• Title/Summary/Keyword: Incident Investigation Report

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Suggestions for the Improvement of Aviation and Railway Accident Investigation Board in Korean (항공사고조사위원회의 업무개선에 대한 제언)

  • Han, KyoungKeun;Choi, YounChul
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.25 no.4
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    • pp.187-194
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    • 2017
  • ICAO Universal Safety Oversight Audit Programme is a comprehensive evaluation for aviation safety matters, including aircraft operation, licensing and aircraft incident/accident investigation. As this programme is measures aviation safety level of States, there is a need to meet international standards, especially in the field of aircraft incident/accident investigation. This research discusses points required to satisfy international standards, which are independence and autonomy of an accident investigation board, the lack of the enough number of investigators and efficient management of those personnel, the effective composition and use of an investigation report, an accident investigation itself to build big data and the creation of a cooperation system among States. This paper suggests various opinions in order to enhance aviation safety especially through aircraft accident investigations, using case studies from the US, UK and Japan.

A Design of the Social Disasters Safety Platform based on the Structured and Unstructured Data (정형/비정형 데이터 기반 사회재난 안전 플랫폼 설계)

  • Lee, Chang Yeol;Park, Gil Joo;Kim, Junggon;Kim, Taehwan
    • Journal of the Society of Disaster Information
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    • v.18 no.3
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    • pp.609-621
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    • 2022
  • Purpose: Natural Disaster has well formed framework more than social disaster, because natural disaster is controlled by one department, such as MOIS, but social disaster is distributed. This study is on the design of the integrated service platform for the social diaster data. and then, apply to the local governments. Method: Firstly, we design DB templates for the incident cases considering the incident investigation reports. For the risk management, life-damage oriented social disaster risk assessment is defined. In case of the real-time incident data from NDMS, AI system provides the prediction information in the life damage and the cause of the incident. Result: We design the structured and unstructured incident data management system, and design the integrated social disaster and safety incident management system. Conclusion: The integrated social disaster and safety incident management system may be used in the local governments

Study on Incident Report System and Safety Culture in Railway (철도에서의 인시던트 보고제도와 안전문화에 관한 연구)

  • Chung, Byung-Hyun
    • Journal of the Korean Society for Railway
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    • v.13 no.2
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    • pp.229-235
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    • 2010
  • Safety is an essential requirement for public transportation, especially for railway. Railway are more safety than other means of transportation, but railway accident that is mass transportation result catastrophic result if an accident occurred. Railway operators and government are many prior efforts to prevent accident, but it is impossible to eliminate accidents. Therefore, various measures to reduce accidents as possible, and they have taken, this paper will review incident report system and safety culture which are most important factors for preventing accident. In addition, incident reporting system and an independent accident investigation and accident prevention and safety systems would be needed to improve train operating companies and related agencies for the safety of the railway is a cultural ritual. Indeed, the settlement of avalid railway safety culture will most certainly prevent railway accidents. Therefore, in the railway company and the correct understanding of railway safety culture and against the settlement plan would be reviewed in this paper.

Development of Integrated Data Management Prototype System for Aviation Accident and Incident Investigation (국내 항공사고조사를 위한 항공사고 통합 데이터 관리시스템의 프로토 타입 개발)

  • Kim, Do-Hyun;Hong, Seung-Beom
    • Journal of Advanced Navigation Technology
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    • v.22 no.3
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    • pp.198-204
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    • 2018
  • In this paper, It proposed the development of integrated data management's prototype system for aviation accident and incident system. With the recent development of the aviation accident investigation equipment, accident investigation system should collect and manage the various types of jpg, avi, and wav data files. However, the ECCAIRS system does not have a separate database for managing the various generated data during the accident investigation. And the Korea aviation accident management system also has the same problem. Therefore, in this paper, we analyze the aviation accident report system of major foreign countries and prepare a method to apply it to the domestic environment. Through the prototype of the integrated data management system, we confirmed the performance through inputting the existing data and the recently investigated data. We will use this result as basic data for completion of final integrated data management system.

Digital Forensic Indicators of Compromise Format(DFIOC) and Its Application (디지털 포렌식 기반의 침해 지표 포맷 개발 및 활용 방안)

  • Lee, Min Wook;Yoon, Jong Seong;Lee, Sang Jin
    • KIPS Transactions on Computer and Communication Systems
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    • v.5 no.4
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    • pp.95-102
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    • 2016
  • Computer security incident such as confidential information leak and data destruction are constantly growing and it becomes threat to information in digital devices. To respond against the incident, digital forensic techniques are also developing to help digital incident investigation. With the development of digital forensic technology, a variety of forensic artifact has been developed to trace the behavior of users. Also, a diversity of forensic tool has been developed to extract information from forensic artifact. However, there is a issue that information from forensic tools has its own forms. To solve this problem, it needs to process data when it is output from forensic tools. Then it needs to compare and analyze processed data to identify how data is related each other and interpret the implications. To reach this, it calls for effective method to store and output data in the course of data processing. This paper aims to propose DFIOC (Digital Forensic Indicators Of Compromise) that is capable of transcribing a variety of forensic artifact information effectively during incident analysis and response. DFIOC, which is XML based format, provides "Evidence" to represent various forensic artifacts in the incident investigation. Furthermore, It provides "Forensic Analysis" to report forensic analysis result and also gives "Indicator" to investigate the trace of incidence quickly. By logging data into one sheet in DFIOC format for forensic analysis process, it is capable of avoiding unnecessary data processing. Lastly, since collected information is recorded in a normalized format, data input and output becomes much easier as well as it will be convenient to use for identification of collected information and analysis of data relationship.

A Study on the Improvement of National Marine Pollution Response Policy based on the Analysis of Gulf of Mexico Oil Spill Incident (미국 멕시코만 오염사고 분석을 통한 국가방제정책 개선방안 연구)

  • Kim, Sang-Woon;Lim, Chang-Soo;Lee, Wan-Sub;Ha, Chang-Woo
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.17 no.3
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    • pp.257-264
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    • 2011
  • On April 20, 2010, semi-submersible offshore drilling unit Deepwater Horizon was exploded and sank, and 4.9 million barrels(about 778 thousand tons) of crude oil was spilled into the Gulf of Mexico. As more than one year has been passed since the incident, a lot of investigation reports and lessons learned have been made public and also a lot more will be released soon. This paper studies the final report of the National Commission on "the BP Deepwater Horizon Oil Spill and Offshore Drilling", which was organized by the executive directive of U.S. President Barack Obama, and the interim report of Joint Investigation team of U.S. Coast Guard and BOEMRE of "Report of Investigation into the Circumstances Surrounding the Explosion, Fire, Sinking and Loss of Eleven Members Aboard the Mobile Offshore Drilling Unit Deepwater Horizon". The review is focused on the response to the oil spill. And the paper suggests how to improve national marine pollution response policy. In the paper, the Korean governments is suggested to reinforce the capability for instructing and supervising the responsible party's source control measures, to review how to introduce in-situ burning and vessel of opportunity program into our country, and to continue monitoring on the progress of developments of R&D projects related to oil spill response in the U.S..

Classification and Analysis of Human Error Accidents of Helicopter Pilots in Korea (국내 헬리콥터 조종사 인적오류 사고 분류 및 분석)

  • Yu, TaeJung;Kwon, YoungGuk;Song, Byeong-Heum
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.28 no.4
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    • pp.21-31
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    • 2020
  • There are two to three helicopter accidents every year in Korea, representing 5.7 deaths per 100,000 flights. In this study, an analysis was conducted on helicopter accidents that occurred in Korea from 2005 to 2017. The accident analysis was based on the aircraft accident and incident report published by the Aircraft and Railway Accident Investigation Board. This Research analyzed the characteristics of accidents occurring in Korea caused by human error by pilots. Accident analysis was done by classifying the organization, flight mission, aircraft class, flight stage, accident cause, etc. Pilot's huan error was classified as Skill-based error, decision error and perceptual error in accordance with the HFACS taxonomy. The accidents caused by pilot's human error were classified into five categories: powerlines collision, loss of control, fuel exhaustion, unstable approach to reservoir, and elimination of tail rotor.

Applicable Focal Points of HFACS to Investigate Domestic Civil Unmanned Aerial Vehicle Accidents (국내 민간 무인항공기 사고조사 HFACS 적용중점)

  • Lee, Keon-Hee;Kim, Hyeon-Deok
    • Journal of Advanced Navigation Technology
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    • v.25 no.3
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    • pp.256-266
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    • 2021
  • Domestic and foreign studies point to human factors as the main cause of unmanned aerial vehicle accidents, and HFACS is introduced as a technique to effectively analyze these human factors. Until now, domestic and foreign cases of analyzing the human factors of unmanned aerial vehicle accidents using HFACS were mainly targeted by military unmanned aerial vehicles, which can be used as an objective cause identification and similar accident prevention tool. In particular, identifying the focus of HFACS application considering the performance and operation conditions of domestic civilian unmanned aerial vehicles is expected to greatly help identify the cause and prevent recurrence in the event of an accident. Based on HFACS version 7.0, this study analyzed the accident investigation report data conducted by Korea Aviation and Railway Accident Investigation Board to identify the focus of HFACS application that can be used for domestic civilian unmanned aircraft accident investigations.

A Study on the Analysis and Classification of Types and Causes of Railway Accidents (철도사고 위험분류 및 원인분석에 관한 연구)

  • Park Chan-Woo;Park Joo-Nam;Wang Jong-Bae;Cho Yun-ok
    • Proceedings of the KSR Conference
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    • 2005.11a
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    • pp.599-604
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    • 2005
  • As a public transportation possible to convey a large quantity, the railway is safe and keeps time, but it has hazards to cause a disaster if the accidents such as collision, derailment, and fire occur. So advanced countries carry out System Safety Plan with various program activities which have connected orders to maintain or improve safety level by finding hazards, evaluation, taking measures and practice, and improving problems. Especially they systematically manage hazards to cause railway accidents and the factors which possibly threat safety, using national classification of risk and causes with analysis of the related data such as establishing accident/incident data and safety regulations/standards. As executing railway safety regulations, domestic railway is currently trying to improve railway safety management system. The research of classification system of accidents/incidents is one thing to make railway safety management systems better. In this research, we reviewed hazardous factors of railway systems and classification of the causes as the beginning of system safety management, and we conducted study on development of railway accident classification based on findings of this research. The results are able to be used in identifying hazards and activities of systemic safety management at the step of railway accident report and investigation.

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Cheonan Patrol Combat Corvette Sinking and Media Control: A Production Study on Investigative Programs (천안함 침몰 사건과 미디어 통제: 탐사보도 프로그램 생산자 연구)

  • Kim, Sang-Gyoon;Han, Hee Jeong
    • Korean journal of communication and information
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    • v.66
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    • pp.242-272
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    • 2014
  • This study examines why follow-up investigative programs about the sinking of the Cheonan Patrol Combat Corvette(ROKS Cheonan) have not been produced, despite much speculation surrounding the cause of the sinking since November 2010, when KBS investigative program, In-Depth 60 Minutes which had covered the incident was aired. We have uncovered four reasons through a series of in-depth interviews with producers and reporters, as follows. First, Korean military authorities monopolized relevant information, while the producers could not prove or confirm the validity of the findings of the JIG(Joint Civilian-Military Investigation Group)'s report because the facts had been revealed partially and selectively by the authorities and the press' scientific investigation were rejected by the authorities. Second, the crew of In-Depth 60 Minutes was subjected to severe disciplinary action by the Korea Communications Commission. This caused a chilling effect, - it broke the producers' resolve to further explore the reason behind the sinking. Furthermore, the screening of the investigative documentary, Project Cheonan Ship was cancelled without prior notice, presumably by the power of the State and markets. Third, the reorganization and shake-up of personnel by broadcasting stations' presidents appointed by the power of the State crushed the spirit of PD Journalism. Finally, the "red purge" factions stigmatized by the political or military, or the mainstream press, caused the producers or broadcasters to engage in self-censorship. The idea has been used in Korea as a smoke screen to deflect public attention. Nevertheless, the producers hope to shed light on the Cheonan sinking incident and to prove reasonable doubts by pursuing follow-up investigations.

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