• Title/Summary/Keyword: Human Error Analysis

검색결과 555건 처리시간 0.026초

Human Error Identification based on EEG Analysis for the Introduction of Digital Devices in Nuclear Power Plants

  • Oh, Yeon Ju;Lee, Yong Hee
    • Journal of the Ergonomics Society of Korea
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    • 제32권1호
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    • pp.27-36
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    • 2013
  • Objective: This paper describes an analysis of electroencephalography(EEG) signals to identify human errors during using digital devices in nuclear power plants(NPPs). Background: The application of an advanced main control room(MCR) has accompanied with lots of changes in different forms and features by virtue of new digital technologies. The characteristics of these digital technologies and devices provide several opportunities for the use of interface management. It can integrate into a compact single workstation in an advanced MCR, allowing workers to operate the plant with minimum physical burden under any operating condition. However these devices may introduce new types of human errors, and thus we need a means to assess and prevent such errors especially those related to digital devices. Method/Conclusion: The EEG data are relatively objective, and thus we introduce several measures to EEG analysis for obtaining the feasibility of human error identification. Application: This study may support to ensure the safety when applying digital devices in NPPs.

Study on the Human Error Prevention Collision Avoidance Model using Merchant Ship Collision Accident Analysis (상선 충돌사고 분석을 이용한 인적과실 예방 충돌회피모델 연구)

  • Kim, Do-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • 제28권6호
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    • pp.918-927
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    • 2022
  • The purpose of this study was to investigate the causes of collisions by examining 668 cases of merchant ship collision accidents that occurred during the past 12 years (2010-2021) and analyzed them statistically. Further, the analysis results were applied to propose a human error prevention collision avoidance (HEPCA) model. The statistical annual report of the Korea Maritime Safety Tribunal (KMST) and the collision investigation report were investigated to collect data on the causes of collisions of merchant ships, and frequency analysis was performed using the statistical analysis tool, SPSS Statistics. In the first-stage analysis, the causes of collisions were analyzed targeting 668 merchant ship collision accidents, and in the second-stage analysis, the identified maximum frequency cause factors were analyzed in detail. The analysis results identified that 98 % of the cause of the collision was the human error of the navigator, and the highest frequency was in the order of neglect of look-out > violation of navigation regulations > improper maneuvering. The cause of the neglect of look-out was mainly neglecting continuous monitoring after the first recognition of the target ship. The HEPCA model for human error prevention was proposed by applying the analysis results to the collision case of the investigation report. The results of this study are expected to be used as educational materials at marine navigator educational institutions and in practice for avoiding collisions caused by human errors of navigators.

An Analysis of the Fatigue Factor as a Cause of Human Error (항해사의 피로요인 분석에 관한 연구)

  • Yang, Yang;Keum, Jong-Soo;Jun, Seung-Hwan
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 한국항해항만학회 2005년도 춘계학술대회 논문집
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    • pp.95-100
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    • 2005
  • For many years, fatigue of ship's crew was discounted as a potential cause of or contributor to human error. However, resent accident data and research point to fatigue as a cause of and/or contributor to human error precisely because of its impact on performance. The goal of this study is to analyze and examine of the fatigue factors related to human error. In this study, we carried out the questionnaire survey which concerned with the fatigue factors.

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A Study on a Geometrical Analysis for the Manual Mode of an Advanced Teleoperator System (지적 원격조작시스템의 수동모드 개선을 위한 기하학적 해석에 관한 연구)

  • Lee, Sun-Yo;Kim, Chang-Dae;Park, Se-Gwon
    • Journal of the Ergonomics Society of Korea
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    • 제7권2호
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    • pp.31-44
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    • 1988
  • If an error occurs in the automatic mode when the advanced teleoperator system performs a task in hostile environment then the automatic mode changes into the manual mode. The operation by the control program and the operation by a human recover the error in the manual mode. The system resumes the automatic mode and continues the given task. It is necessary to improve the manual mode in order to make the best use of a man-robot system, as a part of the human interface technique. Therefore, the error recovery task is performed by combining the operation by the control program representing autonomy of a robot and the operation by a human representing versatility of a human operator effectively in the view point of human factors engineering. The geometric inverse kinematics is used for the calculation of the robot joint values in the operation by the control program. The singularity operation error and the parameter operation error often occur in this procedure. These two operation errors increase the movement time of the robot and the coordinate reading time, during the error recovery task. A singularity algorithm, parameter algorithm and fuzzy control are studied so as to remove the disadvantages of geometric inverse kinematics. And the geometric straight line motion is studied so as to improve the disadvantages of the operation by a human.

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Establishing the Importance Institution for Prevention of Human Error (인적오류 예방을 위한 제도의 상대적 중요도 분석)

  • Moon, Woo-Choon;Kim, Woong-Yi
    • Journal of Advanced Navigation Technology
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    • 제17권4호
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    • pp.377-385
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    • 2013
  • Since the late 1950s, concerted efforts to reduce the accident rate in aviation have yielded unprecedented levels of safety. Although, the overall accident rate has declined considerably over the years, unfortunately reductions in human error-related accidents in aviation have failed to keep pace with the reduction of accidents due to environmental and mechanical factors. Today, a very large percentage of all aviation are attributable, directly or indirectly, to some form of human error. As a result of many study, a range of prevention of human error have been developed. but each of kind is lack of a precision, effectiveness and seem to be considered for aspect of deficiency as an systematic accessibility. So, we're going to analysis the most effective and systematic prevention of human error and study on consolidating method for human error and aviation safety. In this study, several alternatives for the prevention of human errors a priority to understand and solve problems by identifying the implications for human error to be presented.

Development of preventive System for Accident Causing by Human Error in Small Manufacturing Industries of Chemical Products (중소화학제품 제조업의 인적오류 사고예방 시스템 개발)

  • 김두환
    • Journal of the Korean Professional Engineers Association
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    • 제34권3호
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    • pp.22-27
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    • 2001
  • About 70% -80% of the serious injury that occure in the chemical product small manufacturing industries is caused by human error. but technical development for analysis and inspection to preestimate and exclude such human error is still insufficient. Small - to - medium sited enterprises are economically vulnerable and technical foundations for safety management is week Under such circumstances development of easy to use computerized support programs that can be operated without the help of professioanals are keenly needed.

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SENSITIVITY ANALYSIS IN FUZZY RELIABILITY ANALYSISA

  • Onisawa, Takehisa
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1988년도 한국자동제어학술회의논문집(국제학술편); 한국전력공사연수원, 서울; 21-22 Oct. 1988
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    • pp.764-769
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    • 1988
  • In this paper the failure possibility and the error possibility are used to represent reliability of a technical component and that of a human operator, respectively. The failure possibility and the error possibility are fuzzy sets on the interval [0,1]. In a man-machine system, reliability of the technical component and that of the human operator are usually affected by many factors, e.g., the environment in which a machine is operated, psychological stress of the human operator, etc. The possibility is derived from not only the failure or the error rate but also estimates of these factors. The fuzzy reasoning plays an important role in the derivation. The reliability analysis is performed by the use of the possibility obtained by the present method. Moreover this paper discusses the sensitivity analysis which evaluates what extent the change of the estimation of each factor has an influence on reliability of a man-machine system. The important factors to be ameliorated are shown through the sensitivity analysis.

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State of the Art of Human Factors Technologies for Ships and Ocean Engineering (선박해양공학 분야에서 인간공학기술의 활용현황 및 전망)

  • Kim, Hong-Tae;Lee, Jong-Gap;Lee, Dong-Gon;Park, Jin-Hyeong
    • Journal of the Ergonomics Society of Korea
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    • 제20권2호
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    • pp.99-111
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    • 2001
  • Human factors is a key issue in the maritime industry including ship design and navigation safety. Human factors for ship design is to optimize safety and convenience of crews and passengers. And human factors for navigation safety is to minimize marine accident occurrence by human and organizational error. There are several technical requirements to incorporate human factors and marine system Risk analysis. human behaviour analysis and human M&S(modeling and simulation) are examples of technical requirements. This paper provides the key issues and technologies of human factors for ship design and navigation safety.

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Taxonomy of Performance Shaping Factors for Human Error Analysis of Railway Accidents (철도사고의 인적오류 분석을 위한 수행도 영향인자 분류)

  • Baek, Dong-Hyun;Koo, Lock-Jo;Lee, Kyung-Sun;Kim, Dong-San;Shin, Min-Ju;Yoon, Wan-Chul;Jung, Myung-Chul
    • Journal of Korean Society of Industrial and Systems Engineering
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    • 제31권1호
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    • pp.41-48
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    • 2008
  • Enhanced machine reliability has dramatically reduced the rate and number of railway accidents but for further reduction human error should be considered together that accounts for about 20% of the accidents. Therefore, the objective of this study was to suggest a new taxonomy of performance shaping factors (PSFs) that could be utilized to identify the causes of a human error associated with railway accidents. Four categories of human factor, task factor, environment factor, and organization factor and 14 sub-categories of physical state, psychological state, knowledge/experience/ability, information/communication, regulation/procedure, specific character of task, infrastructure, device/MMI, working environment, external environment, education, direction/management, system/atmosphere, and welfare/opportunity along with 131 specific factors was suggested by carefully reviewing 8 representative published taxonomy of Casualty Analysis Methodology for Maritime Operations (CASMET), Cognitive Reliability and Error Analysis Method (CREAM), Human Factors Analysis and Classification System (HFACS), Integrated Safety Investigation Methodology (ISIM), Korea-Human Performance Enhancement System (K-HPES), Rail safety and Standards Board (RSSB), $TapRoot^{(R)}$, and Technique for Retrospective and Predictive Analysis of Cognitive Errors (TRACEr). Then these were applied to the case of the railway accident occurred between Komo and Kyungsan stations in 2003 for verification. Both cause decision chart and why-because tree were developed and modified to aid the analyst to find causal factors from the suggested taxonomy. The taxonomy was well suited so that eight causes were found to explain the driver's error in the accident. The taxonomy of PSFs suggested in this study could cover from latent factors to direct causes of human errors related with railway accidents with systematic categorization.

Research Trends of Cognitive Systems Engineering Approaches to Human Error and Accident Modelling in Complex Systems (복잡한 시스템에서의 인적오류 및 사고모형의 인지시스템공학적 연구의 동향)

  • Ham, Dong-Han
    • Journal of the Ergonomics Society of Korea
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    • 제30권1호
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    • pp.41-53
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    • 2011
  • Objective: The purpose of this paper is to introduce new research trends of human error and accident modeling and to suggest future promising research directions in those areas. Background: Various methods and techniques have been developed to understand the nature of human errors, to classify them, to analyze their causes, to prevent their negative effects, and to use their concepts during design process. However, it has been reported that they are impractical and ineffective for modern complex systems, and new research approaches are needed to secure the safety of those systems. Method: Six different perspectives to study human error and system safety are explained, and then seven recent research trends are introduced in relation to the six perspectives. The implications of the new research trends and viable research directions based on them are discussed from a cognitive systems engineering point of view. Results: Traditional methods for analyzing human errors and identifying causes of accidents have critical limitations in complex systems, and recent research trends seem to provide some insights and clues for overcoming them. Conclusion: Recent research trends of human error and accident modeling emphasize different concepts and viewpoints, which include systems thinking, sociotechnical perspective, ecological modelling, system resilience, and safety culture. Application: The research topics explained in this paper will help researchers to establish future research programmes.