해양사고조사를 위한 인적 오류 분석사례A Case Study of Marine Accident Investigation and Analysis with Focus on Human Error
- Other Titles
- A Case Study of Marine Accident Investigation and Analysis with Focus on Human Error
- Authors
- 김홍태; 나성; 하욱현
- Issue Date
- 28-2월-2011
- Publisher
- 대한인간공학회
- Keywords
- Human element,; Human error analysis; SHELL model; GEMS model; HFACS
- Citation
- 대한인간공학회지, v.30, no.1, pp 137 - 150
- Pages
- 14
- Journal Title
- 대한인간공학회지
- Volume
- 30
- Number
- 1
- Start Page
- 137
- End Page
- 150
- URI
- https://www.kriso.re.kr/sciwatch/handle/2021.sw.kriso/8122
- Abstract
- Nationally and internationally reported statistics on marine accidents show that 80% or
more of all marine accidents are caused fully or in part by human error. According to
the statistics of marine accident causes from Korean Maritime Safety Tribunal(KMST),
operating errors are implicated in 78.7% of all marine accidents that occurred from 2002
to 2006. In the case of the collision accidents, about 95% of all collision accidents
are caused by operating errors, and those human error related collision accidents are
mostly caused by failure of maintaining proper lookout and breach of the regulations for
preventing collision. One way of reducing the probability of occurrence of the human
error related marine accidents effectively is by investigating and understanding the
role of the human elements in accident causation. In this paper, causal factors/root
causes classification systems for marine accident investigation were reviewed and some
typical human error analysis methods used in shipping industry were described in detail.
This paper also proposed a human error analysis method that contains a cognitive process
model, a human error analysis technique(Maritime HFACS) and a marine accident causal
chains, and then its application to the actual marine accident was provided as a case
study in order to demonstrate the framework of the method.Safety Tribunal(KMST),
operating errors are implicated in 78.7% of all marine accidents that occurred from 2002
to 2006. In the case of the collision accidents, about 95% of all collision accidents
are caused by operating errors, and those human error related collision accidents are
mostly caused by failure of maintaining proper lookout and breach of the regulations for
preventing collision. One way of reducing the probability of occurrence of the human
error related marine accidents effectively is by investigating and understanding the
role of the human elements in accident causation. In th
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