• 제목/요약/키워드: Human error analysis

검색결과 555건 처리시간 0.03초

Human Error Identification based on EEG Analysis for the Introduction of Digital Devices in Nuclear Power Plants

  • Oh, Yeon Ju;Lee, Yong Hee
    • 대한인간공학회지
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    • 제32권1호
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    • pp.27-36
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    • 2013
  • Objective: This paper describes an analysis of electroencephalography(EEG) signals to identify human errors during using digital devices in nuclear power plants(NPPs). Background: The application of an advanced main control room(MCR) has accompanied with lots of changes in different forms and features by virtue of new digital technologies. The characteristics of these digital technologies and devices provide several opportunities for the use of interface management. It can integrate into a compact single workstation in an advanced MCR, allowing workers to operate the plant with minimum physical burden under any operating condition. However these devices may introduce new types of human errors, and thus we need a means to assess and prevent such errors especially those related to digital devices. Method/Conclusion: The EEG data are relatively objective, and thus we introduce several measures to EEG analysis for obtaining the feasibility of human error identification. Application: This study may support to ensure the safety when applying digital devices in NPPs.

상선 충돌사고 분석을 이용한 인적과실 예방 충돌회피모델 연구 (Study on the Human Error Prevention Collision Avoidance Model using Merchant Ship Collision Accident Analysis)

  • 김도훈
    • 해양환경안전학회지
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    • 제28권6호
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    • pp.918-927
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    • 2022
  • 본 연구의 목적은 과거 12년(2010~2021년)간 발생한 상선의 충돌사고 668건을 조사하여 충돌의 원인요인을 조사하고 이를 통계적으로 분석하여 항해사의 인적과실 예방 충돌회피(HEPCA) 모델을 제안하는 것이다. 중앙해양안전심판원의 통계연보 및 충돌사건 재결서를 조사하여 상선의 충돌 원인요인 데이터를 수집하고 통계분석 도구인 SPSS를 이용하여 빈도분석을 수행하였다. 1단계 분석으로 상선 충돌사고 668건을 대상으로 충돌원인을 분석하였고, 2단계 분석에서는 식별된 최대빈도 원인요인을 세부적으로 분석하였다. 분석결과, 충돌원인은 항해사의 인적과실이 98 %인 것으로 식별되었으며, 빈도 높은 요인 순서는 경계소홀 > 항행법규위반 > 조선 부적절 순이었다. 경계소홀의 원인 요인은 주로 상대선 초인 후 지속감시 소홀이었으며 상대선박의 존재를 인식하지 못한 원인은 주로 당직시간에 다른 작업을 한 요인이었다. 분석결과를 적용하여 인적과실 예방을 위한 HEPCA 모델을 제안하였고, 이를 재결서의 충돌사건에 적용해보았다. 본 연구결과는 해기사 교육기관 및 실무에서 항해사의 인적과실로 발생하는 충돌사고를 방지하기 위한 교육 자료로 활용이 가능할 것으로 기대된다.

항해사의 피로요인 분석에 관한 연구 (An Analysis of the Fatigue Factor as a Cause of Human Error)

  • 양원재;금종수;전승환
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2005년도 춘계학술대회 논문집
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    • pp.95-100
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    • 2005
  • 지금까지 수년 동안 선박승무원의 피로는 해양사고의 잠재적인 원인(potential cause) 또는, 인간과실(human error)에 기여하는 것으로써 그 개념이 무시되거나 고려되지 않았다. 그러나 최근 해양사고 자료나 조사에 의하면 피로가 임무수행에 밀접하게 영향을 미쳐서 인간과실을 유발하게 하고 결국 각종 해양사고가 발생한다는 사실을 밝혀내게 되었고, 여기에 대한 많은 관심과 연구가 집중되고 있다. 본 연구에서는 선박승무원의 피로에 대한 개념을 정립하고, 항해사의 업무수행능력에 영향을 미치는 피로유발원인에 관한 설문조사를 실시하고 그 결과를 분석하였다.

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지적 원격조작시스템의 수동모드 개선을 위한 기하학적 해석에 관한 연구 (A Study on a Geometrical Analysis for the Manual Mode of an Advanced Teleoperator System)

  • 이순요;김창대;박세권
    • 대한인간공학회지
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    • 제7권2호
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    • pp.31-44
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    • 1988
  • If an error occurs in the automatic mode when the advanced teleoperator system performs a task in hostile environment then the automatic mode changes into the manual mode. The operation by the control program and the operation by a human recover the error in the manual mode. The system resumes the automatic mode and continues the given task. It is necessary to improve the manual mode in order to make the best use of a man-robot system, as a part of the human interface technique. Therefore, the error recovery task is performed by combining the operation by the control program representing autonomy of a robot and the operation by a human representing versatility of a human operator effectively in the view point of human factors engineering. The geometric inverse kinematics is used for the calculation of the robot joint values in the operation by the control program. The singularity operation error and the parameter operation error often occur in this procedure. These two operation errors increase the movement time of the robot and the coordinate reading time, during the error recovery task. A singularity algorithm, parameter algorithm and fuzzy control are studied so as to remove the disadvantages of geometric inverse kinematics. And the geometric straight line motion is studied so as to improve the disadvantages of the operation by a human.

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인적오류 예방을 위한 제도의 상대적 중요도 분석 (Establishing the Importance Institution for Prevention of Human Error)

  • 문우춘;김웅이
    • 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.

중소화학제품 제조업의 인적오류 사고예방 시스템 개발 (Development of preventive System for Accident Causing by Human Error in Small Manufacturing Industries of Chemical Products)

  • 김두환
    • 기술사
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    • 제34권3호
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    • pp.22-27
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    • 2001
  • About 70% -80% of the serious injury that occure in the chemical product small manufacturing industries is caused by human error. but technical development for analysis and inspection to preestimate and exclude such human error is still insufficient. Small - to - medium sited enterprises are economically vulnerable and technical foundations for safety management is week Under such circumstances development of easy to use computerized support programs that can be operated without the help of professioanals are keenly needed.

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SENSITIVITY ANALYSIS IN FUZZY RELIABILITY ANALYSISA

  • Onisawa, Takehisa
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1988년도 한국자동제어학술회의논문집(국제학술편); 한국전력공사연수원, 서울; 21-22 Oct. 1988
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    • pp.764-769
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    • 1988
  • In this paper the failure possibility and the error possibility are used to represent reliability of a technical component and that of a human operator, respectively. The failure possibility and the error possibility are fuzzy sets on the interval [0,1]. In a man-machine system, reliability of the technical component and that of the human operator are usually affected by many factors, e.g., the environment in which a machine is operated, psychological stress of the human operator, etc. The possibility is derived from not only the failure or the error rate but also estimates of these factors. The fuzzy reasoning plays an important role in the derivation. The reliability analysis is performed by the use of the possibility obtained by the present method. Moreover this paper discusses the sensitivity analysis which evaluates what extent the change of the estimation of each factor has an influence on reliability of a man-machine system. The important factors to be ameliorated are shown through the sensitivity analysis.

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선박해양공학 분야에서 인간공학기술의 활용현황 및 전망 (State of the Art of Human Factors Technologies for Ships and Ocean Engineering)

  • 김홍태;이종갑;이동곤;박진형
    • 대한인간공학회지
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    • 제20권2호
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    • pp.99-111
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    • 2001
  • Human factors is a key issue in the maritime industry including ship design and navigation safety. Human factors for ship design is to optimize safety and convenience of crews and passengers. And human factors for navigation safety is to minimize marine accident occurrence by human and organizational error. There are several technical requirements to incorporate human factors and marine system Risk analysis. human behaviour analysis and human M&S(modeling and simulation) are examples of technical requirements. This paper provides the key issues and technologies of human factors for ship design and navigation safety.

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철도사고의 인적오류 분석을 위한 수행도 영향인자 분류 (Taxonomy of Performance Shaping Factors for Human Error Analysis of Railway Accidents)

  • 백동현;구락조;이경선;김동산;신민주;윤완철;정명철
    • 산업경영시스템학회지
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    • 제31권1호
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    • pp.41-48
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    • 2008
  • Enhanced machine reliability has dramatically reduced the rate and number of railway accidents but for further reduction human error should be considered together that accounts for about 20% of the accidents. Therefore, the objective of this study was to suggest a new taxonomy of performance shaping factors (PSFs) that could be utilized to identify the causes of a human error associated with railway accidents. Four categories of human factor, task factor, environment factor, and organization factor and 14 sub-categories of physical state, psychological state, knowledge/experience/ability, information/communication, regulation/procedure, specific character of task, infrastructure, device/MMI, working environment, external environment, education, direction/management, system/atmosphere, and welfare/opportunity along with 131 specific factors was suggested by carefully reviewing 8 representative published taxonomy of Casualty Analysis Methodology for Maritime Operations (CASMET), Cognitive Reliability and Error Analysis Method (CREAM), Human Factors Analysis and Classification System (HFACS), Integrated Safety Investigation Methodology (ISIM), Korea-Human Performance Enhancement System (K-HPES), Rail safety and Standards Board (RSSB), $TapRoot^{(R)}$, and Technique for Retrospective and Predictive Analysis of Cognitive Errors (TRACEr). Then these were applied to the case of the railway accident occurred between Komo and Kyungsan stations in 2003 for verification. Both cause decision chart and why-because tree were developed and modified to aid the analyst to find causal factors from the suggested taxonomy. The taxonomy was well suited so that eight causes were found to explain the driver's error in the accident. The taxonomy of PSFs suggested in this study could cover from latent factors to direct causes of human errors related with railway accidents with systematic categorization.

복잡한 시스템에서의 인적오류 및 사고모형의 인지시스템공학적 연구의 동향 (Research Trends of Cognitive Systems Engineering Approaches to Human Error and Accident Modelling in Complex Systems)

  • 함동한
    • 대한인간공학회지
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    • 제30권1호
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    • pp.41-53
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    • 2011
  • Objective: The purpose of this paper is to introduce new research trends of human error and accident modeling and to suggest future promising research directions in those areas. Background: Various methods and techniques have been developed to understand the nature of human errors, to classify them, to analyze their causes, to prevent their negative effects, and to use their concepts during design process. However, it has been reported that they are impractical and ineffective for modern complex systems, and new research approaches are needed to secure the safety of those systems. Method: Six different perspectives to study human error and system safety are explained, and then seven recent research trends are introduced in relation to the six perspectives. The implications of the new research trends and viable research directions based on them are discussed from a cognitive systems engineering point of view. Results: Traditional methods for analyzing human errors and identifying causes of accidents have critical limitations in complex systems, and recent research trends seem to provide some insights and clues for overcoming them. Conclusion: Recent research trends of human error and accident modeling emphasize different concepts and viewpoints, which include systems thinking, sociotechnical perspective, ecological modelling, system resilience, and safety culture. Application: The research topics explained in this paper will help researchers to establish future research programmes.