Professional Documents
Culture Documents
Unit 5
Unit 5
Human factors
MISTAKES SLIPS
Knowledge Rule
Interpretation Plan
Stimulus Action
Evidence Situation Intention of Execution
Assessment Action
LAPSES &
MODE ERRORS
Memory
Taxonomy of Human Error
Mistakes
• Mistakes – failure to come up with appropriate
solution
• Takes place at level of perception, memory, or cognition
• Knowledge-based Mistakes – wrong solution
because individual did not accurately assess the
situation.
• Caused by poor heuristics/biases, insufficient info, info
overload
• Rule-based Mistakes – invoking wrong rule for
given situation
• Often made with confidence
Taxonomy of Human Error
Slips
• Slips – Right intention incorrectly executed (oops!)
• Capture errors – similar situation elicits action, which may
be wrong in “this” situation. Likely to result when:
• Intended action is similar to routine behavior
• Hitting enter key when software asks, “sure you want to exit without
saving?”
• Either stimulus or response is related to incorrect response
• Hit “3” instead of “#” on phone to hear next message, because “3” is
what I hit to hear the first message
• Response is relatively automated, not monitored by consciousness
• Re-starting your car while the engine is already running
Taxonomy of Human Error
Lapses & Mode Errors
• Lapses – failure to carry out an action
• Error of Omission (working memory)
• Examples: Forgetting to close gas cap, failure to put
safety on before cleaning gun, failure to remove objects
from surgical patient
• Mode Errors – Making the right response, but while
in the wrong mode of operation
• Examples: leave keyboard in shift mode while trying to
type a numeral, driving in wrong gear, going wrong
direction because display was north-up when thought it
was nose-up
Human Reliability Analysis
• Human Reliability Analysis – predict reliability of
system in terms of probability of failure or mean time
between failures (MTBF) when system is designed to work
in parallel or series
Parallel
Series
.9
.9 .9
.9
Reliability = .9 x .9 = .81 Reliability = 1 – [(1 - .9) (1 - .9)]
P(failure) = 1 - .81 = .19 = 1 - .01 = .99
(see homework) (HW answers) P(failure) = 1 - .99 = .01
Technique for Human Error Rate Prediction
(THERP)
THERP components
1. Human Error Probability
• Ratio of errors made to possible errors
2. Event Tree
• Diagram showing sequence of events
• Probability of success or failure for each component
3. Other Moderating Factors
• May add in multiplier to account for variables such as experience
level, time, stress, etc.
Error Prevention / Remediation
1. Task Design – design tasks with working memory
capacity in mind
2. Equipment Design
a) Minimize perceptual confusions – ease of
discrimination
• Ex: airplane controls that feel like what they do (flaps, wheels)
b) Make consequences of action visible – immediate
feedback
• Ex: preview window in some software programs
c) Lockouts – design to prevent wrong actions
• Ex: car that will not let you lock door from outside without key
d) Reminders – compensate for memory failures
• Ex: ATM reminds you to take your card
Error Prevention / Remediation (continued)
3. Training – provide opportunity for mistakes in
training, so can learn from them
• Ex: Simulation
4. Assists and Rules – checklists to follow
• Ex: Pilot pre-flight checklist
5. Error-tolerant systems – system allows for error
correction or takes over when operator makes
serious error
• Ex: Undo button
Approaches to Hazard Control
• Optimization standpoint - the most critical or
“high-risk” hazards should receive top priority
• e.g. MIL-STD-882B categories of hazard (matrix combines
frequency and severity categories)
Severity
Frequency Catastrophic Critical Marginal Negligible
Frequent 1 3 7 13
Probable 2 5 9 16
Occasional 4 6 11 18
Remote 8 10 14 19
Improbable 12 15 17 20
1 = Highest priority, 20 = Lowest priority
Hazard Control Priority
Reduce Hazards by:
1. Source – designing out a hazard
• Baby items too large to swallow
2. Path – barrier or safeguard
• Guard on back of lawnmower to protect toes
3. Person – change behavior with training or warnings
• Warning: fan blades can turn on while engine is off
4. Administrative controls – rules mandating behavior
• Must wear safety belts
Safety Analysis
Sequence for identifying potential hazards and
recommendations for hazard reduction: (Weinstein et al. 1978)
1. Task Analysis – How will product be used?
2. Environment Analysis – Where will product be used?
3. User Analysis – Who will use product?
4. Hazard Identification – What is likelihood of hazard with product?
5. Generate Methods for Hazard Control – What might eliminate
hazards?
6. Evaluate Alternatives – How will alternative designs affect product
performance?
7. Select Hazard Control – Given alternatives, what is best design to
minimize hazards?
Hazard Identification
Methods for identifying potential hazards:
• Preliminary Hazards Analysis
• simplest method
• Development of a list of the most obvious hazards
• Failure Modes and Effects Criticality Analysis (FMECA)
• Breaking down of physical system into subassemblies
• Each subassembly is broken down further and each component is
analyzed
• Effect of each component’s failure on other components is estimated
• Fault Tree Analysis
• Top-down process
• Works from incident to possible causes
Accident Investigation
Fact-Finding (OSHA recommendations)
• Interview witnesses as soon after accident as possible
• Inspect accident site before changes occur
• Take photos/sketches of scene
• Record all pertinent data on maps
• Get copies of all reports
• Obtain documents containing normal operating procedures/
maintenance charts, reported abnormalities
• Keep complete accurate notes in bound notebook
• Record pre-accident conditions, accident sequence,
post-accident conditions
• Document location of victims, witnesses, machinery, energy
sources, and hazardous materials
Accident Investigation
Levels of Causes
Management Safety Policy & Decisions
BASIC Personal Factors
CAUSES Environmental factors
INDIRECT
Unsafe Act Unsafe
CAUSES Condition
(SYMPTOMS)
ACCIDENT
Personal Injury
Property Damage
Safety Programs
1. Identify risks to the company
▪ identify hazards, hazard controls, accident frequency, & company losses
due to accidents/incident claims
2. Implement safety programs, includes:
▪ management involvement, accident investigation, recommendations for
equipment, safety rules, personal protective equipment, employee training,
safety promotion
3. Measuring program effectiveness
▪ evaluated by assessing changes in safety behaviors, accident/incident
rates, number of injuries or death, and number of days off due to injury
Risk-Taking and Warnings
• Disadvantages:
• a. The workers find it difficult to understand.
• b. Discourages workers to over-achieve.
• c. Workers may not like sharing of profit for over-achievement.
• Some of the time based incentive plans are:
• For example, if rate per hour is Rs.3and standard time for completion of job is 10
hours.
• A worker completes the job in 8 hours, his total wages will be:
• W=8×3+ (10-8)/10x 8x 3=
• ANS=Rs.28.4
III. Emerson’s Efficiency Plan
• This system was introduced by Taylor, the father of scientific management. The main
characteristics of this system are that two rates of wage one lower and one higher are
fixed. A lower rate for those workers who are not able to attain the standard output
within the standard time; and a higher rate for those who are in a position to produce
the standard output within or less than the standard time.
• For example, if standard production in 8 hours is fixed at 10 units. The lower
piece rate is Rs.3 and higher piece rate is Rs.3.5. If a worker produces 9 units,
his wages = 9 x 3 = Rs.27. In case a worker produces 10 units, his wages = 10 x
3.5 = Rs.35.
• Advantages:
• a. Provides incentives to efficient worker.
• b. Inefficient worker is penalized.
• c. This system is simple and easy to implement.
• Disadvantages:
• a. Minimum wage is not assured,
• b. There are chances that quality of work may suffer,
• c. This system is not liked by below average workers, as they do not get any incentive
II. Merrick’s Multiple Piece Rate Plan:
• To overcome the limitations of Taylor’s differential piece rate system, Merrick
suggested a modified plan in which, three-piece rates are applied for workers with
different levels of performance.
• These are:
• a. Workers producing less than 83% of the standard output are paid at basic rate.
• b. Workers producing between 83% and 100% of standard output will be paid 110% of
basic piece rate.
• c. Those producing more than 100% of the standard output will be paid 120% of basic
piece rate.
• Advantages:
• a. Efficient workers are rewarded handsomely.
• b. Minimum wages are guaranteed.
• Disadvantages:
• a. There is wide gap in slabs of differential wage rate.
• b. Over emphasis on high production rate.
WHAT IS KRA (Key Result Areas)?
• KRAs or Key Result Areas are the mail objectives for which you
perform your task or role in the organization. It is generally the
purpose of your role and not a list of your daily activities on the
job and has a border perspective of performance with standards
of achievements.
• KRAs capture about 80% to 90% of a work role. The remainder
of the role is usually devoted to areas of shared activities. (E.g.
helping team members, participating in the activities for the
good of the organization)
KRA (Key Result Areas)
• Once KRA has been decided and agreed upon with your supervisor it
gives you the following advantages:
• Clarity on expectation from the job.
• To improve focus and hence Performance.
• Helps develop Skills, Ability and Knowledge.
• Provide a sense of achievement
• Helps manage time effectively and balance your life.
• Helps in performance appraisal discussion and career progression
• In communicating their roles and purposes to others
Ergonomics
• Ergonomics is the scientific study of how people interact
effectively with products, equipment, facilities, procedures and
environments used at work and in everyday living.
• Ergonomics seeks to match the design of machines, jobs and
workplaces with the capabilities, limitations and needs of people.
• Ergonomics seeks to maximize ease of use and optimize
operator productivity, comfort and health.
Ergonomics definition
by the International Ergonomics Association (IEA) Executive
Council
Use the autoscroll feature, the up or down arrows or the end and
home keys on the keyboard
Awkward and Sustained Posture
Awkward postures that are sustained over periods of time can cause muscle tension, reduce blood flow and
even pinch nerves. Maintaining a more neutral posture over time can help reduce discomfort
Hard desk edge against forearm. Front edge of seat against calf.
Computer user discomfort reports
Why is
ergonomics
important?
Exposure to an
ergonomic risk
factor increases
the likelihood that
you will
experience
discomfort.
There are many ways people position
themselves to use their computer
So let’s learn the ideal way….
Four areas of focus
Guidelines on how
to ideally adjust 4
your workstation to
fit you will focus on Eyes to screen
four areas. These
will be reviewed Hands to mouse
one at a time. and keyboard
These steps will
1
guide you through 3 Body to chair
the adjustments
you need making
them personal to
you. The goal is to
help you find the
position in which
you can work
comfortably
2
Feet to floor
Body to chair
The first point of
focus is body to
chair. This
considers how
your workstation
seating affects
your back,
shoulders, hips
and upper legs.
This section
reviews the key
chair adjustments
including seat
height, seat
depth, backrest
support and
armrests.
Click on the picture of your chair
to open adjustment instructions.
D
Chair adjustment sequence
Please follow these in order
D
Feet to floor
The second
area of focus
is feet to floor.
This considers
how
equipment at
your
workstation
affects the
position of Kno
your lower w
legs, ankles
If your feet are unsupported…
With
Center of gravity
unsupported
has moved
feet, the user
forward. To
may “slouch
maintain balance,
sit” which puts
feet are on rungs
significant
of chair and the
pressure on
user leans
the low back.
forward.
Without ideal support for your feet, your body will adjust itself and this
may lead to lower back discomfort. Why
Hands to mouse and keyboard
Hands to
keyboard and
mouse focuses
on how
equipment in
your
workstation
affects the
posture of your
hands, wrists,
arms and
shoulders. This
section will
review how to
best position
the keyboard
and mouse.
Height
Keyboard and mouse should be located on the same level and
elbows should be 90 degrees
Keyboard and mouse just right
Armrests allow relaxed shoulders and the keyboard and mouse are close to the
user
D
Keeping it Neutral
Do: Keep wrists flat Don’t: Angle wrists back
D
Do I need a wristrest?
Wrist resting and putting Wrist free. Meaty part of the hand
pressure on the nerve resting with no pressure on the
nerve.
This is a PALM SUPPORT
Studies have shown an increase in pressures within the carpal canal when
keyboarding with anchored wrists. There should be no pressure on the wrists,
ever, including watchbands, hair ties, or rubberbands. If you learned to type with
anchored wrists, then use of a palm support may reduce your risk
D
Do I need an ergonomic keyboard?
Ergonomic keyboards do one thing: Prevent ulnar
deviation
There are many alternative keyboards on the market. Not everything that is marketed
as ergonomic really is.
The purpose of an ergonomic keyboard is to eliminate awkward bending of the wrists,
primarily on the right. Not everyone will need an ergonomic keyboard, only those
demonstrating this wrist position.
Other alternative keyboards eliminate the number pad, thereby allowing the mouse to
sit closer to the user on the right. Why
Do I need an “ergonomic” mouse
There are even more alternative mice
on the market than there are
alternative keyboards.
Manufacturers have a monetary
interest in telling you how bad your
current mouse is and how much better
their expensive mouse will make you
feel.
Buyer beware.
A trained professional is the best
person to help determine if an
“alternative” mouse is right for you. Kno
w
Eyes to screen
This considers
the aspects of
your
workstation
that effect
your vision.
This section
will review the
position of
your monitor/s
and the ideal
height for you.
Kno
w
Single monitor
Position
To maintain eyes to
monitor/screen:
Raise laptop screen
D
Laptop only
The top 1-2” of the computer monitor is The top of the computer monitor is
LEVEL with the eye. This allows the LOWER than the eye, due to
eye to have a 15-30 degree downward placement of the lenses in the glasses
gaze which is ideal. for that distance. This allows the eye to
have a 15-30 degree downward gaze
which is ideal. D
Common monitor height mistakes
Bifocal user
Non bifocal user
Why
•Assessment of postures and
identification of risks to body
regions.
Physical Ergonomics and Work
Related Musculoskeletal Disorder
(WRMSD)
Physical Ergonomics is concerned with human anatomy,
anthropometry, physiology and bio mechanical characteristics as
they relate to physical activity in work or daily life.
Every year 1.8 million U.S. workers experience WRMSDs and nearly
600,000 of the injuries are serious enough to cause workers to miss
work.
Ergonomic risk factors common in the office
Click on each to learn more.
Awkward posture
Sustained posture
Musculoskeletal Disorder
Kno
w
Rapid Upper Limb Assessment (RULA)
• Rapid Upper Limb Assessment (RULA) method was designed to analyze the
biomechanical/postural stresses on worker‟s Upper limbs and to identify the muscular
effort associated with a work posture. The RULA ergonomic assessment tool is in
conformity with the European directive 90/270/EEC.
• RULA uses a systematic process to evaluate required postures related to work cycle,
muscle use frequency and forceful exertions.
• The RULA assessment requires the determination of joint angles of different body parts
(shoulder, elbow, wrist, trunk and neck). This method was developed to investigate the
exposure to the individual risk factors assicoted with Musculoskeletal disorders (MSDs).
Validated by several studies, RULA method is used by many ergonomists around the
world.
Rapid Upper Limb Assessment (RULA)
• The Rapid Upper Limb Assessment (RULA) (RULA) is an ergonomics based workplace risk
assessment tool that allows you to calculate the risk of musculoskeletal loading within the upper
limbs and neck. RULA is easy and quick to use and and does require expensive equipment to
complete.
• RULA is designed to be a rapid tool.
• The published toolis validated and has been tested by McAtamney and Corlett and
many others as reliable.
• The final score is a relative score of risk not an absolute score of risk.
• RULA is intended to be part of a broader ergonomics survey.
• RULA is a screening tool that assesses biomechanical and postural loading on the whole body
with particular attention to the neck, trunk and upper limbs.
• A RULA assessment requires little time to complete and the scores generated fit into an action
list which indicates the level of intervention required.
• RULA‟s useful scoring system allows you to take a snapshot of the highest risk posture adopted
during the task. The scoring system is broken down into four actions levels with indications in as
to the urgency of the investigation.