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Human performance for process safety Joelle Mitchell APPEA HSR Forum, October 2016 About NOPSEMA National Offshore Petroleum Safety and Environmental Management Authority Safety, Integrity, Environment Commonwealth waters


  1. Human performance for process safety Joelle Mitchell APPEA HSR Forum, October 2016

  2. About NOPSEMA • National Offshore Petroleum Safety and Environmental Management Authority – Safety, Integrity, Environment – Commonwealth waters • Offshore Petroleum and Greenhouse Gas Storage Act – Associated Regulations. A498894 26-10-2016 2

  3. HSR Resources • NOPSEMA webpage – nopsema.gov.au – HSR handbook – Accredited HSR training course providers. A498894 26-10-2016 3

  4. A498894 26-10-2016 4

  5. A498894 5

  6. Human Performance Resources A498894 6

  7. Human Performance

  8. Human factors A498894 26-10-2016 8

  9. What about process safety? • Where does human performance have an impact? • Major accident event control measures – Hardware – Procedure • How can HSRs contribute? A498894 26-10-2016 9

  10. HSRs & risk management • Opportunities for HSR contribution include: – Hazard Identification Workshops – HAZOP – Constructability reviews – Procedure development & revision – JSA/JHA development & review – Management of change – Prestart & toolbox talks. A498894 26-10-2016 10

  11. Activities with PS risk • What is the consequence of error within a task? • Maintenance work: – Safety critical equipment – Process plant • Control room operations • Inspections & testing • Mid-activity handover. A498894 26-10-2016 11

  12. How can things go wrong? • “Drift towards failure” / “Incubation period” • Incremental procedure deviations • Gap between “work as planned” and “work as done” • Risk not identified or managed. A498894 26-10-2016 12

  13. Incremental Deviations • Why do they happen? • Real work context: – Limited resources – Multiple pressures – Competing goals • “Satisficing” – Subconscious decision-making strategy (heuristic) – Search alternatives until an acceptability threshold is met. A498894 26-10-2016 13

  14. What are the consequences? A498894 26-10-2016 14

  15. “Mind the gap” • Satisficing is a practical necessity • The gap will always exist • How do we manage it? – Acknowledge it – Monitor it – Revise out-dated procedures – Use frontline risk assessment tools when deviations are perceived as necessary. A498894 26-10-2016 15

  16. Up Next: Breakout Sessions • Human performance materials for HSRs – Peter Burston, Woodside • Case study – Dave Chaplin & Nick Webster, NOPSEMA • Safety critical task analysis – Nicole Gray, The Keil Centre • Evolution of emergency medical response – Darren Nelson & Geraldine Atkins, Careflight. A498894 26-10-2016 16

  17. Questions?

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