• Title/Summary/Keyword: systematic accident analysis

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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.

An Investigation of Human Error Analysis Techniques in Various Industries with Implications for the Korean Railway Industry (인적오류 분석기법의 국내외 활용 현황 및 국내 철도 산업에의 적용 방안)

  • Baek, Dong-Hyun;Yoon, Wan-Chul;Kim, Dong-San
    • Journal of the Korean Society for Railway
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    • v.10 no.1 s.38
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    • pp.7-15
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    • 2007
  • Since human errors are being recognized as one of the primary issues in railway safety, there is a definite need for human error analysis techniques that can identify the types of errors and their causes and derive effective countermeasures to help reduce their future probability. But, for some reasons, there are not yet systematic procedures or techniques for analyzing human errors in the Korean railway industry. This paper introduces several techniques that have been developed and utilized for analyzing human errors in Korean and overseas nuclear power aviation railway, offshore oil industry, etc., and summarizes the strengths and weaknesses of each technique. Based on the Investigation of the techniques, the paper also discusses the implications for the development of a human error analysis system for the Korean railway industry.

Analysis of Business Ecosystem in Smart Surgical Medical System : Focused on Patent Network Analysis (스마트 수술 의료시스템의 비즈니스 생태계 분석 : 특허 네트워크 분석을 중심으로)

  • Sawng, Yeong Wha;Choi, Jin Woo;Kim, Min Su
    • Journal of Information Technology Applications and Management
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    • v.26 no.2
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    • pp.75-87
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    • 2019
  • Currently, the nation's medical industry is changing due to the rapid development of technology. In addition, medical accidents occurring in the medical industry are gradually increasing amid the drastic changes. Therefore, a possible solution to medical accidents in the changing health care industry is needed. Accordingly, this study uses network-centrality analysis to examine the business ecosystem of smart surgical medical systems to find ways to increase the efficiency of surgery as well as the resolution of medical accident problems, and to suggest the direction of development of the medical system in the future from a systematic business ecosystem perspective.

Discussion for Improvement of Decision System of Total Risk in Off-site Risk Assessment (화학사고 장외영향평가 제도의 종합위험도 결정 체계 개선을 위한 고찰)

  • Choi, Woosoo;Ryu, Taekwon;Kwak, Sollim;Lim, Hyeongjun;Jung, Jinhee;Lee, Jieun;Kim, Jungkon;Baek, Jongbae;Yoon, Junheon;Ryu, Jisung
    • Journal of Environmental Health Sciences
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    • v.44 no.3
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    • pp.217-226
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    • 2018
  • Objectives: Despite the positive effects of Off-site risk assessment (ORA) system such as prevention of chemical accidents, some problems have been constantly raised. The purpose of this study is to analyze the problems that have occurred through the implementation of the ORA system for the past three years and to suggest reasonable directions for improvement in the future. Methods: In order to identify the problems with the methodology and procedure of ORA system, we analyzed statutes, administrative rules and documents related to the ORA system. A survey of ORA reviewers in National Institute of Chemical Safety was conducted to investigate the weight of determinants considered when judging the level of total risk in ORA. Results: In this study, we found out the uncertainty of the estimation of the number of people in the impact range in the procedure of the risk assessment of individual handling facilities, the lack of quantitative risk analysis methods for environmental receptors, and the ambiguity of the criteria for the total risk. In addition to suggesting solutions to the problems mentioned above, we also, suggested a decision tree for total risk in ORA. Conclusion: We anticipate that the solutions including the systematic decision tree for total risk suggested will contribute to the smooth operation of the ORA system.

Forensic Engineering Study on Structural Integrity Evaluation of Scaffolding System Tower using ANSYS (ANSYS를 이용한 스캐폴딩 시스템 타워 구조 건전성 평가에 관한 법공학적 연구)

  • Kim, J.H.;Kim, E.S.;Park, W.S.;Moon, B.S.;Goh, J.M.;Park, N.K.;Yoon, K.B.;Cho, S.W.
    • Journal of the Korean Society of Safety
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    • v.28 no.6
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    • pp.42-48
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    • 2013
  • Forensic engineering is the application of engineering principles covering the investigation of constructed facilities and systems that fail to perform as intended, causing personal injury or damage to property, environmental, economy etc. In the year 2012, two collapsed accidents of the large scaffolding system in national thermal power station occurred one after another, causing many casualties. In this study, we had performed to investigate the collapsed accident of scaffolding system occurred in the a thermal power station of two accidents. First, the investigation about the collapsed accidents site had performed to understand collapsed state and structures of the scaffolding system. Second, reviewing the materials concerning about the applied weight on the scaffolding system had performed. The applied weight is sum of the weights of the 15 workers, additional materials for coating work and dispersed and loaded shot ball on the foothold etc. the applied weight that calculated exceed more three times than the safe working load. Third, we had confirmed the install state of the materials of the scaffolding system by reviewing the quantity of the materials on the manual and the real system. Last, structural analysis had performed to evaluate structural integrity of the scaffolding system using Ansys. Through a series of this processes, the definite accidents causes of the collapsed scaffolding system revealed. Through these studies, the collapse accident that may occur in the scaffolding system in thermal power station can be minimized by performing specialized and systematic investigation on the accidents in terms of Forensic engineering.

A Study of Emergency Plan Making Programs for Personnel Handling Accident Precaution Chemicals (사고대비물질 취급자를 위한 비상대응계획 작성 프로그램 연구)

  • Kim, Sung Bum;Cho, Mun Sik;Park, Choon Hwa;Yoon, Yi;Hwang, Kyung Sup;Yang, Sang Yong
    • Journal of Korean Society of societal Security
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    • v.3 no.2
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    • pp.27-32
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    • 2010
  • 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.

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Analysis on Management Status and Issues for Near Miss Reporting in Nuclear Power Industry (원전 사고근접사례의 보고체계 현황 및 현안분석)

  • Chung, Yun-Hyung;Kim, Dong Jin
    • Journal of the Korean Society of Safety
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    • v.31 no.5
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    • pp.177-186
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    • 2016
  • When an event is occurred in a nuclear power plant (NPP), the NPP operator reports it referred by the regulation on reporting and public announcement of accidents and incidents. Some of the events do not need to be reported because they are not included in the reporting criteria of the regulation. However, it is necessary that they should be managed effectively because the accident can be occurred by the recurrence of a lot of them as precursors. Among the events not included in the reporting criteria of the regulation, near miss is the event that is not occurred but can generate a significant consequence. This can provide the cause of the event which does not result an accident. So, it is able to offer insightful knowledges to prevent higher level events about the function and process of NPP. The objective of this study is to analyze the issues of near miss events, prepare the defence against the risk, and improve the management process of NPP. To achieve it, this study performed to analyze the management structure and status of near miss events as well as the accident reporting system of the domestic and foreign regulation bodies. In case of Korea, the status was analyzed by quantitative data, licensee event reports and procedures. Based on these, we could find the causes that near miss events were not managed effectively. Then, systematic alternatives that reflected the perspective of man, technology and organization were drawn.

A Study on the Actual Condition and Reduction Plan of Traffic Accidents for the Elderly (노인교통사고 실태 및 감소방안에 관한 연구)

  • Sung, Su-Young;Kim, Sang-Woon
    • The Journal of the Korea Contents Association
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    • v.20 no.1
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    • pp.437-447
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    • 2020
  • Following the extension of human life expectancy, the number of elderly traffic accidents that have been increasing at a rapid pace since 2018 has also emerged as a social problem. The traffic accident rate among those aged 65 and older is increasing, but traffic safety policies are insufficient. Based on the analysis of traffic accident status for senior citizens and traffic accident for the past five years from 2014, the reduction plan is to be presented in three main aspects. First, the system needs systematic management by strengthening the system of senior citizens' transport policy departments and driver's license for senior citizens in government agencies, such as the United States, Britain and Japan, from an institutional perspective, so that the walking time and crosswalk traffic environment for the vulnerable should be improved from an environmental perspective. In addition, in human terms, the ability to cope with real-time changes in traffic conditions should be enhanced by training transportation safety experts to secure the effectiveness of education for elderly drivers and by strengthening safety education for those with driver's license and expanding experienced traffic safety facilities to enhance the ability of senior citizens to cope with the changing traffic conditions in real time.

Establishing the Importance Institution for Prevention of Human Error (인적오류 예방을 위한 제도의 상대적 중요도 분석)

  • Moon, Woo-Choon;Kim, Woong-Yi
    • Journal of Advanced Navigation Technology
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    • v.17 no.4
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    • pp.377-385
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    • 2013
  • Since the late 1950s, concerted efforts to reduce the accident rate in aviation have yielded unprecedented levels of safety. Although, the overall accident rate has declined considerably over the years, unfortunately reductions in human error-related accidents in aviation have failed to keep pace with the reduction of accidents due to environmental and mechanical factors. Today, a very large percentage of all aviation are attributable, directly or indirectly, to some form of human error. As a result of many study, a range of prevention of human error have been developed. but each of kind is lack of a precision, effectiveness and seem to be considered for aspect of deficiency as an systematic accessibility. So, we're going to analysis the most effective and systematic prevention of human error and study on consolidating method for human error and aviation safety. In this study, several alternatives for the prevention of human errors a priority to understand and solve problems by identifying the implications for human error to be presented.