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Study of human error from incident investigation in upstream facilities

Human failures are a major cause of breakdowns in upstream facilities because of challenging working conditions. A study of human errors from an incident investigation in upstream facilities was carried out to understand the topography of human errors. A Tripod Beta diagram was developed from 107 in...

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Main Authors: Abd Halim, Abdul Hafiz, Mohd Ghazi, Tinia Idaty, Mohd Yassin, Faizah, Mohd Tohir, Mohd Zahirasri
Format: Article
Published: John Wiley & Sons 2024
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spelling oai:psasir.upm.edu.my:106207 http://psasir.upm.edu.my/id/eprint/106207/ Study of human error from incident investigation in upstream facilities Abd Halim, Abdul Hafiz Mohd Ghazi, Tinia Idaty Mohd Yassin, Faizah Mohd Tohir, Mohd Zahirasri Human failures are a major cause of breakdowns in upstream facilities because of challenging working conditions. A study of human errors from an incident investigation in upstream facilities was carried out to understand the topography of human errors. A Tripod Beta diagram was developed from 107 incidents gathered during 2017–2020, and the human error taxonomy was used to identify the human errors caused by individuals and contributory human factors responsible for the incidents. A mistake is the most common human failing in a major incident, contributing to 59%, followed by a violation and a skill‐based error with scores of 36% and 5%, respectively. Knowledge‐based mistakes were prevalent in 48% of the analyzed reports, indicating a significant gap in any decision involving problem‐solving and diagnosis. Situational and routine violations with 14% and 10% scoring, respectively, show the complexity of the offshore work environment, which prompts workers to violate and believe that jobs cannot be completed without violations. Disciplinary action, providing a safer workplace, and enhancing the safety culture were proposed to combat workplace violations. Meanwhile, an up‐skilling of the workforce with adequate information and instruction will mitigate human errors leading to a mistake. Lastly, revisiting human factor engineering is required to prevent slip and lapse errors. John Wiley & Sons 2024 Article PeerReviewed Abd Halim, Abdul Hafiz and Mohd Ghazi, Tinia Idaty and Mohd Yassin, Faizah and Mohd Tohir, Mohd Zahirasri (2024) Study of human error from incident investigation in upstream facilities. Process Safety Progress. pp. 1-13. ISSN 1066-8527; ESSN: 1547-5913 (In Press) https://aiche.onlinelibrary.wiley.com/doi/10.1002/prs.12584 10.1002/prs.12584
institution UPM IR
collection UPM IR
description Human failures are a major cause of breakdowns in upstream facilities because of challenging working conditions. A study of human errors from an incident investigation in upstream facilities was carried out to understand the topography of human errors. A Tripod Beta diagram was developed from 107 incidents gathered during 2017–2020, and the human error taxonomy was used to identify the human errors caused by individuals and contributory human factors responsible for the incidents. A mistake is the most common human failing in a major incident, contributing to 59%, followed by a violation and a skill‐based error with scores of 36% and 5%, respectively. Knowledge‐based mistakes were prevalent in 48% of the analyzed reports, indicating a significant gap in any decision involving problem‐solving and diagnosis. Situational and routine violations with 14% and 10% scoring, respectively, show the complexity of the offshore work environment, which prompts workers to violate and believe that jobs cannot be completed without violations. Disciplinary action, providing a safer workplace, and enhancing the safety culture were proposed to combat workplace violations. Meanwhile, an up‐skilling of the workforce with adequate information and instruction will mitigate human errors leading to a mistake. Lastly, revisiting human factor engineering is required to prevent slip and lapse errors.
format Article
author Abd Halim, Abdul Hafiz
Mohd Ghazi, Tinia Idaty
Mohd Yassin, Faizah
Mohd Tohir, Mohd Zahirasri
spellingShingle Abd Halim, Abdul Hafiz
Mohd Ghazi, Tinia Idaty
Mohd Yassin, Faizah
Mohd Tohir, Mohd Zahirasri
Study of human error from incident investigation in upstream facilities
author_facet Abd Halim, Abdul Hafiz
Mohd Ghazi, Tinia Idaty
Mohd Yassin, Faizah
Mohd Tohir, Mohd Zahirasri
author_sort Abd Halim, Abdul Hafiz
title Study of human error from incident investigation in upstream facilities
title_short Study of human error from incident investigation in upstream facilities
title_full Study of human error from incident investigation in upstream facilities
title_fullStr Study of human error from incident investigation in upstream facilities
title_full_unstemmed Study of human error from incident investigation in upstream facilities
title_sort study of human error from incident investigation in upstream facilities
publisher John Wiley & Sons
publishDate 2024
_version_ 1819301666618343424
score 13.4562235

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