• Title/Summary/Keyword: Human Error Analysis

Search Result 558, Processing Time 0.028 seconds

Revision of the Railway Human Reliability Analysis Procedure and Development of an R-HRA Software (철도사고 위험도평가를 위한 철도 인간신뢰도분석 방법의 개정과 전산 소프트웨어의 개발)

  • Kim, Jae-Whan;Kim, Seung-Hwan;Jang, Seung-Cheol
    • Journal of the Korean Society for Railway
    • /
    • v.11 no.4
    • /
    • pp.404-409
    • /
    • 2008
  • This paper consists largely of two parts: the first part introduces the revised railway human reliability analysis (R-HRA) method which is to be used under the railway risk assessment framework, and the second part presents the features of a computer software which was developed for aiding the R-HRA process. The revised R-HRA method supplements the original R-HRA method by providing a specific task analysis guideline and a classification of performance shaping factors (PSFs) to support a consistent analysis between analysts. The R-HRA software aids the analysts in gathering information for HRA, qualitative error prediction including identification of external error modes and internal error modes, quantification of human error probability, and reporting the overall analysis results. The revised R-HRA method and software are expected to support the analysts in an effective and efficient way in analysing human error potential in railway event or accident scenarios.

Estimation of Car Driver Error Probabilities Through Driver Questionnaire (운전자 설문을 통한 자동차 운전자의 실수 확률 추정)

  • Lee, Jae-In;Lim, Chang-Joo
    • Journal of the Korean Society of Safety
    • /
    • v.22 no.1 s.79
    • /
    • pp.61-66
    • /
    • 2007
  • Car crashes are the leading cause of death for persons of every age. Specially, human-related factor has been known to be the primary causal factor of such crashes than vehicle-and environmental-related factors. There are various studies to analyze driver's behavior and characteristics in driving for reducing the car crashes in many areas of car engineering, psychology, human factor, etc. However, there are almost no studies which analyze mainly the human errors in driving and estimate their probabilities in terms of human reliability analysis. This study estimates the probability of human error in driving, i.e. driver error probability. First, fifty driver errors are investigated through DBQ (Driver Behavior Questionnaire) revision and the error likelihoods in driving are collected which are judged by skillful drivers using revised DBQ. Next, these likelihoods are converted into driver error probabilities using the results that verbal probabilistic expressions are changed into quantitative probabilities. Using these probabilities we can improve the warning effects on drivers by indicating their driving error likelihoods quantitatively. We can also expect the reduction effects of car accident through controlling especially dangerous error groups which have higher probabilities. Like these, the results of this study can be used as the primary materials of safety education on drivers.

The Common Mode Failures Analysis of The Redundant System with Dependent Human Error (의존적 인간 실수를 고려한 중복 시스템의 Common Mode Failures의 분석)

  • Myung Ki Kim;Soon Heung Chang
    • Nuclear Engineering and Technology
    • /
    • v.15 no.4
    • /
    • pp.229-235
    • /
    • 1983
  • Common Mode Failures (CMFs) have been a serious concern in the nuclear power plant. There is a broad category of the failure mechanisms that can cause common mode failures. This paper is a theoretical investigation of the CMFs on the unavailability of the redundant system. It is assumed that the total CMFs consist of the potential CMFs and the dependent human error CMFs. As the human error dependence is higher, the total CMFs are more effected by the dependent human error. If the human error dependence is lower, the system unavailability strongly depends on the potential CMFs, rather than the mechanical failure or the dependent human error. And it is shown that the total CMFs are dominant factor to the unavailability of the redundant system.

  • PDF

A Study on Factors of Influencing Human Error in Korean Rail Industry Using Analytic Hierarchy Process Method (분석계층과정 방법을 이용한 철도 인적오류영향요인 연구)

  • Sim, Young-Rok;Suh, Sang-Moon;Park, Geun-Ok;Koo, In-Soo
    • Proceedings of the KSR Conference
    • /
    • 2006.11b
    • /
    • pp.1501-1507
    • /
    • 2006
  • The accidents are often resulted from multiple causes with hardware failure and human errors. So to ensure the safety of rail operation, human error should be prevented effectively. The purpose of this paper is to present an analysis system on factors of influencing human error in korean rail industry especially for engine driver and train despatcher. To achieve it, ESFs(error shaping factors) classification system was derived from several PSFs(performance shaping factors) classification system. Based on them, two kinds of questionnaires for engine driver and train despatcher each were developed. Then Analytic Hierarchy Process (AHP) methodology was used to evaluate what factors were critical to human error.

  • PDF

Development and An Application of A New Human Reliability Analysis using Dynamic Influences (영향도를 이용한 새로운 인간신뢰도 분석방법의 개발 및 적용)

  • 제무성
    • Journal of the Korean Society of Safety
    • /
    • v.13 no.1
    • /
    • pp.112-118
    • /
    • 1998
  • Human errors performed during the operations have a dominant portion of the accidents. But the systematic human error evaluation methodology universally accepted is not developed yet. One of the difficulties in performing human reliability analysis is to evaluate the performance shaping factors which represent the characteristics and the circumstances in the discriminate manner. For assessing a specific human action more exactly, it is necessary to consider all of the PSFs at the same time which make an effect on the human action. In this paper, dynamic influence diagrams are introduced to model simultaneously their effects on the specific human action. And the human actions and their subsequent PSFs are categorized and classified as the complementary works. A new human error evaluation methodology using influence diagrams is developed. This methodology involves the categorization of PSFs and the PSFs quantification. The applied analysis results for the example task are shown for representative purposes. It is shown that this approach is very flexible in that it can be applied to any kind of actions.

  • PDF

A Study on the Safety and Management Plan of Aviation Maintenance due to Human Error (인적오류에 의한 항공정비의 안전과 관리방안에 관한 연구)

  • Park, Se-Jong;Jeon, Eon-Chan
    • Journal of the Korean Society of Manufacturing Process Engineers
    • /
    • v.19 no.10
    • /
    • pp.68-73
    • /
    • 2020
  • The proportion of airline accidents caused by human factors is steadily increasing. The aviation industry has made considerable progress in reducing the accident rate; however, since the early 1980s, the accident rate has remained constant. Due to airspace congestion, the safety margins of these existing safety promotion methods are gradually decreasing; thus, new methods to prevent accidents and quasi-accidents must be devised. Causative factors of aviation accidents include increased air traffic due to increased air demand, increased cumulative working hours due to long-distance flights, and complicated flight environments. Accidents often occur when several small errors accumulate in the normal course of operation, rather than after a single error. Accordingly, in this study, the impacts on air navigation due to human error by aviation maintenance personnel and varying international standards (i.e., KOCA vs. F.A.A vs. EASA) analyzed, and the relationship between human decision-making and behavior was investigated. The resulting safety analysis and alternatives were presented to prevent aviation maintenance accidents and cognitive ergonomics errors.

Informational Analysis for Error Prediction of Emergency Tasks in Nuclear Power Plants (원자력발전소 비상운전 직무의 오류 예측을 위한 정보적 분석)

  • Jeong, Won-Dae;Kim, Jae-Hwan;Yun, Wan-Cheol
    • Journal of the Ergonomics Society of Korea
    • /
    • v.18 no.3
    • /
    • pp.41-53
    • /
    • 1999
  • More than twenty HRA (Human Reliability Analysis) methodologies have been developed and used for the safety analysis in nuclear field during the past two decades. However, no methodology appears to have universally been accepted, as various limitations have been raised for more widely used ones. One of the most important limitations of conventional HRA is insufficient analysis of the task structure and problem space. To resolve this problem, we suggest a framework of informational analysis for HRA. The proposed informational analysis consists of three parts. The first part is the scenario analysis that investigates the contextual information related to the given task on the basis of selected scenarios. The second is the goals-means analysis to define the relations between the cognitive goal and task steps. The third is the cognitive function analysis that identifies the cognitive patterns and information flows involved in the task. Through the three-part analysis. systematic investigation is made possible from the macroscopic information on the tasks to the microscopic information on the specific cognitive processes. It is expected that analysts can attain a structured set of information that helps to predict the types and possibility of human error in the given task.

  • PDF

A Study on Human Error of DP Vessels LOP Incidents (DP 선박 위치손실사고의 인적오류에 관한 연구)

  • Chae, Chong-Ju
    • Journal of the Korean Society of Marine Environment & Safety
    • /
    • v.21 no.5
    • /
    • pp.515-523
    • /
    • 2015
  • This study reviewed 612 DP LOP(Loss of Position) incident reports which submitted to IMCA from 2001~2010 and identified 103 human error caused incidents and classified it through HFACS. And, this study analysis of conditional probability of human error on DP LOP incidents through application of bayesian network. As a result, all 103 human error related DP LOP incidents were caused by unsafe acts, and among unsafe acts 70 incidents(68.0 %) were related to skill based error which are the largest proportion of human error causes. Among skill based error, 60(58.3%) incidents were involved inadvertent use of controls and 8(7.8%) incidents were involved omitted step in procedure. Also, 21(20.8%) incidents were involved improper maneuver because of decision error. Also this study identified that unsafe supervision(68%) is effected as the largest latent causes of unsafe acts through application to bayesian network. As a results, it is identified that combined analysis of HFACS and bayesian network are useful tool for human error analysis. Based on these results, this study suggest 9 recommendations such as polices, interpersonal interaction, training etc. to prevent and mitigate human errors during DP operations.

Human Performance Analysis of Emergency Tasks in Nuclear Power Plant (원자력발전소 비상직무에 대한 인적수행도 분석)

  • Jung, Won-Dae;Park, Jin-Kyun;Kim, Jae-Whan
    • Journal of the Ergonomics Society of Korea
    • /
    • v.21 no.3
    • /
    • pp.13-24
    • /
    • 2002
  • Reduction and prevention of human error is one of the major interests for the enhancement of system safety and availability in Nuclear Power Plants (NPPs). As human beings have become the weak point in the system safety, a systematic evaluation on human performance during emergency situation should be performed in advance to identify the potential vulnerability of human tasks. Though the data gathering and analysis from real field is an important precondition, there were no available data in nuclear field of korea. This paper presents the result of human performance analysis on emergency tasks in NNPs. Firstly, a task analysis was performed to identify the characteristics of operator tasks during emergency condition and to classify them into a set of generic emergency tasks. Secondly, simulation data were collected and analyzed for the emergency tasks using the full scope simulator of Younggwang NPPs. The analyzed human performance information cover the event diagnosis time, the execution time of each procedural step, observation parameters, typer of irrelevant response, pattern of communication among staffs, and so on. These performance data would be used for human reliability analysis and the research of human error as technical bases.

Analysis of Performance Influencing Factor in Chemical Process Industry : A Practical Application (석유화학 산업에서의 수행영향인자 및 근본원인 분석 결과)

  • Yu, Kwang-Soo;Kim, Eun-Jung;Kim, Yong-Soo
    • Journal of the Korean Institute of Gas
    • /
    • v.11 no.2 s.35
    • /
    • pp.60-64
    • /
    • 2007
  • Chemical Process industry in Korea has over 30 year's of history and is likely to face potential incidents. The traditional risk analysis and control system in Chemical Process industry focuses on mechanical defects, overlooking the human performance control. Although development of automation technology and controlling technology was necessary, human decision factor is essential to preventing accidents in the Chemical Process. Almost all serious accidents take place when inappropriate humanperformance and mechanical defects of safety equipments simultaneously occurs. The AHRA(Advanced Human Reliability Analyzer) software has been developed to collect failure data and analyze human error probability (Reliability) in Chemical Process Industry in Korea. This paper describes the HRA analysis result of PIF(Performance Influencing Factor) evaluation, HEP(Human Error Probability) and root cause of accidents by applying a Chemical Process Industry related accident data. This analysis result should present a scheme that, by controlling human error factor other than putting safety management funds into the machinery in plants, can reduce cost and maximize the safety in Chemical Process Industry.

  • PDF