Using HFACS to understand human error in railway dispatcher performance: a study of proactive safety inspection records.

IF 2 3区 工程技术 Q3 ENGINEERING, INDUSTRIAL Ergonomics Pub Date : 2025-01-01 Epub Date: 2023-12-06 DOI:10.1080/00140139.2023.2287975
Zizheng Guo, Huishan Pang, Jingyu Zhang, Jun Zhang, Jiazhe Wang, Chuanning He, Chengen Li
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Abstract

This study analyzes 4,095 proactive safety inspection records obtained from a large dispatching centre by utilising the HFACS framework. These proactive safety inspection records offer comprehensive documentation of incidents, capturing major accidents and numerous minor discrepancies and lapses that often go unnoticed in accident reports. The analysis revealed that most incidents were attributed to unsafe actions, primarily skill-based errors and poor decision-making. Additionally, contributing factors such as adverse mental states, personal readiness, and crew resource management were found to play a significant role as preconditions for unsafe acts. Path analyses further established a significant correlation between factors such as unsafe supervision, preconditions for unsafe acts, and the occurrence of unsafe acts. In our discussion, we critically evaluate the strengths and limitations of proactive safety inspection records in safety research. Moreover, we emphasise these findings' potential to enhance safety within the railway industry.

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利用HFACS了解铁路调度员工作中的人为错误:对主动安全检查记录的研究。
本研究利用HFACS框架对某大型调度中心的4095份主动安全检查记录进行分析。这些前瞻性的安全检查记录提供了全面的事故记录,记录了事故报告中经常被忽视的重大事故和许多小的差异和失误。分析显示,大多数事故归因于不安全的行为,主要是基于技能的错误和糟糕的决策。此外,不良的心理状态、个人准备和机组人员资源管理等因素也被认为是不安全行为的先决条件。路径分析进一步建立了不安全监管、不安全行为前提条件和不安全行为发生等因素之间的显著相关性。在我们的讨论中,我们批判性地评估了主动安全检查记录在安全研究中的优势和局限性。此外,我们强调这些发现在提高铁路行业安全方面的潜力。
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来源期刊
Ergonomics
Ergonomics 工程技术-工程:工业
CiteScore
4.60
自引率
12.50%
发文量
147
审稿时长
6 months
期刊介绍: Ergonomics, also known as human factors, is the scientific discipline that seeks to understand and improve human interactions with products, equipment, environments and systems. Drawing upon human biology, psychology, engineering and design, Ergonomics aims to develop and apply knowledge and techniques to optimise system performance, whilst protecting the health, safety and well-being of individuals involved. The attention of ergonomics extends across work, leisure and other aspects of our daily lives. The journal Ergonomics is an international refereed publication, with a 60 year tradition of disseminating high quality research. Original submissions, both theoretical and applied, are invited from across the subject, including physical, cognitive, organisational and environmental ergonomics. Papers reporting the findings of research from cognate disciplines are also welcome, where these contribute to understanding equipment, tasks, jobs, systems and environments and the corresponding needs, abilities and limitations of people. All published research articles in this journal have undergone rigorous peer review, based on initial editor screening and anonymous refereeing by independent expert referees.
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