Human Reliability Analysis

Human reliability (also known as human performance or HU) is related to the field of human factors and ergonomics, and refers to the reliability of humans in fields including manufacturing, medicine and nuclear power. Human performance can be affected by many factors such as age, state of mind, physical health, attitude, emotions, propensity for certain common mistakes, errors and cognitive biases, etc.

Human reliability is very important due to the contributions of humans to the resilience of systems and to possible adverse consequences of human errors or oversights, especially when the human is a crucial part of the large socio-technical systems as is common today. User-centered design and error-tolerant design are just two of many terms used to describe efforts to make technology better suited to operation by humans.

Common Traps of Human Nature

People tend to overestimate their ability to maintain control when they are doing work.
The common characteristics of human nature addressed below are especially accentuated when work is performed in a complex work environment.

Stress The problem with stress is that it can accumulate and overpower a person, thus becoming
detrimental to performance.

Avoidance of Mental Strain Humans are reluctant to engage in lengthy concentrated thinking,
as it requires high levels of attention for extended periods.

The mental biases, or shortcuts, often used to reduce mental effort and expedite decision-making include:
* Assumptions – A condition taken for granted or accepted as true without verification of the facts.
* Habit – An unconscious pattern of behavior acquired through frequent repetition.
* Confirmation bias – The reluctance to abandon a current solution.
* Similarity bias – The tendency to recall solutions from situations that appear similar
* Frequency bias – A gamble that a frequently used solution will work.
* Availability bias – The tendency to settle on solutions or courses of action that readily come to mind.

Limited Working Memory - The mind's short-term memory is the “workbench” for problem solving and decision-making.

Limited Attention Resources - The limited ability to concentrate on two or more activities challenges the ability to process information needed to solve problems.

Mind-Set People tend to focus more on what they want to accomplish (a goal) and less on what needs to be avoided because human beings are primarily goal-oriented by nature. As such, people tend to “see” only what the mind expects, or wants, to see.

Difficulty Seeing One's Own Error - Individuals, especially when working alone, are particularly susceptible to missing errors.

Limited Perspective - Humans cannot see all there is to see. The inability of the human mind to perceive all facts pertinent to a decision challenges problem-solving.

Susceptibility To Emotional/Social Factors - Anger and embarrassment adversely influence team and individual performance.

Fatigue - People get tired. Physical, emotional, and mental fatigue can lead to error and poor judgment.

Presenteeism - Some employees will be present in the need to belong to the workplace despite a diminished capacity to perform their jobs due to illness or injury.

Analysis techniques

A variety of methods exist for human reliability analysis (HRA). Two general classes of methods are those based on probabilistic risk assessment (PRA) and those based on a cognitive theory of control.

PRA-based techniques

One method for analyzing human reliability is a straightforward extension of probabilistic risk assessment (PRA): in the same way that equipment can fail in a power plant, so can a human operator commit errors. In both cases, an analysis (functional decomposition for equipment and task analysis for humans) would articulate a level of detail for which failure or error probabilities can be assigned. This basic idea is behind the Technique for Human Error Rate Prediction (THERP). THERP is intended to generate human error probabilities that would be incorporated into a PRA. The Accident Sequence Evaluation Program (ASEP) human reliability procedure is a simplified form of THERP; an associated computational tool is Simplified Human Error Analysis Code (SHEAN). More recently, the US Nuclear Regulatory Commission has published the Standardized Plant Analysis Risk - Human Reliability Analysis (SPAR-H) method to take account of the potential for human error.

Cognitive control based techniques

Erik Hollnagel has developed this line of thought in his work on the Contextual Control Model (COCOM) and the Cognitive Reliability and Error Analysis Method (CREAM). COCOM models human performance as a set of control modes—strategic (based on long-term planning), tactical (based on procedures), opportunistic (based on present context), and scrambled (random) - and proposes a model of how transitions between these control modes occur. This model of control mode transition consists of a number of factors, including the human operator's estimate of the outcome of the action (success or failure), the time remaining to accomplish the action (adequate or inadequate), and the number of simultaneous goals of the human operator at that time. CREAM is a human reliability analysis method that is based on COCOM.

Related techniques

Related techniques in safety engineering and reliability engineering include failure mode and effects analysis, hazop, fault tree, and SAPHIRE (Systems Analysis Programs for Hands-on Integrated Reliability Evaluations).

Human Factors Analysis and Classification System (HFACS)

The Human Factors Analysis and Classification System (HFACS) was developed initially as a framework to understand the role of "human error" in aviation accidents.Wiegmann and Shappell, 2003 It is based on James Reason's Swiss cheese model of human error in complex systems. HFACS distinguishes between the "active failures" of unsafe acts, and "latent failures" of preconditions for unsafe acts, unsafe supervision, and organizational influences. These categories were developed empirically on the basis of many aviation accident reports.

"Unsafe acts" are performed by the human operator "on the front line" (e.g., the pilot, the air traffic controller, the driver). Unsafe acts can be either errors (in perception, decision making or skill-based performance) or violations (routine or exceptional). The errors here are similar to the above discussion. Violations are the deliberate disregard for rules and procedures. As the name implies, routine violations are those that occur habitually and are usually tolerated by the organization or authority. Exceptional violations are unusual and often extreme. For example, driving 60 mph in a 55-mph zone speed limit is a routine violation, but driving 130 mph in the same zone is exceptional.

There are two types of preconditions for unsafe acts: those that relate to the human operator's internal state and those that relate to the human operator's practices or ways of working. Adverse internal states include those related to physiology (e.g., illness) and mental state (e.g., mentally fatigued, distracted). A third aspect of 'internal state' is really a mismatch between the operator's ability and the task demands; for example, the operator may be unable to make visual judgments or react quickly enough to support the task at hand. Poor operator practices are another type of precondition for unsafe acts. These include poor crew resource management (issues such as leadership and communication) and poor personal readiness practices (e.g., violating the crew rest requirements in aviation).

Four types of unsafe supervision are: inadequate supervision; planned inappropriate operations; failure to correct a known problem; and supervisory violations.

Organizational influences include those related to resources management (e.g., inadequate human or financial resources), organizational climate (structures, policies, and culture), and organizational processes (such as procedures, schedules, oversight).

See also

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* (A Technique for Human Event Analysis)
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* (Tecnica Empirica Stima Errori Operatori)

Footnotes

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*Federal Aviation Administration. 2009 electronic code of regulations. Retrieved September 25, 2009, from https://web.archive.org/web/20120206214308/http://www.airweb.faa.gov/Regulatory_and_Guidance_library/rgMakeModel.nsf/0/5a9adccea6c0c4e286256d3900494a77/$FILE/H3WE.pdf

Further reading

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*CCPS, Guidelines for Preventing Human Error. This book explains about qualitative and quantitative methodology for predicting human error. Qualitative methodology called SPEAR: Systems for Predicting Human Error and Recovery, and quantitative methodology also includes THERP, etc.

External links

Standards and guidance documents

IEEE Standard 1082 (1997): IEEE Guide for Incorporating Human Action Reliability Analysis for Nuclear Power Generating StationsDOE Standard DOE-HDBK-1028-2009 : Human Performance Improvement Handbook

Tools

EPRI HRA CalculatorRiskSpectrum HRA softwareSimplified Human Error Analysis Code

Research labs

Erik Hollnagel
at th
Crisis and Risk Research Centre
a
MINES ParisTech
at the US Sandia National Laboratories
Center for Human Reliability Studies
at the US Oak Ridge National Laboratory
Flight Cognition Laboratory
at NASA Ames Research Center
David Woods
at th
Cognitive Systems Engineering Laboratory
at The Ohio State University
Sidney Dekker's Leonardo da Vinci Laboratory for Complexity and Systems Thinking, Lund University, Sweden

Media coverage

“How to Avoid Human Error in IT“

“Human Reliability. We break down just like machines“
Industrial Engineer - November 2004, 36(11): 66

Networking

High Reliability Management group at LinkedIn.com

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