Human functions in safety - developing a framework of goals, human functions and safety relevant activities for railway socio-technical systems

Abstract This paper presents a framework to express the role of people in establishing and maintaining system safety. The Human Functions in Safety (HFiS) framework has been developed for the railway context, describing safety-related activity within functions, and how this is shaped by overall organisational goals and contextual factors. Analysing human functions in this way moves from the reactive, accident-analytical approach that is commonly used in rail, by instead emphasising the human activity that maintains safety. The development and first application of HFiS involved three iterative stages of 1) mapping requirements to the safety literature to determine the concepts of the framework; 2) collating and synthesising data from the rail domain to determine the content of the framework; 3) review within the research team and with subject matter experts. The output from applying HFiS to railways is a detailed description of 66 human functions carried out by wide-ranging frontline staff, and the associated activities to maintain safety. This covered different types of goals (systemic, functional and individual) that shape work and specified the contextual factors that influence safety. Interrelations between human functions across the rail system are also identified. As well as supporting the understanding of rail safety, HFiS demonstrates how safety concepts can be combined and potentially applied to other large socio-technical systems. Specific guidance is presented on generic applications of HFiS concepts, including a set of generic functions with the potential to inform application of HFiS in other domains.

[1]  N. Naikar,et al.  Analysing activity in complex systems with cognitive work analysis: concepts, guidelines and case study for control task analysis , 2006 .

[2]  Rogier Woltjer,et al.  Resilience in Everyday Operations , 2013, Journal of Cognitive Engineering and Decision Making.

[3]  Erik Hollnagel,et al.  HUMAN RELIABILITY ASSESSMENT IN CONTEXT , 2005 .

[4]  E. Hollnagel The Etto Principle: Efficiency-Thoroughness Trade-Off: Why Things That Go Right Sometimes Go Wrong , 2009 .

[5]  Mark S. Young,et al.  Fundamental examination of mental workload in the rail industry , 2005 .

[6]  Lars Harms-Ringdahl,et al.  Assessing safety functions--results from a case study at an industrial workplace , 2003 .

[7]  Janice Redish,et al.  Task analysis , 2002 .

[8]  Sarah Sharples,et al.  A sociotechnical comparison of automated train traffic control between GB and Sweden , 2013 .

[9]  P. Salmon,et al.  What went right? An analysis of the protective factors in aviation near misses , 2018, Ergonomics.

[10]  A Naweed,et al.  Investigations into the skills of modern and traditional train driving. , 2014, Applied ergonomics.

[11]  David Woods,et al.  Resilience Engineering: Concepts and Precepts , 2006 .

[12]  Guy H. Walker,et al.  Hierarchical task analysis vs. cognitive work analysis: comparison of theory, methodology and contribution to system design , 2010 .

[13]  Adam Hulme,et al.  Radical systems thinking and the future role of computational modelling in ergonomics: an exploration of agent-based modelling , 2019, Ergonomics.

[14]  M. Bevilacqua,et al.  Precise Vehicle Location as a Fundamental Parameter for Intelligent Self-aware Rail-track Maintenance Systems☆ , 2014 .

[15]  Gavan Lintern,et al.  Use of Cognitive Work Analysis Across the System Life Cycle: From Requirements to Decommissioning , 1999 .

[16]  Trevor Kletz Hazop—past and future , 1997 .

[17]  Jan Maarten Schraagen,et al.  Team reflection makes resilience-related knowledge explicit through collaborative sensemaking: observation study at a rail post , 2017, Cognition, Technology & Work.

[18]  Urban Kjellén,et al.  Integrating analyses of the risk of occupational accidents into the design process Part I: A review of types of acceptance criteria and risk analysis methods , 1995 .

[19]  Lars Harms-Ringdahl,et al.  Dimensions in safety indicators , 2009 .

[20]  Brendan Ryan,et al.  Use of scenarios and function analyses to understand the impact of situation awareness on safe and effective work on rail tracks , 2013 .

[21]  S. Bertrand,et al.  Ground risk assessment for long-range inspection missions of railways by UAVs , 2017, 2017 International Conference on Unmanned Aircraft Systems (ICUAS).

[22]  Brendan Ryan,et al.  Understanding human factors in rail engineering: re-analysis of detailed, qualitative data on functions and risks. , 2012, Work.

[23]  Ruth Madigan,et al.  Application of Human Factors Analysis and Classification System (HFACS) to UK rail safety of the line incidents. , 2016, Accident; analysis and prevention.

[24]  Laura Pickup,et al.  Safety culture in railway maintenance , 2005 .

[25]  Jens Rasmussen,et al.  Cognitive Systems Engineering , 2022 .

[26]  E. A. Locke,et al.  Building a practically useful theory of goal setting and task motivation. A 35-year odyssey. , 2002, The American psychologist.

[27]  Patrick Waterson,et al.  Systems thinking, the Swiss Cheese Model and accident analysis: a comparative systemic analysis of the Grayrigg train derailment using the ATSB, AcciMap and STAMP models. , 2014, Accident; analysis and prevention.

[28]  Andrew S McIntosh,et al.  Understanding the human factors contribution to railway accidents and incidents in Australia. , 2008, Accident; analysis and prevention.

[29]  Robert J. Houghton,et al.  Span of control in supervision of rail track work , 2016, Cognition, Technology & Work.

[30]  Penelope M. Sanderson,et al.  Work Domain Analysis for Training-System Definition and Acquisition , 1999 .

[31]  Erik Hollnagel,et al.  Safety-I and Safety-II: The Past and Future of Safety Management , 2014 .

[32]  Willemijn Dicke,et al.  “Soft” Public Values in Jeopardy: Reflecting on the Institutionally Fragmented Situation in Utility Sectors , 2009 .

[33]  Dave Schlesinger Sources of Transportation Accident Information , 2016 .

[34]  Dennis Huisman,et al.  A next step in disruption management: combining operations research and complexity science , 2018, Public Transp..

[35]  Ann Williamson,et al.  Driving monotonous routes in a train simulator: the effect of task demand on driving performance and subjective experience , 2012, Ergonomics.

[36]  Anders Jansson,et al.  Bridging the gap between analysis and design: improving existing driver interfaces with tools from the framework of cognitive work analysis , 2005, Cognition, Technology & Work.

[37]  Eugenio Andrés Díaz Merino,et al.  Simulating the influence of physical overload on assembly line performance: A case study in an automotive electrical component plant. , 2019, Applied ergonomics.

[38]  Tamsyn Edwards,et al.  Systems Change in Transport Control: Applications of Cognitive Work Analysis , 2011 .

[39]  Cecilia De la Garza,et al.  Safe design and human activity: construction of a theoretical framework from an analysis of a printing sector , 2003 .

[40]  Iker Perez,et al.  An interview analysis of coordination behaviours in Out-of-Hours secondary care. , 2019, Applied ergonomics.

[41]  P. Jaye,et al.  Emergency Department Escalation in Theory and Practice: A Mixed‐Methods Study Using a Model of Organizational Resilience , 2017, Annals of emergency medicine.

[42]  M. S. Young,et al.  Using cognitive work analysis to explore activity allocation within military domains , 2008, Ergonomics.

[43]  Julia Pitsopoulos,et al.  Understanding safety and production risks in rail engineering planning and protection , 2009, Ergonomics.

[44]  A. Monk,et al.  Reasoning about tasks, activities and technology to support collaboration. , 1998, Ergonomics.

[45]  A. May,et al.  The personal and contextual factors that affect customer experience during rail service failures and the implications for service design. , 2020, Applied ergonomics.

[46]  Erik Hollnagel,et al.  Human factors/ergonomics as a systems discipline? "The human use of human beings" revisited. , 2014, Applied ergonomics.

[47]  François Daniellou * The French-speaking ergonomists' approach to work activity: cross-influences of field intervention and conceptual models , 2005 .

[48]  K. Weick,et al.  Collective mind in organizations: Heedful interrelating on flight decks. , 1993 .

[49]  K. J. Vicente,et al.  Cognitive Work Analysis: Toward Safe, Productive, and Healthy Computer-Based Work , 1999 .

[50]  John R Wilson,et al.  Fundamentals of systems ergonomics/human factors. , 2014, Applied ergonomics.

[51]  Paul J. Feltovich,et al.  Keeping It Too Simple: How the Reductive Tendency Affects Cognitive Engineering , 2004, IEEE Intell. Syst..

[52]  Erik Hollnagel,et al.  Maritime human factors and IMO policy , 2013 .

[53]  R. B. Miller,et al.  Task Taxonomy: Science or Technology? , 1967 .

[54]  Pedro N. P. Ferreira,et al.  Resilience in the planning of rail engineering work , 2011 .

[55]  Walter Schön,et al.  Interdisciplinary safety analysis of complex socio-technological systems based on the functional resonance accident model: An application to railway trafficsupervision , 2011, Reliab. Eng. Syst. Saf..

[56]  S. Hignett,et al.  Evidence-based patient handling: systematic review. , 2003, Nursing standard (Royal College of Nursing (Great Britain) : 1987).

[57]  J A Rose,et al.  Making effective use of task analysis to identify human factors issues in new rail technology. , 2012, Applied ergonomics.

[58]  Hans. Pasman Risk analysis and control for industrial processes - gas, oil and chemicals , 2015 .

[59]  G. R. J. Hockey,et al.  The railway as a socio-technical system: Human factors at the heart of successful rail engineering , 2007 .

[60]  E. Hollnagel,et al.  Resilient Health Care as the basis for teaching patient safety – A Safety-II critique of the World Health Organisation patient safety curriculum , 2019, Safety Science.

[61]  Jens Rasmussen,et al.  Skills, rules, and knowledge; signals, signs, and symbols, and other distinctions in human performance models , 1983, IEEE Transactions on Systems, Man, and Cybernetics.

[62]  Sarah Sharples,et al.  The Impact of Automation in Rail Signalling Operations , 2011 .

[63]  H B TIMMERMAN,et al.  What is task analysis? , 1951, Bulletin of the Medical Library Association.

[64]  Sarah Sharples,et al.  Visual scenario analysis: understanding human factors of planning in rail engineering , 2010 .

[65]  Ryan L. Kift,et al.  Keeping track of railway safety and the mechanisms for risk , 2018, Safety Science.

[66]  Emma Irvin,et al.  Process and implementation of participatory ergonomic interventions: a systematic review , 2010, Ergonomics.

[67]  Christian Heath,et al.  Collaboration and controlCrisis management and multimedia technology in London Underground Line Control Rooms , 1992, Computer Supported Cooperative Work (CSCW).

[68]  John M. Flach,et al.  Complexity: learning to muddle through , 2011, Cognition, Technology & Work.

[69]  Jens Rasmussen,et al.  The role of hierarchical knowledge representation in decisionmaking and system management , 1985, IEEE Transactions on Systems, Man, and Cybernetics.

[70]  Lasse Gerrits,et al.  Differences and similarities in European railway disruption management practices , 2018, J. Rail Transp. Plan. Manag..