduce the probability of fault occurrence of local ventilation system in coal mine and prevent gas from exceeding the standard limit, an approach incorporating the reliability analysis, rough set theory, genetic algorithm (GA), and intelligent decision support system (IDSS) was used to establish and develop a fault diagnosis system of local ventilation in coal mine. Fault tree model was established and its reliability analysis was performed. The algorithms and software of key fault symptom and fault diagnosis rule acquisition were also analyzed and developed. Finally, a prototype system was developed and demonstrated by a mine instance. The research results indicate that the proposed approach in this paper can accurately and quickly find the fault reason in a local ventilation system of coal mines and can reduce difficulty of the fault diagnosis of the local ventilation system, which is significant to decrease gas exploding accidents in coal mines.