Systemic Modeling of Procedure Noncompliance and Safety Incidents in Chemical Manufacturing
Downloads
This research analyzes the systemic causes of procedural non-compliance and safety incidents in the chemical manufacturing industry using an integrated approach combining Process Safety Management (PSM), Root Cause Analysis (RCA), the Human Factors Analysis and Classification System (HFACS), and System Dynamics. The PSM audit identified significant non-compliance within the Operating Procedures and Management of Change (MOC) elements, which were found to be the primary contributors to recurring incidents. RCA results indicate that technical and procedural deficiencies dominate the causal structure, while HFACS reveals that unsafe acts, inadequate supervision, and organizational influences substantially exacerbate procedural deviations. Qualitative findings from interviews, RCA, and HFACS were quantified through questionnaires, enabling statistical analysis of variables such as SOP compliance, training effectiveness, supervision quality, and safety culture. The System Dynamics model illustrates the causal interactions among training, supervision, risk perception, safety culture, SOP compliance, and incident frequency. Policy simulation results demonstrate that formal policy interventions are the most effective in suppressing incident escalation, technical interventions show limited standalone impact, and educational–behavioral interventions yield gradual improvements. The strongest risk reduction is achieved through multidimensional policy integration. Model validation using historical incident data shows close alignment between simulation trends and actual patterns, confirming model reliability. Thus, procedural non-compliance and safety incidents are driven by complex interactions among technical, human, and organizational factors, highlighting the need for integrated safety management strategies in high-risk industrial environments.
Ab Rahim, M. S., Reniers, G., Yang, M., & Bajpai, S. (2024). Risk assessment methods for process safety, process security and resilience in the chemical process industry: A thorough literature review. Journal of Loss Prevention in the Process Industries, 88, Article 105274. https://doi.org/10.1016/j.jlp.2024.105274
Achumie, G. O., Oyegbade, I. K., Igwe, A. N., Ofodile, O. C., & Azubuike, C. (2022). A conceptual model for reducing occupational exposure risks in high-risk manufacturing and petrochemical industries through industrial hygiene practices. Industrial Hygiene and Safety Journal.
Amrin, & Purwojatmiko, B. H. (2025). Balancing growth and safety: Rethinking occupational health and safety management in Indonesia’s chemical industry. E3S Web of Conferences, 681, Article 05001.
Anik, A. H., Toha, M., & Tareq, S. M. (2024). Occupational chemical safety and management: A case study to identify best practices for sustainable advancement of Bangladesh. Hygiene and Environmental Health Advances, 12, Article 100110.
De Merich, D., Gnoni, M. G., Guglielmi, A., Micheli, G. J., Sala, G., Tornese, F., & Vitrano, G. (2022). Designing national systems to support the analysis and prevention of occupational fatal injuries: Evidence from Italy. Safety Science, 147, Article 105615. https://doi.org/10.1016/j.ssci.2021.105615
González-Moles, M. Á., Aguilar-Ruiz, M., & Ramos-García, P. (2022). Challenges in the early diagnosis of oral cancer, evidence gaps and strategies for improvement: A scoping review of systematic reviews. Cancers, 14(19), 4967. https://doi.org/10.3390/cancers14194967
Hollá, K., Kuricová, A., Kočkár, S., Prievozník, P., & Dostál, F. (2024). Risk assessment industry driven approach in occupational health and safety. Frontiers in Public Health, 12, Article 1381879. https://doi.org/10.3389/fpubh.2024.1381879
Johanes, M., Mark, M., & Steven, J. (2023). A global review of implementation of occupational safety and health management systems for the period 1970–2020. International Journal of Occupational Safety and Ergonomics, 29(2), 821–836. https://doi.org/10.1080/10803548.2022.2031796
Kemnaker Indonesia. (2024). Kasus kecelakaan kerja, Februari tahun 2024. Satu Data Kementerian Ketenagakerjaan. https://satudata.kemnaker.go.id/data/kumpulan-data/1872
Kineber, A. F., Antwi-Afari, M. F., Elghaish, F., Zamil, A. M. A., Alhusban, M., & Qaralleh, T. J. O. (2023). Benefits of implementing occupational health and safety management systems for the sustainable construction industry: A systematic literature review. Sustainability, 15(17), 12697. https://doi.org/10.3390/su151712697
Marhavilas, P. K., Pliaki, F., & Koulouriotis, D. (2022). International management system standards related to occupational safety and health: An updated literature survey. Sustainability, 14(20), 13282. https://doi.org/10.3390/su142013282
Materna, M., Maternová, A., Kamenická, D., & Chodelka, F. (2023). The influence of human factor on aviation accidents in Slovakia through HFACS framework: A comprehensive study. Transportation Research Procedia, 75, 173–182. https://doi.org/10.1016/j.trpro.2023.12.115
Musungwa, T., & Kowe, P. (2022). Effects of occupational health and safety management systems implementation in accident prevention at a Harare beverage company. Cogent Engineering, 9(1), Article 2124638. https://doi.org/10.1080/23311916.2022.2124638
Naumann, R. B., Sandt, L., Kumfer, W., LaJeunesse, S., Heiny, S., & Lich, K. H. (2020). Systems thinking in the context of road safety: Can systems tools help us realize a true “safe systems” approach? Current Epidemiology Reports, 7(4), 343–351. https://doi.org/10.1007/s40471-020-00248-8
Nwankwo, C. D., Theophilus, S. C., & Arewa, A. O. (2020). A comparative analysis of process safety management (PSM) systems in the process industry. Journal of Loss Prevention in the Process Industries, 66, Article 104171. https://doi.org/10.1016/j.jlp.2020.104171
Occupational Safety and Health Administration. (2000). Process safety management (OSHA Publication No. 3132). U.S. Department of Labor. https://www.osha.gov/sites/default/files/publications/osha3132.pdf
Park, Y., & Park, D. J. (2024). System dynamics approach for assessing the performance of safety management systems in petrochemical plants. Journal of Loss Prevention in the Process Industries, 90, Article 105324. https://doi.org/10.1016/j.jlp.2024.105324
Sturmberg, J. P., & Marcum, J. A. (2024). From cause and effect to causes and effects. Journal of Evaluation in Clinical Practice, 30(2), 296–308. https://doi.org/10.1111/jep.13940
Vitrano, G., & Micheli, G. J. L. (2024). Effectiveness of occupational safety and health interventions: A long way to go. Frontiers in Public Health, 12, Article 1292692. https://doi.org/10.3389/fpubh.2024.1292692
Vitrano, G., Micheli, G. J. L., Guglielmi, A., De Merich, D., Pellicci, M., Urso, D., & Ipsen, C. (2023). Sustainable occupational safety and health interventions: A study on the factors for an effective design. Safety Science, 166, Article 106249. https://doi.org/10.1016/j.ssci.2023.106249
Zhang, Y., Wang, S.-X., Yao, J.-T., & Tong, R.-P. (2023). The impact of behavior safety management system on coal mine work safety: A system dynamics model of quadripartite evolutionary game. Resources Policy, 82, Article 103497. https://doi.org/10.1016/j.resourpol.2023.103497
Copyright (c) 2026 Vivi Lailatul Rohmah, A.A. BGS. Dinariyana Dwi Putranta, Adithya Sudiarno

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

