• Radiation Oncology Journal
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• v.31 no.2
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• pp.88-96
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• 2013

Purpose: This study identifies accident sequences from the past accidents in order to help the risk analysis application to the external radiotherapy. Materials and Methods: This study reviews 59 accidental cases in two retrospective safety analyses that have collected the incidents in the external radiotherapy extensively. Two accident analysis reports that accumulated past incidents are investigated to identify accident sequences including initiating events, failure of safety measures, and consequences. This study classifies the accidents by the treatments stages and sources of errors for initiating events, types of failures in the safety measures, and types of undesirable consequences and the number of affected patients. Then, the accident sequences are grouped into several categories on the basis of similarity of progression. As a result, these cases can be categorized into 14 groups of accident sequence. Results: The result indicates that risk analysis needs to pay attention to not only the planning stage, but also the calibration stage that is committed prior to the main treatment process. It also shows that human error is the largest contributor to initiating events as well as to the failure of safety measures. This study also illustrates an event tree analysis for an accident sequence initiated in the calibration. Conclusion: This study is expected to provide sights into the accident sequences for the prospective risk analysis through the review of experiences.

• International Journal of Highway Engineering
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• v.17 no.3
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• pp.117-124
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• 2015

PURPOSES : The purpose of this study is to verify traffic accident injury severity factors for elderly drivers and the relative relationship of these factors. METHODS : To verify the complicated relationship among traffic accident injury severity factors, this study employed a structural equation model (SEM). To develop the SEM structure, only the severity of human injuries was considered; moreover, the observed variables were selected through confirmatory factor analysis (CFA). The number of fatalities, serious injuries, moderate injuries, and minor injuries were selected for observed variables of severity. For latent variables, the accident situation, environment, and vehicle and driver factors were respectively defined. Seven observed variables were selected among the latent variables. RESULTS : This study showed that the vehicle and driver factor was the most influential factor for accident severity among the latent factors. For the observed variable, the type of vehicle, type of accident, and status of day or night for each latent variable were the most relative observed variables for the accident severity factor. To verify the validity of the SEM, several model fitting methods, including ${\chi}^2/df$, GFI, AGFI, CFI, and others, were applied, and the model produced meaningful results. CONCLUSIONS : Based on an analysis of results of traffic accident injury severity for elderly drivers, the vehicle and driver factor was the most influential one for injury severity. Therefore, education tailored to elderly drivers is needed to improve driving behavior of elderly driver.

• The Journal of Korean Society for School & Community Health Education
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• v.12 no.1
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• pp.71-89
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• 2011

Objectives: The purpose of this study is to identify risk behavior related to the school accident between male and female elementary school students. Methods: 838 School accident data provided by Seoul School Safety Council were analyzed by gender. Based on the results above, survey questionnaires on characteristics of school accident were developed. Self-reported data were collected from a sample population of 433 students in grade 5 to 6 students attending 4 elementary schools in Seoul. Results: The students who answered they experienced the accident in school for the past 1 year, accounts 60.5% of male and 39.5% of females students, which has statistically significant difference. The male's cases happened most around corridor/door, while female's cases happened most in the playground/gymnasium. As for the accident risk behavior, male students had the risk behavior by using the personal belongings/toys, while the female students had much risk behavior related to physical facility/playground. When classifying the characteristics of risk behaviors according to the accident causes, male students showed higher score in the accident risk behaviors related to play/fight than in those of the female students(p<0.05). Conclusions: Health care providers should develop school safety programs by characteristics of risk behavior between male and female elementary school students.

• Journal of the Korea Institute of Building Construction
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• v.23 no.4
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• pp.417-428
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• 2023

The demolition of domestic infrastructures mirrors other significant construction initiatives in presenting a markedly high accident rate. A comprehensive investigation into the origins of such accidents is crucial for the prevention of future incidents. Upon detailed inspection, the causes of demolition construction accidents are multifarious, encompassing unsafe worker behavior, hazardous conditions, psychological and physical states, and site management deficiencies. While statistics relating to demolition construction accidents are consistently collated and reported, there exists an exigent need for a more foundational cause categorization system based on accident type. Drawing from Heinrich's Domino Theory, this study classifies the origins of accidents(unsafe behavior, unsafe conditions) and human errors(human factors) as per the type of accidents experienced during demolition construction. In this study, a three-step model of QFD-FMEA(Quality Function Deployment - Failure Mode Effect Analysis) is employed to systematically categorize accident causes according to the types of accidents that occur during demolition construction. The QFD-FMEA method offers a technique for cause classification at each stage of the demolition process, including direct causes(unsafe behavior, unsafe environment), and human errors(human factors) through a tri-stage process. The results of this accident cause classification can serve as safety knowledge and reference checklists for accident prevention efforts.

• Proceedings of the Korean Nuclear Society Conference
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• 2004.10a
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• pp.491-492
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• 2004

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.151-160
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• 2011

There have been many efforts to prevent accidents in Korea for the last 25 years. Many measures in the area of hardware sciences including electrical, mechanical, chemical engineering, etc. were applied to eliminate or at least reduce causes of accidents. However, the accidents rate has not been reduced much despite of these measures. This research aimed to find real causes of these accidents and to suggest a comprehensive model that can mainly be applied to industrial fields to find potential or existence of human errors during the pre-installation stage or after an accident. We tried to explain sequences of an operator's information process that might cause human errors on one hand, and life cycle stages of facilities involved when human errors occur on the other hand. With this comprehensive model presented in this research, one can follow up the sequence of human errors caused by operators. Further, errors made at the design stage which could be a main cause of accidents can be tracked. It is recommended that this comprehensive model should be used to prevent human errors in industrial fields since safety personnel can easily find out errors or error potentials through the life cycle stages of manmachine facilities.

• Journal of the Ergonomics Society of Korea
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• v.30 no.1
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• pp.29-39
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• 2011

Safety management paradigm which against human errors in aviation industry is now changing from the follow-up measures after accident in the past to systematic approach that a forecast the hazards and improve the working system of the group to prevent accidents. As human factors are based on the man's specific psychological traits, it takes much time and efforts to prepare the preventive measures. That's why aviation industry is interested in the accident-prevent measurements against human errors. In this thesis, therefore, we are going to introduce the efforts that aviation organizations have tried and recommend management systems and discuss the suggestive facts. At first, we discussed introduction of HFACS which is the systematic accidents-classification system related to human errors in the aviation organization and countermeasure in the aspects of management, technology/engineering, education training. We described about FOQA, LOSA, CRM/TEM, aviation safety information DB in the aspect of management, and explained safety technologies that prevent human errors or avoid technologically when emergency occurs in the aspect of technology/engineering. In the aspect of education training, we explained the application plan about safety programs(LOFT/Simulator use, CRM/TEM application etc).

• Journal of the Korean Institute of Gas
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• v.7 no.2 s.19
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• pp.42-47
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• 2003

To prevent major accident from toxic gas release, explosion, or fire in chemical processes, it needs dynamic control of human error with mechanical failure. Although most of major accidents occur with a coupling of human error and mechanical failure, numbers of researches have studied human error and mechanical reliability independently, but no where cross each other, to reduce the risk in the process. This work focuses on the coincidence of human error and mechanical failure for management of human error, and on some important performance shaping factors to propose a method for improving safety effectively of the process industries.

• Journal of the Ergonomics Society of Korea
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• v.32 no.6
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• pp.535-540
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• 2013

Objective: The aim of this study is to evaluate the effectiveness and efficiency of causal links between various error causes in human error analysis. Background: As finding root causes of human error in safety-critical systems is often a cognitively demanding and time-consuming task, it is particularly necessary to develop a method for improving both the quality and efficiency of the task. Although a few methods such as CREAM have suggested causal linking between error causes as a means to enhance the quality and efficiency of human error analysis, no published research to date has evaluated the performance of the causal links. Method: The performance of the CREAM links between error causes were evaluated with 80 railway accident investigation reports from the UK. From each report, errorneous actions of operators were derived, and for each error, candidate causes were found by following the predefined links. Two measures, coverage and selectivity, were used to evaluate the effectiveness and efficiency of the links, respectively. Results: On average, 96% of error causes actually included in the accident reports were found by following the causal links, and among the total of 121 possible error causes, the number of error causes to be examined further was reduced to one-tenth on average. As an additional result of this work, frequent error causes and frequently used links are provided. Conclusion: This result implies that the predefined causal links between error causes can significantly reduce the time and effort required to find the multiple levels of error causes and their causal relations without losing the quality of the results. Application: The CREAM links can be applied to human error analysis in any industry with minor modifications.

• The Journal of Korean society of community based occupational therapy
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• v.4 no.1
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• pp.59-73
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• 2014

Objective : The purpose of this study is to understand Lived Experience of Suffering for family of victim with Sewol-ho ferry accident and to suggest the necessity of mental health occupational therapy regarding of psychological trauma of family of victim. Methods : This study was applied with Parse's Human becoming research method to recognize experience pain for 5 objects losing family with with Sewol-ho ferry accident. According to Parse's research mothod, secondary data, documentary video about experience pain of family of victim with Sewol-ho ferry accident was selected and analyzed. Results : Three core concept for lived experience of suffering of family with victim with Sewol-ho ferry accident as below statements. 1. Despair and sadness losing family, 2. Impotent feeling and guilty conscience breaking down daily life, 3. Seeking relief from suffering for remaining family. Although there were extreme impotent feeling of losing family with Sewol-ho ferry accident, structural conversion presented as process with denial reality which do not want to accept a death in the family and standing for remaining family. The conceptual integration was expressed to powering from valuing and languaging to connection-separation, revealing-concealingl. Conclusion : Family of victim with Sewol-ho ferry accident is losing meaning of life the goal of life with impotent feeling, despair and depression. It is urgently needed for mental health occupational therapy program to restore disruptive everyday activity and participation in community by developing occupational therapy program through meaningful occupation to family of victim.