An exploratory study of the common human factors of Marine Occupational Casualties in the least three years reported from MAIB and ATSB using the HFACS-MA

• Main Authors: Sheu, Deng-Yuan, 許登元
• Other Authors: Chen, Shih-Tzung
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/47hbfg

碩士 === 國立臺灣海洋大學 === 商船學系 === 103 === Occupational accidents on board not only pose great challenges to seeking timely medical intervention but also have a consequential impact on shipping operations, families, livelihood, and ultimately, society as a whole. On account of this, we must develop a method of systematic analysis for the prevention of occupational accidents and the promotion of crew safety and health with the aim to achieve “NIL” accidents. Statistically, human factors are the most important factors in unsafe acts of occupational accidents. To effectively prevent accidents from happening, investigators must analyze human factors in the systemic context of the accidents for the detection of potential human factors and root causes of the accidents, rather than looking solely at operator behaviors “at the sharp end” and merely correcting or improving the misconduct of employees. Based on Resolution A.884(21) of the International Maritime Organization, which provides the guidelines for the investigation of human factors in marine casualties and incidents, along with Human Factors Analysis and Classification System (HFACS), Systemic Occurrence Analysis Methodology (SOAM), Why-Because Analysis (WBA), and other frameworks and methods of analysis, researchers are able to develop a methodology and framework known as the Human Factors Analysis and Classification System for Maritime Accidents (HFACS-MA). The methodology has been proven to be an effective maritime accident analysis tool that provides clear tables and succinct diagrams, presenting the human factors involved in a clear way. HFACS-MA is also a powerful tool to summarize crucial information and causes related to the accidents, which is helpful for decision-making managers to comprehend the contents of investigational reports and the human factors in the accidents. The present study proposes a method of "Multi-Case Analysis of Common Human Factors", in which ten cases of occupational accidents are analyzed with the framework and methodology of HFACS-MA. Based on the characteristics of who, what, when, where, and how for each category of human factors in each studied case, the human factors are determined by scholars and experts if they were in common with one another. The "common human factors" are then incorporated into a "contingency table of cases and human factors", which shows the distribution of common human factors within the ten cases. The table is applicable to review deficiencies in safety management systems and improve management strategies and directions accordingly. In particular, we can focus on the common human factors in the ten cases, taking collective improvement measures (such as education and training, collective procurement of personal protective equipment, etc.) to increase the efficiency of improvements and reduce personnel and financial costs.