Humans Make Mistakes...Which Cause Events

  • Type:
    Conference Presentation
  • Conference Type:
    AIChE Spring Meeting and Global Congress on Process Safety
  • Presentation Date:
    April 2, 2019
  • Duration:
    30 minutes
  • Skill Level:
    Intermediate
  • PDHs:
    0.50

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When reviewing investigations reports associated with Loss of Primary Containment (LOPC) events, it is not uncommon to find human error identified as a cause. However, if you take a closer look at these human errors, it appears most of these errors are being made by a single group of humans – namely, operators. But are these really the only humans making errors contributing to or causing LOPC events? This paper seeks to answer this question by reviewing all the identified causes of a set of LOPC events within a company to identify errors being made by other groups of humans which may not be adequately addressed within these investigations.
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