• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.137-150
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• 2011

Nationally and internationally reported statistics on marine accidents show that 80% or more of all marine accidents are caused fully or in part by human error. According to the statistics of marine accident causes from Korean Maritime Safety Tribunal(KMST), operating errors are implicated in 78.7% of all marine accidents that occurred from 2002 to 2006. In the case of the collision accidents, about 95% of all collision accidents are caused by operating errors, and those human error related collision accidents are mostly caused by failure of maintaining proper lookout and breach of the regulations for preventing collision. One way of reducing the probability of occurrence of the human error related marine accidents effectively is by investigating and understanding the role of the human elements in accident causation. In this paper, causal factors/root causes classification systems for marine accident investigation were reviewed and some typical human error analysis methods used in shipping industry were described in detail. This paper also proposed a human error analysis method that contains a cognitive process model, a human error analysis technique(Maritime HFACS) and a marine accident causal chains, and then its application to the actual marine accident was provided as a case study in order to demonstrate the framework of the method.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.1-8
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• 2011

While human error has been one of the main technical issues from the early era of human factors engineering, it still remains hot and somewhat vague due to the various types of the concepts and words on human errors in practice. There may be some technical limitations hindering human error prevention activities. This paper introduces the human error activities described in the papers if this issue of ESK Journal according to a few criteria proposed for more effective technical review. And two basic technical issues are discussed on the concepts, perspectives, and classifications about human errors. Each activity shows its own artifacts associated with the safety purpose and the nature of the industry. This paper also provides a set of new technical bases proposed for a more effective management of human errors by considering the dependability, representativeness, and structuredness of human errors. Additionally, this paper includes some new challenges over the current prevention-oriented activities; positive utilizations of human errors to training/education, advertisements, fun and entertainments, and nudges.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.151-160
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• 2011

There have been many efforts to prevent accidents in Korea for the last 25 years. Many measures in the area of hardware sciences including electrical, mechanical, chemical engineering, etc. were applied to eliminate or at least reduce causes of accidents. However, the accidents rate has not been reduced much despite of these measures. This research aimed to find real causes of these accidents and to suggest a comprehensive model that can mainly be applied to industrial fields to find potential or existence of human errors during the pre-installation stage or after an accident. We tried to explain sequences of an operator's information process that might cause human errors on one hand, and life cycle stages of facilities involved when human errors occur on the other hand. With this comprehensive model presented in this research, one can follow up the sequence of human errors caused by operators. Further, errors made at the design stage which could be a main cause of accidents can be tracked. It is recommended that this comprehensive model should be used to prevent human errors in industrial fields since safety personnel can easily find out errors or error potentials through the life cycle stages of manmachine facilities.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.161-168
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• 2011

Objective: The aim of this study is to review the ISO(the International Organization for Standardization) standards recommendations on a human error tolerant control room design. Background: ISO TC(Technical Committee) 159 published a variety of international standards on design of mental and physical work, design of displays and controls, and workstation layout design. A proper edition of these standards can be a good resource for a human error tolerant control center design guidelines. Method: Recommendations of ISO TC 159 standards were grouped into arrangement of control suite, layout of control room, layout and dimensions of workstations, design of displays and controls, environmental design, alarm, automation, management system design, procedure and training. Results: It was found that some standards on the design of supervisory control and data acquisition(SCADA), alarm, automation, layout, workload management, and environment can be used for human error prevention guidelines in the control center design. Conclusion: ISO TC 159 standards were not sufficient to cover all the ergonomics area of control center design. Application: Designers can have technical aids from these ISO standards to improve ergonomic performance of their control center.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.169-177
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• 2011

The aim of this study is to review previous studies on human errors in the service delivery processes. Service industry is sharply growing in the advanced countries. Many people are looking for something to contribute to the service industry. Although there are many research topics related to service domain that human factors and ergonomics specialists can do contribute, a few researchers are studying such topics. This paper indicated how previous researches on human factors and human errors have addressed the service domain, in order to prompt human factor study on the service domain. A variety of sources were inspected for literature reviews, including books and journals of managements, medicine, psychology, consumer behavior as well as human factor and ergonomics. The characteristics of human errors in the service domain were investigated. Human error studies in several service sectors were summarized such as medical service, automotive service operation, travel agent service and call center service. Until now, human factors community was not much interested in human errors in service domain. However, there is much space to contribute to service domain; human error identification, human error analysis and control of human error. The research of human error in service domain can provide clues to improve service quality. This paper helps to guide to identify human error of service domain and to design service systems.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.29-39
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• 2011

Safety management paradigm which against human errors in aviation industry is now changing from the follow-up measures after accident in the past to systematic approach that a forecast the hazards and improve the working system of the group to prevent accidents. As human factors are based on the man's specific psychological traits, it takes much time and efforts to prepare the preventive measures. That's why aviation industry is interested in the accident-prevent measurements against human errors. In this thesis, therefore, we are going to introduce the efforts that aviation organizations have tried and recommend management systems and discuss the suggestive facts. At first, we discussed introduction of HFACS which is the systematic accidents-classification system related to human errors in the aviation organization and countermeasure in the aspects of management, technology/engineering, education training. We described about FOQA, LOSA, CRM/TEM, aviation safety information DB in the aspect of management, and explained safety technologies that prevent human errors or avoid technologically when emergency occurs in the aspect of technology/engineering. In the aspect of education training, we explained the application plan about safety programs(LOFT/Simulator use, CRM/TEM application etc).

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.41-53
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• 2011

Objective: The purpose of this paper is to introduce new research trends of human error and accident modeling and to suggest future promising research directions in those areas. Background: Various methods and techniques have been developed to understand the nature of human errors, to classify them, to analyze their causes, to prevent their negative effects, and to use their concepts during design process. However, it has been reported that they are impractical and ineffective for modern complex systems, and new research approaches are needed to secure the safety of those systems. Method: Six different perspectives to study human error and system safety are explained, and then seven recent research trends are introduced in relation to the six perspectives. The implications of the new research trends and viable research directions based on them are discussed from a cognitive systems engineering point of view. Results: Traditional methods for analyzing human errors and identifying causes of accidents have critical limitations in complex systems, and recent research trends seem to provide some insights and clues for overcoming them. Conclusion: Recent research trends of human error and accident modeling emphasize different concepts and viewpoints, which include systems thinking, sociotechnical perspective, ecological modelling, system resilience, and safety culture. Application: The research topics explained in this paper will help researchers to establish future research programmes.

• Journal of the Ergonomics Society of Korea
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• v.27 no.3
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• pp.43-52
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• 2008

Human errors are now considered as the most significant source of accidents or incidents in large-scale systems such as aircraft, vessels, railway, and nuclear power plants. As 61% of the train accidents in Korea railway involving collisions, derailments and fires were caused by human errors, there is a strong need for a systematic research that can help to prevent human errors. Although domestic railway operating companies use a variety of methods for analyzing human errors, there is much room for improvement. Especially, because most of them are based on written papers, there is a definite need for a well-developed computerized system supporting human error analyzing tasks. The purpose of this study is to propose a framework for a computerized human error analysis system focused on the railway industry on the basis of human error analysis mechanism. The proposed framework consists of human error analysis (HEA) module, similar accident tracking (SAT) module, cause factor recommendation (CFR) module, cause factor management (CFM) module, and statistics (ST) module.

• Journal of the Korea Safety Management & Science
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• v.14 no.4
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• pp.85-91
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• 2012

To verify the effect of driver's personal characteristics of driver on the accident frequency through railway accidents caused by human errors and the relationship with aptitude test. To prove the relevance between the driver's personal characteristics and human error accidents. Accident data from 2010 to 2011 was analyzed which collected from a train crew department in K national corporation, and 31 drivers gave an personal interview from Sep. 2011 to Nov. 2011 who had controlled a train alone and caused an accident. Compared between driver's personal characteristics and accident rate, and accident induction possibility surveyed from normal person and disqualified in aptitude tests. Accidents was occurred with the age 40s (27%) and 50s (25%), and with the experience between 15 years and 20 years (38%) and over 20 years (30%). Because more aged, more experienced, it can be seen in the correlation between driver's age and accidents induction caused by human errors like illusion. First of all it must be checked whether working conditions and environmental factors are human error-prone. Most accidents occur when received civil complaints or manager at the riding. Therefore accidents can be prevented when investigated through subsequent surveys how often human error happens, even though no accident, and safety device installed based on the error frequency.

• Journal of The Korean Society For Urban Railway
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• v.6 no.4
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• pp.287-298
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• 2018

This research is intended to understand and make practical suggestions on various aspects of the railroad traffic controllers focusing on railroad control of the railroad safety management system's technical standards. The method of analysis is using the causal loop diagram, which is the soft method of System Dynamics. Content of analysis is about the system. 11.7 of the work of the railroad control system. In addition, we compared and analyzed railroad controllers by four railroad operators, suggesting the importance of railroad control and future practical improvement plans.