• 제목/요약/키워드: systematic accident analysis

검색결과 147건 처리시간 0.027초

항만에서의 위험·유해물질(HNS) 누출사고 대응에 관한 연구 (A Study of Emergency Response for the Leakage Accident of Hazardous and Noxious Substances in a Port)

  • 우영진;이창준
    • 한국안전학회지
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    • 제31권6호
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    • pp.32-38
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    • 2016
  • In general, lots of containers including various dangerous materials are transported to the port located in big cities such as Busan where massive residents live. Thus, it's really important how to make the emergency response for the leak accidents of dangerous materials and evaluate the direct or indirect damages to adjacent areas. In this study, in order to make reasonable emergency plans, CA (Consequence Analysis) is employed after selecting a key hazardous and noxious material, hydrogen fluroide. This material accounts for the third largest portion of cargo volume among all dangerous materials and can cause a huge damage in case of leakages. As a case study, Busan North port is selected as a test port since the portion of dangerous materials is higher than that of other ports in Busan. It is assumed that 1 ton of hydrogen fluoride is spilled at Busan North port. CA is performed to assess the impact of this accident. Throughout CA, the ERPG-2 range of a leak accident can be evaluated and this result can be used for decision making tools for mitigating the impact of a leak accident. To mitigate the damage of this accident, suitable a protective equipment and resident evacuation procedures should be prepared. Finally, this study can provide a systematic approach to make the emergency plan for reducing economical and personal losses.

사고 유발 불안전행동의 위반 여부에 대한 객관적 판단절차 개발 (Development of an Objective Judgement Procedure for Determining Involvement of Violation-Type Unsafe Acts caused Industrial Accidents)

  • 임현교;함승언;박건영;이용희
    • 한국안전학회지
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    • 제37권2호
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    • pp.35-42
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    • 2022
  • When an accident occurs, the associated human activity is typically regarded as a "human error," or a temporal deviation. On the other hand, if the accident results in a serious loss or if it evokes a social issue, the person determined to be responsible may be punished with a "violation" of related laws or regulations. However, as Heinrich stated, it is neither appropriate nor reasonable in terms of probability theory and cognitive science to distinguish whether it is a "human error" or a "violation" with a criterion of resultant accident severity. Nonetheless, some in society get on the social climate to strengthen regulations on workers who have caused accidents, especially violations. This response can present a social issue due to the lack of systematic judgment procedure which distinguishes violations from human errors. The purpose of this study was to develop an objective and systematic procedure to assess whether workers' activities which induced industrial accidents should be categorized as violations rather than human errors. Various analysis techniques for the determination of violation procedure were investigated and compared using an analysis approach method. An appropriate technique was not found, however, for judging the culpability of intentional violations. As an alternative, this study developed the process of creating violations, based on cognitive procedure, as well as the criteria to determine and categorize an activity as a violation. In addition, the developed procedure was applied to cases of industrial accidents and nuclear power plant issues to test its practical applicability. The study demonstrated that the proposed model could be used to determine the existence of a violation even in the case of multiple workers who work simultaneously.

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
    • 웰빙융합연구
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    • 제7권1호
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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.

A Study of Methodology to Examine Organizational Root Causes through the Retrospect Error Analysis of Railroad Accident Cases

  • Ra, Doo Wan;Cha, Woo Chang
    • 대한인간공학회지
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    • 제34권2호
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    • pp.103-113
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    • 2015
  • Objective: This study proposes a systematic process to present the analysis methods and solutions of organizational root causes to human errors on the railroad. Background: In fact, organizational root cause such as organizational culture is an important factor in the safety concerns on human errors in the nuclear power plant, railroad and aircraft. Method: The proposed process is as follows: 1) define analysis boundary 2) select human error taxonomy 3) perform accident analysis 4) draw root causes with FGI 5) review root causes analysis with survey 6) chart analysis of root causes, and 7) propose alternatives and solutions. Results: As a result, root causes of the organizations like railroad and nuclear power plant came from the educational problems, violations, payoff system, safety culture and so forth. Conclusion: The proposed process does predict potential railroad accident through retrospect error analysis by building new human error taxonomies and problem solution. Application: This study would contribute to examination of the relationship between human error-based accidents and organizational root causes.

안전한 제품을 설계하기 위한 새로운 제품위험분석 방법 (A New Approach to Product Risk Analysis for Safe Product Design)

  • 안찬식;조암
    • 대한인간공학회지
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    • 제23권3호
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    • pp.53-72
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    • 2004
  • Today we are observing a lot of injuries, casualties, and property losses that are mainly caused by the defects of products. In order to derive safety designs, which minimize the possibility of such product liability-related accidents, we need to take into account the user-product interaction as an important part of the danger factor analysis. Existing risk analysis techniques, however, have some limitations in detecting comprehensive danger factors that are peculiarly involved in human errors and the functional defects of products. Researches on danger factor analysis regarding the user-product interaction have been carried out actively in ergonomics. In this paper, we suggest a novel product risk analysis technique, which is more objective and systematic compared to the previous ones, by combining a modified TAFEI (Task Analysis For Error Identification) technique with SASA (Systematic Approach to Accident Scenario Analysis) technique. By applying this technique to the product design practice in industry, corporations will be able to improve the product safety, consequently strengthening the competitiveness.

Window-Based Computer Code Package CONPAS for an Integrated Level 2 PSA

  • Ahn, Kwang-Il;Kim, See-Darl;Song, Yong-Mann;Jin, Young-Ho
    • 한국원자력학회:학술대회논문집
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    • 한국원자력학회 1996년도 춘계학술발표회논문집(2)
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    • pp.493-498
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    • 1996
  • A PC window-based computer code, CONPAS(CONtainment Performance Analysis System), has been developed to integrate the numerical, graphical and results-operation aspects of Level 2 probabilistic safety assessments (PSA) for nuclear power plants automatically. As a main logic for accident progression analysis, it employs a concept of the small containment phenomenological event tree(CPET) helpful to trace out visually individual accident progressions and of the large supporting event tree(LSET) for its detailed quantification. Compared with other existing computer codes for Level 2 PSA, the CONPAS code provides several advanced features: computational aspects including systematic uncertainty analysis, importance analysis, and sensitivity analysis, reporting aspects including tabling and graphic, and user-friend interface.

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A Systems Engineering Approach to Ex-Vessel Cooling Strategy for APR1400 under Extended Station Blackout Conditions

  • Saja Rababah;Aya Diab
    • 시스템엔지니어링학술지
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    • 제19권2호
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    • pp.32-45
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    • 2023
  • Implementing Severe Accident Management (SAM) strategies is crucial for enhancing a nuclear power plant's resilience and safety against severe accidents conditions represented in the analysis of Station Blackout (SBO) event. Among these critical approaches, the In-Vessel Retention (IVR) through External Reactor Vessel Cooling (IVR-ERVC) strategy plays a key role in preventing vessel failure. This work is designed to evaluate the efficacy of the IVR strategy for a high-power density reactor APR1400. The APR1400's plant is represented and simulated under steady-state and transient conditions for a station blackout (SBO) accident scenario using the computer code, ASYST. The APR1400's thermal-hydraulic response is analyzed to assess its performance as it progresses toward a severe accident scenario during an extended SBO. The effectiveness of emergency operating procedures (EOPs) and severe accident management guidelines (SAMGs) are systematically examined to assess their ability to mitigate the accident. A group of associated key phenomena selected based on Phenomenon Identification and Ranking Tables (PIRT) and uncertain parameters are identified accordingly and then propagated within DAKOTA Uncertainty Quantification (UQ) framework until a statistically representative sample is obtained and hence determine the uncertainty bands of key system parameters. The Systems Engineering methodology is applied to direct the progression of work, ensuring systematic and efficient execution.

해빙기 가스사고분석 및 사고예방 대책 제시 (Gas Accident Analysis and Suggestion of Countermeasure at Thawing Season)

  • 박교식;김은정
    • 한국가스학회지
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    • 제4권2호
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    • pp.46-51
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    • 2000
  • 연료가스의 사용이 늘어남에 따라 이로 인한 가스사고를 적절하게 관리할 필요성이 증대되고 있다. 최근 4년 동안 발생했던 사고를 체계적으로 분석하여 사고 발생에 영향을 미치는 주된 요인을 찾아내고 이를 사고감소 대책을 제시하는데 활용한다. 해빙기는 연평균 치보다 사고발생비율이 높아 상대적으로 취약한 기간으로 분석되었다. 동 기간동안 LPG(Liquefied petroleum gas) 사고는 연 평균치와 비슷하나 전체적으로 차지하는 비중이 높으며 원인별로는 사용자취급부주의에 의한 사고와 제품불량 혹은 시설미비에 의한 사고가 많아 이에 대한 대책이 시급한 것으로 나타났다. 동 기간동안 도시가스사고는 연 평균치보다 높아 전반적으로 주의 깊게 관리할 필요가 있으며 특히 원인별로 시설미비로 인한 사고 및 타공사로 인한 사고가 비중이 높았다. 비중이 높은 사고나 연 평균치보다 사고비율이 높은 사고에 대해 이를 저감할 수 있는 대책을 제안하였다.

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사고대비물질 취급자의 비상대응계획 작성 프로그램 연구 (Development of a Supporting Program for the Emergency Preparedness Plan)

  • 김성범;노혜란;석광설;박재득
    • 한국안전학회지
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    • 제26권5호
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    • pp.54-58
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    • 2011
  • Emergency preparedness plan(EPP) is the systematic management of activities that involve a material degree of risk of loss or other damage to the surroundings(people, property and environment), and the boundary of accident recovery plan(ARP). The main purpose of the program is to provide a safety management system to each facility in order to enable to prevent accident and to control accident immediately. The EPP includes not only typical safety-related documentations such as material safety data sheet(MSDS), standard operation procedure(SOP), emergency response plan(ERP). EPP is established basis of the preliminary safety analysis involving risk identification, assessment and prevention plans. The program is also helpful for government or related agencies to control a number of accidents in small-scale companies in the whole country.

교통사고로 인한 경항통에 적용한 수기요법의 효과: 체계적 고찰 및 메타분석 (A Systematic Review and Meta-Analysis of Manual Therapy for Neck Pain Caused by Traffic Accidents)

  • 강석범;손우석;김영준;우창훈
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.21-28
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    • 2021
  • Objectives To investigate the effectiveness of manual therapy for neck pain caused by traffic accidents. Methods We searched six electronic databases (OASIS, KISS, RISS, NDSL, MEDLINE, and Cochrane Library) to gather randomized controlled trials using the keywords 'manual theray OR chuna OR tuina' and 'whiplash injury OR neck sprain'. Results Eight RCTs were selected based on the inclusion criteria. Four studies were meta-analyses. The systematic review found a positive effect of manual therapy for whiplash injury. All studies showed a high risk of performance bias. Conclusions The systematic review reported favorable results using manual therapy for neck pain caused by traffic accidents. However, this study has several limitations owing to the high risk of bias. Further clinical studies and the development of a study design are required for stronger evidence.