Case-based HFACS for collecting, classifying and analyzing human errors in marine accidents

IEEM 2009 - IEEE International Conference on Industrial Engineering and Engineering Management

Volumn , Issue , 2009, Pages 2148-2153

  Xi, Y T ^a   Fang, Q G ^a   Chen, W J ^a   Hu, S P ^a  

^a SHANGHAI MARITIME UNIVERSITY   (China)

Author keywords

Case based; Data collection; HFACS; Human error; Marine accidents

Indexed keywords

CLASSIFICATION ,; CLASSIFICATION SYSTEM; DATA COLLECTION; HUMAN BEHAVIORS; HUMAN ERRORS; HUMAN FACTORS; MARINE ACCIDENTS; MARINE TECHNOLOGY; MARITIME TRANSPORTATION; SAFETY MANAGEMENT;

ACCIDENTS; BEHAVIORAL RESEARCH; CLASSIFICATION (OF INFORMATION); ERRORS; HUMAN ENGINEERING; INDUSTRIAL ENGINEERING; LAWS AND LEGISLATION; MARINE ENGINEERING; MODERNIZATION; SAFETY FACTOR; WATERWAY TRANSPORTATION;

DATA ACQUISITION;

EID: 77949512432     PISSN: None     EISSN: None     Source Type: Conference Proceeding    
DOI: 10.1109/IEEM.2009.5373128     Document Type: Conference Paper

References (38)

1. Rothblum, A.R., "Human Error and Marine Safety", National Safety Council Congress and Expo, Orlando, 2000.
2. O'Neil, W.A., "The human element in shipping", World Maritime University Journal of Maritime Affairs, vol. 2, no.2, pp. 95-97, 2003.
3. Darbra, R.M., Casal, J., "Historical analysis of accidents in seaports", Safety Science 42, pp.85-98, 2004.
4. Toffoli, A., Lefevre, J.M., Bitner-Gregersen, E., Monbaliu, J., "Towards the identification of warning criteria: analysis of a ship accident database", Applied Ocean Research, vol.27, no.6, pp.281-291, 2005.
5. P. Trucco, E, Cagno, F. Ruggeri, O. Grande, "A Bayesian Belief Network modeling of organizational factors in risk analysis: A case study in maritime transportation", Reliability Engineering and System Safety, 93(2008), pp. 823-834.
6. Metin Celik, Selcuk Cebi, "Analytical HFACS for investigating human errors in shipping accidents", Accident Analysis and Prevention, 41(2009), pp.66-75.
7. Er, Z., Celik, M., "Definitions of human factor analysis for the maritime safety management process", In: IAMU 6th Annual General Assembly and Conference, Malmö, Sweden, pp. 235-243, 2005.
8. Celik, M., Er, I.D., Topcu, Y.I., "Computer-based systematic execution model on human resources management in maritime transportation industry: the case of master selection for embarking on board merchant ships", Expert Systems with Application, 36 (2009), pp.1048-1060.
9. Grabowski, M., Sanborn, S.D., "Human performance and embedded intelligent technology in safety-critical systems", International Journal of Human-Computer Studies, vol.58, no.6, pp.637-670, 2003.
10. Skjong, R., Guedes Soares, C., "Safety of maritime transportation", Reliability Engineering & System Safety, 93 (2008), pp.1289-1291.
11. J. Wang, "Offshore safety case approach and formal safety assessment of ships", Journal of Safety Research, 33 (2002), pp. 81-115.
12. Shenping Hu, Quangen Fang, Haibo Xia, Yongtao Xi, "Formal safety assessment based on relative risks model in ship navigation", Reliability Engineering and System Safety, 92 (2007), pp.369-377.
13. Antão, P., Guedes Soares, C., "Causal factors in accidents of high-speed craft and conventional ocean-going vessels", Reliability Engineering & System Safety, 93 (9), pp.1292-1304, 2008.
14. Swain AD, Guttman HE, Handbook of human reliability analysis with emphasis on nuclear power plant applications, NUREG/CR-1278, 1983.
15. Swain AD, Accident sequence evaluation program human reliability analysis procedure, NUREG/CR-4772, 1987.
16. Hannaman G, Spurgin A, Lukic Y, "A model for assessing human cognitive reliability in PRA studies", In: IEEE third conference on human factors in nuclear power plants, Monterey, California, June 23-27, 1985. Institute of Electronic and Electrical Engineers, New York (USA), 1985.
17. E. Zio, "Reliability engineering: Old problems and new challenges", Reliability Engineering and System Safety, 94 (2009), pp.125-141.
18. Hollnagel E, Cognitive reliability and error analysis method (CREAM), Amsterdam: Elsevier Science Ltd.: 1998.
19. Cooper SE, Ramey-Smith AM, Wreathall J, Parry GW, Bley DC, Luckas WJ, Taylor JH, Barriere MT, A technique for human error analysis (ATHEANA), NUREG/CR-6093. Washington, DC: US Nuclear Regulatory Commission: 1994.
20. ZHANG Li, WANG Yi-qun, "Human Factors Analysis: Need, Problems and Trends" (in Chinese), Engineering-Theory & Practice, 2001(6), pp.13-19.
21. XIE Hong-wei, SUN Zhi-qiang, LI Xin-xin, LI Zheng-yi, ZHANG Ming, SHI Xiu-jian, LI Long, "An Overview of Typical Methods for Human Reliability Analysis" (in Chinese), Journal of National University of Defense Technology, 29(2007), pp.101-107.
22. Reason, J., Human Error, Cambridge University Press, New York, 1990
23. Dekker, S.W.A., "Reconstructing human contributions to accidents: the new view on error and performance", Journal of Safety Research, vol.33, no.3, pp.371-385, 2002.
24. Gaur, D., "Human factors analysis and classification system applied to civil aircraft accidents in India", Aviation, Space, and Environmental Medicine, vol.76, no.5, pp.501-505, 2005.
25. Li, W.-C., Harris, D., "Pilot error and its relationship with higher organizational levels: HFACS analysis of 523 accidents", Aviation, Space, and Environmental Medicine, vol.77, no.10, pp.1056-1061, 2006.
26. Dambier,M., Hinkelbein, J., "Analysis of 2004 German general aviation aircraft accidents according to the HFACS model", Air Medical journal, vol.25, no.6, pp.265-269, 2006.
27. Shappell, S., Detwiler, C., Holcomb, K., Hackworth, C., Boquet, A., Wiegmann, D.A., "Human error and commercial aviation accidents: an analysis using the human factors analysis and classification system", Human Factors, vol.49, no.2, pp.227-242, 2007.
28. Gordon, R., Flin, R., Mearns, K., "Designing and evaluating a human factors investigation tool (HFIT) for accident analysis", Safety Science, vol.43, no.3, pp.147-171, 2005.
29. Rao, S., "Safety culture and accident analysis - a socio-management approach based on organizational safety social capital", Journal of Hazardous Materials, vol.142, no.3, pp.730-740, 2007.
30. Krulak, D.C., "Human factors in maintenance: impact on aircraft mishap frequency and severity", Aviation, Space, and Environmental Medicine, vol.75, no.5, pp.429-432. 2004.
31. Boquet,A.,Detwiler, C., Shappell, S., "A human factors analysis of U.S. emergency medical transport accidents", Air Medical Journal, vol.23, no.5, pp. 34-34, 2004.
32. Reinach, S., Viale, A., "Application of a human error framework to conduct train accident/incident investigations", Accident Analysis and Prevention, 38(2006), pp.396-406.
33. Milligan, F.J., "Establishing a culture for patient safety - the role of education", Nurse Education Today, vol.27, no.2, pp.95-102, 2007.
34. EI Bardissi, A.W., Wiegmann, D.A., Dearani, J.A., Daly, R.C., Sundt, T.M., "Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room", The Annals of Thoracic Surgery, vol.83, no.4, pp.1412-1419, 2007.
35. Celik, M., Er, I.D., "Identifying the potential roles of design-based failures on human errors in shipboard operations", In: 7th Navigational Symposium on Marine Navigation and Safety of Sea Transportation, 20-22 June, Gdynia, Poland, pp. 617-621, 2007.
36. Metin Celik, Selcuk Cebi, "Analytical HFACS for investigating human errors in shipping accidents", Accident Analysis and Prevention, 41 (2009), pp.66-75.
37. Shappell, S., Wiegmann, D., "Applying reason: the human factors analysis and classification system", Human Factors and Aerospace Safety, 1(2001), pp.59-86.
38. Scott A Shappell, Douglas A. Wingman, The Human Factors Analysis And Classification System-HFACS, DOT/FAA/AM-00/7. Washington: US Department of Transportation, Federal Aviation Administration, 2000.