Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM
Control room is the heart of each system in which even a minor error can result in irrecoverable consequences. The purpose of this study was to determine the Probable Control Modes (PCMs) and Cognitive Failure Probability (CFP), and also build a Cognitive Demands Profile (CDP) in a petrochemical co...
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Tehran University of Medical Sciences
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doaj-d3f9362a6fd7413699dd8d60e055db9f2020-12-07T08:38:36ZengTehran University of Medical SciencesInternational Journal of Occupational Hygiene2008-51092008-54352017-02-0194Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAMADEL MAZLOUMI0MOSTAFA HAMZEIYAN ZIARANI1Ph.D. Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, IranM.Sc. Department of Industrial Engineering, Institute for Higher Education of Kar, Qhazvin, Iran Control room is the heart of each system in which even a minor error can result in irrecoverable consequences. The purpose of this study was to determine the Probable Control Modes (PCMs) and Cognitive Failure Probability (CFP), and also build a Cognitive Demands Profile (CDP) in a petrochemical control room, using Cognitive Reliability and Error Analysis technique (CREAM). First, tasks of Boardman (B.M), Shift Control (S.C), and Head Control (H.C) in control room were analyzed, applying hierarchical task analysis. Following, PCM, CFP and CDP were determined for the analyzed tasks. According the results, control modes for the tasks of B.M and S.C were determined as opportunistic; while for H.C tasks it was obtained as tactical. Of the all error types, execution failure (48.57%), interpretation failure (18.57%), planning failure (15.71%), and observation failure (17.15%) were identified. The most important CDPs were communicated, monitor, execute, plan, diagnose, evaluate, co-ordinate, verity, record, and scan. Based on the findings, number of simultaneous goals, time of day and adequacy of training and experience in the study field were the Common Performance Conditions that led to reduction of performance reliability. These factors contributed to the opportunistic control mode. In order to prevent or reduce cognitive errors in the control room, we need to know the exact type of cognitive activities, and develop a comprehensive program to increase the knowledge and skills for performing the cognitive activities. https://ijoh.tums.ac.ir/index.php/ijoh/article/view/207Human errorcognitive reliabilitycontrol roomCREAMpetrochemical industry |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
ADEL MAZLOUMI MOSTAFA HAMZEIYAN ZIARANI |
spellingShingle |
ADEL MAZLOUMI MOSTAFA HAMZEIYAN ZIARANI Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM International Journal of Occupational Hygiene Human error cognitive reliability control room CREAM petrochemical industry |
author_facet |
ADEL MAZLOUMI MOSTAFA HAMZEIYAN ZIARANI |
author_sort |
ADEL MAZLOUMI |
title |
Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM |
title_short |
Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM |
title_full |
Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM |
title_fullStr |
Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM |
title_full_unstemmed |
Determining Human Error Global Causes in a Petrochemical Control Room with a Cognitive Analytical Approach-CREAM |
title_sort |
determining human error global causes in a petrochemical control room with a cognitive analytical approach-cream |
publisher |
Tehran University of Medical Sciences |
series |
International Journal of Occupational Hygiene |
issn |
2008-5109 2008-5435 |
publishDate |
2017-02-01 |
description |
Control room is the heart of each system in which even a minor error can result in irrecoverable consequences. The purpose of this study was to determine the Probable Control Modes (PCMs) and Cognitive Failure Probability (CFP), and also build a Cognitive Demands Profile (CDP) in a petrochemical control room, using Cognitive Reliability and Error Analysis technique (CREAM). First, tasks of Boardman (B.M), Shift Control (S.C), and Head Control (H.C) in control room were analyzed, applying hierarchical task analysis. Following, PCM, CFP and CDP were determined for the analyzed tasks. According the results, control modes for the tasks of B.M and S.C were determined as opportunistic; while for H.C tasks it was obtained as tactical. Of the all error types, execution failure (48.57%), interpretation failure (18.57%), planning failure (15.71%), and observation failure (17.15%) were identified. The most important CDPs were communicated, monitor, execute, plan, diagnose, evaluate, co-ordinate, verity, record, and scan. Based on the findings, number of simultaneous goals, time of day and adequacy of training and experience in the study field were the Common Performance Conditions that led to reduction of performance reliability. These factors contributed to the opportunistic control mode. In order to prevent or reduce cognitive errors in the control room, we need to know the exact type of cognitive activities, and develop a comprehensive program to increase the knowledge and skills for performing the cognitive activities.
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topic |
Human error cognitive reliability control room CREAM petrochemical industry |
url |
https://ijoh.tums.ac.ir/index.php/ijoh/article/view/207 |
work_keys_str_mv |
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