• Title/Summary/Keyword: Accident and Incident

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A Study on the Legal and Systemic Aspect of Aviation Accident Investigation Organization -Focusing on the Improvement Method- (항공사고조사기구(航空事故調査機構)에 관한 법적(法的) 제도적(制度的) 고찰(考察) -개선방안(改善方案)을 중심(中心)으로-)

  • Yoo, Kyung-In;Kim, Maeng-Sern
    • The Korean Journal of Air & Space Law and Policy
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    • v.19 no.1
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    • pp.109-139
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    • 2004
  • The first successful sustained powered flight by Wright Brothers was further extended to the rapid development of aviation technology, that led to transpacific flights, the invention of supersonic planes, and enabled hundreds of people to travel in the space, in addition to the fact that around 10 people had stepped on the moon, all of which were made possible within the very same century. However, on the back side of this most wondrous human technology, the vulnerableness to the aviation accident has been constantly accompanied with, right from the very beginning stage of the aircraft development. Moreover, the development of future aircraft is being focused on the aircraft performance, the increment of the number of passengers aboard and also its speed. In proportion to these phenomena of mega sizing the aircraft, the development of new technology and the increment of air traffic volume, the number of aviation accident is expected to augment, resulting in the enormous loss of human lives and properties. In order to prevent the disastrous aviation accident as such, it is essential to conduct the accident investigation in a specialized, systematic and scientific manner. In search for the method to attain the effective function of the aviation accident investigation organization, in this study, issues were examined as follows: The full-time Board Members and the establishment of an integrated investigation agency, The systematized security of status as an accident investigator, Inclusion of a human factors specialist in the investigator group organization, liability limit of an accident investigator Stipulation of the definition and the investigation scope of an accident and serious incident, along with the main body of conducting the investigation into the accident involving both civil and public aircraft, in the regulations related to the accident investigation.

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A Basic Study on the Implementation of a VTS Marine Incident System (VTS 준사고 보고제도에 관한 기초 연구 - 부산항을 대상으로)

  • Ha, Jong-Min;Park, Young-Soo;Kim, Hak-Yeol;Kim, Yun-Ha
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2019.11a
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    • pp.32-33
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    • 2019
  • The purpose of this study are analyzing marine incident occurred in Busan VTS area, establishing standard of marine incident based on the data, and presenting the way to activate marine incident system. As implement this system, it is figured out that marine incident system could contribute to preventing similar accident, standing out role of VTS and improvement of VTS officer's ability. It includes efficiency of VTS marine incident and matters which necessary to implement this system.

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Development of RCA Incident Investigation Method as Easily Adopted Industry Field (산업현장에서 쉽게 적용할 수 있는 근본원인 사고조사기법 개발에 관한 연구)

  • Kwon, Jae Beom;Kwon, Young Guk
    • Journal of the Korean Society of Safety
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    • v.36 no.5
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    • pp.43-51
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    • 2021
  • Incident investigation is one of the most important processes among various other safety management methods to prevent industrial accidents. Finding the root causes of accidents, eliminating hazards, and improving safety are the most important purposes of investigating accidents. During the investigation process, root cause analysis (RCA) techniques are used to effectively identify RCA. Over the past few decades, over 30 RCA methods have been developed. These techniques are being widely used in some industries, such as the nuclear and aircraft industries; however, most of the RCA techniques require professional knowledge and special training, making it difficult for safety managers in their respective fields to understand and apply them. Therefore, managers of general industrial sites are rarely present at the scene of actual accident investigations, and they cannot contribute much to the purpose and effectiveness of these investigations. In this study, to address these issues, we developed an RCA technique to facilitate root cause investigation of accidents in real-world industrial sites. To develop new techniques, Systematic Cause Analysis Technique (SCAT), one of the RCA techniques, was used to investigate incidents in the enterprise over three years. We also utilized feature analysis and other papers from existing RCA techniques. To verify its effectiveness, the technique proposed was also applied to the accident case. The technique developed can easily identify and analyze the root cause of an accident and help industrial managers. It can also identify the root cause category where accidents are concentrated and use this data to establish guidelines for preventing future accidents and, thus, focus on prioritizing improvement initiatives.

Development of Accident Scenario Models for the Risk Assessment of Railway Casualty Accidents (철도 사상사고 위험도 평가를 위한 사고 시나리오 모델 개발에 관한 연구)

  • Park, Chan-Woo;Wang, Jong-Bae;Cho, Yun-ok
    • Journal of the Korean Society of Safety
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    • v.24 no.3
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    • pp.79-87
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    • 2009
  • The objective of this study is to develop accident scenario models for the risk assessment of railway casualty accidents. To develop these scenario models, hazardous events and hazardous factors were identified by gathering various accident reports and information. Then, the accident scenario models were built up. Each accident scenario model consists of an occurrence scenario model and a progress scenario model. The occurrence scenario refers to the occurrence process of the event before the hazardous event. The progress scenario means the progress process of the event after the hazardous event. To manage a large amount of accident/incident data and scenarios, a railway accident analysis information system was developed using railway accident scenario models. To test the feasibility of the developed scenario models, more than 800 domestic railway casualty accidents that occurred in 2004 and 2005 were investigated and quantitative and qualitative analyses were performed using the developed information system.

A Study on the Development of New Tools for Investigation the Potential Accident Factors (사고잠재요인 조사도구개발에 관한 연구)

  • Kim, Chil-Yeong;Song, Byeong-Heum;Mun, Bong-Seop
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.8 no.1
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    • pp.41-56
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    • 2000
  • In the Aircraft Incident Reporting System(AIRS), It is important to collect and gather date about aircraft incidents by means of systemic methods and make it materials for study in the view point of aircraft accident in the future. Especially, the development of such effective tools can be one of main factors determining whether the investigation of potential accident factors succeeds or fails. For such a reason and the purpose of aircraft accident prevention, the AIRS compatible to each county has been developed early and been adopting now in several countries involving USA. First this study examine the actual condition about investigation method tools of potential accident factors used in several countries and investigation and analyze them, finally present the method which can improve more acceptable forms to flight crew used at the KAIRS(Korean AIRS).

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Study on a Quantitative Risk Assessment of a Large-scale Hydrogen Liquefaction Plant (대형 수소 액화 플랜트의 정량적 위험도 평가에 관한 연구)

  • Do, Kyu Hyung;Han, Yong-Shik;Kim, Myung-Bae;Kim, Taehoon;Choi, Byung-Il
    • Transactions of the Korean hydrogen and new energy society
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    • v.25 no.6
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    • pp.609-619
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    • 2014
  • In the present study, the frequency of the undesired accident was estimated for a quantitative risk assessment of a large-scale hydrogen liquefaction plant. As a representative example, the hydrogen liquefaction plant located in Ingolstadt, Germany was chosen. From the analysis of the liquefaction process and operating conditions, it was found that a $LH_2$ storage tank was one of the most dangerous facilities. Based on the accident scenarios, frequencies of possible accidents were quantitatively evaluated by using both fault tree analysis and event tree analysis. The overall expected frequency of the loss containment of hydrogen from the $LH_2$ storage tank was $6.83{\times}10^{-1}$times/yr (once per 1.5 years). It showed that only 0.1% of the hydrogen release from the $LH_2$ storage tank occurred instantaneously. Also, the incident outcome frequencies were calculated by multiplying the expected frequencies with the conditional probabilities resulting from the event tree diagram for hydrogen release. The results showed that most of the incident outcomes were dominated by fire, which was 71.8% of the entire accident outcome. The rest of the accident (about 27.7%) might have no effect to the population.

Hazardous Factors and Accident Severity of Cabling Work in Telecommunications Industry

  • Kim, Yang Rae;Park, Myoung Hwan;Jeong, Byung Yong
    • Journal of the Ergonomics Society of Korea
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    • v.35 no.3
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    • pp.155-163
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    • 2016
  • Objective: This study aims to draw the characteristics of occupational accidents occurred in cabling work, and assess accident severity based on occupational injury data. Background: Accident factors and accident risk are different by the place of work in cabling work. Field managers require information on accident prevention that can be easily understood by workers. However, there has been a lack of studies that focus on cabling work in Korea. Method: This study classifies 450 injured persons caused in cabling work by process, and analyzes the characteristics of occupational injuries from the aspects of age, work experience and accident type. This study also analyzes accident frequency and severity of injury. Results: Results show that preparing/finishing (33.3%) was the most common type of cabling process in injuries, followed by maintenance (28.4%), routing/income (23.1%) and wiring/installation (15.1%) process. The critical incidents in the level of risk management were falls from height in the routing/incoming process, and falls from height in the maintenance process. And, incidents ranked as 'High' level of risk management were slips and trips, fall from height and vehicle incident in the preparing/finishing process, and fall from height in the wiring/installation process. Conclusion and Application: The relative frequency of accident and its severity by working process serve as important information for accident prevention, and are critical for determining priorities in preventive measures.

A Study on the Effective Implementation of a Marine Incident System (준해양사고제도의 효율적 이행을 위한 개선방안에 관한 연구)

  • Chae, Byeong-Geun;Lee, Ho;Kim, Hong-Beom;Kang, Suk-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.24 no.4
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    • pp.398-407
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    • 2018
  • Standard guidelines for marine accident investigation have been prepared through the enforcement of the Casualty Investigation code as of January 2010. In addition, as the International Maritime Organization (IMO) recommended contracting the state to manage a marine incident system established under this code, Korea also has newly established provisions for a marine incident system in the 'Act on the Investigation of and Inquiry into Marine Accidents' also as of 2010. The Korean Maritime Safety Tribunal (KMST) has made a multilateral effort to prevent marine accidents through the efficient operation of a marine incident system, but this system has not been properly activated. This study examines the operational status and problems of a marine incident system and analyzes the marine incident systems of foreign countries and similar transportation agencies such as railroads and aviation. Options include switching to voluntary reporting of marine incidents, transferring responsibility to a non judicial private organization, expanding incentive systems for a marine incidents, revising regulation and preparing detailed implementation guidelines.

Comparative Analysis of Terminology and Classification Related to Risk Management of Radiotherapy

  • Oh, Yoonjin;Kim, Dong Wook;Shin, Dong Oh;Koo, Jihye;Lee, Soon Sung;Choi, Sang Hyoun;Ahn, Sohyun;Park, Dong-wook
    • Progress in Medical Physics
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    • v.27 no.3
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    • pp.131-138
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    • 2016
  • We analyzed the terminology and classification related to the risk management of radiation treatment overseas to establish the terminology and classification system for Korea. This study investigated the terminology and classification for radiotherapy risk management through overseas research materials from related organizations and associations, including the IAEA, WHO, British group, EC, and AAPM. Overseas risk management commonly uses the terms "near miss", "incident", and "adverse event", classified according to the degree of severity. However, several organizations have ambiguous terminologies. They use the term "near miss" for events such as a near event, close call, and good catch; the term "incident" for an event; and the term "adverse event" for the likes of an accident and an event. In addition, different organizations use different classifications: a "near miss" is generally classified as "incident" in most cases but not classified as such in BIR et al. Confusion might also be caused by the disunity of the terminology and classification, and by the ambiguity of definitions. Patient safety management of medical institutions in Korea uses the terms "near miss", "adverse event", and "sentinel event", which it classifies into eight levels according to the severity of risk to the patient. Therefore, the terminology and classification for radiotherapy risk management based on the patient safety management of medical institutions in Korea will help in improving the safety and quality of radiotherapy.

Diagnosing Railway Incident Response Manuals and Their Improvement (철도사고 대응매뉴얼 과부하에 대한 진단과 개선방안 연구)

  • Lim, Kwang-kyun;Yun, Gyeong-cheol
    • Journal of the Korean Society for Railway
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    • v.19 no.5
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    • pp.698-707
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    • 2016
  • An emergency manual is designed to minimize the extent and effect of lives and assets; it is not designed to prevent an accident. There have been continuous arguments in terms of manual effectiveness regardless of the fact that much effort and great cost have been invested in emergency planning and operations. The problems are that there are a number of different emergency manuals, that these manuals are hard to understand and rarely used due to their complexity, that they provide little direction toward the taking of action, and that coordination is difficult between those involved; all of these problems are related to two different pieces of legislations that define emergency manuals in different ways in terms of the contents required. The study has tried to respond to these arguments by exploring relevant legislation to identify emergency manuals that can be used to respond to rail incidents/accidents, for which previous responses have seemed inefficient. Further, some parts of the emergency manual contents are found to overlap, including the ways of differentiating incident responses, personnel roles and responsibilities by types of accident, and threat levels, all of which has resulted in unnecessary pages of the manuals. In preparing and operating such manuals, this study recommends that one piece of legislation that directly affects rail undertakings must be applied in an effort to increase effectiveness.