• Title/Summary/Keyword: root causes of failure

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IDENTIFICATION OF SOME FAILURE COSTS AND THEIR PERCEIVED ROOT CAUSES IN CONSTRUCTION

  • Saad Al-Jibouri;Martijn Oude Vrielink
    • International conference on construction engineering and project management
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    • 2009.05a
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    • pp.184-189
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    • 2009
  • In 2008 the total estimated failure costs in the Netherlands was estimated to be 11.4% of the industry's turnover compared to 7.7% seven years earlier. Failure costs can be the consequence of rework as a result of failure to conform to the product requirements and specifications or due to inefficient processes and bad management practices. Many construction companies however are unaware of the exact nature of these costs, their root causes or how to control them. This paper describes work carried out in the Netherlands to identify the different types of failure costs in construction and their root causes. The research described builds on previous findings by another research institution and expands it to include information collected from project cases and a survey of a number of project managers in the construction industry. The paper describes the analysis of the results from cases and the survey to identify the root causes of failure costs. Research shows, for example, that many failure costs are related to the client taking late decisions and making changes to the project requirements.

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A classification of electrical component failures and their human error types in South Korean NPPs during last 10 years

  • Cho, Won Chul;Ahn, Tae Ho
    • Nuclear Engineering and Technology
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    • v.51 no.3
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    • pp.709-718
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    • 2019
  • The international nuclear industry has undergone a lot of changes since the Fukushima, Chernobyl and TMI nuclear power plant accidents. However, there are still large and small component deficiencies at nuclear power plants in the world. There are many causes of electrical equipment defects. There are also factors that cause component failures due to human errors. This paper analyzed the root causes of failure and types of human error in 300 cases of electrical component failures. We analyzed the operating experience of electrical components by methods of root causes in K-HPES (Korean-version of Human Performance Enhancement System) and by methods of human error types in HuRAM+ (Human error-Related event root cause Analysis Method Plus). As a result of analysis, the most electrical component failures appeared as circuit breakers and emergency generators. The major causes of failure showed deterioration and contact failure of electrical components by human error of operations management. The causes of direct failure were due to aged components. Types of human error affecting the causes of electrical equipment failure are as follows. The human error type group I showed that errors of commission (EOC) were 97%, the human error type group II showed that slip/lapse errors were 74%, and the human error type group III showed that latent errors were 95%. This paper is meaningful in that we have approached the causes of electrical equipment failures from a comprehensive human error perspective and found a countermeasure against the root cause. This study will help human performance enhancement in nuclear power plants. However, this paper has done a lot of research on improving human performance in the maintenance field rather than in the design and construction stages. In the future, continuous research on types of human error and prevention measures in the design and construction sector will be required.

Failure Analysis to Derive the Causes of Abnormal Condition of Electric Locomotive Subsystem (센서 데이터를 이용한 전기 기관차의 이상 상태 요인분석)

  • So, Min-Seop;Jun, Hong-Bae;Shin, Jong-Ho
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.41 no.2
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    • pp.84-94
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    • 2018
  • In recent years, the diminishing of operation and maintenance cost using advanced maintenance technology is attracting many companies' attention. Especially, the heavy machinery industry regards it as a crucial problem since a failure of heavy machinery requires high cost and long downtime. To improve the current maintenance process, the heavy machinery industry tries to develop a methodology to predict failure in advance and to find its causes using usage data. A better analysis of failure causes requires more data so that various kinds of sensor are attached to machines and abundant amount of product usage data is collected through the sensor network. However, the systemic analysis of the collected product usage data is still in its infant stage. Many previous works have focused on failure occurrence as statistical data for reliability analysis. There have been less works to apply product usage data into root cause analysis of product failure. The product usage data collected while failures occur should be considered failure cause analysis. To do this, this study proposes a methodology to apply product usage data into failure cause analysis. The proposed methodology in this study is composed of several steps to transform product usage into failure causes. Various statistical analysis combined with product usage data such as multinomial logistic regression, T-test, and so on are used for the root cause analysis. The proposed methodology is applied to field data coming from operated locomotive and the analysis result shows its effectiveness.

Root Cause Analysis on Delamination Failure between Coating Film and Paper (코팅지 박리파손에 대한 근본원인분석)

  • Lee, D.B.
    • Journal of Power System Engineering
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    • v.9 no.1
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    • pp.57-63
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    • 2005
  • In the calendar and the advertising catalog, the surface is usually coated by coating polypropylene film. The delamination failure of coating film depends on surface roughness and quality of the substrate paper. In this paper, the mechanisms of delamination failure between the coating film and the paper is investigated by using the root cause analysis as one of techniques of reliability evaluation. The papers used in failure analysis are three kind products made by two domestic and one foreign companies. It found that the main causes of delamination failure between the coating film and the paper were the creation of microvoids caused by shape of filler and their growth caused by contraction of paper.

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Analysis of a New Product Failure by the Use of Root Cause Analysis and Fault Tree Analysis: The Case of Samsung Galaxy Note7 (근본원인분석과 고장수목분석 기법을 활용한 신제품 실패 분석: 삼성 갤럭시노트7 사례를 중심으로)

  • Jung, Won-Jun;Ham, Dong-Han
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.69-83
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    • 2017
  • This study aims to analyze the causes of a new product failure by using system safety methods, focusing on the case of Samsung Galaxy Note7. However, when analyzing the causes of a product failure, if only technical problems are too emphasized, it is likely to miss other more meaningful causes of a failure. Thus, we claim that the root causes of a product failure should be identified in a broad perspective of integrated systems that include non-technical as well as technical elements. With this viewpoint, we investigated the failure of Samsung Galaxy Note7, by using Root Cause Analysis(RCA) and Fault Tree Analysis (FTA). The results showed that it is necessary to address not only the technical issues but also other non-technical issues, such as a very impetuous launch of a new product due to a very tough competition in the market. Additionally, we also found that RCA and FTA could be a useful tool for analyzing the causes of a new product failure from the viewpoint of an integrated system comprising technical and management elements.

A Causal Analysis of Conglomerate Bankruptcies

  • KU, Sang-Wuk;WHANG, Yun-Oh
    • The Journal of Economics, Marketing and Management
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    • v.8 no.1
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    • pp.12-19
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    • 2020
  • Purpose - Strategic causes for the failure include unrealistic growth, overexpansion, unfamiliar new markets, volume obsession, unrealistic promises and poor project selection. Organizational causes are insufficient capital and profits, lack of business knowledge, poor financial management, poor sales skills, inadequate marketing, poor leadership, poor leadership transfer, project losses, poor field performance and owner bankruptcy. Uncontrollable causes include industry and economic weakness and banking and surety changes. While helpful, the list provides insufficient clarity regarding the causal roots of failure. Research design, data and methodology - The research framework to organize the information involved with many of the recent and large failures in the industry. Results - This research then identified five dominant root causes - excessive egoism, poor strategic leadership, too much change, loss of discipline and inadequate capitalization. Conclusion - Finally, additional input from external forces may accelerate the firm's pace to failure. It is important on the development of diagnostic tools that are based on this model and that will provide new ways to assess a conglomerate's level of risk for incurring a financial crisis.

Root cause analysis on the phenomenon of voltage drop of connector used in the automotive throttle body control (스로틀 바디 제어신호 전달용 커넥터의 이상전압 강하 현상 원인 규명)

  • Cho, Young-Jin;Chang, Seog-Weon
    • Proceedings of the KSME Conference
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    • 2007.05a
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    • pp.1792-1797
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    • 2007
  • This paper try to find root-cause of failure in a connector used in transmitting signals for throttle body control in automotives by analyzing possible failure causes and performing experiments to simulate the cable failure in field. The connector comprises fins, wires, and case moldings. The failure is due to degradation of initial clamping force required fixing fins and wires in the connector. Expansion and compression of the case molding material surrounding fins would cause the degradation. Investigations of strict initial claming force and control of thermal expansion property of the molding are required to prevent the failure.

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Root Cause Analysis on Delamination Failure between Coating Film and Paper (코팅지 박리파손에 대한 근본원인분석)

  • Lee Deok Bo
    • Proceedings of the Korean Reliability Society Conference
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    • 2005.06a
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    • pp.199-208
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    • 2005
  • In the calendar and the advertising catalog, the surface Is usually coated by coating polypropylene film. The delamination failure of coating film depends on surface roughness and quality of the substrate paper. In this paper, the mechanisms of delamination failure between the coating film and the paper is investigated by using the root cause analysis as one of techniques of reliability evaluation. The papers used in failure analysis are three kind products made by two domestic and one foreign companies. It found that the main causes of delamination failure between the coating film and the paper were the creation of microvoids caused by shape of filler and their growth caused by contraction of paper.

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Piping Failure Analysis In Domestic Nuclear Safety Piping System (국내 안전등급 배관에 대한 손상사례 분석)

  • Choi, Sun-Yeong;Choi, Young-Hwan
    • Proceedings of the KSME Conference
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    • 2003.04a
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    • pp.617-621
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    • 2003
  • The purpose of this paper is to analyze piping failure trend of safety pipings In domestic nuclear power plants. First, database for the piping failure was constructed with 105 data fields. The database includes plant population data, event data, and service history data. 7 kinds of piping failures in domestic NPPs were investigated. Among the 7 cases, detailed root causes were investigated for 3 cases. The first one is pipe wall thinning in main feedwater pipings of Westinghouse 3 loop type plants. The root cause of the wall thinning was flow accelerated corrosion near welding area. The next one is leak event in chemical and volume control system(CVCS) due to vibration. Some cracks occurred in socket welding area. The events showed that the integrity or socket weld is very vulnerable to vibration. The last one is also a leak event in primary sampling line in Korean standard reactor due to thermal fatigue. Although the structural integrity was not maintained by the events, there was no effect on nuclear safety in the above 3 piping failure eases.

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생활치수치와 근관치료된 치아의 수직치근파절에 관한 증례보고

  • Lee, Se-Jun;Go, Seung-O;Jang, Mun-Taek
    • The Journal of the Korean dental association
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    • v.40 no.7 s.398
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    • pp.542-547
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    • 2002
  • This study was aimed to help diagnose the vertical root fractures in endodontically and in nonendodontically treated teeth. This was a study about mine teeth with a vertical root fractures. Four cases were nonendodontically treated teeth and five cases were endodontically treated teeth. A collection of information including past dental history, periodontal probing, and X-ray was gathered on each case. One of the endodontic cases had no periodontal pocket depth and was in acute pain. It was confusing to find whether causes were because of endodontic failure or vertical root fractures. Most of the vertical root fractures were found in patients aged between 50 and 60. Vertical root fractures were found in the molar and premolar of maxillary and mandibular teeth. The second molars repecially, which had C shaped roots had vertical root fractures with apical propagation type. The apical propagation type means that vertical root fracture initiates in root apex and propagate to coronal root. The teeth with vertical root fractures of the apical propagation type, which was in acute pain, were very difficult in differential diagnosis of periodontal lesion and endodontic failure. Therefore, the dental history was very important to make a differential diagnosis. Past pain history repeated uncomfortable symptoms in bite was a key of differential diagnosis.

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