• 선박안전
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• 통권27호
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• pp.25-36
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• 2009

Despite the development of the various navigational equipment, such as GPS, ARPA, ECDIS, AIS, VDR, and hull monitoring system, marine accidents are still a leading concern in shipping industry. For all accidents over the reporting period, approximately 60 to 80% of the accidents was involved in human error. It means that in each case, some events which were associated with human error initiated an accident, and those failures of human performance led to the failure to avoid an accident or mitigate it's consequences. However, the improvement and the effort on the maritime human error are still limited in an elementary step. The objective of this paper is to propose a modified Human Factors Analysis and Classification System (HFACS) model in order to analyse the collision accidents of tug-barge ship.

• 웰빙융합연구
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• 제7권1호
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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.

• Nuclear Engineering and Technology
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• 제41권10호
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• pp.1361-1374
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• 2009

Due to the need of data for a Human Reliability Analysis (HRA), a number of data collection efforts have been undertaken in several different organizations. As a part of this effort, a human error analysis that focused on a set of simulator records on a Steam Generator Tube Rupture (SGTR) scenario was performed by using the Human Event Repository and Analysis (HERA) system. This paper summarizes the process and results of the HERA analysis, including discussions about the usability of the HERA system for a human error analysis of simulator data. Five simulated records of an SGTR scenario were analyzed with the HERA analysis process in order to scrutinize the causes and mechanisms of the human related events. From this study, the authors confirmed that the HERA was a serviceable system that can analyze human performance qualitatively from simulator data. It was possible to identify the human related events in the simulator data that affected the system safety not only negatively but also positively. It was also possible to scrutinize the Performance Shaping Factors (PSFs) and the relevant contributory factors with regard to each identified human event.

• 대한안전경영과학회지
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• 제6권2호
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• pp.1-9
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• 2004

The chemical factory deals with dangerous element and more advance, human-error analyzes and becomes effective research for the country and region. This paper analysis the form of work-miss on human-error according to a safety accident for domestic chemical factory from 1999-2002. It include the present contents and raise issues human knowledge, behavior, judgment, sensibility as an important counter plan that makes the safety solution of work miss. For the point of view of human knowledge, it takes color standard for works to be effective in work place. For behavior, the test has been for risk Point of work place and infra worker movement, also the workers performed professional work as classify according to work. For judgement, the valuation sheet is reflected to minimize the human-error and the 3rd supervisor does a cross-check audit beforehand. For sensibility, it is applicable for human relations, information, communication by program to the consciousness and an attitude of worker-supervisor.

• Nuclear Engineering and Technology
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• 제51권3호
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• pp.683-691
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• 2019

In this paper, we propose a novel method to quantify the neural synchronization between subjects in the collaborative process through electroencephalogram (EEG) hyperscanning. We hypothesized that the neural synchronization in EEGs will increase when the communication of the operators is smooth and the teamwork is better. We quantified the EEG signal for multiple subjects using a representative EEG quantification method, and studied the changes in brain activity occurring during collaboration. The proposed method quantifies neural synchronization between subjects through bispectral analysis. We found that phase synchronization between EEGs of multi subjects increased significantly during the periods of collaborative work. Traditional methods for a human error analysis used a retrospective analysis, and most of them were analyzed for an unspecified majority. However, the proposed method is able to perform the real-time monitoring of human error and can directly analyze and evaluate specific groups.

• Nuclear Engineering and Technology
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• 제23권2호
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• pp.174-182
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• 1991

안전계통의 이용불능도 및 최적시험주기 평가에 있어서 주기적인 시험과 관련된 인간실수의 영향을 고려하였다. 시험 및 보수와 관련된 인간실수는 건전한 계통이 시험 후 잘못된 상태에 놓이게 될 가능성과(Type A인간실수)건전하지 못한 계통이 시험시 감지되지 못할 가능성(Type B인간실수)이다. 계통이용불능도 및 최적시험주기에 미치는 인간실수의 영향을 결정하기 위하여 안전계통의 이용불능도를 계산하기 위한 사상수목모델이 개발되었다. 또한 안전주입계통의 신뢰도 분석을 통하여 계통전체에 미치는 영향을 평가하였다. 다양한 민감도 분석 결과, (1) 계통이용불능도는 인간실수의 확률이 커질수록 증가하며 Type A인간실수의 영향이 훨씬 크다. (2) 최적시험주기 는 Type A 인간실수가 커 질수록 약간 증가하나, Type B 인간실수가 커 질수록 감소한다. (3) 안전주입펌프의 시험주기를 고정시키면 안전주입계통의 이용불능도는 Type A인간실수가 커질수록 크게 증가하나 Type B 인간실수가 커지더라도 약간 증가한다. 따라서 인간실수의 영향을 고려 할 때 계통의 이용불능도를 일정 수준으로 유지하기 위해서는 시험주기(최적시험주기가 아님 )를 줄여야 한다. 그리고 시험 및 보수시 Type A 인간실수는 계통의 이용불능도에 미치는 영향이 크므로, 특히 TyPe A 인간실수를 줄이기 위한 노력이 필요하다.

• 한국건축시공학회지
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• 제22권4호
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• pp.415-423
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• 2022

건설 사고재해의 가장 큰 원인은 인적요인이므로, 건설공사에서 휴먼에러를 감소시켜 사고재해를 감소시키는 것이 중요하다. 그러나, 휴먼에러는 조직적 상황의 연속적인 흐름이 배후 요인으로 작용한다. 따라서, 휴먼에러의 배후 요인을 파악할 수 있는 m-SHEL 모델을 사용하여 건설 중대 사고재해를 분석하였다. 분석 결과, 건설 중대 사고재해 유형에 따라 휴먼에러를 일으키는 배후 세부 요인이 차이가 있다는 것을 파악하였으며, 휴먼에러 배후 요인 중 L-m 요인, L-H 요인, L 요인 순으로 많이 차지하고 있는 것을 알 수 있었다. 본연구는 건설공사에서 휴먼에러를 줄이기 위해서는 조직적 상황을 파악하고 대응하는 것이 중요하다는 것을 사례를 통해서 확인하였다는 점에 의의가 있다.

• 한국안전학회지
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• 제33권1호
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• pp.66-72
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• 2018

This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

• Nuclear Engineering and Technology
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• 제28권6호
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• pp.563-575
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• 1996

A total of 77 cases was identified to have human errors from a total of 255 trips occurred from 1978 to 1992 in Korean NPPs. The cases were analyzed to investigate how many human errors occurred on which work conditions to find out the areas of high priority for human error reduction. For the analysis of the 77 trip cases due to human errors, classifications were made for the following four categories ; plant systems, work situation, job types, and error types. Erroneous tasks critically influencing the plant trips were carefully identified and analyzed according to the classifications. Based on the results for the individual cases, the cases were counted for the classification items in each of the four categories, then also for the group of categories to investigate the relationships among the categories in aspects of human error occurrences. As results, the plant systems, work situations, and job types, and error types that are dominant in human errors related to the trips ore identified.

• 대한안전경영과학회지
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• 제16권2호
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• pp.19-29
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• 2014

Korean societal concern for the train accidents is fast and widely increasing with an ever-increasing demand and use for KTX. Most of these train accidents are inclined to be caused by human error. Experts used to attribute the causes of human error to the defects in various aspects such as technology, organizational system, practices, corporate culture, and/or human resource itself. Among the diverse causes of human error, an important one, even though it was rarely focused, may be the issue of impact of rule or procedure change on human error. Giving attention to the implicit importance of this issue, this study intends to highlight the theme of frequent procedure change in railway driving manual as a critical factor of human error. To attain this purpose mentioned above, dual methodologies were adopted. One is to qualitatively analyze the real cases of procedure change in relevant manuals followed by the incident case(passing the station scheduled to stop) happened lately. Another is to quantitatively perform statistical analysis based on questionnaires received from 224 train drivers. Results show that frequent changes in internal affairs procedure is or may be an important factor causing stress and human error from train drivers.