[논문]한국 산업계에서 사고조사 수행 시 사고조사자의 관점에 관한 연구

권재범; 권영국

doi:10.14346/jkosos.2021.36.2.58

한국 산업계에서 사고조사 수행 시 사고조사자의 관점에 관한 연구
Incident Investigator's Perspectives on Incident Investigations Conducted in Korea Industry 원문보기

한국안전학회지 = Journal of the Korean Society of Safety, v.36 no.2, 2021년, pp.58 - 67

권재범 (서울과학기술대학교 안전공학과) , 권영국 (서울과학기술대학교 안전공학과)

Abstract ▼ AI-Helper

Incident investigation is regarded as a means to improve safety performance. For the prevention of industrial accidents, measures such as providing safety education, enhancing management interest and participation, establishing a safety management system, and conducting inspection of the work site are necessary. In particular, accident investigation activities, which are an important element of safety management, help to prevent similar accidents, thereby minimizing damage and enhancing work safety. They are critical for understanding business-related incidents and the vulnerabilities and opportunities associated with them. Therefore, it is clear that accident investigation activities are important for accident prevention. The primary focus of many incident investigation processes is on identifying the cause of an event. While considerable research has been conducted on potential accident investigation tools there has been little research on including the views and experiences of practitioners in the accident investigation process. In this study, a questionnaire survey was conducted among safety managers in the domestic manufacturing/construction industry to understand the practice of accident investigation. The investigation pertained to companies' accident investigation systems, the competence of investigators, and the identification and recommendations of the cause of accidents. From the analysis results of accident investigations, investigators' competence, the difficulty level of investigations, and the root causes of accidents were identified from the viewpoint of the participants of the accident investigations. In particular, the development of standardized and simple accident investigation methods and their dissemination to companies were found to be necessary for activating the root cause of accidents. Based on this, it can be used as basic data for the development of root cause analysis investigation techniques that are easily applicable to organizations.

주제어

표/그림 (24)

그림 Fig. 1. Working experience of survey participants by industry.
그림 Fig. 2. Incident investigation training time.
그림 Fig. 3. Contents of incident investigation training.
표 Table 1. Background information of survey participants
표 Table 2. Number of incident investigation participation by industry
표 Table 3. Incident investigation training hours by industry
그림 Fig. 4. Purpose of the investigation.
그림 Fig. 5. Competence of incident investigator.
그림 Fig. 6. Severity level of conduct incident investigations by industry.
표 Table 4. Additional questions to identify competence of investigator
그림 Fig. 7. Average time to start incident investigation.
그림 Fig. 8. Elapsed between the time of the accident.
그림 Fig. 9. Whether specialized tool is used in incident investigation.
표 Table 5. Various RCA method used in incident investigation.
표 Table 6. Percent of time spent in investigation process
표 Table 7. Additional questions to identify incident investigation system of the company
표 Table 8. Major root causes of incident used in survey
그림 Fig. 10. Major root cause of the incident.
그림 Fig. 11. Comparison of root causes of incidents by industry.
그림 Fig. 12. How to use the investigation reports in the organization.
표 Table 9. Additional questions to identify root causes of incident
그림 Fig. 13. Reason of difficulty to find root cause.
그림 Fig. 14. Activation method of incident investigation.
표 Table 10. Additional questions to identify follow up activity after incident investigation

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