• Title/Summary/Keyword: Accident Cause Analysis

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Marine Accident Cause Investigation using M&S System (고도 정밀 M&S 시스템을 이용한 해난사고 원인규명)

  • Lee, Sang-Gab
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2014.06a
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    • pp.36-37
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    • 2014
  • It is necessary to develop highly sophisticated Modeling & Simulation (M&S) system for the scientific investigation of marine accident causes and for the systematic reproduction of accidental damage procedure. To ensure an accurate and reasonable prediction of marine accidental causes, such as collision, grounding and flooding, full-scale ship M&S simulations would be the best approach using hydrocode, such as LS-DYNA code, with its Fluid-Structure Interaction (FSI) analysis technique. The objectivity of this paper is to present three full-scale ship collision, grounding and flooding simulation results of marine accidents, and to show the possibility of the scientific investigation of marine accident causes using highly sophisticated M&S system.

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Text Analytics for Classifying Types of Accident Occurrence Using Accident Report Documents (사고보고문서를 이용한 텍스트 기반 사고발생 유형 및 관계 분석)

  • Kim, Beom Soo;Chang, Seongrok;Suh, Yongyoon
    • Journal of the Korean Society of Safety
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    • v.33 no.3
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    • pp.58-64
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    • 2018
  • Recently, a lot of accident report documents have accumulated in almost all of industries, including critical information of accidents. Accordingly, text data contained in accident report documents are considered useful information for understanding accident processes. However, there has been a lack of systematic approaches to analyzing accident report documents. In this respect, this paper aims at proposing text analytics approach to extracting critical information on accident processes. To be specific, major causes of the accident occurrence are classified based on text information contained in accident report documents by using both textmining and latent Dirichlet allocation (LDA) algorithms. The textmining algorithm is used to structure the document-term matrix and the LDA algorithm is applied to extract latent topics included in a lot of accident report documents. We extract ten topics of accidents as accident types and related keywords of accidents with respect to each accident type. The cause-and-effect diagram is then depicted as a tool for navigating processes of the accident occurrence by structuring causes extracted from LDA. Further, the trends of accidents are identified to explore patterns of accident occurrence in each of types. Three patterns of increasing to decreasing, decreasing to increasing, or only increasing are presented in the case of a chemical plant. The proposed approach helps safety managers systematically supervise the causes and processes of accidents through analysis of text information contained in accident report documents.

Classification and Analysis of Human Error Accidents of Helicopter Pilots in Korea (국내 헬리콥터 조종사 인적오류 사고 분류 및 분석)

  • Yu, TaeJung;Kwon, YoungGuk;Song, Byeong-Heum
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.28 no.4
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    • pp.21-31
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    • 2020
  • There are two to three helicopter accidents every year in Korea, representing 5.7 deaths per 100,000 flights. In this study, an analysis was conducted on helicopter accidents that occurred in Korea from 2005 to 2017. The accident analysis was based on the aircraft accident and incident report published by the Aircraft and Railway Accident Investigation Board. This Research analyzed the characteristics of accidents occurring in Korea caused by human error by pilots. Accident analysis was done by classifying the organization, flight mission, aircraft class, flight stage, accident cause, etc. Pilot's huan error was classified as Skill-based error, decision error and perceptual error in accordance with the HFACS taxonomy. The accidents caused by pilot's human error were classified into five categories: powerlines collision, loss of control, fuel exhaustion, unstable approach to reservoir, and elimination of tail rotor.

Clinical Analysis of Chest Trauma; Analysis of 247 patients (흉부 손상의 임상적 고찰)

  • 김승규
    • Journal of Chest Surgery
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    • v.26 no.12
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    • pp.944-949
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    • 1993
  • Clinical analysis were performed on 247 cases of thoracic trauma, those were admitted & treated at the department of thoracic & cardiovascular surgery,Hanyang University Hospital during the period from Jan,1989 to June,1992. Age distribution of those was from 2 to 80 years old & mean age was 38 years old. The ratio of male to female patient was 186:61 [3:1].This ratio revealed high incidence in male patient. The most common cause of trauma was traffic accident in this series.The modes of injury were as follows: traffic accident 124 cases[50.2%],fall down 52 cases[21.05%], stab wound 47 cases[19.03%] and gun-shut wound 1 case.Ellapse time from accident to admission were 141 cases [57.09%] under 6 hr.Rib fracture were observed in 159 cases[64.37%], hemo or pneumothorax were observed 134 cases[54.25%] of total cases and location distributed Right:Left:Both[74:112:37], in left predominant. Conservative,non-operative treatment were performed in 128 cases and operation[open thoracotomy] 32 cases.Mortality was 1.6%[4 cases] & most common cause of death were due to irreversible shock with brain edema. Conclusively, more evaluation & co-operation of other department were expected treatment & better prognosis.

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An Analysis of Operating Experience Reports Published in the Domestic Nuclear Power Plants for Resent 5 Years (최근 5년간 국내원전 운전경험보고서 분석)

  • Lee, Sang-Hoon;Kim, Je-Hun;Hur, Nam-Young
    • Transactions of the Korean Society of Pressure Vessels and Piping
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    • v.9 no.1
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    • pp.35-39
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    • 2013
  • The Operating Experience Report(OER) has written about the event and accident happened at a Nuclear Power Plant(NPP). The purpose of publishing the OER is to prevent the similar event or accident repeatedly by spreading the experience of a single plant to other plants personnel. Before initiating the analysis mentioned in this paper, 2,298 review reports for the same number of OER published from 2007 to June 2012 have been written to achieve the correct and objective statistics. The analysis introduced in this paper is performed with the various factors such as year, plant type, equipment, type of work, root-cause. The root-cause analysis is showed that the equipment problem is the major factor in domestic NPPs, but on the other hand human-error is the main part of the foreign NPPs. Moreover, while the number of the man-made event is decreasing, the equipment-made event is rapidly increasing in domestic NPPs.

Developing Improvement Plans for National Defense Safety Directive to Align with the Serious Accident Punishment Act

  • Jeong-Woo Han;Cho-Young Jung
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.30 no.3
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    • pp.275-282
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    • 2024
  • To ensure a systematic and integrated approach to defense safety management, individual safety management regulations have been consolidated into the National Defense Safety Directive. However, despite being enacted after the enforcement of the Severe Accident Punishment Act, the National Defense Safety Directive does not incorporate the contents of the Serious Accident Punishment Act. This omission is likely to cause confusion in safety management. In this paper, a PDCA analysis of the Severe Accident Punishment Act and the National Defense Safety Directive was conducted to identify area for improvement and supplementation in the Directive. Chapter 3 proposes amendments to clearly define the scope and responsibilities of safety management, implement serious accident prevention measures and inspections, and establish the penalties for those involved. These amendments aim to ensure faithful compliance with the Severe Accident Punishment Act. Chapter 4 emphasizes the implementation and inspection of risk assessments to enhance the effectiveness of safety accident prevention and preparation, thereby ensuring the completeness of the PDCA cycle.

An Analysis of Safety Accident Severity and Management Plan for Construction Workers (건설 근로자의 안전재해강도 분석 및 관리방향)

  • Lee, Kun-Hyung;Shin, Won-Sang;Son, Chang-Baek
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2017.05a
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    • pp.187-188
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    • 2017
  • Domestic industrial disasters are decreasing, but construction industrial disasters are increasing every year. So this study draw a conclusions from the major types of safety accidents based on disaster intensity analysis to solve the problems caused by increasing construction industry disasters. Also figure out a risk about original cause material to establish management directions which is significant manage things.

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Safety Measure Developed Through Analysis of Firefighters' 『Investigation Report on Accidents to On-Site Workers』

  • Jo, Chang-Hyun;Kong, Ha-Sung
    • International Journal of Advanced Culture Technology
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    • v.9 no.3
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    • pp.334-344
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    • 2021
  • The study has suggested a way to minimize safety accidents found in on-site firefighting activity by analyzing firefighters' [investigation report on accidents to on-sie workers]. The study result is described as follows. First, the result of [investigation report on on-site workers] shows that while accidents are found to most frequently have occurred to low-ranking firefighting officers such as Sobangsa and Sobanggyo and firefighting officers with career of less than 5 years, fire-extinguishing activity proved to be the most prone to accidents in the category of activity. Second, analysis performed to identify variance between injury extent and area based on cause of accident shows statistically significant variance. In addition, the result of verifying difference in cause of accident based on category of activity shows significant difference with 'falling over and sliding' being the highly likely cause of accident in fire containment and rescue activities and 'reckless move' being highly likely case of accident in emergency activities. Third, the result of verifying factors behind the extent of injury done to on-site workers shows that when accident is caused by 'incomplete behavior', it was found that the extent of injury is substantial. It was also found that rescue activity is accompanied by substantial extent of injury. As a solution to this, the study suggested ways to establish, extend and operate safety-specific curriculum for entrants, develop materials regarding risk prognosis training and explicate training-related regulations, set up safety management measure for a single squad team, upgrade performance of private protection equipment, institutionalize SOP by on-site activity stage, materialize and activate swift rescue team and increase objectivity and proficiency of safety accident investigation.

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
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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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.