• Title/Summary/Keyword: Human-Error and Human -Error Control

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A Study on the Practical Means to Prevent Collision at Sea - Through risk management theory -

  • Lee, Ok-Yong;Grewal, Devinder;Cahoon, Stephen
    • Journal of Navigation and Port Research
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    • v.31 no.4
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    • pp.295-307
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    • 2007
  • The statistics of Korean Maritime Safety Tribunal and Japan Marine Accidents Inquiry Agency shows that the major muses of collision at sea are Improper lookout and Non-compliance with marine traffic rules. Those two muses are occupying more than 70% of collision, and it's clear that those muses are undoubtedly closely related to simple human error. In this paper we tried to find out the root muses of this kind of human error of OOWs(officers on watch) through risk identification method and studied how to tackle them via risk control theory. In conclusion, the measures studied in this paper could be applied to help OOWs avoid their own human error as well as be used in shipping company for their fleets' safety management.

SENSITIVITY ANALYSIS IN FUZZY RELIABILITY ANALYSISA

  • Onisawa, Takehisa
    • 제어로봇시스템학회:학술대회논문집
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    • 1988.10b
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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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Research Activities and Techniques for the Prevention of Human Errors during the Operation of Nuclear Power Plants (가동 중 원자력발전소의 인적 오류 예방 기술 개발)

  • Lee, Yong-Hee;Jang, Tong-Il;Lee, Yong-Hee;Oh, Yeon-Ju;Kang, Seok-Ho;Yun, Jong-Hun
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.1
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    • pp.75-86
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    • 2011
  • This paper describes several current research activities and the field techniques for the prevention of human errors during the operation of nuclear power plants(NPPs). The human aspects such as 'fitness for the duties', 'job competence and suitability', 'types of communication', 'behaviors of field workers', 'teamwork of main control room crews', 'task procedures', etc. have been investigated for improving the performance of operating personnel in NPPs. We decide to develop a set of the complementary techniques for the reduction of human errors. The set of techniques developed includes teamwork criteria, jobs fitness analysis, procedure enhancement guide, 3-way communication, campaign posters, a behavior based safety program, a procedure guideline, and a task hazard identification method for the field practitioners in NPPs. These can offer a set of significant human error countermeasures to be considered for analyzing and reducing human error in NPPs as well as other fields of industry.

Inter-relationships between performance shaping factors for human reliability analysis of nuclear power plants

  • Park, Jooyoung;Jung, Wondea;Kim, Jonghyun
    • Nuclear Engineering and Technology
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    • v.52 no.1
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    • pp.87-100
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    • 2020
  • Performance shaping factors (PSFs) in a human reliability analysis (HRA) are one that may influence human performance in a task. Most currently applicable HRA methods for nuclear power plants (NPPs) use PSFs to highlight human error contributors and to adjust basic human error probabilities (HEPs) that assume nominal conditions of NPPs. Thus far, the effects of PSFs have been treated independently. However, many studies in the fields of psychology and human factors revealed that there may be relationships between PSFs. Therefore, the inter-relationships between PSFs need to be studied to better reflect their effects on operator errors. This study investigates these inter-relationships using two data sources and also suggests a context-based approach to treat the inter-relationships between PSFs. Correlation and factor analyses are performed to investigate the relationship between PSFs. The data sources are event reports of unexpected reactor trips in Korea and an experiment conducted in a simulator featuring a digital control room. Thereafter, context-based approaches based on the result of factor analysis are suggested and the feasibility of the grouped PSFs being treated as a new factor to estimate HEPs is examined using the experimental data.

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.

Implementation of an Operator Model with Error Mechanisms for Nuclear Power Plant Control Room Operation

  • Suh, Sang-Moon;Cheon, Se-Woo;Lee, Yong-Hee;Lee, Jung-Woon;Park, Young-Taek
    • Proceedings of the Korean Nuclear Society Conference
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    • 1996.05a
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    • pp.349-354
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    • 1996
  • SACOM(Simulation Analyser with Cognitive Operator Model) is being developed at Korea Atomic Energy Research Institute to simulate human operator's cognitive characteristics during the emergency situations of nuclear power plans. An operator model with error mechanisms has been developed and combined into SACOM to simulate human operator's cognitive information process based on the Rasmussen's decision ladder model. The operational logic for five different cognitive activities (Agents), operator's attentional control (Controller), short-term memory (Blackboard), and long-term memory (Knowledge Base) have been developed and implemented on blackboard architecture. A trial simulation with a scenario for emergency operation has been performed to verify the operational logic. It was found that the operator model with error mechanisms is suitable for the simulation of operator's cognitive behavior in emergency situation.

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A Study on FSA Application for Human Errors of Dynamic Positioning Vessels Incidents

  • Chae, Chong-Ju
    • Journal of Navigation and Port Research
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    • v.41 no.5
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    • pp.259-268
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    • 2017
  • Formal Safety Assessment (FSA) has been mostly implemented on the hardware aspects of vessels. Although there are guidelines regarding human error FSAs, there have not been many assessments in such areas. To this end, this study seeks to use precedent studies for the safe operation of DP vessels, conducting an FSA regarding human error of DP LOP (Loss of Position) incidents. For this, the study referred to precedent studies for the frequency of DP LOP incidents caused by human errors, adding the severity of LOP incidents, and then applying them to the Bayesian network. As a result, the study was able to confirm that among DP LOP incidents caused by human errors, the drive-off from skill-based errors was 74.3% and the drive-off from unsafe supervision was 50.5%. Based on such results, RCOs (Risk Control Options) were devised through a brainstorming session with experts coming up with proposals including providing mandatory DPO training, installing DP simulator on the vessels, drawing up measures to understanding the procedures for safe operation of DP vessels. Moreover, it was found that mandatory DPO training is reasonable in terms of cost benefits and that while installing a DP simulator is not suitable in terms of cost benefits, it can significantly reduce risks when operating DP vessels.

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.

A study on an error recovery expert system as a part of man-robot system (Man-robot system의 일환으로서 에러회복 전문가시스템에 관한 연구)

  • 이순요;김창대
    • 제어로봇시스템학회:학술대회논문집
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    • 1988.10a
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    • pp.518-523
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    • 1988
  • A Teaching and Operating Expert System (TOES) was designed in order to perform a task effectively which is inaccessible to man. Once an error occurs in the middle of the task operation, the automatic mode is converted into a manual mode. After recovering the error by the manual mode, the manual mode should be converted into the automatic mode. It was necessary to improve the manual mode in order to increase the availability of a man-robot system, a part of the human interface technique. Therefore, the Error Recovery Expert System must be constructed and developed.

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Input Shaping Design for Human Control System (휴먼 제어시스템의 입력형성기 설계)

  • Lee, Seok-Jae;Lyou, Joon
    • Proceedings of the KIEE Conference
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    • 2006.04a
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    • pp.54-56
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    • 2006
  • To get the robust and reliable input command, we designed shaping function for target tracking system with commander's handle. Input signals of the commander's handle are generated by human operator. It is response of the human to reduce the error between target and gun. But, tracking error while operator aim a moving target manually gives poor system performance. Input noise, particularly, affects hit accuracy as the system performance. We proposed the design method of input command shaping to reduce the Input noise and to improve the operation ability and convenience. We performed the experiments with combat vehicle, example of Target Tracking System, to show the proposed method is efficient and practical.

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