• Title/Summary/Keyword: Accident and incident investigation

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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.

A Study on Casino Embezzlement Incident Analysis and Forensic Investigation Technology (카지노 횡령사건 분석과 포렌식 수사기술 연구)

  • Lee, Gyu-An;Park, Dae-Woo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.6 no.1
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    • pp.105-110
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    • 2011
  • Embezzlement incident of staff at the casino occurred. Staff of some casinos have lower job satisfaction, moral gap is seriously considering a change jobs. In addition, cash lure of large amounts and a lack of money management system causes embezzlement incident. In this paper, the uniqueness of the casino industry and that employee job satisfaction is investigated. Content analysis of occurrence for casino embezzlement incident and tracking that bank account and bank check, suspect's call list, and so on that digital forensic investigation technology will be studied. Problems and solutions suggest that conducted a loss prevention program, a digital forensics technology and introduce of investigator. Through this study, the computerization of the casino business to embezzlement accident prevent will contribute to that give back profits of property to society, the develop of forensic investigation technology.

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.

Classification and Analysis of Human Error Accidents of Helicopter Pilots in Korea (국내 헬리콥터 조종사 인적오류 사고 분류 및 분석)

  • Yu, TaeJung;Kwon, YoungGuk;Song, Byeong-Heum
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.28 no.4
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    • pp.21-31
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    • 2020
  • There are two to three helicopter accidents every year in Korea, representing 5.7 deaths per 100,000 flights. In this study, an analysis was conducted on helicopter accidents that occurred in Korea from 2005 to 2017. The accident analysis was based on the aircraft accident and incident report published by the Aircraft and Railway Accident Investigation Board. This Research analyzed the characteristics of accidents occurring in Korea caused by human error by pilots. Accident analysis was done by classifying the organization, flight mission, aircraft class, flight stage, accident cause, etc. Pilot's huan error was classified as Skill-based error, decision error and perceptual error in accordance with the HFACS taxonomy. The accidents caused by pilot's human error were classified into five categories: powerlines collision, loss of control, fuel exhaustion, unstable approach to reservoir, and elimination of tail rotor.

Investigation Study of Information Improvement in Chemical Accident by Extraordinary Chemical Reaction (이상반응 화학사고 정보제공 개선 연구)

  • Kim, Sungbum;Lim, Myunghee;Park, Joongdon
    • Journal of the Society of Disaster Information
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    • v.11 no.2
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    • pp.219-225
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    • 2015
  • Hydrofluoric acid leakage accident was occurred on Dec. 2012 in Hube Global. That accident has bought many changes of response in national organizations. Chemical companies respond quickly even when small quantities leakage of chemicals and response agencies were put a lot of manpower and equipment in incident response. Incident response to the response activities of the agents is difficult if the accident substance was not identified. Unknown chemicals can be generated by the water for fire-fighting during the emergency response process. In this case, an additional information was needed for response of chemical accident to prevent of great damage. In this study, we investigated the improvement of chemical accident information by extraordinary chemical accident.

Applicable Focal Points of HFACS to Investigate Domestic Civil Unmanned Aerial Vehicle Accidents (국내 민간 무인항공기 사고조사 HFACS 적용중점)

  • Lee, Keon-Hee;Kim, Hyeon-Deok
    • Journal of Advanced Navigation Technology
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    • v.25 no.3
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    • pp.256-266
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    • 2021
  • Domestic and foreign studies point to human factors as the main cause of unmanned aerial vehicle accidents, and HFACS is introduced as a technique to effectively analyze these human factors. Until now, domestic and foreign cases of analyzing the human factors of unmanned aerial vehicle accidents using HFACS were mainly targeted by military unmanned aerial vehicles, which can be used as an objective cause identification and similar accident prevention tool. In particular, identifying the focus of HFACS application considering the performance and operation conditions of domestic civilian unmanned aerial vehicles is expected to greatly help identify the cause and prevent recurrence in the event of an accident. Based on HFACS version 7.0, this study analyzed the accident investigation report data conducted by Korea Aviation and Railway Accident Investigation Board to identify the focus of HFACS application that can be used for domestic civilian unmanned aircraft accident investigations.

A meta-analytic study on flight data monitor of pilot's flight deviation parameters by flight simulation (비행시뮬레이션을 통한 비행규격 이탈의 메타분석)

  • Sin, Hyon-Sam;Song, Byung-Heum;Lim, Se-Hoon;Byeon, Soon-Cheol
    • Journal of the Korea Safety Management & Science
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    • v.10 no.3
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    • pp.63-71
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    • 2008
  • This study was conducted with respect to the causal factors revealed through the investigation of the recent airlines aircraft crash accident which occurred while aircraft was on the climb-out or on the final approach. This study also highlighted the importance of flight deviation and exceedance occurrences in consideration of Flight Operational Quality Assurance Program(FOQA). Twenty airline pilots participated in the flight experiment to perform ten(10) sets of simulated approaches and landings. As a result, Twelve(12) kinds of deviation events were discovered. In this respect, The FOQA program must be fully implemented to prevent any flight safety incident under the auspices of the Korea domestic aviation community as well.

A Study on the Mediation and Arbitration of Traffic Accident Disputes (자동차교통사고 분쟁의 조정과 중재에 관한 연구)

  • Nam, Seon-Mo
    • Journal of Arbitration Studies
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    • v.24 no.2
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    • pp.81-107
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    • 2014
  • ADR has recently been expanded, making it possible to solve traffic accident disputes, which is a matter of urgency for parties to avoid. This point serves as an important procedural element. Such disputes are an area that requires a quick resolution. To try to solve any dispute that occurs in the complex environment of modern times one-by-one through litigation does not make sense. It gives an undue burden on the judicial body and the investigation agency. Like litigation, today's arbitration system, should have effective conflict resolution. The arbitration of automobile traffic accident disputes can be seen as roughly adjusted through the insurance company, the Dispute Coordinating Committee, and the Crime Victims Protection Act. It consists of experts mainly, and the resolution of automobile traffic accident disputes can be resolved through the Sajonsa and workers insurance company. However, adjustments to failure incident mostly need attention. Most of a company's compensation insurance indemnity needs to be processed in practice. In addition, a vicious cycle of litigation and delay period is repeated if a lawyer is appointed. There are unreasonable adjustment systems in the midst of these. Avoiding traffic accidents allows parties to resolve disputes better. Arbitration of disputes in automobile traffic accidents handled by arbitration institutions is desirable. It is determined that the handling of a case by a village attorney is efficient.

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