• Title/Summary/Keyword: Human Error Accidents

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An Analysis of Human Error Mode and Type in the Railway Accidents and Incidents (철도 사고 및 장애의 인적오류 유형 분석)

  • Ko, Jong-Hyun;Jung, Won-Dea;Kim, Jae-Whan
    • Journal of the Korean Society of Safety
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    • v.22 no.4
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    • pp.66-71
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    • 2007
  • Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

A Case Study of Marine Accident Investigation and Analysis with Focus on Human Error (해양사고조사를 위한 인적 오류 분석사례)

  • Kim, Hong-Tae;Na, Seong;Ha, Wook-Hyun
    • 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.

A Study on Human Error Risk Analysis of Helicopter Frequent Accidents through AHP Method (AHP 방법을 통한 헬리콥터 다빈도 사고의인적오류 위험도 분석에 관한 연구)

  • TaeJung Yu
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.31 no.2
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    • pp.46-54
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    • 2023
  • Helicopter pilots are required to perform many visual workloads in topographical avoidance, flight path modification and navigation, because helicopters operate at very low altitudes. The helicopter-specific instability also require the pilot to have precise perception and control. This has caused frequent human error in helicopter accidents. In Korea, two to three cases have occurred annually on average over the past 10 years, and this trend has not decreased. The purpose of this study was to identify human error risks in advance to prevent helicopter accidents and to help develop measures for missions and mission phases with high risk of human error. Through the study, the tasks and mission phases where accidents occur frequently were classified and the risk of human error was calculated for each mission phases. To this end, the task of frequent accidents during helicopter missions was first identified, detailed steps were classified, and the number of accidents was analyzed. Next, the AHP survey program was developed to measure the pilot's risk of human error and the survey was conducted on the pilots. Finally, the risk of human error by helicopter mission and by mission phases calculated and compared with the actual number of accidents.

Classification and Analysis of Human Error Accidents of Helicopter Pilots in Korea (국내 헬리콥터 조종사 인적오류 사고 분류 및 분석)

  • Yu, TaeJung;Kwon, YoungGuk;Song, Byeong-Heum
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.28 no.4
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    • pp.21-31
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    • 2020
  • There are two to three helicopter accidents every year in Korea, representing 5.7 deaths per 100,000 flights. In this study, an analysis was conducted on helicopter accidents that occurred in Korea from 2005 to 2017. The accident analysis was based on the aircraft accident and incident report published by the Aircraft and Railway Accident Investigation Board. This Research analyzed the characteristics of accidents occurring in Korea caused by human error by pilots. Accident analysis was done by classifying the organization, flight mission, aircraft class, flight stage, accident cause, etc. Pilot's huan error was classified as Skill-based error, decision error and perceptual error in accordance with the HFACS taxonomy. The accidents caused by pilot's human error were classified into five categories: powerlines collision, loss of control, fuel exhaustion, unstable approach to reservoir, and elimination of tail rotor.

Human Error Analysis on the Domestic Railway Accident and Incident (국내 철도사고 및 운행장애의 인적오류 유형 분석)

  • Ko, Jong-Hyun;Jung, Won-Dea;Kim, Jae-Whan;Kwak, Sang-Log
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.1529-1535
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    • 2006
  • Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

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Improvement of Investigation Items of Fatal Industrial Accidents Considering Human Error Characteristics (인적오류를 고려한 중대재해 조사항목의 개선)

  • 이동하;나윤균
    • Journal of the Korean Society of Safety
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    • v.13 no.4
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    • pp.279-285
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    • 1998
  • This study investigated human error characteristics of the 42 fatal industrial accidents reported by staff members of Korea Industrial Safety Corporation. Various types of human error were judged to be primary contributing factors in about 74 percent of the cases. Most of human error made by involved industrial operators resulted from two types of mistakes: (1) mistake in judgement of work situation, and (2) omission in daily check. It was concluded that preparation/observance for work procedure manuals, danger predication training and enforcement/Education of daily check routine would be effective preventive tools for these types of human error attributable to fatal industrial accidents.

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A Study on the Cause Analysis of Human Error Accidents by Railway Job

  • Byeoung-Soo YUM;Tae-Yoon KIM;Sun-Haeng CHOI;Won-Mo GAL
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.27-33
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    • 2024
  • Purpose: This study investigates human error accidents in the Korean railway sector, emphasizing the need for systematic management to prevent such incidents, which can have fatal consequences, especially in driving-related jobs. Research design, data and methodology: This paper analyzed data from the Aviation and Railway Accident Investigation Board and the Korea Transportation Safety Authority, examining 240 human error accidents that occurred over the last five years (2018-2022). The analysis focused on accidents in the driving, facility, electric, and control fields. Results: The findings indicate that the majority of human error accidents stem from negligence in confirmation checks, issues with work methods, and oversight in facility maintenance. In the driving field, errors such as signal check neglect and braking failures are prevalent, while in the facility and electric fields, the main issues are maintenance delays and neglect of safety measures. Conclusions: The paper concludes that human error accidents are complex and multifaceted, often resulting from a high workload on engineers and systemic issues within the railway system. Future research should delve into the causal relationships of these accidents and develop targeted prevention strategies through improved work processes, education, and training.

A Case Study on Aircraft Accidents Due to Air Traffic Controller's Human Error - Applying TEM (Threat & Error Management) Analysis - (항공교통관제사의 휴먼에러에 기인한 국내외 항공기 사고 사례연구 - TEM(Threat & Error Management) 분석법을 적용하여 -)

  • Kim, Jung-Bin;Park, Sung-Sik
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.29 no.4
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    • pp.124-133
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    • 2021
  • The airline industry has been growing steadily since 2016 with more than 100 million air passengers, renewing the largest number of air passengers every year. Increasing air demand leads to an increase in air traffic in limited airspace, increasing the likelihood of accidents between aircraft. Due to the massive human and material damage caused by a single mistake, aviation safety is being heavily focused around the world to efficiently use limited airspace. Studies related to various human factors are underway as most of the aviation accidents are found to be caused by human factors, but research on human factors by controllers is insufficient while they are active in terms of control and operation. Given that 82% of air accidents caused by controllers are caused by human error, the importance of management of human error and changes in perception are urgently needed. This study aims to understand the seriousness of the controller's human error by analyzing the accident cases caused by the controller's human error using TEM to identify threats and errors and derive common human factors.

A Study on the Analysis and Prevention of the Human-related Marine Accidents (인적 요인을 중심으로 한 해양사고 분석 및 예방 연구 (예부선 사고사례를 중심으로))

  • Kim, Hong-Tae;Na, Sung
    • Journal of Korea Ship Safrty Technology Authority
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    • s.27
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    • pp.25-36
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    • 2009
  • Despite the development of the various navigational equipment, such as GPS, ARPA, ECDIS, AIS, VDR, and hull monitoring system, marine accidents are still a leading concern in shipping industry. For all accidents over the reporting period, approximately 60 to 80% of the accidents was involved in human error. It means that in each case, some events which were associated with human error initiated an accident, and those failures of human performance led to the failure to avoid an accident or mitigate it's consequences. However, the improvement and the effort on the maritime human error are still limited in an elementary step. The objective of this paper is to propose a modified Human Factors Analysis and Classification System (HFACS) model in order to analyse the collision accidents of tug-barge ship.

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A Study on Analysis between Accidents Caused by Human Errors and Personal Characteristics of Railway Drivers (철도기관사들의 개인적 특성과 인적오류사고 발생에 대한 비교 분석)

  • Yum, Byeoung-Soo;Gal, Won-Mo
    • Journal of the Korea Safety Management & Science
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    • v.14 no.4
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    • pp.85-91
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    • 2012
  • To verify the effect of driver's personal characteristics of driver on the accident frequency through railway accidents caused by human errors and the relationship with aptitude test. To prove the relevance between the driver's personal characteristics and human error accidents. Accident data from 2010 to 2011 was analyzed which collected from a train crew department in K national corporation, and 31 drivers gave an personal interview from Sep. 2011 to Nov. 2011 who had controlled a train alone and caused an accident. Compared between driver's personal characteristics and accident rate, and accident induction possibility surveyed from normal person and disqualified in aptitude tests. Accidents was occurred with the age 40s (27%) and 50s (25%), and with the experience between 15 years and 20 years (38%) and over 20 years (30%). Because more aged, more experienced, it can be seen in the correlation between driver's age and accidents induction caused by human errors like illusion. First of all it must be checked whether working conditions and environmental factors are human error-prone. Most accidents occur when received civil complaints or manager at the riding. Therefore accidents can be prevented when investigated through subsequent surveys how often human error happens, even though no accident, and safety device installed based on the error frequency.