• Journal of Fisheries and Marine Sciences Education
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• v.25 no.3
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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.

• Journal of the Korea Safety Management & Science
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• v.15 no.1
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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.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2005.05a
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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.

• Transactions of the Korean Society for Noise and Vibration Engineering
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• v.15 no.9 s.102
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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.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.19 no.5
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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.

• Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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• v.19 no.2
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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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• v.12 no.4
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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.

• Korean Journal of Hazardous Materials
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• v.6 no.2
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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.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.39 no.2
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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.

• The korean journal of orthodontics
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• v.41 no.1
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• pp.6-15
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• 2011

Objective: The aim of this study was to evaluate the biomechanical aspects of peri-implant bone upon root contact of orthodontic microimplant. Methods: Axisymmetric finite element modeling scheme was used to analyze the compressive strength of the orthodontic microimplant (Absoanchor SH1312-7, Dentos Inc., Daegu, Korea) placed into inter-radicular bone covered by 1 mm thick cortical bone, with its apical tip contacting adjacent root surface. A stepwise analysis technique was adopted to simulate the response of peri-implant bone. Areas of the bone that were subject to higher stresses than the maximum compressive strength (in case of cancellous bone) or threshold stress of 54.8MPa, which was assumed to impair the physiological remodeling of cortical bone, were removed from the FE mesh in a stepwise manner. For comparison, a control model was analyzed which simulated normal orthodontic force of 5 N at the head of the microimplant. Results: Stresses in cancellous bone were high enough to cause mechanical failure across its entire thickness. Stresses in cortical bone were more likely to cause resorptive bone remodeling than mechanical failure. The overloaded zone, initially located at the lower part of cortical plate, proliferated upward in a positive feedback mode, unaffected by stress redistribution, until the whole thickness was engaged. Conclusions: Stresses induced around a microimplant by root contact may lead to a irreversible loss of microimplant stability.