What are the key HOF issues? In 2015, SNCF launched a major safety program (called PRISME) to improve its overall safety performance. As baseline of this program, the company has deployed a Just & Fair (J&F)...
Enhancing safety management
About this topic
Introduction
The safety management system (SMS) is part of the business processes of the organisation and is not just a paper-based system specifically developed for demonstrating compliance with the regulatory framework. The ERA identifies that “the purpose of the SMS is to ensure that the organisation achieves its business objectives in a safe manner and complies with all of the safety obligations that apply to it” and that “Adopting a structured approach enables the identification of hazards and the continuous management of risks related to an organisation’s own activities, with the aim of preventing accidents.” Having a comprehensive SMS will help to ensure that an organisation can control the risks associated with its activities under a range of conditions. The elements of the SMS can be observed to apply a Plan-Do-Check-Act (PDCA) cycle.
(ERA Site: https://www.era.europa.eu/activities/safety-management-system_en)
The SMS should be a living set of arrangements which grows in maturity and develops as the organisation which it serves does so. A way to Safety management is to take into consideration human and organisational factors and safety culture. This is a requirement in some areas of legislation, such as the Common Safety Methods on Safety Management System Requirements (2018/762).
Relevance to rail
The directive on railway safety (2016/798) and the Common Safety Methods on Safety Management System Requirements (2018/762) are European documents which define and explain how an SMS must be living and this includes consideration of human and organisational factors.
Approaches and models
The model used in the European Standard is from ISO 45001 an extended form of the Deming’s PDCA where risk management and learning from safety events lead to process and activity adaptations.
Co-construction of a Safety Culture model at SNCF
What are the key HOF issues? In 2020, SNCF became a unified public group composed by several anonymous companies. Given the status change, it was important to provide a common and unique definition of Safety Culture...
E-learning course on Safety Culture at RENFE
What are the key HOF issues? Training is a key aspect in the cultural transformation and the improvement of the safety culture. The Renfe Group has designed in its e-learning...
Safety Reporting at Renfe
What are the key HOF issues? The Strategic Plan of Renfe contains an ambitious transformation programme based on digitalisation and safety culture. A key aspect of the programme is the development of a confidential...
Non-technical skills for the train driver’s job – SNCF Voyageurs
What are the key HOF issues? With the influx of HOF specialists in 2008, the Traction Department (SNCF Voyageurs) has undertaken in-depth work to develop the non-technical skills of train drivers. Our work was based on...
Evaluation of Human Performance – RSSB
What are the key HOF issues? Despite the ongoing efforts from industry to improve safety and performance, there is an indication that we are now seeing diminishing returns in investments into improvements that the rail...
Capturing detailed Human Factors causal data for SPAD events – RSSB
What are the key HOF issues? The Safety Management Intelligence System, known to many as SMIS, is the rail industry’s on-line health and safety reporting and business intelligence software. It collects and provides...
Integration of 5×5 model in Infrabel
What are the key HOF issues? When we are talking about a "Human Factors" approach, generally we are positively received at the beginning. First, there is curiosity, a desire to know quite more about this new point of...
EXPRO – PRESENT AND FUTURE – An evaluation of the EXPRO meetings and transition into Quality Meetings
What are the key HOF issues? Present day An EXPRO meeting is a monthly organised multidisciplinary meeting. The meeting is commonly organised by the department of Safety Culture. It revolves around the discussion of...
Timeline tool to help you handle deviations – Finnish Transport Agency
What are the key HOF issues? The aim of a comprehensive handling of safety incidents is to find the root causes of the incident. Once these are known, development measures can be planned and implemented to prevent...
HOF in SPADs at Irish Rail
What are the key HOF issues? The immediate cause of signals passed at danger is often a lapse in concentration by a driver on approach to the signal. This can mean that the obvious focus for an investigation is on the...
Understanding human factors in freight train incident risk
What are the key HOF issues? Great Britain’s National Freight Safety Group (NFSG) identified a lack of understanding on the condition of freight vehicles prior to their entry to the rail network from freight yards....
Safety Leadership training in Irish Rail
What are the key HOF issues? Irish Rail identified a need to refresh our senior managers on safety leadership, to highlight the importance of leading by example and to create awareness of the pivotal role of leaders in...
ISO Occupational health and safety management systems (ISO-45001)
https://www.iso.org/standard/63787.html
EU Directive on Railway Safety (2016/798)
https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32016L0798
Office of Rail and Road Developing and maintaining staff competence Railway Safety Publication 1, November 2016
https://www.orr.gov.uk/media/10885
Videos on Just Culture and Understanding Human Error
https://www.youtube.com/watch?v=Fw3SwEXc3PU
Eurocontrol Just Culture Manifesto
https://skybrary.aero/enhancing-safety/just-culture/about-just-culture/just-culture-manifesto
Risk management – Skybrary
https://skybrary.aero/articles/risk-management
Human factors integration – Objectives, principles and evidence Office of Rail and Road looks for
https://www.orr.gov.uk/media/15720
RSSB (2022) Accident and Incident Investigation (RIS-3119-TOM)
https://www.rssb.co.uk/standards-catalogue/CatalogueItem/ris-3119-tom-iss-3
Common safety methods on safety management system requirements.
https://www.era.europa.eu/activities/common-safety-methods_en ERA
Branford, K.; Naikar, N.; Hopkins, A. (2011). “Guidelines for AcciMap analysis”. In A. Hopkins (Ed.) Learning from High Reliability Organisations: 193–212
Abstract: This chapter focuses on a systems-based technique for accident analysis, referred to as the AcciMap approach." The technique involves the construction ofa multilayered diagram in which the various causes of...
Altabbakh, H, et al (2014), “STAMP – Holistic system safety approach or just another risk model?”, Journal of Loss Prevention in the Process Industries, 32: 109–119
Abstract: Risk management has a number of accident causation models that have been used for a number of years. Dr. Nancy Leveson (2002) has developed a new model of accidents using a systems approach. The new model is...
Accou, B. and Carpinelli, F. (2022) “Systematically investigating human and organisational factors in complex socio-technical systems by using the “SAfety FRactal ANalysis” method” Applied Ergonomics Volume 100
Abstract: In order to manage the performance of socio-technical systems in a safe and sustainable way, the importance of looking at human and organisational factors (HOF) and their contribution to adverse events is...
Risk Management Maturity Model (RM3)
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Eurocontrol – Human Performance
https://www.eurocontrol.int/project/human-performance EUROCONTROL
RSSB guide on applying Human Factors to Improve Performance
https://www.rssb.co.uk/safety-and-health/improving-safety-health-and-wellbeing/understanding-human-factors/applying-human-factors-to-improve-performance RSSB
ERA Safety Leadership Training
https://www.era.europa.eu/activities/safety-culture_en#meeting5 ERA
European Railway Safety Culture Model
https://www.era.europa.eu/safety-culture-model/ ERA
ERA Safety Leadership Principles
https://www.era.europa.eu/activities/safety-culture/safety-leadership ERA
Safety Culture: A Report by the International Nuclear Safety Advisory Group (INSAG Series No. 4)
https://www-pub.iaea.org/MTCD/Publications/PDF/Pub882_web.pdf INSAG No. 4
UIC – Toward a positive railway safety culture
https://www.shop-etf.com/en/towards-a-positive-railway-safety-culture UIC
EUROCONTROL – Understanding safety culture in air traffic management
https://www.eurocontrol.int/publication/understanding-safety-culture-air-traffic-management EUROCONTROL
GB Office of Road and Rail Risk Management Maturity Model
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Introduction to the European Railway Safety Culture Model
https://www.era.europa.eu/sites/default/files/activities/docs/introduction_to_european_railway_safety_culture_model_en.pdf ERA
What next for building a clear safety vision and culture? (page 57)
https://issuu.com/railpro/docs/rp_dec21_issue_278_issuu_pre-press
I am ready to develop my culture. Now what? (Page 31)
https://issuu.com/railpro/docs/rp_oct21_issue_276_issuu_final?fr=sYTI1NTI2NDYxNjI&mc_cid=6020eaa4bf&mc_eid=7a3fcb6fe4
Crescencio. A, Martinez. O, Alban Millan. R (2022), “Human error analysis at Valencia railway operation control. Training proposal aimed at reducing human error”
Abstract: The objective of this paper is to present the human factors training methodology in Adif and its theoretical bases. This methodology represents a different way of understanding safety, more focused on what to...
Hopkins, A. (2006), “Studying organisational cultures and their effects on safety” Safety Science 44 875–889
Studying organisational cultures and their effects on safety Abstract: How do organisational cultures influence safety? To answer this question requires a strategy for investigating organisational culture. By far the...
Swuste, P.; van Gulijk, C.; Groeneweg, J.; Zwaard, W.; Lemkowitz, S.; Guldenmund, F. (2020), From clapham junction to macondo, deepwater horizon: Risk and safety management in high-tech-high-hazard sectors A review of English and Dutch literature: 1988–2010, Safety Science, Volume 121, Pages 249-282.
Abstract: Objective: What is the influence of general management trends and safety research on managing safety? Method: A literature study which is limited to original English and Dutch books, documents, and articles...
Just Culture in aviation
Just culture Skybrary
Patient Safety HAS (Haute autorité de Santé)
Patient Safety HAS (Haute autorité de Santé)
IRSN – Addressing cultural aspects of organisations in high risk industries
Addressing cultural aspects of organisations in high risk industries
Safety Culture – Railway Association of Canada (RAC)
Safety Culture Railway Association of Canada (RAC)
ERA – Safety Culture
Safety Culture ERA official site
Rolina. G, Accou. B (2019), “Towards the European Railway Safety Culture Model”, WCRR 2019, Tokyo
Towards the European Railway Safety Culture Model Abstract In 2017, the European Union Agency for Railways launched an ambitious programme to foster the development of a positive safety culture across European...
ICSI – The essentials of Safety Culture
The Essentials of Safety Culture ICSI
ICSI – Industrial practice – Leadership in safety
Leadership in Safety Working group Leadership in safety (ICSI)
FONCSI – Human and Organizational Factors of safety – State of the art
Human and Organizational Factors of Safety - State of the art FONCSI
ERA Safety Culture Model
https://www.era.europa.eu/safety-culture-model/#en
What are Human Factors?
What are Human Factors? Human Factors is one of those terms that everybody has heard of, but the full scope of what human factors covers isn’t always obvious. Human Factors (the American term), ergonomics (the UK...
Rail Professional – What is a “safety culture” anyway?
https://www.railpro.co.uk/may-2021/what-is-a-safety-culture-anyway RAIL Professional
RSSB – Supporting a Fair Culture: Creating Appropriate Plans After Incidents – Good practice guide
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=24183
Hesketh, S. (2015) – RSSB – Safety culture and behavioural development: Common factors for creating a culture of continuous improvement
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=22292 Abstract: The aim of this guide is to provide practical information and advice on how to create a culture of continuous safety improvement and to reduce...
Online Launch of the European Rail Safety Climate Survey
Online Launch of the European Rail Safety Climate Survey
ERA – Human and Organisational Factors (HOF)
ERA - Activities - Safety Management System - Human and Organisational Factors (HOF)
How to organise the integration of human and organisational factors : the implementation of a network of specialists at SNCF
How to organise the integration of human and organisational factors: the implementation of a network of specialists at SNCF
Organisational and human aspects of safety at border crossings
Organisational and human aspects of safety at border crossings
The SNCF’s Just & Fair approach
What are the key HOF issues? In 2015, SNCF launched a major safety program (called PRISME) to improve its overall safety performance. As baseline of this program, the company has deployed a Just & Fair (J&F) approach to create a climate of trust...
Co-construction of a Safety Culture model at SNCF
What are the key HOF issues? In 2020, SNCF became a unified public group composed by several anonymous companies. Given the status change, it was important to provide a common and unique definition of Safety Culture for the entire SNCF group. By...
E-learning course on Safety Culture at RENFE
What are the key HOF issues? Training is a key aspect in the cultural transformation and the improvement of the safety culture. The Renfe Group has designed in its e-learning platform the course “CREATING A SAFETY...
Safety Reporting at Renfe
What are the key HOF issues? The Strategic Plan of Renfe contains an ambitious transformation programme based on digitalisation and safety culture. A key aspect of the programme is the development of a confidential reporting system of near misses that...
Non-technical skills for the train driver’s job – SNCF Voyageurs
What are the key HOF issues? With the influx of HOF specialists in 2008, the Traction Department (SNCF Voyageurs) has undertaken in-depth work to develop the non-technical skills of train drivers. Our work was based on the scientific definition of...
Evaluation of Human Performance – RSSB
What are the key HOF issues? Despite the ongoing efforts from industry to improve safety and performance, there is an indication that we are now seeing diminishing returns in investments into improvements that the rail industry makes. It is important...
Capturing detailed Human Factors causal data for SPAD events – RSSB
What are the key HOF issues? The Safety Management Intelligence System, known to many as SMIS, is the rail industry’s on-line health and safety reporting and business intelligence software. It collects and provides access to information on thousands of...
Integration of 5×5 model in Infrabel
What are the key HOF issues? When we are talking about a "Human Factors" approach, generally we are positively received at the beginning. First, there is curiosity, a desire to know quite more about this new point of view. In a second time, our...
EXPRO – PRESENT AND FUTURE – An evaluation of the EXPRO meetings and transition into Quality Meetings
What are the key HOF issues? Present day An EXPRO meeting is a monthly organised multidisciplinary meeting. The meeting is commonly organised by the department of Safety Culture. It revolves around the discussion of operational incidents or accidents....
Timeline tool to help you handle deviations – Finnish Transport Agency
What are the key HOF issues? The aim of a comprehensive handling of safety incidents is to find the root causes of the incident. Once these are known, development measures can be planned and implemented to prevent similar incidents or to reduce the...
HOF in SPADs at Irish Rail
What are the key HOF issues? The immediate cause of signals passed at danger is often a lapse in concentration by a driver on approach to the signal. This can mean that the obvious focus for an investigation is on the actions (or inactions) of the...
Understanding human factors in freight train incident risk
What are the key HOF issues? Great Britain’s National Freight Safety Group (NFSG) identified a lack of understanding on the condition of freight vehicles prior to their entry to the rail network from freight yards. RSSB’s Annual Health and Safety Report...
Safety Leadership training in Irish Rail
What are the key HOF issues? Irish Rail identified a need to refresh our senior managers on safety leadership, to highlight the importance of leading by example and to create awareness of the pivotal role of leaders in shaping the safety culture of the...
ISO Occupational health and safety management systems (ISO-45001)
https://www.iso.org/standard/63787.html
EU Directive on Railway Safety (2016/798)
https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32016L0798
Office of Rail and Road Developing and maintaining staff competence Railway Safety Publication 1, November 2016
https://www.orr.gov.uk/media/10885
Videos on Just Culture and Understanding Human Error
https://www.youtube.com/watch?v=Fw3SwEXc3PU
Eurocontrol Just Culture Manifesto
https://skybrary.aero/enhancing-safety/just-culture/about-just-culture/just-culture-manifesto
Risk management – Skybrary
https://skybrary.aero/articles/risk-management
Human factors integration – Objectives, principles and evidence Office of Rail and Road looks for
https://www.orr.gov.uk/media/15720
RSSB (2022) Accident and Incident Investigation (RIS-3119-TOM)
https://www.rssb.co.uk/standards-catalogue/CatalogueItem/ris-3119-tom-iss-3
Common safety methods on safety management system requirements.
https://www.era.europa.eu/activities/common-safety-methods_en ERA
Branford, K.; Naikar, N.; Hopkins, A. (2011). “Guidelines for AcciMap analysis”. In A. Hopkins (Ed.) Learning from High Reliability Organisations: 193–212
Abstract: This chapter focuses on a systems-based technique for accident analysis, referred to as the AcciMap approach." The technique involves the construction ofa multilayered diagram in which the various causes of an accident are arranged according...
Altabbakh, H, et al (2014), “STAMP – Holistic system safety approach or just another risk model?”, Journal of Loss Prevention in the Process Industries, 32: 109–119
Abstract: Risk management has a number of accident causation models that have been used for a number of years. Dr. Nancy Leveson (2002) has developed a new model of accidents using a systems approach. The new model is called Systems Theoretic Accident...
Accou, B. and Carpinelli, F. (2022) “Systematically investigating human and organisational factors in complex socio-technical systems by using the “SAfety FRactal ANalysis” method” Applied Ergonomics Volume 100
Abstract: In order to manage the performance of socio-technical systems in a safe and sustainable way, the importance of looking at human and organisational factors (HOF) and their contribution to adverse events is widely recognised. In reality,...
Risk Management Maturity Model (RM3)
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Eurocontrol – Human Performance
https://www.eurocontrol.int/project/human-performance EUROCONTROL
RSSB guide on applying Human Factors to Improve Performance
https://www.rssb.co.uk/safety-and-health/improving-safety-health-and-wellbeing/understanding-human-factors/applying-human-factors-to-improve-performance RSSB
ERA Safety Leadership Training
https://www.era.europa.eu/activities/safety-culture_en#meeting5 ERA
European Railway Safety Culture Model
https://www.era.europa.eu/safety-culture-model/ ERA
ERA Safety Leadership Principles
https://www.era.europa.eu/activities/safety-culture/safety-leadership ERA
Safety Culture: A Report by the International Nuclear Safety Advisory Group (INSAG Series No. 4)
https://www-pub.iaea.org/MTCD/Publications/PDF/Pub882_web.pdf INSAG No. 4
UIC – Toward a positive railway safety culture
https://www.shop-etf.com/en/towards-a-positive-railway-safety-culture UIC
EUROCONTROL – Understanding safety culture in air traffic management
https://www.eurocontrol.int/publication/understanding-safety-culture-air-traffic-management EUROCONTROL
GB Office of Road and Rail Risk Management Maturity Model
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Introduction to the European Railway Safety Culture Model
https://www.era.europa.eu/sites/default/files/activities/docs/introduction_to_european_railway_safety_culture_model_en.pdf ERA
What next for building a clear safety vision and culture? (page 57)
https://issuu.com/railpro/docs/rp_dec21_issue_278_issuu_pre-press
I am ready to develop my culture. Now what? (Page 31)
https://issuu.com/railpro/docs/rp_oct21_issue_276_issuu_final?fr=sYTI1NTI2NDYxNjI&mc_cid=6020eaa4bf&mc_eid=7a3fcb6fe4
Crescencio. A, Martinez. O, Alban Millan. R (2022), “Human error analysis at Valencia railway operation control. Training proposal aimed at reducing human error”
Abstract: The objective of this paper is to present the human factors training methodology in Adif and its theoretical bases. This methodology represents a different way of understanding safety, more focused on what to do and what to know than how to do...
Hopkins, A. (2006), “Studying organisational cultures and their effects on safety” Safety Science 44 875–889
Studying organisational cultures and their effects on safety Abstract: How do organisational cultures influence safety? To answer this question requires a strategy for investigating organisational culture. By far the most widely used research strategy...
Swuste, P.; van Gulijk, C.; Groeneweg, J.; Zwaard, W.; Lemkowitz, S.; Guldenmund, F. (2020), From clapham junction to macondo, deepwater horizon: Risk and safety management in high-tech-high-hazard sectors A review of English and Dutch literature: 1988–2010, Safety Science, Volume 121, Pages 249-282.
Abstract: Objective: What is the influence of general management trends and safety research on managing safety? Method: A literature study which is limited to original English and Dutch books, documents, and articles in relevant scientific journals, for...
Just Culture in aviation
Just culture Skybrary
Patient Safety HAS (Haute autorité de Santé)
Patient Safety HAS (Haute autorité de Santé)
IRSN – Addressing cultural aspects of organisations in high risk industries
Addressing cultural aspects of organisations in high risk industries
Safety Culture – Railway Association of Canada (RAC)
Safety Culture Railway Association of Canada (RAC)
ERA – Safety Culture
Safety Culture ERA official site
Rolina. G, Accou. B (2019), “Towards the European Railway Safety Culture Model”, WCRR 2019, Tokyo
Towards the European Railway Safety Culture Model Abstract In 2017, the European Union Agency for Railways launched an ambitious programme to foster the development of a positive safety culture across European railways. The programme includes the design...
ICSI – The essentials of Safety Culture
The Essentials of Safety Culture ICSI
ICSI – Industrial practice – Leadership in safety
Leadership in Safety Working group Leadership in safety (ICSI)
FONCSI – Human and Organizational Factors of safety – State of the art
Human and Organizational Factors of Safety - State of the art FONCSI
ERA Safety Culture Model
https://www.era.europa.eu/safety-culture-model/#en
What are Human Factors?
What are Human Factors? Human Factors is one of those terms that everybody has heard of, but the full scope of what human factors covers isn’t always obvious. Human Factors (the American term), ergonomics (the UK term), or Human and Organisational...
Rail Professional – What is a “safety culture” anyway?
https://www.railpro.co.uk/may-2021/what-is-a-safety-culture-anyway RAIL Professional
RSSB – Supporting a Fair Culture: Creating Appropriate Plans After Incidents – Good practice guide
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=24183
Hesketh, S. (2015) – RSSB – Safety culture and behavioural development: Common factors for creating a culture of continuous improvement
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=22292 Abstract: The aim of this guide is to provide practical information and advice on how to create a culture of continuous safety improvement and to reduce duplication of effort and resources...
Online Launch of the European Rail Safety Climate Survey
Online Launch of the European Rail Safety Climate Survey
ERA – Human and Organisational Factors (HOF)
ERA - Activities - Safety Management System - Human and Organisational Factors (HOF)
How to organise the integration of human and organisational factors : the implementation of a network of specialists at SNCF
How to organise the integration of human and organisational factors: the implementation of a network of specialists at SNCF
Organisational and human aspects of safety at border crossings
Organisational and human aspects of safety at border crossings
The SNCF’s Just & Fair approach
What are the key HOF issues? In 2015, SNCF launched a major safety program (called PRISME) to improve its overall safety performance. As baseline of this program, the company has deployed a Just & Fair (J&F) approach to create a climate of trust...
Co-construction of a Safety Culture model at SNCF
What are the key HOF issues? In 2020, SNCF became a unified public group composed by several anonymous companies. Given the status change, it was important to provide a common and unique definition of Safety Culture for the entire SNCF group. By...
E-learning course on Safety Culture at RENFE
What are the key HOF issues? Training is a key aspect in the cultural transformation and the improvement of the safety culture. The Renfe Group has designed in its e-learning platform the course “CREATING A SAFETY...
Safety Reporting at Renfe
What are the key HOF issues? The Strategic Plan of Renfe contains an ambitious transformation programme based on digitalisation and safety culture. A key aspect of the programme is the development of a confidential reporting system of near misses that...
Non-technical skills for the train driver’s job – SNCF Voyageurs
What are the key HOF issues? With the influx of HOF specialists in 2008, the Traction Department (SNCF Voyageurs) has undertaken in-depth work to develop the non-technical skills of train drivers. Our work was based on the scientific definition of...
Evaluation of Human Performance – RSSB
What are the key HOF issues? Despite the ongoing efforts from industry to improve safety and performance, there is an indication that we are now seeing diminishing returns in investments into improvements that the rail industry makes. It is important...
Capturing detailed Human Factors causal data for SPAD events – RSSB
What are the key HOF issues? The Safety Management Intelligence System, known to many as SMIS, is the rail industry’s on-line health and safety reporting and business intelligence software. It collects and provides access to information on thousands of...
Integration of 5×5 model in Infrabel
What are the key HOF issues? When we are talking about a "Human Factors" approach, generally we are positively received at the beginning. First, there is curiosity, a desire to know quite more about this new point of view. In a second time, our...
EXPRO – PRESENT AND FUTURE – An evaluation of the EXPRO meetings and transition into Quality Meetings
What are the key HOF issues? Present day An EXPRO meeting is a monthly organised multidisciplinary meeting. The meeting is commonly organised by the department of Safety Culture. It revolves around the discussion of operational incidents or accidents....
Timeline tool to help you handle deviations – Finnish Transport Agency
What are the key HOF issues? The aim of a comprehensive handling of safety incidents is to find the root causes of the incident. Once these are known, development measures can be planned and implemented to prevent similar incidents or to reduce the...
HOF in SPADs at Irish Rail
What are the key HOF issues? The immediate cause of signals passed at danger is often a lapse in concentration by a driver on approach to the signal. This can mean that the obvious focus for an investigation is on the actions (or inactions) of the...
Understanding human factors in freight train incident risk
What are the key HOF issues? Great Britain’s National Freight Safety Group (NFSG) identified a lack of understanding on the condition of freight vehicles prior to their entry to the rail network from freight yards. RSSB’s Annual Health and Safety Report...
Safety Leadership training in Irish Rail
What are the key HOF issues? Irish Rail identified a need to refresh our senior managers on safety leadership, to highlight the importance of leading by example and to create awareness of the pivotal role of leaders in shaping the safety culture of the...
ISO Occupational health and safety management systems (ISO-45001)
https://www.iso.org/standard/63787.html
EU Directive on Railway Safety (2016/798)
https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32016L0798
Office of Rail and Road Developing and maintaining staff competence Railway Safety Publication 1, November 2016
https://www.orr.gov.uk/media/10885
Videos on Just Culture and Understanding Human Error
https://www.youtube.com/watch?v=Fw3SwEXc3PU
Eurocontrol Just Culture Manifesto
https://skybrary.aero/enhancing-safety/just-culture/about-just-culture/just-culture-manifesto
Risk management – Skybrary
https://skybrary.aero/articles/risk-management
Human factors integration – Objectives, principles and evidence Office of Rail and Road looks for
https://www.orr.gov.uk/media/15720
RSSB (2022) Accident and Incident Investigation (RIS-3119-TOM)
https://www.rssb.co.uk/standards-catalogue/CatalogueItem/ris-3119-tom-iss-3
Common safety methods on safety management system requirements.
https://www.era.europa.eu/activities/common-safety-methods_en ERA
Branford, K.; Naikar, N.; Hopkins, A. (2011). “Guidelines for AcciMap analysis”. In A. Hopkins (Ed.) Learning from High Reliability Organisations: 193–212
Abstract: This chapter focuses on a systems-based technique for accident analysis, referred to as the AcciMap approach." The technique involves the construction ofa multilayered diagram in which the various causes of an accident are arranged according...
Altabbakh, H, et al (2014), “STAMP – Holistic system safety approach or just another risk model?”, Journal of Loss Prevention in the Process Industries, 32: 109–119
Abstract: Risk management has a number of accident causation models that have been used for a number of years. Dr. Nancy Leveson (2002) has developed a new model of accidents using a systems approach. The new model is called Systems Theoretic Accident...
Accou, B. and Carpinelli, F. (2022) “Systematically investigating human and organisational factors in complex socio-technical systems by using the “SAfety FRactal ANalysis” method” Applied Ergonomics Volume 100
Abstract: In order to manage the performance of socio-technical systems in a safe and sustainable way, the importance of looking at human and organisational factors (HOF) and their contribution to adverse events is widely recognised. In reality,...
Risk Management Maturity Model (RM3)
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Eurocontrol – Human Performance
https://www.eurocontrol.int/project/human-performance EUROCONTROL
RSSB guide on applying Human Factors to Improve Performance
https://www.rssb.co.uk/safety-and-health/improving-safety-health-and-wellbeing/understanding-human-factors/applying-human-factors-to-improve-performance RSSB
ERA Safety Leadership Training
https://www.era.europa.eu/activities/safety-culture_en#meeting5 ERA
European Railway Safety Culture Model
https://www.era.europa.eu/safety-culture-model/ ERA
ERA Safety Leadership Principles
https://www.era.europa.eu/activities/safety-culture/safety-leadership ERA
Safety Culture: A Report by the International Nuclear Safety Advisory Group (INSAG Series No. 4)
https://www-pub.iaea.org/MTCD/Publications/PDF/Pub882_web.pdf INSAG No. 4
UIC – Toward a positive railway safety culture
https://www.shop-etf.com/en/towards-a-positive-railway-safety-culture UIC
EUROCONTROL – Understanding safety culture in air traffic management
https://www.eurocontrol.int/publication/understanding-safety-culture-air-traffic-management EUROCONTROL
GB Office of Road and Rail Risk Management Maturity Model
https://www.orr.gov.uk/guidance-compliance/rail/health-safety/strategy/rm3
Introduction to the European Railway Safety Culture Model
https://www.era.europa.eu/sites/default/files/activities/docs/introduction_to_european_railway_safety_culture_model_en.pdf ERA
What next for building a clear safety vision and culture? (page 57)
https://issuu.com/railpro/docs/rp_dec21_issue_278_issuu_pre-press
I am ready to develop my culture. Now what? (Page 31)
https://issuu.com/railpro/docs/rp_oct21_issue_276_issuu_final?fr=sYTI1NTI2NDYxNjI&mc_cid=6020eaa4bf&mc_eid=7a3fcb6fe4
Crescencio. A, Martinez. O, Alban Millan. R (2022), “Human error analysis at Valencia railway operation control. Training proposal aimed at reducing human error”
Abstract: The objective of this paper is to present the human factors training methodology in Adif and its theoretical bases. This methodology represents a different way of understanding safety, more focused on what to do and what to know than how to do...
Hopkins, A. (2006), “Studying organisational cultures and their effects on safety” Safety Science 44 875–889
Studying organisational cultures and their effects on safety Abstract: How do organisational cultures influence safety? To answer this question requires a strategy for investigating organisational culture. By far the most widely used research strategy...
Swuste, P.; van Gulijk, C.; Groeneweg, J.; Zwaard, W.; Lemkowitz, S.; Guldenmund, F. (2020), From clapham junction to macondo, deepwater horizon: Risk and safety management in high-tech-high-hazard sectors A review of English and Dutch literature: 1988–2010, Safety Science, Volume 121, Pages 249-282.
Abstract: Objective: What is the influence of general management trends and safety research on managing safety? Method: A literature study which is limited to original English and Dutch books, documents, and articles in relevant scientific journals, for...
Just Culture in aviation
Just culture Skybrary
Patient Safety HAS (Haute autorité de Santé)
Patient Safety HAS (Haute autorité de Santé)
IRSN – Addressing cultural aspects of organisations in high risk industries
Addressing cultural aspects of organisations in high risk industries
Safety Culture – Railway Association of Canada (RAC)
Safety Culture Railway Association of Canada (RAC)
ERA – Safety Culture
Safety Culture ERA official site
Rolina. G, Accou. B (2019), “Towards the European Railway Safety Culture Model”, WCRR 2019, Tokyo
Towards the European Railway Safety Culture Model Abstract In 2017, the European Union Agency for Railways launched an ambitious programme to foster the development of a positive safety culture across European railways. The programme includes the design...
ICSI – The essentials of Safety Culture
The Essentials of Safety Culture ICSI
ICSI – Industrial practice – Leadership in safety
Leadership in Safety Working group Leadership in safety (ICSI)
FONCSI – Human and Organizational Factors of safety – State of the art
Human and Organizational Factors of Safety - State of the art FONCSI
ERA Safety Culture Model
https://www.era.europa.eu/safety-culture-model/#en
What are Human Factors?
What are Human Factors? Human Factors is one of those terms that everybody has heard of, but the full scope of what human factors covers isn’t always obvious. Human Factors (the American term), ergonomics (the UK term), or Human and Organisational...
Rail Professional – What is a “safety culture” anyway?
https://www.railpro.co.uk/may-2021/what-is-a-safety-culture-anyway RAIL Professional
RSSB – Supporting a Fair Culture: Creating Appropriate Plans After Incidents – Good practice guide
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=24183
Hesketh, S. (2015) – RSSB – Safety culture and behavioural development: Common factors for creating a culture of continuous improvement
https://www.sparkrail.org/Lists/Records/DispForm.aspx?ID=22292 Abstract: The aim of this guide is to provide practical information and advice on how to create a culture of continuous safety improvement and to reduce duplication of effort and resources...
Online Launch of the European Rail Safety Climate Survey
Online Launch of the European Rail Safety Climate Survey
ERA – Human and Organisational Factors (HOF)
ERA - Activities - Safety Management System - Human and Organisational Factors (HOF)
How to organise the integration of human and organisational factors : the implementation of a network of specialists at SNCF
How to organise the integration of human and organisational factors: the implementation of a network of specialists at SNCF
Organisational and human aspects of safety at border crossings
Organisational and human aspects of safety at border crossings
Join us
Are you interested in HOF?
Do you want to learn about Human & Organisational Factors? Safety culture, non-technical skills, health and safety, more?
Join us on this international and diverse network which captures in one place the valuable and enriching information and material, either academic or practical railways-oriented, on the organizational and human factors that you need.
Are you involved in HOF activities?
You want to learn about Human & Organisational Factors? Safety culture, non-technical skills, health and safety, more?
Join us on this international and transversal network which capitalizes the valuable and enriching information and material, either academic nor Railways oriented, on the organizational and human factors that you need.
Are you an HOF expert?
Are you a Rail Human and Organisational factors expert, a Rail Safety expert, a Railway Head of safety, or other? This space is made for you. Here, you have access to confidential information and can even create or participate in a discussion forum to initiate conversations and exchanges with your peers.