• 제목/요약/키워드: accident case analysis

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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.

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.

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.

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.

자동차 추돌사고 속도분석에 관한 사례 연구 (A Case Study on Speed Analysis of the Rear-end Collision Accident)

  • 김대봉;윤대권;박정호;하성용;박제철
    • 한국자동차공학회논문집
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    • 제24권6호
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    • pp.724-729
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    • 2016
  • This case study carried out a rear-end collision accident analysis and physical simulation of an SUV and passenger car. The speed of the SUV by physical analysis is 71 ~ 87 km/h, while the speed of the passenger car is 6 ~ 22 km/h. Simulation results showed the optimal speed conditions for the SUV was 71 km/h, and 7 km/h for the passenger car. Simulations can be verified for the collision analysis. The findings of this study are expected to increase the reliability of accident reconstructions.

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.

제조업의 인적오류 관련 사고분석을 위한 HFACS-K의 개발 및 사례연구 (HFACS-K: A Method for Analyzing Human Error-Related Accidents in Manufacturing Systems: Development and Case Study)

  • 임재근;최종덕;강태원;김병철;함동한
    • 한국안전학회지
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    • 제35권4호
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    • pp.64-73
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    • 2020
  • As Korean government and safety-related organizations make continuous efforts to reduce the number of industrial accidents, accident rate has steadily declined since 2010, thereby recording 0.48% in 2017. However, the number of fatalities due to industrial accidents was 1,987 in 2017, which means that more efforts should be made to reduce the number of industrial accidents. As an essential activity for enhancing the system safety, accident analysis can be effectively used for reducing the number of industrial accidents. Accident analysis aims to understand the process of an accident scenario and to identify the plausible causes of the accident. Accident analysis offers useful information for developing measures for preventing the recurrence of an accident or its similar accidents. However, it seems that the current practice of accident analysis in Korean manufacturing companies takes a simplistic accident model, which is based on a linear and deterministic cause-effect relation. Considering the actual complexities underlying accidents, this would be problematic; it could be more significant in the case of human error-related accidents. Accordingly, it is necessary to use a more elaborated accident model for addressing the complexity and nature of human-error related accidents more systematically. Regarding this, HFACS(Human Factors Analysis and Classification System) can be a viable accident analysis method. It is based on the Swiss cheese model and offers a range of causal factors of a human error-related accident, some of which can be judged as the plausible causes of an accident. HFACS has been widely used in several work domains(e.g. aviation and rail industry) and can be effectively used in Korean industries. However, as HFACS was originally developed in aviation industry, the taxonomy of causal factors may not be easily applied to accidents in Korean industries, particularly manufacturing companies. In addition, the typical characteristics of Korean industries need to be reflected as well. With this issue in mind, we developed HFACS-K as a method for analyzing accidents happening in Korean industries. This paper reports the process of developing HFACS-K, the structure and contents of HFACS-K, and a case study for demonstrating its usefulness.

Application of Dynamic Probabilistic Safety Assessment Approach for Accident Sequence Precursor Analysis: Case Study for Steam Generator Tube Rupture

  • Lee, Hansul;Kim, Taewan;Heo, Gyunyoung
    • Nuclear Engineering and Technology
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    • 제49권2호
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    • pp.306-312
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    • 2017
  • The purpose of this research is to introduce the technical standard of accident sequence precursor (ASP) analysis, and to propose a case study using the dynamic-probabilistic safety assessment (D-PSA) approach. The D-PSA approach can aid in the determination of high-risk/low-frequency accident scenarios from all potential scenarios. It can also be used to investigate the dynamic interaction between the physical state and the actions of the operator in an accident situation for risk quantification. This approach lends significant potential for safety analysis. Furthermore, the D-PSA approach provides a more realistic risk assessment by minimizing assumptions used in the conventional PSA model so-called the static-PSA model, which are relatively static in comparison. We performed risk quantification of a steam generator tube rupture (SGTR) accident using the dynamic event tree (DET) methodology, which is the most widely used methodology in D-PSA. The risk quantification results of D-PSA and S-PSA are compared and evaluated. Suggestions and recommendations for using D-PSA are described in order to provide a technical perspective.

재해분석을 통한 배전선로 활선작업 공종별 위험지수 평가 (The Assessment of the Risk Index of Live-line Works on Distribution Line by the Accident Analysis)

  • 최승동;현소영;한형주;신운철
    • 한국안전학회지
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    • 제26권3호
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    • pp.8-14
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    • 2011
  • The live-line works are very dangerous because of direct contacts with the distribution line or neighboring contacts. So the purpose of this study is to identify the risk factor by accident occurrence form and accident case analysis, and to suggest the quantified risk index by risk occurrence frequency and risk strength analysis. And the risk index assessment is researched by accident cases analysis on work type. Accident cases of transmission distribution line are researched based on data of the Ministry of Employment and Labor in the last ten-year period (2000~2009). In results of this paper, high risk isn't always a priority of safety measures. Risk occurrence frequency and risk strength have to be considered according to detail work types, work methods and conditions of field work. And safety management measures must be planned according to risk occurrence frequency and risk strength.