• Title/Summary/Keyword: Human errors

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Verification of Human Error Factors for Access Control of Bodyguards through Multiple Risk Case Analysis

  • Kim, Jin-Hwan;Kim, Sang-Jin
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.9
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    • pp.143-150
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    • 2020
  • The purpose of this study is to investigate the human error of bodyguards caused in the process of performing access control activities between security missions, focusing on multiple risk cases, and to suggest countermeasures accordingly. To verify this, after arranging the sequence of events in a time series, the VTA technique and Why-Why analysis technique that can easily identify the problem centered on the variable node were used. In addition, environmental factors and personal factors that cause human errors were extracted through M-SHEL Metrix. As a result of analyzing multiple risk cases through such a method, the security environment factors that cause access control accidents include lack of time (impatience), prejudice against visitors, intensive work methods, lack of security management, unattended travel, and familiar atmosphere. (Relaxation), formal work activities, convenience provision, and underestimation were surveyed. In addition, human errors caused by personal security guards were investigated as low alertness, formal work, negligence of inspection, and comfortable coping.

A Study on a Trend of Human Error Types Observed in a Simulated Computerized Nuclear Power Plant Control Room

  • Lee, Dhong Ha
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.1
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    • pp.9-16
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    • 2013
  • Objective: The aim of this study is to investigate a trend of human error types observed in a series of verification and validation experiments for an Advanced Control Room(ACR) equipped with Lager Display Panel(LDP), Work Station Flat Panel Display(WS FPD), list type Alarm System(AS), Soft Control(SC) and Computerized Procedure System(CPS). Background: Operator behaviors in a fully computerized control room are quite different from those in a traditional hard-wired control room. Operators in an ACR all together monitor plant status and variables through their own interface system such as LDP and WS FPD, are notified of abnormal plant status through their own list type AS, control the plant through their own SC, and follow the structured procedure through their own CPS whereas operators in a traditional control room only separately do their duty directed by their supervisor. Especially the secondary task such as manipulating the user interface of ACR can be an extra burden to all the operators including the supervisor. Method: The Reason's human error classification method was applied to operators' behavioral data collected from a series of verification and validation experiments where operators showed their plant operational behaviors under a couple of harsh scenarios using the ACR simulator. Results: As operators accustomed to the new ACR system, knowledge or rule based mistakes appearing frequently in the early series of experiments decreased drastically in the latest stage of the series. Slip and lapse types of errors were observed throughout the series of experiments. Conclusion: Education and training can be one of the most important factors for the operators accustomed to the traditional control room to be adapted to the new system and to run the ACR successfully. Application: The results of this study implied that knowledge or rule based mistakes can be reduced by training and education but that lapse type errors might be reduced only through innovative improvement in human-system interface design or teamwork culture design including a new leadership style suitable for ACR.

Variation of Psychophysiological Characteristics Related with Human Errors during a Simple Pointing Task (단순 지적과업 중 인간과오 관련 심리생리학적 특성의 변화)

  • Lim, Hyeon-Kyo
    • Journal of the Korean Society of Safety
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    • v.24 no.3
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    • pp.71-78
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    • 2009
  • During a learning process, a human being is assumed to experience knowledge-based behaviors, rule-based behaviors, and skill-based behaviors sequentially if Rasmussen was right. If any psycho-physiological symptom to those different levels can be obtained, it can be useful as a measure whether a human being is fully trained and has gotten a skill in his work. Therefore, this study aimed to draw relationships between human performance measures and psycho-physiological measures while committing a computer-simulated pointing task by utilizing the power spectrum technique of EEG data, especially with the ratio of relative beta-to-alpha band power. The result showed that, during correct responses, the ratio came to stabilize as all the performance data went stable. However, response time was not a simple linear function of task difficulty level only, but a joint function of task characteristics as well as behavior levels. Comparing relative band power ratios from errors and correct responses, activated states of one's brain could be explained, and characteristics of the task could understood. To tell that of pointing task, correlations around C3, C4, P3, P4 and 01, 02 area were significant and high in correct response cases whereas most correlation coefficients went down in error cases standing for imbalance of psycho-motor functions. Though task difficulty was the only one factor that could influence on relative band power ratio with statistical significance, it should be comprehended to mean a different way of expression indicating task characteristics since at least error-some situation could be explained with the help of relative band power ratio that absolute band power failed.

Development of an Algorithm for Wearable sensor-based Situation Awareness Recognition System for Mariners (해양사고 절감을 위한 웨어러블 센서 기반 항해사 상황인지 인식 기법 개발)

  • Hwang, Taewoong;Youn, Ik-Hyun
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2019.05a
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    • pp.395-397
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    • 2019
  • Despite technical advance, human error is the main reason for maritime accidents. To ensure a safety of maritime transporting environment, technical and methodological improvement to react to various types of maritime accidents should be developed instead of ambiguously anticipating maritime accidents due to human errors. Survey, questionnaires, and interview have been routinely applied to understand objective human lookout pattern differences in various navigational situations. Although the descriptive methodology helps systematically categorizing different patterns of human behavior to avoid accidents, the subjective methods limit to objectively recognize physical behavior patterns during navigation. The purpose of the study is to develop an objective lookout pattern detection system using wearable sensors in the simulated navigation environment. In the simulated maritime navigation environment, each participant performed a given navigational situation by wearing the wearable sensors on the wrist, trunk, and head. Activity classification algorithm that was developed in the previous navigation activity classification research was applied. The physical lookout behavior patterns before and after situation-aware showed distinctive patterns, and the results are expected to reduce human errors of navigators.

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Development of Human Error Probability Program for Human Error Analysis of Chemical Plants (화학 산업 시설에서의 인적 오류 분석을 위한 HEP 프로그램 개발)

  • Ko Jae Wook;Im Cha Soon;Park Kyo-Shik
    • Journal of the Korean Institute of Gas
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    • v.6 no.4 s.18
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    • pp.1-7
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    • 2002
  • Human errors can take place in all levels that include the design, production, construction, operation and maintenance of plant facilities. It was found that the causes were concerned with the effects of human error. This study verified characteristics of the on-site operators and error mechanism, and used the classifying sheet to analyze human error that occurred in process. Also, by applying the ASEP(Accident Sequence Evaluation Program) HRA(Human Reliability Analysis) procedure, the algorithm to estimate the HEP and the ASEP HEP program to analyze human error in the plant were developed. If it is built in on-site, possible human error incident will be prevented and the systematic human error prevention strategy will be devised.

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

  • Im Wan-Hee
    • Journal of Korea Society of Industrial Information Systems
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    • v.9 no.4
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    • pp.56-67
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    • 2004
  • This study analyzes human error of workers performing simple repetitive tasks, and in order to prepare preventative measures, 486 people were used as subjects. The results of the study are like the following. First, the biggest cause of human error showed to be the worker himself in $77.8\%$ of the cases, machinery showed to be the cause in $16.3\%$ of the cases and management showed to be the cause in $6.0\%$ of the cases. The results show that most of the human error occurred due to the worker performing simple repetitive tasks and the human errors showed to be caused more by bad ergonomics and long hours rather than by problems with machinery. In addition, the area with the highest rate of human error showed to be the Human Information Processing System with Task Input Error being the highest with $46.9\%$, followed by Judgement and Memory Error with $36.4\%$ and Recognition Verification Error with $16.7\%$. Although fully automated tasks may reduce the rate of human error we must focus on lowering the rate of problems arising from spontaneous errors caused by workers performing simple repetitive tasks by continuously renewing plans and budgets in order to standardize tasks by incorporating cyclic positioning according to experience and positional exchange and by inspecting the workplace to increase efficiency of the workers.

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Effect of Voxel Size on the Accuracy of Landmark Identification in Cone-Beam Computed Tomography Images

  • Lee, Kyung-Min;Davami, Kamran;Hwang, Hyeon-Shik;Kang, Byung-Cheol
    • Journal of Korean Dental Science
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    • v.12 no.1
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    • pp.20-28
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    • 2019
  • Purpose: This study was performed to evaluate the effect of voxel size on the accuracy of landmark identification in cone-beam computed tomography (CBCT) images. Materials and Methods: CBCT images were obtained from 15 dry human skulls with two different voxel sizes; 0.39 mm and 0.10 mm. Three midline landmarks and eight bilateral landmarks were identified by 5 examiners and were recorded as three-dimensional coordinates. In order to compare the accuracy of landmark identification between large and small voxel size images, the difference between best estimate (average value of 5 examiners' measurements) and each examiner's value were calculated and compared between the two images. Result: Landmark identification errors showed a high variability according to the landmarks in case of large voxel size images. The small voxel size images showed small errors in all landmarks. The landmark identification errors were smaller for all landmarks in the small voxel size images than in the large voxel size images. Conclusion: The results of the present study indicate that landmark identification errors could be reduced by using smaller voxel size scan in CBCT images.

Human Reliability Analysis of Soft Control Operations in Nuclear Power Plants: Issues and Perspectives

  • Lee, Seung Jun;Jung, Wondea
    • Journal of the Ergonomics Society of Korea
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    • v.32 no.1
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    • pp.87-96
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    • 2013
  • Objective: The aim of this study is to describe several issues which should be considered in the human reliability analysis of soft control operations in nuclear power plants. Background: The operational environment of advanced main control rooms is totally different from that of conventional control rooms. The soft control is one of the major distinguishable features of the advanced main control rooms. The soft control operations should be analyzed to estimate the effects on human reliability. Method: The literatures, about task analysis, simulation data analysis, and a human reliability analysis method for the soft control, were reviewed. From the review, important issues for the human reliability analysis of the soft control were raised. Results: The results of task and simulation data analysis showed that the soft control characteristics could have large effect on human reliability and they should be considered in the human reliability analysis of the soft control operations. Conclusion: The soft control may affect human error and performance of operators. The issues described in this paper should be considered in the human reliability method for the advanced main control rooms. Application: The results of the soft control operation analysis might help to design more efficient interface and education/training program for preventing human errors. The described issues might help to develop a human reliability analysis method for soft control operations.

Human Error Analysis Technique and Its Application to Marine Accidents

  • Na, Seong;Kim, Hong-Tae;Kim, Hye-Jin;Ha, Wook-Hyun
    • Journal of Navigation and Port Research
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    • v.34 no.2
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    • pp.145-152
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    • 2010
  • The management of safety at sea is based on a set of internationally accepted regulations and codes, governing or guiding the design and operation of ships. The regulations most directly concerned with human safety and protection of the environment are, in general, agreed internationally through the International Maritime Organization(IMO). IMO has continuously dealt with safety problems and, recognized that the human element is a key factor in both safety and pollution prevention issues(IMO, 2010). This paper proposes a human error analysis methodology which is based on the human error taxonomy and theories (SHELL model, GEMS model and etc.) that were discussed in the IMO guidelines for the investigation of human factors in marine casualties and incidents. In this paper, a cognitive process model, a human error analysis technique and a marine accident causal chains focused on human factors are discussed, and towing vessel collision accidents are analyzed as a case study in order to examine the applicability of the human error analysis technique to marine accidents. Also human errors related to those towing vessel collision accidents and their underlying factors are discussed in detail.

A Review on the Field Activities for the Human Error Prevention in a Semiconductor Company (반도체 회사의 인적 오류 예방 활동 사례 및 검토)

  • Lee, Yong-Hee;Lee, Yong-Hee;Ruy, Jae-Seng
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.117-125
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    • 2011
  • While human error happens repeatedly in the semiconductor industry in Korea, which has brought a tremendous loss from manpower, welfare etc., there are limitations to human error prevention activities. When a semiconductor company introduces new machines and facilities from Japan or Germany, the companies often do not consider human factors in the design. Also, semiconductor companies are so occupied with promoting increased productivity, their attention to human errors has been pushed aside. Negative aspects of technical exchange associated with safety management are one aspect of the industry's nature. A semiconductor company recently began acknowledging on the back of TQM(Total Quality Management) that human error has a decisive effect on the safety. There are a number of uncontrollable and hard to handle event sets because the nature of these events with a human error may often be threatened or very intensive. It is strongly required that systemic studies should be performed to grasp the whole picture of a current situation for hazard factors. This study aims to examine the human error approach through the case of human error prevention field activities in a semiconductor industry compared with the activities and experience in nuclear power plants.