• Title/Summary/Keyword: human error analysis

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A Study on the Analysis and Prevention of the Human-related Marine Accidents (인적 요인을 중심으로 한 해양사고 분석 및 예방 연구 (예부선 사고사례를 중심으로))

  • Kim, Hong-Tae;Na, Sung
    • Journal of Korea Ship Safrty Technology Authority
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    • s.27
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    • pp.25-36
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    • 2009
  • Despite the development of the various navigational equipment, such as GPS, ARPA, ECDIS, AIS, VDR, and hull monitoring system, marine accidents are still a leading concern in shipping industry. For all accidents over the reporting period, approximately 60 to 80% of the accidents was involved in human error. It means that in each case, some events which were associated with human error initiated an accident, and those failures of human performance led to the failure to avoid an accident or mitigate it's consequences. However, the improvement and the effort on the maritime human error are still limited in an elementary step. The objective of this paper is to propose a modified Human Factors Analysis and Classification System (HFACS) model in order to analyse the collision accidents of tug-barge ship.

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A Study on the Cause Analysis of Human Error Accidents by Railway Job

  • Byeoung-Soo YUM;Tae-Yoon KIM;Sun-Haeng CHOI;Won-Mo GAL
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.27-33
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    • 2024
  • Purpose: This study investigates human error accidents in the Korean railway sector, emphasizing the need for systematic management to prevent such incidents, which can have fatal consequences, especially in driving-related jobs. Research design, data and methodology: This paper analyzed data from the Aviation and Railway Accident Investigation Board and the Korea Transportation Safety Authority, examining 240 human error accidents that occurred over the last five years (2018-2022). The analysis focused on accidents in the driving, facility, electric, and control fields. Results: The findings indicate that the majority of human error accidents stem from negligence in confirmation checks, issues with work methods, and oversight in facility maintenance. In the driving field, errors such as signal check neglect and braking failures are prevalent, while in the facility and electric fields, the main issues are maintenance delays and neglect of safety measures. Conclusions: The paper concludes that human error accidents are complex and multifaceted, often resulting from a high workload on engineers and systemic issues within the railway system. Future research should delve into the causal relationships of these accidents and develop targeted prevention strategies through improved work processes, education, and training.

HUMAN ERRORS DURING THE SIMULATIONS OF AN SGTR SCENARIO: APPLICATION OF THE HERA SYSTEM

  • Jung, Won-Dea;Whaley, April M.;Hallbert, Bruce P.
    • Nuclear Engineering and Technology
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    • v.41 no.10
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    • pp.1361-1374
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    • 2009
  • Due to the need of data for a Human Reliability Analysis (HRA), a number of data collection efforts have been undertaken in several different organizations. As a part of this effort, a human error analysis that focused on a set of simulator records on a Steam Generator Tube Rupture (SGTR) scenario was performed by using the Human Event Repository and Analysis (HERA) system. This paper summarizes the process and results of the HERA analysis, including discussions about the usability of the HERA system for a human error analysis of simulator data. Five simulated records of an SGTR scenario were analyzed with the HERA analysis process in order to scrutinize the causes and mechanisms of the human related events. From this study, the authors confirmed that the HERA was a serviceable system that can analyze human performance qualitatively from simulator data. It was possible to identify the human related events in the simulator data that affected the system safety not only negatively but also positively. It was also possible to scrutinize the Performance Shaping Factors (PSFs) and the relevant contributory factors with regard to each identified human event.

A Study for Human-Error Prevention of Chemical Plant Safety Accident (Chemical 공장 안전사고의 Human-Error 방지에 대한 연구)

  • 윤용구;홍성만;박범
    • Journal of the Korea Safety Management & Science
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    • v.6 no.2
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    • pp.1-9
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    • 2004
  • The chemical factory deals with dangerous element and more advance, human-error analyzes and becomes effective research for the country and region. This paper analysis the form of work-miss on human-error according to a safety accident for domestic chemical factory from 1999-2002. It include the present contents and raise issues human knowledge, behavior, judgment, sensibility as an important counter plan that makes the safety solution of work miss. For the point of view of human knowledge, it takes color standard for works to be effective in work place. For behavior, the test has been for risk Point of work place and infra worker movement, also the workers performed professional work as classify according to work. For judgement, the valuation sheet is reflected to minimize the human-error and the 3rd supervisor does a cross-check audit beforehand. For sensibility, it is applicable for human relations, information, communication by program to the consciousness and an attitude of worker-supervisor.

A novel qEEG measure of teamwork for human error analysis: An EEG hyperscanning study

  • Cha, Kab-Mun;Lee, Hyun-Chul
    • Nuclear Engineering and Technology
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    • v.51 no.3
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    • pp.683-691
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    • 2019
  • In this paper, we propose a novel method to quantify the neural synchronization between subjects in the collaborative process through electroencephalogram (EEG) hyperscanning. We hypothesized that the neural synchronization in EEGs will increase when the communication of the operators is smooth and the teamwork is better. We quantified the EEG signal for multiple subjects using a representative EEG quantification method, and studied the changes in brain activity occurring during collaboration. The proposed method quantifies neural synchronization between subjects through bispectral analysis. We found that phase synchronization between EEGs of multi subjects increased significantly during the periods of collaborative work. Traditional methods for a human error analysis used a retrospective analysis, and most of them were analyzed for an unspecified majority. However, the proposed method is able to perform the real-time monitoring of human error and can directly analyze and evaluate specific groups.

Effects of Human Error on the Optimal Test Internal and Unavailability of the Safety System (안전계통의 이용불능도 및 최적시험주기에 미치는 인간실수의 영향)

  • Chung, Dae-Wook;Koo, Bon-Hyun
    • Nuclear Engineering and Technology
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    • v.23 no.2
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    • pp.174-182
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    • 1991
  • Effects of human error relevant to the periodic test are incorporated in the evaluations of the unavailability and optimal test interval of a safety system. Two types of possible human error with respect to the test and maintenance are considered. One is the possibility that a good safety system is inadvertently left in a bad state after test(Type A human error) and the other is the possibility that a bad safety system is undetected upon the test(Type B human error). An event tree model is developed for the steady-state unavailability of a safety system in order to determine the effects of human errors on the system unavailability and the optimal test interval. A reliability analysis of the Safety Injection System (SIS) was peformed to evaluate the effects of human error on the SIS unavailability. Results of various sensitivity analyses show that ; (1) the steady-state unavailability of the safety system increases as the probabilities of both types of human error increase and it is far more sensitive to Type A human error, (2) the optimal test interval increases slightly as the probability of Type A human error increases but it decreases as the probability of Type B human error increases, and (3) provided that the test interval of the safety injction pump is kept unchanged, the unavailability of SIS increases significantly as the probability of Type A human error increases but slightly as the probability of Type B human error increases. Therefore, to obtain the realistic result of reliability analysis, one should take shorter test interval (not optimal test interval) so that the unavailability of SIS can be maintained at the same level irrespective of human error. Since Type A human error during test & maintenance influeces greatly on the system unavailability, special efforts to reduce the possibility of Type A human error are essential in the course of test & maintenance.

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Analysis of Factors Behind Human Error in Fatal Construction Accidents using the m-SHEL Model (m-SHEL 모델에 의한 건설 중대 사고재해의 휴먼에러 배후 요인 분석)

  • An, Sung-Hoon
    • Journal of the Korea Institute of Building Construction
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    • v.22 no.4
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    • pp.415-423
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    • 2022
  • As human factors are the most important cause of construction accidents, it is important to reduce human error in construction work to reduce accidents. However, the error forcing context in organizational situations acts as a factor behind human error. Therefore, fatal construction accidents were analyzed using the m-SHEL model, which can identify the factors behind human errors. Through such analysis, it was found that there are differences in the detailed factors behind human errors according to the type of fatal accidents in construction, This study is meaningful in that it confirmed through accident cases that it is important to understand and respond to organizational situations in order to reduce human error in construction work.

A Study on the Analysis of Human-errors in Major Chemical Accidents in Korea (국내 화학사고의 휴먼에러 기반 분석에 관한 연구)

  • Park, Jungchul;Baek, Jong-Bae;Lee, Jun-won;Lee, Jin-woo;Yang, Seung-hyuk
    • Journal of the Korean Society of Safety
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    • v.33 no.1
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    • pp.66-72
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    • 2018
  • This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

Analysis of Human Errors in Trip Cases of Korean NPPs

  • Lee, Jung-Woon;Park, Geun-Ok;Park, Jae-Chang;Sim, Bong-Shick
    • Nuclear Engineering and Technology
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    • v.28 no.6
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    • pp.563-575
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    • 1996
  • A total of 77 cases was identified to have human errors from a total of 255 trips occurred from 1978 to 1992 in Korean NPPs. The cases were analyzed to investigate how many human errors occurred on which work conditions to find out the areas of high priority for human error reduction. For the analysis of the 77 trip cases due to human errors, classifications were made for the following four categories ; plant systems, work situation, job types, and error types. Erroneous tasks critically influencing the plant trips were carefully identified and analyzed according to the classifications. Based on the results for the individual cases, the cases were counted for the classification items in each of the four categories, then also for the group of categories to investigate the relationships among the categories in aspects of human error occurrences. As results, the plant systems, work situations, and job types, and error types that are dominant in human errors related to the trips ore identified.

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The Effect of Frequent Change in Railway Driving Regulations on Human Error (철도운전관련규정의 잦은 변경이 휴먼에러에 미치는 영향)

  • Kim, Jin-Tae;Shin, Tack-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.16 no.2
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    • pp.19-29
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    • 2014
  • Korean societal concern for the train accidents is fast and widely increasing with an ever-increasing demand and use for KTX. Most of these train accidents are inclined to be caused by human error. Experts used to attribute the causes of human error to the defects in various aspects such as technology, organizational system, practices, corporate culture, and/or human resource itself. Among the diverse causes of human error, an important one, even though it was rarely focused, may be the issue of impact of rule or procedure change on human error. Giving attention to the implicit importance of this issue, this study intends to highlight the theme of frequent procedure change in railway driving manual as a critical factor of human error. To attain this purpose mentioned above, dual methodologies were adopted. One is to qualitatively analyze the real cases of procedure change in relevant manuals followed by the incident case(passing the station scheduled to stop) happened lately. Another is to quantitatively perform statistical analysis based on questionnaires received from 224 train drivers. Results show that frequent changes in internal affairs procedure is or may be an important factor causing stress and human error from train drivers.