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Article

Applying Hierarchical Task Analysis to Depict Human Safety Errors during Pesticide Use in Vineyard Cultivation

1
Department of Chemical Engineering Materials Environment (DICMA), Sapienza-University of Rome, via Eudossiana 18, 00184 Rome, Italy
2
Ministry of Agriculture, Food and Fishery, DISR I, via XX Settembre 20, 00187 Rome, Italy
3
National Institute for Insurance against Accidents at Work (INAIL), Via Fontana Candida, 1-00078 Monte Porzio Catone (RM), Italy
*
Author to whom correspondence should be addressed.
Submission received: 28 June 2019 / Revised: 9 July 2019 / Accepted: 17 July 2019 / Published: 19 July 2019

Abstract

:
The use of pesticides in agriculture is a significant problem at a global level, not only from an environmental perspective but also from the farmers’ health and safety point of view. In the literature, several studies have discussed the safe behavior and risk perception of farmers. However, human errors when dealing with pesticides and the related work equipment are rarely considered. To reduce this research gap, a study of the human safety errors in pesticide use based on hierarchical task analysis is proposed. In particular, such a bottom-up approach was applied to vineyard cultivation and considered all the activities that operators carry out when using pesticides. The results of this study showed that most of the identified human errors were action errors, i.e., potential failures of the operator in completing the activity successfully. In addition, retrieval and checking errors resulted in being rather common. These outputs shed light on the gap between the information received and the practical need for operators to reduce their failure to perform specific activities. Therefore, while the present study augments current knowledge on the safe use of pesticides, further research is needed to address human errors in agricultural activities, thus extending these results to a larger sample size as well as to other cultivation types.

1. Introduction

In recent years, the proper use of pesticides in the agricultural field has been given more attention and importance thanks to increasing awareness of the impact of these substances on the health and safety of humans, as well as on the eco-system [1,2,3,4]. This has led to the issue of stricter standards and regulations with respect to the introduction of new products into the market and their labelling criteria [5,6,7]. Accordingly, a more sustainable use of pesticides has been promoted, for instance, in European Union (EU) countries, the issuance of Directive 2009/128/EC [8] has led to significant changes at a practical level by introducing specific measures for the training of users and the inspection of the equipment used for pesticide application [9,10]. The users of pesticides need specific training in order to mitigate occupational health and safety (OHS) issues and to acquire sufficient knowledge regarding the hazards and risks associated with pesticides. These include:
  • 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.
Additionally, inspection of the pesticide application equipment needs to be carried out at regular intervals in order to guarantee the proper health and safety requirements. Therefore, the training of operators must include proper procedures for preparing the equipment for pesticide application, including its calibration, and for its operation with minimum risks to the user. This stringent framework of requirements is aimed at reducing the quantity of pesticides used in agriculture, as well as avoiding their improper use, which can have negative effects on the health and safety of farmers, on the quality of soil and water [11,12,13], and at a more general level on the whole society [14,15]. As noted by Damalas and Koutroubas [16], despite the fundamental role of pesticides in augmenting food security and economic growth, especially in developing countries, they can have dire consequences on both human health and the environment if used in an improper manner. Accordingly, the evaluation of the use of pesticides and the related risk perception of farmers is considered an urgent matter [17]. As observed by Palis et al. [18], there is a lack of knowledge about farmers’ perceptions regarding risks related to the use of pesticides, and consequently, with respect to farmers’ attitudes about safe behaviors aimed at reducing their exposure. It should be noted that while the misuse of pesticides can be related to a lower level of education and the means of farmers, especially in developing countries [19], economic reasons associated with a low risk perception can lead farmers to disregard regulations and provisions for safe pesticide management [20]. The different and interwoven factors that determine the safety behavior of farmers in pesticide use were investigated by Sharifzadeh et al. [21], who argued that even though farmers have a good understanding of the importance of safety behaviors, they still tend to behave improperly. In other words, as noted by Caffaro et al. [22], a good level of available information on safety issues does not always guarantee subsequent safe behavior by the farmer. The behavior of farmers only improves when they comprehend the effectiveness of the recommended actions on their protection and safety [23]. This is in line with the findings of Fan et al. [24], who highlighted that farmers get confused by the complexity of guidelines related to the proper use of pesticides; hence, they tend to misuse pesticides, reducing their protective behavior. Accordingly, the research related to the knowledge and attitudes on the use of pesticides needs to be further developed, focusing on farmers’ practices [25]. In the agricultural field, several studies have investigated the safe behavior and risk perception of farmers. The human factors leading to accidents while using tractors were investigated by means of a task analysis approach, providing information of the farmers’ safety attitude and behavior when dealing with this type of machinery [26]. Other studies have focused on the farmers’ risk perception by means of scenarios related to the use of machinery and describing a real-life working situation [27]; the results showed that the farmers were aware of certain types of risks, particularly when these were associated to economic losses. Other studies have focused on the tendency of farmers to behave according to their past experiences rather than new working procedures [28], especially when no negative events have occurred [29]. In addition, the cognitive aspects of situation awareness, which play an important role in safe and efficient work practices, have been addressed and research has highlighted the impact of situation awareness lapses and other causal factors among tractor drivers [30]. However, farmers’ attitudes towards proper pesticide handling is not well known yet [31]. In fact, further studies on behavioral factors in pesticide use, including risk perception, are of major importance for effective risk management [32]. To address these issues, a human-centered approach is needed with the aim of investigating the different phases that characterize the work activities [33,34]. As argued by several authors in different fields, human error analysis can allow a better understanding of how human interaction with work tasks might lead to accidents and incidents [35,36,37], since normative approaches do not properly consider the characteristics of the work processes [38].
Based on the above considerations, the present study aims to reduce this research gap through an investigation of farmers’ behavioral reliability in pesticide use. The analysis concerns the activities related to pesticide use in vineyard cultivation, by means of interviews of a group of Italian farmers. For this purpose, the hierarchical task analysis (HTA) method [39] was applied for the definition of the goals of the work activities and their mutual interactions, as a supporting tool for the identification of context specific human errors while performing these activities [40]. Furthermore, the systematic human error reduction and prediction approach (SHERPA) method [41] was used to investigate farmers’ behavior and error types that might occur when performing the identified working activities. The remainder of the paper is structured as follows: in Section 2, the materials and methods of the study are described, and in particular, we introduce both the context of the study and the proposed research methodology. Section 3 describes the case study, while the results achieved are discussed in Section 4. Section 5 concludes the paper.

2. Materials and Methods

2.1. Context of the Study

Vineyard cultivation in one of the most widespread agricultural activities in Italy [42,43] as vinification has been practiced for thousands of years in all parts of the country [44,45]. The number of vineyard holdings in European Union (EU) countries compared to the total surface area used for these activities is shown in Figure 1 [46] (note that all the values are expressed in thousands).
The data shows that the average surface area used for vineyard cultivation in Italy is about 1.7 hectares per company; so, while there are many large companies operating in this sector, the majority of producers are small-sized and family run companies. These small companies are also regarded as critical with respect to health and safety issues [47,48], because they find it difficult to comply with safety requirements due to their lack of resources [49,50]. In addition, we have to consider that the average age of Italian farmers is rather high compared to the other EU countries; in fact, according to official statistics the majority of agricultural holders (i.e., more than 50%) are more than 60 years old [46].
As far as the use of pesticides is concerned, data provided by the Ministry of Agriculture, Food, Fishery and Tourism show that in the period since the introduction of Directive 2009/128/EC on 26 November, 2015 up until the end of 2017, about 450,000 training courses for pesticide users were carried out in Italy. Hence, despite the great effort made by national and regional authorities, it can be assumed that a large number of pesticide users still need to be trained in order to fulfil the legislative requirements.

2.2. Methods

In order to achieve the above-mentioned goal, a procedure based on the HTA and SHERPA tools was applied, in combination with interviews with operators. In particular, the application of HTA allows a detailed decomposition of the working tasks, facilitating the analysis of behavioral aspects by means of SHERPA. In fact, the interviewed operators can easily provide specific information on possible deviations from the correct way of performing each specific activity. Following such a systematic approach, the potential bias of the analysts is reduced and also unexperienced analysts can obtain consistent results [51]. Actually, several studies in the field of human reliability analysis (HRA) have demonstrated that the systematic procedure required by the synergic use of HTA and SHERPA allows analysts to reduce the subjectivity of the assessment and provide reliable outputs [52,53,54].

2.2.1. Hierarchical Task Analysis (HTA)

Numerous examples of HTA studies can be found in the literature [55,56,57]. In this context, HTA was used to divide the overall working task into sub-tasks; elementary tasks; and specific activities in a hierarchical manner by means of a tree diagram [36], as shown in Figure 2.

2.2.2. Systematic Human Error Reduction and Prediction Approach (SHERPA)

The SHERPA method developed by Embrey [41] (who further expanded it into the predictive human error analysis (PHEA) technique [58]) is considered one of the most effective tools for investigating human reliability in performing a certain task, taking into account the cognitive aspects of human error. Several studies describing the use of this tool can be found in the literature, mainly addressing the reliability of operators in safety critical industries [40]. For example, Ghasemi et al. [59] used SHERPA to identify human error types in control units of the petrochemical industry, while Harris et al. [51] used this tool to analyze aircraft pilots, and suggested that that error types such as “actions” and “checks” are particularly suited to the analysis of these work tasks. Other examples of the SHERPA application can be found in the analysis of heavy machinery operators in the construction sector [34], as well as in the analysis of the task of administering drugs to hospital patients [35]. Other studies have focused on extensions of the SHERPA method [53].
The core of the method is the classification of human error types into five main categories (error types): Action (A); Checking (C); Retrieval (R); Communication (C); and Selection (S). For each category, a set of “error modes” is provided in order to classify the human behavior. Lane et al. [35] reported 24 sub-categories (error modes), as synthetized in Table 1.

2.2.3. Research Methodology

More specifically, the application process of the above mentioned HRA tools can be synthesized in the following procedure:
  • 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.
  • Implementation of the SHERPA tables: the results of the previous steps are used to fill in the SHERPA table [35,59], where remedial measures are indicated for each error mode.

3. Case Study

As mentioned above, the current study consists of the analysis of the human errors that might occur when using pesticides in vineyard cultivation. With this goal in mind, we interviewed 11 operators belonging to 7 different companies. The selected operators use 2 different types of atomizers: mounted sprayers, whose capacity ranges from 400 to 500 L; and trailed sprayers, whose capacity ranges from 600 to 1000 L. This choice was made in order to make the analysis as homogenous as possible with regard to the work activities: in fact, the above-mentioned equipment has similar characteristics for the application of pesticides (double nozzles with return suction, a propeller with changing pitch blades, and a remote pressure regulation distributor on the tractor). It should be noted that all the operators interviewed had received the specific training course for pesticide users in accordance with the requirements of Directive 2009/128/EC. Their experience in vineyard cultivation ranged from 5 to 35 years while their ages ranged from 23 to 64 years old. As far as the cultivated area is concerned, the average size of each cultivated area is about 2.07 hectares (ranging from 0.5 to 4 hectares) located in the Lazio and Campania regions (Italy).
Following the procedure described in the previous section, the first step of the analysis consisted of the definition of the work activities; a scheme representing sub-tasks and elementary tasks is shown in Figure 3.
In doing so, legislative requirements, technical reports and standards were considered in order to depict the proper procedure for performing each subtask/elementary task/specific activity. In addition, the National Action Plan (NAP) concerning the sustainable use of pesticides was taken into account [61] as it establishes the mandatory requirements that must be satisfied for the correct use of pesticides in order to reduce their negative impacts. Table 3 shows an excerpt of the hierarchical decomposition of work activities, while the complete list of activities is reported in Appendix A.
It should be noted that different procedures can be used for the internal cleaning of the tank depending on the specific situation and equipment [62,63]. Therefore, these operations were not considered in the current study. Then, based on the results of the interviews concerning the description of the activities carried out for each elementary task/specific activity, behavioral errors were identified and classified following the criteria reported in Table 1. The final step involved the implementation of the SHERPA table, which depicts the analysis of human error related to the overall working task.

4. Discussion of Results

4.1. Case Study Results

The results obtained showed that in 75 different specific activities, 171 human error modes emerged. As shown in Figure 4, action errors are the most common error (50.88%) while checking errors represent 25.73% of the total.
More specifically, as shown in Figure 5, the most important human errors found in the analysis are the following (in alphabetical order):
  • 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.
The SHERPA method also allowed us to analyze the level of risk associated with the identified human errors. In fact, as shown in Table 4, the SHERPA table provides information concerning the possible consequences of the error mode, its probability of occurrence (P) and criticality (C), as well as its remedial measures. While the occurrence of errors was computed considering the results of the interviews, their criticality was evaluated based on the consequences on the health and safety of the operators.
The output of this analysis is summarized in Figure 6, where the majority of human error risks are classified as medium-level risks (51.46%) while unacceptable risks represent 3.51% of the total.
It has to be pointed out that the proposed approach is aimed at identifying and classifying human error types when farmers deal with pesticide application and the related equipment. Therefore, unlike traditional risk assessment tools [64], the proposed HRA methodology is focused on understanding how and when (i.e., on which occasion) the operator might fail. In fact, rather than estimating the probability of occurrence and severity of accidents, HRA tools investigate human performance or human actions as the root or triggering cause of undesired events [65]. Hence, the level of risk estimated in Figure 6 has to be considered in this context, i.e., the criticality of certain specific activities from a human behavior point of view. For these reasons, comparing the results obtained with accident statistics only provides a partial validation of them, as demonstrated for example, by Elkind [66] and Caffaro et al. [67].
Further detailed analysis of the risk of misbehavior revealed that a few error modes can lead to acceptable risks (2.34%). This is due to the fact that in our study, we only took OHS criticalities into account, while other types of effects (e.g., the impact on the environment, the reduced production, etc.) were not considered. Accordingly, this also implies a low rate of unacceptable risks, since the number of errors that can cause catastrophic effects for the operator (i.e., the tractor roll-over caused by incorrect maneuvering while changing the vineyard line, operations carried out to regulate the atomizer without switching off the tractor, etc.) is limited. However, the large number of high-level risks (42.69%) due to human errors highlights the critical nature of these activities, and how health and safety issues can be ignored by operators. This finding is in line with the study of Allahyari et al. [68], who noted the need to increase farmers’ awareness of the adverse effects of pesticides on human health in order to enhance the proper use and management of these products. In addition, this result also supports the findings of other studies that have focused on the unsafe behavior of farmers because of a lack of risk awareness and risk perception among farmers [27,67,69,70].

4.2. Research Insights

The hierarchical decomposition of work activities allowed us to better characterize the activities usually performed when using pesticides in vineyard cultivation. This systematic outline can effectively illuminate the nature of the actions that the operator performs, e.g., decision making, diagnosis, monitoring, etc. [39], and it provides a cognitive perspective to the analysis of work activities. Such a perspective is consistent with the research issues suggested by Irwin et al. [30], who stressed the need to consider the cognitive aspects of work activities to augment safe and efficient work practices in farming.
Furthermore, the outputs of HTA represent a framework based on which human errors can be effectively elucidated [35], which facilitated the definition of their nature in order to better address remedial measures. The study showed that most of the identified human errors are action errors, i.e., potential failures of the operator to complete the activity successfully. On the one hand, such a finding indicates the lack of knowledge and awareness of risks related to improper use of pesticides at a practical level. In other words, while a general knowledge of health and safety concerns on the use of pesticides emerged, the risk of failing to apply such knowledge at the practical level is consistent. Merging this result with other outputs of the analysis, such as the rather random retrieval errors and the large number of checking errors, it can be assumed that there is a gap between the information received (i.e., the acquired knowledge) and the practical need to reduce errors in performing specific activities. This supports the points made by Yuantari et al. [25] and Reizei et al. [71], which highlight the importance of the quality of training courses that should be more tailored to the practical needs and working situations of farmers. On the other hand, the results achieved also highlight that the operators’ perception of risk is often reduced because of their lack of comprehension of the information received (retrieval errors), as for example, the information on the product labels and instructions for the equipment regulation/calibration. This finding adds to the insights of previous studies (e.g., Caffaro et al. [72], Vigoroso et al. [73], Kapeleka and Mwaseba [74], and Rother [75]), by providing additional knowledge in the field of the safe use of pesticides and the related work equipment.
Moreover, the large number of possible omitted/incomplete operations and controls that are not perceived as significant can be ascribed to both fatigue and stress caused by working schedules that are strictly ruled by seasonality and weather conditions, which is in agreement with the results of Irwin and Poots [27].
Overall, the present study proposes a procedure for the analysis of human errors based on the coordinated use of the HTA and SHERPA methods. Such an approach aims to extend the benefits of hierarchical task analysis [35,59] to the study of human safety and human reliability in the agricultural context. Following a bottom up approach for the investigation of possible accidents and incidents allows for a more effective and thorough analysis of health and safety issues [37,76]. Hence, unlike other studies that have dealt with human safety in agriculture (e.g., [15,30,77,78]), the present study proposes a systematic and inductive approach to depict human error types and modes, and provides timely information for the implementation of remedial measures. In fact, the use of HTA allows the breakdown of work phases into elementary tasks/specific activities, thus providing an easy-to-use framework for the application of SHERPA. Then, the information provided by interviewed operators can be used in an objective manner by means of the SHERPA taxonomy to define the error modes and types [51]. Accordingly, this procedure can be replicated easily, thus reducing the occurrence of mistakes by the analysts. Moreover, differently from other HRA tools, the results provided by the combined use of HTA and SHERPA can be considered reliable as they have been tested in numerous different contexts [52,53,70,79].
In addition, such an approach fits well with the analysis of work activities related to the use of pesticides, where the combined use of toxic products and dangerous equipment exposes farmers to different and multifaceted types of errors and risks, while requiring compliance to an interwoven combination of mandatory requirements [80]. To the authors’ knowledge, this study represents a novelty in the sector, and can be considered as a basic framework for further and more detailed analyses.

4.3. Limitations

Besides the beneficial implications, the limitations of the current study also need to be addressed. From a methodical point of view, difficulties might arise in the application of the SHERPA method as it can be a time-consuming process [56]. Hence, although numerous studies have proposed the use of these tools in different contexts and provide useful guidelines, caution is needed in selecting the goal of the analysis (i.e., the overall task and sub-tasks to be analyzed) in the specific context [81]. Moreover, the qualitative nature of the results requires a larger sample size for their validation. Therefore, the present study should be considered as a first attempt that aimed to further knowledge of human safety in pesticide use, since the focus of qualitative case study research is represented by the generation of propositions that are believed to be wider [82]. As far as the case study is concerned, we also have to underline the difficulty we had in finding a standardized procedure for the internal cleaning of the equipment, in order to determine deviations caused by human errors. In fact, most of the operators that were interviewed used aged atomizers, which do not require the technical features requested by Directive 2009/127/EC for new machinery. Also, different procedures to avoid point source contamination have been suggested depending on both the specific context, and the size and shape of the equipment used [62,83,84,85,86,87,88]. Moreover, to the authors’ knowledge a few companies have at their disposal a specific area for the cleaning of the application equipment, while in the considered sample none of the interviewed companies has this type of facility. In fact, from the interviews it emerged that the most widespread practice, especially among small-sized companies, consists of diluting the residuals in the tank with additional water (usually the supplementary water for washing hands is used) and spraying the obtained mixture in the field (usually on the same vineyard just treated). However, such a practical procedure is followed without paying attention to the quantity of residuals and added water, thus generating a new mixture whose toxicity is unknown and always different. For these reasons, we decided to exclude the “internal cleaning of the equipment” from the current study, as it deserves a more detailed and specific investigation.

5. Conclusions

The present work investigates human errors in the activities related to the use of pesticides in vineyard farming. The proposed approach relies on well-known tools for the analysis of human behavior, and uses a bottom-up perspective based on the hierarchical task analysis. Numerous studies in different contexts and sectors have proved that the synergic use of HTA and SHERPA methods constitutes a reliable means for the analysis of human errors, thus confirming the validity of the proposed approach.
Moreover, the application of these traditional HRA tools to the analysis of agricultural activities represents a novelty in the literature. Thus, we believe that the present study increases the body of knowledge in this research context. The application of the proposed approach to a concrete case study provided useful information for a better understanding of farmers’ behavior in the use of pesticide, as well as practical clues to improve safety measures to reduce health and safety risks for farmers. In addition, such an approach to analyzing human errors when dealing with pesticides and the related application equipment provides a frame of reference that can be easily replicated and extended to other case studies.
The proposed procedure, like any other novel approach, needs to be further tested considering larger sized case studies and different contexts in order to refine it, and augment its validity and applicability. Hence, practitioners and researchers are invited to contribute to its further development.

Author Contributions

Conceptualization, M.F., M.L., D.P.; methodology, M.F., M.L., D.P.; validation, M.F., M.L., D.P.; writing—Review and Editing, M.F., M.L., D.P.

Acknowledgments

The authors wish to thank Pasquale Falzarano for his support in the case study context definition.

Conflicts of Interest

The authors declare no conflict of interest.

Appendix A

Table A1. List of sub-tasks, elementary tasks and specific activities.
Table A1. List of sub-tasks, elementary tasks and specific activities.
SubtaskElementary TaskSpecific 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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Figure 1. Vineyard holdings in the EU (all values are expressed in thousands), source [46].
Figure 1. Vineyard holdings in the EU (all values are expressed in thousands), source [46].
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Figure 2. Scheme of the hierarchical task analysis (HTA) method used in the analysis (adapted from [26]).
Figure 2. Scheme of the hierarchical task analysis (HTA) method used in the analysis (adapted from [26]).
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Figure 3. Scheme of the HTA application.
Figure 3. Scheme of the HTA application.
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Figure 4. Percentage of the error types that emerged from the analysis.
Figure 4. Percentage of the error types that emerged from the analysis.
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Figure 5. The number of different error modes that emerged from the analysis.
Figure 5. The number of different error modes that emerged from the analysis.
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Figure 6. Level of risk (expressed as percentages) associated with the error modes identified in the analysis (i.e., the misbehaving risk level).
Figure 6. Level of risk (expressed as percentages) associated with the error modes identified in the analysis (i.e., the misbehaving risk level).
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Table 1. Systematic human error reduction and prediction approach (SHERPA) error types and modes (adapted from [35]).
Table 1. Systematic human error reduction and prediction approach (SHERPA) error types and modes (adapted from [35]).
Error TypeError Mode
Action errors (A), when the human action changes the status of the systemA1 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 systemC1 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 procedureR1 Information not obtained
R2 Wrong information obtained
R3 Information retrieval incomplete
Communication errors (I), when the operator fails to transfer information to another personI1 Information not communicated
I2 Wrong information communicated
I3 Information communication incomplete
Selection errors (S), when the operator makes the wrong choice among different alternativesS1 Selection omitted
S2 Wrong selection made
Table 2. Levels of the human error risk (R).
Table 2. Levels of the human error risk (R).
RLevelMeaning
≤5IAcceptable level risk
6–9IIMedium level of risk
10–15IIIHigh level of risk
16–25IVUnacceptable level of risk
Table 3. Excerpt of the hierarchical decomposition in the list of sub-tasks, elementary tasks and specific activities.
Table 3. Excerpt of the hierarchical decomposition in the list of sub-tasks, elementary tasks and specific activities.
SubtaskElementary TaskSpecific 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
Table 4. Excerpt of the SHERPA table.
Table 4. Excerpt of the SHERPA table.
Specific ActivityError ModeDescriptionConsequencesPCRemedial Measures
1.1.3. Take the product out of storeA6The operator takes the wrong product from the storage closetA wrong product is used for the treatment24Preserve the package integrity of the products
S1Select the wrong productA wrong product is used for the treatment24Specific operator training
1.1.4. Read the product labelR1The operator fails in reading the labelA wrong product/dose is used for the treatment
Inappropriate safety measures are implemented
34Preserve the package integrity of the products
Specific operator training
R2The operator reads the label incorrectlyA wrong product/dose is used for the treatment
Inappropriate safety measures are implemented
34Preserve 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://0-doi-org.brum.beds.ac.uk/10.3390/agriculture9070158

AMA Style

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://0-doi-org.brum.beds.ac.uk/10.3390/agriculture9070158

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Fargnoli, 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://0-doi-org.brum.beds.ac.uk/10.3390/agriculture9070158

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