Human Errors Assessment for Board Man in a Control Room of Petrochemical Industrial Companies using the extended CREAM
Journal of Health in the Field,
,
22 تیر 2018
چکیده
AbstractBackground and Aims: One of the important characteristic features of modern industries is the precise control of key components of the industry through central control rooms. Thus, committing an error by the control room staff can be catastrophic. The present study was conducted with the aim of identifying and
evaluating human errors in the control room of one of the petrochemical industries.
Materials and methods: The present descriptive-analytic study was conducted in a control room of one of the petrochemical industries. In this research, the job tasks in the main control room were first analyzed using hierarchical analysis. Then, using the extensive CREAM method, in addition to identifying human errors, probabilistic user controls and cognitive probability errors for job tasks were determined and
evaluated. All stages of this research were conducted ethically.
Results: The results of the study showed that the type of control style for the Board man tasks was strategic in 88% of the cases and the remaining 12% was of the instant type. Based on the results of the CREAM method, execution errors (55%), interpretation errors (20%), planning errors (14.9%) and observational
errors (10.1%) were respectively the most determined errors.
Conclusion: Regarding the determination of the role of the most important factors in the implementation of tasks, the review and redevelopment of the program of shift work and optimization of the communication system were among the most important suggestions of the present study.
Keywords: Human error, Control room, CREAM technique, Petrochemical industry
مراجع
- Meshkati N. Human factors in large-scale technological systems’ accidents: Three Mile Island, Bhopal, Chernobyl.
Industrial Crisis Quarterly 1991; 5(2):133-54.
- Richei A, Hauptmanns U, Unger H. The human error rate assessment and optimizing system HEROS—a new procedure for evaluating and optimizing the man–machine interface in PSA. Reliability Engineering & System Safety 2001; 72(2):153-64.
- Islam R, Khan F, Abbassi R, Garaniya V. Human error probability assessment during maintenance activities of marine systems. Safety and Health at Work 2018; 9(1):42-52.
- Hollnagel E. Cognitive reliability and error analysis method [CREAM]. Oxford: Elsevier; 1998.
- Mohammadfam I, Movafagh M, Bashirian S. Comparison of Standardized Plant Analysis Risk Human Reliability Analysis (SPAR-H) and Cognitive Reliability Error Analysis Methods (CREAM) in Quantifying Human Error in
nursing practice. Iranian Journal of Public Health 2016; 45(3):401-402.
- Akyuz E, Celik M. Application of CREAM human reliability model to cargo loading process of LPG tankers.
Journal of Loss Prevention in the Process Industries 2015; 34:39-48.
- Majewicz PJ, Blessner P, Olson B, Blackburn T. Estimating the probability of human error by incorporating component failure data from User- Induced Defects in the development of complex electrical systems. Risk Analysis
https://doi.org/10.1111/risa.12798
- Sun Z, Li Z, Gong E, Xie H. Estimating human error probability using a modified CREAM. Reliability Engineering & System Safety 2012; 100:28-32.
- Li P-c, Chen G-h, Dai L-c, Li Z. Fuzzy logic-based approach for identifying the risk importance of human error.Safety Science 2010; 48(7):902-13.
- Noroozi A, Khakzad N, Khan F, MacKinnon S, Abbassi R. The role of human error in risk analysis: Application to pre-and post-maintenance procedures of process facilities. Reliability Engineering & System Safety 2013;119:251-58.
- Yang Z, Bonsall S, Wall A, Wang J, Usman M. A modified CREAM to human reliability quantification in marine engineering. Ocean Engineering 2013; 58:293-303.
- Asadzadeh S, Azadeh A. An integrated systemic model for optimization of condition-based maintenance with human error. Reliability Engineering & System Safety 2014; 124:117-31.
- Ung S-T. A weighted CREAM model for maritime human reliability analysis. Safety Science 2015; 72:144-52.
- Lee SM, Ha JS, Seong PH. CREAM-based communication error analysis method (CEAM) for nuclear power plant operators’ communication. Journal of Loss Prevention in the Process Industries 2011; 24(1):90-97.
- Mara L, Massimo G, Giuliano R. The Management of Uncertainty: Model for evaluation of human error probability in railway system. American Journal of Applied Sciences 2014; 11(3):381-90.
- Desmorat G, Guarnieri F, Besnard D, Desideri P, Loth F. Pouring CREAM into natural gas: The introduction of Common Performance Conditions into the safety management of gas networks. Safety Science 2013; 54:1-7.
- Rui-shan S, Xin W. Application of failure probability of CREAM for judgment and decision-making in the cockpit. Journal of Safety Science and Technology 2010; 6(6):40-45.
- Mazlomi A, Hamzeiyan Ziarane M, Dadkhah A, Jahangiri M, Maghsodepor M, Mohadesy P, et al. Assessment of human errors in an industrial petrochemical control room using the CREAM method with a cognitive ergonomics approach. Journal of School of Public Health & Institute of Public Health Research 2011; 8(4):15-30.
- Mohammadfam I, Amid M, Hajiakbari M. The study of human errors in de-mining operations using the CREAM.Journal of Military Medicine 2016; 17(4):241-47 (In Persian).
- Mohammadfam I, Mansouri N, Nikoomaram H, Ghasemi F. Comparison of commonly used accident analysis techniques for manufacturing industries. International Journal of Occupational Hygiene 2015; 7(1):32-37.
- Mohammadfam I, Bashirian S, Bakhshi Z. Evaluation and Management of Human Errors in Critical Processes of Hospital Using the Extended CREAM Technique. Iranian Journal of Health, Safety and Environment 2017;
(4):851-58.
- Cheraghi MA, Nasabadi N, Reza A, Mohammad Nejad E, Salari A, Kheyli EK, et al. Medication errors among nurses in intensive care units (ICU). Journal of Mazandaran University of Medical Sciences 2012; 21(1):115-19 (In
Persian).
- چکیده مشاهده شده: 160 بار
- PDF (English) دانلود شده: 227 بار