OPERATOR BEHAVIORS OBSERVED IN FOLLOWING EMERGENCY OPERATING PROCEDURE UNDER A SIMULATED EMERGENCY (original) (raw)


Severe accident management can be defined as the use of existing and/or alternative resources, systems and actions to prevent or mitigate a core-melt accident. For each accident sequence and each combination of strategies there may be several options available to the operator; and each involves phenomenological and operational considerations regarding uncertainty. Operational uncertainties include operator, system and instrument behavior during an accident. During the period September 26--28, 1990, a workshop was held at the University of California, Los Angeles, to address these uncertainties for Boiling Water Reactors (BWRs). This report contains a summary of the workshop proceedings.

Emergency operating procedures (EOPs) in nuclear plants guide operators in handling significant process disturbances. Historically these procedures have been paper-based. More recently, computer-based procedure (CBP) systems have been developed to improve the usability of EOPs. The objective of this study was to establish human factors review guidance for CBP systems based on a technically valid methodology. First, a characterization of CBPs was developed for describing their key design features, including both procedure representation and functionality. Then, the research on CBPs and related areas was reviewed. This information provided the technical basis on which the guidelines were developed. For some aspects of CBPs the technical basis was insufficient to develop guidance; these aspects were identified as issues to be addressed in future research.

A fundamental concept in nuclear reactor operation is that safety is the result of interactions between human, technological and organizational factors. The National Nuclear Energy Commission understands how human factors from psychological, physiological, behavioral and emotional origin can affect the reactor operation. For that reason, reactor operators are submitted to rigorous evaluations every year. When conducting case study during these sixty years of IEA-R1, three of them hypothetical and possible, related to the reactor operation illustrates the concern about the safety and security: Case 1Operator had a stroke during reactor operation in the control room. Case 2Operator suffered stress in traffic in his going to the reactor facility; when performing test in the emergency cooling system for reactor start up, he didn’t close a valve completely; changing the pool water technical quality causing a week delay in the reactor operation. Case 3Operator just arrived to afternoon sh...

periodic preventive maintenance (14.9%), response to a transient (9.9%), and design/manufacturing/installation (6.9%). According to the analysis of the error modes, error modes such as control failure (22.2%), wrong object (18.5%), omission (14.8%), wrong action (11.1%), and inadequate (8.3%) take up about 75% of the total unplanned trip events. The analysis of the cognitive functions involved in the events indicated that the planning function had the highest contribution (46.7%) to the human actions leading to unplanned reactor trips. This analysis concludes that in order to significantly reduce human- induced or human-related unplanned reactor trips, an aide system (in support of maintenance personnel) for evaluating possible (negative) impacts of planned actions or erroneous actions as well as an appropriate human error prediction technique, should be developed.