• Journal of the Ergonomics Society of Korea
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• v.20 no.2
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• pp.1-28
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• 2001

This paper deals with the selection of the important Influencing Factors (IFs) under accident management situations in nuclear power plants for use in the assessment of human errors. In order to achieve this goal, we collected two types of IF taxonomies, one is the full set IF list mainly developed for human error analysis. and the other is the IFs for human reliability analysis (HRA) in probabilistic safety assessment (PSA). Five sets of IF taxonomy among the full set IF list and ten sets of IF taxonomy among HRA methodologies were collected in the study. From the review and analysis of BRA IFs, we could obtain some insights for the selection of HRA IFs. By considering the situational characteristics of the accident management domain, candidate IFs are chosen. Finally, those IFs are structured hierarchically to be appropriate for the use in the assessment of human error under accident management situation. Three nuclear accidents such as TMI. Chernobyl and JCO were analysed to validate the proposed taxonomy.

• Journal of the Korea Safety Management & Science
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• v.14 no.4
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• pp.85-91
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• 2012

To verify the effect of driver's personal characteristics of driver on the accident frequency through railway accidents caused by human errors and the relationship with aptitude test. To prove the relevance between the driver's personal characteristics and human error accidents. Accident data from 2010 to 2011 was analyzed which collected from a train crew department in K national corporation, and 31 drivers gave an personal interview from Sep. 2011 to Nov. 2011 who had controlled a train alone and caused an accident. Compared between driver's personal characteristics and accident rate, and accident induction possibility surveyed from normal person and disqualified in aptitude tests. Accidents was occurred with the age 40s (27%) and 50s (25%), and with the experience between 15 years and 20 years (38%) and over 20 years (30%). Because more aged, more experienced, it can be seen in the correlation between driver's age and accidents induction caused by human errors like illusion. First of all it must be checked whether working conditions and environmental factors are human error-prone. Most accidents occur when received civil complaints or manager at the riding. Therefore accidents can be prevented when investigated through subsequent surveys how often human error happens, even though no accident, and safety device installed based on the error frequency.

• Journal of the Korea Safety Management & Science
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• v.16 no.3
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• pp.195-200
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• 2014

Occupational fatal injury rate per 10,000 population of Korea is still higher among the OECD member countries. To prevent fatal injuries, the causes of accidents including human error should be analyzed and then appropriate countermeasures should be established. There was an severe converter furnace accident resulting in five people death by chocking in 2013. Although the accident type of the furnace accident was suffocation, many safety problems were included before reaching the death of suffocation. If the safety problems are reviewed throughly, the alternative measures based on the review would be very useful in preventing similar accidents. In this study, we investigated the converter furnace accident by using human error analysis and accident scenario analysis. As a result, it was found that the accident was caused by some human errors, inappropriate task sequence and lack of control in coordinating work by several subordinating companies. From the review of this case, the followings are suggested: First, systematic human error analysis should be included in the investigation of fatal injury accidents. Second, multi man-machine accident scenario analyis is useful in most of coordinating work. Third, the more provision of information on system state will lessen human errors. Fourth, the coordinating control in safety should be performed in the work conducting by several different companies.

• Journal of the Korean Society for Aviation and Aeronautics
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• v.28 no.4
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• pp.21-31
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• 2020

There are two to three helicopter accidents every year in Korea, representing 5.7 deaths per 100,000 flights. In this study, an analysis was conducted on helicopter accidents that occurred in Korea from 2005 to 2017. The accident analysis was based on the aircraft accident and incident report published by the Aircraft and Railway Accident Investigation Board. This Research analyzed the characteristics of accidents occurring in Korea caused by human error by pilots. Accident analysis was done by classifying the organization, flight mission, aircraft class, flight stage, accident cause, etc. Pilot's huan error was classified as Skill-based error, decision error and perceptual error in accordance with the HFACS taxonomy. The accidents caused by pilot's human error were classified into five categories: powerlines collision, loss of control, fuel exhaustion, unstable approach to reservoir, and elimination of tail rotor.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.65 no.5
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• pp.836-842
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• 2016

When an accident occurs in the nuclear power plant, the faulted information might mislead to the high possibility of aggravating the accident. At the Fukushima accident, the operators misunderstood that there was no core exposure despite in the processing of core damage, because the instrument information of the reactor water level was provided to the operators optimistically other than the actual situation. Thus, this misunderstanding actually caused to much confusions on the rapid countermeasure on the accident, and then resulted in multiplying the accident propagation. It is necessary to be equipped with the function that informs operators the status of instrument integrity in real time. If plant operators verify that the instruments are working properly during accident conditions, they are able to make a decision more safely. In this study, we have performed various tests for the fault detection sensitivity of an data-driven empirical model to review the usability of the model in the accident conditions. The test was performed by using simulation data from the compact nuclear simulator that is numerically simulated to PWR type nuclear power plant. As a result of the test, the proposed model has shown good performance for detecting the specified instrument faults during normal plant conditions. Although the instrument fault detection sensitivity during plant accident conditions is lower than that during normal condition, the data-drive empirical model can be detected an instrument fault during early stage of plant accidents.

• Journal of Korean Society of Industrial and Systems Engineering
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• v.19 no.39
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• pp.99-116
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• 1996

The production activity by human is accompanied by various accidents, resulting in human and property loss. If information on these industrial accident can be collected, organized and analyzed for a period of time and be used in the decision-making process for the purpose of preventing industrial accident, we will be able to get rid of industrial accident and prevent human and property loss and creat a pleasant industrial atmosphere. In order to achieve this goal, the collected information should be accurate, and trusted in the work place or government agency the information is being utilized. This research analyzed the problem in our nation's industrial accident statistics and estimated the number of accidents that are occurring and suggested improvement measures so that the industrial accident statistics can be calculated accurately.

• Proceedings of the Safety Management and Science Conference
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• 2008.04a
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• pp.93-100
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• 2008

In this paper, we propose the application of the Human Factors Analysis and Classification System(HFACS) to analyze an aircraft accident data. HFACS is a general human error framework originally developed and tested within the U.S military as a tool for investigating and analyzing the human causes of aviation accidents. It was examined that HFACS reliably accommodate all human causal factors associated with the commercial accidents. We found that the HFACS could be used as a reliable tool for investigating aircraft accidents including a single accident analysis.

• Journal of the Korean Society of Safety
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• v.35 no.4
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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.

• Proceedings of the ESK Conference
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• 1995.10a
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• pp.114-124
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• 1995

The production activity by human is accompanied by various accidents, resulting in human and property loss. If information on these industrial accident can be collected, organized and analyzed for a period of time and be used in the decision-making process for the purpose of preventing industriar accident, we will be able to get rid of industriar accident and prevent human and property loss and creat a pleasant industrial atmosphere. In order to achieve this goal, the collected information should be accurate, and trusted in the work place or govemement agency the informantion is being utilized. This research analyzed the problem in our nation's industrial accident statistics and estimated the number of accidents that are occuring and suggested improvement measures so that the industrial accident statistics can be calculated arately.

• Journal of the Korean Society of Safety
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• v.27 no.4
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• pp.90-95
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• 2012

To prevent similar accidents with the basis of industrial accidents already occurred in industrial plants, it would be possible only after true causes are grasped. Unfortunately, however, most accident investigation carried out with the basis of legal regulation failed to grasp them so that similar accidents have been repeated without cease. This research aimed to find out differences between results from conventional accident investigation and those from human error analysis, and to draw out effective and practical counter-plans against industrial accidents occurred repeatedly in an autoglass manufacturing company. As for analysis, about 110 accident cases that occurred for last 7 years were collected, and by adopting the Comprehensive Human Error Analysis Technique developed by the previous researchers, not direct causes but basic fundamental causes that might induce workers to human errors were sought. In consequence, the result showed that facility factors or environmental factors such as improper layout, mistakes in engineering design, and malfunction of interlock system were authentic major accident causes as opposed to managerial factors such as personal carelessness or failure to wearing personal protective equipments, and/or improper work methods.