Tutorial 5: Case Study Zzzs in Zeebrugge SY DE 142 – June 21, 2004

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Tutorial 5: Case Study Zzzs in Zeebrugge SY DE 142 – June 21, 2004 Introduction to Human Systems Engineering Waterloo, Ontario, Canada

Outline Case 1: “Zzzs in Zeebrugge” Question and Discussion on Case 1

Case Study #1 Zzzs in Zeebrugge Place: English Channel Time: March 1987 Result: - Ferry sank - 188 passengers and some members of the crew died

Zzzs in Zeebrugge Questions Which personnel characteristics contributed to this accident? Which job characteristics contributed to this accident? Which equipment characteristics contributed to this accident?

1. Personnel characteristics: - age - ability - experience - stress - fatigue - drugs/alcohol - motivation

Zzzs in Zeebrugge Solutions 2. Job characteristics: - boredom level - timing - ergonomic hazard - work/rest/shifts - physical workload - mental workload

Zzzs in Zeebrugge Solutions 3. Equipment characteristics: - controls and displays - electrical/mechanical/thermal/pressure hazards - toxic substances - explosive hazards