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Motorcycle Club X is a motorcycle club whose members are scattered throughoutIndonesia, but for the present study is limited only Greater Jakarta area alone. Themotorcycle club has a regular agenda is to do touring. In the course of touring, founda variety of risks that could lead to accidents. Although not recorded in detail, isknown to have no accidents even to eat the souls during that occurred during the tripturing. This study was conducted to describe any risks that can cause accidents byusing Human Factor Analysis Classification System (HFACS). Then the problemsrelated gegagalan of HFACS defense system that are found are adversephysiological states, adverse mental states, personal readiness, routine violations,and perceptual errors. The analysis of research suggests corrective actions at theindividual level for the failure of active and latent level of the organization forfailure to reduce or even eliminate the errors that have been identified that willstrengthen the resilience of the system against the risk of accidents.Keywords:Safety Riding, Touring, Defense System, HFACS
Kata kunci:Kecelakaan, analisis kecelakaan, Human Factors And Classification System, HFACS, Comprehensive List Of Causes, CLC
This thesis assess the accident in PT XYZ 2015 by using Human Factors AndClassification System (HFACS) framework. This research is a semi-quantitativewith design study analytical descriptive. Results from this study are a layer ofHFACS most weakness is unsafe act at 11 from total 11 accidents with theelements of decision error becomes a factor of the number one weakness, thenfollowed with a precondition of unsafe act at 10 with the elements of conditions ofservice to be the factors that most contribute to accidents, followed by unsafesupervision at 7 with inadequate leadership element is the factor that mostcontributed to the accident, and the latter as much as 5 of organizationalinfluences with elements of organizational climate and resource management isthe factor that most contributed to the accident. The analysis of research suggestscorrective actions at each level of HFACS, not only for active failures but alsolatent failures with reinforcing corrective action at the unsafe act layer.
Key words:Accident, accident analysis, Human Factors And Classification System, HFACS,Comprehensive List Of Causes, CLC
The focus of this research is to analyze all occupational accidents of lifting activities on land rig operations in PT ‘X’ using the Human Factor Analysis and Classifications System (HFACS) method in 2014 - 2018. The type of research methodology is qualitative research with a descriptive design. The final result shows that the unsafe act layer is the most ineffective layer that contributing to almost all occupational accident cases which is 45 of 49 total cases of occupational accidents. Error is the sub-layer of unsafe act which has the highest number of contributions to occupational accident cases with total 39 cases. On the other side, the organizational influences layer is the second layer that has high contribution to accident which is 26 of 49 total cases of occupational accidents. The organizational process is the sub-layer of organizational influences which contributing to 23 cases of occupational accident. The third layer which has contribution to accident is unsafe supervision. The unsafe supervision has contribution to accident which is 16 of 49 total cases of occupational accidents. Inadequate supervision and planned inappropriate operation are the sub-layer of inadequate supervision which contribute to the accident cases for 10 cases equally. The layer of preconditions for unsafe actions is the effective layer which has contribution to occupational accident cases which is 8 of 49 total cases of occupational accidents. Personnel factor is the sub-layer of preconditions for unsafe actions which contribute to 7 cases of occupational accidents. According to the result, researcher recommend that corrective action must be taken at each layer of HFACS as the safety protection system, both latent failures and active failures with the emphasis on improvement, which start from the organizational influences layer, followed by the unsafe supervisions layer, and then unsafe actions layer, while the improvement on the layer of precondition for unsafe actions becomes the last improvement. Improvement to organizational influences layer, unsafe act layer, and unsafe supervisions layer will have a positive influence on the layer of precondition for unsafe actions.
HFACS (Human Factor Analysis and Classification System) is an approach that has been widely used in investigating accidents to find out weaknesses in an organization. This HFACS consists of four layers, namely unsafe act, precondition to unsafe act, unsafe supervision and organizational influence. Accidents can be prevented by closing holes at each defense layer. The HFACS principle is implemented to identify factors that contribute at unsafe driving behavior at PT. X, an oil company in Indonesia. Based on research finding, drivers who commit unsafe behavior are drivers with age 44 - 55 years (77.7%), experience over 16 years (63.1%), carried out on public roads (80.6%), on the afternoon shift (81, 6%), with a position as a team member (64.1%) and in the northern part of the company (56.3%). Weaknesses at the unsafe act level are decision errors (58.3%) ie not consistently applying risk assessment and not implementing safe work procedures. Weakness at level 2 is adverse mental state (52.4%), namely lack of focus in driving. Weakness at level 3 is inadequate supervision (65%) lack of consistent level of supervision to conduct safety supervision. Weakness at level 4 is the lack of consistency in the implementation of operational processes (62.1%), namely the implementation of risk assessment in an organization
