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http://dx.doi.org/10.14346/JKOSOS.2016.31.5.177

Analysis on Management Status and Issues for Near Miss Reporting in Nuclear Power Industry  

Chung, Yun-Hyung (Department of Instrument, Control and Electrical System, Korea Institute of Nuclear Safety)
Kim, Dong Jin (Department of Instrument, Control and Electrical System, Korea Institute of Nuclear Safety)
Publication Information
Journal of the Korean Society of Safety / v.31, no.5, 2016 , pp. 177-186 More about this Journal
Abstract
When an event is occurred in a nuclear power plant (NPP), the NPP operator reports it referred by the regulation on reporting and public announcement of accidents and incidents. Some of the events do not need to be reported because they are not included in the reporting criteria of the regulation. However, it is necessary that they should be managed effectively because the accident can be occurred by the recurrence of a lot of them as precursors. Among the events not included in the reporting criteria of the regulation, near miss is the event that is not occurred but can generate a significant consequence. This can provide the cause of the event which does not result an accident. So, it is able to offer insightful knowledges to prevent higher level events about the function and process of NPP. The objective of this study is to analyze the issues of near miss events, prepare the defence against the risk, and improve the management process of NPP. To achieve it, this study performed to analyze the management structure and status of near miss events as well as the accident reporting system of the domestic and foreign regulation bodies. In case of Korea, the status was analyzed by quantitative data, licensee event reports and procedures. Based on these, we could find the causes that near miss events were not managed effectively. Then, systematic alternatives that reflected the perspective of man, technology and organization were drawn.
Keywords
near miss; operating experience review; accident reporting criteria;
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  • Reference
1 J. Reasons, "Managing the Risks of Organizational Accidents", Ashgate, 1997.
2 IAEA, "Low Level Event and Near Miss Process for Nuclear Power Plants: Best Practices", IAEA Safety Reports Series No. 73, 2012.
3 IAEA, "Human Performance Improvement in Organizations: Potential Application for the Nuclear Industry", IAEATECDOC-1479, 2005.
4 Korea Hydraulic Nuclear Power, "Yearly Trend Analysis Report for K-HPES", 2008-2014.
5 Korea Hydraulic Nuclear Power, "Yearly Trend Analysis Report for CAP", 2008-2014.
6 T. van der Schaaf, "Near Miss Reporting in the Chemical Process Industry: An Overview", Microelectronics Reliability, Vol. 35, pp. 1233-1243, 1995.   DOI
7 L. Kanse, T. van der Schaaf, and H. van Mirelo, "Comparing Two Approaches to Failure Recovery: Medication Preparation versus Chemical Plants", Proceedings of the European Association of Cognitive Ergonomics, pp. 175-181, 2005.
8 IAEA, "Trending of Low Level Events and Near Misses to Enhance Safety Performance in Nuclear Power Plants", IAEA-TECDOC-1477, 2005.
9 Korean Nuclear Society, "Fukushima Nuclear Power Plant Accident Analysis", Final Report, 2013.
10 IAEA, "Best Practices in Identifying, Reporting and Screening Operating Experience at Nuclear Power Plants", IAEA-TECDOC-1581, 2008.
11 V. Bringaud, S. Pierlot, and P. Laine, "Communication: Design and Implementation of a "Weak Signal" Approach at a Nuclear Power Plant", 16th Conference on Risk Management Dependability, 2008.
12 S. Pierlot, G. Saliou, and P. Laine, "Weak Signals for Improving Safety in the Nuclear Safety", Organizations, Near Misses, Alarms and Early Warnings, 2009.
13 Korea Hydraulic Nuclear Power, "Korea Version of Human Performance Enhancement System", Standard Operation-2035B, Rev.0, 2012.
14 Korea Hydraulic Nuclear Power, "Quarterly Operation Status Report for CAP, 2008 1st Quarter-2012 4th Quarter", 2008-2012.
15 Korea Hydraulic Nuclear Power, "Corrective Action Program", Standard Operation-2036, Rev.1, 2012.