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Guidelines for Preventing Human Error in Process Safety - CCPS (Center for Chemical Process Safety)

Guidelines for Preventing Human Error in Process Safety

Hardcover

Published: 1st August 2004
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Almost all the major accident investigations--Texas City, Piper Alpha, the Phillips 66 explosion, Feyzin, Mexico City--show human error as the principal cause, either in design, operations, maintenance, or the management of safety. This book provides practical advice that can substantially reduce human error at all levels. In eight chapters--packed with case studies and examples of simple and advanced techniques for new and existing systems--the book challenges the assumption that human error is "unavoidable." Instead, it suggests a systems perspective. This view sees error as a consequence of a mismatch between human capabilities and demands and inappropriate organizational culture. This makes error a manageable factor and, therefore, avoidable.

List of Figures and Tables
Preface
Glossary and Acronyms
Introduction: The Role of Human Error in Chemical Process Safety
Introduction
The Role of Human Error in System Accidents
Why Is Human Error Neglected in the CPI?
Benefits of Improved Human Performance
The Traditional and System-induced Error Approach
A Demand-Resource Mismatch View of Error
A Case Study Illustrating the System-Induced Error Approach
From Theory to Practice
Appendix Case Studies
Understanding Human Performance and Error
Purpose of the Chapter
Concepts of Human Error
An Overview of the Four Perspective on Human Error
The Traditional Safety Engineering Approach to Accidents and Human Error
The Human Factors Engineering and Ergonomics Approach (HF/E)
The Cognitive Engineering Perspective
The Sociotechnical Perspective
Summary
Appendix 2A. Process Plant Example of the Stepladder Model
Appendix 2B. Flowcharts for Using the Rasmussen Sequential Model for Incident Analysis (Petersen, 1985)
Appendix 2C. Case Study Illustrating the Use of the Sequential Model
Factors Affecting Human Performance in the Chemical Industry
Introduction
Applications of Performance-Influencing Factors
A Classification Structure for Performance-Influencing Factors
Operating Environment
Task Characteristics
Operator Characteristics
Organizational and Social Factors
Interaction of Performance-Influencing Factors
Variability of Human Performance during Normal and Emergency Situations
Summary
Analytical Methods for Predicting and Reducing Human Error
Introduction
Data Acquisition Techniques
Task Analysis
Human Error Analysis Techniques
Ergonomics Checklists
Summary
Qualitative and Quantitative Prediction of Human Error in Risk Assessment
Introduction
The Role of Human Reliability in Risk Assessment
System for Predictive Error Analysis and Reduction (SPEAR)
Critical Task Identification and Screening Analysis
Qualitative Human Error Analysis
Representation
Quantification
Summary
Appendix 5A. Influence Diagram Calculations
Data Collection and Incident Analysis Methods
Introduction
An Overview of Data Collection Systems
Types of Data Collection Systems
Organizational and Cultural Aspects of Data Collection
Types of Data Collected
Methods of Data Collection, Storage, and Retrieval
Data Interpretation
Root Cause Analysis Techniques
Implementing and Monitoring the Effectiveness of Error Reduction Measures
Setting Up a Data Collection System in a Chemical Plant
Summary
Case Studies
Introduction
Case Study 1: Incident Analysis of Hydrocarbon Leak from Pipe
Case Study 2: Incident Investigation: Mischarging of Solvent in a Batch Plant
Case Study 3: Design of Standard Operating Procedures for Task in Case Study
Case Study 4: Design of Visual Display Units for Computer-Controlled Plant
Case Study 5: Audit of Offshore Emergency Blowdown Operations
Implementing an Integrated Error and Process Safety Management System at the Plant
Introduction
Managing Human Error by Design
Setting Up an Error Management System in an Existing Plant
Summary
References
Bibliography
Index
Table of Contents provided by Publisher. All Rights Reserved.

ISBN: 9780816904617
ISBN-10: 0816904618
Audience: Professional
Format: Hardcover
Language: English
Number Of Pages: 416
Published: 1st August 2004
Publisher: American Institute of Chemical Engineers
Country of Publication: US
Dimensions (cm): 23.6 x 16.2  x 3.1
Weight (kg): 0.77