Title | ||
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STAMP-Based HRA Considering Causality Within a Sociotechnical System: A Case of Minuteman III Missile Accident. |
Abstract | ||
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Objective: The study contributes to human reliability analysis (HRA) by proposing a method that focuses more on human error causality within a sociotechnical system, illustrating its rationality and feasibility by using a case of the Minuteman (MM) III missile accident. Background: Due to the complexity and dynamics within a sociotechnical system, previous analyses of accidents involving human and organizational factors clearly demonstrated that the methods using a sequential accident model are inadequate to analyze human error within a sociotechnical system. Methods: System-theoretic accident model and processes (STAMP) was used to develop a universal framework of human error causal analysis. To elaborate the causal relationships and demonstrate the dynamics of human error, system dynamics (SD) modeling was conducted based on the framework. Results: A total of 41 contributing factors, categorized into four types of human error, were identified through the STAMP-based analysis. All factors are related to a broad view of sociotechnical systems, and more comprehensive than the causation presented in the accident investigation report issued officially. Recommendations regarding both technical and managerial improvement for a lower risk of the accident are proposed. Conclusion: The interests of an interdisciplinary approach provide complementary support between system safety and human factors. The integrated method based on STAMP and SD model contributes to HRA effectively. Application: The proposed method will be beneficial to HRA, risk assessment, and control of the MM III operating process, as well as other sociotechnical systems. |
Year | DOI | Venue |
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2015 | 10.1177/0018720814551555 | HUMAN FACTORS |
Keywords | Field | DocType |
human error,causal relationship,sociotechnical system,STAMP,system dynamics | Causality,System safety,Simulation,Causation,Human factors and ergonomics,Human reliability,Human error,System dynamics,Sociotechnical system,Engineering | Journal |
Volume | Issue | ISSN |
57 | 3 | 0018-7208 |
Citations | PageRank | References |
0 | 0.34 | 7 |
Authors | ||
2 |