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Human Factors - The "Dirty Dozen" (PowerPoint PPTX Slide Deck)
PowerPoint (PPTX) 92 Slides
WORKPLACE SAFETY PPT DESCRIPTION
"We don't redesign humans; We redesign the system within which humans work"
Various industries including aviation sector have realized the need of understating in human factors and utilization and application of the understanding in order to protect human and properties and enhance productivities through maximizing efficiency in workplace
Industry has made great progress managing process related hazards and preventive strategies to protect workers, property, and environment
Focus on managing process major hazards through the design and incorporation of more complex equipment and systems
Non-process related major hazards are well understood but receive less focus than the process hazards during design and fabrication
Challenges of industry continue and require multi-disciplinary and cross functional collaboration internal/external to the organizations even when manpower and resources are stretched
Accidents continue to happen and the majority can be linked to a human error or inadequate human performance
Industry needs to raise the bar using predictive analytic data to improve human performance, reduce risk, limit liability, sustain productivity, and meet regulatory obligations
Due to a large number of maintenance-related aviation accidents and incidents that occurred in the late 1980s and early 1990s, Transport Canada identified twelve human factors that degrade people's ability to perform effectively and safely, which could lead to maintenance errors. These twelve factors, known as the "dirty dozen," were eventually adopted by the aviation industry as a straight forward means to discuss human error in maintenance. It is important to know the dirty dozen, how to recognize their symptoms, and most importantly, know how to avoid or contain errors produced by the dirty dozen. Understanding the interaction between organizational, work group, and individual factors that may lead to errors and accidents, Aviation Maintenance Technicians can learn to prevent or manage them proactively in the future.
1-LACK OF COMMUNICATION
2-COMPLACENCY
3-LACK OF KNOWLEDGE
4-DISTRACTION
5-LACK OF TEAMWORK
6-FATIGUE
7-LACK OF RESOURCES
8-PRESSURE
9-LACK OF ASSERTIVENESS
10-STRESS
11-LACK OF AWARENESS
12-NORMS
For each element on The Dirty Dozen we can list typical countermeasures designed to reduce the possibility of any human error from causing or developing into a problem, accident or incident.
The 92-slides PowerPoint document gives you an effective overview of Human Factors Theory and explains with relevant examples the twelve most known human factors the "Dirty Dozen" and their respective safety Nets.
The presentation also delves into key models such as SHELL and PEAR, providing a comprehensive framework for understanding human error. It includes practical strategies for applying human factors proactively to prevent incidents.
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MARCUS OVERVIEW
This synopsis was written by Marcus [?] based on the analysis of the full 92-slide presentation.
Executive Summary
The "Human Factors - The Dirty Dozen" presentation provides a comprehensive exploration of the twelve critical human error causes that impact safety and productivity across various industries, particularly aviation. Developed by a team of experts with extensive consulting backgrounds at McKinsey, Deloitte, and Capgemini, this presentation aims to enhance understanding of human factors and their application in organizational settings. Users will learn to identify these factors, implement preventive measures, and foster a culture of safety and efficiency in the workplace.
Who This Is For and When to Use
• Safety managers and compliance officers overseeing operational safety protocols
• Human resources professionals focused on employee training and development
• Operational leaders in aviation, manufacturing, and healthcare sectors
• Risk management teams assessing human error impacts on safety
• Organizational development consultants working on culture and behavior change
Best-fit moments to use this deck:
• During safety training sessions for frontline staff and management
• In workshops aimed at improving organizational safety culture
• When conducting incident investigations to identify human error factors
• For developing continuous improvement programs focused on human reliability
Learning Objectives
• Define the concept of human factors and their relevance to workplace safety
• Identify the twelve human error causes known as the Dirty Dozen
• Analyze case studies illustrating the impact of human factors on safety incidents
• Develop strategies to mitigate human error through training and organizational changes
• Foster a culture of awareness and proactive communication regarding human factors
• Implement the SHELL and PEAR models to enhance human performance in operations
Table of Contents
• Introduction (page 3)
• Human Factors Models (page 5)
• The Dirty Dozen (page 10)
• Statistics and Concepts (page 15)
• Definitions and Evolution of Human Factors Thinking (page 20)
• Safety and Reliability (page 25)
• Organizational Factors (page 30)
• Summary (page 35)
Primary Topics Covered
• Human Factors Models - Overview of various models that explain human interactions within systems, including SHELL and PEAR.
• The Dirty Dozen - Detailed examination of the twelve common human error causes, including lack of communication and complacency.
• Statistics and Concepts - Presentation of data illustrating the prevalence of human factors in accidents and incidents across industries.
• Safety and Reliability - Discussion on the relationship between human factors, safety, and organizational reliability.
• Organizational Factors - Exploration of how organizational culture and structure influence human performance and error.
Deliverables, Templates, and Tools
• Presentation slides summarizing key human factors concepts and models
• Case study templates for analyzing incidents related to human error
• Checklists for identifying and mitigating the Dirty Dozen factors in operations
• Training materials for enhancing awareness of human factors among staff
• Guidelines for implementing effective communication strategies in teams
Slide Highlights
• Overview of the Dirty Dozen with real-world examples of human error
• Statistical graphs showing the impact of human factors on aviation safety
• Visual representation of the SHELL model illustrating human-system interactions
• Case studies detailing incidents caused by human error and lessons learned
• Frameworks for assessing organizational factors affecting human reliability
Potential Workshop Agenda
Introduction to Human Factors (30 minutes)
• Overview of human factors and their significance
• Discussion of the Dirty Dozen and their implications
Case Study Analysis (60 minutes)
• Group work on analyzing incidents related to human error
• Identification of contributing factors and potential preventive measures
Developing Mitigation Strategies (45 minutes)
• Brainstorming session on implementing changes to reduce human error
• Presentation of strategies and action plans by each group
Customization Guidance
• Tailor the presentation to reflect specific organizational contexts and industry challenges
• Incorporate relevant case studies from the organization’s own incident history
• Adjust terminology and examples to resonate with the audience’s experiences and knowledge
Secondary Topics Covered
• The evolution of safety thinking and its impact on human factors
• The role of organizational culture in shaping human behavior
• Techniques for enhancing communication and teamwork in high-risk environments
• The importance of continuous training and development in mitigating human error
FAQ
What is the Dirty Dozen?
The Dirty Dozen refers to twelve common human error preconditions that can lead to accidents or incidents, highlighting the need for awareness and mitigation strategies.
How can organizations apply the Dirty Dozen concept?
Organizations can use the Dirty Dozen as a framework for training, incident analysis, and developing proactive safety measures to reduce human error.
What are some examples of human factors in aviation?
Examples include lack of communication during handovers, complacency in routine tasks, and distractions that lead to oversight.
How does organizational culture influence human factors?
Organizational culture shapes behaviors, norms, and attitudes towards safety, impacting how employees perceive and respond to risks.
What models are used to understand human factors?
Key models include the SHELL model, which focuses on the interaction between humans and system components, and the PEAR model, which emphasizes people, environment, actions, and resources.
How can training improve awareness of human factors?
Training can enhance understanding of human factors, promote communication, and develop skills to recognize and mitigate potential errors in the workplace.
What role does leadership play in addressing human factors?
Leadership is crucial in fostering a culture of safety, encouraging open communication, and ensuring that human factors are prioritized in decision-making processes.
How can organizations measure the effectiveness of their human factors initiatives?
Effectiveness can be measured through incident reports, employee feedback, safety audits, and improvements in operational performance metrics.
Glossary
• Human Factors - The study of how humans interact with systems and the impact of those interactions on safety and performance.
• Dirty Dozen - A list of twelve common human error causes that can lead to incidents.
• SHELL Model - A framework for understanding the interactions between humans and system components.
• PEAR Model - A mnemonic for considering people, environment, actions, and resources in human factors programs.
• Complacency - A state of self-satisfaction that can lead to a lack of awareness of potential dangers.
• Fatigue - Physical or mental exhaustion that can impair performance and decision-making.
• Distraction - Anything that diverts attention from the task at hand, increasing the likelihood of errors.
• Teamwork - Collaborative efforts among individuals to achieve a shared goal, essential for safety and efficiency.
• Assertiveness - The ability to express concerns and opinions in a positive and productive manner.
• Stress - A physical, chemical, or emotional factor that can affect performance and decision-making.
• Norms - Unwritten rules of behavior that can influence workplace practices and safety.
• Organizational Culture - The shared values, beliefs, and behaviors that shape how work is done within an organization.
Source: Best Practices in Workplace Safety, HCD PowerPoint Slides: Human Factors - The "Dirty Dozen" PowerPoint (PPTX) Presentation Slide Deck, RadVector Consulting
