Savannah, GA
The Inn at Ellis Square
The principles and practices of human error prevention are universally applicable regardless of the type of industrial, commercial, or governmental enterprise and regardless of the type of function performed within the enterprise. This seminar is unique and up to date with the latest developments in human error prevention. The presenter, Ben Marguglio, introduces a new taxonomy of human error causal factors and new human error-related models. Examples and case studies amply reinforce the human error prevention principles and practices.
Learning Objectives:
Upon completion of this seminar one will understand:
• Classifications of human error;
• The four levels of human error;
• The three levels of barriers to human error and to the hazards activated by human error;
• The four types of barriers at each barrier level;
• Methods by which to make barriers effective;
• Error-inducing conditions;
• Behaviors to counteract error-inducing conditions;
• Thought processes and behaviors leading to non-conservative decisions;
• Thought processes and behaviors leading to conservative decisions;
• Techniques to prevent recurrence of error - e.g., coaching;
• Metrics;
• Defense in depth.
Outline:
1. Definitions of human performance and human error
2. Classifications of human error
3. Behavior model
4. The seven human error causal factors with an example and case study to demonstrate their applicability
5. Human error and barrier models describing the four levels of human error and the three levels of barriers with a case study to demonstrate their applicability
6. The relationship of barriers to the total quality / safety function
7. Techniques by which to strengthen administrative, technical, equipment and human barriers, with an emphasis on procedure and training barriers, and with a case study to demonstrate the application of these techniques
8. Poka yoke
9. Types of error-inducing conditions and error-likely situations existing in the task demands, work environment and humans and behaviors to counteract these conditions and situations, with examples and a case study to demonstrate their applicability
10. Thought processes and behaviors leading to non-conservative decisions and those leading to conservative decisions, with a case study to demonstrate their applicability
11. Coaching to reduce the recurrence of human error, with coaching exercises
12. Measurements
14. Defense in depth
15. Review of the universally applicable principles of human error prevention
16. Review of the elements of a Human Error Prevention Program