• 한국진공학회:학술대회논문집
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• 한국진공학회 2015년도 제49회 하계 정기학술대회 초록집
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• pp.167.1-167.1
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• 2015

We investigate the degradation pattern of Black phosphorus (BP) field effect transistor (FETs) was investigated by using an mechanically exfoliated BP that react O2 and water vapor in ambient condition, degradation. The BP FETs was electrically measured every 20 minutes (1cycle) in the air, the total cycle is 100. We show electrical changes with Mobility, On/off ratio, Current and a significant positive shift in the threshold voltage. We extracted the current level at Vgs-Vth = 0, -10, -20 and fitting with Swiss-cheese model. This model suggested that Swiss-cheese model is well fitted with degradation pattern of BP FETs.

• 전기학회논문지
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• 제67권12호
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• pp.1711-1716
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• 2018

Unlike conventional transmission and distribution lines, catenary system for operating electric railway vehicles are composed of multi-conductor groups (feeder line, contact wire, messenger wire, protection wire) and are used for railway employees, public or passengers in the station yards. Electric shock hazards are exposed and electric shocks such as death or serious injury are occurring in electric railway vehicles, railway high-voltage distribution lines, and catenary system. In order to analyze the types of electric shock accidents on railway by systematic approach method, we modeled 'unsafe behavior classification' method using swiss cheese model. Based on this method, we derived the type of electric shock accidents about railway accidents during the last 5 years by analyzing the frequency of occurrence of human errors and unsafe acts, laws and regulations related to violations, and so on.

• 한국진공학회:학술대회논문집
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• 한국진공학회 2015년도 제49회 하계 정기학술대회 초록집
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• pp.120.1-120.1
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• 2015

We investigate the degradation pattern of Black phosphorus (BP) field effect transistor (FETs) investigated by using an mechanically exfoliated BP that react O2 and water vapor in ambient condition, degradation. The BP FETs was electrically measured every 20 minutes (1cycle) in the air, the total cycle is 100. We show electrical changes with Mobility, On/off ratio, Current and a significant positive shift in the threshold voltage. We extracted the current level at Vgs-Vth = 0, -10, -20 and fitting with Swiss-cheese model. This model suggested that Swiss-cheese model is well fitted with degradation pattern of BP FETs.

• 한국가스학회지
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• 제26권3호
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• pp.1-9
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• 2022

화학공장에서 발생하는 사고의 발생원인은 다양하지만, 전 세계적으로 발생되는 산업재해의 96%는 근로자의 불안전행동에 의해 발생된다. 국제노동기구(International Labour Organization, ILO)에서는 근로자의 불안전행동에 의한 사고의 위험성을 경고하기 위하여 산업현장에서 다발적으로 발생하는 근로자의 불안전 행동을 20개의 요소로 구분하여 발표한 바 있으며, 산업재해 예방을 위해서는 근로자의 불안전행동을 제어하여야 한다고 강조하고 있다. 본 연구에서는 근로자의 불안전행동을 관리할 수 있는 방법을 알아보기 위하여 국내사업장의 사고조사 이력 정보를 토대로 현장에서 다발적으로 발생하는 주요 불안전행동 유형을 분석 하였다. 주요 불안전행동 분석 결과를 기반으로 Swiss Cheese Model을 이용하여 불안전 행동을 유발하는 근본원인을 분석하였으며, 각 근본원인별 관리방법을 제안하였다.

• 전기학회논문지
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• 제67권12호
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• pp.1723-1728
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• 2018

In order to investigate the voltage drop compensation effect of AT for domestic railway vehicle base, the parameters of AT voltage drop of railroad car base are Z3 (Impedance of feeder line), Xn ( Distance from railroad vehicle to AT to SS), and Dn (distance between both ATs of railway vehicle).In addition, when installed in a SSP for a railway vehicle base, there is no AT and feeder line in the railway vehicle base except for the SSP for the main line and the SSP for the railway vehicle base, so that if zero or ignored, the AC single-phase two- It can be confirmed that it becomes a form.

• Safety and Health at Work
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• 제12권2호
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• pp.277-281
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• 2021

Singapore's construction sector employs more than 450,000 workers. During the height of the COVID-19 pandemic in Singapore from April to June 2020, migrant workers were disproportionately affected, including many working in the construction sector. Shared accommodation and construction worksites emerged as nexuses for COVID-19 transmission. Official government resources, including COVID-19 epidemiological data, 43 advisories and 19 circulars by Singapore's Ministries of Health and Manpower, were reviewed over 8 month period from March to October 2020. From a peak COVID-19 incidence of 1,424.6/100,000 workers in May 2020, the incidence declined to 3.7/100,000 workers by October 2020. Multilevel safe management measures were implemented to enable the phased reopening of construction worksites from July 2020. Using the Swiss cheese risk management model, the authors described the various governmental, industry, supervisory and worker-specific interventions to prevent, detect and contain COVID-19 for safe resumption of work for the construction sector.

• 대한인간공학회지
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• 제35권3호
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• pp.143-153
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• 2016

Objective: The purposes of this study are to survey needs for changing accident investigation from blaming to systems approach and to briefly summarize systems-based accident analysis techniques. Background: In modern complex socio-technical systems, accidents are caused by a variety of contributing factors including human, technical, organizational, social factors, not by just a single violation or error of a specific actor, but accidents investigation used to be focused on the incorrect action of individuals. A new approach investigating causes of accidents as a symptom of a deficient system is required. Method: This study was mainly based on survey of literatures related to accidents, accidents investigation, which included academic journals, newspapers, etc. Results: This study showed that accidents investigation of Korea focusing on blaming is problematic. This was confirmed by two concepts of migration and hindsight bias frequently found in accident causation studies, and an attribute of accidents having varying causes. This was illustrated with an example of Sewol ferry capsizing accident. Representative systems-based accident analysis models including Swiss cheese model, AcciMap, HFACS, FRAM and STAMP were briefly introduced, which can be used in systematic accidents investigations. Finally, this study proposed a procedure for establishing preventive measures of accidents, which was composed of two steps: public inquiry and devising preventive measures. Conclusion: A new approach considering how safety-critical components such as technical and social elements, and their interactions lead to accidents is needed for preventing reoccurrence of similar accidents in complex socio-technical systems. Application: The results would be used as a reference or guideline when the safety relevant governmental organizations investigate accidents.

• 한국의료질향상학회지
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• 제27권1호
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• pp.2-9
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• 2021

Patient safety remains one of the most important health care issues in Korea. To improve patient safety, we have introduced concepts from the field of safety science such as the Swiss cheese model, and adopted several methodologies previously used in other industries, including incident reporting systems, root cause analysis, and failure mode and effects analysis. This approach has enabled substantial progress in patient safety to be made through undertaking patient safety improvement activities in hospitals that are systems-based, rather than individual-based. However, these methods have the shared limitation of focusing on negative consequences of patient safety. Therefore, the paradigm shift from Safety I to Safety-II in safety science becomes the focus of our discussion. We believe that Safety-II will complement, rather than replace, Safety-I in the discipline of patient safety. In order to continuously advance patient safety practices in Korea, it is necessary that Korea keeps abreast of the recent global trends and development in safety science. In addition, more focus should be placed on testing the feasibility of new patient safety approaches in real-world situations.

• 한국안전학회지
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• 제35권4호
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• pp.64-73
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• 2020

As Korean government and safety-related organizations make continuous efforts to reduce the number of industrial accidents, accident rate has steadily declined since 2010, thereby recording 0.48% in 2017. However, the number of fatalities due to industrial accidents was 1,987 in 2017, which means that more efforts should be made to reduce the number of industrial accidents. As an essential activity for enhancing the system safety, accident analysis can be effectively used for reducing the number of industrial accidents. Accident analysis aims to understand the process of an accident scenario and to identify the plausible causes of the accident. Accident analysis offers useful information for developing measures for preventing the recurrence of an accident or its similar accidents. However, it seems that the current practice of accident analysis in Korean manufacturing companies takes a simplistic accident model, which is based on a linear and deterministic cause-effect relation. Considering the actual complexities underlying accidents, this would be problematic; it could be more significant in the case of human error-related accidents. Accordingly, it is necessary to use a more elaborated accident model for addressing the complexity and nature of human-error related accidents more systematically. Regarding this, HFACS(Human Factors Analysis and Classification System) can be a viable accident analysis method. It is based on the Swiss cheese model and offers a range of causal factors of a human error-related accident, some of which can be judged as the plausible causes of an accident. HFACS has been widely used in several work domains(e.g. aviation and rail industry) and can be effectively used in Korean industries. However, as HFACS was originally developed in aviation industry, the taxonomy of causal factors may not be easily applied to accidents in Korean industries, particularly manufacturing companies. In addition, the typical characteristics of Korean industries need to be reflected as well. With this issue in mind, we developed HFACS-K as a method for analyzing accidents happening in Korean industries. This paper reports the process of developing HFACS-K, the structure and contents of HFACS-K, and a case study for demonstrating its usefulness.

• 해양환경안전학회지
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• 제25권5호
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• pp.550-559
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• 2019

2014년 4월 발생한 세월호 침몰사고는 단순한 해양사고를 넘어 해양재난으로, 나아가 국민의 정서와 사회의 건전성까지 황폐화시킨 사회적 참사로 확대되었다. 따라서, 국가 운영에 치명적 영향을 미칠 수도 있는 대규모 선박사고나 해양오염사고, 그리고 자연재해 등 각종 해양재난에 대해 국가적 차원에서 철저한 대비 대응이 필요하다. 본 연구에서는 대규모 해양재난으로 인해 발생할 수 있는 국가 경제적 사회적 피해를 최소화하기 위해 국가적 위기를 불확실성에 근거하여 해석한 '검은 백조 이론'을 중심으로 대규모 해양재난에 대한 국가적 대응전략을 검토한다. 먼저, 사고예방을 위한 각 방어장벽별 결함을 최소화 시키는 노력과 함께 특정 방어장벽에 결함이 발생하더라도 그 결함이 위기사태로 연결되지 않도록 '해양재난의 검은 백조 탐지시스템'을 구축하는 한편, 해양재난을 관리하는 주관기관을 일원화하여 해양안전관리 전 분야를 체계적으로 관리하고, 국가적 해양재난대응 현장지휘 및 협업체계를 구축하여 사고현장에 투입된 모든 대응세력들이 현장지휘관의 지휘통제에 따라 단일조직의 구성요소처럼 일사불란하게 움직여 사고수습에 효과적으로 대응할 수 있도록 한다.