• 수산해양교육연구
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• 제25권3호
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• pp.716-723
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• 2013

The postal or group questionnaire survey was conducted to inquire into the cause of collision between fishing vessel and non-fishing vessel targeting fishing vessel personnel(FVP), non-NFVP and a person involved in a marine accident. As a result, we could verify the root cause of collision, a negligence of lookout which noted overwork for FVP and careless for non-FVP. The cause of collision by inappropriate avoid action was poor communications for FVP and non-FVP. To reduce collision, we need to be trained to take a sharp lookout, a radio communication by VHF and the collision avoidance actions by early and substantial action to keep well clear. The results are expected to contribute for the reduction of collision and victims.

• 대한안전경영과학회지
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• 제15권1호
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• pp.101-108
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• 2013

Industrial disaster caused the deaths of 2,114, construction workers among them was the highest of 621 deaths. In the construction industry, has established a number of safety alternatives to prevent accidents. But until now, the cause of the accident has stopped being superficial analysis, awareness on the root cause of the acciden did not reflect. In this study, we analyze the characteristics and causes in G contractors' safety accidents. And innovation strategy, organization-wide safety management system and detailed tasks to derive essentially was to prevent the occurrence of large construction companies. A lot of business for accident prevention effect was transient and formal, to reflect a management style and organizational culture, and try to prevent construction accidents. we will strive to prevent the disaster from the construction site through the improvement of these.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2005년도 춘계학술대회논문집
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• pp.794-799
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• 2005

The failure of blades frequently happened in the 300MW LP turbine until now and they are maintaining the blades periodically during outage. So the blade-disk system is analysed by FEM in order to identify the main cause of failure of blade row. It is found that the stress of root's hole is highest in comparison with other parts from the result of the steady stress analysis. Also, the two dangerous frequencies which is related to the resonance condition are found in the interference diagram. one is 1,516 Hz which is related to the operating speed. The other is 2,981 Hz which is related to the 1 nozzle passing frequency. The dynamic stress analysis is per-formed to identify more accurate root cause for failure of blade row. It is confirmed that the dynamic stress of the latter is higher than one of the former. From these results, it is concluded that the former has deeply something to do with the failure of blades more than the latter. Based on versatile investigation and deliberation, the change of blade's grouping is determined to avoid the resonance condition with the operating speed. After the blade grouping is changed, the former frequency vanish completely but the latter is still in existence in the interference diagram. Fortunately, It is confirmed that the dynamic stress of the new blade grouping is lower than one of the old blade grouping. 2 years has passed since modification and the LP turbine is operated well without failure so far.

• 한국소음진동공학회논문집
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• 제15권9호
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• pp.1100-1107
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• 2005

The failure of blades frequently happened in the 300 MW LP(low pressure) turbine until now and they are maintaining the blades periodically during outage. So the blade-disk system is analysed by FEM in order to identify the main cause of failure of blade row. It is found that the stress of root's hole is highest in comparison with other parts from the result of the steady stress analysis. Also, the two dangerous frequencies which is related to the resonance condition are found in the interference diagram. One is 1,316 Hz. The other is 2,981 Hz which is related to the 1 nozzle passing frequency. The dynamic stress analysis is performed to identify more accurate root cause for failure of blade row It is confirmed that the dynamic stress of the former is higher than one of the latter From these results, it is concluded that the former has deeply something to do with the failure of blades more than the tatter. Based on versatile investigation and deliberation, the change of blade's grouping is determined to avoid the resonance condition with the operating speed. After the blade grouping is changed, the former frequency vanish completely but the latter is still in existence in the interference diagram. Fortunately, It is confirmed that the dynamic stress of the new blade grouping is lower than one of the old blade grouping. 2 years has passed since modification and the LP turbine is operated well without failure so far.

• 한국기계가공학회지
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• 제19권5호
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• pp.82-90
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• 2020

Due to the complicated shape of the spider, the production method was changed from cold to warm forging. Finite element analysis was performed to predict the forging load and shape using the enclosed hydraulic die set. As the forging load increases due to the spider die volume, die stress analyses were performed to optimize the die design in order to reduce the die stress in various conditions. Large deformation while producing the complicated forging parts induces high forging load, which is one of the main parameters of the forging surface defects. The forging process was analyzed to find out the root cause of the surface defects generated during the spider production for various parameters, thereby revealing that the radius of die in the defect zone influenced the air trap depth, being the root cause of the surface defect. It was verified that die life was increased and the surface defect was eliminated by changing the die design during the mass production test.

• 방사성폐기물학회지
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• 제19권2호
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• pp.215-223
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• 2021

The domestic CANDU nuclear power plants have been operated for a long time and various unforeseen spent fuel defects have been discovered. As the spent fuel defects are important factors in the safety of the nuclear power plant, a study on the analysis of the spent fuel defects to prevent their recurrence is necessary. However, in cases where the fuel rods inside the fuel assembly are defected, it is difficult to dismantle the fuel assembly owing to their welded structure and the facility conditions of the plant. Therefore, it is impossible to analyze the spent fuel defect because it is difficult to visually check the shape of the fuel defect. To resolve these problems, an analysis technology that can predict the number of defected fuel rods and defect size was developed. In this study, we developed a methodology for investigating the root cause of spent fuel defects using a database of the earlier fuel defects in the plants. It is anticipated that in the future this analysis technology will be applied when spent fuel defects occur.

• Safety and Health at Work
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• 제12권4호
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• pp.544-545
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• 2021

The article by Tae-Gu Kim et al. conducted elastic FE modeling, which was inappropriate for fracture of elastic-plastic chain material (11.3% of elongation). FE analysis results and the findings in the fracto-graphic analysis did not tally but contradicted each other. The article identified "incorrect installation"/bending forces as the root cause while FE results of the chain under bending forces showed very low stresses at fracture locations but the highest stress in the middle of shank of the chain. The article's "step-like topographies indicating the fracture due to bending moment rather than uniaxial tension" lacked scientific support. The load value carried by each chain section under bending/incorrect installation was only half of that under tension, thus the article using same load value in FE simulation comparison for bending and tension was incorrect. The real cause of the chain fracture was likely improper checking the lifted load or/and using the wrong chain with much lower safety working load.

• 한국위험물학회지
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• 제6권2호
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• pp.47-54
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• 2018

Mixed acid is very reactive and highly corrosive. it has been causing many accidents in a electronic industry, a steel industry, and a chemical industry. Therefore, it is required that the high safety level for the acid storage facilities. In this study, we investigated the accident causes for resent leak accidents with Root Cause Analysis (RCA). The root causes analysed by RCA were categorized as nine divisions by the their characteristics. Furthermore, each nine divisions causes was applied to the PDCA model which are using at OHSAS 18001. It is suggested that the nine division with the root causes can be the essential items for the development of the safety management manual. It is helpful to the safety improvement of the acid storage facility.

• 산업경영시스템학회지
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• 제39권2호
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• pp.129-137
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• 2016

To identify the cause of the error and maintain the health of system, an administrator usually analyzes event log data since it contains useful information to infer the cause of the error. However, because today's systems are huge and complex, it is almost impossible for administrators to manually analyze event log files to identify the cause of an error. In particular, as OpenStack, which is being widely used as cloud management system, operates with various service modules being linked to multiple servers, it is hard to access each node and analyze event log messages for each service module in the case of an error. For this, in this paper, we propose a novel message-based log analysis method that enables the administrator to find the cause of an error quickly. Specifically, the proposed method 1) consolidates event log data generated from system level and application service level, 2) clusters the consolidated data based on messages, and 3) analyzes interrelations among message groups in order to promptly identify the cause of a system error. This study has great significance in the following three aspects. First, the root cause of the error can be identified by collecting event logs of both system level and application service level and analyzing interrelations among the logs. Second, administrators do not need to classify messages for training since unsupervised learning of event log messages is applied. Third, using Dynamic Time Warping, an algorithm for measuring similarity of dynamic patterns over time increases accuracy of analysis on patterns generated from distributed system in which time synchronization is not exactly consistent.

• 대한치과교정학회지
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• 제41권1호
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• pp.6-15
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• 2011

마이크로 임플란트 시술의 중요한 위험요인 중 하나로 치근접촉 문제가 있으나, 관련 연구는 결과 분석에 치중되어 있고, 치근접촉이 마이크로 임플란트 안정성 상실로 이어지는 기전에 대한 연구는 아직 미흡한 것으로 보인다. 이에, 본 연구에서는 생역학적 측면에서 그 영향을 분석하였다. Absoanchor 마이크로 임플란트(SH1312-7, Dentos Inc., Daegu, Korea) 첨부가 치근에 접촉되어 있을 때, 저작압 전달에 의한 마이크로 임플란트 변위가 인접골에 가하는 압축응력을 축대칭 유한요소모델을 사용하여 계산하였다. 요소별 응력이 해면골의 최대압축강도나, 치밀골의 비정상 골개조 임계능력을 넘을 경우 해당 요소를 순차적으로 해석모델에서 제거하며 실행한 6단계해석의 결과, 마이크로 임플란트에 인접한 해면골의 전체적인 파절과 과부하에 따른 치밀골의 비정상 골개조가 임플란트 지지력 상실에 주 요인이 될 것으로 평가되었다. 치밀골의 과부하 영역은 초기에는 치밀골판의 하부에 존재하였으나 상부로 확장되었고, 응력 재분포로 인한 감소효과 없이 양성 되먹임(positive feedback)으로 결국 치밀골 전 두께로 확대됨을 관찰하였다. 본 연구를 통해 치근접촉된 마이크로 임플란트가 인접골을 훼손시켜 안정성 상실로 이어지는 과정을 모사할 수 있었으며, 이로부터 치근접촉에 따른 마이크로 임플란트의 불량한 예후에 대한 생역학적 측면의 원인을 파악할 수 있었다.