Professional Documents
Culture Documents
Hfacs - Sis
Hfacs - Sis
ACTS
Errors Violations
unconsciousness consciousness
UNSAFE
ACTS
Errors Violations
Skill–based
Decision Rule–based Knowledge-
Routine Exceptional
Errors
Error Error based Errors
unconsciousness consciousness
UNSAFE
ACTS
Errors Violations
Skill–based Skill-Based
Rule–based Knowledge-
Routine Exceptional
Error Errors
Error based Errors
RULE-BASED ERRORS
Ketidaksesuaian penerapan prosedur
Keputusan secara sadar
- Penggunaan alat/peralatan/APD
- Prioritas kerja
- Procedural
- Penilaian situasi
- Persepi
unconsciousness consciousness
UNSAFE
ACTS
Errors Violations
Knowledge-based
Error
Situasi tidak dikenali
incorrect action
- Proses informasi
- Pengetahuan
- Prosedur
unconsciousness consciousness
UNSAFE
ACTS
Errors Violations
ROUTINE
Errors Violations
EXCEPTIONAL
unconsciousness consciousness
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
PHYSICAL ENVIRONMENT
Kondisi lingkungan di area operasional
- Energi
- Instalasi
- Kondisi jalan/area kerja
- Kondisi lingkungan
- Housekeeping
- Ergonomik
- Kondisi lainnya (cuaca, confined space, banjir, dll)
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
TECHNOLOGICAL ENVIRONMENT
Ketersediaan dan desain perangkat-
perangkat kerja
- APD
- Pelindung & safety device
- Rambu/tanda peringatan
- Alat & peralatan
- Desain
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
ADVERSE MENTAL STATE
Penurunan kondisi mental dari
biasanya
- Psikologis
- Kesadaran
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
ADVERSE PHYSIOLOGICAL
STATES
Kondisi medis dan fisik yang
mengalami penurunan dari kondisi
biasanya
- Medis
- Fatigue
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
PHYSICAL/MENTAL
LIMITATIONS
keterbatasan/gangguan pada kondisi fisik
dan mental secara permanen
- Keterbatasan mental
- Kekurangan sensori
- Keterbatasan fisik
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
COORDINATION & COMMUNICATION
Proses interaksi dalam operasi kerja
- Koordinasi
- Komunikasi
PRECONDITIONS
FOR
UNSAFE ACTS
Physical Technological
Environmental Environmental
WORKERS READINESS
Kesiapan karyawan untuk bekerja sesuai
ketentuan sebelum aktivitas pekerjaan di
mulai
- Kurang tidu
- Nutrisi tidak memadai
- Kebugaran fisik
- Berada di bawah pengaruh alkohol
- Berada di bawah pengaruh obat
UNSAFE
LEADERSHIP
Planned
Inadequate Failed to Correct Leadership
Inappropriate
Leadership Known Problem Violation
Activities
UNSAFE
LEADERSHIP
SUPERVISION
Planned
Inadequate Failed to Correct Leadership
Inappropriate
Leadership
Supervision Known Problem Violation
Activities
INADEQUATE LEADERSHIP
Pembimbing/Pendamping
Pelaksanaan Training
Insentif
Pengetahuan/Keterampilan Kepemimpinan
Prosedur dan Kebijakan
UNSAFE
LEADERSHIP
SUPERVISION
Planned
Inadequate Failed to Correct Leadership
Inappropriate
Leadership Known Problem Violation
Operations
Activities
PLANNED INAPPROPRIATE
ACTIVITIES
Perencanaan Kerja/Tugas
Penugasan Pekerja
Perencanaan Keselamatan
Pengawasan Kepemimpinan
UNSAFE
SUPERVISION
LEADERSHIP
FAILED TO CORRECT
KNOWN PROBLEM
Bahaya & Risiko
Kebijakan/Prosedur
Perawatan/Tindakan Perbaikan
UNSAFE
SUPERVISION
LEADERSHIP
Planned
Inadequate Failed to Correct Leadership
Inappropriate
Leadership Known Problem Violation
Activities
LEADERSHIP VIOLATIONS
Pelanggaran peraturan dan prosedur
Instruksi kerja tidak sesuai peraturan dan
prosedur
Toleransi terhadap pelanggaran
Penugasan pekerjaan
Menyalahgunakan wewenang jabatan
ORGANIZATIONAL
INFLUENCES
RESOURCE MANAGEMENT
Manusia
Keuangan
Peralatan/Fasilitas
ORGANIZATIONAL
INFLUENCES
ORGANIZATIONAL
CLIMATE
Struktur
Kebijakan
Budaya
ORGANIZATIONAL
INFLUENCES
ORGANIZATION
PROCESS
Operasional
Prosedur
Pengawasan