• Title/Summary/Keyword: Human error analysis

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Qualitative Human Error Assessment for Gas Facilities (가스시설에서의 정성적 인적오류 평가)

  • Yoon Ik-Keun;Ha Jong-Mann;Oh Shin-kyu
    • Journal of the Korean Institute of Gas
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    • v.2 no.3
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    • pp.70-77
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    • 1998
  • This study proposes a method to facilitate the identification of human error in calling out such qualitative risk assessment in Gas plants. The main idea of this method is based on the scheme of existing qualitative risk assesment technique. The guidewords and tabular worksheet are suggested to be compatible in human error analysis. By using this method developed, the maintenance procedure of Governor system in gas valve station was analyzed to discover the human error in maintenance tasks. As a consequence, certain human errors were identified and the suggested approches proved to be adequate technique for the human error analysis.

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Prevention of Human Error in Shipbuilding Industry (조선업종에서의 휴먼에러 예방)

  • Kim, Yu-Chang;Jung, Hyun-Wook;Bae, Chang-Ho
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.127-135
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    • 2011
  • The nuclear power plants and chemical industries are trying to find human error to prevent occupational injury. The ratio of occupational injury is higher than the other industries in shipbuilding industry. It is known that the most important reason is human error. Recently, the shipbuilding industries interest in human error to prevent occupational injury. This paper outlines four approaches of human error identification used in shipbuilding industry such as survey of occupational injury, root cause analysis, risk assessment, and performance shaping factors. Finally, this paper proposes the interventions of ergonomics for preventing the human errors.

A fuzzy reasonal analysis of human reliability represented as fault tree structure

  • 김정만;이상도;이동춘
    • Journal of the Ergonomics Society of Korea
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    • v.16 no.2
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    • pp.1-14
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    • 1997
  • In conventional probability-based human reliability analysis, the basic human error rates are modified by experts to consider the influences of many factors that affect human reliability. However, these influences are not easily represented quantitatively, because the relation between human reliability and each of these factors in not clear. In this paper, the relation is expressed quantitatively. Furthermore, human reliability is represented by error possibilities proposed by Onisawa, which is a fuzzy set on the interval [0,1]. Fuzzy reasoning is used in this method in order to obtain error possibilities. And, it is supposed that many basic events affected by the above factors are connected to the top event through Fault Tree structure, and an estimate of the top event expressed by a member- ship function is obtained by using the fuzzy measure and fuzzy integral. Finally, a numerical example of human reliability analysis obtained by this method is given.

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Stochastic analysis of a non-identical two-unit parallel system with common-cause failure, critical human error, non-critical human error, preventive maintenance and two type of repair

  • El-Sherbeny, M.S.
    • International Journal of Reliability and Applications
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    • v.11 no.2
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    • pp.123-138
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    • 2010
  • This paper investigates a mathematical model of a system composed of two non-identical unit parallel system with common-cause failure, critical human error, non-critical human error, preventive maintenance and two type of repair, i.e. cheaper and costlier. This system goes for preventive maintenance at random epochs. We assume that the failure, repair and maintenance times are independent random variables. The failure rates, repair rates and preventive maintenance rate are constant for each unit. The system is analyzed by using the graphical evaluation and review technique (GERT) to obtain various related measures and we study the effect of the preventive maintenance preventive maintenance on the system performance. Certain important results have been derived as special cases. The plots for the mean time to system failure and the steady-state availability A(${\infty}$) of the system are drawn for different parametric values.

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The Effect of Job Stress Responses on Human Error (직무스트레스 반응이 인적과오에 미치는 영향)

  • Ahn, Kwan-Young;Son, Yong-Seung
    • Journal of the Korea Safety Management & Science
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    • v.13 no.4
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    • pp.53-60
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    • 2011
  • Job stress weakens physical ability causing the diseases related to working condition, decreases a production level, and increases mistakes and accidents. This study examined the relationship between job stress and human error, and focused on the moderating effect of age and maintenance type on the relationship between job stress and human error. The study used a quantitative design based on the 450 questionnaires of maintenance personnel in the Air force. The results of multiple regression analysis showed that physiological and psychological stress responses have positively related with human error. In moderating effect test, age appeared to impact on the relationship between physiological/behavioral stress and human error.

Implications for the Analysis of Human Error in Railway Accidents (철도 인적오류 사고분석에 대한 시사점)

  • Lee, Ji-Sun;Kim, Man-Woong;Kim, Dong-San;Baek, Dong-Hyun
    • Proceedings of the KSR Conference
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    • 2009.05a
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    • pp.1360-1364
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    • 2009
  • The basic concept of analysis of human error that induced railway accident is that errors are consequences, not causes. But in most cases, it is likely that direct causes of the accident could be concluded as real causes, which make it difficult to find out root causes. Design, training, staffing, culture and condition are general category applied to investigate human error. In order to examine how those approach could help accident analysis, this paper studied accident investigation reports of UK RAIB(Rail Accident Investigation Branch). Rather than consider specific investigation method, we focus investigation result on how to describe causal factors and how to indicate recommendations to prevent similar accident. The reports show that they try to find out causes more in organizational, environmental and job factors, which implies the necessity to improve investigation process of human error accident in Korea.

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Task Load Analysis of KTX Operation by Using NASA-TLX Method (NASA-TLX 방법에 의한 KTX 운전 직무부하 분석)

  • Jung, Won-Dea;Ko, Jong-Hyun;Park, Jin-Kyun;Kwak, Sang-Log;Lim, Seoung-Su
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.1082-1087
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    • 2006
  • Human factors still plays a significant role in railway accidents. The accidents often resulted from multiple causes of hardware failures and human errors. So to ensure the safety of railway operations, human error should be effectively prevented and managed. Among several factors influencing human performance, task load (or task complexity) is well known as a major contributor to human error. In order to reduce the potential of human error, a systematic analysis should be undertaken to evaluate task load and to reduce it by modifying task process and/or education&training. In this paper, we proposed a systematic framework for railway industry to perform task analysis and to evaluate task load, and applied it to KTX operational tasks. According to the application study, we identified 14 generic task types of KTX operation. And also this paper shows the quantitative task load of those generic tasks which were analyzed by NASA-TLX method.

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Determining the complexity level of proceduralized tasks in a digitalized main control room using the TACOM measure

  • Inseok Jang;Jinkyun Park
    • Nuclear Engineering and Technology
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    • v.54 no.11
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    • pp.4170-4180
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    • 2022
  • The task complexity (TACOM) measure was previously developed to quantify the complexity of proceduralized tasks conducted by nuclear power plant operators. Following the development of the TACOM measure, its appropriateness has been validated by investigating the relationship between TACOM scores and three kinds of human performance data, namely response times, human error probabilities, and subjective workload scores. However, the information reflected in quantified TACOM scores is still insufficient to determine the levels of complexity of proceduralized tasks for human reliability analysis (HRA) applications. In this regard, the objective of this study is to suggest criteria for determining the levels of task complexity based on logistic regression between human error occurrences in digitalized main control rooms and TACOM scores. Analysis results confirmed that the likelihood of human error occurrence according to the TACOM score is secured. This result strongly implies that the TACOM measure can be used to identify the levels of task complexity, which could be applicable to various research domains including HRA.

A Case Study on the Human Error Analysis for the Prevention of Converter Furnace Accidents (전로사고 예방을 위한 인적오류 분석)

  • Shin, Woonchul;Kwon, Jun Hyuk;Park, Jae Hee
    • Journal of the Korea Safety Management & Science
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    • v.16 no.3
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    • pp.195-200
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    • 2014
  • Occupational fatal injury rate per 10,000 population of Korea is still higher among the OECD member countries. To prevent fatal injuries, the causes of accidents including human error should be analyzed and then appropriate countermeasures should be established. There was an severe converter furnace accident resulting in five people death by chocking in 2013. Although the accident type of the furnace accident was suffocation, many safety problems were included before reaching the death of suffocation. If the safety problems are reviewed throughly, the alternative measures based on the review would be very useful in preventing similar accidents. In this study, we investigated the converter furnace accident by using human error analysis and accident scenario analysis. As a result, it was found that the accident was caused by some human errors, inappropriate task sequence and lack of control in coordinating work by several subordinating companies. From the review of this case, the followings are suggested: First, systematic human error analysis should be included in the investigation of fatal injury accidents. Second, multi man-machine accident scenario analyis is useful in most of coordinating work. Third, the more provision of information on system state will lessen human errors. Fourth, the coordinating control in safety should be performed in the work conducting by several different companies.

Revision of the Railway Human Reliability Analysis Procedure and Development of an R-HRA Software (철도사고 위험도평가를 위한 철도 인간신뢰도분석 방법의 개정과 전산 소프트웨어의 개발)

  • Kim, Jae-Whan;Kim, Seung-Hwan;Jang, Seung-Cheol
    • Journal of the Korean Society for Railway
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    • v.11 no.4
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    • pp.404-409
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    • 2008
  • This paper consists largely of two parts: the first part introduces the revised railway human reliability analysis (R-HRA) method which is to be used under the railway risk assessment framework, and the second part presents the features of a computer software which was developed for aiding the R-HRA process. The revised R-HRA method supplements the original R-HRA method by providing a specific task analysis guideline and a classification of performance shaping factors (PSFs) to support a consistent analysis between analysts. The R-HRA software aids the analysts in gathering information for HRA, qualitative error prediction including identification of external error modes and internal error modes, quantification of human error probability, and reporting the overall analysis results. The revised R-HRA method and software are expected to support the analysts in an effective and efficient way in analysing human error potential in railway event or accident scenarios.