4.7 Article

The step complexity measure for emergency operating procedures - comparing with simulation data

期刊

RELIABILITY ENGINEERING & SYSTEM SAFETY
卷 74, 期 1, 页码 63-74

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ELSEVIER SCI LTD
DOI: 10.1016/S0951-8320(01)00063-1

关键词

nuclear power plants; emergency operating procedures; complexity factors; step complexity quantification; entropy; step performance time; measure validations

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In complex systems, such as nuclear power plants (NPPs) or airplane control systems, human errors play a major role in many accidents. Therefore, to prevent occurrences of accidents or to ensure system safety, extensive effort has been made to identify significant factors that cause human errors. According to related studies, written manuals or operating procedures are revealed as one of the most important factors, and complexity or understandability of a procedure is pointed out as one of the major reasons that make procedure-related human errors. Many qualitative checklists are suggested to evaluate emergency operating procedures (EOPs) of NPPs. However, since qualitative evaluations using checklists have some drawbacks, a quantitative measure that can quantify the complexity of EOPs is imperative to compensate for them. In order to quantify the complexity of EOPs, Park et al. suggested the step complexity (SC) measure to quantify the complexity of a step included in EOPs. In this paper, to ensure the appropriateness of the SC measure, SC scores are compared with averaged step performance time data obtained from emergency training records. The total number of available records is 36, and training scenarios are the loss of coolant accident and the excess steam dump event. The number of scenario is 18 each. From these emergency training records, step performance time data for 39 steps are retrieved, and they are compared with estimated SC scores of them. In addition, several questions that are needed to clarify the appropriateness of the SC measure are also discussed. As a result, it was observed that estimated SC scores and step performance time data have a statistically meaningful correlation. Thus, it can be concluded that the SC measure can quantify the complexity of steps included in EOPs. (C) 2001 Elsevier Science Ltd. All rights reserved.

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