Human decision error (HUMDEE) trees
Graphical presentations of human actions in incident and accident sequences have been used for many years. However, for the most part, human decision making has been underrepresented in these trees. This paper presents a method of incorporating the human decision process into graphical presentations of incident/accident sequences. This presentation is in the form of logic trees. These trees are called Human Decision Error Trees or HUMDEE for short. The primary benefit of HUMDEE trees is that they graphically illustrate what else the individuals involved in the event could have done to prevent either the initiation or continuation of the event. HUMDEE trees also present the alternate paths available at the operator decision points in the incident/accident sequence. This is different from the Technique for Human Error Rate Prediction (THERP) event trees. There are many uses of these trees. They can be used for incident/accident investigations to show what other courses of actions were available and for training operators. The trees also have a consequence component so that not only the decision can be explored, also the consequence of that decision.
Year of publication: |
2008-02-12
|
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Authors: | Ostrom, L.T. |
Subject: | general studies of nuclear reactors | REACTOR OPERATORS | BEHAVIOR | NUCLEAR POWER PLANTS | HUMAN FACTORS | REACTOR ACCIDENTS | SAFETY | REACTOR SAFETY | RISK ASSESSMENT | ERRORS |
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