TY - GEN
T1 - The application of the root causes of human error analysis method based on HAZOP analysis in using process of weapon
AU - Wang, Wei
AU - Zhao, Tingdi
PY - 2009
Y1 - 2009
N2 - Cognitive Reliability and Error Analysis Method (CREAM) is one of the most representative second-generation human reliability analysis methods. By using the CREAM, the retrospective analysis of the root causes of human error is given. There are no accordant standards of the determination of event sequences caused by the human errors in the root causes analysis in using process of weapon in CREAM. This paper presents the root causes of human error analysis method based on HAZOP analysis in using process of weapon. And according to the deficiency of CREAM, the improvement measures are put forwards as follows: (1) According to the HAZOP method, using process of the weapon is divided into parts according to the different operation steps. And the operation by human is defined as the characteristic parameters; (2) According to the deviations analysis, the event-order diagram should be achieved based on the correct operation steps and the deviations. Using the improved method, the event sequence which is end in failure and caused by human error can be gained. After choosing the human error event, the root causes can be obtained by retrospective analysis. An example of diesel engine underwater starting is discussed in this paper. And the root causes of human error leading to water intake are obtained. This example validates the correctness of the improved method in this paper.
AB - Cognitive Reliability and Error Analysis Method (CREAM) is one of the most representative second-generation human reliability analysis methods. By using the CREAM, the retrospective analysis of the root causes of human error is given. There are no accordant standards of the determination of event sequences caused by the human errors in the root causes analysis in using process of weapon in CREAM. This paper presents the root causes of human error analysis method based on HAZOP analysis in using process of weapon. And according to the deficiency of CREAM, the improvement measures are put forwards as follows: (1) According to the HAZOP method, using process of the weapon is divided into parts according to the different operation steps. And the operation by human is defined as the characteristic parameters; (2) According to the deviations analysis, the event-order diagram should be achieved based on the correct operation steps and the deviations. Using the improved method, the event sequence which is end in failure and caused by human error can be gained. After choosing the human error event, the root causes can be obtained by retrospective analysis. An example of diesel engine underwater starting is discussed in this paper. And the root causes of human error leading to water intake are obtained. This example validates the correctness of the improved method in this paper.
KW - Cognitive Reliability and Error Analysis Method (CREAM)
KW - Hazard and Operability Study (HAZOP)
KW - Human errors
KW - Retrospective analysis
KW - Root causes
KW - Safety analysis in using Process
UR - https://www.scopus.com/pages/publications/77955961231
U2 - 10.1109/ICRMS.2009.5270146
DO - 10.1109/ICRMS.2009.5270146
M3 - 会议稿件
AN - SCOPUS:77955961231
SN - 9781424449057
T3 - Proceedings of 2009 8th International Conference on Reliability, Maintainability and Safety, ICRMS 2009
SP - 470
EP - 477
BT - Proceedings of 2009 8th International Conference on Reliability, Maintainability and Safety, ICRMS 2009
T2 - 2009 8th International Conference on Reliability, Maintainability and Safety, ICRMS 2009
Y2 - 20 July 2009 through 24 July 2009
ER -