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HUMAN RELIABILITY ASSESSMENT IN CONTEXT  

HOLLNAGEL ERIK (Cognitive Systems Engineering Laboratory, Department of Computer and Information Science, University of Linkoping)
Publication Information
Nuclear Engineering and Technology / v.37, no.2, 2005 , pp. 159-166 More about this Journal
Abstract
Human reliability assessment (HRA) is conducted on the unspoken premise that 'human error' is a meaningful concept and that it can be associated with individual actions. The basis for this assumption it found in the origin of HRA, as a necessary extension of PSA to account for the impact of failures emanating from human actions. Although it was natural to model HRA on PSA, a large number of studies have shown that the premises are wrong, specifically that human and technological functions cannot be decomposed in the same manner. The general experience from accident studies also indicates that action failures are a function of the context, and that it is the variability of the context rather than the 'human error probability' that is the much sought for signal. Accepting this will have significant consequences for the way in which HRA, and ultimately also PSA, should be pursued.
Keywords
robust control; autonomous control; reactor control; research reactor; experimental validation;
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  • Reference
1 Kirwan, B. A guide to practical human reliability assessment. London: Taylor & Francis, 1994
2 Dougherty, E. M. Jr. Human reliability analysis - Where shouldst thou turn? Reliability Engineering and System Safety, 29, 3 (1990), pp. 283-299   DOI   ScienceOn
3 Woods, D. D., Johannesen, L. J., Cook, R. I. & Sarter, N. B. Behind human error: Cognitive systems, computers and hindsight. Columbus, Ohio: CSERIAC, 1994
4 Hollnagel, E. & Amalberti, R. The Emperor's New Clothes, or whatever happened to 'human error'? 4th International Workshop on Human Error, Safety and System Development, June 11-12, 2001, Linkoping, Sweden
5 Rochlin, G. I. Safe operation as a social construct. Ergonomics, 42, 11 (1999), pp. 1549-1560   DOI   ScienceOn
6 Woods, D. D. & Cook, R. Nine Steps to Move Forward from Error. Cognition, Technology, and Work, 4, 2 (2002). pp. 137-144   DOI
7 Swain, A. D. Comparative evaluation methods for human reliability analysis (GRS-71). Koln, Germany: Gessellschaft fur Reaktorsicherheit (1989)
8 Hollnagel, E. Barriers and accident prevention. Aldershot, UK: Ashgate Publishing (2004)
9 Fujita, Y. & Hollnagel, E. Failures without errors: Quantification of context in HRA. Reliability Engineering and System Safety, 83, 2 (2004), pp. 145-151   DOI   ScienceOn
10 Hutchins, E. Cognition in the wild. Cambridge, MA: MIT Press (1995)
11 Hollnagel, E. & Wreathall, J. HRA at the turning point? In P. C. Cacciabue & I. Papazoglou (Eds.), Probabilistic safety assessment and management '96. Berlin: Springer Verlag (1996)
12 Swain, A. D. & Guttman, H. E. Handbook of human reliability analysis with emphasis on nuclear power plant applications (NUREG CR-1278). Washington, DC: NRC (1983)
13 Cooper, S. E., Ramey-Smith, A. M., Wreathall, J., Parry, G. W., Bley, D. C., Luckas, W. J., Taylor, J. H. & Barriere, M. T. A technique for human error analysis (ATHEANA) (NUREG/CR-6350). Washington, DC: US Nuclear Regulatory Commission (1996)
14 Bieder, C., Le Bot, P., Desmares, E., Bonnet, J.-L. & Cara,F. MERMOS: EDF''s new advanced HRA method. PSAM 4, New York, pp. 129-134, Springer-Verlag, London (1998)
15 Dekker, S. W. A. & Hollnagel, E. Human factors and folk models. Cognition, Technology & Work, 6 (2004), pp. 79-86   DOI
16 Simon, H. A. The sciences of the artificial. Cambridge, MA.: The M. I. T. Press (1972)
17 Hall, R. E., Fragola, J. & Wreathall, J. Post event human decision errors: Operator action tree / time reliability correlation (NUREG/CR-3010). Washington, DC: U. S. Nuclear Regulatory Commission (1982)
18 Williams, J. C. A data-based method for assessing and reducing human error to improve operational performance. Proceedings of IEEE 4th Conference on Human factors in Power Plants, Monterey, CA, 6-9 June 1988   DOI
19 Hollnagel, E. & Woods, D. D. Joint cognitive systems: Foundations of cognitive systems engineering. Boca Raton, FL: CRC Press (2005)
20 Parry, G. W. & Mosleh, A. Control room crew operations research project (EPRI TR-105280). Palo Alto, CA: Electrical Power research Institute (1995)
21 Swain, A. D. Human reliability analysis: Need, status, trends and limitations. Reliability Engineering and System Safety, 29 (1990), pp. 301-313   DOI   ScienceOn
22 Gertman, D. I., Gilmore, W. E. & Ryan, T. G. NUCLARR and human reliability: Data sources and data profile. Conference Record for 1988 IEEE Fourth Conference on Human Factors and Power Plants, June 5-9, 1988, Monterey, CA. (pp. 311-314)   DOI
23 Hannaman, G. W., Spurgin, A. J. & Lukic, Y. D. Human cognitive reliability model for PRA analysis (NUS-4531). Palo Alto, CA: Electric Power Research Institute (1984)
24 Yoshikawa, H. & Wu, W. An experimental study on estimating human error probability (HEP) parameters for PSA/HRA by using human model simulation. Ergonomics, 42, 11 (1999), pp. 1588-1595   DOI   ScienceOn
25 Hollnagel, E. Cognitive reliability and error analysis method. Oxford, UK: Elsevier Science Ltd. (1998)
26 Dougherty, E. M. Jr., & Fragola, J. R. Human reliability analysis. A systems engineering approach with nuclear power plant applications. New York: John Wiley & Sons (1988)
27 Perrow, C. Normal accidents: Living with high risk technologies. New York: Basic Books, Inc. (1984)
28 Reason, J. T. The contribution of latent human failures to the break down of complex systems. Philosophical Transactions of the Royal Society (London), Series B. 327 (1990), pp. 475-484   DOI
29 Reason, J. T. Managing the risks of organizational accidents. Aldershot: Ashgate Publishing Limited (1997)
30 Heinrich, H. W. Industrial accident prevention. McGraw-Hill (1931)
31 Miller, D. P. & Swain, A. D. Human Error and Human Reliability. In G. Salvendy (Ed.) Handbook of Human factors. New York: Wiley (1987)
32 Rasmussen, J. Trends in human reliability analysis. Ergonomics, 28, 8 (1985), pp. 1185-1195   DOI