• 대한안전경영과학회지
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• 제5권3호
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• pp.1-10
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• 2003

Accident analyses are used to identify common factors contributing to occupational accidents and to give recommendations for accident prevention. In this study we developed a human error analysis system that can be used easily at the industries. This accident analysis system can be used to develop accident prevention programs to reduce human initiated accidents.

• 대한인간공학회지
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• 제30권1호
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• pp.9-17
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• 2011

Consumer products are produced on the premise that consumers can use their products safely and effectively no matter how serious human errors they may make. However, different careers and educational experiences of them may induce diverse human errors when they want to use them. In that sense, not a few policies to reduce human errors may show some implications for human error prevention and industrial design of consumer products. In this paper, producers' safety efforts required by Product Liability(PL) Act were reviewed in view of human error prevention, and legal aspects of manufacturers' responsibility for consumer products were discussed in relation to Product Liability Act. Then, principal approaches for them were introduced under the title of System Safety Precedence. After that, major key points for preventing human errors related with consumer products - such as ergonomic design and effective labeling - were discussed with reference to ISO standards. Therefore, it was shown that all the efforts required by PL Act would be correspondent to human error prevention in the whole manufacturing processes if understood by ergonomists. To make a conclusion, it could be said that, for human error prevention, the principle of System Safety Precedence would be indispensable, and that all the efforts for preventing human errors should be systematically organized in Product Safety Management Systems.

• 한국항행학회논문지
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• 제17권4호
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• pp.377-385
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• 2013

1950년대 후반 이후, 항공분야에서 사고율을 줄이기 위해 많은 노력을 기울여 안전 수준이 향상되었다. 전반적인 사고 비율은 지난 몇 년 동안 상당히 감소하였고, 환경 및 기계적 요인에 의한 사고는 감소하였으나, 인적오류 관련 사고는 불행히도 감소하는데 성공하지 못했다. 환경적 기계적 요소에 기인하는 사고는 줄었으나, 인적오류는 항공사고 원인 인자로 증가하고 있다. 오늘날, 모든 항공 사고의 매우 큰 비율이 직접 또는 간접적으로 인적오류의 몇 가지 형태에 비롯되고 있다. 많은 연구의 결과로, 인간의 오류 방지에 대해서 개발되고 있다. 그러나 어떤 종류의 오류 방지는 정확성, 효율성의 부족과 체계적인 접근에서 부족한 면이 고려되어야 할 것으로 보인다. 따라서 본 연구에서는 인간의 오류에 가장 효과적이고 체계적인 예방을 분석하고 인간의 오류 및 항공 안전에 대한 방법에 있어 통합에 집중 연구하였다. 본 연구에서는 인적오류 예방을 위한 여러 대안들 사이의 우선순위를 이해하고 파악함으로써 인적오류 문제를 해결하기 위한 시사점을 제시하고 한다.

• 한국안전학회지
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• 제29권1호
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• pp.86-92
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• 2014

This paper provides an integrated view on human and system interaction in advanced and automated systems, which adopting computerized multi-functional artifacts and complicated organizations, such as nuclear power plants, chemical plants, steel and semi-conduct manufacturing system. As current systems have advanced with various automated equipments but human operators from various organizations are involved in the systems, system safety still remains uncertain. Especially, a human operator plays an important role at the time of critical conditions that can lead to catastrophic accidents. The knowledge on human error helps a risk manager as well as a designer to create and control a more credible system. Several human error theories were reviewed and adopted for forming the integrated perspective: gulf of execution and evaluation; risk homeostasis; the ironies of automation; trust in automation; design affordance; distributed cognition; situation awareness; and plan delegation theory. The integrated perspective embraces human error theories within three levels of human-system interactions such as affordance level, psychological logic level and trust level. This paper argued that risk management process should dealt with human errors by providing (1) reasoning improvement; (2) support to situation awareness of operators; and (3) continuous monitoring on harmonization of human system interaction. This approach may help people to understand risk of human-system interaction failure characteristics and their countermeasures.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2007년도 제38회 하계학술대회
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• pp.675-676
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• 2007

This Paper presents circuit improvement of 345kV Bus bar protection panel by using VDD (Voltage disturbance detection) relay with distinctive ability between human error in the field test and real facility faults. Therefore, We expect that this improvement of circuit helps decrease of blackout coming from human error. In order to guarantee electric power system reliability, consistent study of human error prevention in the event of field test is necessarily required

• 웰빙융합연구
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• 제7권1호
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• pp.27-33
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• 2024

Purpose: This study investigates human error accidents in the Korean railway sector, emphasizing the need for systematic management to prevent such incidents, which can have fatal consequences, especially in driving-related jobs. Research design, data and methodology: This paper analyzed data from the Aviation and Railway Accident Investigation Board and the Korea Transportation Safety Authority, examining 240 human error accidents that occurred over the last five years (2018-2022). The analysis focused on accidents in the driving, facility, electric, and control fields. Results: The findings indicate that the majority of human error accidents stem from negligence in confirmation checks, issues with work methods, and oversight in facility maintenance. In the driving field, errors such as signal check neglect and braking failures are prevalent, while in the facility and electric fields, the main issues are maintenance delays and neglect of safety measures. Conclusions: The paper concludes that human error accidents are complex and multifaceted, often resulting from a high workload on engineers and systemic issues within the railway system. Future research should delve into the causal relationships of these accidents and develop targeted prevention strategies through improved work processes, education, and training.

• 선박안전
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• 통권27호
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• pp.25-36
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• 2009

Despite the development of the various navigational equipment, such as GPS, ARPA, ECDIS, AIS, VDR, and hull monitoring system, marine accidents are still a leading concern in shipping industry. For all accidents over the reporting period, approximately 60 to 80% of the accidents was involved in human error. It means that in each case, some events which were associated with human error initiated an accident, and those failures of human performance led to the failure to avoid an accident or mitigate it's consequences. However, the improvement and the effort on the maritime human error are still limited in an elementary step. The objective of this paper is to propose a modified Human Factors Analysis and Classification System (HFACS) model in order to analyse the collision accidents of tug-barge ship.

• 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.

• 산업경영시스템학회지
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• 제32권4호
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• pp.1-8
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• 2009

The studies on semiconductor industrial accident in korea have been focused on the frequencies of each type of safety management employee, characteristics, cause and unsafe conditions, acts and so on. Those attributes of semiconductor industrial accidents were usually analyzed independently, so that it was hard to provides a wel-developed process and systematic guidelines for efficient safety management. Therefore, there were a few studies based on comprehensive survey in terms of the shape type of safe management. The questionnaire survey carried out for the 284 workers who were responsible for safety management in center with cooperation companies in semiconductor industry factor analysis showed that there were three factors of safety management. First, investment and operation and management for accident prevention, Second, unsafe act and condition, safety management Third, general human error and behavior. The industries of respondents were correlative with three groups. Three groups showed statistically significant differences on the number of cases. Actually, the group with the larger investment and the more unsafe cause, human error of accidents prevention had a smaller causes of accident cases.

• 한국안전학회지
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• 제29권3호
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• pp.79-84
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• 2014

Human error is one of the major contributors to the accidents. A lot of risk assessment techniques have been developed for prevention of accidents. Nevertheless, most of them were interested in physical factors, because quantitative evaluation of human errors was difficult quantitatively. According to lack of risk assessment techniques about human errors, most of industrial risk assessment for human errors were based on data of accident analysis. In order to develop an effective countermeasure to reduce the risk caused by human errors, a systematic analysis is needed. Generally, risk assessment system is composed of 5 step(classification of work activity, identification of hazards, risk estimation, evaluation and improvement). This study aimed to develop a risk identification technique for human errors that could mainly be applied to industrial fields. In this study, Ergo-HAZOP and Comprehensive Human Error Analysis Technique were used for developing the risk identification technique. In the proposed risk identification technique, Ergo-HAZOP was used for broad-brush risk identification. More critical risks were analysed by Comprehensive Human Error Analysis Technique. In order to verify applicability, the proposed risk identification technique was applied to the work of pile head cutting. As a consequence, extensive hazards were identified and fundamental countermeasures were established. It is expected that much attention would be paid to prevent accidents by human error in industrial fields since safety personnel can easily fint out hazards of human factors if utilizing the proposed risk identification technique.