• Title/Summary/Keyword: Accident Investigation Report

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Injury Analysis of a 25-passenger Bus Left-quarter Turn Rollover Accident (25인승 버스 전복사고의 탑승자 손상 분석)

  • Park, Sang Min;Kim, Sang Chul;Lee, Kang Hyun;Lee, Jae Wan;Jeon, Hyuk Jin;Kim, Ho Jung;Kim, Jin Yong;Kwak, Young Soo;Lee, Woo Sung
    • Journal of Trauma and Injury
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    • v.27 no.3
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    • pp.50-56
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    • 2014
  • Purpose: Rollover motor vehicle crashes have a higher injury severity and fatality than other motor vehicle crash types. From a left-quarter turn rollover accident of 25-passenger bus, we intend to assess the injury of the occupant and the injury severities according to the occupants' position. Methods: We carried out the 3 steps investigation of occupants' interview, visiting the repair shop and using the police report. We analyzed injuries sustained by occupants, and compared injury severities considering column, row in occupant's position and passenger interaction Results: The rollover involved 14 passengers in the bus who were all old women except a man driver. The most common injury was in the upper extremity, with six occurrences being a left clavicle fracture. Major injuries including hemothorax and pneumothorax were diagnosed at left side of the occupant. In the comparison of injury severity among driver's column (left side), mid column and passengercolumn, ISS of passenger column was the highest ($9.9{\pm}7.4$, $8.8{\pm}5.5$, and $10.3{\pm}4.0$, respectively, p>0.05). The injury severity of multiple occupants by row was higher than that of single occupant (10.8 vs. 3, p<0.05). Conclusion: An occupant must fasten their seat belt to prevent an injury by passenger interaction in the left-quarter turn rollover accident of a bus.

Looking Back over a Decade "Final Decision Call after the Accidents of the Fukushima Nuclear Power Plant"

  • Nakajima, Isao;Kurokawa, Kiyoshi
    • Journal of Multimedia Information System
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    • v.7 no.2
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    • pp.147-156
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    • 2020
  • The author Nakajima was involved in the field of disaster communications and emergency medical care as guest research scientist at the Fukushima Nuclear Accident Independent Investigation Commission established by the National Diet of Japan and reviewer of the Commission's report, and Kurokawa was the chairman of this Commission. Looking back over a decade, we are on the liability issue of bureaucrats and telecom operators, so it's becoming clear what was hidden at the time. The battery of NTT DoCoMo's mobile phone repeaters had a capacity of only about 24 hours, and communication failures increased after one day. The Government also failed to issue an announcement of "Vent from reactor" under the Telecommunications Act Article No. 129. This mistake lost the opportunity to use the third-party telecommunications (e.g. taxi radios). Furthermore, as a result of LASCOM (telecommunications satellite network for local governments via GEO) and a variety of unexpected communication failures, the evacuation order "Escape!" could not be notified to the general public well. As a result, the general public was exposed to unnecessary radiation exposure. Such bureaucratic slow action in emergencies is common in the response to the 2020 coronavirus.

Occupant Neck Injury Assessment Caused by Backward Movement of a Preceding Vehicle at a Low Impact Velocity (선행 차량의 후진에 의한 저속 충돌 시 탑승자 경추 상해에 대한 연구)

  • Kim, Seongjin;Jeon, Woojung;Park, Woosik;Seo, Youngil;Son, Kwon
    • Transactions of the Korean Society of Automotive Engineers
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    • v.21 no.3
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    • pp.66-73
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    • 2013
  • This study assesses neck injury of occupants in a real traffic accident case that a preceding vehicle moved backward and impacted a parked vehicle at a low velocity. This case is different from a case of whiplash injury caused by rear impact on vehicle. The impact velocity was estimated from damages of the two vehicle bumpers and the displacement of the parked vehicle was also estimated from CCTV images. MADYMO simulation was performed based on the vehicle specifications and investigation report. The comparison of neck flexion moments with the corresponding injury criteria revealed that occupants of the parked vehicle might have hardly neck injury.

A Failure Analysis on the Broken Last Blade of 30MW Steam Turbine (30MW 증기터빈 최종단 회전익 파단 사고 분석)

  • Kim, S.B.;Kim, I.C.;Han, S.W.;Jun, C.H.
    • Journal of Power System Engineering
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    • v.11 no.1
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    • pp.5-15
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    • 2007
  • In the recently released accident-investigation report on blade failure, almost 70% of blade failures was found at low pressure turbine blades, and it is well known that main cause is due to the vibration modes. This paper describes the systematic approach on the root cause of the blade failure at L 0 stage, 30MW single flow industrial steam turbine which had tripped by high vibration after ten-month commercial operation. A fracture was found at the only one damping wire hole of 59 blades, and crack was detected at three damping wire holes by NDT. According to the analysis result for the crack fracture surface and the chain of the sequential operational events, we come to the conclusion that a typical high cycle fatigue is the most dominant factor caused to the blade failure, the resonance frequency margin was narrowed by the cut damping wire and the high cycle vibration was amplified, and then the blade was broken at once by the centrifugal force when the crack reached the critical size.

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Study on the Human Error Prevention Collision Avoidance Model using Merchant Ship Collision Accident Analysis (상선 충돌사고 분석을 이용한 인적과실 예방 충돌회피모델 연구)

  • Kim, Do-Hoon
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.6
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    • pp.918-927
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    • 2022
  • The purpose of this study was to investigate the causes of collisions by examining 668 cases of merchant ship collision accidents that occurred during the past 12 years (2010-2021) and analyzed them statistically. Further, the analysis results were applied to propose a human error prevention collision avoidance (HEPCA) model. The statistical annual report of the Korea Maritime Safety Tribunal (KMST) and the collision investigation report were investigated to collect data on the causes of collisions of merchant ships, and frequency analysis was performed using the statistical analysis tool, SPSS Statistics. In the first-stage analysis, the causes of collisions were analyzed targeting 668 merchant ship collision accidents, and in the second-stage analysis, the identified maximum frequency cause factors were analyzed in detail. The analysis results identified that 98 % of the cause of the collision was the human error of the navigator, and the highest frequency was in the order of neglect of look-out > violation of navigation regulations > improper maneuvering. The cause of the neglect of look-out was mainly neglecting continuous monitoring after the first recognition of the target ship. The HEPCA model for human error prevention was proposed by applying the analysis results to the collision case of the investigation report. The results of this study are expected to be used as educational materials at marine navigator educational institutions and in practice for avoiding collisions caused by human errors of navigators.

New Input Keyword Extraction of Equipments Involved in Ignition Using Morphological Analysis (형태소 분석을 이용한 발화관련 기기의 새로운 입력 키워드 추출)

  • Kim, Eun Ju;Choi, Jeung Woo;Ryu, Joung Woo
    • Fire Science and Engineering
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    • v.28 no.2
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    • pp.91-97
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    • 2014
  • New types of fire accidents appear or the existing types disappeared because of rapidly changing society. We proposed a methodology of extracting new nouns from fire investigation data each of which is an accident report producted by fire investigators. The new nouns could be used in modifying the existing categories for classifying fire accidents. We analysed morphology of the product names and the ignition summaries using the proposed method for the fire accidents classified as the etc sub-category of the category of equipments involved in ignition. In this paper, we found "dryer" as a new sub-category of the agricultural equipment category and "boiler" in the seasonal appliance category from the product names of the fire accidents. We also extracted the new input keywords of "aquarium" and "monitor" in the commercial facilities category and the video, audio apparatus category from the ignition summaries respectively. Using the four subcategories, we reclassified 548 (14.39%) of 3,808 fire accidents assigned to the etc sub-category.

Stability Characteristics based on Crane Weight of Small Fishing Vessels Under Standard Loading Conditions: Investigation Report of the Capsize Accident at Goseong Port (크레인 교체에 따른 표준재화 상태에서의 소형 어선의 복원성 특성 - 고성항 전복 사고 재결서 중심 -)

  • Kang, Dae Kon;Lee, Gun Gyung;Lee, Jun Ho;Han, Seung Hun
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.26 no.1
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    • pp.22-30
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    • 2020
  • In March 2016, a 6.67-ton fishing boat capsized owing to the loss of stability during crane operations. Capsizing occurs when a boat or ship is flipped over (or turned upside down) for reason other than accidents caused by collisions, contact, stranding, fire or explosion. Over the past nine years (2010-2018), capsize accidents have accounted for 2.34 % of all marine accidents and are gradually increasing. The loss of stability from improper shipping is the main cause of most capsizes, especially for small fishing vessels weighing 10 tons. According to the Fishing Vessel Act, small fishing vessels weighing less than a ton are exempted from inspections on stability and load cranes. This study analyzes the issue cited as the reason for the capsizing of the small fishing boat in Goseong, namely, the reduction of restoring moment due to increased weight of the crane. Fishing boats with similar loading conditions were modeled on the basis of re-determination, and their stability before and after the accident was assumed. The fishing boats with heavier cranes were found to be at higher risk of capsizing owing to the reduction of the restoring moment and the angle of deck immersion. Under standard loading conditions, the stability moments of fishing vessels are lesser during fishing, compared to when they depart from or arrive at the port.

A Discussion on Container Loss Accidents and Responses During Ship Voyage (선박 운항 중 컨테이너 해상유실 사고 및 대응에 관한 고찰)

  • Hwang, Daejung
    • Journal of Navigation and Port Research
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    • v.46 no.4
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    • pp.331-337
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    • 2022
  • In 2021, the Joint Group of Experts on the Scientific Aspects of Marine Environmental Protection (GESAMP), a U.N. advisory research institute, cited container loss as one of six sources of marine litters in shipping. The sinking of the X-P ress Pearl in May 2021 caused a catastrophic environmental pollution accident in which the loaded containers were moved to the shore, and the plastic pellets were loaded inside covered the coast of Sri Lanka. With this history, the International Maritime Organization (IMO) will discuss prevention and follow-up measures for container loss during ship voyages, as an agenda at the 8th Sub Committee on Carriage of Cargoes and Containers meeting in September 2022. To establish Korea's response direction at the IMO meeting, this study identified major causes of container loss accidents, and considered the response through analysis based on the accident investigation report and related professional data. As a result, it was found that the major cause of container loss during voyages was the enlargement of container ships, bad weather, and poor loading of containers. In particular, the need to prepare countermeasures for the deterioration of the operational safety of large container ships due to bad weather was identified. Additionally, integrated monitoring of the implementation of international conventions is required, for the safe sea transportation of container cargo. In particular, in terms of preservation of the marine environment, it is necessary to supplement the system for the recovery of lost containers. Finally, it was found that it is necessary to establish systems that can complement each other in the shipbuilding and shipping industries, in terms of shipbuilding as well as ship operation, to fundamentally prevent container loss accidents at sea. It is judged that it is difficult to resolve the various factors of container loss at sea during voyages, by responding from an individual perspective.

An Experimental Study on Establishing Criteria of Gripping Work in Construction Site (건설 현장 악력 작업안전 기준 설정에 관한 실험적 연구)

  • 손기상;이인홍;최만진;안병준
    • Journal of the Korean Society of Safety
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    • v.10 no.3
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    • pp.81-95
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    • 1995
  • Now, safety assurance in construction sites should be accomplished by its own organization rather than control of the code or government. It is believed that the safety assurance can be considerably improved by a lecture or an education using the existing theories or literatures up to now, but it is thought that fundamental safety assurance we not able to be accomplished without developing safety devices '||'&'||' equipment or taking fundamental measures, based on the result analyzed from workers behaviors. There are various behaviors of the workers showed in construction site, but only tests for hammerusing works such as form, re-bar, stone workers directly related to the grip strength are mainly performed, investigated and measured here for the study. The above works are similar to power grip, 7th picture on seven items which are categorized for hand grip types(Ammermin 1956 ; Jones ; Kobrick 1958). Measurements of grip strength are commonly taken in anthropometric surveys. They are easy to administer but unfortunately it is rather dubious whether they yield any data that are of interest to the engineer. Very fewer controls of tools are grasped and squeesed studies showed very little overall correlation between grip strength and other measures of bodily strength (Laubach, Kromer, and Thordsen 1972), but hammer-using work which is practically progressed in construction site are mainly influenced with grip strength. According to the investigation on work measurement, it is shown that 77% of form worker are using hammer to be related to grip strength. In this study, it is particularly noticed that wearing safety gloves in construction site is required for workers safety but 20% difference between grip strength with safety gloves and without ones are commonly neglected in the site(Fig. 1). Nevertheless, safety operation with consideration of the above 20% difference is not considered in the construction site. Factors of age, kinds of work, working time, with or without safety gloves are in vestigated '||'&'||' collected at the sites for this study. Test, not at each working hour but at 14 : 00 when the almost all of the workers think the most tired, resulting from the questionaires, also when it is shown on the research report has been performed and compared for main kinds of works : form '||'&'||' re-bar work. Tests were performed with both left SE rightand of the workers simultaneously in construction site using Rand Dynamometer(Model 78010, Lafayette Instrument Co., Indiana, U.S.A) by reading grip strength on the gauge while they are pulling, and then by interviewing on their ages, works, experiences and etc., directly. The above tests have been performed for the dates of 15th march-26th May '95 with consideration of site condition. And even if various factors of ambient temperature on the testing date, working condition, individual worker's habit and worker's condition of the previous ate are concerned with the study. Those are considered as constants in this study. Samples are formwork 53, rebar 62, electrician 5, plumber 4, welding 1 from D construction Co., Ltd, ; formwork 12, re-bar 5, electrician 2, from S construction Co., Ltd, , formwork 78, re-bar 18, plumber 31, electrician 13, labor 48, plumber 31, plasterer 15, concrete placer 6, water proof worker 3, maisony 5 from B construction Co., Ltd. As In the previously mentioned, main aspect to be investigated in this study will be from '||'&'||' re-bar work because grip strength will be directly applied to these two kinds of works ; form '||'&'||' re-bar work, eventhough there are total 405 samples taken. It is thought that a frequency of accident occurrence will be mainly two work postures "looking up '||'&'||' looking down" to be mainly sorted, but this factor is not clarified in this study because It will be needed a lot of work more. Tests has been done at possible large scale of horizontally work-extended sites within one hour in order to prevent or decrease errors '||'&'||' discrepancies from time lag of the test. Additionally, the statistical package computer program SPSS PC+has been used for the study.

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