[논문]사고 유발 불안전행동의 위반 여부에 대한 객관적 판단절차 개발

임현교; 함승언; 박건영; 이용희

doi:10.14346/jkosos.2022.37.2.35

사고 유발 불안전행동의 위반 여부에 대한 객관적 판단절차 개발
Development of an Objective Judgement Procedure for Determining Involvement of Violation-Type Unsafe Acts caused Industrial Accidents 원문보기

한국안전학회지 = Journal of the Korean Society of Safety, v.37 no.2, 2022년, pp.35 - 42

임현교 (충북대학교 안전공학과) , 함승언 (충북대학교 대학원 안전공학과) , 박건영 (충북대학교 대학원 안전공학과) , 이용희 (한국원자력연구원)

Abstract ▼ AI-Helper

When an accident occurs, the associated human activity is typically regarded as a "human error," or a temporal deviation. On the other hand, if the accident results in a serious loss or if it evokes a social issue, the person determined to be responsible may be punished with a "violation" of related laws or regulations. However, as Heinrich stated, it is neither appropriate nor reasonable in terms of probability theory and cognitive science to distinguish whether it is a "human error" or a "violation" with a criterion of resultant accident severity. Nonetheless, some in society get on the social climate to strengthen regulations on workers who have caused accidents, especially violations. This response can present a social issue due to the lack of systematic judgment procedure which distinguishes violations from human errors. The purpose of this study was to develop an objective and systematic procedure to assess whether workers' activities which induced industrial accidents should be categorized as violations rather than human errors. Various analysis techniques for the determination of violation procedure were investigated and compared using an analysis approach method. An appropriate technique was not found, however, for judging the culpability of intentional violations. As an alternative, this study developed the process of creating violations, based on cognitive procedure, as well as the criteria to determine and categorize an activity as a violation. In addition, the developed procedure was applied to cases of industrial accidents and nuclear power plant issues to test its practical applicability. The study demonstrated that the proposed model could be used to determine the existence of a violation even in the case of multiple workers who work simultaneously.

주제어

표/그림 (9)

그림 Fig. 1. The recognition-primed decision model (Klein, 1998).
그림 Fig. 2. A culpability decision tree (Reason, 1997).
그림 Fig. 3. Manifestation processing of unsafe act during information processing.
그림 Fig. 4. Categorization of unsafe acts and countermeasures in normal situation.
그림 Fig. 5. Categorization of unsafe acts and countermeasures in detection failure situation.
그림 Fig. 6. Categorization of unsafe acts and countermeasures in perception failure situation.
그림 Fig. 7. Categorization of unsafe acts and countermeasures in correctly perceived situation.
그림 Fig. 8. Just culture flowchart (APRAST/12-WP/11, 2018).
그림 Fig. 9. Just culture model (Hudson et al, 2008).

참고문헌 (26)

H. W. Heinrich, D. P. Etersen and N. Roos, "Industrial Accident Prevention", 5th ed., McGraw-Hill Book Company, New York, 1980.
J. Reason, "Human Error", Cambridge University Press, 1990.
T. Krause, J. H. Hidley and S. J. Hodson, "The Behavior-Based Safety Process", Van Nostrand Reinhold, New York, 1990.
D. K. Denton, "Safety Management : Improving Performance", McGraw-Hill Book Company, New York, 1982.
Human Factors in Reliability Group (HFRG), Improving Compliance with Safety Procedures reducing Indistrial Violations, HSE, 1995.
S. Mason, "Procedural Violations-Causes, Costs, and Cures", in "Human Factors in Safety Critical Systems" edited by F. Redmill and K. J. Rajan, pp. 287-318, Oxford, England, Butterworth-Heinemann, 1997.
D. A. Wiegmann and S. A. Shappell, "Human Error Analysis of Commercial Aviation Accidents Using the Human Factors Analysis and Classification System (HFACS)", No. DOT/FAA/AM-01/3, United States, Office of Aviation Medicine, 2001.
Department of Defense, "Human Factors Analysis and Classification System - A Mishap Investigation and Data Analysis Tool", No. 16, Dept. of Defense, US, 2005.
D. English and R. J. Branaghan, "An Empirically Derived Taxonomy of Pilot Violation Behavior", Safety Science, Vol. 50, No. 2, pp. 199-209, 2012.

상세보기
G. Klein and V. M. Chase, "Sources of Power: How People Make Decisions", Cambridge, Massachusetts: MIT Press, 1999.
J. Reason, "Managing the Risks of Organizational Accidents", Ashgate, 1997.
J. Reason, D. Parker and R. Lawton, "Organizational Controls and Safety: The Varieties of Rule-related Behaviour", Journal of Occupational and Organizational Psychology, Vol. 71, No. 4, pp. 289- 304, 1998.

상세보기
C. Johnson, "A Handbook of Incident and Accident Reporting", Glasgow Univ. Press, 2003.
B. R. Kang, S. H. Han, D. Y. Jeong and Y. H. Lee, "Conceptual Models of Violation Error in a Nuclear Power Plant", J. Korean Soc. Saf., Vol. 31, No. 1, pp. 126-131, 2016.
J. K. Oh, J. T. Kim, Y. W. Kim and S. G. Kim, "Analysis of The Causes of Human Error Occurrence of The KTX Pilot and Deduction of Improvement Directions", Conference of the Korean Society for Railway, Vol. 10, pp. 1586-1592, 2015.
I. G. Hong and J. B. Baek, "A Qualitative Study on Safety Rule Violation Motives at Manufacturing Plants", J. Korean Soc. Saf., Vol. 31, No. 2, pp. 133-142, 2016.
H. K. Lim, "Reanalysis of Fatal Industrial Accident Cases from the Viewpoint of Violation Type Human Errors" (Report Number: NSTAR-20NS41-135), Korea Atomic Energy Research Institute, 2020.
K. Pawlik and M. R. Rosenzweig, "International Handbook of Psychology", Sage Publications, London, 2000.
S. H. Han, "Development of Supportive Functions for Preventing Violation Errors" (Report Number: KAERI/ CM-2330/2016), Korea Atomic Energy Research Institute, 2017.
B. O. Alli, "Fundamental Principles of Occupational Health and Safety", 2nd ed., ILO, Geneva, 2008.
APRAST/12-WP/11, "Fostering Just Culture in Operators and Service Providers", ICAO, 2018.
P. Hudson, M. Vuijk, R. Bryden, D. Biela and C. Cowley, "Meeting Expectations: A New Model for a Just and Fair Culture", SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production, Society of Petroleum Engineers, Nice, France, 2008.
N. Gunningham and R. Johnstone, "Regulating Workplace Safety: Systems and Sanctions", Oxford University Press, 1999.
N. Maier, "Psychology in Industry", Houghton Mifflin, Boston, 1965.
D. Petersen, "Safety Management: A Human Approach", 3rd ed., ASSE, 2001.
K. S. Lee, H. K. Lim, S. R. Chang, K. W. Rhie and Y. C. Kim, "Development of a Comprehensive Model for Human Error Prevention in Industrial Fields", Journal of the Ergonomics Society of Korea, Vol. 27, No. 1, pp. 37-43, 2008.

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