메뉴 건너뛰기




Volumn 11, Issue 3, 2009, Pages 187-204

A proposal for a new accident analysis method and its application to a catastrophic railway accident in Japan

Author keywords

Accident analysis; Genotype; Human reliability analysis; MTO; PG diagram; Phenotype; Railway accident; Risk

Indexed keywords

ACCIDENT ANALYSIS; GENOTYPE; HUMAN RELIABILITY ANALYSIS; MTO; PG-DIAGRAM; PHENOTYPE; RAILWAY ACCIDENT;

EID: 70349587868     PISSN: 14355558     EISSN: 14355566     Source Type: Journal    
DOI: 10.1007/s10111-008-0112-5     Document Type: Article
Times cited : (9)

References (49)
  • 1
    • 70349594915 scopus 로고
    • Irony of automation
    • J. Rasumussen, K. Dunkan, and J. Leplat (Eds.), London: Wiley
    • Bainbridge L (1987) Irony of automation. In: Rasumussen J, Dunkan K, Leplat J (eds) New technology and human error. Wiley, London
    • (1987) New Technology and Human Error
    • Bainbridge, L.1
  • 2
    • 27144549202 scopus 로고    scopus 로고
    • Human error risk management technology for safety audit of a large railway organisations
    • Cacciabue P (2005) Human error risk management technology for safety audit of a large railway organisations. Appl Ergon 36:709-718
    • (2005) Appl Ergon , vol.36 , pp. 709-718
    • Cacciabue, P.1
  • 3
    • 70349604208 scopus 로고    scopus 로고
    • Caird JK, Creaser JI, Edwards CJ, Dewar RE (2002) A human factors analysis of highway-railway grade crossing accidents in Canada. Transport Canada Publication, TP 13938E
    • Caird JK, Creaser JI, Edwards CJ, Dewar RE (2002) A human factors analysis of highway-railway grade crossing accidents in Canada. Transport Canada Publication, TP 13938E
  • 4
    • 70349595302 scopus 로고    scopus 로고
    • Chaali-Djelassi A, Vanderhaegen F, Cacciabue P, Cassani M (2007) Barrier removal prediction based on a new approach. Application to a degraded train speed procedure. In: 26th European Annual Conference on Human Decision Making and Manual Control, Copenhagen
    • Chaali-Djelassi A, Vanderhaegen F, Cacciabue P, Cassani M (2007) Barrier removal prediction based on a new approach. Application to a degraded train speed procedure. In: 26th European Annual Conference on Human Decision Making and Manual Control, Copenhagen
  • 5
    • 70349593545 scopus 로고    scopus 로고
    • Chang Z, Polet P, Vanderhaegen F (2002) Toward a decision making support of barrier removal. In: 21st European Annual Conference on Human Decision Making and Control (EAM2002), Glasgow
    • Chang Z, Polet P, Vanderhaegen F (2002) Toward a decision making support of barrier removal. In: 21st European Annual Conference on Human Decision Making and Control (EAM2002), Glasgow
  • 6
    • 0001824669 scopus 로고
    • Introductory overview
    • E. L. Wiener and D. C. Nagel (Eds.), New York: Academic Press
    • Edwards E (1988) Introductory overview. In: Wiener EL, Nagel DC (eds) Human factors in aviation. Academic Press, New York
    • (1988) Human Factors in Aviation
    • Edwards, E.1
  • 7
    • 20944434421 scopus 로고    scopus 로고
    • Dynamic operation permission system based on operation procedure as a co-operator
    • Gofuku A, Ohi T, Ito K, Niwa Y (2004) Dynamic operation permission system based on operation procedure as a co-operator. Trans Hum Interface Soc 6(1):29-39
    • (2004) Trans Hum Interface Soc , vol.6 , Issue.1 , pp. 29-39
    • Gofuku, A.1    Ohi, T.2    Ito, K.3    Niwa, Y.4
  • 8
    • 70349597950 scopus 로고    scopus 로고
    • Fujita Y (1994) The bloom generation will destroy Japan (in Japanese). Waseda Publishing, Tokyo
    • Fujita Y (1994) The bloom generation will destroy Japan (in Japanese). Waseda Publishing, Tokyo
  • 9
    • 0142055332 scopus 로고    scopus 로고
    • Columbia and challenger: Organizational failure at NASA
    • Hall JL (2003) Columbia and challenger: organizational failure at NASA. Space Policy 19:239-247
    • (2003) Space Policy , vol.19 , pp. 239-247
    • Hall, J.L.1
  • 10
    • 70349605909 scopus 로고    scopus 로고
    • Hayashi T (1986) Technology and society: Japanese experience, vol 4. Case study, traffic. Development in technology road, railway, and marine transportation of industrial engineering,United Nations University
    • Hayashi T (1986) Technology and society: Japanese experience, vol 4. Case study, traffic. Development in technology road, railway, and marine transportation of industrial engineering,United Nations University
  • 13
    • 70349600148 scopus 로고    scopus 로고
    • Hollnagel E (2006a) "CREAM Accident Analysis" phenotypes and genotypes, In Preprint of advanced risk management course lectures for Yokohama National University
    • Hollnagel E (2006a) "CREAM Accident Analysis" phenotypes and genotypes, In Preprint of advanced risk management course lectures for Yokohama National University
  • 14
    • 70349594912 scopus 로고    scopus 로고
    • Hollnagel E (2006b) Resilience engineering and safety management. In: Handout of the Open Seminar in Yokohama National University, ETTO literature to be published
    • Hollnagel E (2006b) Resilience engineering and safety management. In: Handout of the Open Seminar in Yokohama National University, ETTO literature to be published
  • 15
    • 70349598829 scopus 로고
    • Gouldner's theory of the new class and culture of critical discourse (in Japanese)
    • Ikeda K (1983) Gouldner's theory of the new class and culture of critical discourse (in Japanese). Hyogo Univ Teach Educ J 2:49-62
    • (1983) Hyogo Univ Teach Educ J , vol.2 , pp. 49-62
    • Ikeda, K.1
  • 16
    • 70349592201 scopus 로고    scopus 로고
    • Japanese Learned Club (2005) Thorough comparison. Kanto people and Kansai people (in Japanese). PHP pocket edition "from the character to the favor of food, clothing, and housing"
    • Japanese Learned Club (2005) Thorough comparison. Kanto people and Kansai people (in Japanese). PHP pocket edition "from the character to the favor of food, clothing, and housing"
  • 17
    • 70349587743 scopus 로고    scopus 로고
    • Japanese Industrial Standard, Japanese Standard Association (1995) JIS E 6005 Railway rolling stock, automatic train control and automatic train stop devise on board, test method
    • Japanese Industrial Standard, Japanese Standard Association (1995) JIS E 6005 Railway rolling stock, automatic train control and automatic train stop devise on board, test method
  • 18
    • 70349595298 scopus 로고    scopus 로고
    • Jo S (2006) Why does the young person resign in three years from a company? The future of Japan senority order destroys (in Japanese). Ko-bunsha publishing, Tokyo
    • Jo S (2006) Why does the young person resign in three years from a company? The future of Japan seniority order destroys (in Japanese). Ko-bunsha publishing, Tokyo
  • 19
    • 70349594911 scopus 로고    scopus 로고
    • JR Fukuchiyama line derailment tune final report (2007) The Ministry of Land, Infrastructure and Transport RA-2007-3-1
    • JR Fukuchiyama line derailment tune final report (2007) The Ministry of Land, Infrastructure and Transport RA-2007-3-1
  • 20
    • 70349586420 scopus 로고    scopus 로고
    • Kato N (1999) No thought of Japan (in Japanese). Heibonsha Publishing New Book, Tokyo
    • Kato N (1999) No thought of Japan (in Japanese). Heibonsha Publishing New Book, Tokyo
  • 21
    • 70349601488 scopus 로고    scopus 로고
    • Kawakida J (1967) Conception-For the creativity development (in Japanese). Chuko publishing New Book
    • Kawakida J (1967) Conception-For the creativity development (in Japanese). Chuko publishing New Book
  • 22
    • 70349583317 scopus 로고    scopus 로고
    • Human error reduction technique: Approach by error proof (In Japanese)
    • Kawano R (1999) Human error reduction technique: approach by error proof (In Japanese). J Jpn Plant Hum Factors Soc 4:121-130
    • (1999) J Jpn Plant Hum Factors Soc , vol.4 , pp. 121-130
    • Kawano, R.1
  • 23
    • 70349584663 scopus 로고    scopus 로고
    • Kenko Y (1330) Tsurezure-gusa (Essays in pastime) (In ancient Japanese). Episode No. 140, 142, 165
    • Kenko Y (1330) Tsurezure-gusa (Essays in pastime) (In ancient Japanese). Episode No. 140, 142, 165
  • 24
    • 0348252364 scopus 로고    scopus 로고
    • Human reliability data, human error and accident models-illustration through the Three Mile Island accident analysis
    • Le Bot P (2004) Human reliability data, human error and accident models-illustration through the Three Mile Island accident analysis. Reliab Eng Syst Saf 83(2):153-167
    • (2004) Reliab Eng Syst Saf , vol.83 , Issue.2 , pp. 153-167
    • Le Bot, P.1
  • 25
    • 70349596646 scopus 로고    scopus 로고
    • Mainichi Shimbun Science Environment Division (2006) The science course white paper (in Japanese). Kodansha Publishing, Tokyo
    • Mainichi Shimbun Science Environment Division (2006) The science course white paper (in Japanese). Kodansha Publishing, Tokyo
  • 26
    • 70349595297 scopus 로고    scopus 로고
    • Masayoshi S, Miyaji Y (2004) Human factors analysis by Railway Technical Institute (in Japanese). In: Proceedings of Reliability Engineering Association of Japan, No.12
    • Masayoshi S, Miyaji Y (2004) Human factors analysis by Railway Technical Institute (in Japanese). In: Proceedings of Reliability Engineering Association of Japan, No.12
  • 27
    • 70349596645 scopus 로고
    • Reliability and risk analysis, reliability
    • McCormick J (1986) Reliability and risk analysis, reliability. IEEE Trans 35(3):300-303
    • (1986) IEEE Trans , vol.35 , Issue.3 , pp. 300-303
    • McCormick, J.1
  • 28
    • 70349592200 scopus 로고    scopus 로고
    • Ministry of Land (2006) Infrastructure and transport airlines and railway accident panel. Drought of report concerning factual survey (in Japanese). Drought report
    • Ministry of Land (2006) Infrastructure and transport airlines and railway accident panel. Drought of report concerning factual survey (in Japanese). Drought report
  • 29
    • 70349607170 scopus 로고    scopus 로고
    • Safety in Railway-beginning of a book occasional thoughts, Nihon Sharyo Association of Mechanical Technology (in Japanese)
    • Miyamoto M (2002) Safety in Railway-beginning of a book occasional thoughts, Nihon Sharyo Association of Mechanical Technology (in Japanese). R&m 9(2):2-3
    • (2002) R&M , vol.9 , Issue.2 , pp. 2-3
    • Miyamoto, M.1
  • 30
    • 70349607171 scopus 로고    scopus 로고
    • Nakajima M (2005) Examination of fact and trial example of "Nikkin-Kyoiku" (in Japanese), Labor laws law ten-day report 1613
    • Nakajima M (2005) Examination of fact and trial example of "Nikkin-Kyoiku" (in Japanese), Labor laws law ten-day report 1613
  • 31
    • 70349593542 scopus 로고    scopus 로고
    • Okumura R (2006) Idea of cohabitation in aging society (in Japanese). Research note of Mitsubishi Research Institute, No. 45:142-154
    • Okumura R (2006) Idea of cohabitation in aging society (in Japanese). Research note of Mitsubishi Research Institute, No. 45:142-154
  • 32
    • 70349600147 scopus 로고    scopus 로고
    • PHP Institute learned club (2001), Japanese data match 100th "Kanto" and "Kansai" interest of the confrontation (in Japanese)
    • PHP Institute learned club (2001), Japanese data match 100th "Kanto" and "Kansai" interest of the confrontation (in Japanese)
  • 33
    • 1642596586 scopus 로고    scopus 로고
    • Theory of safety related violation of system barriers
    • Polet P, Vanderhaegen F, Wieringa P (2002) Theory of safety related violation of system barriers. Cogn Technol Work 4(3):171-179
    • (2002) Cogn Technol Work , vol.4 , Issue.3 , pp. 171-179
    • Polet, P.1    Vanderhaegen, F.2    Wieringa, P.3
  • 34
    • 0004223940 scopus 로고
    • New York: Cambridge University Press
    • Reason J (1990) Human error. Cambridge University Press, New York
    • (1990) Human Error
    • Reason, J.1
  • 35
    • 70349604206 scopus 로고    scopus 로고
    • Ryo H, Moteki K (2007) Ethics of Japanese spirit and capitalism (in Japanese). Gento-sha publishing New book, Tokyo
    • Ryo H, Moteki K (2007) Ethics of Japanese spirit and capitalism (in Japanese). Gento-sha publishing New book, Tokyo
  • 37
    • 70349607169 scopus 로고    scopus 로고
    • Sakaiya T (1980) "Nodule"-the bloom generation (in Japanese). Bungei-shunju Publishing, Tokyo
    • Sakaiya T (1980) "Nodule"-the bloom generation (in Japanese). Bungei-shunju Publishing, Tokyo
  • 38
    • 70349590851 scopus 로고    scopus 로고
    • Sheridan T (1992) Telerobotics, automation, and human supervisory control. MIT Press, Cambridge
    • Sheridan T (1992) Telerobotics, automation, and human supervisory control. MIT Press, Cambridge
  • 39
    • 70349593541 scopus 로고    scopus 로고
    • Shimura K (1992) Experiential-culture theory of Japan-U.S. friction. Maruzen Publishing, Tokyo
    • Shimura K (1992) Experiential-culture theory of Japan-U.S. friction. Maruzen Publishing, Tokyo
  • 40
    • 70349598827 scopus 로고    scopus 로고
    • Swain A, Guttman H (1983) Handbook of human reliability analysis with emphasis on nuclear power plant applications. NUREG/CR-1278
    • Swain A, Guttman H (1983) Handbook of human reliability analysis with emphasis on nuclear power plant applications. NUREG/CR-1278
  • 41
    • 70349600145 scopus 로고    scopus 로고
    • Takahashi S (2006) Slow carrier (in Japanese). PHP Institute, Tokyo
    • Takahashi S (2006) Slow carrier (in Japanese). PHP Institute, Tokyo
  • 42
    • 70349586418 scopus 로고    scopus 로고
    • Takase T, Hagio C, Hirota T, Oh-nishi M, Yosano Y, Hayashi N, Iwahashi K, Ito S, Morita M (2007) Social change and Kansai activation (in Japanese), Institute of Economic and Political Studies, Kansai University Research library No. 144
    • Takase T, Hagio C, Hirota T, Oh-nishi M, Yosano Y, Hayashi N, Iwahashi K, Ito S, Morita M (2007) Social change and Kansai activation (in Japanese), Institute of Economic and Political Studies, Kansai University Research library No. 144
  • 43
    • 70349583318 scopus 로고    scopus 로고
    • Ueno S (2007) The background of the cause of the JR Fukuchiyama line accident: From the aspect of the human factors (in Japanese). In Web Research Report of Mitsubishi Research Institute, (Uploaded in 2005)
    • Ueno S (2007) The background of the cause of the JR Fukuchiyama line accident: From the aspect of the human factors (in Japanese). In Web Research Report of Mitsubishi Research Institute. http://safety.mri.co.jp/ssu_hp/ssu/report/02_04.html (Uploaded in 2005)
  • 44
    • 70349602855 scopus 로고    scopus 로고
    • U.S. Nuclear Regulatory Commission (1999) NUREG-1624, Revision 1, Technical basis and implementation guidelines for a technique for human event analysis (ATHEANA)
    • U.S. Nuclear Regulatory Commission (1999) NUREG-1624, Revision 1, Technical basis and implementation guidelines for a technique for human event analysis (ATHEANA)
  • 45
    • 70349600143 scopus 로고    scopus 로고
    • Wakabayashi K (1999) Key management and management consulting trends in the US, Journal of Mitsubishi Research Institute No.34
    • Wakabayashi K (1999) Key management and management consulting trends in the US, Journal of Mitsubishi Research Institute No.34
  • 46
    • 30544444055 scopus 로고    scopus 로고
    • Editorial: CTW special issue on rail human factors
    • Wilson J, Norris B (2005a) Editorial: CTW special issue on rail human factors. Cogn Technol Work 8(2):2-3
    • (2005) Cogn Technol Work , vol.8 , Issue.2 , pp. 2-3
    • Wilson, J.1    Norris, B.2
  • 48
    • 70349602854 scopus 로고    scopus 로고
    • Yamada M (1992) Voluntary difference society (in Japanese)
    • Yamada M (1992) Voluntary difference society (in Japanese)
  • 49
    • 70349596644 scopus 로고    scopus 로고
    • Yamaguchi M (2001) Rail (in Japanese), No 43. Eriei Publishing, Tokyo
    • Yamaguchi M (2001) Rail (in Japanese), No 43. Eriei Publishing, Tokyo


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.