• Journal of the Korean Society of Safety
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• v.36 no.2
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• pp.58-67
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• 2021

Incident investigation is regarded as a means to improve safety performance. For the prevention of industrial accidents, measures such as providing safety education, enhancing management interest and participation, establishing a safety management system, and conducting inspection of the work site are necessary. In particular, accident investigation activities, which are an important element of safety management, help to prevent similar accidents, thereby minimizing damage and enhancing work safety. They are critical for understanding business-related incidents and the vulnerabilities and opportunities associated with them. Therefore, it is clear that accident investigation activities are important for accident prevention. The primary focus of many incident investigation processes is on identifying the cause of an event. While considerable research has been conducted on potential accident investigation tools there has been little research on including the views and experiences of practitioners in the accident investigation process. In this study, a questionnaire survey was conducted among safety managers in the domestic manufacturing/construction industry to understand the practice of accident investigation. The investigation pertained to companies' accident investigation systems, the competence of investigators, and the identification and recommendations of the cause of accidents. From the analysis results of accident investigations, investigators' competence, the difficulty level of investigations, and the root causes of accidents were identified from the viewpoint of the participants of the accident investigations. In particular, the development of standardized and simple accident investigation methods and their dissemination to companies were found to be necessary for activating the root cause of accidents. Based on this, it can be used as basic data for the development of root cause analysis investigation techniques that are easily applicable to organizations.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.25 no.4
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• pp.187-194
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• 2017

ICAO Universal Safety Oversight Audit Programme is a comprehensive evaluation for aviation safety matters, including aircraft operation, licensing and aircraft incident/accident investigation. As this programme is measures aviation safety level of States, there is a need to meet international standards, especially in the field of aircraft incident/accident investigation. This research discusses points required to satisfy international standards, which are independence and autonomy of an accident investigation board, the lack of the enough number of investigators and efficient management of those personnel, the effective composition and use of an investigation report, an accident investigation itself to build big data and the creation of a cooperation system among States. This paper suggests various opinions in order to enhance aviation safety especially through aircraft accident investigations, using case studies from the US, UK and Japan.

• Journal of Advanced Navigation Technology
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• v.22 no.3
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• pp.198-204
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• 2018

In this paper, It proposed the development of integrated data management's prototype system for aviation accident and incident system. With the recent development of the aviation accident investigation equipment, accident investigation system should collect and manage the various types of jpg, avi, and wav data files. However, the ECCAIRS system does not have a separate database for managing the various generated data during the accident investigation. And the Korea aviation accident management system also has the same problem. Therefore, in this paper, we analyze the aviation accident report system of major foreign countries and prepare a method to apply it to the domestic environment. Through the prototype of the integrated data management system, we confirmed the performance through inputting the existing data and the recently investigated data. We will use this result as basic data for completion of final integrated data management system.

• Proceedings of the KSR Conference
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• 2004.10a
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• pp.240-245
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• 2004

It is necessary to analyze the railway accidents and incidents for the purpose of understanding present safety state and enhancing its system. Korea National Railroad has its accident/incident reporting codes, but it is relatively not sufficient for detail classification and investigation of accident and incident compared with foreign countries. This paper suggests how to classify the railway accident/incident, and describes the analysis result for domestic recent railway accidents and incidents according to the new suggested classifying system.

• Safety and Health at Work
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• v.8 no.3
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• pp.306-314
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• 2017

Background: In order to obtain a deeper understanding of an incident, it needs to be investigated to "peel back the layers" and examine both immediate and underlying failures that contributed to the event itself. One of the key elements of an effective accident investigation is recording the scene for future reference. In recent years, however, there have been major advances in survey technology, which have provided the ability to capture scenes in three dimension to an unprecedented level of detail, using laser scanners. Methods: A case study involving a fatal incident was surveyed using three-dimensional laser scanning, and subsequently recreated through virtual and physical models. The created models were then utilized in both accident investigation and legal process, to explore the technologies used in this setting. Results: Benefits include explanation of the event and environment, incident reconstruction, preservation of evidence, reducing the need for site visits, and testing of theories. Drawbacks include limited technology within courtrooms, confusion caused by models, cost, and personal interpretation and acceptance in the data. Conclusion: Laser scanning surveys can be of considerable use in jury trials, for example, in case the location supports the use of a high-definition survey, or an object has to be altered after the accident and it has a specific influence on the case and needs to be recorded. However, consideration has to be made in its application and to ensure a fair trial, with emphasis being placed on the facts of the case and personal interpretation controlled.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.28 no.2
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• pp.63-70
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• 2020

Many organizations apply reactive safety management to prevent the same or similar types of accidents by through investigation and analysis of the accident cases. Although research on investigation techniques has contributed a lot to the objective results of safety accidents and the preparation of countermeasures, many accident investigation techniques currently in use treat accidents from a linear perspective, revealing limitations in reflecting current systems dominated by complexity and uncertainty. In order to overcome these limitations, this study will review recent studies and concepts from a system safety perspective and predict future research trends through a case analysis of aviation accident. The models used in the analysis are STAMP, HFACS, and FRAM, and the characteristics of each technique are presented so that analysts who perform related tasks in the field can refer to them.

• 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).

• 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.

• Journal of Advanced Navigation Technology
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• v.28 no.1
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• pp.77-86
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• 2024

'UAS flight recording system' is a system that is mounted on an unmanned aircraft system consisting of various components and records flight-related data. The data recorded by this system should be used for aviation accident and incident investigations to prevent similar accidents. In particular, for the category of UAS with high operating risk, safety devices close to that of manned aircraft are required, and it is urgent to develop flight recording systems reflecting the characteristics of the UAS to secure airworthiness. This paper highlights the need for UAS flight recording systems for aviation accident and incident investigations and seek a method to derive flight recording system parameters for 'Certified Category' with high operational risk. To this end, Inter-City UAM was used as a concrete use case, and the process of approaching system parameters was devised by assuming accident occurrences and hazards from mission profiles and scenarios. As a result of the study, it was confirmed that parameters could be derived through this process.

• Journal of the Korean Society for Railway
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• v.13 no.2
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• pp.229-235
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• 2010

Safety is an essential requirement for public transportation, especially for railway. Railway are more safety than other means of transportation, but railway accident that is mass transportation result catastrophic result if an accident occurred. Railway operators and government are many prior efforts to prevent accident, but it is impossible to eliminate accidents. Therefore, various measures to reduce accidents as possible, and they have taken, this paper will review incident report system and safety culture which are most important factors for preventing accident. In addition, incident reporting system and an independent accident investigation and accident prevention and safety systems would be needed to improve train operating companies and related agencies for the safety of the railway is a cultural ritual. Indeed, the settlement of avalid railway safety culture will most certainly prevent railway accidents. Therefore, in the railway company and the correct understanding of railway safety culture and against the settlement plan would be reviewed in this paper.