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Human Error Analysis in a Permit to Work System: A Case Study in a Chemical Plant.

Jahangiri, M; Hoboubi, N; Rostamabadi, A; Keshavarzi, S; Hosseini, AA (2016) Human Error Analysis in a Permit to Work System: A Case Study in a Chemical Plant. Safety and Health at Work, 7 (1). pp. 6-11. ISSN 2093-7911 https://doi.org/10.1016/j.shaw.2015.06.002
SGUL Authors: Jahangiri, Marjan

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Abstract

BACKGROUND: A permit to work (PTW) is a formal written system to control certain types of work which are identified as potentially hazardous. However, human error in PTW processes can lead to an accident. METHODS: This cross-sectional, descriptive study was conducted to estimate the probability of human errors in PTW processes in a chemical plant in Iran. In the first stage, through interviewing the personnel and studying the procedure in the plant, the PTW process was analyzed using the hierarchical task analysis technique. In doing so, PTW was considered as a goal and detailed tasks to achieve the goal were analyzed. In the next step, the standardized plant analysis risk-human (SPAR-H) reliability analysis method was applied for estimation of human error probability. RESULTS: The mean probability of human error in the PTW system was estimated to be 0.11. The highest probability of human error in the PTW process was related to flammable gas testing (50.7%). CONCLUSION: The SPAR-H method applied in this study could analyze and quantify the potential human errors and extract the required measures for reducing the error probabilities in PTW system. Some suggestions to reduce the likelihood of errors, especially in the field of modifying the performance shaping factors and dependencies among tasks are provided.

Item Type: Article
Additional Information: © 2015, Occupational Safetyand Health Research Institute. Published by Elsevier. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Keywords: human error, standardized plant analysis risk-human, work permit system
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Cardiac (INCCCA)
Journal or Publication Title: Safety and Health at Work
ISSN: 2093-7911
Language: eng
Dates:
DateEvent
6 July 2015Published Online
1 March 2016Published
5 June 2015Accepted
Publisher License: Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0
Projects:
Project IDFunderFunder ID
93 7086Shiraz University of Medical Scienceshttp://dx.doi.org/10.13039/501100004320
PubMed ID: 27014485
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/107960
Publisher's version: https://doi.org/10.1016/j.shaw.2015.06.002

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