Development and Application of Hazard Analysis & Risk Assessment Models for the Korea Railway Chan-Woo Park Jong-Bae Wang Sang-Log Kwak Don-Bum Choi National Railway Safety R&D Program Corps, Korea Railroad Research Institute, Gyeonggi-Do, Republic of Korea Abstract This study shows the developing process of the Korea railway risk assessment models and the results of their application to the Korea railway. The risk assessment models were developed based on the accident scenarios. Various hazardous events, which have the potential to lead directly to casualties, were defined by gathering various accident reports and having several workshops with railway safety experts. Then, for each hazardous event, the railway accident appearance scenarios and railway accident progress scenarios were developed. The railway accident appearance scenarios provide the base of accident causal analysis models for the frequency evaluation. The railway accident progress scenarios provide the base of accident consequence analysis models for the severity evaluation. The above developed models were applied to assess the accident risk of the Korea railway. The frequency of each hazardous event was evaluated from the historical accident data and structured expert judgments by using the FTA technique. In addition, to assess the severity of each hazardous event, the ETA technique and other safety techniques were applied. Finally, the risks for passengers, staff, and member of public were estimated as the number of equivalent fatalities. Key words: Accident Scenario, Risk Assessment 1. Introduction The Korean railway industry has undergone rapid changes such as structural reform, Korea Train eXpress (KTX) operation. In order to manage increased hazard factors, “Railway Safety Act” focused on the risk-based safety management was announced in 2004. According to this Act, railway operators and infrastructure managers should get the government’s approval for their safety management plans, which are prepared by the risk assessment results. In this reason, since Oct. 2005, Korea Railroad Research Institute (KRRI) has developed the common hazard analysis & risk assessment models for the Korea Railway. This paper introduces the developing process of these models and the results of their application to the Korea railway. Page 1 of 11 The risk assessment models were developed based on the accident scenarios. The accident scenarios were set up by gathering various accident reports and having several workshops with railway safety experts. According to the accident classification of “Railway Accident Report Regulation” published in 2006, the scenarios were divided into the five main areas as follows: 1) train collision accident, 2) train derailment accident, 3) train fire accident, 4) level crossing accident, and 5) railway casualty accident. In each area, various hazardous events, which have the potential to lead directly to casualties, were defined. Then, for each hazardous event, the railway accident appearance scenarios and railway accident progress scenarios were developed. The railway accident appearance scenarios provide the base of accident causal analysis models for the frequency evaluation. The railway accident progress scenarios provide the base of accident consequence analysis models for the severity evaluation. The above developed models were applied to assess the accident risk of the Korea railway. The frequency of each hazardous event was evaluated from the historical accident data and structured expert judgments by using the FTA technique. In addition, to assess the severity of each hazardous event, the ETA technique and other safety techniques were applied. Finally, the risks for passengers, staff, and member of public were estimated as the number of equivalent fatalities. 2. Risk Assessment Procedure To develop the Korea railway risk assessment models, various risk management procedures were reviewed such as ISO/IEC Guide 51 [10] and the risk management procedure applied to this study was developed. It is similar to the common approach risk management [1] suggested in EU. Figure 1. Common Approach Risk Management Figure 1 show this procedure. The schemes show three dimensions: a railway system, the life cycle of this system, the process of risk management. Although unwanted events occur during the construction and exploitation phase, it is most helpful to take into account the whole lifecycle of a railway. Therefore, the risk Page 2 of 11 management must start from the system design phase considering both the normal mode and the degrade mode for this system. Then, the results of the risk management in the system design phase are transmitted to the involved organization of the construction phase and the similar approach is applied to the next stage as loop. Figure 2. National Railway Risk Management System Architecture The developed risk management procedure has resulted in the national railway risk management system architecture as shown in Figure 2. The architecture will be utilized for the construction of a nation-wide railway risk management program and the execution of safety regulations. These works will be carried out as a rolling plan until 2010. Figure 3 presents the hazard analysis and risk assessment procedure. In this study, the hazard identification of railway accidents had been carried out by gathering various accident reports and information and having several workshops with railway safety experts. Then, accident scenarios and railway accident analysis code system have been built up. The railway accident scenarios are consisted of railway accident appearance scenarios and railway accident progress scenarios. Both scenario groups are divided by initiating hazardous events. Here, a hazardous event means one that has the potential to lead directly to death or injury. The railway accident appearance scenarios refer to the occurrence processes of accidents before hazardous events. These scenarios provide the base of FTA model structure for frequency evaluation on railway accidents. The railway accident progress scenarios mean the progress processes of accidents after hazardous events. These scenarios provide the base of ETA model for severity evaluation on railway accidents. Page 3 of 11 Figure 3. Railway Risk Assessment Procedure 3. Hazard Identification using Railway Accident Scenarios To perform hazard identification, it is required to understand what consist of hazards, how to recognize it and how to define it. That is, the understandings of accident appearance & progress sequences are needed. In order to understand these sequences, the following procedure was used in hazard identification stage and the railway accident scenarios were developed to define these sequences. 1) System definition and boundary setting: setting up objective of hazard identification and its boundary 2) Identifying hazardous events, hazards and barriers: Including the definition of measures which stops the increases of accident 3) Developing accident appearance scenarios: defining relationships among hazardous events, hazards and barriers. 4) Developing accident progress scenarios: considering the relevant key influential factors. 5) Accident scenario management: drawing up hazard log. Figure 4. Example of Railways System Breakdown (from SAMRAIL Project) Page 4 of 11 For the national wide risk assessment model, the definitions of a generic railway system, mission profile and system operation environment are essential and should be considered. These are fairly well defined by EU railway safety directive, most notably by EN 50126. Typical railway system configuration of Figure 4 which proposed in SAMRAIL project [3] report was considered in the development of the risk assessment model. According to the accident classification of “Railway Accident Report Regulation” published in 2006, the scenarios were divided into the five main areas as follows: 1) train collision accident, 2) train derailment accident, 3) train fire accident, 4) level crossing accident, and 5) railway (traffic/safety) casualty accident. In this study, 177 hazardous events were defined and Table 1 shows the example of the hazardous events Table 1. Example of the Hazardous Events Railway Category Hazardous Events misrouted train faults in driving Train Collision abnormal train obstacles on the track being trapped in level crossing Level Crossing Accident crossing during warning signal interlocking system faults signal/direction violation, signal fault, mistaking in dealing braking system, braking system fault, over speeding train separation, car rolling, train stop, backward moving external obstacles, parts from train/freight falling, infrastructure collapsing/obstruction -Engine stop -Deviation of pathway -gangway blocking -lack of propulsion/braking -violation entry breaking through or detour the barrier People struck/crushed Trip/Slip Railway Traffic Casualty Accident mistaking in dealing points, point faults, mistaking in dealing blockage, Falling Caught/Dragged Others -limit interference -breaking or detour Striking with train, Striking with objects Trip/slip during train boarding/alighting, Trip/slip by train emergency braking/emergency start Falling from train, Falling from platform during train boarding/alighting Caught in a train door, Caught between platform and train Electric Shock, Burn, Suffocation Page 5 of 11 The railway accident appearance scenarios were built up by classifying properly the immediate causes (hazardous accident) and underlying causes. The immediate causes are classified according to characteristics of each hazardous event and the underlying causes are applied to all hazardous events with an identical structure. • Immediate Causes: conditions which immediately cause hazardous events a) Substandard Acts - substandard acts/behavior of who can cause hazardous events b) Substandard Conditions - physical conditions which can cause hazardous events • Underlying Causes: reason or source of substandard acts and conditions a) Human Management Factors - capability, skill, physical/mental state of concerned peoples b) Technological Factors – control, maintenance and legal criteria related to the technical environment conditions including tools and machines c) External Factors – Illegal action, substandard climate condition and substandard circumstance condition (a) accident appearance scenario example (a) accident progress scenario example Figure 5. Summarized Structure of Railway Accidents As a matter of fact, the accidents can be considered as the knot between causes and consequence. Thus, after a hazardous event, there are several processes which lead to the final consequence. In this study, critical factors influencing the final consequence of each hazardous event were identified and the relationships among these factors were defined in the accident progress scenario. Figure 5 shows the summarized structure of the developed accident scenarios. 4. Risk Assessment Model Development The risk assessment model has been developed in the form of a cause and consequence analysis using fault trees and event trees to represent each of the hazardous events. The railway accident appearance scenarios Page 6 of 11 provide the base of accident causal analysis models for the frequency evaluation. The railway accident progress scenarios provide the base of accident consequence analysis models for the severity evaluation. In this study, “Risk” relates purely to safety risk in terms of an estimate of the potential for harm to passengers, staff and members of the public from the operation and maintenance of the railway. The risk is expressed as the FWI (Fatalities and Weighted Injuries) per year in which ten major injuries and 200 minor injuries are both equal to one equivalent fatality. The risk associated with a particular hazardous event is calculated in terms of: Collective Risk (the average number of FWI/year) = Frequency (the average frequency at which the hazardous event occurs) Consequences (the number of FWI/event) The fault trees and event trees have been consisted of data relating to the frequency or probability of various failures (or faults) and the consequences of each scenario sequence. Thus, data was obtained from a wide variety of railway industry data sources. Where data was not available for the quantification of the cause and consequence precursors, use was made of: Human error probability assessments using a revised Human Error Assessment and Reduction Technique (HEART) Safety expert judgment from in-house expertise within Korea railway. Statistical methods including Monte Carlo simulation and Bayesian uncertainty distributions. To assess the accident risk of the Korea railway has an important role in the improvement of railway safety in the most effective manner. To do this, a dedicated railway risk assessment and information management system (RAIMS) is being developed. RAIMS is composed of four sub-systems for; accident analysis, risk analysis, system management, and requirement verification management, the structure of which is shown in Figure 6. The accident analysis subsystem is the application running on the web which several users can assess. This system is composed of three modules as follows: 1) Accident input module, 2) Accident statistics module, 3) Hazard management module. One purpose of the accident information system is to provide fundamental information for an in-depth risk assessment of railway accidents. The other purpose is to provide information on Page 7 of 11 railway safety performance levels to both assessors and the public. Figure 7 shows some pictures of the accident system subsystem. RAIMS Safety Requirement Verification & Management Accident Analysis Risk Analysis System Accident Search Event Tree Analysis User Management Safety Requirement Management Environment Analysis Fault Tree Analysis Code Management Railway System Management Hazard Analysis Risk Evaluation Classification Management Damage Analysis Human Factor Analysis Management Safety Requirement Change Management Requirement Traceability Management Options Analysis Figure 6. Functional Structure of RAIMS (a) Environment Analysis (b) Accident Analysis results (c) Accident Statistic Analysis Figure 7. Illustrations of the web-based accident analysis subsystem The risk analysis system is the windows-based application. This is a dedicated railway risk assessment software package which is a sub-module of RAIMS. The railway risk workstation consists of several modules as shown in Figure 6. Each module provides the basic functions such as editing ET (Event Tree) and FT (Fault Tree). The risk of the railway systems can be assessed by the ET/FT linking approach usually used for complex systems. Accident scenarios that can lead to an undesirable consequence should be defined as event trees, using an event tree editor. Each branch of the accident sequences requires one or more supplementary fault trees, which can be Page 8 of 11 developed by a fault tree editor. Sum of the frequency of each sequence becomes the total frequency of the accident of concern. Figure 8 shows some pictures of the risk analysis system [5]. (a) Event tree editor view (b) ET/FT linking approach (c) Fault tree editor view Figure 8. Illustrations of the risk analysis subsystem Where data was not available for the quantification of the cause and consequence precursors, it was needed to support the analysts in an effective and efficient way in analyzing human error potential in railway event. the revised railway human reliability analysis (R-HRA) method which is to be used under the railway risk assessment framework and the second part presents the features of a computer software which was developed for aiding the R-HRA process. The revised R-HRA method supplements the original R-HRA method developed by RSSB [8] in UK. It provides a specific task analysis guideline and a classification of performance shaping factors (PSFs) to support a consistent analysis between analysts. The R-HRA software aids the analysts in gathering information for HRA, qualitative error prediction including identification of external error modes and internal error modes, quantification of human error probability, and reporting the overall analysis results. Figure 9 shows some pictures of the risk analysis system [5]. (a) General information input (b) Error analysis & quantification (c) Reporting results Figure 9. Illustrations of the railway human reliability analysis module To assess railway accident risk on the basis of the risk assessment model developed, railway accident data until 2005 year on the main line of South Korea were analyzed. Train operation on the main line is fully carried out by Page 9 of 11 Korea Railroad Corp.. The total risk to passengers, staff and members of the public modeled within the risk assessment model, is predicted to be 203 FWI per year. A breakdown of the total risk by accident category is shown in Table 2. Table 2: Total risk by accident category Accident category Risk (FWI/yr.) Train collision accident 0.6744 Train derailment accident 3.6898 Train fire accident 14.1 Level crossing accident 16.94 Railway traffic casualty accident 161.138 Railway safety casualty accident 20.742 Total 217.284 The overall risk contributions for the hazardous events are made up from different profiles of frequency and consequences. The Railway traffic casualty accident and railway safety casualty accident tend to consist of high frequency low consequence type events eg. slips, trips and falls, while the train accidents tend to have a risk contribution from the low frequency high consequence type events eg. train derailment and train collision. The effect of these low frequency high consequence events is to increase the risk contribution for the hazardous events above the level that may have been seen in practice project. The model is being prepared currently and will include: • The feasibility and uncertainty test in the results of the developed model • Improved level of human factors modeling • Use of more sophisticated statistical analysis techniques where only limited data is available for some of the required inputs. 5. Conclusion This study has proposed the development procedure 'Risk Assessment Model' by railway accidents as a common approach for hazard analysis and risk assessment, a start point of railway system safety management, and presented a quantitative risk assessment model which is based on accident scenarios. The developed model will provide a generic model of the safety risk on the Korea railway Which will Page 10 of 11 • Increase the industry’s knowledge of the risk from the operation and maintenance of Korea railway network • Allow the identification of areas of railway operation that need further risk controls • Allow sensitivity analyses to be carried out to determine the risk reduction from the introduction of new control measures • Allow cost benefit analysis of proposed changes References [1] European Commission, “Safety Management in Railway, D.2.3: Common Safety Methods”, 2004. [2] European Commission, “Safety Management in Railway, WP.2.4: Acceptable Risk Level”, 2004. [3] European Commission, “Framework for identifying sources, stakeholders and the nature of risks, SAMNET / LSA / PhG / WP2.3 / D2.3.1 / V4, 2004. [5] Korea railroad research Institute, “Establishment of Risk Analysis and Assessment System for Railway Accidents and Hazards”, Annual report of an Integrated R&D Plan for the Railway Safety, Ministry of Construction and Transportation, Korea, 2006. [6] Rail Safety and Standard Board, “Investigation of common safety methods”, 2005. [7] Rail Safety & Standard Board, “A statistical review of the RSSB Safety Risk Model (WP1)”, 2004. [8] Rail Safety and Standard Board, UK (2004), “Rail-specific HRA technique for driving tasks”, Final report. [9] Rail Safety and Standard Board, “Profile of Safety Risk on the UK Mainline Railway”, issue 5, 2006. [10] ISO/IEC Guide 51, “Safety Aspect-Guidelines for their inclusion in standards”, 1991. Page 11 of 11