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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.
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
Industri pertambangan merupakan kegiatan industri yang mempunyai risiko tinggi. Faktor manusia telah diidentifikasi sebagai penyebab paling umum terjadinya kecelakaan besar di industri pertambangan. Oleh karena itu, penelitian ini bertujuan menganalisis data kecelakaan di PT. X dengan menggunakan kerangka analisis faktor manusia dan sistem klasifikasi industri pertambangan (HFACS-MI). Metode penelitian ini melibatkan pengumpulan data kualitatif untuk 322 kasus kecelakaan di PT. X yang terjadi pada tahun 2018-2022 dari basis data Sistem Manajemen Insiden yang dikategorikan sebagai cedera yang dapat dicatat. Faktor penyebab kecelakaan ini diberi kode menggunakan kerangka HFACS-MI. Data kecelakaan dianalisis menggunakan statistik deskriptif. Temuan penelitian menunjukkan bahwa 84% dari seluruh kecelakaan melibatkan pekerja kontraktor dan 16% melibatkan pekerja tetap PT. X. Hasil analisis menggunakan kerangka HFACS-MI menunjukkan bahwa setiap lapisan atau tingkatan memberikan kontribusi terhadap kecelakaan, yaitu faktor luar (44%), pengaruh organisasi (68%), kepemimpinan tidak aman (90%), prasyarat tindakan tidak aman (99%), dan tindakan tidak aman (99,7%). Temuan ini menekankan perlunya fokus pada pengurangan jumlah kesalahan manusia selama operasi penambangan untuk mengurangi tren kecelakaan saat ini. Kerangka kerja HFACS-MI telah terbukti menjadi alat penting untuk analisis kecelakaan yang kuat terhadap faktor manusia di pertambangan.
The mining industry is an industrial activity with high risks. Human factors have been identified as the most common cause of major accidents in the mining industry. Therefore, this research aims to analyze accident data at PT. X using the human factors analysis and classification system-mining industry framework (HFACS-MI). This research collected qualitative data for 322 accident cases at PT. X occurring from 2018 to 2022 from the Incident Management System database categorized as recordable injuries. Factors causing the accidents were coded using HFACS-MI framework. Accident data were analyzed using descriptive statistics. The study findings revealed that 84% of all accidents involved contractor workers and 16% involved the PT. X permanent workers. The results of analysis using the HFACS-MI framework show that each layer or level contributes to accidents, namely outside factors (44%), organizational influences (68%), unsafe leadership (90%), preconditions of unsafe acts (99%), and unsafe acts (99.7%). These findings emphasize the need to focus on reducing the number of human errors during mining operations to reduce the current accident trend. The HFACS-MI framework has proven to be a valuable tool for robust accident analysis of human factors in mining.
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
This research examines work-related accidents in the mining industry categorized as injury cases, using the Human Factors Analysis and Classification System in Mining Industry (HFACS-MI). The mining industry is known as a high-risk sector, where serious incidents such as major injuries and fatalities frequently occur despite investigations and preventive measures. The study aims to identify the main causal factors of workplace accidents based on the HFACS-MI framework, which classifies human errors and systemic weaknesses within mining organizations. Using data from injury-related accident cases in 2024, both qualitative and quantitative analyses were conducted to assess contributing factors from the operator level up to the organizational level.The findings reveal that the majority of accidents were triggered by unsafe acts, particularly skill-based errors, indicating deficiencies in workers' basic competencies. Additionally, latent failures, such as inadequate supervision and organizational inefficiencies, were also found to play a significant role.
Kata Kunci: Kecelakaan kerja, konstruksi bangunan, HFACS, pencegahan, keselamatan dan kesehatan kerja
