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A Case Study on the Human Error Analysis for the Prevention of Converter Furnace Accidents

전로사고 예방을 위한 인적오류 분석

  • Shin, Woonchul (Department of Safety Research, Occupational Safety and Health Research Institute, KOSHA) ;
  • Kwon, Jun Hyuk (Department of Safety Research, Occupational Safety and Health Research Institute, KOSHA) ;
  • Park, Jae Hee (Department of Safety Engineering, Hankyong National University)
  • 신운철 (한국산업안전보건공단, 산업안전보건연구원) ;
  • 권준혁 (한국산업안전보건공단, 산업안전보건연구원) ;
  • 박재희 (한경대학교 안전공학과)
  • Received : 2014.07.16
  • Accepted : 2014.09.20
  • Published : 2014.09.30

Abstract

Occupational fatal injury rate per 10,000 population of Korea is still higher among the OECD member countries. To prevent fatal injuries, the causes of accidents including human error should be analyzed and then appropriate countermeasures should be established. There was an severe converter furnace accident resulting in five people death by chocking in 2013. Although the accident type of the furnace accident was suffocation, many safety problems were included before reaching the death of suffocation. If the safety problems are reviewed throughly, the alternative measures based on the review would be very useful in preventing similar accidents. In this study, we investigated the converter furnace accident by using human error analysis and accident scenario analysis. As a result, it was found that the accident was caused by some human errors, inappropriate task sequence and lack of control in coordinating work by several subordinating companies. From the review of this case, the followings are suggested: First, systematic human error analysis should be included in the investigation of fatal injury accidents. Second, multi man-machine accident scenario analyis is useful in most of coordinating work. Third, the more provision of information on system state will lessen human errors. Fourth, the coordinating control in safety should be performed in the work conducting by several different companies.

Keywords

References

  1. Shin, W.C., Kim, J.H. and Hong, Y.S.(2013), "Case studies on the Practical Ways of Preventing Injuries in Small Manufacturing Industries.", the Korean Safety Management Science, 15(2): 39-45 https://doi.org/10.12812/ksms.2013.15.2.39
  2. Ministry of Employment and Labor.(2013), "Analysis of Industrial Accidents in 2012", Report of Ministry of Employment and Labor. pp8-403
  3. Park, J.H., Hong, Y.S., Kim, E.H., Kim, S.H. and Jo, S.P.(2013), "Application Case Study of Human Error Prevention in Industrial Safety.", Report of OSHRI, pp1-73
  4. Seo, E.H., Bae, G.S., Lim, H.K., Chang, S.R. and Park, J.H.(2006) "Research for the Improvement of Ergonomics of Man-Machine Work Systems.", Report of OSHRI, pp14-75
  5. Jeong, B.Y., Lee, J.D. and Yang, S.T.(2003), "Development of Accident Analysis System for Human Error Prevention.", Journal of the Korean Safety Management Science, 5(3): 1-10
  6. Ham, D.H.(2008), "Design Requirements-Driven Process for Developing Human-System Interfaces.", Journal of the Korean Safety Management Science, 10(1): 83-90
  7. Smart safety(2013), "[Issues] The cause analysis and measures to prevent on the major accidents",
  8. "http://blog.naver.com/PostView.nhn?blogId=koshamedia&logNo=120198677128.
  9. Shin, W.C.(2013), "Risk Priority Number of Chemical Facilities by the Risk Assessment in the Chemical Plant", Jourmal of KIGAS, 17(4):39-44 https://doi.org/10.7842/kigas.2013.17.4.39