• Title/Summary/Keyword: near miss

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Deduction of Main Hazard Cause to the Progress of Iron Work for Accident Analysis (재해사례 분석을 통한 제철소 공정별 주요위험요인 도출)

  • Hong, Sung-Man;Park, Peom;Sun, Su-Bin
    • Journal of the Korea Safety Management & Science
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    • v.11 no.3
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    • pp.33-40
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    • 2009
  • Steel and iron manufacture works exist that many latency risk as melting liquid of high temperature, work of high place, and so on. Once in a while, the accident case make use of basic data for latency risk analysis in a place of business. In this paper, we investigated the cause of the accident in steel an iron works. The result, we came across that many latency risk in steel and iron manufacture works. The main type of risk are fall, narrow, come flying, etc. Most of the latency risk type are repetition and conventional accident. Accordingly, steel and manufacture works must prevent to repetition and conventional accident.

Analysing the probability of risks by using AIS Data

  • Guk, Seung-Gi;Fukuda, Gen
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2013.06a
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    • pp.169-171
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    • 2013
  • The ships always have had the risk of collision. There are also a number of near-miss situations especially in the congested area such as port entrance, restricted waters and crossing point of the ship's route. In those areas, the navigator might have more stress than other areas. If the collision risk of decided area is calculated, it might be possible to analyse the human factors by using this data. It is also helpful for deciding a position of aids to navigation or any other system for the safety navigation. For this purpose, the model of collision risk with AIS data has been explained in this paper. The calculated result from the proposed model has been examined by using the simulation.

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Comparison of Safety Culture Awareness between Client and Subcontractors' Employees according to the Experience of Accidents and Near Misses (사고와 아차사고 경험에 따른 원청과 협력업체 근로자 간 안전문화 인식 비교)

  • Kim, Dong Yeol;Park, Jae Hee
    • Journal of the Korean Society of Safety
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    • v.37 no.2
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    • pp.28-34
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    • 2022
  • This study analyzes the impact that accidents and near misses have on clients' and contractors' awareness of safety culture. Due to the unique characteristic of employment structure in Korea, the occurrence of accidents differs by company size, which has relevant implications for the establishment of safety culture. Attention has been drawn to the importance of the management of accidents and near misses, with safety awareness acting as a core factor. A positive effect on the prevention of accidents could be achieved by noting the difference in safety awareness between clients and contractors and suggesting an associated suitable safety management system. In support of this study, a survey was distributed to workers in the automobile manufacturing industry (May-August 2020), and data from a total of 574 workers was collected and analyzed, including 399 clients' worksers and 175 contractors' workers. The questionnaire addressed participants' experiences of accidents and near misses as well as 50 items from the Nordic Occupational Safety Climate Questionnaire. Analysis of the responses was conducted using the methods of frequency analysis, Fisher's exact test, t-test, correlation analysis, and regression analysis. The results demonstrated that clients had more experiences with accidents and near misses compared to contractors. Additional differences between clients and contractors were noted in terms of the safety culture factors of learning, communication, and trust. A correlation was observed between the experience of accidents and safety justice management: for clients and contractors who experienced accidents, safety justice management was 9.4 times higher. Furthermore, clients' and contractors' awareness of employees' commitment to safety was determined to be 28.5 times higher in those who had experienced near misses This study concludes that, in order to improve accident prevention through the management of accidents and near misses, clients must focus on overseeing safety justice management and aspects of safety culture factors, while contractors must focus efforts on managing employees' commitment to safety. In further applications, this study could provide baseline data for health and safety activities in terms of the safety culture of clients and contractors. Further study on the establishment of safety culture as related to employment structure is proposed for future research.

Radiotherapy Incidents Analysis Based on ROSIS: Tendency and Frequency (ROSIS 자료 기반 방사선 사고 사례 분석 : 경향과 빈도)

  • Koo, Jihye;Yoon, MyongGeun;Chung, Won Kuu;Kim, Dong Wook
    • Progress in Medical Physics
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    • v.25 no.4
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    • pp.298-303
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    • 2014
  • In this study, we examine the trends and types of incidents frequently occur during radiation therapy by using the data from the radiation oncology safety information system (ROSIS), according to discovery method explores the development direction of future research accident cause factor control method. This study was carried out analysis of incident data in ROSIS nearly 1163 cases in last 11 years from 2003 to 2013. We categorized into treatment methods, found the time, discoverer of occupations and finding ways to analyze the data. Then, we calculate the percentage and the classification for each item. About 1163 cases of incident cases including the near miss cases, external radiation therapy, brachytherapy and other were 97%, 2% and 1%. In the case was improperly planned dose delivery was 44% (497 cases) which 429 cases (86%) was found before 3 fractions and 13 cases were found after 11 fractions. The investigation was found to be distributed in various a found times. Approximately 42% of found time was during treatment and 29% of patients were found the problem during inspection chart. Occupation to discover the most radiation accidents was the radiation therapist (53%) who works in treatment room. Among 1163 incidence cases, 24% cases were found the accident before the treatment, therefore most of accident were found after of during the treatment (70%, 813 cases). This trend is acquired through ROSIS analysis, is expected to be not significantly different in the case of Korea, so it is necessary more diverse and systematic research for the prevention and early detection by using the ROSIS data.

A Study on the Analysis of the Safety Management System of Korea-China Car Ferries

  • Park, Young-Soo;Jeon, Hea-Dong;Oh, Yong-Sik;Park, Sang-Won
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.3
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    • pp.287-293
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    • 2017
  • The purpose of this study is to keep the safety of the car ferry passengers and vessels by investigating and analyzing vessel safety management systems in Korea and China. To this end, we investigated Korea-China car ferries and the current status and causes of global marine accidents corresponding to the sizes of the vessels from Korea and China. Furthermore, we investigated car ferries' crew management and safety management. As a result of the analysis of the ferry accident, the causes of human error and ship's age were the greatest, but the ship's companies showed a negative stance regarding the age restriction. It seems that it is necessary to utilize the near-miss accident reporting system and differentiate the management of ship's aging. Also, it was analyzed that both the ship company and the crew of the ship need to strengthen their awareness of safety management.

RISK ANALYSIS AT CONGESTED MARITIME TRAFFIC AREA OF ISTANBUL STRAIT (이스탄불 해협의 교통혼잡 위험 분석에 관한 연구)

  • Yusuf, Volkan
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • v.2
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    • pp.13-17
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    • 2006
  • Almost every day close passage or near miss events happens in south part of Istanbul Strait between the vessel runs in the local area and pass strait transit. The vessels run in the local area pass close bow or aft of transit vessel or come close and wait for transit vessel because of inexperienced or incompetent skipper or because of time limitation or failure in technical equipment or lack of technical equipment or old equipment. This close passages create profound dangers for the surroundings. By the this research has been aimed to point out mentioned dangers by the concrete as number. For this purpose has been utilized JMS Ship Handling Simulator which has been settled in ITU Maritime Faculty and Environmental Stress Model which has been built up and improved in Inoue Laboratory. Has been put in the senarios which been played during simulation implementations transferred to the numerical risk occured during passage of South Part of Istanbul Strait by the Environmental Stress Model . Thus so, the riskwhich Istanbul Strait face everyday has been expressed as numerical and concrete.

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Finite Element Analysis on Stress Distribution in Base Metal-Ceramic Crown Margin Designs (유한요소법을 이용한 비귀금속-도재관 변연부 형태에 따른 응력 분포 분석)

  • Lee, Myung-Kon;Shin, Jung-Woog;Kim, Myung-Duk
    • Journal of Technologic Dentistry
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    • v.22 no.1
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    • pp.79-88
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    • 2000
  • The objective of this finite element method study was to analyze the stress distribution induced in a maxillary central incisor Ni-Cr base metal coping ceramic crowns with various margin design. Margin designs of crown in this experiment were knife-edge metal margin on chamfer finishing line of tooth preparation(M1), butt metal margin on shoulder finishing line(M2), reinforced butt metal margin on shoulder finishing line(M3), beveled metal margin on bevelde shoulder finishing line(M4). Two- dimensional finite element models of crown designs were subjected to a simulated biting force of 100N which was forced over porcelain near the lingual incisal edge. Base on plane stress analysis, the maxium von Miss stresses(Mpa) in porcelain venner was 0.432, in metal coping was 0.579, in dentin abutment was 0.324 for M1 model, and M2 model revealed in porcelain was 0.556, in metal coping was 0.511, in dentin was 0.339, and M3 model revealed in porcelain was 0.556, in metal coping was 0.794, in dentin was 0.383 for M4 model. All values of each material in metal-ceramic crown were much below the critical failure values.

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A study on the risk assessment of the workplaces in the General Sawmill Industry (일반제재업의 작업장소별 위험성 평가)

  • Rhee, Hongsuk;Shin, Woonchul
    • Journal of the Korea Safety Management & Science
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    • v.17 no.4
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    • pp.105-112
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    • 2015
  • Sawmilling industry remained a high risk with the average 4.73% of industrial accidents in 2010-2012 that was eight times that of general manufacturing. Sawmilling industry had 200 industrial accidents victim in average. Manufacturing process in sawmill industry contained dangerous machinery such as conveyors, roller, saw ( band saw, circular saw) etc. It may be effective to figure out the type of industrial accidents occurred in the past and extend risk assessment which can predict hazard such as near miss when implementing exposure or potential dangers in sawmill industry. This study conducted research on the actual condition on the place of industrial accident occurrence, detailed work and contact object when injured, and injured part targeting 643 businesses which had industrial accidents in 2010-2012. As the results, RPN of general sawmill industry was the highest 'ganglip saw' with 36,157. RPN of the following order were 'moving truck' with 25,454, 'special machining operations' with 22,283. Also, probability of general sawmill industry was a lots within 1 year, while risk appeared a lots within 5 years. So, risk assessment shall be needed to emphasis on accident prevention of sawmill industry. And additional work will be needed on the risk assessment in hazard prevention work of supervisors.

A study on the difference in the safety culture cognition of host company and subcontractor (주관기업과 협력기업의 안전문화 인식 차이에 관한 연구)

  • Choi, Byung-Gil;Yoon, Seok-Joon;Choi, Seo-Yeon;Moon, Kyoung-Whan
    • Journal of the Korea Safety Management & Science
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    • v.17 no.3
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    • pp.173-183
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    • 2015
  • The study conducted questionnaire analysis on 607 host company employee and 404 subcontractor employee in order to examine the difference in the safety culture cognition of host company and subcontractor. As a result, host company had higher recognition in all safety culture factors compare to that of subcontractor, and there were bigger gap of cognition in the 'cognition in safety status and culture', 'accident and near-miss', 'immediate superior's concentration degree in safety and health' than that of other cognition factors. Furthermore, team leaders showed the highest cognition in both host company and subcontractor, and employees with above 20 year career had the highest cognition in both host company and subcontractor. There is high relationship between host company and subcontractor in the correlations in safety culture cognition factors. Through this study, we identified the difference in the safety culture cognition factor of host company and subcontractor.

Analysis of Medication Errors of Nurses by Patient Safety Accident Reports (환자안전사고 보고서를 통한 간호사 투약오류 분석)

  • Koo, Mi Jee
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.109-119
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    • 2021
  • Purpose: The purpose of this study was to identify and analyze the characteristics of nurses' medication errors during three years. Methods: Retrospective survey study design was used to analyze medication errors by nurses among patient safety accidents. Data were collected for three years from January, 2017 to December, 2019. Data were analyzed using frequency, percentage, 𝑥2-test, and logistic regression with SPSS 26.0 program. Results: Of a total 677 medication errors, 40.6% were caused by nurses. Among the medication errors, near miss (n=154, 56.0%), intravenous bolus injection (n=170, 61.8%), wrong dose (n=102, 37.1%) and carelessness for repetitive work (n=98, 35.6%) were the most common. Medication errors differed by department, and nurses' career, and patient safety accident type. The results of the logistic regression analysis showed that the risk factors of adverse events were medication of fluids (OR=3.93, 95% CI: 1.26~12.27), insulin subcutaneous injection (OR=39.06, 95% CI: 4.58~333.18), and occurrence of extravasation/infiltration (OR=7.26, 95% CI: 1.85~28.53). Conclusion: The simplest and most effective way to prevent medication errors is to keep 5 right, and a differentiated education program according to department and nurse career is needed rather than general education programs. Hospital-level integrated interventions such as a medication barcode system or a team nursing method are also necessary.