화학플랜트 대규모 재해 공통 기여요인 분석을 통한 핵심 선행지표 도출 = Derivation of Key Leading Indicators by Analyzing the Common Contributing Factors for Catastrophic Incidents at Chemical Plants

다국어 초록 (Multilingual Abstract)

An analysis of worldwide incidents in chemical plants found multiple root causes and the lack of preventive measures was catastrophic. Therefore, the main objective of this study was to determine the factors contributing to and main predictive indicators for catastrophic incidents, such as fires and explosions, in the chemical plants. In this study, 94 accidents, including the incident investigation data reported by Chemical Safety Board for catastrophic incidents and recent domestic incidents at chemical plants, were reviewed. Common contributing factors were identified, and frequency analysis was conducted. Moreover, bow tie analysis was applied to determine the prevention and mitigation measures for each catastrophic incident. Accordingly, common contributing factors behind 16 categories of catastrophic incidents were derived and analyzed, and leading indicator candidates were presented in three priority groups. Presumably, the leading indicator can be used to determine what to prioritize in preventing catastrophic incidents in chemical plants.

다국어 초록 (Multilingual Abstract)

-

참고문헌 (Reference)

1 권재범, "한국 산업계에서 사고조사 수행 시 사고조사자의 관점에 관한 연구" 한국안전학회 36 (36): 58-67, 2021

2 J. Reason, "The Contribution of Latent Human Failures to the Breakdown of Complex Systems" 475-484, 1990

3 Vaughn D, "Risky Technology, Culture, and Deviance at NASA" University of Chicago Press 1996

4 American Petroleum Institute, "Process Safety Performance Indicators for the Refining and Petrochemical Industries" 2021

5 KOSHA, "PSM Report Data Room"

6 Baybutt P, "Insights into process safety incidents from an analysis of CSB investigations" 43 : 537-548, 2016

7 AIChE, "Inherently Safer Chemical Processes: A Life Cycle Approach"

8 CCPS, "Guidelines for Process Safety Metrics" John Wiley and Sons Inc 2010

9 CCPS, "Guidelines for Investigating Process Safety Incidents" Wiley 2019

10 BowTieXP, "GE Risk Management Solutions"

11 CSB, "Competed Investigation"

12 태찬호, "Bow-Tie기법을 이용한 제조공정의 위험성평가 연구" 한국가스학회 17 (17): 33-38, 2013

13 공준성, "Bow-Tie 기반 가설식 곤돌라 사고 예방 대책에 관한 연구" 한국안전학회 35 (35): 48-55, 2020

14 CCPS, "Bow Ties in Risk Management: A Concept Book for Process Safety" AIChE 2019

15 CCPS, "American Institute of Chemical Engineers" Wiley 2012

16 MARSH JLT SPECIALTY, "100 Largest Losses in the Hydrocarbon Industry, 26th Edition on Marsh Report" 2020