• 제목/요약/키워드: cause analysis

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반도체 산업에서의 인적오류에 대한 인적요인과 과오에 대한 분석 (An Analysis of Human Factor and Error for Human Error of the Semiconductor Industry)

  • 윤용구;박범
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2007년도 춘계학술대회
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    • pp.113-123
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    • 2007
  • Through so that accident of semiconductor industry deduces unsafe factor of the person center on unsafe behaviour that incident history and questionnaire and I made starting point that extract very important factor. It served as a momentum that make up base that analyzes factors that happen based on factor that extract factor cause classification for the first factor, the second factor and the third factor and presents model of human error. Factor for whole defines factor component for human factor and to cause analysis 1 stage in human factor and step that wish to do access of problem and it do analysis cause of data of 1 step. Also, see significant difference that analyzes interrelation between leading persons about human mistake in semiconductor industry and connect interrelation of mistake by this. Continuously, dictionary road map to human error theoretical background to basis traditional accidental cause model and modern accident cause model and leading persons. I wish to present model and new model in semiconductor industry by backbone that leading persons of existing scholars who present model of existent human error deduce relation. Finally, I wish to deduce backbone of model of pre-suppression about accident leading person of the person center.

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안전인증 대상 위험 기계 및 기구 관련 재해 원인분석 (Cause Analysis of Accidents Associated with Dangerous Machines and Devices Subject to Safety Certification)

  • 최기흥
    • 한국안전학회지
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    • 제35권4호
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    • pp.1-8
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    • 2020
  • Intensity of accidents associated with dangerous machines and devices are (hereafter items), in general, high compared to other industrial accidents. This study focuses on cause analysis of accidents associated with items that are subject to safety certification. The method is based on automated analysis of abstracts of accidents written in descriptive format. The analysis results indicate that more than 50% of accidents associated with items are caused by technical reasons and nearly 50% of accidents were preventable. More effective prevention of industrial accidents would then be realized by safety certification at the stage of danger generation. Transition from the direct regulation on users to manufacturers is also needed to improve the effectiveness and efficiency of industrial safety system in Korea.

코팅지 박리파손에 대한 근본원인분석 (Root Cause Analysis on Delamination Failure between Coating Film and Paper)

  • 이덕보
    • 동력기계공학회지
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    • 제9권1호
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    • pp.57-63
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    • 2005
  • In the calendar and the advertising catalog, the surface is usually coated by coating polypropylene film. The delamination failure of coating film depends on surface roughness and quality of the substrate paper. In this paper, the mechanisms of delamination failure between the coating film and the paper is investigated by using the root cause analysis as one of techniques of reliability evaluation. The papers used in failure analysis are three kind products made by two domestic and one foreign companies. It found that the main causes of delamination failure between the coating film and the paper were the creation of microvoids caused by shape of filler and their growth caused by contraction of paper.

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화학실험실 사고 Data를 이용한 근본원인분석 Map 개발 및 원인 분석 (Cause Analysis and Development of Root Cause Analysis Map using Data of Chemical Laboratory Accidents)

  • 이수경;윤여송;엄석화
    • 한국가스학회지
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    • 제18권4호
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    • pp.86-94
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    • 2014
  • 화학실험실 사고의 근본원인분석 Map을 개발하기 위하여 석유화학 사고 근본원인분석 Map을 참고하여 3단계 사고 요인 트리(Tree)로 구성된 Map을 작성하였다. 원인 인자 도표(Cause Factor Charting) 방식을 적용하여 실험실 사건 사고 211건을 1~5단계까지 사고 원인을 조사하고, 그 사고의 원인을 EXCEL 프로그램에 입력하였다. 그 후, 그 사고요인들을 유형과 각 단계별로 분류하여, 근본원인분석 Map 초안(draft)을 작성하였다. 또한, 연구실 사건 사고 211건의 근본원인이 근본원인분석 Map초안에 적절한지 재확인하였다. 향후 실험실에서 발생할 수 있는 사고의 원인들을 보완함으로써, 화학실험실에 관한 RCA Map이 개발되었다. 본 연구에서 제시한 근본원인분석 Map을 기반으로 발생빈도를 고려하여 사고 원인을 1~5단계로 나누어 분석한 결과, 3단계 원인은 관리시스템 35.%, 모니터링 12.2%, Human Factor Eng. 15.1%, 교육훈련 12.1% 등의 순으로 나타났다.

시스템 결함 분석을 위한 이벤트 로그 연관성에 관한 연구 (Correlation Analysis of Event Logs for System Fault Detection)

  • 박주원;김은혜;염재근;김성호
    • 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.

가스시설 사고원인 해석을 위한 지식 데이터베이스 프로그램 개발 (A Study on Developing a Knowledge-based Database Program for Gas Facility Accident Analysis)

  • 김민섭;임차순;이진한;박교식;고재욱
    • 한국가스학회지
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    • 제4권4호
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    • pp.65-70
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    • 2000
  • 본 연구에서는 국내 안전문화의 향상과 가스 관련 사고의 재발을 방지할 수 있으며, 사고 원인 분석의 원활한 수행을 도모할 수 있도록 기술적 지원을 할 수 있는 $\lceil$가스 사고 근본 원인 해석 시스템$\rfloor$을 개발하였다. 본 연구에서 개발한 프로그램은 가스산고 조사시사고원인을 체계적으로 분석할 수 있도록 사고사례를 분석하여 사고원인 데이터베이스를 구축하였으며, If${\~}$Then Rule을 적용하여 사고의 1차 원인을 찾을 수 있게 하였다. 이때 사고 발생장소, 사고 형태, 사고시 운전 상황, 사고 가스, 사고 발생 기계장치 및 구성요소들을 유기적으로 연결하여 도출되는 1차 원인의 수를 줄이도록 하였다. 또한, 인적 오류, 장치 결함, 외부 요인을 시작점으로 하여 5단계의 질의를 통하여 근본 원인을 찾아갈 수 있도록 하는 Root Cause Analysis Map을 구축하였다.

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정보시스템의 효율적인 인적자원 관리를 위한 Cause-Effect, Model의 활용 (A Cause-Effect Model for Human Resource Management)

  • 이남훈;인호;이도훈
    • 융합보안논문지
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    • 제6권4호
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    • pp.161-169
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    • 2006
  • 최근 정보시스템의 발달에 따라, 다양한 정보시스템과 응용 소프트웨어의 개발이 이루어지고 있다. 하지만 정보시스템의 발달에 따른 역기능으로 많은 침해사고와 사이버해킹이 증가하는 추세이다. 이러한 정보화의 역기능을 차단하기 위해, 많은 기관에서는 정보시스템과 이를 보호하는 정보보호시스템의 운영과 관리를 위하여 많은 정보시스템 운영인력을 투입하고 있으나, 체계적 관리와 각 역할의 특성에 대한 분석부족으로 효율적인 운영에 많은 어려움을 겪고 있다. 본 논문에서는 정보시스템과 정보보호시스템 보안 및 관리 운영과 수행업무의 특성에 따라 정형화 된 Cause-Effect Model을 제시하도록 한다. 이 모델에서는 정보시스템과 정보시스템 운영자를 하나의 information Component로 간주한다. 본 논문에서 제시된 Cause-Effect Model의 각 단계에서 영향을 미치는 Human Factor의 세부 요소에 대한 영향도 분석을 통하여, 주어진 역할에 따라 최적의 human Resource의 관리와 배치가 가능할 것이다. 이러한 분석 및 접근 방법은 각 기관의 제한된 Resource 에 대한 효율적 운영이 가능하도록 하여, 기관의 정보시스템 운영과 악의적 침입에 대한 효율적인 방어를 가능하게 할 수 있다.

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센서 데이터를 이용한 전기 기관차의 이상 상태 요인분석 (Failure Analysis to Derive the Causes of Abnormal Condition of Electric Locomotive Subsystem)

  • 소민섭;전홍배;신종호
    • 산업경영시스템학회지
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    • 제41권2호
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    • pp.84-94
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    • 2018
  • In recent years, the diminishing of operation and maintenance cost using advanced maintenance technology is attracting many companies' attention. Especially, the heavy machinery industry regards it as a crucial problem since a failure of heavy machinery requires high cost and long downtime. To improve the current maintenance process, the heavy machinery industry tries to develop a methodology to predict failure in advance and to find its causes using usage data. A better analysis of failure causes requires more data so that various kinds of sensor are attached to machines and abundant amount of product usage data is collected through the sensor network. However, the systemic analysis of the collected product usage data is still in its infant stage. Many previous works have focused on failure occurrence as statistical data for reliability analysis. There have been less works to apply product usage data into root cause analysis of product failure. The product usage data collected while failures occur should be considered failure cause analysis. To do this, this study proposes a methodology to apply product usage data into failure cause analysis. The proposed methodology in this study is composed of several steps to transform product usage into failure causes. Various statistical analysis combined with product usage data such as multinomial logistic regression, T-test, and so on are used for the root cause analysis. The proposed methodology is applied to field data coming from operated locomotive and the analysis result shows its effectiveness.

Analysis of cause-of-death mortality and actuarial implications

  • Kwon, Hyuk-Sung;Nguyen, Vu Hai
    • Communications for Statistical Applications and Methods
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    • 제26권6호
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    • pp.557-573
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    • 2019
  • Mortality study is an essential component of actuarial risk management for life insurance policies, annuities, and pension plans. Life expectancy has drastically increased over the last several decades; consequently, longevity risk associated with annuity products and pension systems has emerged as a crucial issue. Among the various aspects of mortality study, a consideration of the cause-of-death mortality can provide a more comprehensive understanding of the nature of mortality/longevity risk. In this case study, the cause-of-mortality data in Korea and the US were analyzed along with a multinomial logistic regression model that was constructed to quantify the impact of mortality reduction in a specific cause on actuarial values. The results of analyses imply that mortality improvement due to a specific cause should be carefully monitored and reflected in mortality/longevity risk management. It was also confirmed that multinomial logistic regression model is a useful tool for analyzing cause-of-death mortality for actuarial applications.

Socio-economic Factors Affect the Outcome of Soft Tissue Sarcoma: an Analysis of SEER Data

  • Cheung, Min Rex;Kang, Josephine;Ouyang, Daniel;Yeung, Vincent
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권1호
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    • pp.25-28
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    • 2014
  • Background: This study analyzed whether socio-economic factors affect the cause specific survival of soft tissue sarcoma (STS). Methods: Surveillance, Epidemiology and End Results (SEER) soft tissue sarcoma (STS) data were used to identify potential socio-economic disparities in outcome. Time to cause specific death was computed with Kaplan-Meier analysis. Kolmogorov-Smirnov tests and Cox proportional hazard analysis were used for univariate and multivariate tests, respectively. The areas under the receiver operating curve were computed for predictors for comparison. Results: There were 42,016 patients diagnosed STS from 1973 to 2009. The mean follow up time (S.D.) was 66.6 (81.3) months. Stage, site, grade were significant predictors by univariate tests. Race and rural-urban residence were also important predictors of outcome. These five factors were all statistically significant with Cox analysis. Rural and African-American patients had a 3-4% disadvantage in cause specific survival. Conclusions: Socio-economic factors influence cause specific survival of soft tissue sarcoma. Ensuring access to cancer care may eliminate the outcome disparities.