• Title/Summary/Keyword: Human-Error

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A Review on ISO Standards Applicable for a Human Error Tolerant Control Center Design (제어실의 인적오류 예방에 적용 가능한 ISO 표준 검토)

  • Lee, Dhong-Ha
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.161-168
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    • 2011
  • Objective: The aim of this study is to review the ISO(the International Organization for Standardization) standards recommendations on a human error tolerant control room design. Background: ISO TC(Technical Committee) 159 published a variety of international standards on design of mental and physical work, design of displays and controls, and workstation layout design. A proper edition of these standards can be a good resource for a human error tolerant control center design guidelines. Method: Recommendations of ISO TC 159 standards were grouped into arrangement of control suite, layout of control room, layout and dimensions of workstations, design of displays and controls, environmental design, alarm, automation, management system design, procedure and training. Results: It was found that some standards on the design of supervisory control and data acquisition(SCADA), alarm, automation, layout, workload management, and environment can be used for human error prevention guidelines in the control center design. Conclusion: ISO TC 159 standards were not sufficient to cover all the ergonomics area of control center design. Application: Designers can have technical aids from these ISO standards to improve ergonomic performance of their control center.

A Study on the Comparative Survey and Improvement of Human Error Risk Factors in Urban Railway Driver (도시철도 기관사의 인적오류 위험 비교조사 및 개선방안 연구)

  • Kim, D.W.;Lee, H.S.
    • Journal of The Korean Society For Urban Railway
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    • v.6 no.4
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    • pp.259-268
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    • 2018
  • To reduce conducted a survey on human error risk factors and related experience frequency to drivers of Seoulmetro and Korail. The human error arising from systems operating urban railway aimed at eliminating and reducing the fundamental causes of urban rail accidents is based on research from a factorial point of view, since it contains problems dealing with the types and situations of accident generation. It is required to contribute to reducing human error so that urban railway accidents may be reduced and safe operation will be continuedly seared.

A Study on the Safety and Management Plan of Aviation Maintenance due to Human Error (인적오류에 의한 항공정비의 안전과 관리방안에 관한 연구)

  • Park, Se-Jong;Jeon, Eon-Chan
    • Journal of the Korean Society of Manufacturing Process Engineers
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    • v.19 no.10
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    • pp.68-73
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    • 2020
  • The proportion of airline accidents caused by human factors is steadily increasing. The aviation industry has made considerable progress in reducing the accident rate; however, since the early 1980s, the accident rate has remained constant. Due to airspace congestion, the safety margins of these existing safety promotion methods are gradually decreasing; thus, new methods to prevent accidents and quasi-accidents must be devised. Causative factors of aviation accidents include increased air traffic due to increased air demand, increased cumulative working hours due to long-distance flights, and complicated flight environments. Accidents often occur when several small errors accumulate in the normal course of operation, rather than after a single error. Accordingly, in this study, the impacts on air navigation due to human error by aviation maintenance personnel and varying international standards (i.e., KOCA vs. F.A.A vs. EASA) analyzed, and the relationship between human decision-making and behavior was investigated. The resulting safety analysis and alternatives were presented to prevent aviation maintenance accidents and cognitive ergonomics errors.

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

  • 김두환
    • Journal of the Korean Professional Engineers Association
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    • v.34 no.3
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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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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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Circuit Improvement of 345kV Bus bar protection panel for Human Error Prevention in the event of Field Test (전력설비 시험시 인적실수 방지를 위한 345kV 모선보호 배전반 회로개선)

  • Kim, In-Sup;Lee, Jong-Seok;Jung, Si-Hwan;Kang, Dae-Eon;Seung, Jae-Hyeun
    • Proceedings of the KIEE Conference
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    • 2007.07a
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    • pp.675-676
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    • 2007
  • This Paper presents circuit improvement of 345kV Bus bar protection panel by using VDD (Voltage disturbance detection) relay with distinctive ability between human error in the field test and real facility faults. Therefore, We expect that this improvement of circuit helps decrease of blackout coming from human error. In order to guarantee electric power system reliability, consistent study of human error prevention in the event of field test is necessarily required

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A New Dynamic HRA Method and Its Application

  • Jae, Moosung
    • International Journal of Reliability and Applications
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    • v.2 no.1
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    • pp.37-48
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    • 2001
  • This paper presents a new dynamic human reliability analysis method and its application for quantifying the human error probabilities in implementing management action. For comparisons of current HRA methods with the new method, the characteristics of THERP, HCR, and SLIM-MAUD, which are most frequency used method in PSAs, are discussed. The action associated with implementation of the cavity flooding during a station blackout sequence is considered for its application. This method is based on the concepts of the quantified correlation between the performance requirement and performance achievement. The MAAP 3.0B code and Latin Hypercube sampling technique are used to determine the uncertainty of the performance achievement parameter. Meanwhile, the value of the performance requirement parameter is obtained from interviews. Based on these stochastic obtained, human error probabilities are calculated with respect to the various means and variances of the things. It is shown that this method is very flexible in that it can be applied to any kind of the operator actions, including the actions associated with the implementation of accident management strategies.

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A novel qEEG measure of teamwork for human error analysis: An EEG hyperscanning study

  • Cha, Kab-Mun;Lee, Hyun-Chul
    • Nuclear Engineering and Technology
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    • v.51 no.3
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    • pp.683-691
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    • 2019
  • In this paper, we propose a novel method to quantify the neural synchronization between subjects in the collaborative process through electroencephalogram (EEG) hyperscanning. We hypothesized that the neural synchronization in EEGs will increase when the communication of the operators is smooth and the teamwork is better. We quantified the EEG signal for multiple subjects using a representative EEG quantification method, and studied the changes in brain activity occurring during collaboration. The proposed method quantifies neural synchronization between subjects through bispectral analysis. We found that phase synchronization between EEGs of multi subjects increased significantly during the periods of collaborative work. Traditional methods for a human error analysis used a retrospective analysis, and most of them were analyzed for an unspecified majority. However, the proposed method is able to perform the real-time monitoring of human error and can directly analyze and evaluate specific groups.

New paradigm of common cause human behavior error domain in human-software interation

  • Park, P.;Lee, K.S.
    • Proceedings of the ESK Conference
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    • 1992.10a
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    • pp.84-89
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    • 1992
  • This study is to develop a cognitive paradigm including a new model of common cause human behavior error domain and to analyze their causal factors and their properties of common cause huamn error characteristics in software engineering.l A laboratory study was performed to analyze the common causes of human behavior domain error in software develoment and to indentify software design factors contributing to the common cause effects in common cause failure redundancy. The results and analytical paradigm developed in this resuarch can be applied to reliability improvement and cost reduction in software development for many applications. Results are also expected to provide training guideliness for software engineers and for more effective design of ultra-high reliabile software packages.

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A Framework for the Support of Predictive Cognitive Error Analysis of Emergency Tasks in Nuclear Power Plants (원자력발전소 비상운전시의 운전원 인지오류 예측 지원체계의 개발)

  • 김재환;정원대
    • Journal of the Korean Society of Safety
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    • v.16 no.3
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    • pp.117-124
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    • 2001
  • This paper introduces m analysis framework and procedure for the support of the cognitive error analysis of emergency tasks in nuclear poler plants. The framework provides a new perspective in the utilization of influencing factors into error prediction. The framework can be characterized by two features. First, influencing factors that affect the occurrence of human error me classified into three groups, i.e., task characteristic factors(TCF), situation factors(SF), and performance assisting factors(PAF). This classification aims to support error prediction from the viewpoint of assessing the adequacy of PAF under given TCF and SF. Second, the assessment of influencing factors is made by each cognitive function. Through this, influencing factors assessment and error prediction can be made in an integrative way according to each cognitive function. In addition, it helps analysts identify vulnerable cognitive functions and error factors, and obtain specific nor reduction strategies. The proposed framework was applied to the error analysis of the bleed and feed operation of nuclear emergency tasks.

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