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<br /> <br /> <br /> <br />11 <br />2. Human Fallibility and Limitations <br />3. Cognitive Effects of Having to Deal with Complexity <br />Conversely, human factors which contribute to safety <br />include (a) organizational ‘safety culture’, with a <br />corresponding humble and vigilant attitude with <br />regard to preventing failure, and (b) numerous best <br />practices related to general design features of dams, <br />and organizational and professional practices. Failures <br />generally result when the human factors contributing <br />to safety are not sufficient to outweigh those <br />contributing to failure. <br />Human errors can be categorized as “slips” (actions <br />committed inadvertently), “lapses” (inadvertent <br />inactions), and “mistakes” (intended actions with <br />unintended outcomes due to errors in thinking) [1]. <br />With regards to dam safety, mistakes have typically <br />been labeled as the most common type of human <br />error [1]. This article will attempt to highlight some of <br />the more common human factors that have <br />contributed or will contribute to past and future <br />incidents and failures related to the life cycle of a dam. <br />These are discussed in context of the dam design, <br />construction, monitoring and maintenance, and <br />emergency response. <br />Design <br />“All men make mistakes, but only wise men learn from <br />their mistakes” – Winston Churchill <br />The state of the practice in dam safety has evolved <br />significantly over time through knowledge gained from <br />studying dam safety incidents and failures. As we have <br />gained more knowledge about how dams behave <br />under various loading conditions, and how to predict <br />those loading conditions, the industry has responded <br />with changes to typical design criteria and standard <br />design details. For example, filter design for earthen <br />embankments is now common practice and rigid <br />seepage collars have been replaced with engineered <br />filter collars, rendering homogenous dams a practice of <br />the past and a cause for increased scrutiny of existing <br />homogenous dams. Hydraulic fill dams have also <br />proven to be particularly susceptible to poor <br />performance under certain loads and are no longer <br />used in modern practice. Concrete spillways have seen <br />changes in joint details, reinforcement and anchoring <br />design, and the addition of more robust underdrain <br />systems. Other changes have resulted from the <br />advancement of technology in fields like hydrology and <br />seismicity to predict design loads. All of these changes <br />can be attributed to the advancement of technical <br />understanding in the industry. <br />This evolution of design practices in dam engineering <br />can also lead to practitioners becoming outdated in <br />their knowledge of current standard of practice, <br />requiring diligence and dedication to stay on top of <br />continuing education. It is also difficult for many <br />individuals to recognize their own technical knowledge <br />limitations, and to avoid practicing engineering outside <br />their areas of experience and technical understanding. <br />The acknowledgement that “I know enough to be <br />dangerous” should be sufficient warning to stop <br />someone from providing engineering advice beyond <br />their area of expertise. The breadth of technical <br />disciplines in the field of dam engineering is vast, and <br />the depth of understanding one must have to apply <br />engineering methods, criteria and parameters <br />correctly, requires engineers to specialize in specific <br />fields of practice. With all the guidance documents and <br />analytical methods available, engineers must still apply <br />judgement in most all that they do and poor <br />judgement is a human fallibility. This challenge <br />requires a multi-disciplinary approach to most <br />engineering studies, analyses, and design. <br /> <br /> <br />Construction <br />”The greatest mistake is to imagine that we never err.” <br />– Thomas Carlyle <br />The construction phase is similar to design in that it <br />has seen significant changes in generally-accepted best <br />practices and available tools. However, regardless of <br /> Resource, budget and schedule constraints <br /> Insufficient data or technical expertise to understand the data <br /> Insufficient technical expertise of designers and lack of use of design best practices <br /> Lack of multi-disciplinary diversity on the design team <br /> Insufficient design conservatism <br />HUMAN FACTORS IN DESIGN