Browse > Article
http://dx.doi.org/10.14346/JKOSOS.2021.36.4.62

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

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)
Publication Information
Journal of the Korean Society of Safety / v.36, no.4, 2021 , pp. 62-70 More about this Journal
Abstract
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.
Keywords
systematic accident analysis; AcciMap; STAMP; FRAM; CAST;
Citations & Related Records
연도 인용수 순위
  • Reference
1 P. Underwood and P. Waterson, "A critical Review of the STAMP, FRAM and AcciMap Systemic Accident Analysis Models. Advances in Human Aspects of Road and Rail Transportation", CRC Press. pp. 385-394, 2012.
2 N. Leveson, "A New Accident Model for Engineering Safer Systems", Safety Science, Vol. 42, No. 4, pp. 237-270, 2004.   DOI
3 N. Leveson, CAST HANDBOOK: How to Learn More from Incidents and Accidents, 2019.
4 D. Seo, K. Lee, U. Han and Y. Choi, "Investigation on the Causes of Fire and Explosion Accidents during Usual and Unusual Work, Utilizing Accident Cases at Chemical Plants", OSHRI, KOSHA, 2018.
5 E. Grant, P. M. Salmon, N. J. Stevens, N. Goode and G. J. Read, "Back to the Future: What do Accident Causation Models Tell us about Accident Prediction?", Safety Science, Vol. 104, pp. 99-109, 2018.   DOI
6 J. Rasmussen, "Risk Management in a Dynamic Society: A Modelling Problem", Safety Science, Vol. 27, No. 2-3, pp. 183-213, 1997.   DOI
7 K. Brandford, N. Naikar and A. Hopkins, "Learning from High Reliability Organizations. Chapter: Guidelines for AcciMap Analysis", CCH, pp. 193-212, 2009.
8 J. Yang, J. Ko, S. Lee, J. Lim and Y. Kim, "Establishing Systemic Strategy to Introduce Innovative Safety Concepts and Methods", OSHRI, KOSHA, 2019.
9 E. Hollnagel, "Barriers and Accident Prevention", Ashgate, 2004.
10 E. Hollnagel, J. Hounsgaard and L. Colligan, "FRAM - A Handbook for the Practical use of the Method", Centre for Quality, pp. 8-29, 2014.