• Title/Summary/Keyword: Cause analysis

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Development of a Computer Code for Common Cause Failure Analysis (공통원인 고장분석을 위한 전산 코드 개발)

  • Park, Byung-Hyun;Cho, Nam-Zin
    • Nuclear Engineering and Technology
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    • v.24 no.1
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    • pp.14-29
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    • 1992
  • COMCAF, a computer code for the common-cause failure analysis, is developed to treat the common-cause failures in nuclear power plants. In the treatment of common-cause failures, the minimal cut sets of the system are obtained first without changing the fault-tree structure. The occurrence probabilities of the minimal cut sets are then calculated accounting for the common-cause failures among components in the same minimal cut set or in different minimal cut sets. The basic parameter model is used to model the common-cause failures between similar or identical components. For dissimilar components, the assumption of symmetry used in the basic parameter model is applied to the basic events affecting two or more components. The top event probability is evaluated using the inclusion-exclusion method. In addition to the common-cause failures of components in the same minimal cut sets, failures of components in the different minimal cut sets are also easily accounted for by this method. This study applied this common-cause failure analysis to the PWR auxiliary feedwater system. The results in the top event probability for the system are compared with those of no common-cause failures.

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Reinforced Earth Retaining Wall of The Collapsed-A Case Study. (보강토옹벽의 사고사례에 관한 연구)

  • Yoo, Chung-Sik;Jung, Hyuk-Sang;Lee, Soung-Woo
    • Proceedings of the Korean Geotechical Society Conference
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    • 2004.03b
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    • pp.958-967
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    • 2004
  • This paper deal with cause and analysis about case of collapsed reinforced-soil retaining wall. The analysis of the cause was carried through experimentation, slop stability analysis and literature study. The experimentation treated the large direct shear test, the hydraulic conductivity test and the other basic test through backfill extracted from collapsed reinforced-soil retaining wall. The ultimate tensile strength was established by rib tensile strength test of geogrid. The analysis of internal and external stability of reinforced-soil retaining wall was performed on the basis of parameters. The result of analysis, reinforced-soil retaining wall and the slope at the dry season are stable. However, the factors that fine-grained soil at hydrometer test exceed the standard of the design, rainfall duration is too long at the time of collapse and monthly pricipitation is heavy are cause of the collapse.

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Root Cause Analysis of the Information Industry Ecosystem Problems (정보산업 생태계 문제의 근본원인 분석)

  • Kim, Sung Kun;Ahn, Nam Gyu
    • Journal of Information Technology Applications and Management
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    • v.24 no.4
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    • pp.71-92
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    • 2017
  • Finding a root cause is an essential step to solving a complex problem. Some previous studies have used the Delphi method for gathering opinions about root causes from geographically dispersed experts. However, we assert that complicated problems such as an industry ecosystem would make a general type of the Delphi method less practical because of too much psychological burden on study participants. In this study we present a preliminary list-based Delphi study method for identifying a root cause. This method was used to identify a root cause and draw a causal map for the information industry ecosystem problems.

Cause Analysis and Reduction of Safety Accident in Modular Construction - Focusing on Manufacturing and Construction Process - (모듈러 건축에서의 안전사고 원인 분석 및 저감방안 - 제작 및 시공단계 작업을 중심으로 -)

  • Jeong, Gilsu;Lee, Hyunsoo;Park, Moonseo;Hyun, Hosang;Kim, Hyunsoo
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.8
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    • pp.157-168
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    • 2019
  • Modular Construction is regarded as having enhanced safety compared to traditional construction since most of modular manufacturing process in plants. Unlike general consideration for safety in modular construction, several industrial accident data and studies have pointed out that the accident rate of modular construction is not enough less as much as the practitioners have expected. It means that there is a clear need for improvement of safety management in modular construction. To enhance safety, it is necessary to identify the type and cause of accident through accident cases in order to prevent safety accident in advance. In this consideration, this study analyzed the types and causes of accidents through root cause analysis procedure with accident cases of U.S. OSHA. The classification was carried out in the order of process type, accident type and cause of accident. By following the classification criteria in this study, the causal factor was derived and the root cause map was created. Based on the analysis results, cross-analysis was conducted and it is shown that activity characteristics of modular construction are related to safety accidents. In addition, prevention methods to reduce safety accident by major activity are presented in terms of organizational, educational and technical aspects. This study contributes that the result can be used as the basic safety management in the manufacturing and construction process of modular construction.

The Current Status and Cause Analysis of lightning Damages in Apartments (아파트에서의 낙뢰피해 현황과 원인 분석)

  • 이기홍;추성두
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2001.11a
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    • pp.73-76
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    • 2001
  • This paper dives the current status of lightning damages in apartments obtained by questionnaire and analysis the cause of ligntning damages. As a result, the apartments experienced lightning damages are assumed about 5[%] lot total apartments and the lightning surges invaded on power line are identified as the main cause of lightning damages in apartments.

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A Study on Analysis on an Automotive Fire Case that Broke Out due to an Electrical Cause during Engine Stopping (엔진정지 중 전기적인 원인에 의해 발생한 자동차화재의 분석 연구)

  • Lee, Euipyeong
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.1
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    • pp.9-16
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    • 2013
  • Although it is widely accepted that a fire can occur due to electrical causes even when an engine stops, there is little introduction of detailed case analysis. This study analyzed a fire case caused by an electrical cause during engine stopping at parking lot in detail. Moreover, it was revealed that the fire was mainly caused by design defect.

A Study on Analysis of Laboratory Accident with Root Cause Analysis (근본원인분석 기법을 활용한 실험실 사고 분석에 관한 연구)

  • Eom, Seok-Hwa;Lee, Su-Kyung
    • Journal of the Korean Institute of Gas
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    • v.14 no.4
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    • pp.1-5
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    • 2010
  • Many sorts of fatal accidents like explosion or fire caused by gas leakage have become a social issue with the increasing use of harmful chemicals in laboratories in universities and enterprise-affiliated research institutes in Korea. Importance of safety management has been emphasized and it made Act on the Establishment of Safe Laboratory Environment enacted not only to protect lives and bodies of people working in laboratories in universities and enterprise-affiliated research institutes but also to make pleasant experimental atmosphere. Safety management system has been built and periodical checkups and safety diagnosis have been implementing in universities and enterprise-affiliated research institutes to prevent such accidents. However, in spite of those actions, continuous accidents make analysis of root cause essential. This study will show results of analysis on incidents and accidents occurred in laboratories in universities and enterprise-affiliated research institutes using Root Cause Analysis Method and propose the direction of safety management.

Analysis of the Effect of Individual and Accident Cause Characteristics on Disaster Safety Perception (개인 및 사고원인 특성이 재난안전인식에 미치는 영향분석)

  • Oh, Hoo;Yim, Dong-Kyun
    • Journal of the Korean Society of Safety
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    • v.36 no.2
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    • pp.80-86
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    • 2021
  • The purpose of this study is to diagnose the level of disaster safety perception (disaster safety importance, accident possibility, personal safety, and regional safety) of local residents, and to analyze the impact of individual and accident cause characteristics. The analysis method used multiple regression analysis, and the main analysis results are as follows. First, disaster safety importance and accident possibility were higher as residents who had experience in safety education and were willing to visit the safety experience center in the province. Second, disaster safety importance was higher as the cause of the accident was the lack of response 119 and police. And accident possibility was higher as the cause of the accident was the lack of prior treatment by the state and local governments. Third, personal safety and regional safety were higher for men, and especially personal safety was lower as residents with children. The results of this study can be used as basic data for establishing regional customized disaster safety policies based on the perception of local residents, who are policy consumers.

A Study on the Improvement of the Domestic Maintenance Capability Development System of Military for Overseas Maintenance Items through the Case Study of Intermittent Failure of an Avionics (항전계통 간헐결함 사례 분석을 통한 군의 해외 정비품 국내정비능력 개발제도 개선방안 고찰)

  • Lee, Hoyong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.26 no.2
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    • pp.68-75
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    • 2018
  • A flare from an Air Force fighter was abnormally dispensed during the landing. To determine the cause of the abnormal dispensing, fracture analysis, signal analysis and reproduction experiments based on physics of failures were performed. The primary cause of the failure was analyzed to be due to an intermittent fault of an internal circuit card in the AN/ALE-40 chaff/flare dispenser by a broken lid of a capacitor, and the root cause which had derived the primary cause was considered to be an improper handling during the domestic maintenance which were changed from the overseas maintenance due to the DMSMS problem. Therefore, the overall process of the maintenance capability development system was reviewed and alternative ways that considers maintenance error decision aid(MEDA) for system improvement were suggested to prevent further failures.

Integrity Evaluation and Root Cause Analysis of Cracks at the Volute Tongue of Centrifugal Pump (원심펌프 벌류트 혀의 균열 원인분석 및 건전성 평가)

  • Park, Chi-Yong;Kim, Jin-Weon;Kim, Yang-Seok
    • The KSFM Journal of Fluid Machinery
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    • v.3 no.4 s.9
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    • pp.7-14
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    • 2000
  • This paper provides integrity evaluation and root cause analysis for defects observed at volute tongue, or cutwater, of the operating centrifugal pump in power plant. The cause of the cracks are analyzed and reviewed from the viewpoint of the operation and maintenance of the pumps, and the sample obtained from the cracked volute tongue of the pump are examined. At first, in-situ hardness test and microstructure examination were performed to understand the cause of cracking at volute tongue. The evaluation of structural integrity and the possibility of the crack propagation is also evaluated. Cracks were typical intergranular cracking and propagated along with prior austenite grain boundary. At easing volute tongue, the hardness was higher than ASTM requirement and a large amount of intergranular Cr carbide was precipitated. These were due to high C content in material. P content was also higher than ASTM requirement. Therefore, Cr carbide precipitation and P segregation at grain boundary, caused by higher C and P content in material, resulted in intergranular cracking of casing volute tongue. This procedure for integrity evaluation and root cause analysis is used to guide, and support the pump designer and manufacturer's material selection and process design to avoid a costly, unplanned outage of plant.

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