Safety leadership and systems thinking: application and evaluation of a Risk Management Framework in the mining industry

Using systems thinking-based risk assessment methods to assess hazardous manual tasks: a comparison of Net-HARMS, EAST-BL, FRAM and STPA

Formal risk assessment is a component of safety management relating to hazardous manual tasks (HMT). Systems thinking approaches are currently gaining interest for supporting safety management. Existing HMT risk assessment methods have been found to be limited in their ability to identify risks across the whole work system; however, systems thinking-based risk assessment (STBRA) methods were not designed for the HMT context and have not been tested in this area. The aim of this study was to compare the performance of four state-of-the-art STBRA methods: Net-HARMS, EAST-BL, FRAM and STPA to determine which would be most useful for identifying HMT risks. Each method was independently applied by one of four analysts to assess the risks associated with a hypothetical HMT system. The outcomes were assessed for alignment with a benchmark analysis. Using signal detection theory (SDT), overall STPA was found to be the best performing method having the highest hit rate, second lowest false alarm rate and highest Matthews Correlation Coefficient of the four methods.Practitioner summary: A comparison of four systems thinking risk assessment methods found that STPA had the highest level of agreement with the benchmark analysis and is the most suitable for practitioners to use to identify the risks associated with HMT systems.

Representing two road traffic collisions in one Accimap: highlighting the importance of emergency response and enforcement in a low-income country

Seemingly erratic pedestrian crossing has become a major source of vehicle-pedestrian collisions on highways in Bangladesh, and across other low- and middle-income countries (LMICs). In this article, we approach the challenge from a sociotechnical systems perspective by using the Accimap method to analyse a pair of time-separated yet interconnected road traffic collisions. The first event involved a truck colliding with a road divider; in the second, fatal incident, a bus hit a university student. The traditional-style investigation conducted immediately after the collision apportioned blame to end users, that is, drivers and pedestrian; however, application of sociotechnical systems thinking revealed the contribution from lack of emergency response and enforcement among many other important factors. Results and recommendations are discussed in terms of reducing the chance and severity of such collisions across LMICs, and in terms of the need to look beyond the end-user, a focus that remains dominant in such settings. Practitioner summary: This paper applies sociotechnical systems thinking to pedestrian safety in Bangladesh by analysing two inter-connected road traffic collisions using a single Accimap. The findings emphasise the importance of implementing road safety interventions that target all system levels, and draw attention to the importance of post-collision response in low-income settings. Abbreviation: BUET: Bangladesh University of Engineering and Technology.

Risk Assessment Methods in Mining Industry—A Systematic Review

Recently, there has been a growing interest in the mining industry in issues related to risk assessment and management, which is confirmed by a significant number of publications and reports devoted to these problems. However, theoretical and application studies have indicated that risk in mining should be analyzed not only in the human factor aspect, but also in strategic (environmental impact) and operational ones. However, there is a lack of research on systematic literature reviews and surveys of studies that would focus on these identified risk aspects simultaneously. Therefore, the purpose of this article is to develop a literature review in the area of analysis, assessment and risk management in the mining sector, published in the last decade and based on the concept of a human engineering system. Following this, a systematic search was performed with the use of Primo multi-search tool following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The main inclusion criteria were: (a) not older than 10 years, (b) article written in English, (c) publication type (scientific article, book, book chapter), (d) published in chosen electronic collections (Springer, Taylor and Francis, Elsevier, Science Direct, JSTOR). This resulted in the selection of the 94 most relevant papers in the area. First, the general bibliometric analysis was conducted. Later, the selected papers in this review were categorized into four groups and the critical review was developed. One of the main advantages of this study is that the results are obtained from different scientific sources/databases thanks to using a multi-search tool. Moreover, the authors identified the main research gaps in the area of the implementation of risk management in the mining industry.

Evaluation of construct and criterion-referenced validity of a systems-thinking based near miss reporting form

The validity of methods is an ongoing issue in ergonomics. Inconsistent definitions and approaches to evaluation exacerbate this challenge. In this study, the construct and criterion-referenced validity of a new near miss reporting form was evaluated to determine the extent to which it comprehensively captures near miss incidents and is aligned with the systems thinking approach to accident causation. Interview data were used as the reference standard in the evaluation. Using signal detection theory (SDT), a high average hit rate (HR), predictive value (PV) and sensitivity index (SI) were found, with an almost perfect ranking for the index of concordance. The findings show that the reporting form has strong construct and criterion-referenced validity. It is proposed that the approach used in this study could be used by researchers and practitioners when testing the validity of incident data collection tools. Practitioner summary: The validity of methods is a key issue in ergonomics. In this study, we test the validity of a near miss reporting form using interview data as a standard. This approach could be used by practitioners when testing the validity of other ergonomics methods.

Evaluating sociotechnical dynamics in a simulated remotely-piloted aircraft system: a layered dynamics approach

As coordination mechanisms change and technology failures occur, a sociotechnical system must reorganise itself across human and technological layers to maintain effectiveness. We present a study examining reorganisation across communication, controls and vehicle layers of a remotely-piloted aircraft system (RPAS) using a layered dynamics approach. Team members (pilot; navigator; photographer) performed 5 simulated RPAS missions using different operator configurations, including all-human and human-autonomy teams. Reorganization (operationally defined using entropy) time series measured the changing system reorganisation profiles under different operator configurations and following autonomy failures. Correlations between these reorganisation profiles and team effectiveness scores describe the manner in which the system had to be coordinated to maintain effectiveness under these changing conditions. Four unplanned autonomy failures were analysed to visualise system reorganisation following a technology failure. With its objective and real-time modelling and measurement capabilities, layered dynamics complements existing systems thinking tools for understanding sociotechnical complexity and enhancing system effectiveness. Practitioner summary: A layered dynamics approach for understanding how a sociotechnical system dynamically reorganises itself is presented. The layered dynamics of RPAS were analysed under different operator configurations and following autonomy failures. Layered dynamics complements existing system-thinking tools for modelling sociotechnical system complexity and effectiveness. Abbreviation: RPAS: remotely-piloted aircraft system; HIS: human-systems integration; EAST: event analysis of systemic teamwork; H1: hypothesis 1; H2: hypothesis 2; H3: hypothesis 3; CERTT-STE: cognitive engineering research on team tasks--synthetic task environment; AVO: air vehicle operator; PLO: payload operator; DEMPC: data exploitation, mission planning, and communications; ACT-R: adaptive control of thought-rational; sec: seconds; ANOVA: analysis of variance.

What went right? An analysis of the protective factors in aviation near misses

Learning from successful safety outcomes, or what went right, is an important emerging component of maintaining safe systems. Accordingly, there are increasing calls to study normal performance in near misses as a part of safety management activities. Despite this, there is limited guidance on how to accomplish this in practice. This article presents a study in which using Rasmussen's risk management framework to analyse 16 serious incidents from the aviation domain. The findings show that a network of protective factors prevents accidents with factors identified across the sociotechnical system. These protective networks share many properties with those identified in accidents. The article demonstrates that is possible to identify these networks of protective factors from incident investigation reports. The theoretical implications of these results and future research opportunities are discussed. Practitioner Statement: The analysis of near misses is an important part of safety management activities. This article demonstrates that Rasmussen?s risk management framework can be used to identify networks of protective factors which prevent accidents. Safety practitioners can use the framework described to discover and support the system-wide networks of protective factors.