• Title/Summary/Keyword: systematic accident analysis

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A Study on the Development of Safety Management Checklist Using Accident Case adjacent to Railway Operation (철도운행선 인접공사 사고분석과 체계적인 체크리스트 개발 등 안전대책 수립에 관한 연구)

  • Ryu, Sang-Hwan;Yum, Byeoung-Soo;Gal, Won-Mo
    • The Journal of Industrial Distribution & Business
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    • v.9 no.10
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    • pp.63-72
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    • 2018
  • Purpose - This thesis is to develop a management plan and checklist by analyzing the prevention of accidents in advance by presenting the management plan for the major causes of railway accidents. Research design, data and methodology - In recent 5 years, we have analyzed the cases of railway accident, presented the management plan for the accident, and made a practical safety checklist focusing on the main measures according to the management plan. Results - The analysis of the cases of near-railway accidents suggests more concrete and practical safety management measures because the similar accidents are continuously occurring due to formal safety management. Conclusions - It is more valuable to apply to the adjacent construction of the railway line by creating a detailed checklist based on cases rather than the existing checklist. This study is written only as a human factor. For future real - time safety management, it is necessary to study more precisely cause analysis and safety equipment as a big data - based safety control system for more systematic safety management.

Roles of Safety Management System (SMS) in Aircraft Development

  • Lee, Won Kwan;Kim, Seung Jo
    • International Journal of Aeronautical and Space Sciences
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    • v.16 no.3
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    • pp.451-462
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    • 2015
  • Safety is the first priority in civil aviation, and so the International Civil Aviation Organization (ICAO) has introduced and mandated the use of Safety Management Systems (SMS) by airlines, airports, air traffic services, aircraft maintenance organizations, and training organizations. The aircraft manufacturing industry is the last for which ICAO has mandated the implementation of SMS. Since SMS is a somewhat newer approach for most manufacturers in the aviation industry, they hardly believe in the value of implementing SMS. The management of safety risk characteristics that occur during early aircraft development stages and the systematic linkage that the safety risk has to do with an aircraft in service could have a significant influence on the safe operation and life cycle of the aircraft. This paper conducts a case analysis of the McDonnell Douglas MD-11 accident/incident to identify the root causes and safety risk levels, and also verified why aircraft manufacturing industry should begin to adopt SMS in order to prevent aircraft accident.

Analysis of the Leading Cases of Nurses charged with Involuntary Manslaughter (간호사 업무상과실치사상죄 판례분석)

  • Song, Sung Sook;Kim, Eun Joo
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.30-40
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    • 2021
  • Purpose: This study aims to present nurses' legal conflicts and legal basis through the precedent analysis of a crime of professional negligence resulting in death and injury for the past 20 years and provide vital references to cultivate the correct and high-level legal consciousness of nurses. Methods: This study was conducted in five stages of the systematic content analysis method. It amalyses the precedents of a crime of nurses' professional negligence resulting in death and injury from 2000 to 2020. The application system for the provision of the written judgment was used to collect precedents. A total of 67 cases were analyzed in this study, and they were classified according to the type of nursing error, and the contents were systematically analyzed. Results: A total of 52 cases (77.5%) of nursing errors were caused by independent nursing practices. They were classified as 38 cases (A1) in the violation of patient supervision obligations, 12 cases in the violation of progress observation obligations (A2), one case in the violation of medical equipment inspection obligations (A3), and one case in the violation of explanation and verification obligations. Among the non-independent nursing practices (code B), B1 was 10 cases related to administrative acts, one blood transfusion accident (B2), and one anesthesia accident (B3). Conclusion: To prevent nurses from being involved in legal confits, the advocation of systematic training such as nurses' legal obligations and judgment grounds through case-based learning from the recent precedent analysis and promote nurses' legal perspective, and preventive activities are essential.

A Comparative Analysis of Occupational Accidents between Indoor and Outdoor Workers in Telecommunications Industry

  • Kim, Yang Rae;Jeong, Byung Yong
    • Journal of the Ergonomics Society of Korea
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    • v.34 no.5
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    • pp.519-529
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    • 2015
  • Objective: This study aims to analyze the characteristics of occupational accidents and injuries of telecommunications line and cable workers by type of workplace and operational process of cabling service and to provide baseline data in establishing the preventive policies for occupational accidents and injuries. Background: In order to set up the preventive policies for occupational injuries and illness systematically, the accident analysis by industry should be preceded. To establish more effective policies, it should be done by occupation for persons who work in various kinds of occupation rather than by industry for persons who do in the same occupation. Method: In this study, the 176 occupational accidents and injuries were classified by type of workplace - indoor (inside building) and outdoor (at the top of utility pole, in a manhole, or in the fields) - and also done by operational process involved at the time of the accident. By analyzing the characteristics of occupational injuries and illness by type of workplace and operational process, respectively, this study can be helpful in establishing the preventative policies for occupational accidents and injuries. Results: The characteristics of occupational accidents and injuries by type of workplace showed that there were differences in terms of accident rate between indoor and outdoor on age of the injured, while not on employment-size and work experience of the injured. In addition, the characteristics on accident type, agency of accident, parts of body affected, and operational process between indoor and outdoor workplaces were statistically different each other. Conclusion and Application: The findings of occupational accidents' characteristics can be applied to the establishment of systematic preventative policies for occupational accidents of telecommunications line/equipment workers.

Development of a Computer Code, CONPAS, for an Integrated Level 2 PSA

  • Ahn, Kwang-Il;Kim, See-Darl;Song, Yong-Mann;Jin, Young-Ho;Park, Chung K.
    • Nuclear Engineering and Technology
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    • v.30 no.1
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    • pp.58-74
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    • 1998
  • 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 detailed supporting event tree (DSET) for its detailed quantification. For the integrated analysis of Level 2 PSA, the code utilizes five distinct, but closely related modules. Its computational feasibility to real PSAs has been assessed through an application to the UCN 3&4 full scope Level 2 PSA. Compared with other existing computer codes for Level 2 PSA, the CONPAS code provides several advanced features: (1) systematic uncertainty analysis / importance analysis / sensitivity analysis, (2) table / graphical display & print, (3) employment of the recent Level 2 PSA technologies, and (4) highly effective user interface. The main purpose of this paper is to introduce the key features of CONPAS code and results of its feasibility study.

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A Study on the Cause of the Accidents Influencing Factor based on the Safety Management Shape Types of the Cooperation Companies in Semiconductor Industry (협력업체의 안전관리 형태에 따른 반도체 산업의 사고의 영향요인에 관한 연구)

  • Yoon, Yong-Gu;Park, Peom
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.32 no.4
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    • pp.1-8
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    • 2009
  • The studies on semiconductor industrial accident in korea have been focused on the frequencies of each type of safety management employee, characteristics, cause and unsafe conditions, acts and so on. Those attributes of semiconductor industrial accidents were usually analyzed independently, so that it was hard to provides a wel-developed process and systematic guidelines for efficient safety management. Therefore, there were a few studies based on comprehensive survey in terms of the shape type of safe management. The questionnaire survey carried out for the 284 workers who were responsible for safety management in center with cooperation companies in semiconductor industry factor analysis showed that there were three factors of safety management. First, investment and operation and management for accident prevention, Second, unsafe act and condition, safety management Third, general human error and behavior. The industries of respondents were correlative with three groups. Three groups showed statistically significant differences on the number of cases. Actually, the group with the larger investment and the more unsafe cause, human error of accidents prevention had a smaller causes of accident cases.

Adaptation to the product liability of systematic approach to accident scenario analysis (SASA) (사고시나리오(SASA)의 제조물책임(PL)법에의 적용)

  • 권영국;김진윤
    • Journal of the Korea Safety Management & Science
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    • v.3 no.4
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    • pp.19-34
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    • 2001
  • Since the introduction of product liability law from America in 1960s, product liability has been on the rise as an important problem to the quality management of company and consumer's safety. Together with this, before the legislation of product liability system in Korea, the sense and level of company and consumer about product safety are rapidly changing, In times like the present, ensuring more systematic product safety and consumer safety, and the buildup need of competitive power in accordance with product liability prevention of company grows raising. Therefore, this study presents the most effectively manageable ways of product liability the side of safety management of consumers and companies through the ensuring ways and activity models of product safety and certification system in company.

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A Systems Engineering Approach to Multi-Physics Analysis of a CEA Withdrawal Accident

  • Jan, Hruskovic;Kajetan Andrzej, Rey;Aya, Diab
    • Journal of the Korean Society of Systems Engineering
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    • v.18 no.2
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    • pp.58-74
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    • 2022
  • Deterministic accident analysis plays a central role in the nuclear power plant (NPP) safety evaluation and licensing process. Traditionally the conservative approach opted for the point kinetics model, expressing the reactor core parameters in the form of reactivity and power tables. However, with the current advances in computational power, high fidelity multi-physics simulations using real-time code coupling, can provide more detailed core behavior and hence more realistic plant's response. This is particularly relevant for transients where the core is undergoing reactivity anomalies and uneven power distributions with strong feedback mechanisms, such as reactivity initiated accidents (RIAs). This work addresses a RIA, specifically a control element assembly (CEA) withdrawal at power, using the multi-physics analysis tool RELAP5/MOD 3.4/3DKIN. The thermal-hydraulics (TH) code, RELAP5, is internally coupled with the nodal kinetics (NK) code, 3DKIN, and both codes exchange relevant data to model the nuclear power plant (NPP) response as the CEA is withdrawn from the core. The coupled model is more representative of the complex interactions between the thermal-hydraulics and neutronics; therefore the results obtained using a multi-physics simulation provide a larger safety margin and hence more operational flexibility compared to those of the point kinetics model reported in the safety analysis report for APR1400. The systems engineering approach is used to guide the development of the work ensuring a systematic and more efficient execution.

Applications, Shortcomings, and New Advances of Job Safety Analysis (JSA): Findings from a Systematic Review

  • Fakhradin Ghasemi;Amin Doosti-Irani;Hamed Aghaei
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.153-162
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    • 2023
  • Background: Job safety analysis (JSA) is a popular technique for hazard identification and risk assessment in workplaces that has been applied across a wide range of industries. This systematic review was conducted to answer four main questions regarding JSA: (1) which sectors and areas have used JSA? (2) What has been the aim of employing JSA? (3) What are the shortcomings of JSA? (4) What are the new advances in the field of JSA? Methods: Three main international databases were searched: SCOPUS, Web of Science, and PubMed. After screening and eligibility assessment, 49 articles were included. Results: Construction industries have used JSA the most, followed by process industries and healthcare settings. Hazard identification is the main aim of JSA, but it has been used for other purposes as well. Being time-consuming, the lack of an initial list of hazards, the lack of a universal risk assessment method, ignoring hazards from the surrounding activities, ambiguities regarding the team implementing JSA, and ignorance of the hierarchy of controls were the main shortcomings of JSA based on previous studies. Conclusion: In recent years, there have been interesting advances in JSA making attempts to solve shortcomings of the technique. A seven-step JSA was recommended to cover most shortcomings reported by studies.

Design and Implementation of an HNS Accident Tracking System for Rapid Decision Making (신속한 의사결정을 위한 HNS 사고이력관리시스템 설계 및 구현)

  • Jang, Ha-Lyong;Ha, Min-Jae;Jang, Ha-Seek;Yun, Jong-Hwui;Lee, Eun-Bang;Lee, Moon-jin
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.23 no.2
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    • pp.168-176
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    • 2017
  • HNS accidents involve large-scale fires and explosions, causing numerous human casualties and extreme environmental pollution in the surrounding area. The widespread diffusion of effects should be prevented through rapid decision making. In this study, a high-quality, standardized, and digitized HNS accident databases has been generated based on the HNS standard code proposed. Furthermore, the HNS Accident Tracking System (HATS) was applied and implemented to allow for systematic integration management and sharing. In addition, statistical analysis was performed on 76 cases of domestic HNS accident data collected over 23 years using HATS. In Korea, an average of 3.3 HNS accidents occurred each year and major HNS accident factors were Springs (41 %), Aprons (51 %), Chemical Carriers (49 %), Crew's Fault (45 %) and Xylenes (12 %). (The number in parentheses is the percentage of HNS accident factors for each HNS accident classification)