• 제목/요약/키워드: Human error

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

  • 윤용구;홍성만;박범
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2004년도 춘계학술대회
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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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원자력 발전소 주제어실 인터페이스 설계를 위한 인적오류 분석 기법의 보완 (A Modification of Human Error Analysis Technique for Designing Man-Machine Interface in Nuclear Power Plants)

  • 이용희;장통일;임현교
    • 대한인간공학회지
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    • 제22권1호
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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.

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

  • 임완희
    • 한국산업정보학회논문지
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    • 제9권4호
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    • pp.56-67
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    • 2004
  • 본 연구는 단순반복작업을 실시하고 있는 작업자(본사, 하청회사)들을 대상으로 Human Error(인간실수)의 실태를 분석하고, 예방대책을 마련하고자 486명을 대상으로 진행되는데 연구결과를 요약하면 다음과 같다. 먼저 Human Error(인간실수)가 가장 많이 발생하는 요인으로서 작업자 요인이 $77.8\%$로 가장 많고, 기계적 요인이 $16.3\%$, 관리적 요인이 $6.0\%$순으로 나타나 Human Error(인간실수)는 주로 단순반복 작업을 수행하는 작업자에 의해 발생하는 것으로 볼 때 기계적 오류에 의한 발생제거보다 작업자들의 자세와 신체적 결함, 장시간 지속작업 등에 기인한 것을 의미한다. 그리고 Human Error(인간실수)가 가장 많이 발생하는 인간정보처리 계통의 에러 요인에서는 동작조작에러가 $46.9\%$로 가장 많았고, 판단기억에러가 $36.4\%$, 인지확인에러가 $16.7\%$순으로 나타나 단순동작의 반복으로 인해 조작과정에서의 에러가 가장 많이 발생하고 있는 것으로 분석되었다. 이상에서 볼 때 전체적으로 자동화의 실행으로 Human Error(인간실수)가 줄어들 것이라는 일반적인 관념을 깨고 아직도 반복적인 단순 반복 작업 공정에서 각 공정이나 기능간 기기보다 작업자의 순간적 오류가 지속적으로 발생하고 있는 현실에서 각 공정에 따른 경력별 순환 보직이나 교환근무 등을 통한 업무 표준화와 능률개선을 위한 현장 점검제 등으로 보다 적극적인 회사차원에서의 지속적인 설비개선과 예산 지원이 요구된다.

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

  • 한기율;백유성
    • 대한안전경영과학회지
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    • 제14권3호
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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.

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

  • 김환성;김승호
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2009년도 추계학술대회
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    • pp.121-123
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    • 2009
  • 종래의 휴먼에러를 검출하기 위한 검출기는 관측기 설계를 기초로 하였으며, 주로 계단형 휴먼에러를 가정하여 검출하는데 이론적 한계성을 지니고 있다. 본 연구에서는 보다 다양한 형태의 휴먼에러를 검출하기 위한 방법으로 휴먼에러에 포함될 수 있는 형태의 오류를 모델링하여 검출 필터로서 사용할 수 있음을 보이며, 휴먼에러 검출 필터의 존재조건을 고찰한다.

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Human-machine system optimization in nuclear facility systems

  • Corrado, Jonathan K.
    • Nuclear Engineering and Technology
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    • 제53권10호
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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.

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

  • 이동하;나윤균
    • 한국안전학회지
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    • 제13권4호
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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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반도체 산업에서의 인적오류에 대한 인적요인과 과오에 대한 분석 (An Analysis of Human Factor and Error for Human Error of the Semiconductor Industry)

  • 윤용구;박범
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2007년도 춘계학술대회
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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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퍼지모델을 이용한 인적오류확률의 타당성 검증 (A Validity Verification of Human Error Probability using a Fuzzy Model)

  • 장통일;이용희;임현교
    • 한국안전학회지
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    • 제21권3호
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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.

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

  • 유태정
    • 한국항공운항학회지
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    • 제31권2호
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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.