(68a) Humans Make Mistakes...Which Cause Events
AIChE Spring Meeting and Global Congress on Process Safety
2019
2019 Spring Meeting and 15th Global Congress on Process Safety
Global Congress on Process Safety
Integration of Human Factors into Risk Assessment I
Tuesday, April 2, 2019 - 8:00am to 8:30am
When reviewing investigations reports associated with Loss of Primary Containment (LOPC) events, it is not uncommon to find human error identified as a cause. However, if you take a closer look at these human errors, it appears most of these errors are being made by a single group of humans – namely, operators. But are these really the only humans making errors contributing to or causing LOPC events? This paper seeks to answer this question by reviewing all the identified causes of a set of LOPC events within a company to identify errors being made by other groups of humans which may not be adequately addressed within these investigations.
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