1 / 48

Humar Error Consideration in Modern Technology and Risk Assessemnt

Humar Error Consideration in Modern Technology and Risk Assessemnt. P.C. Cacciabue. Valenciennes, 23 mars 2005. COLLOQUE 10ème ANNIVERSAIRE LAMIH. Methodological approach to Human Factors analysis Focus on area Risk Assessment and human reliability methods

greggd
Download Presentation

Humar Error Consideration in Modern Technology and Risk Assessemnt

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Humar Error Consideration in Modern Technology and Risk Assessemnt P.C. Cacciabue Valenciennes, 23 mars 2005 COLLOQUE 10ème ANNIVERSAIRE LAMIH

  2. Methodological approach to Human Factors analysis Focus on area Risk Assessment and human reliability methods Ongoing actions at JRC in Human Factors studies

  3. Savoir Faire of Sector HF : A technology for analysis and optimisation of the relationship between people and their activities at work, by the integration of human sciences and engineering. Areas of Application : Design, Training, Safety Assessment & Accident Investigation Domains of Application : Transport (Aviation), Energy, Process systems Customer : EC legislation and regulations

  4. Methodological approach to Human Factors analysis

  5. Human Error is an unavoidable presence in everyday life It is not conceivable a society that is “error free” • Human Error must be considered and dealt with in the design and assessment of any technological system

  6. To reduceHuman Errorimplies to deal with all types of errors, e.g., “slips”, “lapses”, “mistakes” e “violations”, especially those coming from organisations levels, also called latent errors by means of engineering measures that reinforce the technological response to errors/failures, as well as the implementation of non-technical means, e.g., training, procedures etc. Risk Management Human Error and Accident Management (HEAM): the variety of methods for controlling HMI at risks by the implementation of means for early recognition and prevention, their control and recovery from accidental situations and for the containment of the consequences.

  7. Adequate methods for HEAM allow an organisation to be constantly aware and informed of its state of “safety” and to evaluate and identify critical areas of concerns for safety by tests and audits that can be done in real time. The starting point is the Architecture of Human-Machine Interaction (HMI)

  8. HEAM: • Prevention • Recovery • Containment • DESIGN: • Superv. Control • UCD • Usability Goals of HMS SP1 • Manual control • Supervisory cont. • Full automation • Model of HMS • User Feedback • Effectiveness • Efficiency • Satisfaction

  9. SP2 • Understanding: • human performances • dependence on dynamic context • socio-technical environment

  10. Elementi di Gestione dell’Errore Umano SP3 Types of Analysis

  11. SP4 Areas of Application

  12. Data & parameters SP5 Indicators of Safety Levels

  13. Human Error Risk Management for Engineering Systems

  14. Risk Assessment and Human Reliability methods

  15. SAFETY ASSESSMENT

  16. SAFETY ASSESSMENT

  17. SAFETY ASSESSMENT

  18. Classical Human Reliability Approaches to Risk Assessment SHARP

  19. THERP

  20. Critique of Classical HRA are very superficial for what concerns the cognitive processes only a few methods make some reference to the dynamic aspects of the human-machine and human-human interaction Are completely focused on HRA/PSA reliabilitystudies

  21. Modern Human Reliability Approaches ATHEANA

  22. COCOM-CREAM-FAME

  23. DYLAM

  24. DENDROS Implementation of the general methodology for Deterministic Dynamic Event Tree (DDET) generation DAD REM An Integrated Approach to Human Reliability Analysis - Decision Analytic Dynamic Reliability Model RECUPERARE Develop a better approach of pre-initiator errors and "human" initiators OPSIM Simulation of the integrated operator-plant system and addresses the dynamics and interdependence of the plant and operator responses during accident sequences TAFEI Task Analysis For Error Identification PHECA Potential Human Error Causes Analysis SHERPA Systematic Human Error Reduction and Prediction Approach

  25. CADACritical Action and Decision Approach HRMSHuman Reliability Management System HUMECA Human Error Mode Effects and Criticality Analysis PREDICTProcedure to Review and Evaluate Dependency in Complex Technologies HEARTHuman Reliability Assessment Method JHEDIJustification of Human Error Data Information HEISTHuman Error in Systems Identification Technique CORE-DATAComputerised Operator Reliability and Error Data Base DORRETDetermination of Operator Recovery Reliability over Extended Time scalesHuman Error Causes Analysis

  26. SAFETY AUDIT Indicators of Safety Levels

  27. Indicators of Safety Levels

  28. Safety Levels & Measures

  29. Ongoing actions at JRC in Human Factors studies

  30. ISARM FAST ADAMS 2 EUCLIDE UGTMS ASTER HILAS AIDE VIRTHUALIS MODURBAN RANKERS ONBUS HUMANIST IMPACT

  31. ISARM Institutional Activity 4.3.3.7 Integrated Safety Assessment and Risk Management • Aim of the action: To develop a body of guidelines for integrating safety assessment and risk management methods throughout the whole aviation system • Main topics: • Detecting root causes in aviation accident investigation by applying Human Factors methods • Developing risk assessment and recurrent safety audits in civil aviation organisations. • Extension of Safety and Risk Assessment techniques to deal with Security problems in transportation Directive 2003/42/EC of the EUROPEAN PARLIAMENT and of THE COUNCIL on occurrence reporting in civil aviation (13 June 2003)

  32. Directive 2003/42/ECof the EUROPEAN PARLIAMENT and of THE COUNCIL on occurrence reporting in civil aviation (13 June 2003) • JAR 145.60 (Occurrence reporting) : “(a) The JAR–145 approved maintenance organisation must report to its JAA full member Authority and the organisation responsible for the design of the aircraft or aircraft component any condition of the aircraft or aircraft component, identified by the JAR–145 approved maintenance organisation that has resulted or may result in an unsafe conditionthat could seriously hazard the aircraft.” “(d)Where the JAR–145 approved maintenance organisation is contracted by an operator to carry out maintenance, the JAR–145 approved maintenance organisation must also report to theoperator any such condition affecting the operator’s aircraft or aircraft component.”

  33. FAST Future Aviation Safety Team Institutional Activity ISARM The Joint Aviation Authorities (JAA), Europe, and the Federal Aviation Administration (FAA), USA, sponsor a number of research groups aimed at improving aviation safety. FAST aims at continuous improvements of effective safety systems leading to further reductions of the annual rate of accidents irrespective of the growth of the air traffic (5 % per year). The FAST group brings together experts from:EUROCONTROL, DG TREN,JRC, Group of Airport Safety Regulators (GASR), FAA, CAST, International Federation of Airworthiness (IFA), European Space Agency (ESA), NASA and ICAO.

  34. 0,16 0,14 0,12 0,1 0,08 0,06 0,04 0,02 0 Aircraft Crew ANS Operations Maintenance Organization Authority Environment Airport Passengers Space Areas of Change (AoC): Aircraft (AC); Maintenance, Repair & Overhaul (MRO) ; Operations (OP); Crew (C); Passenger (P); Organisation (O); Authority (AUTH); Air Navigation System (ANS); Airport (AP); Environment (E); Space Operations (S)

  35. COMPETITIVE and SUSTAINABLE GROWTH PROGRAMME GRD1-2000-25751 PROJECT START: FEBRUARY 2001 PROJECT END: MARCH 2004 Human Centred Systems for Aircraft Dispatch and Maintenance Safety COORDINATOR: TRINITY COLLEGE DUBLIN PARTNERS: KLM ROYAL DUTCH AIRLINES BAE SYSTEMS (OPERATIONS) LIMITED DEDALE S.A. FLS AEROSPACE (IRL) LIMITED SABENA TECHNICS STICHTING NATIONAAL LUCHT-EN RUIMTEVAARTLABORATORIUM JOINT RESEARCH CENTRE UNIVESITY OF LA LAGUNA DUBLIN CITY UNIVERSITY THALES ADRIA

  36. ADAMS 2 AIM:Define a systematic approach to integrate human factors requirements and operational processes to develop innovative command control systems for transport operators HF Activity Key Objectives: • Development of a comprehensive approach to collect and manage information concerning safety and reliability events in the aviation maintenance environment • Development of a Safety/Human Hazard Analysis focused on maintainability • Development of a methodology and tool for organisational learning from incidents and events

  37. Human Hazard Analysis & Error Management Strategy HOME LOG OFF HELP EMS PREFERENCES HHA RECORD DATA The Fields depend on the particular element selected HHA EDITORPAGE SAVE CANCEL 10.03 AM User Name HOME > HHA HHA Interface

  38. COMPETITIVE and SUSTAINABLE GROWTH PROGRAMME GRD1-2000-30090 PROJECT START:MARCH 2002 PROJECT END: MARCH 2004 Urban Guided Transport Management System PARTNERSHIP: Public Transport Operators: RATP, METRO de MADRID, METROPOLITANO LISBOA, BVG, LONDON UNDERGROUND Suppliers: BOMBARDIER, ALCATEL, ALSTOM, ANSALDO CSEE, DIMETRONIC INVENSYS, TS RA SIEMENS, STS Research and technology laboratories: INRETS, JRC, TUD, UCL, UVAL

  39. Directive 2001/16/EC on interoperability of the trans-European conventional rail system(19 March 2001) At the moment: NO SPECIFIC REGULATION FOR URBAN RAILWAY SYSTEM AT EUROPEAN LEVEL UGTMS AIM:Integrating technical systems and operational processes to develop innovative command control systems for transport operators HF Activity Key Objective: • Production of guidelines on the way to use existing and new safety concepts • Assessment of Functional Requirements Specification (FRS) for guided transport management systems

  40. COMPETITIVE and SUSTAINABLE GROWTH PROGRAMME GRD1-2000-26801 PROJECT START:MARCH 2001 PROJECT END: MARCH 2004 ENHANCED HUMAN MACHINE INTERFACE FOR ON VEHICLE INTEGRATED DRIVING SUPPORT SYSTEM

  41. The European Commission White Paper plans to reduce road fatalities from 41000 each yearto 18000 by2010 • EUCLIDE AIMS: • development of a driver support system for driver’s lack of obstacles perception, merging the functionality of two sensors (far infrared and radar); • development of an HMI addressing the most efficient use of warning signals to support thee driver (visual and acoustic) HF Activity Key Objective: Define the Experimental Plan and performance of the on-road human factors tests.

  42. User needs analysis; • Pilot Plan Design; • European Road accidents problem evaluation. Previous activities: On-going activity: • On-road HF tests (JRC leader) TESTS AIMS: usability evaluation with real users  assessment of impact on road safety TESTS SITES: 1. Sweden 2. Italy TESTS SCENARIOS:

  43. AIDE AIMS: • generate the knowledge and develop methodologies and human-machine interface technologies required for safe and efficient integration of ADAS, IVIS and nomad devices into the driving environment Sub projects: (SP1): Modelling and simulation of behavioural effects of ADAS and IVIS (SP2): Evaluation and Assessment Methodology (SP3): Design and Development, of an Adaptive Integrated Driver-vehicle Interface

More Related