• Title/Summary/Keyword: Human error

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A Study for Human-Error Prevention of Chemical Plant Safety Accident (Chemical 공장 안전사고에 Human-Error 방지에 대한 연구)

  • 윤용구;홍성만;박범
    • Proceedings of the Safety Management and Science Conference
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    • 2004.05a
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    • pp.33-39
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    • 2004
  • The chemical factory deals with dangerous element and more advance, human-error analyzes and becomes effective research for the country and region, this paper analyes the form of work-miss on human-error according to a safety accident for domestic chemical factory from 1999-2002. It include the present contents and raise issues human knowledge, behavior, judgment, sensibility as an important counterplan that makes the safety solution of work miss. For the point of view of human knowledge, it takes color standard for works to be effective in work place. for behavior, the test has been for risk point of work place and infra worker movement, also the workers performed professional work as classify according to work. for judgement, the valuation sheet is reflected to minimize the human -error and the 3rd supervisor does a cross-check audit beforehand. For sensibility, it is applicable for human relations, information, communication by program to the consciousness and an attitude of worker-supervisor.

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A Modification of Human Error Analysis Technique for Designing Man-Machine Interface in Nuclear Power Plants (원자력 발전소 주제어실 인터페이스 설계를 위한 인적오류 분석 기법의 보완)

  • Lee, Yong-Hui;Jang, Tong-Il;Im, Hyeon-Gyo
    • Journal of the Ergonomics Society of Korea
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    • v.22 no.1
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    • pp.31-42
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    • 2003
  • This study describes a modification of the technique for human error analysis in nuclear power plants (NPPs) which adopts advanced Man-Machine Interface (MMI) features based on computerized working environment, such as LCOs. Flat Panels. Large Wall Board, and computerized procedures. Firstly, the state of the art on human error analysis methods and efforts were briefly reviewed. Human error analysis method applied to NPP design has been THERP and ASEP mainly utilizing Swain's HRA handbook, which has not been facilitated enough to put the varied characteristics of MMI into HRA process. The basic concepts on human errors and the system safety approach were revisited, and adopted the process of FMEA with the new definition of Error Segment (ESJ. A modified human error analysis process was suggested. Then, the suggested method was applied to the failure of manual pump actuation through LCD touch screen in loss of feed water event in order to verify the applicability of the proposed method in practices. The example showed that the method become more facilitated to consider the concerns of the introduction of advanced MMI devices, and to integrate human error analysis process not only into HRA/PRA but also into the MMI and interface design. Finally, the possible extensions and further efforts required to obtain the applicability of the suggested method were discussed.

Study of Rate of Human Error by Workers in the Field based on Occupation (작업장 근로자의 직종별 Human Error 발생요인 연구)

  • Im Wan-Hee
    • Journal of Korea Society of Industrial Information Systems
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    • v.9 no.4
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    • pp.56-67
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    • 2004
  • This study analyzes human error of workers performing simple repetitive tasks, and in order to prepare preventative measures, 486 people were used as subjects. The results of the study are like the following. First, the biggest cause of human error showed to be the worker himself in $77.8\%$ of the cases, machinery showed to be the cause in $16.3\%$ of the cases and management showed to be the cause in $6.0\%$ of the cases. The results show that most of the human error occurred due to the worker performing simple repetitive tasks and the human errors showed to be caused more by bad ergonomics and long hours rather than by problems with machinery. In addition, the area with the highest rate of human error showed to be the Human Information Processing System with Task Input Error being the highest with $46.9\%$, followed by Judgement and Memory Error with $36.4\%$ and Recognition Verification Error with $16.7\%$. Although fully automated tasks may reduce the rate of human error we must focus on lowering the rate of problems arising from spontaneous errors caused by workers performing simple repetitive tasks by continuously renewing plans and budgets in order to standardize tasks by incorporating cyclic positioning according to experience and positional exchange and by inspecting the workplace to increase efficiency of the workers.

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A Study on the Priority Making of Human Error Prevention Business Using AHP (계층화분석기법(AHP)을 이용한 철도 인적오류 예방 사업의 우선순위 분석 연구)

  • Han, Kee-Youl;Back, You-Seoung
    • Journal of the Korea Safety Management & Science
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    • v.14 no.3
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    • pp.111-117
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    • 2012
  • In this paper to prevent human errors analyzed the causes of railway accidents and human error in last 5 years(2007~2011). The 2nd Railway Comprehensive Safety Plan currently being implemented in the safety business for prevention of human error. The accidents are often resulted from multiple causes with hardware failure and human errors. And prevention of human error associated with the implementation details of the priority projects, 14 projects were selected by draw. Then Analytic Hierarchy Process(AHP) methodology was used to select what projects were effective to human error.

Design of Human-Error Detect Filter (휴먼에러의 검출 필터 설계)

  • Kim, Hwan-Seong;Kim, Seung-Ho
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2009.10a
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    • pp.121-123
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    • 2009
  • In previous research results, human error can be detected by using observation theory which assumed with step human failures, thus the detector has a limit to detect the human failures. In this paper, we propose a human error detect filter for given human failures. Various kind of human failures can be modeled, and from these models, an argumented human failure model can constructed. By using the argumented human failure model, the human error detect filter can be designed.

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Human-machine system optimization in nuclear facility systems

  • Corrado, Jonathan K.
    • Nuclear Engineering and Technology
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    • v.53 no.10
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    • pp.3460-3463
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    • 2021
  • Present computing power and enhanced technology is progressing at a dramatic rate. These systems can unravel complex issues, assess and control processes, learn, and-in many cases-fully automate production. There is no doubt that technological advancement is improving many aspects of life, changing the landscape of virtually all industries and enhancing production beyond what was thought possible. However, the human is still a part of these systems. Consequently, as the advancement of systems transpires, the role of humans within those systems will unavoidably continue to adapt as well. Due to the human tendency for error, this technological advancement should compel a persistent emphasis on human error reduction as part of maximizing system efficiency and safety-especially in the context of the nuclear industry. Within this context, as new systems are designed and the role of the human is transformed, human error should be targeted for a significant decrease relative to predecessor systems and an equivalent increase in system stability and safety. This article contends that optimizing the roles of humans and machines in the design and implementation of new types of automation in nuclear facility systems should involve human error reduction without ignoring the essential importance of human interaction within those systems.

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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An Analysis of Human Factor and Error for Human Error of the Semiconductor Industry (반도체 산업에서의 인적오류에 대한 인적요인과 과오에 대한 분석)

  • Yun, Yong-Gu;Park, Beom
    • Proceedings of the Safety Management and Science Conference
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    • 2007.04a
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    • pp.113-123
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    • 2007
  • Through so that accident of semiconductor industry deduces unsafe factor of the person center on unsafe behaviour that incident history and questionnaire and I made starting point that extract very important factor. It served as a momentum that make up base that analyzes factors that happen based on factor that extract factor cause classification for the first factor, the second factor and the third factor and presents model of human error. Factor for whole defines factor component for human factor and to cause analysis 1 stage in human factor and step that wish to do access of problem and it do analysis cause of data of 1 step. Also, see significant difference that analyzes interrelation between leading persons about human mistake in semiconductor industry and connect interrelation of mistake by this. Continuously, dictionary road map to human error theoretical background to basis traditional accidental cause model and modern accident cause model and leading persons. I wish to present model and new model in semiconductor industry by backbone that leading persons of existing scholars who present model of existent human error deduce relation. Finally, I wish to deduce backbone of model of pre-suppression about accident leading person of the person center.

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A Validity Verification of Human Error Probability using a Fuzzy Model (퍼지모델을 이용한 인적오류확률의 타당성 검증)

  • Jang, Tong-Il;Lee, Yong-Hee;Lim, Hyeon-Kyo
    • Journal of the Korean Society of Safety
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    • v.21 no.3 s.75
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    • pp.137-142
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    • 2006
  • Quantification of error possibility, in an HRA process, should be performed so that the result of the qualitative analysis can be utilized in other areas in conjunction with overall safety estimation results. And also, the quantification is an essential process to analyze the error possibility in detail and to obtain countermeasures for the errors through screening procedures. In previous studies for the quantification of error possibility, nominal values were assigned by the experts' judgements and utilized as corresponding probabilities. The values assigned by experts' experiences and judgements, however, require verifications on their reliability. In this study, the validity of new error possibility values in new MCR design was verified by using the Onisawa's model which utilizes fuzzy linguistic values to estimate human error probabilities. With the model of error probabilities are represented as analyst's estimations and natural language expression instead of numerical values. As results, the experts' estimation values about error probabilities are well agreed to the existing error probability estimation model. Thus, it was concluded that the occurrence probabilities of errors derived from the human error analysis process can be assessed by nominal values suggested in the previous studies. It is also expected that our analysis method can supplement the conventional HRA method because the nominal values are based on the consideration of various influencing factors such as PSFs.

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.