Title: HF Design for Operability and Maintenability
1HF Design for Operability and Maintenability
2What is covered
- Background, why the need for HF in design.
- HF Models for design, inspection and maintenance.
- Examples where design ignored HF.
3Technische Universität Berlin
Why Human Factor?
Safety Improvement
Time
Industrial Revolution
2003
4Technische Universität Berlin
The Design Team
Management
Design Output
5Technische Universität Berlin
The Principle
- Participatory design that involves operator (as
the user) participation and task modelling at
early stages. - To make all departments feel that they own the
design process. - Human Factors are included from early stages and
not to only for cosmetic purposes.
- To train Engineers to be HF experts
- To involve cognitive and physical ergonomists
permanently actively in design projects
6Technische Universität Berlin
HF BARRIER
7Technische Universität Berlin
HF Iterative design Model
Commissioning Installation
Review
Evaluate
Conceptual Design
Basic Design
Detailed Design
Check
8Technische Universität Berlin
HF Iterative design Model
Commissioning Installation
- Abstract of design
- HF reviews
- Overview of tasks
Review
Evaluate
Conceptual Design
Basic Design
Detailed Design
Check
9Technische Universität Berlin
HF Iterative design Model
Commissioning Installation
- Abstract of design
- HF reviews
- Overview of tasks
Review
Evaluate
Conceptual Design
Basic Design
Detailed Design
Check
- User profile Biometrics
- Task analysis
- Critical tasks, Task scenarios
- Subtasks formulation
- Function analysis
- Link analysis
10Technische Universität Berlin
HF Iterative design Model
- HF training for contractors
- Feedback for an improvement
Commissioning Installation
- Abstract of design
- HF reviews
- Overview of tasks
Review
Evaluate
Conceptual Design
Basic Design
Detailed Design
Check
- User profile Biometrics
- Task analysis
- Critical tasks, Task scenarios
- Subtasks formulation
- Function analysis
- Link analysis
11Technische Universität Berlin
HF Iterative design Model
- HF training for contractors
- Feedback for an improvement
Commissioning Installation
- Abstract of design
- HF reviews
- Overview of tasks
Review
Evaluate
Conceptual Design
Basic Design
Detailed Design
Check
- User profile Biometrics
- Task analysis
- Critical tasks, Task scenarios
- Subtasks formulation
- Function analysis
- Link analysis
12Technische Universität Berlin
- Detailed presentation of design
- Application of HF guidelines
- Task analysis review
Detailed design
Review
Check
Evaluate
13Technische Universität Berlin
- Detailed presentation of design
- Application of HF guidelines
- Task analysis review
Detailed design
Review
- Simulation
- Prototyping
- Operator testing training
- Cognitive walkthroughs
Check
Evaluate
14Technische Universität Berlin
- Detailed presentation of design
- Application of HF guidelines
- Task analysis review
Detailed design
Review
- Simulation
- Prototyping
- Operator testing training
- Cognitive walkthroughs
- Specifications
- Error causes precursor Analysis and mitigation
- Evaluate results
- New concepts needed?
Check
Evaluate
15Technische Universität Berlin
- Detailed presentation of design
- Application of HF guidelines
- Task analysis review
- Are the error causes precursors designed
out? - Are they guarded against?
- Warn against?
- Training to avoid error occurrence?
Detailed design
Review
- Simulation
- Prototyping
- Operator testing training
- Cognitive walkthroughs
- Specifications
- Error causes precursor Analysis and mitigation
- Evaluate results
- New concepts needed?
Check
Evaluate
16Technische Universität Berlin
HF Main Areas
Designing to reduce Human Error Precursors HF
Guidelines
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19Technische Universität Berlin
Inspection Model
Decision Response
Steps
Initiate
Access
Search
Action Example
HF Design Requirement
20Technische Universität Berlin
Inspection Model
Decision Response
Initiate
Access
Search
Steps
- Read understand work card
- Select inspection tools.
- Calibrate if necessary (NDI equipment)
Action Example
- Work card design
- Permit to-work procedures
HF Design Requirement
21Technische Universität Berlin
Inspection Model
Decision Response
Access
Initiate
Search
Steps
- Read understand work card
- Select inspection tools.
- Calibrate if necessary (NDI equipment)
- Locate area on the plant
- Move to work site
Action Example
- Work card design
- Permit to-work procedures
HF Design Requirement
- Proper clear labelling.
- Avoid difficult-to-reach areas.
- Easy safe isolation.
- Purging
22Technische Universität Berlin
Inspection Model
Decision Response
Access
Search
Initiate
Steps
- Read understand work card
- Select inspection tools.
- Calibrate if necessary (NDI equipment)
- Move eyes or probe on search areas
- Locate area on the plant
- Move to work site
Action Example
- Work card design
- Permit to-work procedures
HF Design Requirement
- Clear access
- routes.
- Good lighting
- Reachable locations
- Proper clear labelling.
- Avoid difficult-to-reach areas.
- Easy safe isolation.
- Purging
23Technische Universität Berlin
Inspection Model
Decision Response
Initiate
Access
Search
Steps
- Re-examine area of indication and mark as a
defect if necessary. - Write a Non routine repair (NRR)
- Read understand work card
- Select inspection tools.
- Calibrate if necessary (NDI equipment)
- Move eyes or probe on search areas
- Locate area on the plant
- Move to work site
Action Example
- Training of maintenance personnel.
- Work card design
- Permit to-work procedures
HF Design Requirement
- Clear access
- routes.
- Good lighting
- Reachable locations
- Proper clear labelling.
- Avoid difficult-to-reach areas.
- Easy safe isolation.
- Purging
24Technische Universität Berlin
Repair/Maintenance Model
Site Access
Part Access
Steps
Initiate
Buy-back
Reset
Action Example
HF Design Requirement
25Technische Universität Berlin
Repair/Maintenance Model
Site Access
Part Access
Initiate
Buy-back
Steps
Reset
- Make tools ready, collect parts, inspect parts
Action Example
- Well design parts stores with parts clearly,
logically labelled numbered
HF Design Requirement
26Technische Universität Berlin
Repair/Maintenance Model
Site Access
Part Access
Initiate
Buy-back
Steps
Reset
- Make tools ready, collect parts, inspect parts
- With tools, parts, equipment
- Isolate equipment/ plant
Action Example
- Well design parts stores with parts clearly,
logically labelled numbered
- Sufficient pathways to worksite with all required
tools equipment included - Easy Safe Isolation
HF Design Requirement
27Technische Universität Berlin
Repair/Maintenance Model
Part Access
Site Access
Initiate
Buy-back
Steps
Reset
- Isolate equipment.
- Open the parts that need repair
- Make tools ready, collect parts, inspect parts
- With tools, parts, equipment
- Isolate equipment/plant
Action Example
- Well design parts stores with parts clearly,
logically labelled numbered
- Sufficient pathways to worksite with all required
tools equipment included - Easy Safe Isolation
HF Design Requirement
- Accessibility of part. to avoid working at
awkward positions - Easy safe isolation
- Purging
-
28Technische Universität Berlin
Repair/Maintenance Model
Site Access
Part Access
Reset
Initiate
Buy-back
Steps
- Isolate equipment.
- Open the parts that need repair
- Adjust systems to specs and inspect adjustment.
- Make tools ready, collect parts, inspect parts
- With tools, parts, equipment
- Isolate equipment/plant
Action Example
- Gauges and other indicators easily readable and
shall be within eye reach
- Well design parts stores with parts clearly,
logically labelled numbered
- Sufficient pathways to worksite with all required
tools equipment included - Easy Safe Isolation
- Accessibility of part. to avoid working at
awkward positions - Easy safe isolation
- Purging
-
HF Design Requirement
29Technische Universität Berlin
Repair/Maintenance Model
Site Access
Part Access
Buy-back
Initiate
Steps
Reset
- Isolate equipment.
- Open the parts that need repair
- Adjust systems to specs and inspect adjustment.
- Make tools ready, collect parts, inspect parts
- With tools, parts, equipment
- Isolate equipment/plant
- Examine if repair meets standards.
- Close document
Action Example
- Training of maintenance personnel.
- Good communication
- Gauges and other indicators easily readable and
shall be within eye reach
- Well design parts stores with parts clearly,
logically labelled numbered
- Accessibility of part. to avoid working at
awkward positions - Easy safe isolation
- Purging
-
- Sufficient pathways to worksite with all required
tools equipment included - Easy Safe Isolation
HF Design Requirement
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31Technische Universität Berlin
Repair/Maintenance Example
Pasadena Incident, October 23rd 1989
- Settling legs clogged by plastic material.
- Frequent cleaning was needed.
- The clogged leg is isolated but reactor keep on
operating.
32Technische Universität Berlin
Repair/Maintenance Example
Pasadena Incident, October 23rd 1989
- Valve operated by air.
- Connectors for open and close were identical.
DEMCOR Valve
33Technische Universität Berlin
Repair/Maintenance Example
Pasadena Incident, October 23rd 1989
Consequences
- Explosion with the force of 2.4 tons of TNT
- 23 fatalities
- More than 130 injuries
- Nearly a billion dollars in asset damaged
HF design questions
- Was the isolation easy and safe?
- Was the alarm system detectable, could it be
discriminated? - Were the access/escape routes designed to contain
an emergency situation, were they clearly marked?
34- Task
- To fill tank 1
- Close Valves 2 3 and open valve 1.
- Possible error
- Either valve 1 or 2 or both valves are left open
- ? Product to the wrong tank
Operational example
Technische Universität Berlin
Product1
Tank 1
Valve 1
Product2
Tank 2
From loading rack
Valve 2
Product3
Tank 3
Valve 3
35 Solution
Technische Universität Berlin
36Conclusions
Technische Universität Berlin
- HF should be as old as the conceptual stage of a
design process. - Iterative design process helps to reduce error
causes - before the whole design process is concluded.
Most important is to eliminate the Myth
The Primary function of a design engineer is to
make things difficult for the fabricator and
impossible for the the serviceman.
37Technische Universität Berlin
Thank you for your kind attention