• Title/Summary/Keyword: Incident Report System

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Study on Incident Report System and Safety Culture in Railway (철도에서의 인시던트 보고제도와 안전문화에 관한 연구)

  • Chung, Byung-Hyun
    • Journal of the Korean Society for Railway
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    • v.13 no.2
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    • pp.229-235
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    • 2010
  • Safety is an essential requirement for public transportation, especially for railway. Railway are more safety than other means of transportation, but railway accident that is mass transportation result catastrophic result if an accident occurred. Railway operators and government are many prior efforts to prevent accident, but it is impossible to eliminate accidents. Therefore, various measures to reduce accidents as possible, and they have taken, this paper will review incident report system and safety culture which are most important factors for preventing accident. In addition, incident reporting system and an independent accident investigation and accident prevention and safety systems would be needed to improve train operating companies and related agencies for the safety of the railway is a cultural ritual. Indeed, the settlement of avalid railway safety culture will most certainly prevent railway accidents. Therefore, in the railway company and the correct understanding of railway safety culture and against the settlement plan would be reviewed in this paper.

A Basic Study on the Implementation of a VTS Marine Incident System (VTS 준사고 보고제도에 관한 기초 연구 - 부산항을 대상으로)

  • Ha, Jong-Min;Park, Young-Soo;Kim, Hak-Yeol;Kim, Yun-Ha
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2019.11a
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    • pp.32-33
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    • 2019
  • The purpose of this study are analyzing marine incident occurred in Busan VTS area, establishing standard of marine incident based on the data, and presenting the way to activate marine incident system. As implement this system, it is figured out that marine incident system could contribute to preventing similar accident, standing out role of VTS and improvement of VTS officer's ability. It includes efficiency of VTS marine incident and matters which necessary to implement this system.

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A Cause Analysis of the Construction Incident Using Causal Loop Diagram : Safety Culture Perspective (인과지도를 활용한 건설 안전사고 원인 분석 : 안전문화 관점)

  • Choi, Yun Gil;Cho, Keun Tae
    • Journal of the Korean Society of Safety
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    • v.35 no.2
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    • pp.34-46
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    • 2020
  • Unlike research focused on existing technologies and individual errors to analyze the causes of incidents, this study approached them from an organization and culture. And this study is not a one way study but cyclical study what can track cause down using causal loop diagram methodology. Four diagnostic criteria for the negative state of the safety culture : secretive, blame, failure to learning, and incremental learning, combine literature study and expert opinion to derive 41 variables. Connecting these variable make 4 causal loop diagrams and total causal loop diagram. Case accumulation in secretive, accident report in blame, knowledge accumulation in failure to learning, near miss discovery in incremental learning are the main variables. Safety incident is the objective variable by classifying them into 4 stages in total loop, leading track as the most affect is case accumulation, and Step 4 as you can see accident report and near miss discovery are the result of tracking down the cause. This study can be used as a basis for improving the management priority and the system in incident prevention.

Effect of Dialysis Nurses' Perception of Patient Safety Risk Factors and Patient Safety Competency on Safety Nursing Activities (혈액투석실 간호사의 환자안전에 대한 위험요인 인식과 역량이 안전간호활동에 미치는 영향)

  • Lee, Jae Jung;Jeon, Mi Yang;Lee, Jung Ja;Kim, Gha Na;Jeong, Da In
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.210-219
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    • 2021
  • Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R2=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

A Design of the Social Disasters Safety Platform based on the Structured and Unstructured Data (정형/비정형 데이터 기반 사회재난 안전 플랫폼 설계)

  • Lee, Chang Yeol;Park, Gil Joo;Kim, Junggon;Kim, Taehwan
    • Journal of the Society of Disaster Information
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    • v.18 no.3
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    • pp.609-621
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    • 2022
  • Purpose: Natural Disaster has well formed framework more than social disaster, because natural disaster is controlled by one department, such as MOIS, but social disaster is distributed. This study is on the design of the integrated service platform for the social diaster data. and then, apply to the local governments. Method: Firstly, we design DB templates for the incident cases considering the incident investigation reports. For the risk management, life-damage oriented social disaster risk assessment is defined. In case of the real-time incident data from NDMS, AI system provides the prediction information in the life damage and the cause of the incident. Result: We design the structured and unstructured incident data management system, and design the integrated social disaster and safety incident management system. Conclusion: The integrated social disaster and safety incident management system may be used in the local governments

Affiliated Coordination of Rescue and Salvage in ASEAN+3

  • Yoon, Dae-Gwun
    • Journal of Navigation and Port Research
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    • v.33 no.2
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    • pp.111-117
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    • 2009
  • On May 12th, 2007 a merchant vessel of Golden Rose (South Korea) sank into near 38 mile from Yentai in China after the vessel collided with a container vessel of Jinsung (China), leaving all 16 sailors, including seven South Koreans, missing. According to the official report. The Chinese vessel, authorities, and South Korean government did not coordination q rescue and salvage for the sailors and vessel properly as follows: 1) The Chinese vessel left the scene without rescue and salvage of the sailors, 2) Chinese authorities failed to comply with law of the sea that required them to report the collision to South Korea immediately after confirming the accident, and 3) The South Korean government is also being criticized for its slow response to the incident since the government did not set up a response team until 21 hours after the incident. In order to reduce this number of sailor missing in future incidents, this research is studied regarding assembling conferences, assigning SRR in ASEAN+3, simplicity to enter other territory waters and cooperative training and education for the SAR.

Implementation of Autonomous Intrusion Analysis Agent(AIAA) and Tool for using Intruder Retrace (인터넷 해킹피해 시스템자동분석에이젼트(AIAA) 및 침입자 역추적 지원도구 구현)

  • Im, Chae-Ho;Won, Yu-Heon
    • The Transactions of the Korea Information Processing Society
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    • v.6 no.11S
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    • pp.3410-3419
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    • 1999
  • Autonomous Intrusion Analysis Agent(AIAA) is Incident Response Team staff's tool that scans, analyses, reports and alerts the traces of intrusion based on system logs and intruder's backdoors inside compromised system by IR staff after security incident is reported to the IR team. AIAA is intelligent to recognize to check out who is intruder from all the user accounts and to report the suspected candidates to the master control system in IR team. IR staff who controls AIAA with master system can pick up an intruder from the candidates reported by AIAA agent and review all related summary reports and details including source host's mane, finger information, all illegal behavior and so on. AIAA is moved to compromised system by the staff to investigate the signature of intrusion along the trace of victim hosts and it is also operated in secret mode to detect the further intrusion. AIAA is alive in all victim systems until the incident is closed and IR staff can control AIAA operation and dialogue with AIAA agent in Web interface.

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A guideline for freeway incident management manual (고속도로 돌발상황관리 매뉴얼 작성지침 개발)

  • Baek Seung-Kirl;Oh Chang-Seok;Kang Jeong-Gyu;Nam Doo-Hee
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.4 no.3 s.8
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    • pp.61-72
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    • 2005
  • This paper is designed to report the results of response manual development in relation to the freeway Incident Management System(FIMS) development as part of Intelligent Transportation Systems Research and Development program. The central core of the FIMS is an integration of the component parts and the modular, but integrated system for freeway management. The whole approach has been component-orientated, with a secondary emphasis being placed on the traffic characteristics at the sites. The first task taken during the process was the selection of the required actions for each step within the Incident Management System. After through review and analysis of existing incident response procedures and manuals, the incident response manual led to the utilization of different technologies and actions in relation to the specific needs and character of the incidents. FIMS also provides Integrated Incident Management according to the verified incident information provided by the each components The deployment of containment and mitigation strategies for incidents will be automatic or manual depending on the configuration of the system. It is anticipated that, over a period of time, operators will be able to response the incident using integrated and organized Procedures and action items.

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Development of Integrated Data Management Prototype System for Aviation Accident and Incident Investigation (국내 항공사고조사를 위한 항공사고 통합 데이터 관리시스템의 프로토 타입 개발)

  • Kim, Do-Hyun;Hong, Seung-Beom
    • Journal of Advanced Navigation Technology
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    • v.22 no.3
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    • pp.198-204
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    • 2018
  • In this paper, It proposed the development of integrated data management's prototype system for aviation accident and incident system. With the recent development of the aviation accident investigation equipment, accident investigation system should collect and manage the various types of jpg, avi, and wav data files. However, the ECCAIRS system does not have a separate database for managing the various generated data during the accident investigation. And the Korea aviation accident management system also has the same problem. Therefore, in this paper, we analyze the aviation accident report system of major foreign countries and prepare a method to apply it to the domestic environment. Through the prototype of the integrated data management system, we confirmed the performance through inputting the existing data and the recently investigated data. We will use this result as basic data for completion of final integrated data management system.

A Study on Positive Safety Reporting Culture in Aviation Maintenance (긍정적인 항공정비안전보고문화에 관한 연구)

  • Kim, Chun-Yong
    • Journal of the Korean Society for Aviation and Aeronautics
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    • v.20 no.2
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    • pp.64-71
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    • 2012
  • In field of Aviation Maintenance, honest and expedite voluntary report of potential hazard provide airworthiness aircraft by eliminating or avoiding from dangerous factors of aircraft. Although it supports for safety flight, voluntary incident reporting system consist of Aviation practitioner and require cooperation of practitioner due to there are no forcibleness. These occur when positive safety culture and report culture are settled. In this regard, this study firstly identify the current status of Aviation Safety Reporting System in Korea. Then, this article also find out the level of reporting culture of the AMT(Aircraft Maintenance Technicians) and problems in reporting system. Finally, suggestions on the model of positive safety reporting culture in a field of aircraft maintenance.