• Title/Summary/Keyword: Accident investigation method

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A Study on Reliability (신뢰성에 관한 고찰)

  • 이근희
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.2 no.2
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    • pp.1-4
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    • 1979
  • In order to cope with the violent environment of surrounding enterprises, development of new products, advance to other industry field, unification or abolition of factories and rationlization of labor are needed. But production process being made quality and using process after shipment are the things that we have to think about, first of all and to practice always. Insurance problem of reliability, that is, the positive quality maintenance that has being presented many debate issues recently, will be studied. The accident of nuclear power-plant in America, in connection with reliability maintenance and human engineering, will be analyzed. But as its accident details is not announced, in this study, it is a sort of method of methodology to be studied this paper rather than studying the fact of the accident. Therefore this study will be done as follows, For reliability study. 1. Investigation of problems. 2. Quality maintenance activity and reliability maintenance activity 3. Reliability acquisition in production process, 4. Reliability maintenance after shipment. 5. Conclusion. In addition to stating above, it is sure that liberalization of trade, interchange between nations and strengthening of international competition ability, etc. need high quality. But possibility that quality maintenance or reliability aquisition needs understanding and cooperation of consumer, will be stated.

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A Study on the Relational Analysis of Human Errors in Railway Accidents

  • Byeoung-Soo YUM;Tae-Yoon KIM;Jong-Uk WON;Chi-Nyon KIM;Won-Mo GAL
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.35-41
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    • 2024
  • Purpose: This study examines the persistent occurrence of railway accidents despite numerous safety devices, highlighting the multifaceted nature of these incidents. Research design, data and methodology: Utilizing the 4M analysis method, the research investigates a decade's worth of accident reported from the Aviation and Railway Accident Investigation Board to identify risk factors and suggest mitigation measures. Results: The analysis reveals that 57% of railway accidents are attributed to human factors, followed by mechanical (28%), environmental (7%), and management (8%) factors. Conclusions: The study underscores the necessity of prioritizing safety and establishing a unified organizational approach to prevent human error accidents. It calls for an alignment of risk perception between headquarters and field operations, advocating for educational and perceptual changes, as well as systematic improvements to achieve safety goals.

A Study on the Risk Reduction of Distribution Line through Analysis of Electric Shock Accident (감전재해 분석을 통한 배전선로의 위험성 저감에 관한 연구)

  • Byeon, Junghwan;Choi, Sang-won
    • Journal of the Korean Society of Safety
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    • v.33 no.2
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    • pp.14-20
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    • 2018
  • In this study, we analyze the current status of major disasters in distribution works and propose safety measures through the distribution live-line work method and electric shock risk assessment. The result of analyzing the ratio of electric shocks to the occurrence of industrial accidents in the recent 13 years shows that the death rate is higher than other industries, especially the construction industry occupying most of the disaster, and it is higher than the collapse disaster. We analyze statistic data of 101 victims selected as core words of live work, distribution line, pole and 22.9 kV in the investigation report of major accident of electric shock fatal from 2001 to 2014. The safety measure was established through the risk assessment of the distribution method using the standard model of the risk assessment based on the results of electric shock analysis on the distribution line. In order to prevent the electric shock accident which is recently being discussed, the risk assessment procedure were carried out in the above-mentioned 22.9kV special high voltage live-line operation method. We derived the risk reduction plan for the distribution line from the results of the major accidents statistic and demonstration of the line works.

Improving Remedial Measures from Incident Investigations: A Study Across Ghanaian Mines

  • Theophilus Joe-Asare;Eric Stemn
    • Safety and Health at Work
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    • v.15 no.1
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    • pp.24-32
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    • 2024
  • Background: Learning from incidents for accident prevention is a two-stage process, involving the investigation of past accidents to identify the causal factors, followed by the identification and implementation of remedial measures to address the identified causal factors. The focus of past research has been on the identification of causal factors, with limited focus on the identification and implementation of remedial measures. This research begins to contribute to this gap. The motivation for the research is twofold. First, previous analyses show the recurring nature of accidents within the Ghanaian mining industry, and the causal factors also remain the same. This raises questions on the nature and effectiveness of remedial measures identified to address the causes of past accidents. Secondly, without identifying and implementing remedial measures, the full benefits of accident investigations will not be achieved. Hence, this study aims to assess the nature of remedial measures proposed to address investigation causal factors. Method: The study adopted SMARTER from business studies with the addition of HMW (H - Hierarchical, M - Mapping, and W - Weighting of causal factors) to analyse the recommendations from 500 individual investigation reports across seven different mines in Ghana. Results: The individual and the work environment (79%) were mostly the focused during the search for causes, with limited focus on organisational factors (21%). Forty eight percentage of the recommendations were administrative, focussing on fixing the problem in the immediate affected area or department of the victim(s). Most recommendations (70.4%) were support activities that only enhance the effectiveness of control but do not prevent/mitigate the failure directly. Across all the mines, there was no focus on evaluating the performance of remedial measures after their implementation. Conclusion: Identifying sharp-end causes leads to proposing weak recommendations which fail to address latent organisational conditions. The study proposed a guide for effective planning and implementation of remedial actions.

The Cause Analysis of a Fire Accident on Boryeong Thermal Power Plant using New Public Management Theory (신공공관리론으로 바라본 보령화력발전소 화재 사고의 원인)

  • Lee, Wonjoo;Park, Chanseok
    • Journal of the Society of Disaster Information
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    • v.15 no.2
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    • pp.268-281
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    • 2019
  • Purpose: The purpose of this study was to find out how the administrative paradigm of the times affected the public sector's fire. Method: For this purpose, we investigated the New Public Management (NPM). In addition, the reasons of fire accident of Boryeong thermal power plant were analyzed in the limited values of NMP. Result: In theoretical investigation, the 3 values (managerial accountability, efficiency, expertise) of NMP and evaluation criteria were drew out. In investigation on reasons of fire accident, the improvement of accountability and expertise was insufficient due to the emphasis of the efficiency based on the introduction to free market by neoliberalism in public sector. Conclusion: In conclusion, we confirmed that the values of NMP were limited to forcingly apply to the public sector. This study is expected to contribute basic research references to fire administration theory.

A Study of Safety Accident Prediction Model (Focusing on Military Traffic Accident Cases) (안전사고 예측모형 개발 방안에 관한 연구(군 교통사고 사례를 중심으로))

  • Ki, Jae-Sug;Hong, Myeong-Gi
    • Journal of the Society of Disaster Information
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    • v.17 no.3
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    • pp.427-441
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    • 2021
  • Purpose: This study proposes a method for developing a model that predicts the probability of traffic accidents in advance to prevent the most frequent traffic accidents in the military. Method: For this purpose, CRISP-DM (Cross Industry Standard Process for Data Mining) was applied in this study. The CRISP-DM process consists of 6 stages, and each stage is not unidirectional like the Waterfall Model, but improves the level of completeness through feedback between stages. Results: As a result of modeling the same data set as the previously constructed accident investigation data for the entire group, when the classification criterion was 0.5, Significant results were derived from the accuracy, specificity, sensitivity, and AUC of the model for predicting traffic accidents. Conclusion: In the process of designing the prediction model, it was confirmed that it was difficult to obtain a meaningful prediction value due to the lack of data. The methodology for designing a predictive model using the data set was proposed by reorganizing and expanding a data set capable of rational inference to solve the data shortage.

A Study on Improvement Safety Management through Chemical Accident Investigations (화학사고 원인 조사를 통한 화학물질 안전관리 개선방안 연구)

  • Yoo, Byung-Tae
    • Journal of the Society of Disaster Information
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    • v.17 no.3
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    • pp.403-414
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    • 2021
  • Purpose: The purpose of this study is to provide the effective safety management system to prevent similar chemical accidents through accident investigations. Method: Chemical accident prevention and response management systems at the central and local government levels were reviewed, Also, statistical data of chemical accidents occurred in the last 5 years were analyzed. In particular, Two accidents with high accident risk were analyzed. Result: Chemical accidents that have occurred in the last 5 years were analyzed to occur in the order of hydrochloric acid, sulfuric acid, and nitric acid, and concrete safety management improvement measures were derived through investigations of two causes. Conclusion: In this study, we proposed safety management plans in terms of technical and management aspects. The results of this study are expected to be used as effective in preventing and managing chemical accidents.

A Study on Fire Investigation Technique For Single Line to Ground Faults in Distribution Line Using EMTP Simulation (EMTP 시뮬레이션을 통한 배전선로의 1선 지락 사고시 화재 조사 기법에 관한 연구)

  • Yoo, Jeong Hyun;Kim, Hie Sik;Lee, Hoon Gi;Cho, Yong Sun
    • Journal of the Korean Society of Safety
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    • v.33 no.3
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    • pp.21-26
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    • 2018
  • Approximately 20% of the total fire is electrical fire, and electrical energy is a potential source of heat. Large-scale fault currents that occur during a line ground fault flow into electric utility poles, electric power equipment, or electric appliances of the customer, and cause simultaneous electrical fire. In this paper, we investigated the possibility of fire through the change of fault current flowing in faulty and sound feeder in case of 1 line ground fault in 22.9 kV distribution line. We propose a fire investigation analysis method for simultaneous multiple electrical fire such as evidence analysis method, and fault current occurrence confirmation method in case of fire accident by analyzing the fault current occurring in the ground fault in the distribution line using EMTP, electric power system analysis program.

Application of Seismic Tomography to the Inverstigation of Underground Structure in Gupo Train Accident Area (구포 기차 전복사고 지역의 지반상태 파악을 위한 탄성파 토모그래피 응용)

  • 김중열;장현삼;김유성;현혜자;김기석
    • The Journal of Engineering Geology
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    • v.5 no.1
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    • pp.1-20
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    • 1995
  • A train overturn accident occurred on March 1993 in the Gupo area, northern part of Pusan, unfortunately had taken a heavy toll of lives and caused a great loss of property as well. The reasons for the subsidence of the basement under the railroads, which presumed to be the main cause of the accident, have been investigated from many different angles, including conventional geotechnical investigation methods. The deduced nuin reasons of the subsidence were: 1. blasting for tunnel excavation (NATM) at about 39 meter under the railroads, and 2. unexpected change of bedrock conditions along the direction of tunnel. But this accident was derived nrranlv from the lack of geological and geotechnical information under railroad area because it was impossible to drill beneath the railroads. This paper introduces a new geophysical survey techniqueseisrnic geotomography, and shows some results of the method applying to investigate the underground structure of the accident area. This method not only overcomes the unfavourable environment which many conventional investigation methods cannot face, but produces an image of underground structure with high resolution. Furthermore, the outputs from geotomogaphic analysis could provide very valuable in-situ basic parameters (like seismic velocities, elastic moduli, etc.) which is essential to the design and construction.

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Analysis of Hebei Spirit Collision Accident by Simulation (시뮬레이션에 의한 허베이스피리트호-삼성바지선 충돌사고 분석)

  • Kim, Sun-Young;Lee, Gyeong-Joong;Park, Se-Kil;Kim, Yeon-Gyu;Lee, Moon-Jin;Son, Nam-Sun;Gong, In-Young;Kim, Mi-Hyun
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2011.06a
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    • pp.85-86
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    • 2011
  • On 7 December 2007, the Hebei Spirit, a 260,000 dwt VLCC, anchored near Korea's Daesan Port, was collided with a passing crane-carrying barge Samsung1, which was under tow of two tugs Samsung T5 and Samho T3. In this study, the behaviour of Hebei Spirit at the time of the accident has been reproduced and analyzed by simulation. This study precedes the study for the investigation of any available countermeasures for Hebei Spirit to prevent the accident. The simulation has been done only for Hebei Spiri and the motion of Samsung barge is just given with recorded AIS data. Dynamic characteristics of Hebei Spirit have been modeled based on empirical data and her sea trial data. Effects of current, wave and wind are also estimateed using empirical formula. Considering uncertainty of environmental condition and control of Hebei Spirit, simulation has been done by varying engine control method and holding power coefficients of the anchor. Finally, based on simulations, the most plausible scenario on the state of anchor and engine control could cause real accidents.

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