Abstract
This paper discusses the needs and requirements for practical implementation of human–machine interaction paradigms in prospective and retrospective analyses for design and safety assessment. The original theories of Hollnagel can lead to a comprehensive and detailed analysis of the “joint-cognitive” system, enabling the identification of root causes of human inappropriate behaviour and the evaluation of potentially complex incidental scenarios. However, the rigorous application of such approaches is sometime too ambitious or simply not possible for the lack of data or for the intrinsic complexity of the modelling architecture. This paper presents two possible ways forward when an overall safety analysis has to be performed for the entire plant and control. On the other hand, when well-defined tasks and specific behaviours need to be studied, the methods proposed by Hollnagel are recognised as the most modern and accurate instruments available.





Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Acosta C, Siu N (1993) Dynamic event trees accident sequence analysis: application to steam generator tube rupture. Reliab Eng Syst Saf 41(2):135–154
Aitkenhead AM, Slack JM (eds) (1990) Issues in cognitive modelling. LEA, Open University Set Book, London
Bagnara S, Di Martino C, Lisanti B, Mancini G, Rizzo A (1989) A human error taxonomy based on cognitive engineering and on social occupational psychology. EUR 12624 EN. CEC-JRC, Ispra
Cacciabue PC (1994) Affidabilità dinamica e fattori umani in sistemi nucleari. PhD Thesis. Politecnico di Milano (in Italian)
Cacciabue PC (2004) Guide to applying human factors methods. Springer, London
Cacciabue PC, Hollnagel E (1993) Human models in reliability and safety analysis of interactive systems. Proceedings of International ANS/ENS topical meeting on probabilistic safety assessment, PSA 93, Clearwater Beach, FL, Jan. 26–29, 1993. American Nuclear Society, La Grange Park, Ill, pp. 25–31
Cacciabue PC, Hollnagel E (1995) Simulation of Cognition: Applications. In: Hoc JM, Cacciabue PC, Hollnagel E (eds) Expertise and technology: cognition and human-computer interaction. Lawrence Erlbaum Associates, Hillsdale, pp 55–73
Carpignano A, Piccini M (1999) Cognitive theories and engineering approaches for safety assessment and design of automated systems: a case study of a power plant. Int J Cogn Technol Work (IJ-CTW) 1(1):47–61
Cojazzi G, Cacciabue PC, Parisi P (1993) DYLAM-3. A dynamic methodology for reliability analysis and consequences evaluation in industrial plants. EUR 15265 EN
Hakobyan A, Aldemir T, Denninga R, Dunaganb S, Kunsmanb D, Ruttc B, Catalyurek U (2008) Dynamic generation of accident progression event trees. Nucl Eng Des 238(12):3457–3467
Hollnagel E (1991a) Cognitive ergonomics and the reliability of cognition. Le Travail Humain 54(4):305–321
Hollnagel E (1991b) The phenotype of erroneous actions: implications for HCI design. In: Alty JL, Weir GRS (eds) Human computer interaction and the complex systems. Academic Press, London, pp 73–121
Hollnagel E (1993) Human reliability analysis: context and control. Academic Press, London
Hollnagel E (1994) Simplification of complexity: the use of simulation to analyse the reliability of cognition. In: Aldemir T, Siu NO, Mosleh A, Cacciabue PC, Göktepe BG (eds) Reliability and safety assessment of dynamic process systems. Springer, Heidelberg, pp 166–178
Hollnagel E (1998) Cognitive reliability and error analysis method. Elsevier, London
Hollnagel E (2004) Barriers and accident prevention. Ashgate Publishing Limited, Aldershot
Hollnagel E, Marsden P (1996) Further development of the phenotype-genotype classification scheme for the analysis of human erroneous actions. European commission, joint research centre report. EUR-16463 EN. EC Bruxelles
Hollnagel E, Woods DD (1983) Cognitive systems engineering: new wine in new bottles. Int J Man Mach Stud 18:583–606
Hollnagel E, Woods DD (2005) Joint cognitive systems: foundations of cognitive systems engineering. CRC Press, Boca Raton
Hsueh KS, Mosleh A (1993) The development and application of the accident dynamic simulator for dynamic probabilistic risk assessment of nuclear power plant. Reliab Eng Syst Saf 52(3):297–314
ICAO—International Civil Aviation Organisation (1987) Accident/incident reporting manual second edition—1987 DOC 9156-AN/900. International Civil Aviation Organisation, Montreal, Canada
ICAO (1997) Accident/incident reporting manual-ADREP 2000. ICAO, Montreal, Canada
ICAO (2006) http://www.icao.int/anb/aig/Taxonomy/R4LDICAO.pdf
Lyons M, Woloshynowych M, Adams S, Vincent C (2005) Error reduction in medicine. Final report to the Nuffield Trust UK
Macwan A, Mosleh A (1994) A methodology for modelling operators errors of commission in probabilistic risk assessment. Reliab Eng Syst Saf 45:139–157
Masson M, van Hijum M, Bernandersson M, Evans A (2009) The European helicopter safety team (EHEST): 2008–2009 Achievements. European Rotorcraft Forum (ERF), September 22–25, Hamburg, Germany
Maurino DE, Reason J, Johnston N, Lee RB (1995) Beyond aviation human factors. Avebury aviation. Aldershot, UK
Parry G (1994) Critique of current practice in the treatment of human interactions in probabilistic safety assessments. In: Aldemir T, Siu NO, Mosleh A, Cacciabue PC, Göktepe BG (eds) Reliability and safety assessment of dynamic process systems. Springer, Heidelberg, pp 156–165
Rasmussen J (1986) Information processes and human-machine interaction. An approach to cognitive engineering. North Holland, Oxford
Rasmussen J, Pedersen OM, Carnino C, Griffon M, Mancini G, Cagnolet P (1981) Classification system for reporting events involving human malfunction (Risø-M-2240, EUR-7444EN). Risø National Laboratory, Roskilde
Reason J (1987) Generic error modelling system (GEMS): a cognitive framework for locating common human error forms. In: Rasmussen J, Duncan K, Leplat J (eds) New technology and human error. Wiley, London, pp 63–83
Reason J (1997) Managing the risks of organisational accidents. Ashgate, Aldershot
Rouse WB, Rouse SH (1983) Analysis and classification of human error. IEEE Trans Syst Man Cybern 13(4):539–549
Salvendi G (ed) (1997) Handbook of human factors and ergonomics. Wiley, New York
Shappell SA, Wiegmann DA (2000) The human factors analysis and classification system–HFACS. FAA, DOT/FAA/AM-00/7
Sheridan TB (1999) Human supervisory control. In: Sage AP, Rouse WB (eds) Handbook of systems engineering and management. Wiley, New York, pp 591–628
Siu N (1994) Dynamic approaches–issues and methods: an overview. In: Aldemir T, Siu NO, Mosleh A, Cacciabue PC, Göktepe BG (eds) Reliability and safety assessment of dynamic process systems. Springer, Heidelberg, pp 3–7
Stanton NA, Salomon PM (2009) Human error taxonomies applied to driving: a generic driver error taxonomy and its applications for intelligent transport systems. Saf Sci 47:227–237
Swain AD, Guttmann HE (1983) Handbook on human reliability analysis with emphasis on nuclear power plant application. NUREG/CR-1278. SAND 80-0200 RX, AN. Final report
Wickens CD, Flach JM (1988) Information processing. In: Wiener EL, Nagel DC (eds) Human factors in aviation. Academic Press, San Diego, pp 111–155
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Cacciabue, P.C. Dynamic reliability and human factors for safety assessment of technological systems: a modern science rooted in the origin of mankind. Cogn Tech Work 12, 119–131 (2010). https://doi.org/10.1007/s10111-010-0145-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10111-010-0145-4