تجزیه و تحلیل خطرات با استفاده از روش تجزیه و تحلیل فرایند تئوری سیستم (STPA): مطالعه موردی در سیستم های خاموش کننده اضطراری یک نیروگاه حرارتی تولید برق

Introduction: The weaknesses of traditional hazard analysis methods lead to their inefficiency to utilization for modern socio-technical systems. System Theoretic Process Analysis (STPA), which is in the category of systematic analysis methods, has a powerful logic to identify hazards in such systems,as a suitable alternative method. This study aimed to analyze hazards associated with extinguishing systems of steam unit of a power plant, using STPA method. . Material and Method: The present research is a qualitative case study. The related hazards were defined using STPA method.Following, the safety control structure diagrams in different parts were plotted and inadequate control measures and its causal factors were identified. .Result: For steam unit of power plant, the most tragic incidents wererelated to hazards and risks of turbine device (switch the turbine cycle). Then, according to the plotted diagram for structure of safety control extinguishing systems associated with switching the turbine cycle, PLC system was determined as the most important part of the control system and operator was identified as the strategic and effective part of a control system. Following, more than 54 causal factors were identified, considering the relevant details about the risks analysis of the turbine. .Conclusion: Due to its systematic structure,STPA method can be effective for a more complete identification of risks and causal factors which causing hazards in the emergency extinguishing systems. Therefore, development of such tools for those operators involved in safety-critical systems will be useful in terms of safety.