• 한국항공운항학회지
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• 제29권2호
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• pp.14-24
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• 2021

This study aims to examine probable human errors when landing an airplane by the use of SHERPA(systematic human error reduction and prediction approach) and propose methods for preventing the predictive human errors. It has been reported that human errors are concerned with a lot of accidents or incidents of an airplane. It is significant to predict presumable human errors, particularly in the operation mode of human-automation interaction, and attempt to reduce the likelihood of predicted human error. By referring to task procedures and interviewing domain experts, we analyzed airplane landing task by using HTA(hierarchical task analysis) method. In total, 6 sub-tasks and 19 operations were identified from the task analysis. SHERPA method was used for predicting probable human error types for each task. As a result, we identified 31 human errors and predicted their occurrence probability and criticality. Based on them, we suggested a set of methods for minimizing the probability of the predicted human errors. From this study, it can be said that SHERPA can be effectively used for predicting probable human error types in the context of human-automation interaction needed for navigating an airplane.

• Nuclear Engineering and Technology
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• 제23권2호
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• pp.174-182
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• 1991

안전계통의 이용불능도 및 최적시험주기 평가에 있어서 주기적인 시험과 관련된 인간실수의 영향을 고려하였다. 시험 및 보수와 관련된 인간실수는 건전한 계통이 시험 후 잘못된 상태에 놓이게 될 가능성과(Type A인간실수)건전하지 못한 계통이 시험시 감지되지 못할 가능성(Type B인간실수)이다. 계통이용불능도 및 최적시험주기에 미치는 인간실수의 영향을 결정하기 위하여 안전계통의 이용불능도를 계산하기 위한 사상수목모델이 개발되었다. 또한 안전주입계통의 신뢰도 분석을 통하여 계통전체에 미치는 영향을 평가하였다. 다양한 민감도 분석 결과, (1) 계통이용불능도는 인간실수의 확률이 커질수록 증가하며 Type A인간실수의 영향이 훨씬 크다. (2) 최적시험주기 는 Type A 인간실수가 커 질수록 약간 증가하나, Type B 인간실수가 커 질수록 감소한다. (3) 안전주입펌프의 시험주기를 고정시키면 안전주입계통의 이용불능도는 Type A인간실수가 커질수록 크게 증가하나 Type B 인간실수가 커지더라도 약간 증가한다. 따라서 인간실수의 영향을 고려 할 때 계통의 이용불능도를 일정 수준으로 유지하기 위해서는 시험주기(최적시험주기가 아님 )를 줄여야 한다. 그리고 시험 및 보수시 Type A 인간실수는 계통의 이용불능도에 미치는 영향이 크므로, 특히 TyPe A 인간실수를 줄이기 위한 노력이 필요하다.

• Nuclear Engineering and Technology
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• 제53권10호
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• pp.3460-3463
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• 2021

Present computing power and enhanced technology is progressing at a dramatic rate. These systems can unravel complex issues, assess and control processes, learn, and-in many cases-fully automate production. There is no doubt that technological advancement is improving many aspects of life, changing the landscape of virtually all industries and enhancing production beyond what was thought possible. However, the human is still a part of these systems. Consequently, as the advancement of systems transpires, the role of humans within those systems will unavoidably continue to adapt as well. Due to the human tendency for error, this technological advancement should compel a persistent emphasis on human error reduction as part of maximizing system efficiency and safety-especially in the context of the nuclear industry. Within this context, as new systems are designed and the role of the human is transformed, human error should be targeted for a significant decrease relative to predecessor systems and an equivalent increase in system stability and safety. This article contends that optimizing the roles of humans and machines in the design and implementation of new types of automation in nuclear facility systems should involve human error reduction without ignoring the essential importance of human interaction within those systems.

• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2013년 추계학술대회
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• pp.231-241
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• 2013

In recent years, accident induced by human error is increasing in the chemical plant. Human error analysis of the chemical plant was conducted on the basis of past accident. Some company called by A for the basis of a chemical accident. Factor analysis of human errors was separated in plant operation and work. Agency's work of occupational safety & health was classified into four types. It is based on the work before, during work, recovery work, and discontinue work. It was still separated work of human error by analysis and then was derived factor and issue. The human error factor and priority for accident prevention in the chemical plant is presented.

• 대한인간공학회지
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• 제31권1호
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• pp.261-269
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• 2012

Objective: The aim of this study is to develop an analysis method to extract plausible types of errors when using a smart mobile in nuclear power plants. Background: Smart mobiles such as a smart-phone and a tablet computer(smart-pad) are to be introduced to the various industries. Nuclear power plant like APR1400 already adopted many up-to-date digital devices within its main control room. With this trend, various types of smart mobiles will be inevitably introduced to the nuclear field in the near future. However nuclear power plants(NPPs) should be managed considering a big risk as a result of the trend not only economically but also socially compared to the other industrial systems. It is formally required to make sure to reasonably prevent the all hazards due to the introduction of new technologies and devices before the application to the specific tasks in nuclear power plants. Method: We define interaction segments(IS) as a main architect of interaction description, and enumerate all plausible error segments(ES) for a part of design evaluation of digital devices. Results: We identify various types of interaction errors which are coped with reasonably by interaction design using smart mobiles. Conclusion: According to the application result of the proposed method, we conclude that the proposed method can be utilized to specify the requirements to the human error hazards in digital devices, and to conduct a human factors review during the design of digital devices. Application: The proposed method can be applied to predict the human errors of the tasks related to the digital devices; therefore we can ensure the safety to apply the digital devices to be introduced to NPPs.

• 한국안전학회지
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• 제33권1호
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• pp.66-72
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• 2018

This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

• 한국철도학회논문집
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• 제10권1호
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• pp.7-15
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• 2007

Since human errors are being recognized as one of the primary issues in railway safety, there is a definite need for human error analysis techniques that can identify the types of errors and their causes and derive effective countermeasures to help reduce their future probability. But, for some reasons, there are not yet systematic procedures or techniques for analyzing human errors in the Korean railway industry. This paper introduces several techniques that have been developed and utilized for analyzing human errors in Korean and overseas nuclear power aviation railway, offshore oil industry, etc., and summarizes the strengths and weaknesses of each technique. Based on the Investigation of the techniques, the paper also discusses the implications for the development of a human error analysis system for the Korean railway industry.

• 한국안전학회지
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• 제16권4호
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• pp.168-174
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• 2001

For human error analysis, the structure and situation of a task should be analyzed in advance. The paper introduces Structured Information Analysis (SIA) as a task analysis method for error analysis, and delineates the result of application on the emergency procedure of Korean Standard Nuclear Plants (KSNPs). From the task analysis about emergency procedure of KSNP, total 72 specific task goals were identified in the level of system function, and 86 generic tasks were classified from the viewpoint of physical sameness of the task description. Human errors are dependent on task types so that the result of task analysis would be used as a basis for the error analysis on the emergency tasks in nuclear power plants.

• 대한인간공학회지
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• 제30권1호
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• pp.1-8
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• 2011

While human error has been one of the main technical issues from the early era of human factors engineering, it still remains hot and somewhat vague due to the various types of the concepts and words on human errors in practice. There may be some technical limitations hindering human error prevention activities. This paper introduces the human error activities described in the papers if this issue of ESK Journal according to a few criteria proposed for more effective technical review. And two basic technical issues are discussed on the concepts, perspectives, and classifications about human errors. Each activity shows its own artifacts associated with the safety purpose and the nature of the industry. This paper also provides a set of new technical bases proposed for a more effective management of human errors by considering the dependability, representativeness, and structuredness of human errors. Additionally, this paper includes some new challenges over the current prevention-oriented activities; positive utilizations of human errors to training/education, advertisements, fun and entertainments, and nudges.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2007년도 춘계학술대회 논문집
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• pp.1204-1208
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• 2007

In order to prevent railway accidents due to human errors which have been recognized to be the most important cause in the railway accidents, human errors should have been controlled based on systematical analysis of the human errors, and countermeasures should be derived to reduce human error probability. Among several factors inducing human errors, task load (or task complexity) is representative. In order to reduce the human error, a systematic analysis should be undertaken to evaluate task load. In this study, task load according to task types of railway worker who are a safety critical staff have been quantitatively analyzed based on NASA-TLX(Task Load Index).