Unit 5 Reason and HFACS Presentation
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Transcript of Unit 5 Reason and HFACS Presentation
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Reason’s Model/Human Factors Analysis Classification System
AVIA 4000, Special Projects: Human Factors in Aviation
Raymond E. Cain, Jr., Ph.D., Instructor
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Learning Objectives
• After this unit of instruction, the student will be able to demonstrate the following:
– An operable understanding of Reason’s and the HFACS models
– An operable understanding of the relationships among human error, human factors, and Reason’s and the HFACS models
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Reason’s Model
• Introduced by James Reason
• Two ways to look at the Human Error Problem
– The person approach—focus on the errors of individuals; blame them for forgetfulness, inattention, or moral weakness
– The systems approach—concentrate on conditions under which individuals work and build defenses to avert errors or mitigate their effects
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Systems Approach (Reason’s)
• Basic premise: humans are fallible and errors are to be expected, even in the best organizations
• Errors are seen as consequences not causes
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Reason’s Premise #1
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Reason’s Premise #2
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Reason’s Premise #3
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Reason’s Premise #4
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Reason’s Premise #5
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Reason’s Model
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HFACS
• Human Factors Analysis Classification System
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Unsafe
Acts
Adapted from Reason (1990)
Failed or
Absent Defenses
Reason’s “Swiss–Cheese” Model of Human Error (HFACS) #1
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Failed or
Absent Defenses
Preconditions
for
Unsafe Acts
Unsafe
Acts
Adapted from Reason (1990)
Reason’s “Swiss–Cheese” Model of Human Error (HFACS) #2
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Failed or
Absent Defenses
Unsafe
Supervision
Preconditions
for
Unsafe Acts
Unsafe
Acts
Adapted from Reason (1990)
Reason’s “Swiss–Cheese” Model of Human Error (HFACS) #3
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Failed or
Absent Defenses
Organizational
Factors Inputs
Unsafe
Supervision
Preconditions
for
Unsafe Acts
Unsafe
Acts
Adapted from Reason (1990)
Accident & Injury
Reason’s “Swiss–Cheese” Model of
Human Error (HFACS) #4)
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