의료기관 화재사고의 근본원인분석과 안전성 향상에 관한 연구

This study performed a root cause analysis on large fire accident that took place at Severance Hospital in Shinchon, Seoul, where it held around 1,200 inpatients to provide ways of improving fire safety and decrease the risks. Accident reports, comprehensive analysis countermeasure report, and fire safety regulations were used to collect information and data for the root cause analysis. The fire and safety supervisors were also interviewed. The drill down analysis confirmed lack of safety management on kitchen facilities (brazier), chelation of the ventillation duct due to the oil mist, and the problem with allowing the use of gas brazier inside the breakrooms of the hospital. Safety improvements must be taken into an initiative in not only the areas of accident, but everywhere to decrease the risk of danger.