Human Performance Improvement Activities for Risk Reduction

H. Ujita, Naoko Matsuo
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Abstract

Inflexible or unchangeable organization is clearly supposed to include fatal risk in the system under current highly and fast developing situation, no matter how its size is. It means that any system doesn't reach the best results even if anyhow behavior's done, being not adjustable for risk reduction, due to variety and change in the system design or the organization decision-making. Namely, the Key for “the most rational optimization along with keeping the development” is actualized by using risk management adjustable to all organization or system, to solve the complicated issues struggling in current fast-changing international situation.System safety in a huge complex system is an activity that aims to improve safety by the balanced system without excess or deficiency by designing (hardware / software) and operating (human) [1]. In other words, it is the risk reduction activities to treat from the top priority of the risk. At present, the existing huge complex systems have been reduced in hardware / software risk through its countermeasures and quality assurance activities based on safety logic, so the remaining risk can be said to be an event involving humans. For this reason, risk reduction activities can be described as human performance improvement activities. Furthermore, continuing this activity will eventually lead to the improvement of the safety culture. In other words, what we want to emphasize here is that "system safety", "risk reduction activities", "human performance improvement activities", and "improvement of safety culture" have similar purposes and contents.In order to reduce the risk, it must be firmly suppressed in the original design process, so the safety concept is thoroughly incorporated into the system based on risk management at the design stage before operation. Next step, implement risk reduction measures are considered based on risk management at the construction or operation stages. As a response to the problem that remains even after taking measures in advance, that is, a risk that occurs at the stage of using equipment or processes, an error is detected and the countermeasure is taken. Therefore, we will first understand the vulnerabilities at the time of implementation and the weaknesses in human relationships between organizations and teams. As countermeasures, it is most important to give feedback to the hardware, next to software, and when it is not possible, it is important to take countermeasures by the organization or team, not to blame the individual. Measures against human errors are implemented by the devices and the mechanisms rather than the discipline. In summary, it is necessary to enhance performance for dealing with problems that are anticipated in advance, and then to enhance error detection that remains even after setup.Humans always make an error with a certain probability, but they are also flexible entities that can respond to ingenuity in any event. HPI, Human Performance Improvement is a system safety activity to reduce risk due to the human behavior in the system by understanding and optimizing human characteristics by using the Cause Analysis and the Risk Analysis. While humans can demonstrate high abilities, they have the characteristic that misrecognition and judgment errors are easy to occur in some circumstances. In such situation, HPI tools such as Tool Box Meeting, Peer Review, etc. are useful for preparing high reliable activities at the site. HPI means creating the environment where human abilities can be maximized. References[1] Ujita, H., Matsuo, N.: ‘System Safety, Risk Management, and Human Performance Improvement’, HCI2020, 2020.7, Virtual.
降低风险的人力绩效改进活动
在当前高速发展的形势下,无论组织规模有多大,不灵活或不可改变的组织显然都包含了系统中的致命风险。这意味着,由于系统设计或组织决策的变化和变化,任何系统都不能达到最佳结果,即使无论如何都做了行为,也不能调整以降低风险。即通过运用适用于所有组织或系统的风险管理,解决当前瞬息万变的国际形势下面临的复杂问题,实现“最合理的优化与保持发展”的关键。在一个巨大的复杂系统中,系统安全是一项旨在通过设计(硬件/软件)和操作(人)bb0,使系统平衡而不过量或不足,从而提高安全性的活动。换句话说,它是从风险的最高优先级来处理风险的降低活动。目前,现有的庞大复杂系统通过其基于安全逻辑的对策和质量保证活动,已经降低了硬件/软件风险,因此剩余的风险可以说是一个涉及人类的事件。出于这个原因,风险降低活动可以被描述为人类绩效改进活动。此外,继续进行这项活动将最终导致安全文化的改善。换句话说,我们在这里要强调的是,“系统安全”、“降低风险活动”、“人的绩效改进活动”和“安全文化的改进”具有相似的目的和内容。为了降低风险,必须在最初的设计过程中坚决抑制,因此在运行前的设计阶段,基于风险管理,将安全理念彻底纳入系统。下一步,根据施工或运营阶段的风险管理,考虑实施降低风险的措施。作为对预先采取措施后仍然存在的问题的响应,即在设备或工艺使用阶段发生的风险,检测到错误并采取对策。因此,我们将首先了解实现时的弱点以及组织和团队之间人际关系中的弱点。作为对策,最重要的是向硬件提供反馈,其次是软件,当不可能时,重要的是由组织或团队采取对策,而不是责怪个人。针对人为错误的措施是由设备和机制而不是纪律来实施的。总而言之,有必要提高处理预先预期的问题的性能,然后提高设置后仍然存在的错误检测。人类总是有一定的概率犯错,但他们也是灵活的实体,可以在任何情况下对独创性做出反应。HPI,人类绩效改进是一种系统安全活动,通过使用原因分析和风险分析来理解和优化人类特征,从而降低系统中人类行为带来的风险。虽然人类可以表现出很高的能力,但他们有一个特点,即在某些情况下很容易发生误认和判断错误。在这种情况下,HPI工具,如工具箱会议、同行评审等,对于在现场准备高可靠的活动是有用的。HPI意味着创造人类能力可以最大化的环境。参考文献[1]Ujita, H., Matsuo, N.:“系统安全,风险管理和人员绩效改进”,hci2020,2020.7,虚拟。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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