Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation
Abstract
:1. Introduction
- The safe use of pesticide application equipment and its maintenance.
- Specific risks linked to the use of pesticide application equipment and the relevant risk management measures.
- Safe working practices for storing, handling and mixing pesticides, and disposing of empty packaging, other contaminated materials and surplus pesticides.
- The proper selection and use of personal protection equipment (PPE) to reduce the exposure of users.
2. Materials and Methods
2.1. Context of the Study
2.2. Methods
2.2.1. Hierarchical Task Analysis (HTA)
2.2.2. Systematic Human Error Reduction and Prediction Approach (SHERPA)
2.2.3. Research Methodology
- Analysis of the working activities: for this purpose, the HTA method can be used in order to break the working task down into its components [35]. The definition of the hierarchical framework of the working activities can be carried out considering references including technical standards, safety manuals and the experts’ opinions [53].
- Classification of the working task components: for each task step (considering the lowest level of each tree branch), the possible error modes are defined and classified in accordance with the criteria illustrated in Table 1. For this purpose, interviews with operators are a key factor for depicting how accidents, incidents and near-misses might occur when performing each specific activity.
- Consequences definition: the potential consequences of each error mode are defined.
- Errors assessment: each error is evaluated in a qualitative manner considering its probability of occurrence (P) and its criticality (C). For this purpose, the risk matrix [60] criteria can be used, where the probability of occurrence can be estimated on a 1–5 scale (from 1 = very unlikely to 5 = very likely);and the criticality of consequences can be estimated by means of a 1–5 scale (from 1 = minor effects to 5 = catastrophic effects). It should be noted that in this context, we considered that the latter factor mainly referred to occupational health and safety consequences.
- Risk level definition: the estimation of the risk level (R) related to each error type is performed by combining the probability of occurrence (P) and its criticality (C) by means of the following equation:R = P × C,The output consists of the classification of the human error risk level based on the criteria shown in Table 2.
3. Case Study
4. Discussion of Results
4.1. Case Study Results
- A2. The operator mistimes the activity, especially when dealing with the equipment, for instance, when getting in/out of the tractor, driving and maneuvering it.
- A3. The operator performs the activity incorrectly, as when an operation is carried out without following the instructions, e.g., when performing maintenance activities on the atomizer without switching off the tractor.
- A7. The operator performs the wrong operation on the right object, as for example, when they activate the tractor or the equipment, mix the product’s components incorrectly, miscounts the dose of components, puts the product in the wrong place, parks the tractor in a wrong manner, or uses PPE incorrectly.
- A8. The operator does not perform a requested activity, as for example, they omit to update the treatments’ register, to label the equipment with the information of the pesticide used, fill the tank with supplementary water for hand-washing, etc.
- C1. The operator omits checking important elements that characterize the activity, for example, checking the weather conditions (e.g., the wind speed), checking the information reported on the products’ label (e.g., safety information, expiry date), as well as checking the “three points” attachment between the tractor and the atomizer, or the PTO (power take off) protection.
- C5. The information acquired during checking operations is mistimed, as for example, when the operator fails to pay attention to the equipment parameters, e.g., the tractor speed when driving or the atomizer pressure when applying the product.
- R1. Important information on the specific activity is not obtained, as when the operator fails to read the pesticide labels or the PPE instructions check the correct PPE; check the atomizer pressure, etc.
- R2. Wrong information is obtained, for example, when the operator reads the pesticide labels and the safety instructions incorrectly.
- S2. The operator makes a wrong selection, for example, when the wrong pesticide is selected to prepare the product, the wrong PPE is used, or an unsafe area to park the tractor for loading or maintenance operations is selected.
4.2. Research Insights
4.3. Limitations
5. Conclusions
Author Contributions
Acknowledgments
Conflicts of Interest
Appendix A
Subtask | Elementary Task | Specific Activity |
---|---|---|
1. Preparation Plan 1: do 1.4 or 1.3 then 1.1, 1.2 | 1.1. Product preparation Plan 1.1: do 1.1.1, 1.1.2, 1.1.3, 1.1.4, 1.1.5, 1.1.6, 1.1.7, 1.1.8, 1.1.9 in order | 1.1.1. Check the treatment register |
1.1.2. Check the weather conditions | ||
1.1.3. Take the product out of store | ||
1.1.4. Read the product label | ||
1.1.5. Check the expiry date | ||
1.1.6. Check safety instructions | ||
1.1.7. Dose the product | ||
1.1.8. Store the product not used | ||
1.1.9. Update the treatment register | ||
1.2. Loading Plan 1.2: do 1.2.1, 1.2.2, 1.2.3 or 1.2.4, then 1.2.5, 1.2.6 | 1.2.1. Fill the tank with the water | |
1.2.2. Fill the tank with the product | ||
1.2.3. Mix the components (if present) | ||
1.2.4. Fill the supplementary water tank | ||
1.2.5. Check the tank tap | ||
1.2.6. Update the tank label | ||
1.3. Equipment preparation: Plan 1.3: do 1.3.1, 1.3.2, then 1.3.3, 1.3.4, 1.3.5, 1.3.6, 1.3.7, 1.3.8 | 1.3.1. Verify the parking in the loading area | |
1.3.2. Check the connection between tractor and equipment | ||
1.3.3. Check the PTO (if used) | ||
1.3.4. Check the pump | ||
1.3.5. Check the sprayer | ||
1.3.6. Regulate the sprayer | ||
1.3.7. Check the product tank | ||
1.3.8. Check the supplementary water tank | ||
1.4. Protective measures Plan 1.4: do 1.4.1, then 1.4.2, 1.4.3, 1.4.4 | 1.4.1. Read safety instructions | |
1.4.2. Check the PPE | ||
1.4.3. Wear the PPE | ||
1.4.4. Check the cabin filters (if present) | ||
2. Transit Plan 2: do 2.1, 2.2 and/or 2.3 then 2.4 | 2.1. Start Plan 2.1: do 2.1.1, 2.1.2, 2.1.3, in order | 2.1.1. Get in the tractor |
2.1.2. Activate the tractor | ||
2.1.3. Check the presence of obstacles | ||
2.1.4. Start the transit | ||
2.2. Road transit Plan 2.2: do 2.2.1, 2.2.2, 2.2.3 | 2.2.1. Drive on the public road | |
2.2.2. Check the speed | ||
2.2.3. Check the road traffic | ||
2.3. In-field transit Plan 2.3: do 2.3.1, 2.3.2, 2.3.3 | 2.3.1. Drive in the field | |
2.3.2. Check the presence of obstacles | ||
2.3.3. Check the speed | ||
2.4. Stop Plan 2.4: do 2.4.1, 2.4.2, 2.4.3, 2.4.4, 2.4.5 | 2.4.1. Check the presence of obstacles | |
2.4.2. Park the tractor | ||
2.4.3. Switch off the tractor | ||
2.4.4. Brake the tractor | ||
2.4.4. Get out of the tractor | ||
3. Application Plan 3: do 3.1 then 3.2 or 3.3 then 3.2 | 3.1. Checking Plan 3.1: do 3.1.1, 3.1.2, 3.1.3 in order | 3.1.1. Check weather condition |
3.1.2. Check the field condition | ||
3.1.3. Check the PPE | ||
3.2. Product application Plan 3.2: do 3.2.1, 3.2.2, 3.2.3 and 3.2.4 then 3.2.5, 3.2.6 then 3.2.1, 3.2.2, 3.2.3 and 3.2.4 | 3.2.1. Reach the vineyard row | |
3.2.2. Activate the equipment | ||
3.2.3. Apply the product | ||
3.2.4. Check the speed of the tractor | ||
3.2.5. Stop the equipment | ||
3.2.6. Change the vineyard row | ||
3.3. In-field setting/maintenance: Plan 3.3: do 3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6, 3.3.7 and/or 3.3.8, then 3.3.9, 3.3.10, 3.3.11 | 3.3.1. Reach a parking area | |
3.3.2. Park the tractor | ||
3.3.3. Switch off the equipment | ||
3.3.4. Switch off the tractor | ||
3.3.5. Get out the tractor | ||
3.3.6. Check the equipment | ||
3.3.7. Regulate the sprayer | ||
3.3.8. Regulate the pump | ||
3.3.9. Get in the tractor | ||
3.3.10. Activate the tractor | ||
3.3.11. Reach the vineyard rows | ||
4. Final operations Plan 4: do 4.1 then 4.2 | 4.1. External cleaning Plan 4.1: do 4.1.1, 4.1.2, 4.1.3, 4.1.4, 4.1.5, 4.1.6, 4.1.7, 4.1.8, 4.1.9, 4.1.10, 4.1.11 in order | 4.1.1. Reach the cleaning area |
4.1.2. Park the tractor | ||
4.1.3. Switch off the equipment | ||
4.1.4. Switch off the tractor | ||
4.1.5. Get out the tractor | ||
4.1.6. Wash the equipment | ||
4.1.9. Get in the tractor | ||
4.1.10. Activate the tractor | ||
4.2. Disposal of residuals Plan 4.2: do 4.2.1, 4.2.2, 4.2.3. | 4.2.1. Read instruction | |
4.2.2. Collect residuals | ||
4.2.3. Dispose residuals | ||
4.2.4. Dispose package | ||
4.2.5. Update the register |
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Error Type | Error Mode |
---|---|
Action errors (A), when the human action changes the status of the system | A1 Operation too long/short A2 Operation mistimed A3 Operation in wrong direction A4 Operation too little/much A5 Misalign A6 Right operation on wrong object A7 Wrong operation on right object A8 Operation omitted A9 Operation incomplete A10 Wrong operation on wrong object |
Checking errors (C), when the operator fails to verify, check the status of the system | C1 Check omitted C2 Check incomplete C3 Right check on wrong object C4 Wrong check on right object C5 Check mistimed C6 Wrong check on wrong object |
Retrieval errors (R), if the operator fails to retrieve information, e.g., from a work procedure | R1 Information not obtained R2 Wrong information obtained R3 Information retrieval incomplete |
Communication errors (I), when the operator fails to transfer information to another person | I1 Information not communicated I2 Wrong information communicated I3 Information communication incomplete |
Selection errors (S), when the operator makes the wrong choice among different alternatives | S1 Selection omitted S2 Wrong selection made |
R | Level | Meaning |
---|---|---|
≤5 | I | Acceptable level risk |
6–9 | II | Medium level of risk |
10–15 | III | High level of risk |
16–25 | IV | Unacceptable level of risk |
Subtask | Elementary Task | Specific Activity |
---|---|---|
1. Preparation Plan 1: do 1.4 or 1.3 then 1.1, 1.2 | 1.1. Product preparation Plan 1.1: do 1.1.1, 1.1.2, 1.1.3, 1.1.4, 1.1.5, 1.1.6, 1.1.7, 1.1.8, 1.1.9 in order | 1.1.1. Check the treatment register |
1.1.2. Check the weather conditions | ||
1.1.3. Take the product out of store | ||
1.1.4. Read the product label | ||
1.1.5. Check the expiry date | ||
1.1.6. Check safety instructions | ||
1.1.7. Dose the product | ||
1.1.8. Store the product not used | ||
1.1.9. Update the treatment register | ||
1.2. Loading Plan 1.2: do 1.2.1, 1.2.2, 1.2.3 or 1.2.4, then 1.2.5, 1.2.6 | 1.2.1. Fill the tank with the water | |
1.2.2. Fill the tank with the product | ||
1.2.3. Mix the components (if present) | ||
1.2.4. Fill the supplementary water tank | ||
1.2.5. Check the tank tap | ||
1.2.6. Update the tank label |
Specific Activity | Error Mode | Description | Consequences | P | C | Remedial Measures |
---|---|---|---|---|---|---|
1.1.3. Take the product out of store | A6 | The operator takes the wrong product from the storage closet | A wrong product is used for the treatment | 2 | 4 | Preserve the package integrity of the products |
S1 | Select the wrong product | A wrong product is used for the treatment | 2 | 4 | Specific operator training | |
1.1.4. Read the product label | R1 | The operator fails in reading the label | A wrong product/dose is used for the treatment Inappropriate safety measures are implemented | 3 | 4 | Preserve the package integrity of the products Specific operator training |
R2 | The operator reads the label incorrectly | A wrong product/dose is used for the treatment Inappropriate safety measures are implemented | 3 | 4 | Preserve the package integrity of the products Specific operator training |
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Fargnoli, M.; Lombardi, M.; Puri, D. Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation. Agriculture 2019, 9, 158. https://doi.org/10.3390/agriculture9070158
Fargnoli M, Lombardi M, Puri D. Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation. Agriculture. 2019; 9(7):158. https://doi.org/10.3390/agriculture9070158
Chicago/Turabian StyleFargnoli, Mario, Mara Lombardi, and Daniele Puri. 2019. "Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation" Agriculture 9, no. 7: 158. https://doi.org/10.3390/agriculture9070158
APA StyleFargnoli, M., Lombardi, M., & Puri, D. (2019). Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation. Agriculture, 9(7), 158. https://doi.org/10.3390/agriculture9070158