• Journal of the Korean Society of Safety
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• v.25 no.2
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• pp.18-23
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• 2010

This paper describes a cause of fire accidents on power system fire DC electric traction vehicles. We investigated fire scene of power line for DC electric traction vehicles. From analysis results, the cause of fire on power line turned out line to ground fault between a feeder of electric power services(pantagraph) and DC electric traction vehicle roof. Fire accident of DC electric traction vehicles be assumed that electric sparks had been produced between the pantagraph and the power line conductor by repetitively making contact and separation, maybe if some material like branches get in between connecting rod it makes progress line to ground fault. ZnO arresters are widely used to protect DC electric traction vehicles against overvoltages caused by lightning or switching surges. However, the arresters are deteriorated by commercial overvoltages and/or lightning one. The deteriorated arresters could lead power failures, such as line to ground fault by a thermal runaway resulting from the increases in leakage current even in a nominal power system voltage. Finally, the power failures would be causative of the fire accident.

• 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.

• Proceedings of KOSOMES biannual meeting
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• 2017.11a
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• pp.80-80
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• 2017

• Journal of Navigation and Port Research
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• v.41 no.5
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• pp.303-318
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• 2017

In the shipping industry, it is well known that around 80 % or more of all marine accidents are caused fully or at least in part by human error. In this regard, the International Maritime Organization (IMO) stated that the study of human factors would be important for improving maritime safety. Consequently, the IMO adopted the Casualty Investigation Code, including guidelines to assist investigators in the implementation of the Code, to prevent similar accidents occurring again in the future. In this paper, a process of the human factors investigation is proposed to provide investigators with a guide for determining the occurrence sequence of marine accidents, to identify and classify human error-inducing underlying factors, and to develop safety actions that can manage the risk of marine accidents. Also, an application of these investigation procedures to a collision accident is provided as a case study This is done to verify the applicability of the proposed human factors investigation procedures. The proposed human factors investigation process provides a systematic approach and consists of 3 steps: 'Step 1: collect data & determine occurrence sequence' using the SHEL model and the cognitive process model; 'Step 2: identify and classify underlying human factors' using the Maritime-Human Factor Analysis and Classification System (M-HFACS) model; and 'Step 3: develop safety actions,' using the causal chains. The case study shows that the proposed human factors investigation process is capable of identifying the underlying factors and indeveloping safety actions to prevent similar accidents from occurring.

• Journal of the Society of Disaster Information
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• v.19 no.1
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• pp.146-160
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• 2023

Purpose: The construction industry is a complex mechanism in which multiple processes are carried out at the same time, and the frequency and severity of accidents account for a higher proportion than other industries, and the accident fatality rate also accounts for more than 50% of all industries. In order to reduce such accidents, the government's disaster investigation method analyzes the limitations from the system safety point of view and proposes improvement plans. Method: The main contents of the government's serious accident investigation were identified, and the effectiveness/adequacy was analyzed from the system safety point of view. Result: Disaster investigation and analysis techniques tailored to violations and compliance were limited in providing fundamental solutions, and alternatives for accident prevention were possible for each component of the system when safety constraints, controls, and hierarchical interactions were combined. Conclusion: When combining the disaster investigation and analysis method from the current accident analysis method from the perspective of system safety, it is possible to identify the problems of interaction by class and communication process, so it is possible to suggest alternatives to prevent accidents from an integrated perspective.

• 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.

• Nuclear Engineering and Technology
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• v.44 no.3
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• pp.311-322
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• 2012

Since the crisis at the Fukushima plants, severe accident progression during a station blackout accident in nuclear power plants is recognized as a very important area for accident management and emergency planning. The purpose of this study is to investigate the comparative characteristics of anticipated severe accident progression among the three typical types of nuclear reactors. A station blackout scenario, where all off-site power is lost and the diesel generators fail, is simulated as an initiating event of a severe accident sequence. In this study a comparative analysis was performed for typical pressurized water reactor (PWR), boiling water reactor (BWR), and pressurized heavy water reactor (PHWR). The study includes the summarization of design differences that would impact severe accident progressions, thermal hydraulic/severe accident phenomenological analysis during a station blackout initiated-severe accident; and an investigation of the core damage process, both within the reactor vessel before it fails and in the containment afterwards, and the resultant impact on the containment.

• Journal of Environmental Health Sciences
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• v.37 no.5
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• pp.335-341
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• 2011

The Goseong abandoned mine accident was a typical case of long-term sequela resulting from environmental disruption during the rapid economic development of Korea. While the final conclusion of epidemiologic investigation was that residents surrounding the abandoned mine were simply exposed to cadmium from the abandoned mine without any patient contracting 'itai-itai' disease, not only did residents around the abandoned mine suffer enormous psychological and economic damage, but people in neighbouring communities did as well when the entire area was stigmatized as an contaminated area. Environmental civic groups and the government worked together to solve the problem by forming a joint committee which held the right of decision in any matter to be determined. By inviting all the stakeholders to participate in the joint committee, a transparent investigation was guaranteed and the results of investigation and recommendations to solve the problem were accepted by all involved. Even though the environmental health division in Ministry of Environment has developed considerably and built up a capacity to deal with environmental accidents, the process which was adopted to solving the Goseong abandoned mine accident can be useful to settle environmental health issues with severe conflicts among stakeholders.

• 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.

• Proceedings of KOSOMES biannual meeting
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• 2018.06a
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• pp.120-120
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• 2018