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AcciMap, STAMP, FRAM을 이용한 반응기 세척 작업 중 화재 사고 분석

Analysis of a Fire Accident during a Batch Reactor Cleaning with AcciMap, STAMP and FRAM

  • 서동현 (한국산업안전보건공단 산업안전보건연구원 산업안전연구실) ;
  • 배계완 (한국산업안전보건공단) ;
  • 최이락 (한국산업안전보건공단 산업안전보건연구원 산업안전연구실) ;
  • 한우섭 (한국산업안전보건공단 산업안전보건연구원 산업안전연구실)
  • Seo, Dong-Hyun (Occupational Safety Research Bureau, OSHRI, KOSHA) ;
  • Bae, Gye wan (Korea Occupational Safety and Health Agency) ;
  • Choi, Yi-Rac (Occupational Safety Research Bureau, OSHRI, KOSHA) ;
  • Han, Ou-Sup (Occupational Safety Research Bureau, OSHRI, KOSHA)
  • 투고 : 2021.04.12
  • 심사 : 2021.07.26
  • 발행 : 2021.08.31

초록

Representative systematic accident analysis methods proposed so far include AcciMap, STAMP, and FRAM. This study used these three techniques to analyze a fire accident case that occurred during routine manufacturing work in a domestic chemical plant and compared the results. The methods used different approaches to identify the cause of the accident, but they all highlighted similar causal factors. In addition to technical issues, the three accident analysis methods identified factors related to safety education, risk assessment, and the operation of the process safety management system, as well as management philosophy and company culture as problems. The AcciMap and STAMP models play complementary roles because they use hierarchical structures, while FRAM is more effective in analyses centered on human and organizational functions than in technical analyses.

키워드

참고문헌

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