KAJIAN TAKSONOMI KECELAKAAN KERETA API DI INDONESIA MENGGUNAKAN HUMAN FACTORS ANALYSIS AND CLASSIFICATION SYSTEM (HFACS)

• Main Author: IZAZAYA (NIM : 23411077); Pembimbing : Ir. Hardianto Iridiastadi, MSIE, Ph.D, EIZORA
• Format: Theses
• Language: Indonesia
• Online Access: https://digilib.itb.ac.id/gdl/view/18372
• Institution: Institut Teknologi Bandung

The railway transportation safety in Indonesia is thought as serious phenomenon. During 2004-2010, it had been 700 serious accident (also known as Peristiwa Luar Biasa Hebat / PLH), consisting of collision between trains (5%), derailment (75%), and collision with other vehicle(s) in level crossing (20%). This study was conducted to understand the main cause of railway accident, primarily in serious accident, in Indonesia during the latest decade, in detail, comprehensive, and systematically. The objective is achieved by using the taxonomy methodology, Human Factor Analysis and Classification System for Railroad Industry (HFACS-RR), which had already been adapted and revised for Indonesian railway industry, especially for definition of each taxonomy factors. The main secondary data used was the 35 investigation reports by Indonesian NTSC, from 2001 to 2010 periods. Result of this study shows that for all accidents, the most contributed factor came from preconditions for operator (44%), and followed by organization factors (27%). The preconditions for operator acts found in 33 from 35 accidents (94%) while organization factors found in 22 from 35 accidents (63%). Both for collision between trains and derailment, they were mostly caused by the error or failure of the infrastruture since the lack of maintenance. Train drivers fatigue also contributed in the collision between trains. While, collision between train and other vehicle(s) in level crossing accidents are also caused by external factors, in this case the safety culture of Indonesian people in driving. Afterwards, the result was validated and confimated by PT Kereta Api Indonesia as Indonesian railways operator, the train drivers, and expert in Indonesian transportation. The research also proved that accident merely not only caused by human error, but also the othermore contributing factor like organisation factor, environment, technology, and poor work design of train drivers. Therefore, an effort for comprehensive improvement is needed, start from maintenance quality improvement, fatigue management implementation for all operator, and also organisational improvement, so that Indonesian railway will have better safety value and may reach the zero accident target.