HUMAN ERROR ROOT CAUSE ANALYSIS (HERCA) started after a review of the data from DOE s Occurrence Reporting Processing System (ORPS). This review showed that about two-thirds of occurrences had human error listed as a cause. Considering procedures, training and man-machine interfaceare separate categories, this number jumps to over 95% of occurrences. A critical review of the human error category within ORPS showed no differentiation of human errors into components.Enhancement Process (HPES), the NRC's Human Performance Investigative Process (HPIP), INEL's HSYS, and the commercial TAPROOT system, it was concluded that human error can be divided into eight major categories of causes, with differentiation into specific causes within each of these major categories. It was decided to adapt NRC's accident analysis techniques to DOE.HERCA does not replace standard techniques such as MORT or REASON, it supplements them. Once a more standard accident analysis technique has identified a human performance deficiency as a component in the occurrence, then the HERCA technique can be used to help the investigator determine why the human error occurred. HERCA has two basic parts; 1) the decision tree which leads the user through a series of questions with answers directing him to 2) one of eight major cause categories which categorize and define the human error root cause. HERCA emphasizes task analysis for human error analysis but also uses standard accident analysis techniques (such as Event and Causal Factor charting, change analysis, and barrier analysis) to assist the investigator in determining the true cause of occurrences with human error.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.