train traffic controllerstrain traffic controllers’ work ... · large railway construction...
TRANSCRIPT
Train traffic controllers’ work during aTrain traffic controllers work during a large railway construction project :
How to maintain safe working practises during multiple parallel changes?
HF & Safetyand HUSC seminar
Marja-Leena Haavisto, Kaarin Ruuhilehto, Pia OedewaldVTT Technical Research Centre of Finland
219/04/2010
BackgroundBackgroundLarge railway construction projects have been started in Finland to upgrade the capacity of line sections
Planning, construction and maintenance services are purhaced from engineering firms, consultants and contractors (outside providers)(outside providers)
Source: Annual report 2008, Finnish Rail Admistration
319/04/2010
Case: upgrading of the Lahti-Luumäki (-Vainikkala) line section
Goals:Goals:
• Shortened travel times in passanger traffic
• Improved competitiveness of pfreight traffic
Source: Finnish railway statistics 2009, Finnish Rail Admistration
419/04/2010
Challenges of train traffic controlling during a large
railway work projectrailway work project
The simultaneous management of passanger traffic punctuality, commercial freight traffic and ensuring safetypunctuality, commercial freight traffic and ensuring safety during track work is extremely demanding
photo: STT Train traffic controlling is a critical function when managing safe and efficient use of the track during track work
photo: STTNousiainen
Various risks for occupational safety and train safety
How to accurately localize the track work via communication,but without system that enables accurate position (e.g. GPS)?
519/04/2010
Aims of the research
1. to understand the cognitive demands (i.e. human information processing) of the train traffic controller’s task during railway construction work
2. to evaluate the prerequisites established by the organisations to perform the task safely: safety culture evaluation
619/04/2010
1. Analysis of train traffic controller’s tasks- Participants: six train traffic controllers worked at the three
different desks:different desks:- Three experts (7-20 years experience in traffic control)
and three novices (1-3 years experience), participated i th fi ld t din the field study
- Data collection:- Video recording of one controller at time as she/he was g
controlling rail traffic and granting permissions for railway work in the early morning rush-hour period between 7:00 and 9:00 hours
- After the work performance, video recorded think-aloud sessions
- Semi-structured interviewsSemi structured interviews- Phographs of the tools and equipments- Document analysis of regulations and the work
instructionsinstructions
719/04/2010Eastern Finland Traffic Control Centre in Kouvola
Saimaa remote-Saimaa remote-control
Salpausselkä remote-control Kaakko remote-controlIitti remote-controlSalpausselkä remote-control(Lahti-(Kerava)/(Riihimäki)
Repovesi remote-
Kaakko remote-controlLahti-Luumäki
Iitti remote-control(Kouvola) –(Lahti)
Controller’s superviser:Contact with the main traffic
control centre in Helsinki
pcontrol
Kouvola station
Kouvola station area: The wall panel
Traffic control
819/04/2010
Analyses
The main cognitive activity goal structure achieved was analysed g y g yusing a hierarchical task analysis (HTA):
sequential and parallel tasks to perform during granting permission for track workpermission for track work
Analysis of situation awareness (SA) elementsSA = what is happening around you and understanding what th t i f ti t d i th f tthat information means to you now and in the future(Endsley, 1995)
919/04/2010
R lt M i l d b l f tiResults: Main goals and subgoals of granting permission for railway work
0 C t l t i t ffi f l d ffi i tl0. Control train traffic safely and efficiently
-When the maintenance work safety responsible for railway k i lli f t i i t t t k th 1 21. Continuosly monitor and control
train trafficwork is calling for request permission to start work, then 1.2.-When the person responsible for railway work calls, then 1.3
1.2. Grant permission for railway work
1.3. Terminate permission for railway work
1.2.1. Receive a 1.2.4 Confirm 1.2.5 1.2.2 Confirm that 1.2.3 Confirm 1.2.6.Grant request for starting
railway workthe work site on
track line and nature of the
work
5Protect the work area
the work is planned and has been given notice
in advance
whether the trail worker has a work ID for
ongoing railway work
6 G a tpermission for railway work
work
-If not, then 1.2.3.1 give a ID
1019/04/2010
Train traffic controlling: human information processing and Real world g p gSituation Awareness (SA)
Real worldSituation:Track work,Trains etc
Perception Situation AwarenessU d t di f thTrains etc. - Understanding of the
current situation- Projection of future status
C t ll ’ WORKINGPlanning and
Controller’s WORKING MEMORY
gDecision making
Selective attention Performance
Long-term memoryExperiences: similar situations Learned Facts-Type of train, number of trains -Conditions -Procedures, methods, rules, etc. wheather, tools work instructions
M-L Haavisto
1119/04/2010
Results: Elements of the train traffic controller’sResults: Elements of the train traffic controller s Situation Awareness (SA)
Typography of Train traffic signaller logAdvance information of upcoming
Typography ofterrain-acceleration oftrains
Train traffic signaller log -train positions now and in the
future
works in Infrastructure RestrictionDatabase (ETJ), -position of work,-duration ofwork -when does it start? -what kind of work?
Ongoing valid railroad works on the work list - duration, position
Train punctuality
Position of the train
TracksContinuous monitoring
and updating of
Train punctuality reporting
- passing time
Tracks - speed limits
Length of the train Announcements
the situationtrain
concerning trains - schedules, train types
Type of turnouts
Currently valid blocked sections
Traffic situation assessment
- speed limitssections
State of the safety systems
1. Continuosly monitor and control train traffic
1219/04/2010
Train traffic controller’s task demands
Continuous anticipation of the future situationsTime pressure in decision making based on uncertain informationContinuous pressure to find relevant information from various sourcesHeavy working memory load (no memory aids!)Heavy working memory load (no memory aids!)To memorize best practices matched up to each situation Heavy communication and coordination demands concerning sometimes involving more than ten construction work teamssometimes involving more than ten construction work teamsUnexpected changes in track usageVarious unexpected disturbancesDifficulties to reach all the recently changed regulations and work instructions in dynamic situations
1319/04/2010
How the controllers manage multipleHow the controllers manage multiple demands (during rush-hours)?
1419/04/2010
Traffic controllers have developed their own strategies C i i i i i f i iControllers are actively monitoring various information sources. Whenever possible, they also
monitor information beyond their current operations in order to anticipate upcoming eventsand activities.
Controllers provide one another with information to support such anticipation. They alsoconsult with one another and with the controller’s supervisor when they anticipatedisturbances in traffic or other events in the near future. A controller needs to consider
i SA l t t f ll d t i th d f th t i i d ivarious SA elements e.g. to successfully determine the order of the trains in a dynamicsituation.
Controllers listen to the communication and calls of other controllers, whenever it is possible, tobe able to anticipate the traffic situations in their own territory.
In rush-hours or demanding situations shift changes are postponed until the traffic is undercontrol and safety is ensured.y
The information received from multiple sources is verified, if time permitting.
Controllers try to share their traffic situation awareness in advance with others, for example byy p ycalling the drivers of the long-distance passenger trains if traffic is running behind theschedule.
1519/04/2010
2 H th i ti l f ti t th2. How the organisational functions support the safety-critical work of the train traffic controllers?
Management actions- Investment decisions- Management walk-arounds- Resource allocation - Promotion of safety values
Safety communication-Communicating the significance of nuclear safety to personnel, shareholders, owners, contractors-Communicating on hazards, near-misses and events
Management of subcontractors-Safety evaluation and auditing-Communication practices between in-house staff and contractors
Risk management- Hazard identification, risk assessments, PRA- Independent safety reviews,
litManagement system- Safety policy and safety management plan- Responsibilities and organizational structure defined- Job requirements- Standards and expectations
Procedure management- Instructions for tasks
R les of cond ct and safet r lesSystemic conception
Understanding the organizational core task
Task motivation
- Joint inter-organizational learning
quality assurance- Management of safety barriers- Radiation protection, PPE - Pre-job briefing, STAR
Learning practices
Resource management-Evaluation of the workforce size and minimum staffing
Change management- Proactive evaluation of risks- Reflection on the safety margins- Controlling the local optimizing of practices
- Rules of conduct and safety rules- Updating of rules- Monitoring the gap between official rules and actual practice
Safety culture
Realistic sense of control
y pof safety
Felt safety
Understanding of hazards
Learning practices- Reporting and investigation of near-misses- Safety culture monitoring- Increasing understanding of organizational vulnerabilities- Reflecting on strengths and weaknesses- Post-job briefings- Operating experience Cooperation and Supervisory activity Competence management and
t i i
and minimum staffing- Planning for special situations- Availability of tools and PPE- All functions (i.e. maintenance, HR) have sufficient resources
Felt safety responsibility
Mindfulness
Operating experiencecommunication- Creating patterns of communication and coordination - Identifying the bottlenecks of communication- time out –sessions, pre job briefings and feedback
- Management of daily work, resources and routines- Feedback on and promoting of safety conscious behavior- Intervening in problem situations or unsafe behavior
training- Selection and recruitment- Monitoring of training and competence needs / gaps- Providing refresher courses on selected topics- Training of skills, attitudes and knowledge concerning e.g. hazards, safety, event i ti tiand feedback
- Communication tools (three way etc) investigations-Development plans for work related skills of the personnel
Source: Reiman & Oedewald, 2009
1619/04/2010
Challenge: gChanging organisational structures
Ministry of Transport and Communications in Finland
Finnish Rail Agency (RVI 2006-2009):
-Railway safety authority,
Finnish Transport Safety Agency (TraFi 2010-):
-Also include aviation, maritime and y y y,-Regulations for traffic operation
and railway work road traffic sectors
Finnish Rail Admistration (RHK 199 2009)
The Finnish Transport Agency(Rail Department 2010-):
(RHK 1995-2009)-Maintenance and development of rail network
-Railway capacity allocation - Traffic control.systems etc.
VR Ltd. (1862 -)- Freight and passanger carrier
in Finland
( p )-Also include Maritime Administration
and Road Administration.
-Work instructions in Finland- Traffic control services
1719/04/2010
Examples of other rapid changes:
1. Rules, regulations (RVI responsible) and work instructions (RHK ibl ) h h d l ti d i l t fresponsible) have changed several times during last few years
Especially older controllers have difficulties to work according to new rules and work instructions
2 The management of a number of new subcontractors in railway2. The management of a number of new subcontractors in railway sector is challenging: RHK orders all operational maintenance from specialized service providers
High quality and safety requirements for contractors developedSafety training developedSafety training developedRisk evaluation and management programs developedCo-operative coordination and information sharing forums developed during track work projectsdeveloped during track work projectsLocalization aids developed: line diagrams, station diagrams, GSM-R communication system
3. Technical traffic control, signaling and safety systems are h ichanging
Various system providers and different systems combinations: How the technology support the demands of the task? Risk evaluation will be developedRisk evaluation will be developed
1819/04/2010
Concl sionsConclusionsTrain traffic controlling during railway construction work is a complex and cognitively demanding taskg y g
Controllers have developed work practices that can contribute to increased efficiency and safety in train traffic controlling y y g
The work environment, the technology and organisational functions should systematically support the demands of the task: in the formation y y ppof SA and decision making
In parallel with the extensive railway work projects, considerable y jchanges in technical systems and organisational structures have also taken place
In this study, the combined task analysis and safety culture analysismethodologies offered a potential to evaluate activities in different levels:
How the concrete work is carried out ’How the organisations support operator’s work
1919/04/2010
Thank you!
This study was carried out in the Traffic Safety 2025 program conducted by VTT and funded by VTT and eight other parties including e.g. railway and road traffic authorities and companies.