شناسایی خطاهای انسانی با استفاده از روش تجزیه و تحلیل فاکتورهای انسانی و طبقه بندی سیستم (HFACS)

Introduction: Although risk assessment and accident prevention program have been widely used in industries such as steel industry, there are still numerous accidents in these industries. Hence, applying an accident analysis method can identify the root causes and casual factors of accidents and causal factors. Human Factors Analysis and Classification System can identify human errors in the steel industry by using an analysis of past events. The aim of this study was to identify the human errors in the steel industry using the HFACS methodology. .Material and Method: In this study first, incident reports of industries with high risk, such as Ahvaz steel and pipe industries existing in the department of work and social security was gathered. Then, an analysis of accident was done based on HFACS model. This model has 4 levels and 18 categories which are 1 - unsafe acts of operators (that includes four subtypes) 2 - pre-conditions for unsafe acts (with seven categories) 3 - unsafe supervision (includes four categories) and 4 - the effect of association (with three categories). .Result: In this study, 158 reports of accident in Ahvaz steel industry were analyzed by HFACS technique. This analysis showed that most of the human errors were: in the first level was related to the skill-based errors, in the second to the physical environment, in the third level to the inadequate supervision and in the fourth level to the management of resources. .Conclusion: Studying and analyzing of past events using the HFACS technique can identify the major and root causes of accidents and can be effective on prevent repetitions of such mishaps. Also, it can be used as a basis for developing strategies to prevent future events in steel industries.