• Title/Summary/Keyword: root cause map

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Cause Analysis and Development of Root Cause Analysis Map using Data of Chemical Laboratory Accidents (화학실험실 사고 Data를 이용한 근본원인분석 Map 개발 및 원인 분석)

  • Lee, Su-Kyung;Yoon, Yeo-Song;Eom, Seok Hwa
    • Journal of the Korean Institute of Gas
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    • v.18 no.4
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    • pp.86-94
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    • 2014
  • To develop a Root Cause Analysis Map which determines the cause of the accident in chemical laboratory, The Root Cause Analysis(RCA) Map for the laboratory areas was sketched from Phase 1 of the accident element to Phase 3 of the accident element, based on the RCA Map which is applied in the petrochemical industry. On the basis of laboratory RCA Map which was classified by using such method. The root causes of the 211 accident cases in laboratories were classified from Phase 4 to Phase 5 by the Cause Factor Charting technique and The cause of the accident data were inputted to EXCEL program. After that, The causes of the accident data were sorted and classified by type and each step. So 'Approximate Primary RCA Map Draft' was written. In addition, it was reaffirmed whether the root causes of 211 accidents of laboratory were appropriate to 'Primary RCA Map Draft'. By complementing the cause which was expected to cause future accidents, the RCA Map for chemical laboratories was developed. Based on 'RCA Map' proposed in this study, the causes of accidents were analysed management systems 35%, monitoring 12.2%, Human Factor Eng. 15.1% and education training 12.1% by the size of the frequency from Phase 1 to Phase 5.

A Study on Development of Root Cause Analysis Map In Laboratory (연구 실험실 사고의 근본원인분석 Map 개발에 관한 연구)

  • Eom, Seok-Hwa;Lee, Su-Kyung
    • Journal of the Korean Institute of Gas
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    • v.14 no.4
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    • pp.6-11
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    • 2010
  • The continuous fatal accidents like explosion or fire cause huge losses of both life and property in laboratories even though safety management system has been built and periodical checkups and safety diagnosis have been implementing in universities and enterprise-affiliated research institutes since Act on the Establishment of Safe Laboratory Environment was enacted in 2005 to prevent accidents in research laboratories. Cause analysis and safety management measures to prevent recurrence of accidents are urgently needed because accidents in research laboratories occur repeatedly with similar contents. This study will show results of analysis on incidents and accidents occurred in laboratories in universities and enterprise-affiliated research institutes using Root Cause Analysis Method and propose classified map of cause investigation and improvements so as to improve safety management in research laboratories.

A Study on Developing a Knowledge-based Database Program for Gas Facility Accident Analysis (가스시설 사고원인 해석을 위한 지식 데이터베이스 프로그램 개발)

  • Kim Min Seop;Im Cha Soon;Lee Jin Han;Park Kyo Shik;Ko Jae Wook
    • Journal of the Korean Institute of Gas
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    • v.4 no.4 s.12
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    • pp.65-70
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    • 2000
  • We develop the database program for accident cause analysis which can help to increase domestic safety custom and prevent recurrence of gas accident and analyze accidents easily The program developed in this study consists of two parts. one part uses accident case database applied if than rule, so it finds root causes by inference of some input values. The other uses Root Cause Analysis Map which divided human errors and equipment difficulties and so we get general root cause by reply some proper questions.

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Root Cause Analysis of the Information Industry Ecosystem Problems (정보산업 생태계 문제의 근본원인 분석)

  • Kim, Sung Kun;Ahn, Nam Gyu
    • Journal of Information Technology Applications and Management
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    • v.24 no.4
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    • pp.71-92
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    • 2017
  • Finding a root cause is an essential step to solving a complex problem. Some previous studies have used the Delphi method for gathering opinions about root causes from geographically dispersed experts. However, we assert that complicated problems such as an industry ecosystem would make a general type of the Delphi method less practical because of too much psychological burden on study participants. In this study we present a preliminary list-based Delphi study method for identifying a root cause. This method was used to identify a root cause and draw a causal map for the information industry ecosystem problems.

Cause Analysis and Reduction of Safety Accident in Modular Construction - Focusing on Manufacturing and Construction Process - (모듈러 건축에서의 안전사고 원인 분석 및 저감방안 - 제작 및 시공단계 작업을 중심으로 -)

  • Jeong, Gilsu;Lee, Hyunsoo;Park, Moonseo;Hyun, Hosang;Kim, Hyunsoo
    • Journal of the Architectural Institute of Korea Structure & Construction
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    • v.35 no.8
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    • pp.157-168
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    • 2019
  • Modular Construction is regarded as having enhanced safety compared to traditional construction since most of modular manufacturing process in plants. Unlike general consideration for safety in modular construction, several industrial accident data and studies have pointed out that the accident rate of modular construction is not enough less as much as the practitioners have expected. It means that there is a clear need for improvement of safety management in modular construction. To enhance safety, it is necessary to identify the type and cause of accident through accident cases in order to prevent safety accident in advance. In this consideration, this study analyzed the types and causes of accidents through root cause analysis procedure with accident cases of U.S. OSHA. The classification was carried out in the order of process type, accident type and cause of accident. By following the classification criteria in this study, the causal factor was derived and the root cause map was created. Based on the analysis results, cross-analysis was conducted and it is shown that activity characteristics of modular construction are related to safety accidents. In addition, prevention methods to reduce safety accident by major activity are presented in terms of organizational, educational and technical aspects. This study contributes that the result can be used as the basic safety management in the manufacturing and construction process of modular construction.

Business Process Analysis Based on Event-driven Process Chain Model (EPC 모델 기반의 비즈니스 프로세스 분석)

  • Kang, Jun-Gyu;Lim, Seung-Kil
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.36 no.3
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    • pp.34-42
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    • 2013
  • In this study, we develop a method for analyzing business process based on the event-driven process chain (EPC) model. The method consists of five stages such as identifying abnormal events, finding causes for the abnormal events and problems caused by the abnormal events, making cause-and-effect chains, drawing root-cause map, and defining improvement areas. We illustrate how to apply the method with some examples for the domestic registered mail delivery process.

Build a Digital Evidence Map considered Log-Chain (로그 체인을 고려한 디지털증거지도 작성)

  • Park, Hojin;Lee, Sangjin
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.24 no.3
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    • pp.523-533
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    • 2014
  • It has been spent too much time to figure out the incident route when we are facing computer security incident. The incident often recurs moreover the damage is expanded because critical clues are lost while we are wasting time with hesitation. This paper suggests to build a Digital Evidence Map (DEM) in order to find out the incident cause speedy and accurately. The DEM is consist of the log chain which is a mesh relationship between machine data. And the DEM should be managed constantly because the log chain is vulnerable to various external facts. It could help handle the incident quickly and cost-effectively by acquainting it before incident. Thus we can prevent recurrence of incident by removing the root cause of it. Since the DEM has adopted artifacts in data as well as log, we could make effective response to APT attack and Anti-Forensic.

Mapping Quantitative Trait Loci Associated with Arsenic Toxicity Stress in a Double Haploid Population of Rice (Oryza sativa L.)

  • Saleem Asif;Rahmatullah Jan;Kyung-Min Kim
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2022.10a
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    • pp.282-282
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    • 2022
  • Arsenic (As) is a toxic heavy metal that affects the major rice-growing regions of the world and can cause cancer in humans. Rice paddy fields in South Asia are mostly dependent on arsenic-contaminated water sources due to which rice takes up the arsenic from the soil through roots and accumulates it in plant different parts. Here, we present a quantitative trait locus (QTL) mapping study to find out candidate genes conferring As toxicity tolerance in rice (Oryza sativa L.) at the seedling stage. Three weeks old, 120 double haploid CNDH lines derived from a cross between the Indica variety Cheongcheong and the Japonica variety Nagdong and their parental lines were used by treating with 25 μM As. After 2 weeks ofAs stress, 5 traits such as; shoot length (SL), root length (RL), shoot fresh weight (SFW), root fresh weight (RFW), and chlorophyll contents (CHC) were measured. A linkage map of 12 rice chromosomes was constructed from genotypic data DH lines using 778 SSR markers. The linkage map covered a total genetic distance of 2121.7 cM of the rice genome with an average interval of 10.6 cM between markers. A total of seventeen QTLs (LOD>2) were mapped on chromosomes 1, 2, 3, 6, 7, 8, 9, 11, and 12 using composite interval mapping with trait-increasing alleles coming from both parents. Five QTLs for SL, Two QTLs for RL, Five QTLs for SHL, Three QTLs for RFW, and Two QTLs for CHC were detected. The QTLs related to CHC were selected for forther study.

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A study on the design of fault diagnostic system based on PCA (PCA-기반 고장 진단 시스템 설계에 관한 연구)

  • Kim, Sung-Ho;Lee, Young-Sam;Han, Yoon-Jong
    • Journal of the Korean Institute of Intelligent Systems
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    • v.13 no.5
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    • pp.600-605
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    • 2003
  • PCA(Principle Component Analysis) has emerged as a useful tool for process monitoring and fault diagnosis. The general approach requires the user to identify the root cause by interpreting the residual or principle components. This could be tedious and often impossible for a large process. In this paper, PCA scheme is combined with the FCM-based fault diagnostic algorithm to enhance the diagnostic results. The implementation of the FCM-based fault diagnostic system by using PCA is done and its application is illustrated on the two-tank system.

Identification and Analysis of the Legal Status of International Maritime Organization Instruments

  • Nam, Dong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.3
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    • pp.421-428
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    • 2021
  • Identifying which international maritime legal instruments are mandatory or recommendatory is complicated task even for maritime regulatory bodies. Although International Maritime Organization (IMO) had tried to ease the complexity by adopting guidelines on uniform wordings for making reference to other instruments in IMO parent conventions, there has still been some confusion identifying the mandatory status of IMO instruments. The aim of this study was to map out a step-based guideline to resolve the complexity of the mandatory status of IMO instruments to the maximum extent possible. This study reviewed the history of IMO rule-making process to find the root cause of the problem, then analyzed the approaches of regulatory enforcement bodies to check the practices. In conclusion, readers are directed to find such information as to legal status of IMO instruments and an improvement is proposed to enhance the transparency of information sharing for maritime industry to make better informed decisions.