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Project Number 167
Date of Summary March 31, 1994
Subject Management of Human Error in Operations of Offshore Facilities
Performing Activity University of California at Berkeley
Principal Investigator Mr. Robert G. Bea & Mr. William H. Moore
Contracting Agency Minerals Management Service
Estimated Completion Complete
Description This was a Joint Industry Project (JIP) to develop and verify engineering reliability analysis procedures. These procedures allow a quantitative evaluation of the alternatives for management of human and organizational errors in the operation of offshore facilities. Human error accounts for the vast majority (60 to 80 percent) of failures of marine systems. Recent examples include the Piper Alpha platform explosion in the North Sea and the Exxon Valdez tanker grounding in Prince William Sound, Alaska. Traditional engineering approaches used in design, construction, and operation of marine systems have largely ignored this aspect. If the marine safety record is to be improved, then this aspect must be addressed by engineers. This is particularly true for existing marine systems, where there have been dramatically increased pressures for environmentally safe and economically sound operations. It is also important to ensure proper management of potential human errors for development of new innovative marine systems (such as very deep water platforms, pipelines, and floating structures) where a knowledge base does not exist. This study offers information on how to control the sources of human error.
Progress Complete

Reports
AA (7 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., Influence Diagram Model of a Pump Room Gas Leak and Fire Scenario, Letter Report, University of California at Berkeley, September 27, 1991.
AB (80 pages) File in Adobe's Portable Document Format (PDF) . Pate-Cornell, M. E., A Post-Mortem Analysis of the Piper Alpha Accident: Technical and Organization Factors, Stanford University, Stanford, CA, October 1991.
AC (32 pages) File in Adobe's Portable Document Format (PDF) . Roberts, K. H., Moore, W. H., A Gordian Knot: Into Which Sailed The Exxon Valdez, Report No. HOE-92-1, University of California, Berkeley, California, January, 1992.
AD (20 pages) File in Adobe's Portable Document Format (PDF) . Bea, R. G., Moore, W. H., Management of Human and Organizational Error in Operational Reliability of Marine Structures, Second SNAME Offshore Symposium, Houston, Texas, April 4-5, 1991.
AE (14 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., The Grounding of Exxon Valdez: An Examination of the Human and Organizational Factors, Society of Naval Architects and Marine Engineers, Northern California Section, Student Paper Presentation, April 9, 1992.
AF (33 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., Bea, R. G., Management of Human and Organizational Error in Operational Reliability of Marine Structures, Report No. HOE-92-3, University of California, Berkeley, California, June, 1992.
AG (52 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., Bea, R. G., Management of Human and Organizational Error in Operational Reliability of Marine Structures: Modeling the Effects of Human Errors From Post-Mortem Marine Casualty Studies, Report No. HOE-92-4, University of California, Berkeley, California, August 1992.
AH (362 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., Bea, R. G., Management of Human and Organizational Error in Operational Reliability of Marine Structures: Final Joint Industry Project Report, Report No. HOE-93-1, University of California, Berkeley, California, December 1993.
AI (33 pages) File in Adobe's Portable Document Format (PDF) . Moore, W. H., Bea, R. G., Management of Human Error in Operations of Marine Systems: Modeling Human Errors in Operations of Marine Systems: Case Study Examples, Report No. HOE-92-5, University of California, Berkeley, California, August 1992.
AJ (12 pages) File in Adobe's Portable Document Format (PDF) . Bea, R. G., Evaluation of Human and Organization Factors in Design of Marine Structures: Approaches and Applications, University of California at Berkeley, June 1995.
AK (5 pages) File in Adobe's Portable Document Format (PDF) . Roberts, K.H., Bea, R.G., Organization Factors in Quality and Reliability of Marine Systems, University of California at Berkeley. June 1995.
AL (14 pages) File in Adobe's Portable Document Format (PDF) . Bea, Robert G., Quality, Reliability , Human and Organizational Factors in Design of Marine Structures, Department of Civil Engineering and Department of Naval Architecture and Offshore Engineering, University of California, Berkeley, June 1995.

 

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