[논문]산업현장에서 쉽게 적용할 수 있는 근본원인 사고조사기법 개발에 관한 연구

권재범; 권영국

doi:10.14346/jkosos.2021.36.5.43

산업현장에서 쉽게 적용할 수 있는 근본원인 사고조사기법 개발에 관한 연구
Development of RCA Incident Investigation Method as Easily Adopted Industry Field 원문보기

한국안전학회지 = Journal of the Korean Society of Safety, v.36 no.5, 2021년, pp.43 - 51

권재범 (서울과학기술대학교 안전공학과) , 권영국 (서울과학기술대학교 안전공학과)

Abstract ▼ AI-Helper

Incident investigation is one of the most important processes among various other safety management methods to prevent industrial accidents. Finding the root causes of accidents, eliminating hazards, and improving safety are the most important purposes of investigating accidents. During the investigation process, root cause analysis (RCA) techniques are used to effectively identify RCA. Over the past few decades, over 30 RCA methods have been developed. These techniques are being widely used in some industries, such as the nuclear and aircraft industries; however, most of the RCA techniques require professional knowledge and special training, making it difficult for safety managers in their respective fields to understand and apply them. Therefore, managers of general industrial sites are rarely present at the scene of actual accident investigations, and they cannot contribute much to the purpose and effectiveness of these investigations. In this study, to address these issues, we developed an RCA technique to facilitate root cause investigation of accidents in real-world industrial sites. To develop new techniques, Systematic Cause Analysis Technique (SCAT), one of the RCA techniques, was used to investigate incidents in the enterprise over three years. We also utilized feature analysis and other papers from existing RCA techniques. To verify its effectiveness, the technique proposed was also applied to the accident case. The technique developed can easily identify and analyze the root cause of an accident and help industrial managers. It can also identify the root cause category where accidents are concentrated and use this data to establish guidelines for preventing future accidents and, thus, focus on prioritizing improvement initiatives.

주제어

표/그림 (9)

표 Table 1. Characteristics of different accident investigation methods
그림 Fig. 1. Loss causation model of DNV.
표 Table 2. Comparison of basic causes category among RCA methods
표 Table 3. The industry and size of companies applying SCAT techniques to accident investigations
표 Table 4. Causes of accident using SCAT method
표 Table 5. Comparison of basic cause category through RCA review
표 Table 6. Root cause matrix
표 Table 7. Comparison of accident report by civil accident investigation team and newly developed RCA method
표 Table 8. Comparison of accident report by investigation committee on the participation of the National and newly developed RCA method

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