• 제목/요약/키워드: accident case

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체계적 사고 시나리오 분석기법을 이용한 유아용 안전의자 사례연구 (A Systematic Approach to Accident Scenario Analysis: Child Safety Seat Case Study)

  • 변승남;이동훈
    • 산업공학
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    • 제15권2호
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    • pp.114-125
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    • 2002
  • The objective of this paper is to describe a systematic accident scenario analysis method(SASA) adept at creating accident scenarios for the design of safer products. This approach was inspired by the Quality Function Deployment(QFD) method, which is conventionally used in quality management. In this study, the QFD provides a formal and systematic scheme to devise accident scenarios while maintaining objectivity. SASA consists of three key stages to be broken down into a series of consecutive steps:(1) developing an accident analysis tableau,(2) devising the accident scenarios using the accident analysis tableau,(3) performing a feasibility test, a clustering process and a patterning process, and finally(4) performing quantitative evaluation of each accident scenario. The SASA was applied to a case study of child safety seats. The accident analysis tableau devised 2828(maximum) accident scenarios from all possible relationships between the hazard factors and situation characteristics. Among them, 270 scenarios were devised through the feasibility test and the clustering process. The patterning process reduced them to 29 patterns representative of all accident scenarios. Based on an intensive analysis of the accident patterns, design guidelines for a safer child safety seat were recommended. The implications of the study on the child safety seat case were then discussed.

재해 데이터베이스의 사례연구를 위한 휴먼에러 재해 검색방법에 관한 연구 (Study on searching method of human errors accidents for case study of disaster database)

  • 한우섭
    • 한국재난정보학회 논문집
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    • 제1권1호
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    • pp.121-136
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    • 2005
  • Most human-error case of accident database is written by various description and expression because accident database is produced by two or more person. And extracted information by searching of database varies in researcher's judgment criteria and the capability. Furthermore, much time and effort are required to examine manually information related to the human error from each accident case. Accordingly, it is difficult to explore objectively the accidents relevant to the human-error from the accident data base which is accumulated enormously. In this study, to solve these problems, it was developed an searchig method which is not influenced by researcher's judgment criteria and capability. For this, human-error keywords were extracted from a Japanese-English dictionary to examine objectively the accident case related to human-error in data base. This searching method by the human-error keywords can be applicable in most accident databases, although a database will be accumulated in future. Also, using the searching technique of this research, knowledge obtained by searching result can be compared with other research's results by the same method. Although the number of accident case increasese, searching results from database have the objectivity because it is not necessary to modify the based searching method or change the human-error keywords. However, as subject of future investigation, it would be necessary that the extension and investigation on human-error keywords improve and the technique to enhance searching accuracy would be modified.

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네트워크분석적 의사결정기법을 이용한 철도사고 임시복구시나리오 개발 (Development of Emergency Restoration Scenarios for Railway Accident using Analytic Network Process)

  • 성덕룡;박용걸
    • 대한토목학회논문집
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    • 제31권5D호
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    • pp.727-737
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    • 2011
  • 본 연구에서는 효율적인 철도사고관리 및 복구작업을 위한 임시복구 시나리오를 개발하였다. 문헌조사 및 전문가 설문조사 결과를 통하여 임시복구 Worst Case 선정시기준이 되는 고려항목과 임시복구 시나리오 수립에 필요한 중요항목(event)을 도출하였으며, 임시복구가 가장 힘든 Worst Case로는 터널구간에서 발생하는 철도사고가 선정되었다. 이는 신속한 임시복구를 위해 좁은 공간에서 체계적이고 효율적인 복구절차를 갖추고 숙련된 복구요원 양성이 필요한 것으로 분석되었다. 또한, 본 연구에서는 통계학적 분석기법을 이용하여 임시복구 시나리오 수립 시 중요항목(event)간 중요도(우선순위)를 선정한 결과 임시복구유형중 시설물 붕괴를 가장 우선적으로 복구하고 선로매몰, 차량탈선 순으로 처리함이 복구시간을 단축할 수 있는 것으로 분석되었다. 이는 복구에 많은 시간이 소요되는 순으로 임시복구가 이루어져야 함을 나타낸다. 임시복구 시나리오는 임시복구 Worst Case, 임시복구유형별 중요항목(event)을 종합하여 표준운영절차(안) 11개를 제안하였다. 이를 활용하여 철도사고 DB관리 및 신속한 사고복구를 통해 정시성을 확보하여 열차지연시간을 최소화하는데 크게 기여할 것이다.

산업재해 사례인자의 범주형 분석 (Categorical Analysis for the Factors of Incustrial Accident Cases)

  • 지경택;송영호;정국삼
    • 한국안전학회지
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    • 제17권1호
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    • pp.94-98
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    • 2002
  • This study aimed to search for the fundamental accident causes using a categorical analysis, a kind of statistical methods. As the analysis methods, correlation analysis, independence test and logistic regression analysis were used. And the SPSS package, a general-purpose mathematical library, was used to obtain statistical characteristics. As the result of this study, the accident causes associated with factor of 'lost working days' were factors such as 'employed periods', 'sex', 'type of accident', 'month'. In case of applying independence test method, the most important cause was the factor of 'month'. In case that logistic regression analysis method was applied, the cause contributed to the increase structure'. 'less than 6 month'. On the basis of these results, the plan for accident prevention and the proper investment for accident prevention expenditure could be carried out in each workshop.

연구실 사고분류 체계 개발 (Development of Accident Taxonomy for Experimental Laboratory)

  • 박교식
    • 한국안전학회지
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    • 제31권5호
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    • pp.49-53
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    • 2016
  • The goal of this study is to analyze accidents occurred at experimental laboratory and to suggest hierarchical taxonomy applicable to prepare countermeasures reducing the experimental laboratory accidents. Recent 5 years accidents were analyzed and classified according to their primary cause, facility or human. Then in case of facility, the accidents were further classified whether they can be fixed by organization or by individual. In case of human factor, they were classified into physical, chemical, or biological to prepare precise measures. Depending on the adequacy of appropriate practice, several measures were suggested such as; whether to improve training of laboratory workers, or to improve training the system, or to improve or prepare practice substantially. A new taxonomy for laboratory accident was suggested complying other governmental agencies' classification such as KOSHA and KGS. Additionally, two kinds of possibilities were suggested such as possibility of major accident and possibility of disaster which can be defined as laboratory accident causing large scale of harmful consequence to residential area or environment by fire, explosion and/or toxic release of hazardous chemicals and/or microbiology.

산재환자의 의료재활서비스 활성화를 위한 산재보험시설과 민간시설간의 연계모형 개발 (Development of a Linking Model between Community Resourses and Industrial Injury Insurance Organs for the Activation of Medical Rehabilitation Services for Industrial Injury Patients)

  • 김희걸
    • 한국직업건강간호학회지
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    • 제14권1호
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    • pp.56-70
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    • 2005
  • Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

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철도사고 원인분석시스템 구축에 관한 연구 (Development of Railway Accidents Causal Analysis System)

  • 송보영;김만웅;문대섭;이동훈;이희성
    • 한국철도학회논문집
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    • 제13권4호
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    • pp.455-461
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    • 2010
  • 본 연구에서는 철도운영 및 시설기관의 사고/장애 데이터를 분석하여 근본원인-사고원인-위험원에 대한 분류체계를 수립하였고, 사고유형, 사고원인, 위험원, 근본원인에 대한 패턴분석을 통해 주요 사고별로 사고에 영향을 미치는 원인이 무엇인지를 정확히 분석하여, 철도사고를 유발할 수 있는 위험원인를 근본적으로 차단하기 위해 사고원인분석 정보를 국가 및 철도운영기관 등이 활용함으로써 효율적인 철도안전정책을 수립할 수 있는 사고원인분석시스템을 개발하였다.

사고사례 분석을 통한 학교안전사고 예방정책에 관한 연구 (A Study on the School Safety Accident Prevention Policy through Accident Case Analysis)

  • 박상근;윤용기
    • 교육시설 논문지
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    • 제22권5호
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    • pp.11-22
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    • 2015
  • The purpose of this study is to suggest prevention policy by analyzing accident cases related with school facilities. The results of study are as follows: First, policy enforcement that follows disaster management process such as prevention, preparation, response and recovery is required for school safety policy. Second, in order to proceed with the effective safety policy through collection, analysis, interpretation of data and result monitoring against accident case, the systematic safety infrastructure such as injury surveillance system and the composition of policy consultative group among safety organizations should be established. Third, the school facilities should be installed and managed according to the safety design. Fourth, the systematic education is needed to done for the managers who are concerned with safety regarding the establishment of safety management plan for each school. Fifth, the evaluation and feedback system is required for the results of proceeding with safety policy.

해양사고조사를 위한 인적 오류 분석사례 (A Case Study of Marine Accident Investigation and Analysis with Focus on Human Error)

  • 김홍태;나성;하욱현
    • 대한인간공학회지
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    • 제30권1호
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    • pp.137-150
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    • 2011
  • Nationally and internationally reported statistics on marine accidents show that 80% or more of all marine accidents are caused fully or in part by human error. According to the statistics of marine accident causes from Korean Maritime Safety Tribunal(KMST), operating errors are implicated in 78.7% of all marine accidents that occurred from 2002 to 2006. In the case of the collision accidents, about 95% of all collision accidents are caused by operating errors, and those human error related collision accidents are mostly caused by failure of maintaining proper lookout and breach of the regulations for preventing collision. One way of reducing the probability of occurrence of the human error related marine accidents effectively is by investigating and understanding the role of the human elements in accident causation. In this paper, causal factors/root causes classification systems for marine accident investigation were reviewed and some typical human error analysis methods used in shipping industry were described in detail. This paper also proposed a human error analysis method that contains a cognitive process model, a human error analysis technique(Maritime HFACS) and a marine accident causal chains, and then its application to the actual marine accident was provided as a case study in order to demonstrate the framework of the method.

건설업 사고 발생원인 파악을 위한 사고 분석 모델 개발 (Development of Accident Cause Analysis Model for Construction Site)

  • 임원준;기정훈;성주현;박종일
    • 한국안전학회지
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    • 제34권1호
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    • pp.45-52
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    • 2019
  • Accident analysis models were developed to improve the construction site safety and case studies was conducted. In 2016, 86% of fatality accidents occurred due to simple unsafe acts. Structure related accidents are less frequent than the non structure related causes, but the number of casualties per accident is two times higher than non structure one. In the view of risk perception, efforts should be given to reduce accidents caused by low frequency - high consequence structure related causes. In case of structure related accident, structural safety inspection and management (including quality), ground condition management / inspection technology, and provision of risk information delivery system in case of non structure related accident were proposed as a solution. In analysis of relationship between safety related stakeholder, the main problem were the lack of knowledge of controller and player, loss of control due to duplicated controls, lack of communication system of risk information, and relative position error of controller and player.