2025 Spring Meeting and 21st Global Congress on Process Safety

(41a) Choosing Human Error Analysis Methodologies: The Sherpa Approach for Process Unit Shutdown and Startup Procedures

Choosing Human Error Analysis Methodologies: The SHERPA Approach for Process Unit Shutdown and Startup Procedures

In the industrial sector, particularly in process industries such as oil and gas, chemicals, and pharmaceuticals, human error is a significant contributor to accidents and inefficiencies. Given the complex nature of operations, it is crucial to adopt systematic methodologies to analyze and reduce human errors. This text explores the importance of human error analysis and introduces the SHERPA methodology as a suitable choice for enhancing the safety and efficiency of shutdown and startup procedures in process units.

Understanding Human Error in Process Operations

Human error can be defined as any action or decision made by personnel that leads to unintended consequences, including accidents, equipment damage, or operational inefficiencies. The impact of human error can be profound, leading to loss of life, environmental damage, and significant financial costs. Therefore, analyzing human error is essential for developing effective safety management systems.

In process operations, shutdowns and startups are particularly critical phases where human errors can have disastrous consequences. These procedures often involve multiple steps that require careful coordination among operators, engineers, and maintenance personnel. A single mistake during these operations can lead to catastrophic events, making it imperative to analyze and mitigate human errors.

Importance of Human Error Analysis Methodologies

Various methodologies have been developed to analyze human error, each with its strengths and weaknesses. Selecting the appropriate methodology depends on the specific context and the objectives of the analysis. Some common human error analysis methods include:

  1. Error Types Classification: This method categorizes errors into different types, such as slips, lapses, mistakes, and violations. It helps identify the underlying causes of errors and develop targeted interventions.

  2. Task Analysis: This involves breaking down tasks into their component parts to identify potential error points. It is useful for understanding the complexities involved in specific operations.

  3. Cognitive Task Analysis: This method focuses on the mental processes involved in performing tasks. It aims to understand how operators perceive, interpret, and respond to information, helping to identify cognitive errors.

  4. SHERPA (Systematic Human Error Reduction and Prediction Approach): This is a structured methodology that combines elements of task analysis and error classification to predict potential errors and develop mitigation strategies.

Among these methods, the SHERPA methodology stands out due to its systematic approach and focus on prevention.

Introducing SHERPA: Systematic Human Error Reduction and Prediction Approach

SHERPA is a robust methodology designed to systematically analyze human errors and develop strategies for their reduction and prevention. It is particularly well-suited for complex systems, such as process units, where human interaction is critical for safe and efficient operation. The SHERPA methodology consists of several key components:

  1. Error Identification: The first step involves identifying potential human errors that can occur during shutdown and startup procedures. This is achieved through a combination of task analysis and operator interviews, where operators provide insights into their experiences and challenges faced during these processes.

  2. Error Classification: Once errors are identified, they are classified into categories based on their nature and causes. This classification helps in understanding the underlying factors contributing to each error type.

  3. Risk Assessment: The next step involves assessing the risks associated with identified errors. This includes evaluating the potential consequences of each error and determining their likelihood of occurrence.

  4. Mitigation Strategies: After assessing the risks, the methodology focuses on developing targeted interventions to reduce the likelihood and impact of identified errors. This can include redesigning procedures, enhancing training programs, and implementing better communication protocols.

  5. Implementation and Monitoring: Once mitigation strategies are developed, they are implemented within the organization. Continuous monitoring is essential to evaluate the effectiveness of these strategies and make necessary adjustments over time.

Application of SHERPA in Shutdown and Startup Procedures

The application of SHERPA to shutdown and startup procedures in process units can significantly enhance safety and efficiency. Here’s how the methodology can be effectively implemented in this context:

  1. Pre-Operational Review: Before initiating a shutdown or startup, a thorough review of the procedures should be conducted using the SHERPA methodology. This includes identifying potential human errors specific to the operation and assessing the risks associated with each step.

  2. Training and Familiarization: Operators and personnel involved in the procedures should receive training based on the findings of the SHERPA analysis. This training should focus on the identified error types, their causes, and the mitigation strategies developed.

  3. Development of Checklists: Utilizing the insights gained from SHERPA, detailed checklists can be created for each procedure. These checklists should incorporate critical steps, potential error points, and reminders for operators to follow during shutdown and startup.

  4. Simulation and Drills: Conducting simulations and drills based on the SHERPA analysis can enhance preparedness. These exercises provide operators with the opportunity to practice procedures in a controlled environment, allowing them to identify and address potential issues before actual operations.

  5. Continuous Improvement: The SHERPA methodology promotes a culture of continuous improvement. After each shutdown or startup, a debriefing session should be held to gather feedback from operators regarding the process and any issues encountered. This feedback can inform future SHERPA analyses and updates to procedures.

Conclusion

In conclusion, the selection of a suitable methodology for analyzing human errors is crucial for enhancing safety and efficiency in process operations. The SHERPA methodology, with its systematic approach to error identification, classification, risk assessment, and mitigation, proves to be an effective choice for improving shutdown and startup procedures in process units. By implementing SHERPA, organizations can significantly reduce the risk of human errors, ultimately leading to safer and more efficient operations.

As industries continue to evolve and become more complex, the importance of addressing human error through structured methodologies like SHERPA cannot be overstated. Investing in robust human error analysis and prevention strategies will not only enhance operational safety but also contribute to the overall success and sustainability of process industries.