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Makalah Pak Nasrul - Human Faktor - IMAC
Makalah Pak Nasrul - Human Faktor - IMAC
DALAM
PELAKSANAAN KESELAMATAN DAN
KESEHATAN KERJA
Oleh
Nasrul Sjarief, SE, ME
PENGERTIAN PELAKSANAAN
KESELAMATAN DAN KESEHATAN KERJA
N T
M E E istic
G E L
A M
N STE ssessaining
m
,
ent )
O P c
r
te r )
A ra vio
M SY Risk Aion, Tr PE n Ch eha
a
, t a dB
res iga
du vest
m
u an
o c e In (h
(Pr dent
i
Inc
FACILITIESnels,
(Pumps Control System, Pa
Valves, Cranes)
KASUS KECELAKAAN
INCIDENT YEAR HUMAN FACTORS CAUSES
Flixborough 1974 A poorly designated modification
Bhopal 1984 Absence of system maintenance
Chernobyl 1987 Violation of safe operational
procedures
Piper Alpha 1988 - poor communication
-break down of maintenance
procedures
- Employee did not feel they could
shut down the process without
gaining authority to do so from the
offshore management
HUMAN FACTOR
OR
AL
GA
DU
NI
IVI
ZA
HUMAN
IND
TIO
FACTOR
(Health & Safety Executive -1999)
JOB N
INCIDENT
Latent
Unsafe Plant/
Errors
Condition
PERFORMANCE
INFLUENCING FACTORS Fail to
recover situation
ORGANISATION
PERSON JOB
Failure of ACCIDENT
ACCIDENT
mitigation
HUMAN ELEMENT OF
SAFETY MEASURES
n t,
AL a l i ty , n
e )
m res
ORGANISATsoIO N
urces,
(Culture, Leadership, Re
tions)
Work patterns, Communica
(HSE, 1997)
Reason’s “Swiss-cheese”
Model of Human Error
Latent Failures
Input Organizational
Factor
Latent Failures
Unsafe
Supervision
Active Failures
Unsafe
Acts
Failed or
Absent Defenses
Accident &
Injury
HUMAN FAILURE TYPES
SLIP
OF ACTIONS
SKILL BASED
ERRORS
LAPSE OF
MEMORY
ERRORS
RULE BASED
MISTAKE MISTAKE
HUMAN
FAILURE KNOWLEDGE
BASED MISTAKE
ROUTINE
VIOLATIONS SITUATIONAL
EXEPTIONAL
HUMAN FACTOR
SLIPS
UNINTENDED
LAPSE
ACTIONS (ERROR)
MISTAKE
UNSAFE
ACTS MISTAKE
INTENDED
ACTIONS
VIOLTATION
Human Factor Spectrum
CAUSE OF INCIDENTS
Statistically ………..
Attention to FACILITIES
ACCIDENT RATE
Attention to PEOPLE =
Effectiveness of
existing OSH MS
TIME
RATIO OF INCIDENTS (by Dupont)
Fatalities
1
30 Minor Incidents
RESULT
300 Recordable Incidents
Unsafe Behavior/Situation
30 000 CAUSES
SAFETY TRIANGLE
STRUCTURE OF ACCIDENT
S
T
INTERVENTION APPROACHES
(philosophies)
Technology/
Display, automation etc
Engineering
Organisational/
New Rules, Policies, Procedures
Administrative
1. Organizational 6. Competence
Commitment and 7. Risk Taking Behavior
Communication 8. Obstacles to Safe
2. Line Management Behavior
Commitment 9. Permit to Work
3. Supervisor’s Role 10. Reporting of Accident
4. Personal Role and Near Misses
5. Workmates’
Influence
INFLUENCES ON ACCIDENT CAUSATION
(Caruana,S.A.- 2004)
SAFETY CULTURE
Safety Attitude
PERSON
ORGANISATION JOB
KESIMPULAN