• Safety and Health at Work
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• 제4권4호
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• pp.210-215
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• 2013

Background: This study aimed to identify the impacts of job stress and cognitive failure on patient safety incidents among hospital nurses in Korea. Methods: The study included 279 nurses who worked for at least 6 months in five general hospitals in Korea. Data were collected with self-administered questionnaires designed to measure job stress, cognitive failure, and patient safety incidents. Results: This study showed that 27.9% of the participants had experienced patient safety incidents in the past 6 months. Factors affecting incidents were found to be shift work [odds ratio (OR) = 6.85], cognitive failure (OR = 2.92), lacking job autonomy (OR = 0.97), and job instability (OR = 1.02). Conclusion: Patient safety incidents were affected by shift work, cognitive failure, and job stress. Many countermeasures to reduce the incidents caused by shift work, and plans to reduce job stress to reduce the workers' cognitive failure are required. In addition, there is a necessity to reduce job instability and clearly define the scope and authority for duties that are directly related to the patient's safety.

• 한국안전학회지
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• 제26권4호
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• pp.7-13
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• 2011

A study on reliability estimation of sequential-ordered multiple failure modes, which are sequentially ordered between failure modes in a considering system, was performed. Especially, an approach to estimate the probabilities of failure modes has been proposed under an assumption that failure modes are mutually exclusive and sequentially ordered by only a critical variable. A feasibility of the proposed approach were studied by a practical example, which is a reliability estimation of passive safety systems for a probabilistic safety assessment(PSA) of a very high temperature reactor(VHTR) that is under development as a future nuclear system with enhanced safety features. It is difficult to define a robust failure state of this nuclear system because of its enhanced radiation release characteristics, so the new approach is a useful concept to estimate not only its safety but also a PSA. A feasibility study applied two failure modes(e.g., small and large release of radioactive materials) with considering the integrated behavior of this nuclear system. It is expected that the multiple release states for a practical estimation can be easily extended to the aforementioned example. It was found out that the proposed approach was a useful technique to cover the unfavorable features of this nuclear system as to performing a VHTR PSA.

• 한국안전학회지
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• 제31권2호
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• pp.10-17
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• 2016

The purpose of this paper is to deduct components that are in the group of highest risk(top 10%). the group is conducted for classification into groups by values according to risk priority through risk priority number(RPN) of FMEA(Failure modes and effects analysis) sheet. Top 10% of failure mode among total potential failure modes(72 failure modes) of ESS included 5 BMS(battery included) failure modes, 1 invert failure mode, and 1 cable connectors failure mode in which BMS was highest. This is because ESS is connected to module, try, and lack in the battery part as an assembly of electronic information communication and is managed. BMS is mainly composed of the battery module and communication module. There is a junction box and numerous connectors that connect these two in which failure occurs most in the connector part and module itself. Finally, this paper proposes RPN by each step from the starting step of ESS design to installation and operation. Blackouts and electrical disasters can be prevented beforehand by managing and removing the deducted risk factors in prior.

• 한국항공운항학회지
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• 제25권2호
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• pp.12-17
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• 2017

Manned aircraft structural design is based on structural safety factor of 1.5, and this safety factor is equivalent to a probability of failure of between 10-2 and 10-3. The target failure probability of FARs is between 10-6 and 10-9 per flight according to aircraft type. NATO released STANAG 4703 to established the airworthiness requirements for small UAV which is less than 150kg. STANAG 4703 requires the Target Level of Safety according to MTOW. The requirements of failure probability for small UAV is between 10-4 and 10-5. In this paper, requirements of airworthiness certification for small UAV were investigated and the relationship of safety factors to the probability of structural failure is analyzed to reduce measure of safety factor and structural weight of unmanned aircraft.

• 한국항공운항학회지
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• 제21권2호
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• pp.21-25
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• 2013

The system and components for aircraft are required the design data on which the safety requirements are properly reflected for their certification. This paper presents the procedure and results of a safety assessments analysis for the rotorcraft fuel pumps in oder to confirm and verify them. The fuel pumps design assessment must be performed, including a detailed failure analysis to identify all failures that will prevent continued safe flight or safe landing. In order to assess the fuel pumps design safety, not only system safety hazard analysis and but FTA(Fault Tree Analysis) for proofing the safety objective of the fuel pumps are performed. The results of the safety assessment for fuel pumps validate that no single failure or malfunction could result in catastrophic failure or critical accidents of the rotorcraft.

• 한국산학기술학회논문지
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• 제19권10호
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• pp.410-417
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• 2018

현대의 시스템은 지속적으로 대형화, 복잡화되어 왔기 때문에 시스템의 오류 발생 가능성이 커졌다. 시스템의 고장은 안전 사고를 발생시키고, 인명과 재산상의 막대한 피해를 줄 수 있다. 이러한 이유로 미 국방성과 IEC 등의 국제표준기구에서는 시스템의 안전성을 확보하기 위한 안전 관련 국제표준을 제정하였고, 시스템 설계와 안전 활동이 통합적으로 수행되어야 함을 권고하였다. 이에 따라 최근의 연구들은 모델기반 시스템 설계를 진행함과 동시에 모델을 활용하여 시스템의 안전성 검증을 수행하였다. 하지만 시스템 설계를 위한 모델과 안전성 분석 및 검증을 위한 고장모델을 서로 다른 모델링 언어를 기반으로 생성하였기 때문에 시스템 설계와 안전 활동이 통합적으로 수행되지 못하였다. 또한, UML 또는 SysML 기반으로 고장모델을 활용하여 안전 요구사항을 도출한 연구들은 안전 분석 및 검증에 고장모델이 제한적으로 활용되었다. 이와 같은 문제점을 해결하기 위해서 기존의 고장모델 활용법을 확장 시킬 필요가 있다. 우선 시스템 설계와 안전성 검증 활동을 통합적으로 수행할 수 있는 개선된 SysML 기반의 고장모델을 생성해야 한다. 다음으로 이 고장모델을 활용하여 도출된 안전요구사항이 시스템 설계에 제대로 반영되었는지 검증할 수 있어야 한다. 따라서 본 논문에서는 개선된 SysML 기반 고장모델의 개념과 생성 절차를 제시하였고, 자동차 시스템에 대한 고장모델을 생성하였다. 또한, 자동차 시스템의 안전성을 검증하기 위해서 고장모델의 시뮬레이션을 수행하였다. 이를 통해서 개선된 SysML 기반 고장모델을 활용하여 시스템 설계와 안전성 검증 활동을 수행할 수 있음을 보였다.

• 한국산학기술학회논문지
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• 제14권8호
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• pp.3665-3671
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• 2013

본 연구는 중학생의 안전실천과 인지실패의 정도를 알아보고, 이 들이 안전사고에 미치는 영향을 알아보기 위한 것이다. 연구대상자는 총 292명이며 2012년 11월 5일부터 11월 25일까지 설문조사하여 자료를 수집하였다. 연구도구는 SPSS win17.0을 사용하였고, 평균과 표준편차, Paired t-test, 피어슨 상관계수를 이용하였다. 대상자의 안전실천과 인지실패는 부(-)의 상관을 나타냈으며 안전에 대한 실천정도가 높은 대상자가 사고인지 실패율이 낮았다. 또한 안전사고 경험이 적게 나타났다. 그와 반대로 안전에 대한 인지실패가 높은 대상자는 안전사고 경험이 높게 나타났다. 따라서 안전실천과 인지실패의 정도를 지속적으로 파악하여 안전사고 예방에 대한 방안을 마련하기 위한 연구가 필요하다. 또한 연구의 범위를 확대함으로써 학교현장에 다양한 안전사고 예방 교육프로그램을 적용하여 안전의식 함양과 안전실천의 일반화가 이루어져야 한다.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 춘계학술대회 논문집
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• pp.262-265
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• 2007

This paper is about the study on the failure mode identification of railway signaling embedded system thru which quantitative reliability and safety can be compared reciprocally. Frequency of each failure mode makes possible to compare the reliability of each system and frequency of dangerous failure is used as the measurement standards for system safety. Therefore, this paper provides both reliability-related failure mode and safety-related failure mode by modeling the railway signaling embedded system.

• 한국안전학회지
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• 제34권1호
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• pp.14-20
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• 2019

This paper presents a safety assessment based approach for the safe operation for PCS(Power Conditioning System) of photovoltaic and energy storage systems, applying FTA. The approach established top events as power outage and a failure likely to cause the largest damage among the potential risks of PCS. Then the Minimal Cut Set (MCS) and the importance of basic events were analyzed for implementing risk assessment. To cope with the objects, the components and their functions of PCS were categorized. To calculate the MCS frequency based on IEEE J Photovolt 2013, IEEE Std. 493-2007 and RAC (EPRD, NPRD), the failure rate and failure mode were produced regarding the basic events. In order to analyze the top event of failure and power outage, it was assumed that failures occurred in DC breaker, AC breaker, SMPS, DC filter, Inverter, CT, PT, DSP board, HMI, AC reactor, MC and EMI filter and Fault Tree was drawn. It is expected that the MCS and the importance of basic event resulting from this study will help find and remove the causes of failure and power outage in PCS for efficient safety management.

• 한국안전학회지
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• 제35권1호
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• pp.18-24
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• 2020

This research conducted an the failure analysis was performed based on the failure and operation data for Seven years using the Reliability, Availability, Maintainability, and Safety(RAMS) constructed at the operation stage after the opening of the D urban railway. therefore, the risk priority was selected for failure frequency component within the door system that showed high failure. Finally, the goal was to suggest ways to improve the door system. For this purpose, the analysis of thermal characteristics of failed components such as Door Control Unit(DCU) in the door system based on the Seven-year failure analysis data of RAMS was performed. These results were applied to the main component exchange cycle of the door unit, the mean time between failure(MTBF) and mean kilometer between failure(MKBF) values of RAMS increased by 26% in 2017-2018 when the improvement measures were taken, and the MTBF value of DCU was 300,000 hours, which was a 57% improvement in reliability. The results of this thesis identify potential enhancements in reliability and improvements in maintenance of the door system that, if implemented, would contribute to train safety and reduce instances of failure in the future.