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使用SHERPA和模糊推理系统方法对公路卡车装卸石油产品过程中的人为错误识别与风险评估

Human error identification and risk assessment in loading and unloading of petroleum products by road trucks using the SHERPA and fuzzy inference system method.

作者信息

Aliabadi Mostafa Mirzaei, Mohammadfam Iraj, Khorshidikia Samane

机构信息

Center of Excellence for Occupational Health, Occupational Health, and Safety Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.

Department of Ergonomics, Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Science, Tehran, Iran.

出版信息

Heliyon. 2024 Jul 4;10(15):e34072. doi: 10.1016/j.heliyon.2024.e34072. eCollection 2024 Aug 15.

Abstract

Human error constitutes one of the primary causes of accidents, particularly in the context of loading and unloading operations involving road trucks, especially those carrying petroleum products. The process of identifying and evaluating human errors within these operations involves several key steps. Initially, all sub-tasks associated with loading and unloading are meticulously identified and analyzed utilizing Hierarchical Task Analysis (HTA), achieved through direct observation, document examination, and interviews. Subsequently, potential human error modes within each task are delineated using the Systematic Human Error Reduction and Prediction Approach (SHERPA). Finally, essential data for determining the criticality, probability, and severity of each error are gathered through expert elicitation and the application of Fuzzy Inference Systems (FIS). Through the analysis of SHERPA worksheets, a total of 37 errors during loading operations and 14 errors during unloading operations of petroleum products were identified. Among these errors, the predominant category during loading operations was action errors, comprising 31 instances, while communication errors were the least frequent, occurring only twice. Similarly, action errors were most prevalent during unloading operations, constituting 13 instances. These errors were further categorized and ranked based on their risk levels, resulting in 27 levels for loading operations and 12 levels for unloading operations. The consistent occurrence of action errors underscores the need for implementing control measures to mitigate their frequency and severity. Such strategies may include periodic training sessions to reinforce proper work procedures and the development of monitoring checklists, among other interventions.

摘要

人为错误是事故的主要原因之一,特别是在涉及公路卡车装卸作业的情况下,尤其是那些运输石油产品的卡车。识别和评估这些作业中的人为错误过程涉及几个关键步骤。首先,利用层次任务分析(HTA),通过直接观察、文件审查和访谈,精心识别和分析与装卸相关的所有子任务。随后,使用系统的人为错误减少和预测方法(SHERPA)描绘每个任务中的潜在人为错误模式。最后,通过专家征询和模糊推理系统(FIS)的应用,收集确定每个错误的关键性、概率和严重性的基本数据。通过对SHERPA工作表的分析,在石油产品装载作业中总共识别出37个错误,在卸载作业中识别出14个错误。在这些错误中,装载作业中最主要的类别是行动错误,有31例,而沟通错误最少,仅发生两次。同样,卸载作业中行动错误最为普遍,有13例。这些错误根据其风险水平进一步分类和排序,装载作业有27个等级,卸载作业有12个等级。行动错误的持续出现凸显了实施控制措施以降低其发生频率和严重性的必要性。此类策略可能包括定期培训课程以强化正确的工作程序以及制定监测清单等其他干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a0/11320127/b9c9e00cae97/gr1.jpg

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