• 제목/요약/키워드: investigation reports

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철도 인적오류 사고분석에 대한 시사점 (Implications for the Analysis of Human Error in Railway Accidents)

  • 이지선;김만웅;김동산;백동현
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2009년도 춘계학술대회 논문집
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    • pp.1360-1364
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    • 2009
  • The basic concept of analysis of human error that induced railway accident is that errors are consequences, not causes. But in most cases, it is likely that direct causes of the accident could be concluded as real causes, which make it difficult to find out root causes. Design, training, staffing, culture and condition are general category applied to investigate human error. In order to examine how those approach could help accident analysis, this paper studied accident investigation reports of UK RAIB(Rail Accident Investigation Branch). Rather than consider specific investigation method, we focus investigation result on how to describe causal factors and how to indicate recommendations to prevent similar accident. The reports show that they try to find out causes more in organizational, environmental and job factors, which implies the necessity to improve investigation process of human error accident in Korea.

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근골격계 유해요인 조사 보고서 검토를 통한 조사 방법 및 제도 개선 방안 (The Improvement of Investigation Method and System through the Review of Musculoskeletal Risk Factor Investigation Reports)

  • 김병훈;박지영;백경희;하권철
    • 한국산업보건학회지
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    • 제31권3호
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    • pp.266-273
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    • 2021
  • Objective: The objective of this study was to suggest improvement methods for investigations and systems through a review of musculoskeletal risk factor investigation reports conducted in the workplace. Methods: A total of 34 reports on musculoskeletal risk factor investigations were reviewed. To confirm the appropriateness of the evaluation, reevaluation was conducted through a field investigation using other evaluation tools. In order to understand the effectiveness of the improvement plan, a survey was conducted with those in charge of tasks with ergonomic burdens. Results: As a result of performing a field survey using the work sampling method recommended by the KOSHA (Korea Occupational Safety and Health Agency) for ten tasks, eight tasks were determined to pose an ergonomic burden. When 30 tasks were evaluated with RULA (rapid entire body assessment), 90% of them were evaluated at a higher level than the results of the workplace survey. Among the improvement measures, only 36% of the field workers affirmed them, and in only 19% of the workplaces were actual improvements made. Conclusions: In order to improve the ergonomic investigation system for risk factors in the ergonomic burden task, it is necessary to secure the objectivity of the evaluation performed by the institution and enable the active participation of workers in improvement activities.

Investigation of Terminology Coverage in Radiology Reporting Templates and Free-text Reports

  • Hong, Yi;Zhang, Jin
    • International Journal of Knowledge Content Development & Technology
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    • 제5권1호
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    • pp.5-14
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    • 2015
  • The Radiological Society of North America (RSNA) is improving reporting practices by developing an online library of clear and consistent report templates. To compare term occurrences in free-text radiology reports and RSNA reporting templates, the Wilcoxon signed-rank test method was applied to investigate how much of the content of conventional narrative reports is covered by the terms included in the RSNA reporting templates. The results show that the RSNA reporting templates cover most terms that appear in actual radiology reports. The Wilcoxon test may be helpful in evaluatingexisting templates and guiding the enhancement of reporting templates.

공학교육에 있어 직관 연상과 집단학습을 통한 효능감 향상 사례 연구 (Improvement of Efficacy by Applying Intuitive Learning and Group Investigation Methods on Engineering Education)

  • 마정범;김종현
    • 대한기계학회논문집 C: 기술과 교육
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    • 제2권1호
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    • pp.15-20
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    • 2014
  • 공학교육의 도입부에 직관을 활용하여 학습자의 흥미를 유발하고, 단순한 수식의 전개와 그를 활용한 문제풀이 중심 교육에서 벗어나 개념의 내용을 반복적으로 구술하고 수식을 유도하는 과정에 물리적 개념을 적용하여 쓰게 함으로써 전문대학 학습자의 학습효과를 증진시키는 방안을 모색하였다. 또한, 프로젝트 수행에 있어 학습자 스스로 주제를 선정하고 학습한 내용을 적용하여 일정에 맞추어 보고서를 제출하고 교수자는 각 모둠별로 우수한 보고서를 선택하였다. 각 모둠의 모둠원은 역할 분담을 통해 우수 보고서에 대해 발표하는 과정을 거치면서 조직원으로서의 역할을 익히도록 하였다. 이를 통해 학습자의 성적이 향상되고 일상생활에서 경험하게 되는 물리현상을 역학과 연계할 수 있게 하며, 초급설계자로서의 역량을 제고하고자 하였다.

파이프 쿨링 공법 적용에 따른 벽체구조물의 온도균열 특성 (Thermal Crack Characteristics of Concrete Walls with Pipe Cooling)

  • 박찬규
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2002년도 봄 학술발표회 논문집
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    • pp.23-28
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    • 2002
  • This paper reports the performance results of hydration heat control of mass concrete walls with pipe cooling system. The thickness of walls ranged from 0.9 to 2.2m. In order to investigate the effect of pipe cooling on the thermal and thermal crack characteristics, the pipe cooling was conducted for 42 walls, and the investigation of thermal cracks was conducted for 14 walls. Based on the investigation, the pipe cooling method decreased the peak temperature of about 13-2$0^{\circ}C$ and the thermal crack width of about 30% for mass concrete walls.

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Case study of cyanide detection in fatalities by fire in Korea

  • Kim, Dong-Woo;Baeck, Seung-Kyung;Kim, Sun-Chun;Seo, Joong-Seok
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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    • pp.168.2-169
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    • 2003
  • Hydrogen cyanide is one of the toxic agents with carbon monooxide in fire victims and is released by combustion of nitrogen-containing organic material such as plastic and wool. Until now there are few reports about blood cyanide concentrations in fatalities by fire in Korea. So in this study we examined blood cyanide concentration in 12 cases of fire fatalities. (omitted)

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서울시 환경영향평가에서 가로 녹시율 지표의 적용 실태 (Practice in Application of the Index of Streetscape Greenness on Environmental Impact Assessment - Case Study of Street in Seoul)

  • 조용현;조현길;한봉호
    • 환경영향평가
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    • 제19권2호
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    • pp.205-213
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    • 2010
  • The purpose of this research is to analysis the application of the ISG(Index of Streetscape Greenness) in EIA through case study of Seoul. ISG is a new index which directly expresses human's perceptions of plants in a street and is defined as the area ratio of which leaves of plants occupy an eye-level view of a person standing on the center line of a street. In this research the 42 cases of 3 step reports such as plans, drafts, and final reports which had been passed through the EIA procedure of Seoul were analyzed. The results are as follows: In the drafts frequent mistakes or errors such as unsuitable picture composition, unsuitable sample points, inconsistency of the simulation result with the planting plan, and insufficient numbers of analysis were found, but almost of them were corrected in the final reports. In the most of final reports, the 30% of minimum requirement was satisfied. At all cases the changes of the ISG values were clearly positive. Finally the average current ISG was 19.6%, meanwhile the average proposed ISG was 35.4%. It was verified that the ISG is very practical index to promote green streetscape, but in order to guarantee an achievement a thorough investigation of reports are needed.

Comparison with Water Quality of main Rivers in the world, based on OECD reports

  • Kambe, Junko;Aoyama, Tomoo;Nagashima, Umpei
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.935-940
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    • 2005
  • We are faced with water pollutions on a population explosion. Considering the importance, we research European rivers based on OECD reports. Observations in the reports have defects that make evaluation of environmental situations be difficult. By using interpolations in the compensation quantitative structure-activity relation ships (CQSAR), we complement the defects in the water quality of rivers through big cities. Thus, we get complete data set for dissolved oxygen, biochemical oxygen demand, and total phosphorus. Using the data set, we examine re-naturalization of the Rhein and the Donau in Germany. We investigate the effect of dams between Slovakia and Hungary, by using reconstructions of neural networks in CQSAR. The reconstructions have functions to extract a principal relation. On the investigation, we examine assertions of conservation groups. As the result, we confirm the re-naturalization is effective, and find a negative effect of the dam construction on changes of dissolved oxygens in the Hungary Donau. We investigate the Seine and the Thames, too.

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Report on the trends of the Drug Abuse and the Mortalities related to Intoxication of Drug-Toxic Substances in the Central Area of Korea in 2001

  • Baeck, Seung-Kyung;Kim, Sun-Chun;Sihn, Sihn-Young;Son, Young-Mi;Park, Yun-Sin;Seo, Joong-Seok
    • 대한약학회:학술대회논문집
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    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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    • pp.280.2-281
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    • 2002
  • This presentation reports the trends of the drug abuses(DA) and the mortalities related to drug-toxicants(MDT) in the Central area of Korea in 2001. We surveyed the DA cases and MDT. which were requested to analyze the drug-toxicants in the Central district office of National Institute of Scientific Investigation. he detected drugs on DA cases were methamphetamine. marihuana. opiates. inhalants(toluene. butane. ropane). dextromethorphane. carisoprodol. benzodiazepines, nalbuphine. fenfluamine. and iscellaneous in order of cases. Men are more liable to drug abuses than women. and the most common age group was 30s. Surveys of MDT shows that the defected toxicants are paraquat(sedative). methomy(insecticide). dicholrvos (insecticide). benxodiaxeqines(anxiolytic), and miscellaneous in order do cases. Men's intoxications by the drug-toxicants are more occured than woman's And most common intoxicated age group was 40s. These trends of the DA cases and the MDT in Central Area fo Korea. can help the forensic toxicologists and government to plan the prevention policy of the DA cases and MDT as well as its future estimation.

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한.중.일 화재조사 운영체제 비교연구 (A Study Comparing Korean, Chinese, and Japanese Fire Investigation Operating System)

  • 최진만;김길환
    • 한국화재소방학회논문지
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    • 제25권4호
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    • pp.56-63
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    • 2011
  • 화재조사를 실시할 때, 기본원칙과 조사책임, 보고기한, 각종 표준서식 등은 내부 훈령인 화재조사보고 규정을 통해 업무가 이루어지고 있다. 본 연구는 우리나라를 비롯한 일본과 중국의 화재조사보고규정을 통해 운영체제를 비교 검토하여 우리나라 규정에 없거나 보강이 이루어져야 할 대안을 마련하는데 목적이 있다. 결과적으로 추가조사가 필요할 경우 긴급화재와 일반화재에 대한 보고기간을 30일로 표준화하고, 화재조사가 보고기한을 초과할 경우 지연보고서를 작성토록 하여 업무공백이 발생하지 않도록 하여야 하며, 화재관계자에게 자료를 요구할 때 자료보관증과 자료 반환증 서식안을 신설하여 운영하는 제도개선 사항 등이 필요한 것으로 나타났다.