Alarm Handling Introduction This document will introduce you to some of the principles of good alarm design. Alarms are signals that are given to the driver or control room operator typically by one or more of the following: • An audible sound • Some form of visual indication • The presentation of a message or some other identifier Alarms are a very important method of attracting the user's attention to significant changes that require assessment or action—alarms are not the same as status indications. Effective alarm design must avoid overloading the user with irrelevant or duplicated alarms and should present accurate, useful and timely messages to facilitate safe operation of the railway. Alarm design and management is important and should be defined using a clear philosophy. Case study The 1994 explosion and fires at the Texaco Milford Haven refinery injured 26 people and caused damage of around £48 million. Key factors that emerged from the investigation were: • • • There were too many alarms and they were poorly prioritised. The control room displays did not help the operators to understand what was happening. There had been inadequate training for dealing with a stressful and sustained plant incident. In the last eleven minutes before the explosion the two operators had to recognise, acknowledge and act on 275 alarms. RIAC Human Factors Working Group 1 Issues These are some of the key issues when either specifying a new alarm system or reviewing an existing one. What to alarm Proposals for alarms come from a larger variety of sources, for example: • • • • • • • • • • • Custom and practice (“There is one on our existing system….”) Equipment manufacturer’s standard provision Fault reports from the alarm processing hardware/software Requirements of safety authorities, insurers, management, etc. Software designers (“It seemed an easy thing to offer….”) As an alternative to automation: cheaper than fitting a control system Operating experience and feedback Simulator studies Task analysis Safety reviews, e.g. HAZOPs Qualitative or quantitative risk analysis The majority of these are informally structured design processes and may lead to excessive numbers of poorly justified alarms. Every alarm should be: • Fully justified • Properly engineered • Consistent with the overall alarm philosophy Alarm design The presentation of alarms should be designed to take into account human limitations and task demands. In doing so, every alarm system should: • • • • • Alert, inform and guide the users Only present the operator with useful and relevant alarms Have a defined response to each alarm or pattern of alarms Allow enough time for the operator to acknowledge and respond to the alarm Be explicitly designed to take account of human limitations and task demands The characteristics of a good alarm, or groups of alarms, are: • • • • • 2 Relevant - not spurious or of low operational value Unique - not duplicating another alarm Timely - not long before any response is needed or too late to do anything Prioritised - indicating the importance that the operator deals with the problem Understandable - having a message which is unambiguous and easy to understand RIAC Human Factors Working Group • • • Diagnostic - identifying the problem that has occurred Advisory - indicative of the action to be taken Focusing - drawing attention to the most important issues Visual messages Many systems rely on the use of lists to summarise recent alarms to operators. These lists must be designed such that repetition does not cause them to become unusable. The typical content of an alarm list could include: • • • • The alarm state marker (e.g. unacknowledged, acknowledged, standing, clear, reset) The alarm priority marker The alarm message (see recommendations below) Time and date Attributes of a good alarm list message are: • • • • • • Clearly identifies the condition that has occurred Uses nomenclature the operator is familiar with Uses consistent abbreviations from a standard directory of abbreviations Has a consistent, hierarchical message structure Does not rely on the learning of tag names or numbers Has been checked for usability during simulated and actual system operation Although alarm lists are the most common way of displaying alarms, the operator interface can be significantly improved by also communicating alarm information using schematic diagrams. In practice, it is generally impossible to have every active alarm displayed to the operator via schematics, therefore the display needs to be carefully thought out. Alarm information on schematic diagrams (such as overview displays) is often associated with: • Highly critical/important alarms • Generalised status information to guide more detailed investigation As a general rule, visual coding of alarms should be related to its importance, and should be developed further in consultation with the end users and with due regard to ergonomics best practice. In particular, conspicuity of alarms should reflect alarm priority and state (unaccepted, accepted, actioned, etc.). Audible alarms Audible warnings are normally generated in conjunction with the visual display of new alarms. However, control rooms are equipped with a range of devices and systems that generate audible warnings, e.g. telephones, radios, etc. Therefore, it is imperative that an integrated design is developed for all audible signals in the room. Relevant considerations are: RIAC Human Factors Working Group 3 • So that they can be heard, acoustic signals should be set at a level considerably higher than the ambient noise at the signal frequency, i.e. 1525dB higher. However, levels above this should not be used as it may startle the operator and run the risk of being turned off or otherwise suppressed for being too loud. • Acoustic signals should be easily recognisable in terms of the situation they are signalling. • The same acoustic signal should not be used for more than one high-priority function. However, low-priority messages may be grouped with the same tone. Acoustic signals may be constant or variable frequency. Whichever form is used, a higher pitched sound should be assigned to a higher priority message. Further information For more information on how to audit existing alarm systems and plan for new ones, have a look at the following: • • • 4 HSE Information Sheet: Better alarm handling Alarm systems: A guide to design, management and procurement - The Engineering Equipment and Materials Users Association (EEMUA) - EEMUA Publications, Publication No. 191- ISBN 0 85931 076 0 RSSB Human factors good practice guide to managing alarms and alerts, RSSB Research & Development Project T326 RIAC Human Factors Working Group