• International Journal of Reliability and Applications
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• 제11권2호
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• pp.123-138
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• 2010

This paper investigates a mathematical model of a system composed of two non-identical unit parallel system with common-cause failure, critical human error, non-critical human error, preventive maintenance and two type of repair, i.e. cheaper and costlier. This system goes for preventive maintenance at random epochs. We assume that the failure, repair and maintenance times are independent random variables. The failure rates, repair rates and preventive maintenance rate are constant for each unit. The system is analyzed by using the graphical evaluation and review technique (GERT) to obtain various related measures and we study the effect of the preventive maintenance preventive maintenance on the system performance. Certain important results have been derived as special cases. The plots for the mean time to system failure and the steady-state availability A(${\infty}$) of the system are drawn for different parametric values.

• 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.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2006년도 추계학술대회 논문집
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• pp.1501-1507
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• 2006

The accidents are often resulted from multiple causes with hardware failure and human errors. So to ensure the safety of rail operation, human error should be prevented effectively. The purpose of this paper is to present an analysis system on factors of influencing human error in korean rail industry especially for engine driver and train despatcher. To achieve it, ESFs(error shaping factors) classification system was derived from several PSFs(performance shaping factors) classification system. Based on them, two kinds of questionnaires for engine driver and train despatcher each were developed. Then Analytic Hierarchy Process (AHP) methodology was used to evaluate what factors were critical to human error.

• 한국안전학회지
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• 제30권1호
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• pp.87-93
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• 2015

Most incidents and accidents involved human during operating NPPs have a tendency to be structured by complicated and various organizational, individual, and environmental factors. The salient feature of the human error in NPP was extremely low frequency, extremely high complicated and extremely serious damage of human life and property. Our research team defined as 'rare human errors'. To prevent the rare human errors, the most researchers and analysts insist invariably that the root causes be made clear. The making them clear, however, is difficult because their root causes are very various and uncertain. However, These tools have limits that they do not adapt all operating situations and circumstances such as design base events. The purpose of this study is to improve the rare human error hazards consider the situational contex. Through this challenging try based on evidences to the human errors could be useful to prevent rare and critical events can occur in the future.

• 한국안전학회지
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• 제29권1호
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• pp.86-92
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• 2014

This paper provides an integrated view on human and system interaction in advanced and automated systems, which adopting computerized multi-functional artifacts and complicated organizations, such as nuclear power plants, chemical plants, steel and semi-conduct manufacturing system. As current systems have advanced with various automated equipments but human operators from various organizations are involved in the systems, system safety still remains uncertain. Especially, a human operator plays an important role at the time of critical conditions that can lead to catastrophic accidents. The knowledge on human error helps a risk manager as well as a designer to create and control a more credible system. Several human error theories were reviewed and adopted for forming the integrated perspective: gulf of execution and evaluation; risk homeostasis; the ironies of automation; trust in automation; design affordance; distributed cognition; situation awareness; and plan delegation theory. The integrated perspective embraces human error theories within three levels of human-system interactions such as affordance level, psychological logic level and trust level. This paper argued that risk management process should dealt with human errors by providing (1) reasoning improvement; (2) support to situation awareness of operators; and (3) continuous monitoring on harmonization of human system interaction. This approach may help people to understand risk of human-system interaction failure characteristics and their countermeasures.

• 대한인간공학회지
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• 제32권6호
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• pp.535-540
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• 2013

Objective: The aim of this study is to evaluate the effectiveness and efficiency of causal links between various error causes in human error analysis. Background: As finding root causes of human error in safety-critical systems is often a cognitively demanding and time-consuming task, it is particularly necessary to develop a method for improving both the quality and efficiency of the task. Although a few methods such as CREAM have suggested causal linking between error causes as a means to enhance the quality and efficiency of human error analysis, no published research to date has evaluated the performance of the causal links. Method: The performance of the CREAM links between error causes were evaluated with 80 railway accident investigation reports from the UK. From each report, errorneous actions of operators were derived, and for each error, candidate causes were found by following the predefined links. Two measures, coverage and selectivity, were used to evaluate the effectiveness and efficiency of the links, respectively. Results: On average, 96% of error causes actually included in the accident reports were found by following the causal links, and among the total of 121 possible error causes, the number of error causes to be examined further was reduced to one-tenth on average. As an additional result of this work, frequent error causes and frequently used links are provided. Conclusion: This result implies that the predefined causal links between error causes can significantly reduce the time and effort required to find the multiple levels of error causes and their causal relations without losing the quality of the results. Application: The CREAM links can be applied to human error analysis in any industry with minor modifications.

• Nuclear Engineering and Technology
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• 제53권2호
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• pp.368-375
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• 2021

The performance time of human operators has been recognized as a key aspect of human reliability in socio-complex systems, including nuclear industries. Because of the importance of the time factor, most existing human reliability assessment methods provide ways to quantify human error probabilities (HEPs) that are associated with the performance time. To quantify such kinds of HEPs, it is crucial to rationally predict the length of time required and time available and compare them. However, there have not been detailed guidelines that identify the critical cue presentation time or initial time of human performance, which is important to calculate the time information. In this paper, we introduce a time-related HEP calculation technique with a decision algorithm that determines the critical cue and its timing. The calculation process is presented with the application examples. It is expected that the proposed algorithm will reduce the variability in the time-related reliability assessment and strengthen the scientific evidence of the assessment process. The detailed description is provided in the technical report KAERI/TR-7607/2019.

• 대한인간공학회지
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• 제30권1호
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• pp.41-53
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• 2011

Objective: The purpose of this paper is to introduce new research trends of human error and accident modeling and to suggest future promising research directions in those areas. Background: Various methods and techniques have been developed to understand the nature of human errors, to classify them, to analyze their causes, to prevent their negative effects, and to use their concepts during design process. However, it has been reported that they are impractical and ineffective for modern complex systems, and new research approaches are needed to secure the safety of those systems. Method: Six different perspectives to study human error and system safety are explained, and then seven recent research trends are introduced in relation to the six perspectives. The implications of the new research trends and viable research directions based on them are discussed from a cognitive systems engineering point of view. Results: Traditional methods for analyzing human errors and identifying causes of accidents have critical limitations in complex systems, and recent research trends seem to provide some insights and clues for overcoming them. Conclusion: Recent research trends of human error and accident modeling emphasize different concepts and viewpoints, which include systems thinking, sociotechnical perspective, ecological modelling, system resilience, and safety culture. Application: The research topics explained in this paper will help researchers to establish future research programmes.

• 한국정보과학회 언어공학연구회:학술대회논문집(한글 및 한국어 정보처리)
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• 한국정보과학회언어공학연구회 2022년도 제34회 한글 및 한국어 정보처리 학술대회
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• pp.225-231
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• 2022

최근 기계번역 분야는 괄목할만한 발전을 보였으나, 번역 결과의 오류가 불완전한 의미의 왜곡으로 이어지면서 사용자로 하여금 불편한 반응을 야기하거나 사회적 파장을 초래하는 경우가 존재한다. 특히나 오역에 의해 변질된 의미로 인한 경제적 손실 및 위법 가능성, 안전에 대한 잘못된 정보 제공의 위험, 종교나 인종 또는 성차별적 발언에 의한 파장은 실생활과 문제가 직결된다. 이러한 문제를 완화하기 위해, 기계번역 품질 예측 분야에서는 치명적 오류 감지(Critical Error Detection, CED)에 대한 연구가 이루어지고 있다. 그러나 한국어에 관련해서는 연구가 존재하지 않으며, 관련 데이터셋 또한 공개된 바가 없다. AI 기술 수준이 높아지면서 다양한 사회, 윤리적 요소들을 고려하는 것은 필수이며, 한국어에서도 왜곡된 번역의 무분별한 증식을 낮출 수 있도록 CED 기술이 반드시 도입되어야 한다. 이에 본 논문에서는 영어-한국어 기계번역 분야에서의 치명적 오류를 감지하는 KoCED(English-Korean Critical Error Detection) 데이터셋을 구축 및 공개하고자 한다. 또한 구축한 KoCED 데이터셋에 대한 면밀한 통계 분석 및 다국어 언어모델을 활용한 데이터셋의 타당성 실험을 수행함으로써 제안하는 데이터셋의 효용성을 면밀하게 검증한다.

• 한국안전학회지
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• 제29권3호
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• pp.79-84
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• 2014

Human error is one of the major contributors to the accidents. A lot of risk assessment techniques have been developed for prevention of accidents. Nevertheless, most of them were interested in physical factors, because quantitative evaluation of human errors was difficult quantitatively. According to lack of risk assessment techniques about human errors, most of industrial risk assessment for human errors were based on data of accident analysis. In order to develop an effective countermeasure to reduce the risk caused by human errors, a systematic analysis is needed. Generally, risk assessment system is composed of 5 step(classification of work activity, identification of hazards, risk estimation, evaluation and improvement). This study aimed to develop a risk identification technique for human errors that could mainly be applied to industrial fields. In this study, Ergo-HAZOP and Comprehensive Human Error Analysis Technique were used for developing the risk identification technique. In the proposed risk identification technique, Ergo-HAZOP was used for broad-brush risk identification. More critical risks were analysed by Comprehensive Human Error Analysis Technique. In order to verify applicability, the proposed risk identification technique was applied to the work of pile head cutting. As a consequence, extensive hazards were identified and fundamental countermeasures were established. It is expected that much attention would be paid to prevent accidents by human error in industrial fields since safety personnel can easily fint out hazards of human factors if utilizing the proposed risk identification technique.