• 제목/요약/키워드: investigation factors

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Development of a Human Factors Investigation and Analysis Model for Use in Maritime Accidents: A Case Study of Collision Accident Investigation

  • Kim, Hong-Tae;Na, Seong
    • 한국항해항만학회지
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    • 제41권5호
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    • pp.303-318
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    • 2017
  • In the shipping industry, it is well known that around 80 % or more of all marine accidents are caused fully or at least in part by human error. In this regard, the International Maritime Organization (IMO) stated that the study of human factors would be important for improving maritime safety. Consequently, the IMO adopted the Casualty Investigation Code, including guidelines to assist investigators in the implementation of the Code, to prevent similar accidents occurring again in the future. In this paper, a process of the human factors investigation is proposed to provide investigators with a guide for determining the occurrence sequence of marine accidents, to identify and classify human error-inducing underlying factors, and to develop safety actions that can manage the risk of marine accidents. Also, an application of these investigation procedures to a collision accident is provided as a case study This is done to verify the applicability of the proposed human factors investigation procedures. The proposed human factors investigation process provides a systematic approach and consists of 3 steps: 'Step 1: collect data & determine occurrence sequence' using the SHEL model and the cognitive process model; 'Step 2: identify and classify underlying human factors' using the Maritime-Human Factor Analysis and Classification System (M-HFACS) model; and 'Step 3: develop safety actions,' using the causal chains. The case study shows that the proposed human factors investigation process is capable of identifying the underlying factors and indeveloping safety actions to prevent similar accidents from occurring.

사고잠재요인 조사도구개발에 관한 연구 (A Study on the Development of New Tools for Investigation the Potential Accident Factors)

  • 김칠영;송병흠;문봉섭
    • 한국항공운항학회지
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    • 제8권1호
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    • pp.41-56
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    • 2000
  • In the Aircraft Incident Reporting System(AIRS), It is important to collect and gather date about aircraft incidents by means of systemic methods and make it materials for study in the view point of aircraft accident in the future. Especially, the development of such effective tools can be one of main factors determining whether the investigation of potential accident factors succeeds or fails. For such a reason and the purpose of aircraft accident prevention, the AIRS compatible to each county has been developed early and been adopting now in several countries involving USA. First this study examine the actual condition about investigation method tools of potential accident factors used in several countries and investigation and analyze them, finally present the method which can improve more acceptable forms to flight crew used at the KAIRS(Korean AIRS).

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철도 인적오류 사고분석에 대한 시사점 (Implications for the Analysis of Human Error in Railway Accidents)

  • 이지선;김만웅;김동산;백동현
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2009년도 춘계학술대회 논문집
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    • pp.1360-1364
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    • 2009
  • The basic concept of analysis of human error that induced railway accident is that errors are consequences, not causes. But in most cases, it is likely that direct causes of the accident could be concluded as real causes, which make it difficult to find out root causes. Design, training, staffing, culture and condition are general category applied to investigate human error. In order to examine how those approach could help accident analysis, this paper studied accident investigation reports of UK RAIB(Rail Accident Investigation Branch). Rather than consider specific investigation method, we focus investigation result on how to describe causal factors and how to indicate recommendations to prevent similar accident. The reports show that they try to find out causes more in organizational, environmental and job factors, which implies the necessity to improve investigation process of human error accident in Korea.

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How the FTA's Utilization in Contract for the International Sale of Goods of Korea's Companies Affects Their Export Performance

  • Park, Jin-Woo;Pak, Myong-Sop
    • Journal of Korea Trade
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    • 제23권4호
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    • pp.80-102
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    • 2019
  • Purpose - This paper aims to articulate relationship about factors influencing FTA utilization by dividing them into company's external and internal factors and performing investigation on the relationship between FTA utilization and export performance. Design/methodology - This study verified factors influencing FTA utilization by dividing them into company's external and internal factors and performing investigation on the relationship between FTA utilization and export performance. Empirical analysis was performed by setting internal and external factors required for FTA utilization as variables. To achieve this, research model was established based on previous study, hypothesis was deduced, and statistical program were used to test the hypothesis. This study performed empirical analysis using statistical program of SPSS 18.0 and AMOS 18.0 for the research model. Findings - Empirical analysis was performed regarding the effect of the FTA utilization on export performance and previous study defined export performance as the company's increased economy benefits through export and increase in new transactions. Analysis was also performed for factors affecting the FTA utilization by the company and through management and response of external factors and internal factors it was confirmed that the FTA utilization by the company led to increase in the company's export performance as a result. This study proposes a method to achieve export performance based on this. Originality/value - Companies seeking to utilize the FTA sign the Contract for the International Sale of goods and there are many conditions to meet in order to receive trade preferences during the transaction process. Existing trade order and order in the FTA have to be followed. Country of origin can be seen as key in the FTA. The Rule of Origin becomes the most important evaluation standard in applying preferential tariff in the FTA. Such regulations can be seen as external factors which cannot be controlled by the company. Internal factors are capabilities owned before that can be controlled by the company. The study sought to test the variables regarding factors centered on such capability. This study verified factors influencing FTA utilization by dividing them into company's external and internal factors and performing investigation on the relationship between FTA utilization and export performance.

현장 소방활동 안전사고 원인에 대한 4M 분석 (4M Analysis of the factors affecting firefighters' on-site safety)

  • 김태범;변혜정;강태선
    • 한국산업보건학회지
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    • 제27권3호
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    • pp.231-237
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    • 2017
  • Objectives: This study was conducted to determine firefighters' work-related accident rate and investigate the factors affecting their on-site safety. Methods: We developed a web-based self-reported questionnaire designed to inquire into firefighters' work-related accident experience and the factors (4M; Man, Machine, Media, Management) affecting firefighters' on-site safety. We distributed questionnaires to all members of firefighting organizations in South Korea by e-mail and 9,149 were returned, resulting in a response rate of 23.1%. Results: Fifteen point seven percent of the respondents reported work-related injuries within the past one year, and 35.1% answered that current accident investigation reports are not helpful for preventing the same accident from recurring. Among the 4M factors, the one most affecting firefighters' on-site safety in the order of priority is the Man factor, followed by Machine, Media, and Management. However, the results from detailed sub-categorical factors showed some differences. 'Lack of human resources', one of the Management factors, was the most influential (70.3%), followed by 'worn-out equipment' under the Machine factor (67.2%). The viewpoint of elements of the Man factor including 'forgetting instructions' and 'fatigue and illness' were significantly different according to firefighters' rank. The higher the firefighter's rank, the more they answered 'forgetting instructions,' while the opposite was the case for 'fatigue and disease'. Conclusions: The present firefighters' accident investigation report needs to be improved, and the 4M method could prove very useful. In addition, it is necessary to set up a proper firefighters' accident investigation and prevention system.

건축프로젝트의 질 관리에 있어서 시공분야 개선요소에 관한 연구 (A Study of Improvement Factors in the Construction Phase of the Building Project)

  • 김석회;임칠순
    • 한국산업융합학회 논문집
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    • 제9권4호
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    • pp.293-300
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    • 2006
  • Utilizing a building model design of the investigation factors and structured questionnaire, the results of an investigation concerning the improvement factors in the construction phase, as perceived by academic staffs including graduate students, designers, contractors and property management teams, are presented. Findings reveal that management commitment dominate improvement factors for building projects, although construction firms frequently mentioned the team work in design firms. Significant improvements in building projects are obtained when college programs include courses that treat the administrative aspects involved in the building project and that continuing education programs cover quality training. Eighteen predominant selection factors are identified, ranked and correlated.

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Needs for Changing Accident Investigation from Blaming to Systems Approach

  • Kee, Dohyung
    • 대한인간공학회지
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    • 제35권3호
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    • pp.143-153
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    • 2016
  • Objective: The purposes of this study are to survey needs for changing accident investigation from blaming to systems approach and to briefly summarize systems-based accident analysis techniques. Background: In modern complex socio-technical systems, accidents are caused by a variety of contributing factors including human, technical, organizational, social factors, not by just a single violation or error of a specific actor, but accidents investigation used to be focused on the incorrect action of individuals. A new approach investigating causes of accidents as a symptom of a deficient system is required. Method: This study was mainly based on survey of literatures related to accidents, accidents investigation, which included academic journals, newspapers, etc. Results: This study showed that accidents investigation of Korea focusing on blaming is problematic. This was confirmed by two concepts of migration and hindsight bias frequently found in accident causation studies, and an attribute of accidents having varying causes. This was illustrated with an example of Sewol ferry capsizing accident. Representative systems-based accident analysis models including Swiss cheese model, AcciMap, HFACS, FRAM and STAMP were briefly introduced, which can be used in systematic accidents investigations. Finally, this study proposed a procedure for establishing preventive measures of accidents, which was composed of two steps: public inquiry and devising preventive measures. Conclusion: A new approach considering how safety-critical components such as technical and social elements, and their interactions lead to accidents is needed for preventing reoccurrence of similar accidents in complex socio-technical systems. Application: The results would be used as a reference or guideline when the safety relevant governmental organizations investigate accidents.

Clarification the Current Situation of Deterioration and Its Causes of Modernization Heritage Built with Bricks in Japan: A Case Study of Long-Term Monitoring Investigation at Sarushima Battery, Yokosuka, Japan

  • Fukami, Risako;Matsui, Toshiya;Kawamoto, Mayumi
    • 보존과학회지
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    • 제38권4호
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    • pp.265-276
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    • 2022
  • A long-term monitoring investigation at Sarushima Battery (Kanagawa, Japan), which is one of the modernization heritages was conducted from 2017.06 to 2020.12. The investigation of the temperature and relative humidity (RH), measurement of the amount of brick decay, and X-ray diffraction analysis of the brick decay was conducted to understand in detail the environment in which the historical brick structure, the state of deterioration, identify the factors of deterioration. Furthermore, it was discussed whether the suitability of these investigation methods for assessing the status, identifying the level of deterioration and the factors that led to deterioration at the historical brick heritages. It was found that the brick deterioration at the site progressed especially in two periods: in April, and from June to August. These periods coincided with the period when the RH inside the structure decreased, and the Toyo-gumi bricks were in the process of absorbing moisture. Several different types of salts were detected in brick decay, especially thenardite, which is considered highly hazardous and destructive during periods when the amount of brick decay increased. Therefore, the RH in the structure and the salts present in the bricks were identified as one of the factors in the deterioration of the bricks at the site. The methods used in this study are appropriate as the initial survey methods for investigating the current conditions and identifying the causes of deterioration because it is possible to understand the environment within the modernization heritages, grasp the details of deterioration progression, and identify the characteristics of deterioration progression and its factors through long-term investigation using the simple methods.

지반조사 분석을 통한 지반함몰 위험영향인자 연구 (A Study on Risk Influence Factors of Ground Subsidence through Soil Investigation Analysis)

  • 정호영;이길환
    • 한국방재안전학회논문집
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    • 제10권1호
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    • pp.43-46
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    • 2017
  • 최근 도심지 포화로 전 세계적으로 지하공간개발이 활발히 진행되고 있으며 굴착공사는 지상 및 지하의 굴착 인접 구조물에 의한 다양한 굴착공법으로 시공이 주로 이루어지고 있다. 굴착공사 중 시공 부주의나 시공기술 미흡, 지하수 유출, 급격한 지층의 변화에 대응실패, 토류 시스템 구성품의 문제등으로 인해 각종 지반함몰 사고가 발생하고 있다. 지반함몰 방지를 위해 지반조사 분석을 통한 지반함몰 위험영향인자를 도출하고자 한다. 최근 75개소 지반조사값을 토대로 지반함몰 요인을 분석하고 조사항목으로는 지역별, 통일분류법(U.S.C.S), 공법, 굴착심도를 통해 분석을 하였다.

암반사면 표면조사시 재해 예방을 위한 고려요인 (The Factors Considered for Disaster Prevention in Surface Investigation of Rock Slope)

  • 이석진;전성용;이주호;최성록
    • 한국재난관리표준학회지
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    • 제2권2호
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    • pp.75-83
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    • 2009
  • 암반사면에 대한 표면조사 시에는, 암반 사면파괴로 인한 재해의 원인이 될 수 있는 파쇄대에서의 응력이완, 노출되지 않은 불연속면 등의 요인들을 고려하지 못하는 한계가 있다. 이에 본 고에서는 사면의 절취 또는 절취사면의 유지관리에 있어서 사면 안정성에 대한 판단을 도와 사면 파괴로 인한 재해를 예방하는 방안을 제시하고자 한다.

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