• 대한인간공학회지
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• 제30권1호
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• pp.19-28
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• 2011

Objective: The aim of this study is to reclassify human errors and to develop hands-on tools to apply the new classification for preventing human error accidents in highway construction site. Background: The main cause of accidents in highway construction was reported as the carelessness of workers. However, such diagnosis could not help us operationally prevent accidents in real workplace. Method: The accidents in highway construction were reanalyzed and the causes of human error were reclassified in order to educate and improve the awareness of human error in highway construction. Field survey and interview with safety managers and workers were conducted to find the causal relationship between the actual accidents and the human errors. Results: The most frequently observed human errors in highway construction were classified into six categories such as mis-perception, distraction, memory fail, slip, cognition error and mis-judgment. In order to provide hands-on tools to increase the awareness of human error in construction field, the human error checklist and card sorting diary were developed. Especially, the card sorting diary was designed to increase the ability in human error inspection of safety manager at construction site. Moreover, posters were developed based on actual accident cases. Conclusion: We suggested that the improved awareness and analytical report on checklist, card sorting diary and posters for construction field could collectively prevent the accident. Application: The classification of human error, hands-on tools and posters can be directly applicable on highway construction site. This analytical and collective approach preventing human error-related accident could be extended to other construction workplaces.

• 대한인간공학회지
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• 제32권1호
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• pp.125-137
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• 2013

Objective: The aim of this study was to comprehend major concepts and flows that penetrate international guides or standards for developing a quantitative possibility measure of human errors that can be committed or omitted in nuclear power plants. Background: For a few past decades, lots of researchers have studied the effect of stress and/or fatigue which can result in human errors. Thus, this study was carried out on the assumption that much of them were summarized as an international guidelines or manuals, if any, for human error prevention. Method: A literal survey was conducted with materials and documentation published by international organizations related with safety and standardization, such as ISO, OSHA, NIOSH, NASA, and so on with special reference to human error prevention through management of work stress and fatigue as major Performance Shaping Factors. Results: International guides or management manuals on stress or fatigue management for human error prevention hardly were found, and most researches seemed to concentrate on one of them individually. Conclusion: There was few vestige of research that studied both concurrently. However, it was verified that not a few researches have been tried to develop quantitative measures to estimate probability or job characteristics for human error prevention and/or performance downgrading. Application: The results of this study would help to develop a causal model of human errors due to work stress and fatigue that can result in unexpected accidents in nuclear power plant.

• 대한안전경영과학회지
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• 제21권4호
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• pp.67-74
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• 2019

Visual inspection is regarded as one of the critical activities for quality control in a manufacturing company. it is thus important to improve the performance of detecting a defective part or product. There are three probable working modes for visual inspection: fully automatic (by automatic machines), fully manual (by human operators), and semi-automatic (by collaboration between human operators and automatic machines). Most of the current studies on visual inspection have been focused on the improvement of automatic detection performance by developing a better automatic machine using computer vision technologies. However, there are still a range of situations where human operators should conduct visual inspection with/without automatic machines. In this situation, human operators'performance of visual inspection is significant to the successful quality control. However, visual inspection of components assembled into a mobile camera module belongs to those situations. This study aims to investigate human performance issues in visual inspection of the components, paying more attention to human errors. For this, Abstraction Hierarchy-based work domain modeling method was applied to examine a range of direct or indirect factors related to human errors and their relationships in the visual inspection of the components. Although this study was conducted in the context of manufacturing mobile camera modules, the proposed method would be easily generalized into other industries.

• Nuclear Engineering and Technology
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• 제45권2호
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• pp.125-140
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• 2013

This paper aims to give an overview of the methods to inherently prevent human errors and to effectively mitigate the consequences of such errors by securing defense-in-depth during plant management through the advanced man-machine interface system (MMIS). It is needless to stress the significance of human error reduction during an accident in nuclear power plants (NPPs). Unexpected shutdowns caused by human errors not only threaten nuclear safety but also make public acceptance of nuclear power extremely lower. We have to recognize there must be the possibility of human errors occurring since humans are not essentially perfect particularly under stressful conditions. However, we have the opportunity to improve such a situation through advanced information and communication technologies on the basis of lessons learned from our experiences. As important lessons, authors explained key issues associated with automation, man-machine interface, operator support systems, and procedures. Upon this investigation, we outlined the concept and technical factors to develop advanced automation, operation and maintenance support systems, and computer-based procedures using wired/wireless technology. It should be noted that the ultimate responsibility of nuclear safety obviously belongs to humans not to machines. Therefore, safety culture including education and training, which is a kind of organizational factor, should be emphasized as well. In regard to safety culture for human error reduction, several issues that we are facing these days were described. We expect the ideas of the advanced MMIS proposed in this paper to lead in the future direction of related researches and finally supplement the safety of NPPs.

• 해양환경안전학회:학술대회논문집
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• 해양환경안전학회 2004년도 춘계학술발표회
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• pp.7-11
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• 2004

Maritime safety and marine environmental protection are the most important topic in marine society. But, so many marine accidents rave been occurred with the development of marine transportation industry. On the other side, ship is being operated under a highly dynamic environment and many factors are related with ship's collision Nowadays, the increasing tendency to the human errors of ship's collision is remarkable, and the investigation of the human errors has been heavily concentrated. This study analysed on the human errors of ship's collision related to the negligence of lookout and classified basic error type using GEMS(Generic Error Modeling System) dynamic model.

• 대한인간공학회지
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• 제13권2호
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• pp.33-41
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• 1994

The paper presents a new scheme and a support system for the analysis sof hyman errors in nuclear power plants based on a cognitive model. We discusse the problems identified in current managerial analysis, and propose a new approach that frames the description of human activities according to a human decision making modle, so that it could provide a better reconstruction of a sequence of event suspected of involving human errors. This sophistcated approach becomes practical for the field application with the support of a computerized aiding system. The model-based event re-construction method is expected to enable the analysts to produce more informative reports, which in turn heop to derive appropriate counter- measures to reduce the possibility of the analyzed human errors.

• 한국안전학회지
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• 제20권1호
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• pp.153-157
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• 2005

The injury accidents in fishing vessels account for $67.2\%$ of all marine injury casualties$(1997\~2001)$ and is on an increasing trend every year. Also, it is remarkable for the injury accidents to be basically caused by human errors. This study aims to investigate the human error of injury accidents in fishing vessels and presents the injury preventing program in them. Human errors were analysed by the methods such as SHELL & Reason Hybrid Model, GEMS Model adopted by International Maritime Organization(IMO). Based on the analysis, the following propositions were made to reduce the fishing vessels accidents by human errors : improvement of hazard awareness and quality of personnel, establishment of safety management system, and enforcement of vessels inspection.

• Journal of Computing Science and Engineering
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• 제2권1호
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• pp.1-25
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• 2008

Spoken dialog tasks incur many errors including speech recognition errors, understanding errors, and even dialog management errors. These errors create a big gap between the user's intention and the system's understanding, which eventually results in a misinterpretation. To fill in the gap, people in human-to-human dialogs try to clarify the major causes of the misunderstanding to selectively correct them. This paper presents a method of clarification techniques to human-to-machine spoken dialog systems. We viewed the clarification dialog as a two-step problem-Belief confirmation and Clarification strategy establishment. To confirm the belief, we organized the clarification process into three systematic phases. In the belief confirmation phase, we consider the overall dialog system's processes including speech recognition, language understanding and semantic slot and value pairs for clarification dialog management. A clarification expert is developed for establishing clarification dialog strategy. In addition, we proposed a new design of plugging clarification dialog module in a given expert based dialog system. The experiment results demonstrate that the error verifiers effectively catch the word and utterance-level semantic errors and the clarification experts actually increase the dialog success rate and the dialog efficiency.

• 산업공학
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• 제21권3호
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• pp.247-253
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• 2008

There are various types of unexpected troubles in service of a thermal power plant, which consists of many complicated high-tech mass equipments. The troubles are mostly caused by the manufacturing defects, the material deteriorations, the human errors, and others. Failures of its system due to the troubles, can bring on the extravagant economic loss and the qualitative degradation of electricity. Especially, it is most important to find a way to decrease human errors because it can result in not only the economic loss, but also morale declination of employees or the department related to the trouble. Therefore, we categorize previous troubles related to the human errors, and try to show the causations and the counter-measures based on the various categories such as maintenance, an operation, and system of the thermal power plants.

• Nuclear Engineering and Technology
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• 제37권3호
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• pp.207-220
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• 2005

Nuclear power plants (NPP) are complex socio-technological systems that rely on the success of both hardware and human components. Empirical studies of plant operating experience show that human errors are important contributors to accidents and incidents, and that organizational factors play an important role in creating contexts for human errors. Current probabilistic safety assessments (PSA) do not explicitly model the systematic contribution of organizational factors to safety. As some countries, like the United States, are moving towards increased use of risk information in the regulation and operation of nuclear facilities, PSA quality has been identified as an area for improvement. The modeling of human errors, and underlying organizational weaknesses at the root of these errors, are important sources of uncertainty in existing PSAs and areas of on-going research. This paper presents a review of research into the following questions: Is there evidence that organizational factors are important to NPP safety? How do organizations contribute to safety in NPP operations? And how can these organizational contributions be captured more explicitly in PSA? We present a few past incidents that illustrate the potential safety implications of organizational deficiencies, some mechanisms by which organizational factors contribute to NPP risk, and some of the methods proposed in the literature for performing root-cause analyses and including organizational factors in PSA.