Applications of integrated human error identification techniques on the chemical cylinder change task

Classification and quantification of human error in air traffic control: a case study in an airport control tower

This study aims at exploring human error in an airport control tower through the technique for the retrospective and predictive analysis of cognitive error (TRACEr) and the controller action reliability assessment (CARA) method. Despite the presence of automated safety nets, air traffic control (ATC) is heavily dependent upon the capabilities of humans. A number of ATC-relevant accidents were characterized by human errors. The data related to error dimensions were collected through interview and direct observation. Then, human error probability and error-producing conditions were evaluated by the CARA method. The results showed that selection and quality, memory, distraction/preoccupation, and traffic and airspace have the highest percentage error rates. Furthermore, the results indicated that the highest probability of error was associated with emergency situation management. This study is the first research to classify and quantify human errors using the TRACEr and the CARA method to evaluate controller error in ATC.

Latent error detection: A golden two hours for detection

Undetected error in safety critical contexts generates a latent condition that can contribute to a future safety failure. The detection of latent errors post-task completion is observed in naval air engineers using a diary to record work-related latent error detection (LED) events. A systems view is combined with multi-process theories to explore sociotechnical factors associated with LED. Perception of cues in different environments facilitates successful LED, for which the deliberate review of past tasks within two hours of the error occurring and whilst remaining in the same or similar sociotechnical environment to that which the error occurred appears most effective. Identified ergonomic interventions offer potential mitigation for latent errors; particularly in simple everyday habitual tasks. It is thought safety critical organisations should look to engineer further resilience through the application of LED techniques that engage with system cues across the entire sociotechnical environment, rather than relying on consistent human performance.