• Title/Summary/Keyword: Accident investigation

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Safety Management Information System in Plants Construction Work (플랜트 건설공사의 안전관리 정보시스템 개발)

  • Park, Jong-Keun
    • Journal of the Korea Safety Management & Science
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    • v.14 no.4
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    • pp.23-29
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    • 2012
  • There are insufficient models that find problems and solutions for accident prevention through risk assessment and suggest safe work process and work instruction from foundation works to finish work for accident decrease. This paper presents a quantitative risk assessment model by analysis of risk factors in each process such as appurtenant works, temporary works, structural works, equipment work, finishing work and etc based on accident examples and investigation on actual condition in plants construction work. In addition, the safety management system was developed to perform risk assessment of plants construction and use it for effective safety training for labor.

A Study on the Relational Analysis of Human Errors in Railway Accidents

  • Byeoung-Soo YUM;Tae-Yoon KIM;Jong-Uk WON;Chi-Nyon KIM;Won-Mo GAL
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.1
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    • pp.35-41
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    • 2024
  • Purpose: This study examines the persistent occurrence of railway accidents despite numerous safety devices, highlighting the multifaceted nature of these incidents. Research design, data and methodology: Utilizing the 4M analysis method, the research investigates a decade's worth of accident reported from the Aviation and Railway Accident Investigation Board to identify risk factors and suggest mitigation measures. Results: The analysis reveals that 57% of railway accidents are attributed to human factors, followed by mechanical (28%), environmental (7%), and management (8%) factors. Conclusions: The study underscores the necessity of prioritizing safety and establishing a unified organizational approach to prevent human error accidents. It calls for an alignment of risk perception between headquarters and field operations, advocating for educational and perceptual changes, as well as systematic improvements to achieve safety goals.

HFACS-K: A Method for Analyzing Human Error-Related Accidents in Manufacturing Systems: Development and Case Study (제조업의 인적오류 관련 사고분석을 위한 HFACS-K의 개발 및 사례연구)

  • Lim, Jae Geun;Choi, Joung Dock;Kang, Tae Won;Kim, Byung Chul;Ham, Dong-Han
    • Journal of the Korean Society of Safety
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    • v.35 no.4
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    • pp.64-73
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    • 2020
  • As Korean government and safety-related organizations make continuous efforts to reduce the number of industrial accidents, accident rate has steadily declined since 2010, thereby recording 0.48% in 2017. However, the number of fatalities due to industrial accidents was 1,987 in 2017, which means that more efforts should be made to reduce the number of industrial accidents. As an essential activity for enhancing the system safety, accident analysis can be effectively used for reducing the number of industrial accidents. Accident analysis aims to understand the process of an accident scenario and to identify the plausible causes of the accident. Accident analysis offers useful information for developing measures for preventing the recurrence of an accident or its similar accidents. However, it seems that the current practice of accident analysis in Korean manufacturing companies takes a simplistic accident model, which is based on a linear and deterministic cause-effect relation. Considering the actual complexities underlying accidents, this would be problematic; it could be more significant in the case of human error-related accidents. Accordingly, it is necessary to use a more elaborated accident model for addressing the complexity and nature of human-error related accidents more systematically. Regarding this, HFACS(Human Factors Analysis and Classification System) can be a viable accident analysis method. It is based on the Swiss cheese model and offers a range of causal factors of a human error-related accident, some of which can be judged as the plausible causes of an accident. HFACS has been widely used in several work domains(e.g. aviation and rail industry) and can be effectively used in Korean industries. However, as HFACS was originally developed in aviation industry, the taxonomy of causal factors may not be easily applied to accidents in Korean industries, particularly manufacturing companies. In addition, the typical characteristics of Korean industries need to be reflected as well. With this issue in mind, we developed HFACS-K as a method for analyzing accidents happening in Korean industries. This paper reports the process of developing HFACS-K, the structure and contents of HFACS-K, and a case study for demonstrating its usefulness.

Study on Incident Report System and Safety Culture in Railway (철도에서의 인시던트 보고제도와 안전문화에 관한 연구)

  • Chung, Byung-Hyun
    • Journal of the Korean Society for Railway
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    • v.13 no.2
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    • pp.229-235
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    • 2010
  • Safety is an essential requirement for public transportation, especially for railway. Railway are more safety than other means of transportation, but railway accident that is mass transportation result catastrophic result if an accident occurred. Railway operators and government are many prior efforts to prevent accident, but it is impossible to eliminate accidents. Therefore, various measures to reduce accidents as possible, and they have taken, this paper will review incident report system and safety culture which are most important factors for preventing accident. In addition, incident reporting system and an independent accident investigation and accident prevention and safety systems would be needed to improve train operating companies and related agencies for the safety of the railway is a cultural ritual. Indeed, the settlement of avalid railway safety culture will most certainly prevent railway accidents. Therefore, in the railway company and the correct understanding of railway safety culture and against the settlement plan would be reviewed in this paper.

A FRAM-based Systemic Investigation of a Rail Accident Involving Human Errors (인적오류가 관여된 철도 사고의 체계적 분석을 위한 FRAM의 활용)

  • Choi, Eun-Bi;Ham, Dong-Han
    • Journal of the Korea Safety Management & Science
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    • v.22 no.1
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    • pp.23-32
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    • 2020
  • There has been a significant decline in the number of rail accidents in Korea since system safety management activities were introduced. Nonetheless, analyzing and preventing human error-related accidents is still an important issue in railway industry. As a railway system is increasingly automated and intelligent, the mechanism and process of an accident occurrence are more and more complicated. It is now essential to consider a variety of factors and their intricate interactions in the analysis of rail accidents. However, it has proved that traditional accident models and methods based on a linear cause-effect relationship are inadequate to analyze and to assess accidents in complex systems such as railway systems. In order to supplement the limitations of traditional safety methods, recently some systemic safety models and methods have been developed. Of those, FRAM(Functional Resonance Analysis Method) has been recognized as one of the most useful methods for analyzing accidents in complex systems. It reflects the concepts of performance adjustment and performance variability in a system, which are fundamental to understanding the processes of an accident in complex systems. This study aims to apply FRAM to the analysis of a rail accident involving human errors, which occurred recently in South Korea. Through the application of FRAM, we found that it can be a useful alternative to traditional methods in the analysis and assessment of accidents in complex systems. In addition, it was also found that FRAM can help analysts understand the interactions between functional elements of a system in a systematic manner.

A Study on Flooding·Sinking Simulation for Cause Analysis of No. 501 Oryong Sinking Accident

  • Lee, Jae-Seok;Oh, Jai-Ho;Lee, Sang-Gab
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2018.11a
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    • pp.241-247
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    • 2018
  • Deep-sea fishing vessel No. 501 Oryong was fully flooded through its openings and sunk to the bottom of the sea due to the very rough sea weather on the way of evasion after a fishing operation in the Bearing Sea. As a result, many crew members died and/or were missing. In this study, a full-scale ship flooding and sinking simulation was conducted, and the sinking process was analyzed for the precise and scientific investigation of the sinking accident using a highly advanced Modeling & Simulation (M&S) system of the Fluid-Structure Interaction (FSI) analysis technique. To objectively secure the weather and sea states during the sinking accident in the Bering Sea, time-based wind and wave simulation at the region of the sinking accident was conducted and analyzed, and the weather and sea states were realized by simulating the irregular strong wave and wind spectrums. Simulation scenarios were developed and full-scale ship and fluid (air & seawater) modeling was performed for the flooding sinking simulation, by investigating the hull form, structural arrangement & weight distribution, and exterior inflow openings and interior flooding paths through its drawings, and by estimating the main tank capacities and their loading status. It was confirmed that the flooding and sinking accident was slightly different from a general capsize and sinking accident according to the simple loss of stability.

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A Study on Improvement Safety Management through Chemical Accident Investigations (화학사고 원인 조사를 통한 화학물질 안전관리 개선방안 연구)

  • Yoo, Byung-Tae
    • Journal of the Society of Disaster Information
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    • v.17 no.3
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    • pp.403-414
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    • 2021
  • Purpose: The purpose of this study is to provide the effective safety management system to prevent similar chemical accidents through accident investigations. Method: Chemical accident prevention and response management systems at the central and local government levels were reviewed, Also, statistical data of chemical accidents occurred in the last 5 years were analyzed. In particular, Two accidents with high accident risk were analyzed. Result: Chemical accidents that have occurred in the last 5 years were analyzed to occur in the order of hydrochloric acid, sulfuric acid, and nitric acid, and concrete safety management improvement measures were derived through investigations of two causes. Conclusion: In this study, we proposed safety management plans in terms of technical and management aspects. The results of this study are expected to be used as effective in preventing and managing chemical accidents.

An Analysis on the Appropriation of Chemical Accident Evacuation Facility Using GIS - focused on Ulsan metropolitan city - (GIS 기법을 활용한 화학사고 대피시설의 적정성 분석 - 울산광역시를 대상으로 -)

  • SONG, Bong-Geun;LEE, Tae-Wook;KIM, Hyun-Ju;KIM, Tai-Hoon
    • Journal of the Korean Association of Geographic Information Studies
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    • v.21 no.1
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    • pp.71-82
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    • 2018
  • The purpose of this study is to minimize damage of chemical accidents through the appropriation analysis of evacuation facility position focused on Ulsan metropolitan city. For analysis, informations such as pollutant release and transfer registers(PRTR), population census, and evacuation facilities were used. After then, damage assessment of chemical accidents, accessibility and appropriation of evacuation facilities were analyzed. Damage of chemical accidents is high in around 5km of industrial complex there is dense of chemical facility and population. Evacuation facilities were mainly situated in hazard area of chemical accidents, but accessibility of evacuation facilities was vulnerable in chemical plant neighborhood. Therefore, safety check of deteriorated plants is important for prevention of chemical accidents. Also, effective evacuation plan considering capacity and scale of evacuation facilities will be established.

Domestic Helicopter Accident Analysis using HFACS & Dirty Dozen

  • Kim, Su-Ro;Cho, Young-Jin;Song, Byung-Heym
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.1-10
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    • 2020
  • Safety can be defined as being maintained or reduced to a level below which the possibility of human or physical harm can be tolerated through continuous identification of risks and safety risk management. FAA, EASA, IATA and Boeing, major organizations that conduct research and analysis for aviation safety around the world, report that about 70 percent of aviation accidents are caused by human factors, which have led to a surge in interest in human factors-induced accident prevention activities around the world. As part of this purpose, the FAA in the U.S. is raising awareness among aviation workers by publicizing the 12 human errors (Boeing, 2016), which account for the largest part of aviation accidents under the theme of Dirty Dozen, to prevent aviation accidents. Therefore, based on the domestic helicopter accidents reported to the Air Railroad Accident Investigation Committee from 2007 until recently, this study aims to use HFACS to extract human factors for the six recent helicopter accidents in Korea, analyze the extracted human factors in conjunction with the Dirty Dozen concept, and then present measures to prevent accidents by item.

Advanced In-Vessel Retention Design for Next Generation Risk Management

  • Kune Y. Suh;Hwang, Il-Soon
    • Proceedings of the Korean Nuclear Society Conference
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    • 1997.10a
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    • pp.713-718
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    • 1997
  • In the TMI-2 accident, approximately twenty(20) tons of molten core material drained into the lower plenum. Early advanced light water reactor (LWR) designs assumed a lower head failure and incorporated various measures for ex-vessel accident mitigation. However, one of the major findings from the TMI-2 Vessel Investigation Project was that one part of the reactor lower head wall estimated to have attained a temperature of 1100$^{\circ}C$ for about 30 minutes has seemingly experienced a comparatively rapid cooldown with no major threat to the vessel integrity. In this regard, recent empirical and analytical studies have shifted interests to such in-vessel retention designs or strategies as reactor cavity flooding, in-vessel flooding and engineered gap cooling of the vessel Accurate thermohydrodynamic and creep deformation modeling and rupture prediction are the key to the success in developing practically useful in-vessel accident/risk management strategies. As an advanced in-vessel design concept, this work presents the COrium Attack Syndrome Immunization Structures (COASIS) that are being developed as prospective in-vessel retention devices for a next-generation LWR in concert with existing ex-vessel management measures. Both the engineered gap structures in-vessel (COASISI) and ex-vessel (COASISO) are demonstrated to maintain effective heat transfer geometry during molten core debris attack when applied to the Korean Standard Nuclear Power Plant(KSNPP) reactor. The likelihood of lower head creep rupture during a severe accident is found to be significantly suppressed by the COASIS options.

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