Unit 5
Unit 5
Human factors
MISTAKES SLIPS
Knowledge Rule
             Interpretation          Plan
  Stimulus                                        Action
  Evidence     Situation          Intention of   Execution
              Assessment             Action
        LAPSES &
        MODE ERRORS
                                   Memory
Taxonomy of Human Error
Mistakes
   • Mistakes – failure to come up with appropriate
     solution
     • Takes place at level of perception, memory, or cognition
   • Knowledge-based Mistakes – wrong solution
     because individual did not accurately assess the
     situation.
     • Caused by poor heuristics/biases, insufficient info, info
       overload
   • Rule-based Mistakes – invoking wrong rule for
     given situation
     • Often made with confidence
Taxonomy of Human Error
Slips
  • Slips – Right intention incorrectly executed (oops!)
    • Capture errors – similar situation elicits action, which may
      be wrong in “this” situation. Likely to result when:
       • Intended action is similar to routine behavior
           • Hitting enter key when software asks, “sure you want to exit without
             saving?”
       • Either stimulus or response is related to incorrect response
           • Hit “3” instead of “#” on phone to hear next message, because “3” is
             what I hit to hear the first message
       • Response is relatively automated, not monitored by consciousness
           • Re-starting your car while the engine is already running
Taxonomy of Human Error
Lapses & Mode Errors
   • Lapses – failure to carry out an action
     • Error of Omission (working memory)
     • Examples: Forgetting to close gas cap, failure to put
       safety on before cleaning gun, failure to remove objects
       from surgical patient
   • Mode Errors – Making the right response, but while
     in the wrong mode of operation
     • Examples: leave keyboard in shift mode while trying to
       type a numeral, driving in wrong gear, going wrong
       direction because display was north-up when thought it
       was nose-up
Human Reliability Analysis
     • Human Reliability Analysis – predict reliability of
       system in terms of probability of failure or mean time
       between failures (MTBF) when system is designed to work
       in parallel or series
                                                       Parallel
                        Series
                                                           .9
                   .9            .9
                                                           .9
          Reliability = .9 x .9 = .81   Reliability = 1 – [(1 - .9) (1 - .9)]
          P(failure) = 1 - .81 = .19                = 1 - .01 = .99
   (see homework) (HW answers)          P(failure) = 1 - .99 = .01
Technique for Human Error Rate Prediction
(THERP)
 THERP components
1. Human Error Probability
     •     Ratio of errors made to possible errors
2.       Event Tree
     •     Diagram showing sequence of events
           •   Probability of success or failure for each component
3.       Other Moderating Factors
     •     May add in multiplier to account for variables such as experience
           level, time, stress, etc.
Error Prevention / Remediation
   1.        Task Design – design tasks with working memory
             capacity in mind
   2.        Equipment Design
        a)     Minimize perceptual confusions – ease of
               discrimination
               •   Ex: airplane controls that feel like what they do (flaps, wheels)
        b)     Make consequences of action visible – immediate
               feedback
               •   Ex: preview window in some software programs
        c)     Lockouts – design to prevent wrong actions
               •   Ex: car that will not let you lock door from outside without key
        d)     Reminders – compensate for memory failures
               •   Ex: ATM reminds you to take your card
Error Prevention / Remediation (continued)
    3.       Training – provide opportunity for mistakes in
             training, so can learn from them
         •     Ex: Simulation
    4.       Assists and Rules – checklists to follow
         •     Ex: Pilot pre-flight checklist
    5.       Error-tolerant systems – system allows for error
             correction or takes over when operator makes
             serious error
         •     Ex: Undo button
Approaches to Hazard Control
      • Optimization standpoint - the most critical or
        “high-risk” hazards should receive top priority
          • e.g. MIL-STD-882B categories of hazard (matrix combines
            frequency and severity categories)
                                     Severity
    Frequency    Catastrophic       Critical        Marginal       Negligible
    Frequent           1               3                7              13
    Probable           2               5                9              16
    Occasional         4               6               11              18
    Remote             8               10              14              19
    Improbable        12               15              17              20
                                1 = Highest priority, 20 = Lowest priority
Hazard Control Priority
  Reduce Hazards by:
    1.   Source – designing out a hazard
         • Baby items too large to swallow
    2.   Path – barrier or safeguard
         • Guard on back of lawnmower to protect toes
    3.   Person – change behavior with training or warnings
         • Warning: fan blades can turn on while engine is off
    4.   Administrative controls – rules mandating behavior
         • Must wear safety belts
Safety Analysis
   Sequence for identifying potential hazards and
      recommendations for hazard reduction: (Weinstein et al. 1978)
     1.   Task Analysis – How will product be used?
     2.   Environment Analysis – Where will product be used?
     3.   User Analysis – Who will use product?
     4.   Hazard Identification – What is likelihood of hazard with product?
     5.   Generate Methods for Hazard Control – What might eliminate
          hazards?
     6.   Evaluate Alternatives – How will alternative designs affect product
          performance?
     7.   Select Hazard Control – Given alternatives, what is best design to
          minimize hazards?
Hazard Identification
    Methods for identifying potential hazards:
       • Preliminary Hazards Analysis
          • simplest method
          • Development of a list of the most obvious hazards
       • Failure Modes and Effects Criticality Analysis (FMECA)
          • Breaking down of physical system into subassemblies
          • Each subassembly is broken down further and each component is
            analyzed
          • Effect of each component’s failure on other components is estimated
       • Fault Tree Analysis
          • Top-down process
          • Works from incident to possible causes
Accident Investigation
 Fact-Finding (OSHA recommendations)
 • Interview witnesses as soon after accident as possible
 • Inspect accident site before changes occur
 • Take photos/sketches of scene
 • Record all pertinent data on maps
 • Get copies of all reports
 • Obtain documents containing normal operating procedures/
   maintenance charts, reported abnormalities
 • Keep complete accurate notes in bound notebook
 • Record pre-accident conditions, accident sequence,
   post-accident conditions
 • Document location of victims, witnesses, machinery, energy
   sources, and hazardous materials
Accident Investigation
Levels of Causes
                 Management Safety Policy & Decisions
    BASIC                Personal Factors
    CAUSES             Environmental factors
    INDIRECT
                  Unsafe Act                   Unsafe
    CAUSES                                    Condition
    (SYMPTOMS)
                             ACCIDENT
                            Personal Injury
                           Property Damage
Safety Programs
1.       Identify risks to the company
     ▪     identify hazards, hazard controls, accident frequency, & company losses
           due to accidents/incident claims
2.       Implement safety programs, includes:
     ▪     management involvement, accident investigation, recommendations for
           equipment, safety rules, personal protective equipment, employee training,
           safety promotion
3.       Measuring program effectiveness
     ▪     evaluated by assessing changes in safety behaviors, accident/incident
           rates, number of injuries or death, and number of days off due to injury
Risk-Taking and Warnings
• Disadvantages:
• a. The workers find it difficult to understand.
• b. Discourages workers to over-achieve.
• c. Workers may not like sharing of profit for over-achievement.
• Some of the time based incentive plans are:
• For example, if rate per hour is Rs.3and standard time for completion of job is 10
  hours.
• A worker completes the job in 8 hours, his total wages will be:
• W=8×3+ (10-8)/10x 8x 3=
• ANS=Rs.28.4
III. Emerson’s Efficiency Plan
• This system was introduced by Taylor, the father of scientific management. The main
  characteristics of this system are that two rates of wage one lower and one higher are
  fixed. A lower rate for those workers who are not able to attain the standard output
  within the standard time; and a higher rate for those who are in a position to produce
  the standard output within or less than the standard time.
• For example, if standard production in 8 hours is fixed at 10 units. The lower
  piece rate is Rs.3 and higher piece rate is Rs.3.5. If a worker produces 9 units,
  his wages = 9 x 3 = Rs.27. In case a worker produces 10 units, his wages = 10 x
  3.5 = Rs.35.
• Advantages:
• a. Provides incentives to efficient worker.
• b. Inefficient worker is penalized.
• c. This system is simple and easy to implement.
• Disadvantages:
• a. Minimum wage is not assured,
• b. There are chances that quality of work may suffer,
• c. This system is not liked by below average workers, as they do not get any incentive
II. Merrick’s Multiple Piece Rate Plan:
• To overcome the limitations of Taylor’s differential piece rate system, Merrick
  suggested a modified plan in which, three-piece rates are applied for workers with
  different levels of performance.
• These are:
• a. Workers producing less than 83% of the standard output are paid at basic rate.
• b. Workers producing between 83% and 100% of standard output will be paid 110% of
  basic piece rate.
• c. Those producing more than 100% of the standard output will be paid 120% of basic
  piece rate.
• Advantages:
• a. Efficient workers are rewarded handsomely.
• b. Minimum wages are guaranteed.
• Disadvantages:
• a. There is wide gap in slabs of differential wage rate.
• b. Over emphasis on high production rate.
WHAT IS KRA (Key Result Areas)?
 • KRAs or Key Result Areas are the mail objectives for which you
   perform your task or role in the organization. It is generally the
   purpose of your role and not a list of your daily activities on the
   job and has a border perspective of performance with standards
   of achievements.
 • KRAs capture about 80% to 90% of a work role. The remainder
   of the role is usually devoted to areas of shared activities. (E.g.
   helping team members, participating in the activities for the
   good of the organization)
KRA (Key Result Areas)
• Once KRA has been decided and agreed upon with your supervisor it
  gives you the following advantages:
• Clarity on expectation from the job.
• To improve focus and hence Performance.
• Helps develop Skills, Ability and Knowledge.
• Provide a sense of achievement
• Helps manage time effectively and balance your life.
• Helps in performance appraisal discussion and career progression
• In communicating their roles and purposes to others
Ergonomics
• Ergonomics is the scientific study of how people interact
  effectively with products, equipment, facilities, procedures and
  environments used at work and in everyday living.
• Ergonomics seeks to match the design of machines, jobs and
  workplaces with the capabilities, limitations and needs of people.
• Ergonomics seeks to maximize ease of use and optimize
  operator productivity, comfort and health.
Ergonomics definition
by the International Ergonomics Association (IEA) Executive
Council
       Use the autoscroll feature, the up or down arrows or the end and
       home keys on the keyboard
Awkward and Sustained Posture
Awkward postures that are sustained over periods of time can cause muscle tension, reduce blood flow and
even pinch nerves. Maintaining a more neutral posture over time can help reduce discomfort
   Hard desk edge against forearm.                     Front edge of seat against calf.
Computer user discomfort reports
                                 Why is
                                 ergonomics
                                 important?
                                 Exposure to an
                                 ergonomic risk
                                 factor increases
                                 the likelihood that
                                 you will
                                 experience
                                 discomfort.
There are many ways people position
themselves to use their computer
So let’s learn the ideal way….
   Four areas of focus
Guidelines on how
to ideally adjust                                 4
your workstation to
fit you will focus on                   Eyes to screen
four areas. These
will be reviewed                        Hands to mouse
one at a time.                           and keyboard
These steps will
                                                         1
guide you through                            3               Body to chair
the adjustments
you need making
them personal to
you. The goal is to
help you find the
position in which
you can work
comfortably
                                    2
                    Feet to floor
   Body to chair
The first point of
focus is body to
chair. This
considers how
your workstation
seating affects
your back,
shoulders, hips
and upper legs.
This section
reviews the key
chair adjustments
including seat
height, seat
depth, backrest
support and
armrests.
Click on the picture of your chair
to open adjustment instructions.
                                     D
Chair adjustment sequence
    Please follow these in order
                                                                   D
   Feet to floor
The second
area of focus
is feet to floor.
This considers
how
equipment at
your
workstation
affects the
position of         Kno
your lower           w
legs, ankles
If your feet are unsupported…
                                                                   With
 Center of gravity
                                                                   unsupported
 has moved
                                                                   feet, the user
 forward. To
                                                                   may “slouch
 maintain balance,
                                                                   sit” which puts
 feet are on rungs
                                                                   significant
 of chair and the
                                                                   pressure on
 user leans
                                                                   the low back.
 forward.
Without ideal support for your feet, your body will adjust itself and this
may lead to lower back discomfort.                                            Why
  Hands to mouse and keyboard
Hands to
keyboard and
mouse focuses
on how
equipment in
your
workstation
affects the
posture of your
hands, wrists,
arms and
shoulders. This
section will
review how to
best position
the keyboard
and mouse.
Height
Keyboard and mouse should be located on the same level and
elbows should be 90 degrees
              Keyboard and mouse just right
Armrests allow relaxed shoulders and the keyboard and mouse are close to the
user
                                                                               D
Keeping it Neutral
Do: Keep wrists flat   Don’t: Angle wrists back
                                                  D
Do I need a wristrest?
       Wrist resting and putting               Wrist free. Meaty part of the hand
       pressure on the nerve                   resting with no pressure on the
                                               nerve.
                                               This is a PALM SUPPORT
    Studies have shown an increase in pressures within the carpal canal when
    keyboarding with anchored wrists. There should be no pressure on the wrists,
    ever, including watchbands, hair ties, or rubberbands. If you learned to type with
    anchored wrists, then use of a palm support may reduce your risk
                                                                                         D
Do I need an ergonomic keyboard?
     Ergonomic keyboards do one thing: Prevent ulnar
                       deviation
There are many alternative keyboards on the market. Not everything that is marketed
as ergonomic really is.
The purpose of an ergonomic keyboard is to eliminate awkward bending of the wrists,
primarily on the right. Not everyone will need an ergonomic keyboard, only those
demonstrating this wrist position.
Other alternative keyboards eliminate the number pad, thereby allowing the mouse to
sit closer to the user on the right.                                                Why
Do I need an “ergonomic” mouse
    There are even more alternative mice
    on the market than there are
    alternative keyboards.
    Manufacturers have a monetary
    interest in telling you how bad your
    current mouse is and how much better
    their expensive mouse will make you
    feel.
    Buyer beware.
    A trained professional is the best
    person to help determine if an
    “alternative” mouse is right for you.   Kno
                                             w
  Eyes to screen
This considers
the aspects of
your
workstation
that effect
your vision.
This section
will review the
position of
your monitor/s
and the ideal
height for you.
                   Kno
                    w
Single monitor
Position
 To maintain eyes to
 monitor/screen:
 Raise laptop screen
                               D
Laptop only
       The top 1-2” of the computer monitor is   The top of the computer monitor is
       LEVEL with the eye. This allows the       LOWER than the eye, due to
       eye to have a 15-30 degree downward       placement of the lenses in the glasses
       gaze which is ideal.                      for that distance. This allows the eye to
                                                 have a 15-30 degree downward gaze
                                                 which is ideal.                         D
Common monitor height mistakes
                                             Bifocal user
Non bifocal user
                                                                          Why
•Assessment of postures and
 identification of risks to body
             regions.
Physical Ergonomics and Work
Related Musculoskeletal Disorder
(WRMSD)
 Physical Ergonomics is concerned with human anatomy,
anthropometry, physiology and bio mechanical characteristics as
they relate to physical activity in work or daily life.
Every year 1.8 million U.S. workers experience WRMSDs and nearly
600,000 of the injuries are serious enough to cause workers to miss
work.
Ergonomic risk factors common in the office
Click on each to learn more.
                               Awkward posture
                               Sustained posture
                               Musculoskeletal Disorder
                                                                    Kno
                                                                     w
  Rapid Upper Limb Assessment (RULA)
• Rapid Upper Limb Assessment (RULA) method was designed to analyze the
  biomechanical/postural stresses on worker‟s Upper limbs and to identify the muscular
  effort associated with a work posture. The RULA ergonomic assessment tool is in
  conformity with the European directive 90/270/EEC.
• RULA uses a systematic process to evaluate required postures related to work cycle,
  muscle use frequency and forceful exertions.
• The RULA assessment requires the determination of joint angles of different body parts
  (shoulder, elbow, wrist, trunk and neck). This method was developed to investigate the
  exposure to the individual risk factors assicoted with Musculoskeletal disorders (MSDs).
  Validated by several studies, RULA method is used by many ergonomists around the
  world.
  Rapid Upper Limb Assessment (RULA)
• The Rapid Upper Limb Assessment (RULA) (RULA) is an ergonomics based workplace risk
  assessment tool that allows you to calculate the risk of musculoskeletal loading within the upper
  limbs and neck. RULA is easy and quick to use and and does require expensive equipment to
  complete.
• RULA is designed to be a rapid tool.
• The published toolis validated and has been tested by McAtamney and Corlett and
  many others as reliable.
• The final score is a relative score of risk not an absolute score of risk.
• RULA is intended to be part of a broader ergonomics survey.
• RULA is a screening tool that assesses biomechanical and postural loading on the whole body
  with particular attention to the neck, trunk and upper limbs.
• A RULA assessment requires little time to complete and the scores generated fit into an action
  list which indicates the level of intervention required.
• RULA‟s useful scoring system allows you to take a snapshot of the highest risk posture adopted
  during the task. The scoring system is broken down into four actions levels with indications in as
  to the urgency of the investigation.