• Title/Summary/Keyword: Human error probability

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Reinterpretation of Behavior for Non-compliance with Procedures : Focusing on the Events at a Domestic Nuclear Power Plants (절차 미준수 행동의 재해석 : 국내 원전 사건을 중심으로)

  • Dong Jin Kim
    • Journal of the Korean Society of Safety
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    • v.39 no.1
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    • pp.82-95
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    • 2024
  • Analyzing the aftermath of events at domestic nuclear power plants brings in the question: "Why do workers not comply with the prescribed procedures?" The current investigation of nuclear power plant events identifies their reasons considering the factors affecting the workers' behaviors. However, there are some complications to it: in addition to confirming the action such as an error or a violation, there is a limit to identifying the intention of the actor. To overcome this limitation, the study analyzed and examined the reasons for non-compliance identified in nuclear power plant events by Reason's rule-related behavior classification. For behavior analysis, I selected unit behaviors for events that are related to human and organizational factors and occurred at domestic nuclear power plants since 2017, and then I applied the rule-related behavior classification introduced by Reason (2008). This allowed me to identify the intentions by classifying unit behaviors according to quality and compliance with the rules. I also identified the factors that influenced unit behaviors. The analysis showed that most often, non-compliance only pursued personal goals and was based on inadequate risk appraisal. On the other hand, the analysis identified cases where it was caused by such factors as poorly written procedures or human system interfaces. Therefore, the probability of non-compliance can be reduced if these factors are properly addressed. Unlike event investigation techniques that struggle to identify the reasons for employee behavior, this study provides a new interpretation of non-compliance in nuclear power plant events by examining workers' intentions based on the concept of rule-related behavior classification.

Distance Identification for Maximum Change in Ship Collision Risk through a Coast Guard Patrol Ship Experiment (해양경찰 함정 실험을 통한 선박충돌 위험도의 변화가 최대인 거리 식별에 관한 연구)

  • Kim, Dae-Sik;Yim, Jung Bin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.5
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    • pp.447-454
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    • 2017
  • Using two large coast guard ships at sea, we created four encounter situations ($000^{\circ}$, $045^{\circ}$, $090^{\circ}$, $135^{\circ}$) with high possibility of collision, from 3 NM up to 0.25 NM. As relative distance was gradually decreased, the subjects were measured at 0.25 NM intervals and perceived ship collision risk (PSCR) was determined by looking at the opponent ship. Characteristics were statistically analyzed using the obtained data. The purpose of this study was to analyze the characteristics of collision risk values obtained from twelve intervals, from 3 NM to 0.25 NM relative to encounter situations by curve fitting with appropriate polynomials, to determine the distance from which the change in perceived collision risk is greatest. As a result, an optimal regression equation for each distance interval was derived from each analysis direction. The greatest variation in average collision risk value was over the range 1.25 ~ 1 NM, and the collision risk value was largest at 1 NM. The maximum change in perceived collision risk was at 1 NM. These results can contribute to preventive guidelines to minimize human error in close proximity situations with a high probability of ship collision.

Development of a Fire Human Reliability Analysis Procedure for Full Power Operation of the Korean Nuclear Power Plants (국내 전출력 원전 적용 화재 인간신뢰도분석 절차 개발)

  • Choi, Sun Yeong;Kang, Dae Il
    • Journal of the Korean Society of Safety
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    • v.35 no.1
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    • pp.87-96
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    • 2020
  • The purpose of this paper is to develop a fire HRA (Human Reliability Analysis) procedure for full power operation of domestic NPPs (Nuclear Power Plants). For the development of fire HRA procedure, the recent research results of NUREG-1921 in an effort to meet the requirements of the ASME/ANS PRA Standard were reviewed. The K-HRA method, a standard method for HRA of a domestic level 1 PSA (Probabilistic Safety Assessment) and fire related procedures in domestic NPPs were reviewed. Based on the review, a procedure for the fire HRA required for a domestic fire PSA based on the K-HRA method was developed. To this end, HRA issues such as new operator actions required in the event of a fire and complexity of fire situations were considered. Based on the four kinds of HFE (Human Failure Event) developed for a fire HRA in this research, a qualitative analysis such as feasibility evaluation was suggested. And also a quantitative analysis process which consists of screening analysis and detailed analysis was proposed. For the qualitative analysis, a screening analysis by NUREG-1921 was used. In this research, the screening criteria for the screening analysis was modified to reduce vague description and to reflect recent experimental results. For a detailed analysis, the K-HRA method and scoping analysis by NUREG-1921 were adopted. To apply K-HRA to fire HRA for quantification, efforts to modify PSFs (Performance Shaping Factors) of K-HRA to reflect fire situation and effects were made. For example, an absence of STA (Shift Technical Advisor) to command a fire brigade at a fire area is considered and the absence time should be reflected for a HEP (Human Error Probability) quantification. Based on the fire HRA procedure developed in this paper, a case study for HEP quantification such as a screening analysis and detailed analysis with the modified K-HRA was performed. It is expected that the HRA procedure suggested in this paper will be utilized for fire PSA for domestic NPPs as it is the first attempt to establish an HRA process considering fire effects.

Regional Frequency Analysis by Rainfalls using GEV Distribution (GEV 분포에 의한 강우자료의 지역빈도분석)

  • Maeng, Seung-Jin;Lee, Hyeon-Gyu
    • Proceedings of the Korea Contents Association Conference
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    • 2006.11a
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    • pp.403-407
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    • 2006
  • This research aims to reduce severe damages to human beings and properties from floods that ravage Korea every year, by estimating right time to hydraulic structures based on the characteristics of variations in flood flows. To establish this permanent means for the flood mitigation, this research analyse design floods of various dams and hydraulic structures in connection with time of occurrence of the weather abnormalities in Korea. This research was derived the optimal regionalization of the precipitation data which can be classified by the climatologically and geographically homogeneous regions in Korea. Using the L-moment ratios and Kolmogorov-Smimov test, the underlying regional probability distribution was identified to be the GEV distribution among applied distributions. The regional and at-site analyses using L-moment for the design rainfall were tested by Monte Carlo simulation. Error tests were computed and compared with those resulting from at-site Monte Carlo simulation. Consequently, optimal design rainfalls following the regions and consecutive durations were derived by the regional frequency analysis.

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Implementation of Test Automation Agent for DO-330 Tool Qualified of ARINC-661 Development Tool (ARINC-661 개발 도구의 DO-330 도구 자격 획득을 위한 시험 자동화 에이전트 구현)

  • Kim, Do Gyun;Kim, Younggon
    • Journal of Platform Technology
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    • v.8 no.4
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    • pp.47-58
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    • 2020
  • DO-330 Software Tool Qualification Considerations is a guideline for development of tools used to develop/verify software and hardware installed on aircraft. And among several processes, the verification process is very crucial as it occupies a large proportion for DO-330. Especially, in order to qualify tool with high safety level, test objectives must be performed with independence, accordingly, more time, cost, and manpower are required than other objectives. In addition, even if the test cases or test procedures are well defined, the higher the complexity of the test the higher probability of human error occurs. In this paper, we propose Script-based Test Automation Agent software structure for efficient DO-330 verification process of A661UAGEN tool developed by Hanwha Systems. Compared to the test performed manually by the test engineer, testing time of the Script-based Test Automation Agent is reduced by 87.5% and testing productivity is increased by 43.75%.

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Optimal Sensor Placement of Boundaries and Robustness Analysis for Chemical Release Detection and Response of Near Plant (주변 사업장의 화학물질 확산 감지와 대응을 위한 경계면의 센서배치 최적화 및 강건성 분석)

  • Cho, Jaehoon;Kim, Hyunseung;Kim, Tae-Ok;Shin, Dongil
    • Journal of the Korean Institute of Gas
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    • v.20 no.5
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    • pp.104-111
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    • 2016
  • Recently, the quantities of chemical material are increasing in chemical industries. At that time, release accident is increasing due to aging of equipment, mechanical failure, human error, etc. and industrial complexes found community properties in a specific area. For that matter, chemical release accident can lead to hight probability of large disaster. There is a need to analyze the boundaries optimal sensor placement calculated by selecting release scenarios through release condition and wether condition in a chemical process for release detection and response. This paper is to investigate chlorine release accident scenarios using COMSOL. Through accident scenarios, a numerical calculation is studied to determine optimized sensor placement with weight of detection probability, detection time and concentration. In addition, validity of sensor placement is improved by robustness analysis about unpredicted accident scenarios. Therefore, this verifies our studies can be effectively applicable on any process. As mention above, the result of this study can help to place mobile sensor, to track gas release based concentration data.

Feasibility of Ultrasonic Inspection for Nuclear Grade Graphite (원자력급 흑연의 산화 정도에 따른 초음파특성 변화 및 초음파탐상의 타당성 연구)

  • Park, Jae-Seok;Yoon, Byung-Sik;Jang, Chang-Heui;Lee, Jong-Po
    • Journal of the Korean Society for Nondestructive Testing
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    • v.28 no.5
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    • pp.436-442
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    • 2008
  • Graphite material has been recognized as a very competitive candidate for reflector, moderator, and structural material for very high temperature reactor (VHTR). Since VHTR is operated up to $900-950^{\circ}C$, small amount of impurity may accelerate the oxidation and degradation of carbon graphite, which results in increased porosity and lowered fracture toughness. In this study, ultrasonic wave propagation properties were investigated for both as-received and degradated material, and the feasibility of ultrasonic testing (UT) was estimated based on the result of ultrasonic property measurements. The ultrasonic properties of carbon graphite were half, more than 5 times, and 1/3 for velocity, attenuation, and signal-to-noise (S/N) ratio respectively. Degradation reduces the ultrasonic velocity slightly by 100 m/s, however the attenuation is about 2 times of as-receive state. The results of probability of detection (POD) estimation based on S/N ratio for side-drilled-hole (SDHs) of which depths were less than 100 mm were merely affected by oxidation and degradation. This result suggests that UT would be reliable method for nondestructive testing of carbon graphite material of which thickness is not over 100 mm. In accordance with the result produced by commercial automated ultrasonic testing (AUT) system, human error of ultrasonic testing is barely expected for the material of which thickness is not over 80 mm.

Empirical Study on the Performance Analysis and Function of Jindo Coastal Vessel Traffic Service (진도 연안VTS의 성과 분석 및 기능에 관한 실증적 연구)

  • Jeong, Jae-Yong;Jung, Cho-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.18 no.4
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    • pp.308-315
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    • 2012
  • Hebei Spirit Oil Spill that happened in 2007 had prompted the need of revisiting the coastal safety. In response to this, Korea had made an effort to implement VTS in every coastline in the country. There are a lot of theoretical studies on VTS function nowadays, but coastal VTS are less frequently studied. In this paper, performance analysis results and accident prevention activities of Jindo Coastal VTS center were summarized and the Coastal VTS function are investigated. Jindo Coastal VTS covers relatively wide area and various places with various maritime traffic characteristics are the major navigation vessels, which means that it is important to control these vessels. Since the probability of accidents due to human error is relatively high in coastal area due to negligence tendency of crews during coastal area navigation, coastal VTS has to provide sufficient assistance to navigating vessels. Like most harbour VTS, Coastal VTS provides not only main information service, navigational assistance and traffic organization services but also various services related with advanced search-and-rescue assistance, marine national security, maritime crime prevention, oil spill response, traffic services for non-service vessel, and safety supervision for water leisure boats.

Technical Efficiency of Medical Resource Supply and Demand (의료자원 공급, 수요의 성과 효율성에 대한 실증분석)

  • Chang, Insu;Ahn, Hyeong Seok;Kim, Brian H.S.
    • Journal of the Korean Regional Science Association
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    • v.34 no.2
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    • pp.3-19
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    • 2018
  • The objective of this study is to observe the efficiency of clinical performance on the supply and demand of medical resources in Korea. For the empirical analysis, we constructed the dataset on age standardized mortality rate, the number of physician, specialist, surgery, medical institution, ratio of general hospitals of 16 provinces in Korea from 2006 to 2013. The panel probability frontier model is employed as an analysis method and considered heteroscedasticity and autocorrelation of the error in panel data. In addition, the demographic and socioeconomic characteristics of the 16 provinces, unemployment rate, elderly population ratio, GRDP per capita, and ratio of hospitals in comparison to the general hospitals are used to find the effect on the technical efficiency of clinical performance on supply and demand of medical resources. The results are as follows. First, for the clinical performance, the supply side of human resources such as doctors and specialists and the demand side factors such as chronic illness clinic per unit population have a significant influence, respectively. Second, the technical efficiency of clinical performance on the supply and demand of medical resources of each input component was 59-70% in terms of clinical efficiency in each region. Third. estimates of technical efficiency of inputs that affect clinical performance showed a slight increase in all regions during the analysis period, but the increase trend decreased slightly. Fourth, the ratio of the elderly population and GRDP per capita have a positive influence on the technical efficiency of clinical performance on the supply and demand of medical resources. The difference of each efficiency by region is due to the regional differences of the input medical resources and the combination of them and the demographic and socioeconomic characteristics of the region. It is understood that the differences in technological efficiency due to the complexity of supply and demand of medical resources, demographic structure and economic difference affecting clinical performance by region are different.