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Causes of Human Errors

This document discusses causes and avoidance of human errors. Some common causes of human errors include lack of adherence to procedures, overconfidence, distraction, haste, lack of skills or knowledge, poor communication, and violation of procedures. To avoid errors, the document recommends following standard procedures, having proper planning and communication for critical work, validating actions before bypassing systems, and not working on live equipment or making changes without the right permissions. It also stresses the importance of experience, clear roles and responsibilities, and avoiding time pressure.

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60 views

Causes of Human Errors

This document discusses causes and avoidance of human errors. Some common causes of human errors include lack of adherence to procedures, overconfidence, distraction, haste, lack of skills or knowledge, poor communication, and violation of procedures. To avoid errors, the document recommends following standard procedures, having proper planning and communication for critical work, validating actions before bypassing systems, and not working on live equipment or making changes without the right permissions. It also stresses the importance of experience, clear roles and responsibilities, and avoiding time pressure.

Uploaded by

sant_
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Causes of human errors

Lack of/non adherence to standard procedures:


Over confidence or Underestimation of true risk
Split attention/ Lack of focus/ prone to distraction
Unnecessary haste
Lack of knowledge, skill or rules
Lack of insight
Delegation of job to unsuitable person
Lack of understanding of requirement of job
Ineffective supervision
Poor/unclear communications
Violation of Procedures
Desire to take undue risks or Complacency
First working day after days off
Doing avoidable maintenance work in critical areas

Causes of human errors

Error in simulation by C&I engineer


Lack of co-ordination with operation
Error by third party expert
Operation of wrong auxiliary from OWS
Wrong field connection/ isolation
Poor condition of field instruments
All open access of DCS in OWS

Avoidance of Human error


Whenever bypassing is inevitable it is to be done by C&I only on the
request of operation and with the information and consent of the SCE.
All such bypassing is to be recorded in the Interlock/ Protection bypass
register.
This practice will eliminate the possibility of protections remaining
bypassed un intentionally. Moreover C&I must review the status of
protection and interlocks on a daily basis.
Interlock & protection checking for all equipments and systems including
valves
C&I should make all operation Engineers conversant with all the
protections and interlocks
Major changeovers which are likely to affect unit protections shall be
done during normal working hours, as far as possible.
All critical activities should be discussed and proper planning to be done
considering the risk involved.

Avoidance of Human error

Have two person on critical job.


Validate the action before forcing/bypassing.
Properly follow the signal for bypassing. Do not use short cut or tags.
Do not work in marshalling panels in running units.
Do not reset or restart network switches of running unit.
Involve person who has knowledge of effect of action on process.
Have clarity of communication.
No deviation from proper procedure.
Have valid and proper permit to work.
Have proper work instruction for field instruments isolation / putting into
operation.
No time pressure from management

Avoidance of Human error


All desk operation work is to be done by desk engineer during work
permit.
Simulation of signal only by experienced engineer after due diligence with
seniors
Ensure that no command to be given from CER or Programmer room
Before forcing ensure correct tag in point information and also correct bit
no in case of packed bit forcing.
Walk down of critical area once in week to assess the condition of field
instruments.
No modification or improvements of logic in running units

Tripping on human errors

Human errors in NTPC

Avoidable trips

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