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근본 원인 분석(5-Why) 및 프리즘식 교차 검증을 통한 대형 물류 시설 화재의 구조적 안전 패러다임 전환 연구 : 2025년 이랜드 물류센터 화재 사례를 중심으로

원문정보

A Structural Safety Paradigm Shift Study for Major Logistics Facility Fires through Root Cause Analysis (5-Why) and Prismatic Cross-Verification : Focused on the 2025 E-Land Logistics Center Fire Case

김효범

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초록

영어

As society becomes increasingly sophisticated and new energy sources proliferate, human and property damage due to fire is on the rise, emphasizing the importance of fire investigation results alongside changes in the legal environment (e.g., amendments to the Product Liability Act and the Act on Liability for Fires). This study analyzes a major fire incident at the E-Land Fashion Logistics Center in Cheonan, Chungnam, in November 2025, focusing on electrical factors at the presumed ignition point—the eastern end of the 3rd floor. To enhance the professionalism of the cause determination process, a deductive approach was used to establish the highest-priority hypothesis, and the prismatic investigation method was applied for a multi-dimensional cross-verification of the ignition and fire spread causes. Furthermore, the 5-Why analysis technique was employed to move beyond simple symptomatic causes and derive the Root Cause: 'Minimization of safety investment to ensure competitive advantage.' Finally, we propose a three-stage structural safety countermeasure—technical, managerial, and institutional —to address the identified Root Cause, suggesting the necessity of enacting a logistics-facility-specific safety law (tentatively titled: Special Act on Fire Safety and Maintenance of Logistics Facilities). This study aims to contribute to a paradigm shift in the safety of large-scale logistics facilities.

목차

Abstract
1. 서론
2. 이랜드 물류센터 화재 개요 및 초기 조사 결과 분석
2.1 사고 개요
2.2 발화 지점 및 잠정 원인 분석
3. 과학적 화재 원인 조사에 대한 연구
3.1 5-Why 기법을 활용한 근본 원인 분석 (Root Cause Analysis, RCA)
3.2 연역법적 접근: 대전제로부터 사실을 검증하는 조사
3.3 프리즘식 조사 기법: 다각적 관점의 교차 검증
4. 조사 결과에 기초한 구조적 안전 대책 제언
4.1 첨단 설비를 통한 전기 화재 원천 차단(기술적 대책)
4.2 안전 관리의 독립성 및 책임성 확보(관리적 대책)
4.3 규제 및 법적 환경 개혁(제도적 대책)
5. 결론
참고문헌

저자정보

  • 김효범 Hyo-Beom Kim. 한국화재감식연구소

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