An investigation on unintended reactor trip events in terms of human error hazards of Korean nuclear power plants

Abstract A new approach for finding the hazards of human errors, and not just their causes, in the nuclear industry is currently required. This is because finding causes of human errors is really impossible owing to the multiplicity of causes in each case. Thus, this study aims at identifying the relationships among human error hazards and determining the strategies for preventing human error events by means of a reanalysis of the reactor trip events in Korea NPPs. We investigated human errors to find latent factors such as decisions and conditions in all of the unintended reactor trip events during the last dozen years. In this study, we applied the HFACS (Human Factors Analysis and Classification System), which is a commonly utilized tool for investigating human contributions to aviation accidents under a widespread evaluation scheme. Using the HFACS framework, we tried to find out not the causations but all of the hazards and their relationships in terms of organizational factors. Through the trial, we proposed not only meaningful frequencies of each hazards also correlations of them. Also, considering the correlations of each hazards, we suggested useful strategies to prevent human error event. A method to investigate unintended nuclear reactor trips by human errors and the results will be discussed in more detail.

[1]  Alex Viale,et al.  Application of a human error framework to conduct train accident/incident investigations. , 2006, Accident; analysis and prevention.

[2]  J. M. Patterson,et al.  Operator error and system deficiencies: analysis of 508 mining incidents and accidents from Queensland, Australia using HFACS. , 2010, Accident; analysis and prevention.

[3]  Don Harris,et al.  Routes to failure: analysis of 41 civil aviation accidents from the Republic of China using the human factors analysis and classification system. , 2008, Accident; analysis and prevention.

[4]  Michael G Lenné,et al.  A systems approach to accident causation in mining: an application of the HFACS method. , 2012, Accident; analysis and prevention.

[5]  Deepak Gaur Human factors analysis and classification system applied to civil aircraft accidents in India. , 2005, Aviation, space, and environmental medicine.

[6]  Michael Baldauf,et al.  Accident investigation reporting deficiencies related to organizational factors in machinery space fires and explosions. , 2011, Accident; analysis and prevention.

[7]  Andrew S McIntosh,et al.  Understanding the human factors contribution to railway accidents and incidents in Australia. , 2008, Accident; analysis and prevention.

[8]  D A Wiegmann,et al.  Human error analysis of commercial aviation accidents: application of the Human Factors Analysis and Classification system (HFACS). , 2001, Aviation, space, and environmental medicine.

[9]  J. R. Buchanan NUCLEAR SAFETY INFORMATION CENTER. , 1969 .