Page 37 - Demo

- %uacf5%uc2dd%uc801%uc778 %uac83: %ud68c%uc0ac%uc758 %ubc29%uce68, %uc5c5%ubb34%uc808%ucc28- %ube44%uacf5%uc2dd%uc801%uc778 %uac83: %uc870%uc9c1 %ub0b4 %ud589%ub3d9 %uc218%uc6a9 %ud504%ub85c%uc138%uc2a4, %uad6c%uc131%uc6d0%uacfc %uc870%uc9c1%uc5d0 %uc790%ub9ac %uc7a1%uace0 %uc788%ub294 %uad00%ub840, %uac00%uce58%uad00 %ub4f1 %ud604%uc2e4%uc801%uc73c%ub85c %uc548%uc804%ubb38%ud654%uc5d0 %uc601%ud5a5%uc744 %ubbf8%uce58%ub294 %uc694%uc18c%ub294 %uacf5%uc2dd%uc801%uc778 %uac83%ubcf4%ub2e4 %ube44%uacf5%uc2dd%uc801%uc778 %uac83%uc774 %ub354 %ud06c%uac8c %uc601%ud5a5%uc744 %ubbf8%uce5c%ub2e4. %uc608%ub97c %ub4e4%uc790%uba74, %uad6c%ub9e4%uad00%ub9ac %ubd80%uc11c%uc5d0%uc11c %uc790%uc7ac%ub098 %uc7a5%ube44%ub97c %uad6c%ub9e4%ud560 %ub54c %uc548%uc804%uc0ac%ud56d%ubcf4%ub2e4 %uac00%uaca9%uc744 %uc911%uc694%ud55c %uad6c%ub9e4 %uae30%uc900%uc73c%ub85c %uc0bc%uace0 %uc788%ub2e4%uba74, %uc548%uc804%uc131%uc740 %ub0ae%uac8c %ud3c9%uac00%ub420 %uac83%uc774%ub2e4. %uc989, %uc870%uc9c1 %ucc28%uc6d0(%uacbd%uc601%uc9c4 %ub4f1 %uc870%uc9c1%uc758 %ub9ac%ub354)%uc5d0%uc11c %uc548%uc804%ubcf4%ub2e4 %ub2e4%ub978 %uac00%uce58%ub97c %uc6b0%uc120%uc2dc%ud558%uace0 %uc911%uc694%ud558%uac8c %uc5ec%uae34%ub2e4%uba74, %uc548%uc804%uae30%uc900(%uaddc%uce59 %ub610%ub294 %ub8f0)%uc744 %uc9c0%ud0a4%uc9c0 %uc54a%uac8c %ud558%ub294 %u2018%ubb34%uc5b8(%u7121%u8a00)%uc758 %uc9c0%uc2dc%u2019 %ud6a8%uacfc%uac00 %ubc1c%uc0dd%ud558%uac8c %ub41c%ub2e4. %uc774%ub807%uac8c %ube44%uacf5%uc2dd%uc801%uc778 %uac83%uc5d0 %uc601%ud5a5%uc744 %ubc1b%ub294 %uc548%uc804%ubb38%ud654%ub294 %uc9c0%uc18d%uc801%uc774%uace0 %uc7a5%uae30%uc801%uc73c%ub85c %ubc1c%uc0dd%ud558%ub294 %uc870%uc9c1%uc801 %ud2b9%uc131%uc774%uba70, %uc624%ub79c %ub3d9%uc548 %uc548%uc815%uc801%uc778 %ud2b9%uc131%uc744 %ubcf4%uc774%ub294 %ubcc0%ud654%ud558%uae30 %uc5b4%ub824%uc6b4 %ub192%uc740 %uc218%uc900%uc758 %ucd94%uc0c1%uc801 %uac1c%ub150%uc784%uc744 %uc54c %uc218 %uc788%ub2e4. %ud55c%ud3b8, %uc548%uc804%ubb38%ud654%uc758 %ucd94%uc0c1%uc801 %uac1c%ub150%uc744 J. Reason(2003)%uc774 %uc815%uc758%ud55c %uc548%uc804%ubb38%ud654%uc758 %ud2b9%uc1313)%uc744 %ud1b5%ud574 %uad6c%uccb4%uc801%uc73c%ub85c %uc0b4%ud3b4%ubcf4%uba74 %ub2e4%uc74c%uacfc %uac19%ub2e4.%u2460 %uc548%uc804%ubb38%ud654%ub294 %ucd5c%uace0%uc758 %uc548%uc804%uc0c1%ud0dc(safety health)%ub97c %ubaa9%ud45c%ub85c %ud558%uc5ec %uc2dc%uc2a4%ud15c%uc744 %uc9c0%uc18d%uc801%uc73c%ub85c %ub098%uc544%uac00%uac8c %ud558%ub294 %u2018%uc5d4%uc9c4%u2019%uc774%ub2e4. %uc989, %ucd5c%uace0%uacbd%uc601%uc9c4%uc758 %uad50%uccb4%uc5d0%ub3c4 %ubd88%uad6c%ud558%uace0 %uc548%uc804%ubb38%ud654 %uc870%uc131%uc744 %uc704%ud55c %ud65c%ub3d9%uc740 %uafb8%uc900%ud788 %uc9c0%uc18d%ub418%uc5b4%uc57c %ud55c%ub2e4.%u2461 %ud56d%uc0c1 %ubd88%uc548%uc804%ud55c %uc0c1%ud0dc%ub97c %uacbd%uacc4%ud558%uace0 %ub9dd%uac01%ud558%uc9c0 %uc54a%ub294 %uac83%u2462 %u2018%uc9d1%ub2e8%uc801 %uc8fc%uc758 %uae4a%uc74c%u2019%uc73c%ub85c %uc2e4%ud328, %uace0%uc7a5%uc5d0 %ub300%ucc98%ud560 %uc218 %uc788%ub294 %ube44%uc0c1%ub300%ucc45%uc744 %ub9c8%ub828%ud558%ub294 %ubc29%uc2ec%ud558%uc9c0 %uc54a%ub294 %ubb38%ud654%u2463 %uc815%ubcf4%uc5d0 %uc785%uac01%ud55c %ubb38%ud654, %uc704%uae30%uc5d0 %uac78%ub824 %ub118%uc5b4%uc9c0%ub294 %uc77c %uc5c6%uc774 %uc704%uae30%uac00 %uc5b4%ub514%uc5d0 %uc788%ub294%uc9c0 %uc544%ub294 %uac83%u2464 %uacfc%uac70%uc0ac%uac74, %uc544%ucc28%uc0ac%uace0 %uc218%uc9d1 %u00b7 %ubd84%uc11d %u00b7 %ubcf4%uae09%uc73c%ub85c %uc548%uc804%uacfc %ubd88%uc548%uc804%uc758 %uacbd%uac8c%ub97c %uc54c%uc544%ub0b4%ub294 %ud65c%ub3d9%uc744 %uae30%uc5b5%ud558%ub294 %uae30%uc5b5%ub825 %uc2dc%uc2a4%ud15c%u2465 %ubd88%uc548%uc804 %ud589%uc704%uc758 %uc81c%uc7ac%uc870%uce58%uac00 %uc815%ub2f9%ud558%uac8c %ucde8%uae09%ub418%ub294 %uacf5%uc815%uc758 %ubb38%ud654%u2466 %ub2e8%uc21c%ud558%uace0 %uad6d%uc18c%uc801%uc778 %ud574%uacb0%ucc45%ubcf4%ub2e4 %uc9c0%uc18d%uc801 %u00b7 %uad11%ubc94%uc704%ud55c %uc2dc%uc2a4%ud15c %uac1c%uc120, %uc7ac%ubc1c%ubc29%uc9c0(%uc0ac%ud6c4%ub300%uc751)%ub300%ucc45, %uc120%uc81c%uc801 %ub300%ucc45%uc744 %ud559%uc2b5%ud558%ub294 %ubb38%ud654%u2467 %uc548%uc804%uc2e4%uc801(%uc7ac%ud574%uc728 %ub4f1)%uc5d0 %uc601%ud5a5%uc744 %ubc1b%uc9c0 %uc54a%uace0, %uafb8%uc900%ud558%uac8c %uc548%uc804%uad00%ub9ac(%ud65c%ub3d9) %ub178%ub825%uc744 %uc9c0%uc18d%ud558%ub294 %u2018%ud504%ub85c%uc138%uc2a4(%uacfc%uc815)%u2019 %uc2e4%ud589%uc744 %uc911%uc694%ud558%uac8c %uc5ec%uae30%ub294 %ubb38%ud654%u2468 %ud601%uc2e0%uc744 %uc704%ud574 %uc5b4%ub5a4 %uac83%uc5d0%ub3c4 %u2018%uc758%ubb38%u2019%uc744 %uac16%ub294 %ud0dc%ub3c4%ub85c %ud604%uc7ac%uc758 %ubc29%ubc95%uc5d0 %uc758%ubb38%uc744 %uc81c%uae30%ud558%uace0 %uc7ac%ud655%uc778%ud558%ub294 %ubb38%ud654%u2469 %uc548%uc804%ubb38%ud654%uc758 %ub2ec%uc131%ubcf4%ub2e4 %ub2ec%uc131%ud558%uae30 %uc704%ud574 %ub04a%uc784%uc5c6%uc774 %ub178%ub825%ud558%ub294 %uac83%uc744 %ubaa9%ud45c%ub85c %uc0bc%ub294 %uacfc%uc815%uc744 %uc911%uc694%uc2dc%ud558%ub294 %ubb38%ud654%uc704%uc640 %uac19%uc774 %uc548%uc804%ubb38%ud654%uc758 %ud2b9%uc131%uc744 %ud1b5%ud574 %uc870%uc9c1 %ub0b4 %uc548%uc804%ubb38%ud654%uac00 %uc870%uc131%ub41c %uc0c1%ud0dc%uc640 %uc548%uc804%ubb38%ud654%uc758 %uc911%uc694%uc131%uc744 %uc54c%uc544 %ubcf4%uc558%ub2e4. 3) J. Reason, Managing Maintenance Error, Ashgate, 2003, p. 145 %uc774%ud558; J. Reason, Managing the Risk of Organization Accidents, Ashgate, 1997, p. 195 %ucc38%uc870%u3000KOHA %uc778%uc0ac%u00b7%ub178%ubb34%u00b7%ubc95%ub960%u00b7%uacbd%uc601 37