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Case-based HFACS analysis of Ro-Ro ship accidents

Year 2021, Volume: 3 Issue: 2, 105 - 114, 31.12.2021

Eşref Can Demirci Seçil Gülmez

https://doi.org/10.51756/marlife.1027858
Cited By: 1

Abstract

The aim of this study is to determine the types of marine accidents caused by human error on Ro-Ro Cargo ships and to analyze the usefulness of the Human Factors Analysis and Classification System (HFACS) method in classifying these accidents. In this context, 30 different Ro-Ro ship accident were examined and the human factors causing the accident were determined. The causes of these accidents were evaluated with a focus group study which was held with 6 experts and coded according to levels and criteria of HFACS. With this classification, human error rates that cause accidents were determined.

Keywords

Maritime transportation Ro-Ro ships ship accidents accident reports HFACS

References

  • Akyuz, E. & Celik, M. (2014). Utilisation of cognitive map in modelling human error in marine accident analysis and prevention. Safety Science, 70: 19-28. https://doi.org/10.1016/j.ssci.2014.05.004
  • Akyuz, E. (2015). A decision-making model proposal on human reliability analysis onboard ships, Ph.D. thesis, Istanbul Technical University-Graduate School of Science Engineering and Technology.
  • Arslan, Ö., Zorba, Y. & Svetak, J.,(2018). Fault tree analysis of tanker accidents during loading and unloading operations at the tanker terminals. Journal of ETA Maritime Science, 6(1): 3-16. https://doi.org/10.5505/jems.2018.29981
  • Baker, C. C. & McCafferty, D. B. (2005). Accident database review of human element concerns: What do the results mean for classification. In Proc. Int Conf.‘Human Factors in Ship Design and Operation, RINA Feb.
  • Batalden, B. M. & Sydnes, A. K. (2014). Maritime safety and the ISM Code: A study of investigated casualties and incidents. WMU Journal of Maritime Affairs, 13(1): 3-25. https://doi.org/10.1007/s13437-013-0051-8
  • Chauvin, C., Lardjane, S., Morel, G., Clostermann, J. P. & Langard, B. (2013). Human and organisational factors in maritime accidents: analysis of collisions at sea using the HFACS. Accident Analysis & Prevention, 59: 26-37. https://doi.org/10.1016/j.aap.2013.05.006
  • Chen, S. T., Wall, A., Davies, P., Yang, Z. L., Wang, J. & Chou, Y. H. (2013). A human and organisational factors (HOFs) analysis method for marine casualties using HFACS maritime accidents (HFACS-MA), Safety Science, 60: 105-114. https://doi.org/10.1016/j.ssci.2013.06.009
  • Chen, J., Bian, W., Wan, Z., Yang, Z., Zheng, H. & Wang, P. (2019). Identifying factors influencing total-loss marine accidents in the world: Analysis and evaluation based on ship types and sea regions. Ocean Engineering, 191: 106495. https://doi.org/10.1016/j.oceaneng.2019.106495
  • Chen, S. T. (2020). An approach of identifying the common human and organisational factors (HOFs) among a group of marine accidents using GRA and HFACS-MA. Journal of Transportation Safety & Security, 12(10): 1252-1294. https://doi.org/10.1080/19439962.2019.1583297
  • Dönmez, K. & Uslu, S. (2018). Evaluation of the widespread use of human factors analysis and classification system (HFACS) in literature. Journal of Aviation, 2(2): 156-176. https://doi.org/10.30518/jav.463607
  • Eliopoulou, E., Papanikolaou, A. & Voulgarellis, M. (2016). Statistical analysis of ship accidents and review of safety level. Safety Science, 85: 282-292. https://doi.org/10.1016/j.ssci.2016.02.001
  • GISIS, (2020). Global Intergrated Shipping Information System. Retrieved on January 06, 2020 from https://gisis.imo.org/Public/Default.aspx.
  • Hasanspahić, N., Vujičić, S., Frančić, V. & Čampara, L. (2021). The role of the human factor in marine accidents. Journal of Marine Science and Engineering, 9(3): 1-16. https://doi.org/10.3390/jmse9030261
  • Hollnagel, E., (2002). Understanding accidents-from root causes to performance variability. IEEE, 7th, Human Factors Meeting Scottsdale, Arizona.
  • Hollnagel, E., Woods, D. D. & Leveson, N. G. (2006). Resilience engineering: Concepts and precepts. Ashgate Publishing Company, Aldershot, Hampshire, England.
  • IMO, (2000). Revised harmonized reporting procedures - Reports required under SOLAS regulation I/21 and MARPOL 73/78. Articles 8 and 12, United Kingdom, MSCMEPC. 3/Circ.1(1): 1-47.
  • IMO, (2020). International Mritime Organization. Retrieved on April 01, 2020 from https://gisis.imo.org/Public/MCI/Search.aspx GISIS: Marine Casualties and Incidents.
  • JTSB, (2020). Japan Transport Safety Board, Retrieved on April 01, 2020 from http://www.mlit.go.jp/jtsb/Investigation _Reports.html Investigation Reports.
  • Kaptan, M., Uğurlu, Ö. & Wang, J. (2021). The effect of nonconformities encountered in the use of technology on the occurrence of collision, contact and grounding accidents. Reliability Engineering and System Safety, 215: 107886. https://doi.org/10.1016/j.ress.2021.107886
  • Mazaheri, A., Montewka, J., Nisula, J. & Kujala, P. (2015). Usability of accident and incident reports for evidence-based risk modeling-A case study on ship grounding reports. Safety Science, 76: 202-214. https://doi.org/10.1016/j.ssci.2015.02.019
  • MSC-MEPC, (2000). Reports on Marine Casualties and Incidents, International Maritime Organization, 1-45. Navas de Maya, B. & Kurt, R. E. (2020). Marine accident learning with fuzzy cognitive maps (MALFCMs). MethodsX, 7: 100940. https://doi.org/10.1016/j.mex.2020.100940
  • Qiao, W., Liu, Y., Ma, X. & Liu, Y. (2020). Human factors analysis for maritime accidents based on a dynamic fuzzy bayesian network. Risk Analysis, 40(5): 957-980. https://doi.org/10.1111/risa.13444
  • Saatçıoğlu, Ö. Y., Göksu, B., Yüksel, O. & Gülmez, Y. (2017). Ship engine room casualty analysis by using decision tree method. Journal of ETA Maritime Science, 5(1), 59-68. https://doi.org/10.5505/jems.2017.27146
  • Sarıalioğlu, S., Uğurlu, Ö., Aydın, M., Vardar, B. & Wang, J., (2020). A hybrid model for human-factor analysis of engine-room fires on ships: HFACS-PV&FFTA. Ocean Engineering, 217: 107992. https://doi.org/10.1016/j.oceaneng.2020.107992
  • Taylor, G., Easter, K. & Hegney, R. (2004). Enhancing occupational safety and health, Elsevier Butterworth-Heinemann, Great Britain.
  • TSB, (2020). Transportation Safety Board of Canada. Retrieved on April 01, 2020 from http://www.tsb.gc.ca/eng/qui-about/index.asp
  • Uğurlu, Ö., Yıldırım, U. & Başar, E. (2015). Analysis of grounding accidents caused by human error. Journal of Marine Science and Technology, 23(5): 748-760. https://doi.org/10.6119/JMST-015-0615-1
  • Uğurlu, Ö. (2016). Analysis of fire and explosion accidents occurring in tankers transporting hazardous cargoes. International Journal of Industrial Ergonomics, 55: 1-11. https://doi.org/10.1016/j.ergon.2016.06.006
  • Uğurlu, Ö., Yıldız, S., Loughney, S. & Wang, J. (2018). Modified human factor analysis and classification system for passenger vessel accidents (HFACS-PV). Ocean Engineering, 161: 47-61. https://doi.org/10.1016/j.oceaneng.2018.04.086
  • Wang, Y. F., Xie, M., Chin, K. S. & Fu, X. J. (2013). Accident analysis model based on bayesian network and evidential reasoning approach, Journal of Loss Prevention in the Process Industries, 26(1): 10-21. https://doi.org/10.1016/j.jlp.2012.08.001
  • Wei, X. Y., Wang, Y., Yan, X. P., Wu, B. & Tian, Y. F. (2015). A human factors analysis method for marine accident Evolution using HFACS-EI model. ASME 34th International Conference on Offshore Mechanics and Arctic Engineering, 56550: V007T06A049. https://doi.org/10.1115/omae2015-41858
  • Wiegmann, D. & Shappell, S. (2003). A human error approach to aviation accident analysis: The human factors analysis and classification system, Ashgate Press, Aldershot.
  • Yıldırım, U., (2016). Deniz kazalarının insan faktörleri analiz ve sınıflandırma sistemi (HFACS) ile incelenmesi. Doktora Tezi, Karadeniz Teknik Üniversitesi, Gemi İnşaatı ve Gemi Makineleri Mühendisliği, Trabzon/Türkiye.
  • Yıldız, S. (2016). Application of the sea traffic management (STM) concept for fishing vessels, Master's Thesis, Universitat Politècnica de Catalunya, Department of Nautical Engineering and Maritime Transport, Barcelona/Spain.

Ro-Ro gemi kazalarının vaka bazlı HFACS analizi

Year 2021, Volume: 3 Issue: 2, 105 - 114, 31.12.2021

Eşref Can Demirci Seçil Gülmez

https://doi.org/10.51756/marlife.1027858
Cited By: 1

Abstract

Bu çalışmanın amacı, Ro-Ro yük gemilerinde insan hatalarının sebep olduğu deniz kaza türlerinin tespiti ve bu kazaların sınıflandırılmasında İnsan Faktörleri Analiz ve Sınıflandırma Sistemi (Human Factors Analysis and Classification System-HFACS) yönteminin kullanışlılığının analiz edilmesidir. Bu kapsamda 30 farklı Ro-Ro gemi kazası incelenmiş, kazaya sebebiyet veren insan faktörleri tespit edilmiştir. Kaza sebepleri, 6 uzman ile birlikte gerçekleştirilen odak grup çalışması ile değerlendirilerek HFACS düzey ve kriterlerine göre kodlanmıştır. Yapılan bu sınıflanma ile birlikte kazalara sebebiyet veren insan hatalarına ait hata oranları tespit edilmiştir.

Keywords

Denizyolu taşımacılığı Ro-Ro gemileri gemi kazaları kaza raporları HFACS

References

  • Akyuz, E. & Celik, M. (2014). Utilisation of cognitive map in modelling human error in marine accident analysis and prevention. Safety Science, 70: 19-28. https://doi.org/10.1016/j.ssci.2014.05.004
  • Akyuz, E. (2015). A decision-making model proposal on human reliability analysis onboard ships, Ph.D. thesis, Istanbul Technical University-Graduate School of Science Engineering and Technology.
  • Arslan, Ö., Zorba, Y. & Svetak, J.,(2018). Fault tree analysis of tanker accidents during loading and unloading operations at the tanker terminals. Journal of ETA Maritime Science, 6(1): 3-16. https://doi.org/10.5505/jems.2018.29981
  • Baker, C. C. & McCafferty, D. B. (2005). Accident database review of human element concerns: What do the results mean for classification. In Proc. Int Conf.‘Human Factors in Ship Design and Operation, RINA Feb.
  • Batalden, B. M. & Sydnes, A. K. (2014). Maritime safety and the ISM Code: A study of investigated casualties and incidents. WMU Journal of Maritime Affairs, 13(1): 3-25. https://doi.org/10.1007/s13437-013-0051-8
  • Chauvin, C., Lardjane, S., Morel, G., Clostermann, J. P. & Langard, B. (2013). Human and organisational factors in maritime accidents: analysis of collisions at sea using the HFACS. Accident Analysis & Prevention, 59: 26-37. https://doi.org/10.1016/j.aap.2013.05.006
  • Chen, S. T., Wall, A., Davies, P., Yang, Z. L., Wang, J. & Chou, Y. H. (2013). A human and organisational factors (HOFs) analysis method for marine casualties using HFACS maritime accidents (HFACS-MA), Safety Science, 60: 105-114. https://doi.org/10.1016/j.ssci.2013.06.009
  • Chen, J., Bian, W., Wan, Z., Yang, Z., Zheng, H. & Wang, P. (2019). Identifying factors influencing total-loss marine accidents in the world: Analysis and evaluation based on ship types and sea regions. Ocean Engineering, 191: 106495. https://doi.org/10.1016/j.oceaneng.2019.106495
  • Chen, S. T. (2020). An approach of identifying the common human and organisational factors (HOFs) among a group of marine accidents using GRA and HFACS-MA. Journal of Transportation Safety & Security, 12(10): 1252-1294. https://doi.org/10.1080/19439962.2019.1583297
  • Dönmez, K. & Uslu, S. (2018). Evaluation of the widespread use of human factors analysis and classification system (HFACS) in literature. Journal of Aviation, 2(2): 156-176. https://doi.org/10.30518/jav.463607
  • Eliopoulou, E., Papanikolaou, A. & Voulgarellis, M. (2016). Statistical analysis of ship accidents and review of safety level. Safety Science, 85: 282-292. https://doi.org/10.1016/j.ssci.2016.02.001
  • GISIS, (2020). Global Intergrated Shipping Information System. Retrieved on January 06, 2020 from https://gisis.imo.org/Public/Default.aspx.
  • Hasanspahić, N., Vujičić, S., Frančić, V. & Čampara, L. (2021). The role of the human factor in marine accidents. Journal of Marine Science and Engineering, 9(3): 1-16. https://doi.org/10.3390/jmse9030261
  • Hollnagel, E., (2002). Understanding accidents-from root causes to performance variability. IEEE, 7th, Human Factors Meeting Scottsdale, Arizona.
  • Hollnagel, E., Woods, D. D. & Leveson, N. G. (2006). Resilience engineering: Concepts and precepts. Ashgate Publishing Company, Aldershot, Hampshire, England.
  • IMO, (2000). Revised harmonized reporting procedures - Reports required under SOLAS regulation I/21 and MARPOL 73/78. Articles 8 and 12, United Kingdom, MSCMEPC. 3/Circ.1(1): 1-47.
  • IMO, (2020). International Mritime Organization. Retrieved on April 01, 2020 from https://gisis.imo.org/Public/MCI/Search.aspx GISIS: Marine Casualties and Incidents.
  • JTSB, (2020). Japan Transport Safety Board, Retrieved on April 01, 2020 from http://www.mlit.go.jp/jtsb/Investigation _Reports.html Investigation Reports.
  • Kaptan, M., Uğurlu, Ö. & Wang, J. (2021). The effect of nonconformities encountered in the use of technology on the occurrence of collision, contact and grounding accidents. Reliability Engineering and System Safety, 215: 107886. https://doi.org/10.1016/j.ress.2021.107886
  • Mazaheri, A., Montewka, J., Nisula, J. & Kujala, P. (2015). Usability of accident and incident reports for evidence-based risk modeling-A case study on ship grounding reports. Safety Science, 76: 202-214. https://doi.org/10.1016/j.ssci.2015.02.019
  • MSC-MEPC, (2000). Reports on Marine Casualties and Incidents, International Maritime Organization, 1-45. Navas de Maya, B. & Kurt, R. E. (2020). Marine accident learning with fuzzy cognitive maps (MALFCMs). MethodsX, 7: 100940. https://doi.org/10.1016/j.mex.2020.100940
  • Qiao, W., Liu, Y., Ma, X. & Liu, Y. (2020). Human factors analysis for maritime accidents based on a dynamic fuzzy bayesian network. Risk Analysis, 40(5): 957-980. https://doi.org/10.1111/risa.13444
  • Saatçıoğlu, Ö. Y., Göksu, B., Yüksel, O. & Gülmez, Y. (2017). Ship engine room casualty analysis by using decision tree method. Journal of ETA Maritime Science, 5(1), 59-68. https://doi.org/10.5505/jems.2017.27146
  • Sarıalioğlu, S., Uğurlu, Ö., Aydın, M., Vardar, B. & Wang, J., (2020). A hybrid model for human-factor analysis of engine-room fires on ships: HFACS-PV&FFTA. Ocean Engineering, 217: 107992. https://doi.org/10.1016/j.oceaneng.2020.107992
  • Taylor, G., Easter, K. & Hegney, R. (2004). Enhancing occupational safety and health, Elsevier Butterworth-Heinemann, Great Britain.
  • TSB, (2020). Transportation Safety Board of Canada. Retrieved on April 01, 2020 from http://www.tsb.gc.ca/eng/qui-about/index.asp
  • Uğurlu, Ö., Yıldırım, U. & Başar, E. (2015). Analysis of grounding accidents caused by human error. Journal of Marine Science and Technology, 23(5): 748-760. https://doi.org/10.6119/JMST-015-0615-1
  • Uğurlu, Ö. (2016). Analysis of fire and explosion accidents occurring in tankers transporting hazardous cargoes. International Journal of Industrial Ergonomics, 55: 1-11. https://doi.org/10.1016/j.ergon.2016.06.006
  • Uğurlu, Ö., Yıldız, S., Loughney, S. & Wang, J. (2018). Modified human factor analysis and classification system for passenger vessel accidents (HFACS-PV). Ocean Engineering, 161: 47-61. https://doi.org/10.1016/j.oceaneng.2018.04.086
  • Wang, Y. F., Xie, M., Chin, K. S. & Fu, X. J. (2013). Accident analysis model based on bayesian network and evidential reasoning approach, Journal of Loss Prevention in the Process Industries, 26(1): 10-21. https://doi.org/10.1016/j.jlp.2012.08.001
  • Wei, X. Y., Wang, Y., Yan, X. P., Wu, B. & Tian, Y. F. (2015). A human factors analysis method for marine accident Evolution using HFACS-EI model. ASME 34th International Conference on Offshore Mechanics and Arctic Engineering, 56550: V007T06A049. https://doi.org/10.1115/omae2015-41858
  • Wiegmann, D. & Shappell, S. (2003). A human error approach to aviation accident analysis: The human factors analysis and classification system, Ashgate Press, Aldershot.
  • Yıldırım, U., (2016). Deniz kazalarının insan faktörleri analiz ve sınıflandırma sistemi (HFACS) ile incelenmesi. Doktora Tezi, Karadeniz Teknik Üniversitesi, Gemi İnşaatı ve Gemi Makineleri Mühendisliği, Trabzon/Türkiye.
  • Yıldız, S. (2016). Application of the sea traffic management (STM) concept for fishing vessels, Master's Thesis, Universitat Politècnica de Catalunya, Department of Nautical Engineering and Maritime Transport, Barcelona/Spain.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Maritime Engineering (Other)
Journal Section Research Articles
Authors

Eşref Can Demirci 0000-0003-0841-6839

Seçil Gülmez 0000-0002-4342-4386

Publication Date December 31, 2021
Submission Date November 24, 2021
Acceptance Date December 18, 2021
Published in Issue Year 2021 Volume: 3 Issue: 2

Cite

APA Demirci, E. C., & Gülmez, S. (2021). Ro-Ro gemi kazalarının vaka bazlı HFACS analizi. Marine and Life Sciences, 3(2), 105-114. https://doi.org/10.51756/marlife.1027858

Cited By

An investigation of the maritime accident in the Aegean Sea Turkish search and rescue region
Aquatic Research
https://doi.org/10.3153/AR23009
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