Combining task analysis and fault tree analysis for accident and incident analysis: A case study from Bulgaria

Accident Analysis and Prevention

Volumn 41, Issue 6, 2009, Pages 1172-1179

  Doytchev, Doytchin E ^a   Szwillus, Gerd ^a  

^a UNIVERSITY OF PADERBORN   (Germany)

Author keywords

Fault tree analysis; Human error identification; Incident analysis; Performance shaping factors; Task analysis

Indexed keywords

BULGARIA; ERROR MODE; HUMAN ERROR IDENTIFICATION; HUMAN ERRORS; HYDROPOWER PLANTS; INCIDENT ANALYSIS; PERFORMANCE SHAPING FACTORS; ROOT CAUSE; TASK ANALYSIS; WORK ENVIRONMENTS;

ACCIDENTS; EMPLOYMENT; ERROR ANALYSIS; ERRORS; FAULT TREE ANALYSIS; HUMAN ENGINEERING; JOB ANALYSIS; RESEARCH;

RELIABILITY;

ARTICLE; BULGARIA; ELECTRIC POWER PLANT; HEALTH SERVICES RESEARCH; HUMAN; INDUSTRY; MAN MACHINE INTERACTION; METHODOLOGY; OCCUPATIONAL ACCIDENT; SAFETY; TASK PERFORMANCE;

ACCIDENTS, OCCUPATIONAL; BULGARIA; HUMANS; INDUSTRY; MAN-MACHINE SYSTEMS; ORGANIZATIONAL CASE STUDIES; POWER PLANTS; SAFETY MANAGEMENT; TASK PERFORMANCE AND ANALYSIS;

EID: 70349758735     PISSN: 00014575     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.aap.2008.07.014     Document Type: Article

References (32)

1. Bellamy L.J., Geyer T.A.W., and Wilkinson J. Development of a functional model which integrates human factors, safety management systems and wider organisational issues. Safety Science 46 3 (2008) 461-492
2. Blacket, C., 2005. Combining accident analysis techniques for organizational safety. Ph.D. Thesis. School of Computer Science and Informatics National University of Ireland.
3. Brauchler R., and Landau K. Task analysis. Part I - Guidelines for the practitioner. International Journal of Industrial Ergonomics 22 1-2 (1998) 3-11
4. Brauchler R., and Landau K. Task analysis. Part II - The scientific basis (knowledge base for the guide). International Journal of Industrial Ergonomics 22 1-2 (1998) 13-35
5. Callan, K., Siemieniuch, C., Sinclair, M., Rognin, L., Kirwan, B., Gordon, R., 2008. Review of Task Analysis Techniques for use with Human Error Assessment Techniques within the ATC Domain www.eurocontrol.int/eec/public/standard_page/safety_doc_task_analysis_and_atm.html, last accessed, March 2008.
6. Clemens P.E. Human Factors and Operators Error. Second Edition (2002), JE Sverdrup
7. Cilingir C., and Mackhieh A. Effects of performance shaping factors on human error. International Journal of Industrial Ergonomics 22 (1998) 285-292
8. Contra Costa Health Service (CCHS), 2007. http://www.cchealth.org/groups/hazmat/pdf/iso/sect_b_ch_3.pdf, last accessed 2007.
9. Embrey, D., 2000. Task Analysis Techniques. Human Reliability Associates Ltd. www.humanreliability.com, last accessed 2006.
10. Executive Agency General Labour Inspectorate (EAGLI), 2004. Analysis of the results of the national campaign for setting of labour conditions in the chemical enterprises and units with high professional risk in compliance with the Health and Safety Conditions at Work Act (HSCW). To be found on http://git.mlsp.government.bg/.
11. Executive Agency General Labour Inspectorate (EAGLI), 2005a. Analysis of the results of the national survey for provision of health and safety conditions at work in the main risk enterprises of the metallurgical industry. To be found on http://git.mlsp.government.bg/.
12. Executive Agency General Labour Inspectorate (EAGLI), 2005b. Analysis of the results of the carried out national campaign "Control of implementations of obligations for provision of HSCW" in the enterprises for production of thermal and electric energy. To be found on http://git.mlsp.government.bg/.
13. Habbe, Ch., 2005. GAME: A graphical editor for task models (In German: GAME: Ein grafischer Editor für Aufgabenmodelle - Konzeption und Implementierung), University of Paderborn, Institute of Computer Science, Diploma Thesis, January 2005.
14. Hohlfeld A., Fukuda R., Neuper S., Sangals J., Sommer W., and Sträter O. Task load effect on language processing: experimental approach. In: Dietrich R., and Childress T.M. (Eds). Group Interaction in High Risk Environments (2004), Ashgate Publisher 207-240
15. Hollnagel E. Cognitive Reliability and Error Analysis (1998), Elsevier
16. Hollnagel, E., 1999. Accident analysis and barrier functions. IFE (N), Version 1.0. Available at: www.it.uu.se/research/project/train/papers/AccidentAnalysis.pdf.
17. Hollywell P.D. Incorporating human dependent failures in risk assessments to improve estimates of actual risk. Safety Science 22 1-3 (1996) 177-194
18. Johnson, C., 2003. Failure in Safety Critical Systems: A Handbook of Incident and Accident Reporting Glasgow University Press.
19. Kim J.W., and Jung W.D. A taxonomy of performance influencing factors for human reliability analysis of emergency tasks. Journal of Loss Prevention in the Process Industries 16 6 (2003) 479-495
20. Kim J.W., and Jung W.D. An integrated framework to the predictive error analysis in emergency situation. Journal of Loss Prevention in the Process Industries 15 2 (2002) 97-104
21. Kirwan B. A Guide to Practical Human Reliability Assessment (1994), Taylor & Francis Press, Boca Raton
22. Modarres M. What Every Engineer Should Know About: Reliability and Risk Analysis (1993), Marcel Dekker (publ.), New York, USA
23. Non-profit Risk Management Centre (NRMC). Last access 2006. http://nonprofitrisk.org/ws/c2/acc-inc-nm.htm.
24. Paterno F., Mori G., and Galiberti R. CTTE: an environment for analysis and development of task models of cooperative applications. CHI '01 Extended Abstracts on Human Factors in Computing Systems (2001) 21-22
25. Petersen D. Human Error Reduction and Safety Management. 3rd edition (1996), Van Nostrand Reinhold, New York
26. Redmill F., Chudleigh M., and Catmur J. System Safety:HAZOP and Software HAZOP (1999), John Wileys & Sons, Chichester
27. SETON, 2006. www.seton.com/seton/internalHtmlAction.do?relpath=/pages/content/en_US/setonalerts/articles/0402/0402_accident_investigation.jsp. Last visited 2006.
28. Sheue-Ling H., Fan-Jang Y., Yu-Hao H., and Jinn-Sing L. Application of human error criticality analysis for improving the initiator assembly process. International Journal of Industrial Ergonomics 26 1 (2000) 87-99
29. Shorrock S.T., and Kirwan B. Development and application of a human error identification tool for air traffic control. Applied Ergonomics 33 4 (2002) 319-336
30. State Agency for Civil Protection (SACP), 2005. http://www.cp.government.bg/about.php?a=34. Last access 2005.
31. Stellman J.M. Encyclopedia of Occupational Health and Safety. Fourth edition vol. 2 (1998), International Labour Organisation
32. Uhr H. TOMBOLA: simulation and user-specific presentation of executable task models, paper. Human-Computer Interaction: Theory and Practice (Part I), Proceedings of HCI International 2003. Crete, Greece, Lawrence Erlbaum Associates (2003) 263-267