For 2013 Spring Symposium of KIChE (한국화학공학회)

YoungHo Kim

Y.H.KIM Eng. & Mfg. Int. Consultant,

Visiting Professor of Chem. Eng. Dept, Chunnam National University

(전남대학교 화학공학과 객원교수)

(yhkim1116@hotmail.com^*)

SUBJECT:

The Root Cause Analysis and its Problems-Solution related to the Recent Accidents

of Chemical Plants in Petrochemical Complexes of Korea

---Based on Human Errors from the Management on Process Safety and Design

in Process System of Chemical Engineering---

한국의 대단위 화학공장에서의 최근 사고와 관련된 근본원인 분석과 문제점해결

-화학공학 공정시스템에서의 공정안전설계 관리의 인간실수(Human Errors)에 기초하여-

26 April (Fri.), 2013

                                                       Kimdaejung Convention Center,

      Gwangju, Korea

                        이 자료는 한국과학기술정보연구원(KISTI) RESEAT Program

지원 사업에 의하여,

김영호 전문연구위원이 연구한 것입니다.

YoungHo Kim

Y.H.KIM Eng. & Mfg. International Consultant,

Visiting Professor of Chem. Eng. Dept, Chunnam National University,

Senior Research Fellow, Korea Institute of Sci. and Tech. Information (KISTI)

Tel/Fax: +82-(0)31-272-2913

Cellular Ph.: +82-(0)11-496-6918

E-mail: yhkim1116@hotmail.com

CONTENTS

ABSTRACT

I.서론

  I-1. 우리나라 화학공장의 위험성 이해

  I-2. 연구목적과 연구방법

  I-2-1. 연구목적

  I-2-2. 연구방법

  I-3. 공학철학과 공학윤리 바탕 위에 의사결정

  I-3-1. 공학철학 이해:

  I-3-2. 공학철학

  I-3-3. 공학윤리

  I-3-4. 의사결정 

  I-4 不變의 球 哲學을 통한 공학철학의 역할

    I-4-1. 불변의 구 철학(球 哲學) 운영

    I-4-2. 안전철학에 바탕한 YHK의 철학적 판단기준 삼각 도형

  I-5. 공정안전 문화

II. 연구배경 및 방법론

  II-1. 연구배경

  II-2. 방법론

III. 결과

IV. 본론: 사고와 관련된 근본원인 분석과 문제점해결

IV-1. 최근 우리나라 화학공장의 사고 사례 현황

IV-2. 최근 화학공장 사고: 여수 D사 사고 사례 원인분석

IV-3. Human Error 근본원인 분석(Analysis on Root Cause/Contributing Cause)

IV-4. 사고예방을 위한 문제점 해결(Solving Problems for Prevention of Incidents)

V. 결론:

VI. 제안:

참고문헌: 

 ABSTRACT

The purpose of this research is to prevent any incidents and its recurrences occurring in the chemical plants through the root cause analysis of the incidents, and also to minimize losses of lives and national properties against those accidents. Recently, several accidents have been occurred by showing leakage and fatally poisonous gas dispersion in some chemical plants.

So, in case any accidents occur due to any human errors from the management of such process safety and design, those accidents become not only to call great losses, but also bring on an unexpected consequence to their community and society. In general, worse than all, their chemical plants have been running average over 35 years under the severe conditions of gradually aging old (deteriorating) of facilities.

Accordingly, through the root cause analysis on those occurred accidents, this paper shows what and how to newly apply for management on Process Safety and Design.

KEY WORDS: chemical plants, the root cause analysis, incidents, accidents, recurrences, leakage, fatally poisonous gas dispersion, human errors, unexpected consequence, severe conditions, aging (deteriorating), process safety and design