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