• Title/Summary/Keyword: systematic accident analysis

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Establishment of a Safety Inspection System for Public Institutions Ordered Construction Projects (건설공사 발주 공공기관의 안전점검 체계구축에 관한 연구)

  • Eung Ho Park;Sudong Lee;Kihyo Jung
    • Journal of the Korea Safety Management & Science
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    • v.25 no.3
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    • pp.55-62
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    • 2023
  • Public institutions have a responsibility to ensure the safety of their employees and the public. One way to do this is to implement a systematic safety inspection system based on risk assessments and continuous improvements. This study developed a systematic safety inspection system for public institutions that are ordered construction projects. The proposed system in this study consists of a three-step process: (1) developing safety grade evaluation tables, (2) preparing and conducting safety inspections, and (3) evaluating and improving safety management grades. The first step is to develop safety grade evaluation tables by analysis and diagnosis of the construction site's work type, disaster statistics, and related laws. The second step is to conduct safety inspections using the developed evaluation tables. The third step is to determine the safety management grade based on the results of the safety inspection, and to improve risk factors found during the safety evaluation. The proposed system was implemented in highway construction projects carried out by public institutions. The results showed that the proposed system has two major effects: (1) reducing accident-related deaths and injuries, (2) improving safety management levels by continuous evaluation and improvement. The proposed system can be utilized in construction projects ordered by public institutions to improve the level of occupational safety and health.

The analysis of NRT-SEL of the B747-400 Aircraft by FDR(Flight Data Recorder) (비행자료기록(FDR)에 의한 B747-400 항공기의 나리타-김포 비행 분석)

  • Shin, D.W.;Lee, K.C.;Lee, J.H.;Choi, H.S.;Song, B.H.
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.9 no.2
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    • pp.63-76
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    • 2001
  • The number of civil aviation aircraft registered in Korea has continuously increased. Accordingly the accidents accompanying loss of human or economic resources occurred repeatedly. But the analysis of flight data recorded in FDR was not done by ourselves in the accident investigation because of lack of analysis technology. Therefore, this study is performed to secure the safety of civil aviation by establishing systematic analysis ability of Flight Data Recorder. Through this study, download flight data to personal computer, editing interface file to convert from binary data to engineering data, three dimensional graphical analysis and numerical analysis are performed. For the analysis, the flight of B747-400 model aircraft between Narita(Japan) and Gimpo(Korea) was selected.

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An Analysis of Human Error Mode and Type in the Railway Accidents and Incidents (철도 사고 및 장애의 인적오류 유형 분석)

  • Ko, Jong-Hyun;Jung, Won-Dea;Kim, Jae-Whan
    • Journal of the Korean Society of Safety
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    • v.22 no.4
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    • pp.66-71
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    • 2007
  • Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

Human Error Analysis on the Domestic Railway Accident and Incident (국내 철도사고 및 운행장애의 인적오류 유형 분석)

  • Ko, Jong-Hyun;Jung, Won-Dea;Kim, Jae-Whan;Kwak, Sang-Log
    • Proceedings of the KSR Conference
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    • 2006.11b
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    • pp.1529-1535
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    • 2006
  • Human error is one of the major contributors to the railway accidents or incidents. In order to develop an effective countermeasure to remove or reduce human errors, a systematic analysis should be preferentially performed to identify their causes, characteristics, and types of human error induced in accidents or incidents. This paper introduces a case study for human error analysis of the railway accidents and incidents. For the case study, more than 1,000 domestic railway accidents or incidents that happened during the year of 2004 have been investigated and a detailed error analysis was performed on the selected 90 cases, which were obviously caused by human error. This paper presents a classification structure for human error analysis, and summarizes the analysis results such as causes of the events, error modes and types, related worker, and task type.

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Total Safety Management System by Owner's Lending for the Effective Prevention of Construction Accidents (효과적인 안전사고 예방을 위한 발주자 선도의 총체적 안전관리제도)

  • Hong, Sung-Ho;Lee, Seung-Hyun
    • Journal of the Korean Society of Safety
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    • v.20 no.3 s.71
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    • pp.164-173
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    • 2005
  • In this paper, the systematic problems of safety management in domestic construction industry are presented by the investigation and analysis of construction fatal injuries. In particular, it is discussed that the current construction safety management system by contractors leading is ineffective to prevent the serious accidents caused by inappropriate planning and design and to circulate the safety management cycle without interruption. A couple of ways for improving domestic construction safety management system are suggested in broad perspective. This is done by the analysis of construction safety management system of four advanced industrial countries such as the United States, the United Kingdom, Germany, and Japan and the study of a best practice. Total safety management system by owners leading is recommended to prevent construction accident effectively because this system makes all the parties join to the management system and distribute the responsibilities clearly to each party. This will drop the accident occurrence rate by dragging all the parties' cooperations and activating the total safety management system in an early stage.

An Analysis for Expected Effect of the Introduction of Motorcycle Safety Inspection (이륜자동차 안전검사제도 도입 시 기대효과 분석)

  • Bang, Soohyuk;Lee, Jisun
    • International Journal of Highway Engineering
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    • v.15 no.5
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    • pp.157-166
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    • 2013
  • PURPOSES : This study is to analyze expected effect of a accident decrease when motorcycle safety inspection is introduced. METHODS : Based on the literature review of effect of 4-wheel vehicle inspection, probability of occurring accidents among defective motorcycles are calculated by using the number of estimated defective motorcycles and accidents resulting from defects of motorcycles. Then, the number of decreased accidents which is resulting from eliminating defects of motorcycles by safety inspection is estimated by using probability of occurring accidents among defective motorcycles. RESULTS : If the ratio of eliminating defects of motorcycles is 95% after motorcycle safety inspection, the effects of accident decrease of motorcycle safety inspection are analyzed from 2005 to 2008. As a result, 46,292 defective motorcycles are repaired and 1,376 accidents are prevented when the probability of occurring accidents among defective motorcycles is 2.97%. CONCLUSIONS : This study suggests the expected effect of motorcycle safety inspection is that the inspection can prevent 1,376 motorcycle accidents. However, the number of preventing motorcycle accidents are small, compared with the total number of motorcycle accidents because there are limitations to investigate the causes of defective motorcycle accidents. A more precise analysis of the expected effect of motorcycle inspection is possible when a systematic investigation of the causes of the accidents is implemented.

A Systematic Approach for Mechanical Integrity Evaluation on the Degraded Cladding Tube of Spent Nuclear Fuel Under Transportation Pinch Force

  • Lee, Seong-Ki;Park, Joon-Kyoo;Kim, Jae-Hoon
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.19 no.3
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    • pp.307-322
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    • 2021
  • This study developed an analytical methodology for the mechanical integrity of spent nuclear fuel (SNF) cladding tubes under external pinch loads during transportation, with reference to the failure mode specified in the relevant guidelines. Special consideration was given to the degraded characteristics of SNF during dry storage, including oxide and hydride contents and orientations. The developed framework reflected a composite cladding model of elastic and plastic analysis approaches and correlation equations related to the mechanical parameters. The established models were employed for modeling the finite elements by coding their physical behaviors. A mechanical integrity evaluation of 14 × 14 PWR SNF was performed using this system. To ensure that the damage criteria met the applicable legal requirements, stress-strain analysis results were separated into elastic and plastic regions with the concept of strain energy, considering both normal and hypothetical accident conditions. Probabilistic procedures using Monte Carlo simulations and reliability evaluations were included. The evaluation results showed no probability of damage under the normal conditions, whereas there were small but considerably low probabilities under accident conditions. These results indicate that the proposed approach is a reliable predictor of SNF mechanical integrity.

Development of RCA Incident Investigation Method as Easily Adopted Industry Field (산업현장에서 쉽게 적용할 수 있는 근본원인 사고조사기법 개발에 관한 연구)

  • Kwon, Jae Beom;Kwon, Young Guk
    • Journal of the Korean Society of Safety
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    • v.36 no.5
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    • pp.43-51
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    • 2021
  • Incident investigation is one of the most important processes among various other safety management methods to prevent industrial accidents. Finding the root causes of accidents, eliminating hazards, and improving safety are the most important purposes of investigating accidents. During the investigation process, root cause analysis (RCA) techniques are used to effectively identify RCA. Over the past few decades, over 30 RCA methods have been developed. These techniques are being widely used in some industries, such as the nuclear and aircraft industries; however, most of the RCA techniques require professional knowledge and special training, making it difficult for safety managers in their respective fields to understand and apply them. Therefore, managers of general industrial sites are rarely present at the scene of actual accident investigations, and they cannot contribute much to the purpose and effectiveness of these investigations. In this study, to address these issues, we developed an RCA technique to facilitate root cause investigation of accidents in real-world industrial sites. To develop new techniques, Systematic Cause Analysis Technique (SCAT), one of the RCA techniques, was used to investigate incidents in the enterprise over three years. We also utilized feature analysis and other papers from existing RCA techniques. To verify its effectiveness, the technique proposed was also applied to the accident case. The technique developed can easily identify and analyze the root cause of an accident and help industrial managers. It can also identify the root cause category where accidents are concentrated and use this data to establish guidelines for preventing future accidents and, thus, focus on prioritizing improvement initiatives.

Evaluation of Human Reliability Analysis Results in Probabilistic Safety Assessment for Korea Standard Nuclear Power Plants (표준 원자력발전소 확률론적 안전성 평가의 인간 신뢰도 분석 평가)

  • 강대일;정원대;양준언
    • Journal of the Korean Society of Safety
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    • v.18 no.2
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    • pp.98-103
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    • 2003
  • Based on ASME probabilistic risk assessment (PRA) and NEI PRA peer review guidance, we evaluate a human reliability analysis (HRA) in probabilistic safety assessment (PSA) for Korea standard nuclear power plants, Ulchin Unit 3&4, to improve it performed at under design. The HRA for Ulchin Unit 3&4 is assessed as higher than Grade I based on ASME PRA standard and as higher than Grade 2 based on NEI PRA peer review guidance. The major items to be improved identified through the evaluation process are the documentation, the systematic human reliability analysis, the participitation of operators in the works and review of HRA. We suggest the guidance on the identification and qualitative screening analysis for pre-accident human errors and solve some items to be improved using the suggested guidance.

Analysis on the Responsibility and Exemption Clause of COLREG Rule 2 (국제해상충돌예방규칙 제2조에 따른 책임과 면책에 관한 분석)

  • Kim, Inchul
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.1
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    • pp.54-63
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    • 2022
  • The Marine Accident Investigation and Tribunal System is intended to provide a credible solution to prevent the recurrence of similar accidents. When a marine accident occurs, the Korea Maritime Safety Tribunal seeks to find its root causes through an analysis of what provoked the accident. It also contributes to the development of safety policies or practices by making a decision based on the findings. However, if the decision presented as the root cause of a marine accident is ambiguous or unclear, it may be difficult to achieve its intended goal. Hence, if we read some of the decisions of the Maritime Safety Tribunal, it is selective to directly apply the cause of an accident as a source of the measures that can prevent its recurrence. A typical example of this is the expression: "when a seafarer neglects ordinary practice of seaman." The term "ordinary practice of seaman" has been criticized for being used in some decisions like a master key where it is not easy to determine which specific rules or regulations were violated or blame the involved seafarers. Such term is present in Article 2 of the International Regulations for Preventing Collisions at Sea 1972. For the proper use of the term, this paper seeks to compare and establish the concepts of "ordinary practice of seaman" and the duty of care by providing a systematic interpretation of the original text. In addition, the duty of care was reviewed from the perspective of administrative, civil, and criminal laws. Furthermore, relevant legal precedents were reviewed and presented in the study. Accordingly, it is expected that the term "ordinary practice of seaman" would be properly used in decisions that contribute to the prevention of the recurrence of similar marine accidents.