A study on human error in a blowout accident in well operation

Author

Haer, Xiali ; Inaba, Midori ; Tanaka, Kenji

Author_Institution

Grad. Sch. of Inf. Syst., Univ. of Electro-Commun., Chofu

fYear

2008

fDate

20-22 Aug. 2008

Firstpage

2759

Lastpage

2764

Abstract

This paper analyzes human errors, which caused blow out accident in China in 2003 by incorporating organizational conditions. Empirical studies show that organizational factors play an important role in creating contexts for human errors. The analyzing procedure outlined in the paper is a combination of three techniques, m-SHELL, FTA and 4E-4M, used for performing HRA in the context of PSA. It includes a process of quantifying the criticality of the organizational influence factors. Finally, with these criticality indexes, the most vulnerable parts in the well drilling system are indicated, and possible and practicable countermeasures are suggested.

Keywords

fault trees; industrial accidents; oil drilling; organisational aspects; risk analysis; well logging; 4E-4M technique; FTA technique; blowout accident; fault tree analysis; human error; m-SHELL technique; organizational factor; performance shaping factor; risk analysis; well drilling system; Drilling; Error analysis; Fault trees; Humans; Information analysis; Information systems; Performance analysis; Road accidents; Safety; US Department of Transportation; Blow-Out; Fault tree Analysis (FTA); Performance shaping factors (PSFs); m-SHELL model;

fLanguage

English

Publisher

ieee

Conference_Titel

SICE Annual Conference, 2008

Conference_Location

Tokyo

Print_ISBN

978-4-907764-30-2

Electronic_ISBN

978-4-907764-29-6

Type

conf

DOI

10.1109/SICE.2008.4655134

Filename

4655134