Human error mitigation initiative (HEMI) : summary report.

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Description

Despite continuing efforts to apply existing hazard analysis methods and comply with requirements, human errors persist across the nuclear weapons complex. Due to a number of factors, current retroactive and proactive methods to understand and minimize human error are highly subjective, inconsistent in numerous dimensions, and are cumbersome to characterize as thorough. An alternative and proposed method begins with leveraging historical data to understand what the systemic issues are and where resources need to be brought to bear proactively to minimize the risk of future occurrences. An illustrative analysis was performed using existing incident databases specific to Pantex weapons operations ... continued below

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32 p.

Creation Information

Stevens, Susan M.; Ramos, M. Victoria; Wenner, Caren A. & Brannon, Nathan Gregory November 1, 2004.

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Description

Despite continuing efforts to apply existing hazard analysis methods and comply with requirements, human errors persist across the nuclear weapons complex. Due to a number of factors, current retroactive and proactive methods to understand and minimize human error are highly subjective, inconsistent in numerous dimensions, and are cumbersome to characterize as thorough. An alternative and proposed method begins with leveraging historical data to understand what the systemic issues are and where resources need to be brought to bear proactively to minimize the risk of future occurrences. An illustrative analysis was performed using existing incident databases specific to Pantex weapons operations indicating systemic issues associated with operating procedures that undergo notably less development rigor relative to other task elements such as tooling and process flow. Future recommended steps to improve the objectivity, consistency, and thoroughness of hazard analysis and mitigation were delineated.

Physical Description

32 p.

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  • Report No.: SAND2004-5416
  • Grant Number: AC04-94AL85000
  • DOI: 10.2172/920113 | External Link
  • Office of Scientific & Technical Information Report Number: 920113
  • Archival Resource Key: ark:/67531/metadc896813

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Creation Date

  • November 1, 2004

Added to The UNT Digital Library

  • Sept. 27, 2016, 1:39 a.m.

Description Last Updated

  • Nov. 29, 2016, 12:58 p.m.

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Stevens, Susan M.; Ramos, M. Victoria; Wenner, Caren A. & Brannon, Nathan Gregory. Human error mitigation initiative (HEMI) : summary report., report, November 1, 2004; United States. (digital.library.unt.edu/ark:/67531/metadc896813/: accessed September 24, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT Libraries Government Documents Department.