• 한국CDE학회논문집
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• 제18권4호
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• pp.250-257
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• 2013

This paper introduces a failure analysis procedure that underpins real-time fault prognosis. In the previous study, we developed a systematic eventization procedure which makes it possible to reduce the original data size into a manageable one in the form of event logs and eventually to extract failure patterns efficiently from the reduced data. Failure patterns are then extracted in the form of event sequences by sequence-mining algorithms, (e.g. FP-Tree algorithm). Extracted patterns are stored in a failure pattern library, and eventually, we use the stored failure pattern information to predict potential failures. The two practical case studies (marine diesel engine and SIRIUS-II car engine) provide empirical support for the performance of the proposed failure analysis procedure. This procedure can be easily extended for wide application fields of failure analysis such as vehicle and machine diagnostics. Furthermore, it can be applied to human health monitoring & prognosis, so that human body signals could be efficiently analyzed.

• Nuclear Engineering and Technology
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• 제54권1호
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• pp.110-116
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• 2022

Human failure event (HFE) dependency analysis is a part of human reliability analysis (HRA). For efficient HFE dependency analysis, a maximum number of minimal cut sets (MCSs) that have HFE combinations are generated from the fault trees for the probabilistic safety assessment (PSA) of nuclear power plants (NPPs). After collecting potential HFE combinations, dependency levels of subsequent HFEs on the preceding HFEs in each MCS are analyzed and assigned as conditional probabilities. Then, HFE recovery is performed to reflect these conditional probabilities in MCSs by modifying MCSs. Inappropriate HFE dependency analysis and HFE recovery might lead to an inaccurate core damage frequency (CDF). Using the above process, HFE recovery is performed on MCSs that are generated with a non-zero truncation limit, where many MCSs that have HFE combinations are truncated. As a result, the resultant CDF might be underestimated. In this paper, a new method is suggested to incorporate HFE recovery into the MCS generation stage. Compared to the current approach with a separate HFE recovery after MCS generation, this new method can (1) reduce the total time and burden for MCS generation and HFE recovery, (2) prevent the truncation of MCSs that have dependent HFEs, and (3) avoid CDF underestimation. This new method is a simple but very effective means of performing MCS generation and HFE recovery simultaneously and improving CDF accuracy. The effectiveness and strength of the new method are clearly demonstrated and discussed with fault trees and HFE combinations that have joint probabilities.

• 한국CDE학회논문집
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• 제17권2호
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• pp.97-110
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• 2012

High performance sensors and modern data logging technology with real-time telemetry facilitate system fault diagnosis in a very precise manner. Fault detection, isolation and identification in fault diagnosis systems are typical steps to analyze the root cause of failures. This systematic failure analysis provides not only useful clues to rectify the abnormal behaviors of a system, but also key information to redesign the current system for retrofit. The main barriers to effective failure analysis are: (i) the gathered data (event) logs are too large in general, and further (ii) they usually contain noise and redundant data that make precise analysis difficult. This paper therefore applies suitable pre-processing techniques to data reduction and feature extraction, and then converts the reduced data log into a new format of event sequence information. Finally the event sequence information is decoded to investigate the correlation between specific event patterns and various system faults. The efficiency of the developed pre-filtering procedure is examined with a terminal box data log of a marine diesel engine.

• Nuclear Engineering and Technology
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• 제55권1호
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• pp.119-130
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• 2023

Among the various elements of probabilistic safety assessment (PSA), human failure events (HFEs) and their dependencies are major contributors to the quantification of risk of a nuclear power plant. Currently, the dependency among HFEs is reflected using a post-processing method in PSA, wherein several drawbacks, such as limited propagation of minimal cutsets through the fault tree and improper truncation of minimal cutsets exist. In this paper, we propose a method to model the HFE dependency directly in a fault tree using the if-then-else logic. The proposed method proved to be equivalent to the conventional post-processing method while addressing the drawbacks of the latter. We also developed a software tool to facilitate the implementation of the proposed method considering the need for modeling the dependency between multiple HFEs. We applied the proposed method to a specific case to demonstrate the drawbacks of the conventional post-processing method and the advantages of the proposed method. When applied appropriately under specific conditions, the direct fault-tree modeling of HFE dependency enhances the accuracy of the risk quantification and facilitates the analysis of minimal cutsets.

• Nuclear Engineering and Technology
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• 제51권3호
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• pp.709-718
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• 2019

The international nuclear industry has undergone a lot of changes since the Fukushima, Chernobyl and TMI nuclear power plant accidents. However, there are still large and small component deficiencies at nuclear power plants in the world. There are many causes of electrical equipment defects. There are also factors that cause component failures due to human errors. This paper analyzed the root causes of failure and types of human error in 300 cases of electrical component failures. We analyzed the operating experience of electrical components by methods of root causes in K-HPES (Korean-version of Human Performance Enhancement System) and by methods of human error types in HuRAM+ (Human error-Related event root cause Analysis Method Plus). As a result of analysis, the most electrical component failures appeared as circuit breakers and emergency generators. The major causes of failure showed deterioration and contact failure of electrical components by human error of operations management. The causes of direct failure were due to aged components. Types of human error affecting the causes of electrical equipment failure are as follows. The human error type group I showed that errors of commission (EOC) were 97%, the human error type group II showed that slip/lapse errors were 74%, and the human error type group III showed that latent errors were 95%. This paper is meaningful in that we have approached the causes of electrical equipment failures from a comprehensive human error perspective and found a countermeasure against the root cause. This study will help human performance enhancement in nuclear power plants. However, this paper has done a lot of research on improving human performance in the maintenance field rather than in the design and construction stages. In the future, continuous research on types of human error and prevention measures in the design and construction sector will be required.

• 한국안전학회지
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• 제38권6호
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• pp.72-78
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• 2023

The purpose of this paper is to derive a quantified approach for Operator Manual Actions (OMAs) based on the existing fire Human Reliability Analysis (HRA) methodology developed by the Korea Atomic Energy Research Institute (KAERI). The existing fire HRA method was reviewed, and supplementary considerations for OMA quantification were established through a comparative analysis with NUREG-1852 criteria and the review of the existing literature. The OMA quantification approach involves a timeline that considers the occurrence of Multiple Spurious Operations (MSOs) during a Main Control Room Abandonment (MCRA) determination and movement towards the Remote Shutdown Panel (RSP) in the event of a Main Control Room (MCR) fire. The derived failure probability of an OMA from the approach proposed in this paper is expected to enhance the understanding of its reliability. Therefore, it allows moving beyond the deterministic classification of "reliable" or "unreliable" in NUREG-1852. Also, in the event of a nuclear power plant fire where multiple OMAs are required within a critical time range, it is anticipated that the OMA failure probability could serve as a criterion for prioritizing OMAs and determining their order of importance.

• International Journal of Control, Automation, and Systems
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• 제4권1호
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• pp.105-112
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• 2006

The main function of a reactor protection system is to maintain the reactor core integrity and the reactor coolant system pressure boundary. Generally, the reactor protection system adopts the 2-out-of-m redundant architecture to assure a reliable operation. This paper describes the safety assessment of a digital reactor protection system using the fault tree analysis technique. The fault tree technique can be expressed in terms of combinations of the basic event failures such as the random hardware failures, common cause failures, operator errors, and the fault tolerance mechanisms implemented in the reactor protection system. In this paper, a prediction method of the hardware failure rate is suggested for a digital reactor protection system, and applied to the reactor protection system being developed in Korea to identify design weak points from a safety point of view.

• Applied Biological Chemistry
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• 제50권4호
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• pp.245-252
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• 2007

FTA(fault tree analysis)는 system 오류 관리를 위한 정성적/정량적 기법으로 적용되고 있다. FTA를 적용한 PCR의 오류 관리 system의 구축을 위한 시범적 단계로서 PCR 실행의 여러 단계 중 가장 간단한 단계인 '반응액의 제조 및 PCR 기기 사용 단계'를 모델로 하여 분석하였다. PCR 실행시 발생할 수 있는 오류를 연역적 논리 방식에 의해 fault tree의 형태로 규명하였다. Fault tree는 오류 관리의 최상위 요소인 top event를 중심으로 중간 계층을 이루는 intermediate events와 최하위의 요소인 basic events로 세분하여 구성하였다. Top event는 '반응액의 제조 및 PCR 기기 사용 단계에서의 오류'; 중간계층 events는 '기기 유래 오류', '실험행위 유래 오류'; basic events는 '정전상황', 'PCR 기기 선정', '기기 사용 관리', '기기 내구성', '조작의 오류', '시료 구분의 오류'로 분석되었다. 이로부터 top event의 원인 분석 및 중요 관리점을 도출하기 위하여 정성적/정량적 분석을 실시하였다. 정성적 기법으로 minimal cut sets, structural importance, common cause vulnerability를 분석하였고, 정량적 기법으로 simulation, cut set importance, item importance, sensitivity를 분석하였다. 정성적 분석과 정량적 분석의 결과에서 '시료 구분의 오류'와 '기기 조작의 오류'가 제 1중요관리점; '기기 관리의 오류'와 '내구성에 의한 오류'는 제 2중요관리점으로 일치되게 나타났다. 그러나 '정전상황'과 '기기 선정의 오류'는 정성적 분석에서만 중요관리점으로 분석되었다. 특히 sensitivity 분석에서 '기기 관리의 오류'는 사용 시간이 경과함에 따라 가장 중요한 관리점으로 부각되었다. 결론적으로 FTA는 PCR 모델 case에 대한 오류의 원인 분석 및 그 방지를 위한 중요관리점을 제시함에 따라, 궁극적으로 미래에 PCR의 오류 관리 system을 완성할 수 있는 효과적인 방법으로 사료된다.

• 대한인간공학회지
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• 제22권1호
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• pp.31-42
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• 2003

This study describes a modification of the technique for human error analysis in nuclear power plants (NPPs) which adopts advanced Man-Machine Interface (MMI) features based on computerized working environment, such as LCOs. Flat Panels. Large Wall Board, and computerized procedures. Firstly, the state of the art on human error analysis methods and efforts were briefly reviewed. Human error analysis method applied to NPP design has been THERP and ASEP mainly utilizing Swain's HRA handbook, which has not been facilitated enough to put the varied characteristics of MMI into HRA process. The basic concepts on human errors and the system safety approach were revisited, and adopted the process of FMEA with the new definition of Error Segment (ESJ. A modified human error analysis process was suggested. Then, the suggested method was applied to the failure of manual pump actuation through LCD touch screen in loss of feed water event in order to verify the applicability of the proposed method in practices. The example showed that the method become more facilitated to consider the concerns of the introduction of advanced MMI devices, and to integrate human error analysis process not only into HRA/PRA but also into the MMI and interface design. Finally, the possible extensions and further efforts required to obtain the applicability of the suggested method were discussed.

• 산업경영시스템학회지
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• 제17권32호
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• pp.243-253
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• 1994

Work environments have been changed with the advent of new technologies, such as computer technology. The newer technologies, the more changes in our work conditions. However, human cognitive limits can't keep up with the change of work environments. Mental workload has been an important factors in designing modem work environments such as human-computer interaction. Designing man-machine systems requires knowledge and evaluation of the human cognitive processes which control information flow workload. Futhermore, under an urgent situation, human operator may suffer the work stress, work error, and resultant deleterious work performance. To describe the work performance in the urgent work situations, with time stress and dynamic event occurence, a new concept of information density was introduced. For a series of experiments performed for this study, three independent variables(information amount system processing time, information density) were evaluated using such dependent variables as reaction time, number of error, and number of failure. The results of statistical anlysiss indicate that the amount of information effected on all of five dependent measure. Number of failure and number of secondary task score were effected by both amount of information and operational speed of system, but reaction time of secondary task were effected by both amount of information and information density.