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Abnormal Situation Management and Human Side of Safety - ASM ...

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<strong>ASM</strong><br />

Procedures Vision<br />

• Procedure content (whether automated or manual) is upto-date<br />

<strong>and</strong> provides the guidance <strong>and</strong> instruction<br />

needed to minimize, avoid <strong>and</strong> recover from deviations<br />

in operating intent, including unexpected outcomes <strong>and</strong><br />

abnormal situations.<br />

• A comprehensive usage policy <strong>and</strong> procedure<br />

development, deployment, analysis, <strong>and</strong> lifecycle<br />

management practices enable effective procedure use in<br />

appropriate situations.<br />

• Example project: Procedure<br />

Execution Failure Modes during<br />

<strong>Abnormal</strong> <strong>Situation</strong>s<br />

Underst<strong>and</strong> how <strong>and</strong> why failures occur<br />

Identify solutions to mitigate failures<br />

Common Manifestations #<br />

Inappropriate action 15<br />

Fail to detect abnormal condition 12<br />

Lack underst<strong>and</strong>ing <strong>of</strong> impact 8<br />

Fail to detect abnormal situation 4<br />

Unaware <strong>of</strong> hazard 1<br />

Total 40<br />

ERTC 15th Annual Meeting<br />

30 November 2010<br />

Istanbul, Turkey<br />

Page 22<br />

Dr. Peter Bullemer<br />

<strong>Human</strong> Centered Solutions<br />

pbullemer@applyHCS.com

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