ML19276H399

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Human Reliability Analysis Applied to Nuclear Power
ML19276H399
Person / Time
Site: Crane Constellation icon.png
Issue date: 01/08/1975
From: Guttann H, Swain A
SANDIA NATIONAL LABORATORIES
To:
Shared Package
ML19209C834 List:
References
TASK-TF, TASK-TMR NUDOCS 7910180421
Download: ML19276H399 (6)


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.a. 4. -.:a S..u rier.

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briefly ths :Sthed.svolves the use of tree

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dia y.:.s to re;rese.t criti:11 h'.:ss actic:s as4 other events is a systas, with ::caitic a1 s ? 1

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  • 21. E.za s ev*-:: rri:rs.,ings.

rebattlities ass. :ed to the success art 1 2ees

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tree dia rs.s re rese:S the likal out::=ts of

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  • 's. 2 r.1., w T.21.,0.s and exasyle. that as errer vill te detected by as

- 1:1:4 of r

wles.. set O.

inspecter a:4 si.bsequently corrected, and so

. as s rs Alt. tow,5 t is say e--

r.r -ri.:

..,,? ;rt:::111 ties assccisted w tu the e:$

cn.

s.r e. t e r a s 11 in 1 ? cry W nts of m s:

s s Lmo - u m

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... e. f r use as a,. a s t and s ::ess f r * * ;;rticular ::erstics.

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~*3 e=otionsl stress etai;:; sat failures, ar.4 e... _. e -f c e effsets of :.; 12 errcrs on

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8 bility. The tr:scues en the tree dia gess are 7 i s -- a c.iti is the ususi sense

=ct restrictei to h' =an actions nor d:es the

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cf s * ' ': ea.1:11 a. sic 7. alt:Ough it is method assi se inde;-nience of *te evests en c.

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st fers of : Athe itical the trae--two ;erstating nasconcepticna accut

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2:

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  • "T2P. 3

-,s. s+-'Le e-12ti:ns e sits. with

.. 4 The errer rates used in a C3? actlysis

.srs ters* - a r-daniacey. trsin-are irsv s fr:s a y sn110:., e *:. :ss, s.:n ss

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  • steg a 4 t e ses.c a... ?nts of Ss4tct sat *er

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a:;erts.

.he variety of data scurces fcr

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f '. T 1 41:12.1/ t/ t ie est.or, it wse 'ama t f:* the ?.rt-s e :f evtlae a

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1

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safety e75te:S tre di31*S?i 13 0 frate satse

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nit s t:*.a 1.a tas r?s:tse t

.ar t 1 *-1;1..fi, cvs3 ani tha pr:gress Of ettiesttr.4 syste:2 mF.a i.....f n e 3:nservstlee est1=stes f'.settons are 41sp147s4 in the e:ntrol reca.

s:r sf..att.

The test 6

.....1._...

c ?rstar totico 1. (la.31117) 33% rniaired

./

aJ. se.4 e &n e b

hut &1 Ste 4 111989 is adar Scntt01.

w es....:a.a i:tes sne ;re sistaa *eliability

    • ** i;v ( 2 - *, = -e rn.J 1* *.3).

It to not pessible or neesestrily destr.

  • 3

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.en vaw;4 c::.1;/ reveal wnatner atte to maae ett sa:este of resetsr eseratica 9.3 -?:..*

.;.t vsa ettM:* tcs its or 1:3 fally a.tc.natie.

3 uas mast totarut la c,. /.,,

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ala.st all a.esa of r... ins n eis ar ;.sar es.

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s.isua taasi :n.'.ctasr staat :t t*e latt.

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.,t

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i 6

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AA 13 the :Las wit 3 any h.ut&3 re'.istility

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7. ; ^ *j *i.? s ciglists 1'ssa e

eJ i

st re15..

s tu t'. * ? ? -:s t 3 9 ?*. :23 ?:4.es ta tr.e s:tr=

. [ * ** *

  • g city of 1.ts en err:r rs :s f:t tasAs re'evtst to : s stway.

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.' 7.>.*,**s-#

In tTis sr.

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s::s Lata 41 1

... in

c.,

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a.

were c..s,.,.e.

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e s...ess s3:2stimes 131 strias ust?- -r:;-:s isJ.ts :: ;Lrt31e 13 b-J).

...? 2 1,, 0r : -.t =

tasse fa;:4 in v.: lear ;cver p;sa a.

s otter

. 3

?;s rei., s.,..,.y a Cyste omses.1;ta vare a:tainaa fras -1,tary

,c r,,. >

. :a t;::s r:,, re i n.r as P..:tions ar erise:t==vith less si:11stity to nu:leLr 7{.

,ti.

.. e.. e c.

....:6 er?:r

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gg.,y..,

..n s f:* -. i t..J. ?:s - ::rs g..

3

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^

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t?.1 - - -* r? ?.St:: sis is d -tve estL:stes "h

i g

c

...: s :.. s.. : 2 tr..,a to e:tered

.t:1 testi ta: J.

=

.aast sisa.,ars.y to n.e.:Lr ;:ver ; at proe.

./

..a

.: a..,ess.

ese t

%s. bet dit geroxi ste a se of a

gg.

-lish ths at:ve, seversi n.: lear cilitta:ics saa tist-an:e star.s in :6:iset

~3 =*

~ r

.: were r..: i ts ces:rvs ::.;:Ja p;.or ;.23:s.

T..e e :1si a :uas cf avat; tale c*

...:s.

'.; 2ryts:rs and c;eraters were cata vas a: swhat :- :r ns:esettatt:s tue 1

1 and. s trie:1e t ;rt;rts f:r sac;ti:a of "t.t e:tirstes

  • f:r ::r.y t,

is w:s ::v.:wsi '

au;.:4 a visit to ictivti4al ts.44
  • ?. se esti stes involred a

'.-. s s i:1.: t r i a.i t,-). The ::c=

jui; irs the a;;11:st111ty of the data is

  • ris. L:a s?.tas tr::ei.rss were rea:t:r taats ca t:s tasis of stillarity in

?.

.:istra:ive ;rs=

gerce;tual, c:1:1tive, a 4 sot:r ta; sets of s:.

.2.

. ;l as 't:

tuo t as ta.

cs' is is f:::s.

.'Irti:. tar att.a: ten was a.* *s ~

3........', g3., ts *.*',.1 is case Osttais s; setal facters. stica ve call

~

.-.3

'a-.etics. tr.s ::rta., ;sra-ing Psrf re2-e Cra-iss Fa: tors ( ?) I vs-s

.a s ar. : :: Ors: :n ani rc. acte.a ::e tLaen 1sto a:::ur.t in =saina snase jui;: ente.

s were to:r:.ca y reviavet (taa in, F:11cvin3 are t:e =4re 1:;:rttst of tasse ar:-

.s... tar.J....:..ssi....ty o.

f s:t:rs in e ciesr ;;ver 71-at et artti::a, e---*

. e ra.1 e-- te ;... e t a a a.,a.

esca =f wr.ich is triefly ils:sasst beiavt

  • 2 : e n t s. viet. act e.: resa::able ts vir.:.s :;ers:.rs tad (1) *uality of hu=An en41neeri:3 of cca.

-r

.3 vare ;:

s is 1.str.:::1 t: - r:v-is us wits a trale and ?!s-1-ys.

  • s_..

.a* cf ?:v * / wa.11 rss.t:1 to (2) C s;;ty of traiates ant ;rt:tice.

te a.

I.) t is St...tr..-:sta t ey were (3) Irise :e tra ;;Ality of v?itten 1:

1 to ta 3 et t relevsst certrol.

instru:ti:rs 6:4 mais:4 of ut e.

(' ) 7.7s of.11t;117 feer:tck.

sit;s s is v.11 to c;ir tea, at.4 ass: rite 4

L:. : 1 : ste t e f.1.;c.,s 2.s;6ay inal:a:iar.a.

($)

  • ...;sna
s of hu as actions.

ti 4 12;s..tr:rs :-J Jelays in (6)

L".

s ca..c.la:y.

1 :.. -

t:3.c r ses sa tr.ssa ;ree;(sa were cetad.

(7) Level cf ;rssesad ;;7ctelegisti f t to itsis cf t's aeove data, tree i:

41m ? ra were t6es pre ar-a taae;emauatly by In several cases the estimates of tasa t#

s.

T se..

. s ; :,.,.- : til errer rates vsre relttively ha-1 tectase tne

  • le 1.'..rtaal :

a:tael.a re;aarea la case desig:s cf the sas.e :a.no interfames ta the

3

  • n :. :t r

--v= r 1r.: s

  • i s nn: cent:-n 12 sc a.4

.r:g pren: m m,..-se.a g,

-1

.is.

.re -s.m;.e f;r esas

f -s e a rv *, ' s : s ct + :. :w:

'

  • s.;te s:-

rit4 e:ntrol dis-e.

.41 s

'- - *. ;; r : f-1: +3 I*

I set: st..

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f n

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.,..., y.,

,.;g

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n'.

af

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s

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es...

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  • r
.. e re t aJ

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bee 3 r.J

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  • .r.e w:uld r*s:* in
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)

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  • s '. r..

. e t er...

s,

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7
r.,.; fr,3:, ?r s r*

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  • -**.e.:e.

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... si-

. s... e s.-

e est: :st s s.si;s:;e : =e fr:: s:...es :r

* :. a ;.2.;.... a w...c. ; s;. 1.:1

=As's :er sne r im <e

..no *:e r ?etr*

Peat.::s.

---1

. us.: :- --s'-rr.

.. n :a

a..... a.. sn..es ra v e...,. ;c e.

Two stal.es tr.at f.ers t :ett.:n nere are bets ::.tsi2? ei eis st:s :t r.e Lees :f r..::=

'. ? -a,

-- e - st ' -

r-- : r res : ;;:sl fae::rs. In :n, st. y by *ne A:er;:s

/

cf sa.a.Ary -??te r.res cf s::e ;; i -srs L{:.

st;;.:es f:.* 5esest:3.* :ri ;:s1 ; :;4ests e.g.,,,cr ;r: :;e4 ullity, no distis:tive ver, :;;14::,1 fr,= ::r::.:

A. ;.. :- n 2 i

- Or *:.:. :a

  • r -::. - ry rt:e:.res ;

a2 r:rews s *t e..

.-y s ervi. - A.r.-fl.gr.:.

e er.

.aa t t ie s 6:21:a;;rt r s:e incesa:4; pccr ian:23: (s.: as.:s

f en;;:e :n ita-:ff.

fCr:S t.

13 fire, *.re t; w g*

- ;gr.;;r{, e'.,

a (4)

Al*ts' art swiitery/idsati pacal Id',cri*1c al in ;len* sve'sre err:r *s' e s-

&c.

3
rs were.:ei fer c -of-tclersace C.it; that is.1:1 of tse ta=e ::e cr1*ita.7s

........3

s. any

..e...e severs., c.,..ese actis,s cf tee aar revs is su:2 stress situa.

am y s;:rs v311.1 te a:: (with the a:11 tory ticss either : :e the sit; ati:.. worse Or did s: w er :e;.: ) r.1 w:.11 te cr: eti:4 f;r COI I## 18 f'11 d

  • t.:.

tics :! ar.e c; erst:r. S ever si Is the seccat stuty, c:ntarted ty *he


?:rs st it* t t st 2 3re ve.-* ::s :ny L:.s. 2*s u-:es ? rs earca ".rg s.-itatica,' Ar y 6..

-..a e:::eting f-r st;*-sts: ar.: nst the re:ruats were sus.'ected t3 at:siste: e:erges.

c-3t117 10:sted die;1ays siculd be fewer la cies sata as its 13:res:i:4 ;r:21:li;" :f fa;-

er.

11:3 zertar she;;s to :: ir ::r:sa: ;:::s.

(}) Ciie-by-side 10:atiza of valves for

!ie re:ruits we, er; sed ts -tese s1=.lates "ini.-a:!ent* cr.s.c.-1s in certsin site..ar.

e=erreaties is sa:a a wsy ::a: they teLievet ey2: s celat ttst the v elves w:ali te 5 rested tte situatices

.he resa. AJ :s..y as :ce=

e2,::11:17 ss==. e ers::=g unit :t.e., cne t$1rd :r new 'er21 8 f1'8 12 7':1:* r$t:'r

... s. s.a.. i.j t.s s..o

%y..e

.,.er1....

m. eref..e....

ttas ;erfers see aJsig:ed taas tr.at would

-...y ef %i s s._.....o

.,.s

.ats vs.ves isve resultet is a cessatics =f tae scrta

.3 w:'.11 te esse-tially tte sa:e is the proca.

    • *
  • L5 '

till:7 of his ::ltta:4 to : yen eithar valve.

7tese studies were used as a basis f r Ti;s. }.: s ;erf:r:12:e

  • o s le extent tegated estan11shicg toanJaries f:r ::e eritr rates the ;Lsr.ned 1:3e;ecie::e of the e*s-nels.

of :uelesy ;:.er ;;ast ;erse el is a hig:

(6) Is sore cases (e.g.. calibratica pro-stress situati n t such as a ;aree * :A). ::

re res) ther= vs2 eed.

s ti-*. derree of c. sa 18 'JI lik'IY SP25 820*'*f 311 2 7'T

"1

...s 7 (....

...- s,a e4...s..e1 woul.d react as cal.ily cr perf:rs as relia 3 *y ret at:y) 0:: tan?1 Cy using a two-::s teia "8

T ** ' Ti' Al# ;

'# 2 #~'"'*

~~8'1'#124 vitt. a rester /::::Aer an a ;erf:r:fr cf *ne tas extensive ;rs-tice O f s.:: c evs 1:

writ *ss ;r::etares.

  • n ctner cases the degree siculated sir: stt r=erges::es.

Oe-e ral.y.

cf 2 c.s.

ra! -isney wis very 1:v. e.g.. a ta ' I' E8 li t* ' ' **/

83*8!** IT**EA#' 13 v CA.ar:;.r.

1..2;e:tt:a ;crim:4 en earn shif*,

si.=ulsted e:-m'.:m te'r : ers*ars of edear to see "if. all valves are in the correct

1 arts. He ce, tre err
r ra o of ;;aas
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3*

c;erators is esti sted to te higher tsaa the 0.16 error rate caservel for 2A* crews.

(7) 7te excellent record of nuclear ; ewer

1s-t
:ers:!ss witt:at an/ sericus at:1 dent On the other naad, react:r plant eiers Jr1 1:" ; r:- - tsilure of 'te engineered sste:y have been este-sively traires is n.21 esc ;cwor fes: e s : sis tr.e est: stien. 0;erster per.
1 ant c;eratics. A newly assigned c;erster f ar
asce uater such stres s as..,uit.

The nas learned to rsesgnize the ;otential for 4

=ert se:tico :2: rites in mere detai. tew acc. dents, and ta be prepared to ce;e vita t

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pr! u.y a.euta ;ss of 7 21.

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