An Analysis of Human Error Mode and Type in the Railway Accidents and Incidents

철도 사고 및 장애의 인적오류 유형 분석

  • Ko, Jong-Hyun (Control Technology Research Institute, Samchang Enterprise Co., Ltd.) ;
  • Jung, Won-Dea (Integrated Risk Assessment Center, Korea Atomic Energy Research Institute) ;
  • Kim, Jae-Whan (Integrated Risk Assessment Center, Korea Atomic Energy Research Institute)
  • 고종현 (삼창기업(주) 제어기술연구소) ;
  • 정원대 (한국원자력연구원 종합안전평가연구센터) ;
  • 김재환 (한국원자력연구원 종합안전평가연구센터)
  • Published : 2007.08.31

Abstract

Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

Keywords

References

  1. 건설교통부, '철도안전종합계획 제1차(2006-2010)', p. 12, 2006
  2. Federal Railroad Administration, 'Five-Year Strategic Plan for Railroad Research, Development, and Demonstrations', FRA, p. 4-11, 2002
  3. Hall, S., 'Railway Accidents', Ian Allan Publishing, 1997
  4. Reason, J., 'Managing the Risks of Organizational Accidents', Ashgate Publishing Ltd., p. 126, 1997
  5. 이승원, 임현교, '철도 입환작업 중의 인적 사고 요인에 대한 인지과학적 분석', 한국안전학회지, 제20권, 제4호, pp. 114-121, 2005
  6. 허성관, 이정훈, 정종태, '한국철도사고의 FTA 및 AHP 기법에 따른 분석', 대한설비관리학회지, 제10권, 제2호, pp. 123-135, 2005
  7. Reinach, S. and Viale, A., 'Application of a human error framework to conduct train accident/incident investigations', Accident Analysis and Prevention, Vol.38, Issue 2, pp. 396-406, 2006 https://doi.org/10.1016/j.aap.2005.10.013
  8. Gibson, W. H., et al, 'A Taxonomy of Human Communication Errors and Application to Railway Track Maintenance', Cogn Tech Work, Vol. 8, No. 1, pp. 57-66, 2006 https://doi.org/10.1007/s10111-005-0020-x
  9. Hollnagel, E., 'Cognitive Reliability and Error Analysis Method', Elsevier, pp. 52-73, 1998
  10. Embrey, D., 'Quantitative and qualitative prediction of human error in safety assessments', Major Hazards Onshore and Offshore, Rugby IChemE, pp. 329-341, 1992
  11. Reason, J. 'Human Error', Cambridge University Press, p. 207, 1990
  12. 철도청, '운전사고 및 운전장애 월보', 2004
  13. 건설교통부, '철도사고보고 및 조사에 관한 지침', 고시 제2006-3호, 2006
  14. 한국철도기술연구원, '철도사고 위험 요인(PHA) 분석 기술 개발', 1차년도 연차 보고서, 건설교통부, p. 158, 2005