HUMAN ERROR Research Papers - Academia.edu (original) (raw)

At the level of aeronautical organizations there were recorded a series of concerns regarding safety during flight activities. Instead of traditional approach to finding out causes that generated events and the separate recording of... more

At the level of aeronautical organizations there were recorded a series of concerns regarding safety during flight activities. Instead of traditional approach to finding out causes that generated events and the separate recording of events, nowadays, a systemic organizational approach is promoted for preventing, raising awareness, understanding and controlling hazard. The real challenge for leaders of aeronautical organizations is to develop professional initiatives toward performance and at the same time to improve safety level.

One factor driving accident that Human error. To minimize the occurrence of traffic accidents on the toll Suramadu necessary to analyze the driving safety engineering. There are nine drive-based HTA activities include Deselerate, Adding... more

One factor driving accident that Human error. To minimize the occurrence of traffic accidents on the toll Suramadu necessary to analyze the driving safety engineering. There are nine drive-based HTA activities include Deselerate, Adding Speed, Stable, check behind the vehicle, check the vehicle in front, view mirrors, Lit beacon lights, Precede, yet precedes. Method SHERPA and HEART methods approach that aims to find great value HEP so that the most dominant factor in traffic accidents due to the driver can be determined, based on such things can be done in driving safety engineering. Based on the identification and analysis of the results obtained HEP value is 1,488, or 149%, for the types of errors in point 2.3.3 which precedes activity with limited time item, the risk does not fit that predicted, and requires a decision that depends on the ability of the rider so that needs to be done improvement in the behavior of motorists to pay attention to safety driving such as traffic warn...

This study was conducted to analyze the potential for human error that can cause workplace accidents in the cement industry of PT.X. The study was conducted by conducting observations, interviews, and distributing questionnaires in the... more

This study was conducted to analyze the potential for human error that can cause workplace accidents in the cement industry of PT.X. The study was conducted by conducting observations, interviews, and distributing questionnaires in the mining area and production area. Questionnaires were distributed to 96 people who were mining heavy equipment operators and production operators. The research method used through Human Reliability Analysis with the Hierarchial Task Analysis (HTA) method, knowing the types of errors that occur using the SHERPA method, then calculating the probability of human errors that occur with the HEART method. Based on the results of research using the SHERPA method, the most common types of errors in mining areas and production areas are action errors (60,25%). The type of error that occurs is due to negligence in using personal protective equipment and the work process is not completed properly. Based on research using the HEART method, the greatest opportunity...

Optimal operation of reservoir is one of the most important problems of water resource engineering addressed by many researchers. Mathematical and traditional optimization methods have been extensively used to solve reservoir operation... more

Optimal operation of reservoir is one of the most important problems of water resource engineering addressed by many researchers. Mathematical and traditional optimization methods have been extensively used to solve reservoir operation problem. Nowadays, meta-heuristics methods such as Ant Colony Optimization (ACO) algorithms, however, are being used more and more to solve this problem. ACO algorithms refer to a family of search methods based on the foraging behavior of real ant colonies. In this paper, the application of four ACO algorithms namely, Ant System, Elitist Ant System, Ranked Ant System and Max-Min Ant System is used to solve the simple and hydropower reservoir operation problems. The efficiency of these methods is tested against the benchmark example of "Dez" reservoir and the results are presented and compared. The results indicate the superiority of Max-Min Ant System over other algorithms to solve reservoir operation problem.

Introduction Minimally invasive surgery (MIS) is a complex task requiring dexterity and high level cognitive function. Unlike surgical ‘never events’, potentially important (and frequent) manual or cognitive slips (‘technical errors’) are... more

Introduction Minimally invasive surgery (MIS) is a complex task requiring dexterity and high level cognitive function. Unlike surgical ‘never events’, potentially important (and frequent) manual or cognitive slips (‘technical errors’) are underresearched. Little is known about the occurrence of routine errors in MIS, their relationship to patient outcome, and whether they are reported accurately and/or consistently. Methods An electronic survey was sent to all members of the Association of Surgeons of Great Britain and Ireland, gathering demographic information, experience and reporting of MIS errors, and a rating of factors affecting error prevalence. Results Of 249 responses, 203 completed more than 80% of the questions regarding the surgery they had performed in the preceding 12 months. Of these, 47% reported a significant error in their own performance and 75% were aware of a colleague experiencing error. Technical skill, knowledge, situational awareness and decision making were...

Human factors (HF) in aviation and maritime safety occurrences are not always systematically analysed and reported in a way that makes the extraction of trends and comparisons possible in support of effective safety management and... more

Human factors (HF) in aviation and maritime safety occurrences are not always systematically analysed and reported in a way that makes the extraction of trends and comparisons possible in support of effective safety management and feedback for design. As a way forward, a taxonomy and data repository were designed for the systematic collection and assessment of human factors in aviation and maritime incidents and accidents, called SHIELD (Safety Human Incident and Error Learning Database). The HF taxonomy uses four layers: The top layer addresses the sharp end where acts of human operators contribute to a safety occurrence; the next layer concerns preconditions that affect human performance; the third layer describes decisions or policies of operations leaders that affect the practices or conditions of operations; and the bottom layer concerns influences from decisions, policies or methods adopted at an organisational level. The paper presents the full details, guidance and examples ...

This paper investigates the contribution of a human modeling and simulation software in two different applications: workstation in a medical products industry and a costumer service counter. This study examines its application in sectors... more

This paper investigates the contribution of a human modeling and simulation software in two different applications: workstation in a medical products industry and a costumer service counter. This study examines its application in sectors iin which these techniques had not been well developed yet. The same way, it can contribute to the application in other areas as well. The results achieved were: evaluations of the visual fields, determination of workplaces’ physical characteristics, visualization of reach envelopes and improving communications between different people involved in the process, reduce the time spent on the process, and especially, preliminary considerations of human factors.

Safety is one of the main conditions for the functioning of the transport. The most attention is paid to the technical aspects of transport safety. However, accidents in transport are caused by many different factors and these primarily... more

Safety is one of the main conditions for the functioning of the transport. The most attention is paid to the technical aspects of transport safety. However, accidents in transport are caused by many different factors and these primarily are: human factors, organizational factors, technical factors and environmental factors. Statistical data indicate that the main cause of accidents and disasters in transport are human errors. Thus, the elimination or reduction of their number could significantly improve the safety in transport. In the article the issues of human reliability in the context of ensuring safety are discussed. Additionally, the classification of human errors was given and an analysis of the causes of these errors was conducted. The main emphasis was put to present and evaluate of the selected methods of qualitative and quantitative Human Reliability Analysis (HRA), such as: THERP, ASEP, HEART, SPAR-H, ATHEANA, CREAM.

Our study focuses on applications of persuasive technologies (Fogg, 2002) as a means to manage risks in technologically advanced industrial sites. An analysis of the production processes of a chemical plant allowed us to identify two risk... more

Our study focuses on applications of persuasive technologies (Fogg, 2002) as a means to manage risks in technologically advanced industrial sites. An analysis of the production processes of a chemical plant allowed us to identify two risk scenarios where ...

The formal study of human error is relatively recent, especially in medical domain, and is tied closely to a several other relatively new fields. Organizational root cause of human error is less considered. Despite growing social,... more

The formal study of human error is relatively recent, especially in medical domain, and is tied closely to a several other relatively new fields. Organizational root cause of human error is less considered. Despite growing social, industrial and scientific interest in the organizational causes of incidents, the concept of organizational failure and related tools are still less considered in many

This paper describes the Human Error Identification (HEI) Technique called the Human Error Template (HET). HET has been developed specifically for the aerospace industry in response to Certification Specification (CS) 25.1302. In... more

This paper describes the Human Error Identification (HEI) Technique called the Human Error Template (HET). HET has been developed specifically for the aerospace industry in response to Certification Specification (CS) 25.1302. In particular, it is intended as an aid for the early identification of design-induced errors, and as a formal method to demonstrate the inclusion of human factors issues in the design and certification process of aircraft flight-decks, including supplemental type certification. The template-based ...

At the moment, there appears to be no human error identification (HEI) techniques developed specifically for use in aviation. Similarly, there appears to be very little research concerning the prediction of pilot error in the cockpit.... more

At the moment, there appears to be no human error identification (HEI) techniques developed specifically for use in aviation. Similarly, there appears to be very little research concerning the prediction of pilot error in the cockpit. This paper investigates the potential use of existing HEI methods for predicting pilot error and describes a comparative study of three existing HEI techniques, SHERPA, HAZOP and HEIST when used to predict potential pilot error on an aviation landing task using the 'autoland'system. The study aims to ...

The Human Error Template (HET) is a recently developed methodology for predicting designed induced pilot error. This article describes a validation study undertaken to compare the performance of HET against three contemporary Human Error... more

The Human Error Template (HET) is a recently developed methodology for predicting designed induced pilot error. This article describes a validation study undertaken to compare the performance of HET against three contemporary Human Error Identification (HEI) approaches when used to predict pilot errors for an approach and landing task and also to compare individual analyst error predictions to an approach to enhancing error prediction sensitivity: the multiple analysts and methods approach, whereby multiple ...

This paper discusses on the relationship of effective communication and safety culture in construction industry. Generally, lack of communication at workplace and for this case, construction and project site is part of contributing factor... more

This paper discusses on the relationship of effective communication and safety culture in construction industry. Generally, lack of communication at workplace and for this case, construction and project site is part of contributing factor in accident and some of the accidents involved fatalities. In any areas especially those involving human, communication is a key factor towards producing an optimum result. Lack of communication and understanding of safety culture if is not done effectively can lead to error and defect especially in construction industry since construction industry not only dealing with human but also other aspects such big machines and those machines operated by human. Safety culture among construction workers and project owners is also another crucial element in construction industry but safety culture can only be achieved if the message is communicated effectively. Therefore, this paper discusses on the relationship and importance of effective communication and ...

Pt X is a company that produces steel pipe of various shapes and size. In the production procces not only using machines but also using humans as operators. So in this case humans play an important role in maintaining the quality of... more

Pt X is a company that produces steel pipe of various shapes and size. In the production procces not only using machines but also using humans as operators. So in this case humans play an important role in maintaining the quality of production. The purpose of this study is to analyze the human error probability with Human Error Assessment and Reduction Technique method (HEART). HEART is a method designed as a fast and simple human reliability assessment in quantifying the risk of human error. From this research, it was found that 3 tasks had a high HEP value which caused the decline in pipe quality during the production process, namely task 3.2, 4.1 and task 3.4. Which has the highest HEP value on task 3.2, namely setting the machine with a value of 0,7680. The cause is due to the lack of operator expertice and the center roll was not carried out when installing it, so that training is needed to increase operator expertice.

Human error studies tend to focus on identifying the relationship between human activity, errors and their consequences. Accidents and incidents report analysis has been the path followed by several authors in the human error studies... more

Human error studies tend to focus on identifying the relationship between human activity, errors and their consequences. Accidents and incidents report analysis has been the path followed by several authors in the human error studies field, as it will be discussed in this paper. However, error reports tend to detail technical aspects of the error occurrence but fail to explore the human-behaviour component that might have influenced it. In order to investigate the human behaviour and its relation with accidents and human errors the authors propose to observe individuals working during critical situations, while adopting a methodological approach supported by an experimental protocol, to ensure a rigorous systematization of the data gathering and analysis. This paper presents a cognitive model which accounts for the knowledge of the individual and situation characteristics when analysing the user behaviour during critical situations. It also presents the supporting experimental proto...