• 한국화재소방학회논문지
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• 제16권3호
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• pp.56-60
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• 2002

최근 전계-열계해석 소프트웨어의 발전에 힘입어 전계-열계 해석 이론을 바탕으로 컴퓨터 시뮬레이션에 의한 전기화재의 정확한 원인분석과 조사가 체계적으로 연구되고 있으나, 매우 미흡한 실정이다. 따라서 본 논문에서는 국내 L사 제품(600V, VVF)의 전선을 모델로 하여 과부하 및 단락사고시 발생되는 전류 크기에 따른 전선의 열해석을 전계-열계 유한요소법(Flux2D)을 통하여 컴퓨터 시뮬레이션 하고자 한다.

• 한국의료질향상학회지
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• 제23권1호
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• pp.11-23
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• 2017

Root Cause Analysis (RCA) has been widely used as a structured approach to investigate patient safety incidents. RCA helps identify what, how, and why something happened, therefore preventing recurrence of incidents. Since many quality tools can be used during RCA, various formats of RCA exist. If RCAs are performed incorrectly or incompletely, they are likely to produce unusable results. To address this issue, RCA software has been developed. The use of RCA software in investigating patient safety incidents may offer several advantages, such as potential reduction in learning time, shortening of the analytic process, facilitation of collection, analysis, and presentation of data and production of meaningful RCA reports. We introduced six healthcare RCA software and compared characteristics. Results from this study will enable the RCA team to choose proper RCA software.

• 한국압력기기공학회 논문집
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• 제10권1호
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• pp.70-74
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• 2014

An Operating Experience Report(OER) has written about events and accidents happened at a Nuclear Power Plant(NPP). The purpose of publishing the OER is to prevent the similar event or accident repeatedly by spreading the experience of a single plant to other plants personnel. In this paper, it is analyses that the foreign NPPs' OERs on JIT published by the International Nuclear Agency(WANO, INPO, COG, BE). The analysis introduced in this paper is performed along with the various factors such as type of work, root-cause, and equipment. The root-cause analysis about the OERs shows that the Human-error is the major factor in foreign NPPs, but on the other hand equipment problem is the main part of the Domestic NPPs. The ratio of the foreign NPP's OERs on JIT according to the type of work was applied to KHNP-JIT developed nowadays for the first time in KOREA.

• 한국압력기기공학회 논문집
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• 제9권1호
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• pp.35-39
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• 2013

The Operating Experience Report(OER) has written about the event and accident happened at a Nuclear Power Plant(NPP). The purpose of publishing the OER is to prevent the similar event or accident repeatedly by spreading the experience of a single plant to other plants personnel. Before initiating the analysis mentioned in this paper, 2,298 review reports for the same number of OER published from 2007 to June 2012 have been written to achieve the correct and objective statistics. The analysis introduced in this paper is performed with the various factors such as year, plant type, equipment, type of work, root-cause. The root-cause analysis is showed that the equipment problem is the major factor in domestic NPPs, but on the other hand human-error is the main part of the foreign NPPs. Moreover, while the number of the man-made event is decreasing, the equipment-made event is rapidly increasing in domestic NPPs.

• 디지털산업정보학회논문지
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• 제14권1호
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• pp.87-101
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• 2018

The purpose of this study is to develop the measuring instruments for evaluation criteria for Malcolm Baldrige National Quality Award(MBNQA), suitable for ICT Industries, and to analyze the cause-effect relationship between those criteria through aforementioned instruments. MBNQA is formed with seven categories: Leadership, Strategic planning, Focus on patients, other customers and markets, Measurement, analysis and knowledge management, Human resource focus, Process management and Results. As excluding the Human Resource Focus category, this study empirically examined the cause-effect relationship among six categories. In order to empirically examine the research model, this study calculated Cronbach's alpha and reliability index, thus examined the reliability and executed Exploratory Factor Analysis. Furthermore, Average Variance Extracted(AVE) is used to verify the discriminant validity. Lastly, the hypothesis testing was made complete through significance test on the paths between variables. The result of this study shows that both leadership and social responsibility have direct cause-effect relationship with Measurement, analysis and knowledge management, Human resource focus, Process management and also that this relationship has direct impact on Human resource focus, Measurement, analysis and knowledge management as well, consequently exerting influence on the result through Process management, Finance and Market data.

• Safety and Health at Work
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• 제12권1호
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• pp.42-50
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• 2021

Introduction: Despite huge investments in new technology and transportation infrastructure, terrible accidents still remain a reality of traffic. Methods: Severe traffic accidents were analyzed from four prevailing modes of today's transportations: sea, air, railway, and road. Main root causes of all four accidents were defined with implementation of the approach, based on Flanagan's critical incident technique. In accordance with Molan's Availability Humanization model (AH model), possible preventive or humanization interventions were defined with the focus on technology, environment, organization, and human factors. Results: According to our analyses, there are significant similarities between accidents. Root causes of accidents, human behavioral patterns, and possible humanization measures were presented with rooted graphs. It is possible to create a generalized model graph, which is similar to rooted graphs, for identification of possible humanization measures, intended to prevent similar accidents in the future. Majority of proposed humanization interventions are focused on organization. Organizational interventions are effective in assurance of adequate and safe behavior. Conclusions: Formalization of root cause analysis with rooted graphs in a model offers possibility for implementation of presented methods in analysis of particular events. Implementation of proposed humanization measures in a particular analyzed situation is the basis for creation of safety culture.

• 수산해양교육연구
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• 제25권3호
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• pp.716-723
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• 2013

The postal or group questionnaire survey was conducted to inquire into the cause of collision between fishing vessel and non-fishing vessel targeting fishing vessel personnel(FVP), non-NFVP and a person involved in a marine accident. As a result, we could verify the root cause of collision, a negligence of lookout which noted overwork for FVP and careless for non-FVP. The cause of collision by inappropriate avoid action was poor communications for FVP and non-FVP. To reduce collision, we need to be trained to take a sharp lookout, a radio communication by VHF and the collision avoidance actions by early and substantial action to keep well clear. The results are expected to contribute for the reduction of collision and victims.

• 한국경영과학회지
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• 제30권2호
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• pp.63-71
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• 2005

In the field of nuclear reactor safety study, common cause failures (CCFs) became significant contributors to system failure probability and core damage frequency in most Probabilistic risk assessments. However, it is hard to estimate the reliability of such a system, because of the dependency of components caused by CCFs. In order to analyze the system, we propose an analytic method that can find the parameters with lack of raw data. This study adopts the shock model in which the failure probability increases as the shock is cumulated. We use two-step Expectation and Maximization (EM) algorithm to find the unknown parameters. In order to verify the analysis result, we perform the simulation under same environment. This approach might be helpful to build the defensive strategy for the CCFs.

• Journal of Forest and Environmental Science
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• 제32권2호
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• pp.149-157
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• 2016

Understanding regional characteristics in forest fire occurrence is important to establish effective forest fire prevention policy in Korea. This study analyzed the characteristics of forest fires occurred in 16 administrative districts for recent 25 years (1990~2014) to examine regional characteristics in forest fire occurrence. Forest fire occurrence reflects regional characteristics depending on climatic factors as well as region's society-cultural factors. Results showed that the first cause of forest fire occurrence was carelessness by human activities throughout all administrative districts, however, the second cause depends on regional characteristics. As the results of forest fire occurrence period analyzed for 10 days, the most forest fires occurred in the southern region during January to March, while forest fires in the northern region occurred mostly during March to April. We classified forest fire occurrence patterns into three types (centralized: Gyeonggi-do, dispersal: Busan, horizontally distributed: Gyeongsangnam-do) by multi-temporal analysis for forest fire occurrence period.

• 대한안전경영과학회지
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• 제15권1호
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• pp.101-108
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• 2013

Industrial disaster caused the deaths of 2,114, construction workers among them was the highest of 621 deaths. In the construction industry, has established a number of safety alternatives to prevent accidents. But until now, the cause of the accident has stopped being superficial analysis, awareness on the root cause of the acciden did not reflect. In this study, we analyze the characteristics and causes in G contractors' safety accidents. And innovation strategy, organization-wide safety management system and detailed tasks to derive essentially was to prevent the occurrence of large construction companies. A lot of business for accident prevention effect was transient and formal, to reflect a management style and organizational culture, and try to prevent construction accidents. we will strive to prevent the disaster from the construction site through the improvement of these.