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    Nuclear Engineering and Design 257 (2013) 7987

    Contents lists available at SciVerse ScienceDirect

    Nuclear Engineering and Design

    journal homepage: www.elsevier .com/ locate /nucengdes

    An empirical study on the basic human error probabilities for NPP advanced main

    control room operation using soft control

    InseokJang a, Ar Ryum Kim a, Mohamed Ali Salem Al Harbi b, SeungJun Lee c ,Hyun Gook Kang a, Poong Hyun Seonga,

    a Department of Nuclear andQuantum Engineering, Korea Advanced Institute of Science andTechnology, 373-1,Guseong-dong, Yuseong-gu, Daejeon 305-701, Republic of Koreab Department of Nuclear Engineering, Khalifa University of Science, Technology andResearch,P.O. Box127788, AbuDhabi,UnitedArab Emiratesc Integrated SafetyAssessment Division, KoreaAtomic EnergyResearch Institute, 150-1, Dukjin-dong, Yuseong-gu,Daejeon 305-353, Republic of Korea

    h i g h l i g h t s

    The operation environment ofMCRs in NPPs has changed by adopting new HSIs. The operation action in NPP Advanced MCRs is performed by soft control. Different basic human error probabilities (BHEPs) should be considered. BHEPs in a soft control operation environment are investigated empirically. This work will be helpful to verify ifsoft control has positive or negative effects.

    a r t i c l e i n f o

    Article history:

    Received 2 November 2012

    Received in revised form 22 January 2013

    Accepted 23 January 2013

    a b s t r a c t

    By adopting new humansysteminterfaces that are based on computer-basedtechnologies, the operation

    environment ofmain control rooms (MCRs) in nuclear power plants (NPPs) has changed. The MCRs that

    include these digital and computer technologies, such as large display panels, computerized procedures,

    soft controls, and so on, are called Advanced MCRs. Among the many features in Advanced MCRs, soft

    controls are an important feature because the operation action in NPP Advanced MCRs is performed bysoft control. Using soft controls such as mouse control, touch screens, and so on, operators can select a

    specific screen, then choose the controller, and finally manipulate the devices.

    However, because of the different interfaces between soft control and hardwired conventional type

    control, different basic human error probabilities (BHEPs) should be considered in the Human Reli-

    ability Analysis (HRA) for advanced MCRs. Although there are many HRA methods to assess human

    reliabilities, such as Technique for Human Error Rate Prediction (THERP), Accident Sequence Evaluation

    Program (ASEP), Human Error Assessment and Reduction Technique (HEART), Human Event Repository

    and Analysis (HERA), Nuclear Computerized Library for Assessing Reactor Reliability (NUCLARR), Cog-

    nitive Reliability and Error Analysis Method (CREAM), and so on, these methods have been applied to

    conventional MCRs, and they do not consider the new features ofadvance MCRs such as soft controls. As

    a result, there isan insufficient database for assessing human reliabilities in advanced MCRs.

    In this paper, BHEPs in a soft control operation environment are investigated empirically for BHEPs to

    apply advanced MCRs. A soft control operation environment is constructed by using a compact nuclear

    simulator (CNS), which is a mockup for advanced MCRs. Before the experiments, all tasks that should

    be performed by subjects are analyzed using one ofthe task analysis methods, Systematic Human Error

    Reduction and Prediction Approach (SHERPA). Human errors are then checked to analyze BHEPs, humanerror mode, and the cause ofhuman error when using soft control.

    2013 Elsevier B.V. All rights reserved.

    Corresponding author. Tel.: +8242 3503820; fax: +8242 3503810.

    E-mail addresses:[email protected](I. Jang), [email protected]

    (A.R. Kim), [email protected] (M.A.S.A. Harbi), [email protected] (S.J. Lee),

    [email protected](H.G. Kang), [email protected](P.H. Seong).

    1. Introduction

    The assessment of what can go wrong with large scale systems

    such as nuclear power plants is of considerable current interest,

    given the past decades record of accidents attributable to human

    error. Such assessments are formal and technically complex evalu-

    ations of the potential risks of systems, and are called probabilistic

    safety assessments (PSAs). A PRA today consider not just hardware

    0029-5493/$ see front matter 2013 Elsevier B.V. All rights reserved.

    http://dx.doi.org/10.1016/j.nucengdes.2013.01.003

    http://localhost/var/www/apps/conversion/tmp/scratch_10/dx.doi.org/10.1016/j.nucengdes.2013.01.003http://localhost/var/www/apps/conversion/tmp/scratch_10/dx.doi.org/10.1016/j.nucengdes.2013.01.003http://www.sciencedirect.com/science/journal/00295493http://www.elsevier.com/locate/nucengdesmailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://localhost/var/www/apps/conversion/tmp/scratch_10/dx.doi.org/10.1016/j.nucengdes.2013.01.003http://localhost/var/www/apps/conversion/tmp/scratch_10/dx.doi.org/10.1016/j.nucengdes.2013.01.003mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]://www.elsevier.com/locate/nucengdeshttp://www.sciencedirect.com/science/journal/00295493http://localhost/var/www/apps/conversion/tmp/scratch_10/dx.doi.org/10.1016/j.nucengdes.2013.01.003
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    80 I. Jang et al. / Nuclear Engineering and Design257 (2013) 7987

    failures and environmental events that can impact upon risk but

    also human error contributions (Kirwan, 1992).

    The importance of human reliability related problems in secur-

    ing the safety of complex process systems has been clearly

    demonstrated in recent decades. Unfortunately, although many

    people have devoted efforts to clarifying why human performance

    deviates from a certain expected level, there are several difficulties

    in scrutinizing human reliability related problems. One critical dif-

    ficulty is that the amount of available knowledge from operating

    experiences is extremely small because of the infrequency of real

    accidents (Park and Jung, 2005). Similarly, in a report on one of the

    renowned HRA methods, Technique for Human Error Rate Predic-

    tion (THERP), it is pointed out that The paucity of actual data on

    human performance continues to be a major problem for estimat-

    ingHEPs andperformancetimesin nuclear power plant (NPP) task

    (Swain and Guttmann, 1983). Due to the lack of real accident data

    in NPPs, data such as the results of experiments and fields studies,

    experiments using artificial tasks, and simulation data have been

    used as a database for Human Error Probability (HEP) estimation.

    However, another critical difficulty is that most current HRA

    databases deal with operation in conventional type of MCRs.

    With the adoption of new humansystem interfaces that are

    based on computer-based technologies, the operation environ-

    ment of MCRs in NPPs has changed. The MCRs including these

    digital and computer technologies, such as large display pan-

    els, computerized procedures, soft controls, and so on, are called

    advanced MCRs (Stubler et al., 2000). Because of thedifferent inter-

    faces, different basic human error probabilities (BHEPs) should

    be considered in human reliability analyses (HRAs) for advanced

    MCRs. Although there are many HRA methods to assess human

    reliabilities such as Technique for Human Error Rate Prediction

    (THERP), Accident Sequence Evaluation Program (ASEP), Human

    Error Assessmentand Reduction Technique (HEART), Human Event

    Repository and Analysis (HERA), Nuclear Computerized Library for

    Assessing Reactor Reliability (NUCLARR), and Cognitive Reliability

    and Error Analysis Method (CREAM) (Swain and Guttmann, 1983;

    Swain, 1987; Hallbert et al., 2006, 2007; Wendy and David, 1992;

    Hollnagel, 1998), these methods have been applied to conventionalMCRs, and they do not consider the new features of advance MCRs

    such as soft controls.

    This study carries out an empirical analysis of human error

    considering soft controls under an advanced MCRmockup called

    compact nuclear simulator (CNS). The aim of this work is not only

    to compile a database using the simulator for advanced MCRs but

    also to compare BHEPs with those of a conventional MCRdatabase.

    Moreover, human error modes and causes of human error when

    using soft control are also identified.

    2. Soft control

    2.1. Definition and general characteristics of soft control

    In NUREG-CR/6635, soft controls are defined as devices having

    connections with control and display system that are mediated by

    softwarerather thanphysicalconnections (Stubler et al.,2000). This

    definition directly reflects the characteristics of advanced MCRs,

    including that the operator does not need to provide control input

    through hard-wired, spatially dedicated control devices that have

    fixed functions. Because of this characteristic, the function of soft

    control may be variable and context dependent rather than stat-

    ically defined. Also, devices may be located virtually rather than

    spatiallydedicated.That is, personnelmay beabletoaccessapartic-

    ular soft control from multiple places within a display soft control

    from multiple places within a display system (Stubler et al., 2000;

    Lee et al., 2011).

    General characteristics of soft controls are as follows: multiple

    locations for access, serial access, present and available, physical

    decoupling of input and display interfaces, interface management

    control, multiple modes, software-defined functions, and interface

    system(Stubler et al., 2000;Lee et al., 2011). Based on these charac-

    teristics and functions of soft control, human error maybe reduced

    orthesechanges mayconverselyincrease human errordue to inter-

    face management complexity.

    2.2. Task analysis for soft control

    A task analysis helps the analyst to understand and represent

    human and system performance in a particular task and sce-

    nario. A task analysis involves identifying tasks, collecting task

    data, analyzing the data so that tasks are understood, and pro-

    ducing a documented representation of the analyzed tasks. Typical

    task analysis methods are used for understanding the required

    humanmachine and humanhuman interactions and breaking

    down tasks or scenarios into component task steps or physical

    operations. A task analysis can be defined as the study of what the

    operator (or a team of operators) is required to do (i.e., the oper-

    ators actions and cognitive processes) in order to achieve system

    goals (Jang et al., 2012.).

    In new operation environment, advanced MCR, the operation

    actions of operators are divided into primary tasks (e.g., providing

    control inputs to plant systems) or secondary tasks (e.g., manip-

    ulating the user interface to access information or controls or to

    change control modes). Interface management tasks are referred

    to as secondary tasks because they are concerned with control-

    ling the interface rather than the plant. Operators should perform

    secondary tasks to find appropriate screens or devices by screen

    navigations and screen selections before they perform the primary

    task to control a device. Human errors of primary tasks may result

    in the execution of inappropriate control actions. Human errors

    involving secondary tasks are likely to cause delays in accessing

    controls and displays, to disorient the operator within the display

    system, or to select wrong controls and displays. While conven-

    tionalMCRsdo nothavesecondarytasks,the secondarytasks ofsoftcontrol take a relatively large portion. Therefore, not only human

    error for primary tasks but also that for secondary tasks should be

    analyzed in soft controls (Lee et al., 2011).

    During the HRA process, a task analysis should be implemented

    in advance. In this study, a task analysis of soft control is performed

    based on the Emergency Operating Procedure (EOP) considering

    the features of soft control such as navigation tasks, interface man-

    agement tasks, and so on. There are two kinds of tasks in EOP when

    using soft control, control of non-safety related functions and con-

    trol of safety related functions. All tasks including primary and

    secondary tasks are analyzed using a task analysis method, Sys-

    tematic Human Error Reductionand PredictionApproach (SHERPA)

    (Lee et al., 2011; Embry, 1986).

    As an example, Fig. 1 shows a task analysis using SHERPA. Thegoal of the task is to reset the safety injection and auxiliary feed-

    water actuation signal. In order to achieve the goal, the operator

    selects Reactivity system screen from the operator console (sec-

    ondary task) and resets the safety injection signal (primary task).

    For reset of the safety injection signal, there are other subtasks:

    Press bypass button from the operator console (secondary task),

    Press the acknowledgebutton (secondarytask), and finally Press

    bypass button using the input device for the safety component

    (primary task). Another subtask, Reset the auxiliary feedwater

    actuation signal, performed to reset the safety injection signal, is

    then analyzed.

    The unit tasks can be rearranged as shown in Fig. 2. Each unit

    task is included in one of four steps: operation selection, screen

    selection, control device selection, and operation execution. While

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    I. Jang et al. / Nuclear Engineering and Design257 (2013) 7987 81

    Fig. 1. Task analysis using SHERPA.

    some tasks are similar to those of conventional controls, there areunique features of soft control such as the screen selection step,

    and some steps, such as control device selection and operation

    execution steps, have different unit tasks from those of conven-

    tional controls. The operation process of soft controls can vary

    according to the interface features of advanced MCRs (Lee et al.,

    2011).

    Once the task analysis is completed, all of the unit tasks are cat-

    egorized as diagnosis tasks and execution tasks. Based on a review

    of first and second generation HRA methods, there are two general

    task categories: execution and diagnosis. Examples of execution

    tasks include operating equipment, performing line-ups, starting

    pumps, conducting calibration or testing, and other activities per-

    formed during the course of following plant procedures or work

    orders. Diagnosis tasks consist of reliance on knowledge and expe-

    rience to understand existing conditions, planning and prioritizing

    activities, and determining appropriate courses of action (Gertman

    et al., 2005). BHEPs for the classified two tasks are estimated by an

    empirical simulation study in this work.

    3. Experiment in simulation environment

    3.1. Compact nuclear simulator (CNS)

    As the name indicates, this simulator is compact and is not a

    full scope simulator. The reference plant of this simulator is Kori 3

    Nuclear Power Unit in Korea, which is a Westinghouse 3 Loop PWR

    plant. As shown in Fig. 3, the interface of CNS is fully digitalized to

    make the experimental environment similar to an advanced MCR.

    The thermal hydraulic part is from SMABRE code, which was

    developed in Finland, and one group diffusion equation is used for

    flux calculations. This is linked to the PWRcode model and special

    routines forthe steamflow, theturbine, thecondenser,and thecon-

    densate and feed-water systems. The chemical and volume control

    system and the protection system are also described. In addition,

    there are some peripheral parts such as the electrical system, the

    containment, and the pressure relief tank.

    Fig. 4 shows 7 subsystems (Reactor Coolant System, Residual

    Heat Removal System, Main Steam/Turbine System, Feedwater

    Fig. 2. Sequence analysis of a soft control task.

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    Fig. 3. Compact nuclear simulator.

    System, Electrical System, Chemical and Volume Control System,

    andCondenser System) of the CNS. Other smaller subsystems, suchas the SG Level control system, are not shown separately. Using

    this simulator, 79 malfunctions, which are briefly summarized in

    Table 1, can be provided.

    3.2. Experiment

    In order to measure human error rate in an emergency situa-

    tion,experiments with21 students majoring in nuclear engineering

    majors are performed under a Steam Generator Tube Rupture

    (SGTR) accident scenario. The number of human errors is checked

    in a prepared checklistcreated from thetaskanalysisand BHEPs are

    calculated based on the number of errors divided by the number of

    opportunities.

    3.2.1. Procedure

    The specific experimental procedure of the simulation is based

    on the SGTR scenario. The CNS provides an accident that requires

    cognitive action in order to be solved. The subjects then try to find

    the causes of the accident by responding symptoms of the accident

    and they know that the accident is SGTR and finally attempt to sta-

    bilize the plant. During the accident, the subjects respond to the

    alarm signals, plant parameters, and so on. In order to familiarize

    the subjects with the CNS and how to control the devices, train-

    ing of each subject is performed. Training procedures are divided

    into two steps. First, the subjects are trained academically by being

    educated about Emergency Operating Procedures (EOPs) such as

    EOP development after TMI accidents, general structure of EOP,event andsymptom-basedapproach, useof EOP, andso on.Second,

    practical training is performed by using compact nuclear simulator

    (CNS) used in this experiment. After both academic and practice

    Fig. 4. Seven subsystems of the CNS.

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    EOP Operators action/task Detailed operators action/task Error check CauseE-3 Check RCP whether or not it should be stopped

    Charging Pump : at least 1 of them is operating

    RCS pressure : lower than 97 kg/cm2

    E-3 Inspect ruptured S/GIs thereunexpected increase of narrowrange level of certainS/G

    E-3 Isolate let-down flow from ruptured S/G

    Regulate controller set point ofruptured S/G PORV to 79.1kg/cm2

    Check whether rupturedS/G PORV is closed or not HV-108HV-208HV-308

    Close steam distribution valve which supply flow to turbine

    driven

    HV-313

    HV-314

    HV-315Check blow-down isolation valve of ruptured S/G whether or

    not it should be closedHV-304

    Close MSIV and bypass valve of ruptured S/G

    HV-108

    HV-208

    HV-308

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    .

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    .

    .

    .

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    .

    E-3 Reset SI and AUX FW Actuation Signal

    Reset SI Signal

    SelectReactivitysystem from the operator

    console

    PressBypassfromthe operator consolePress the Acknowledge button

    PressBypassbuttonusing the input device forthe safety component

    Reset AUX FW Actuation Signal

    PressResetsafeguardfrom the operator console

    Press the Acknowledge button

    PressResetbuttonusing the input device for thesafety component

    .

    .

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    Fig. 5. The error checklist from task analysis.

    However, if he/she does not recognize that the selection is wrong

    and continues executing the operation on the wrong object, then

    a wrong operation will be performed. Wrong operation: even though an operator performed appropri-

    atenavigations of screens andright selection of the target device,

    an operator can perform a wrong operation such as pressing

    OPEN button instead of CLOSE button. Mode confusion: if a control window includes multimode, an

    operator could perform an operation on the wrong mode. An

    operator can make a mistake such as increasing the level of pres-

    surizer instead of its pressure in case that the level and pressure

    of the pressurizer are controlled in the same control panel with

    mode switch. Inadequate operation: when an operator executes the right oper-

    ation after appropriate navigations of screens and right selection

    of the target device, the operation could be executed insuf-

    ficiently, too early or too long/short. All operations that are

    performed incompletely Delayed operation: due to the wrong selections of screens or

    devices and recovery of them, an operation could not be per-

    formed at the righttime. Additional timefor reselection of screens

    or devices could be oneof the reasons forsuch delayed operation.

    If human errormodesexcluding thedefined human error modes

    were found in theexperiment results, thehumanerrormodeswere

    modified by adding new modes.

    4.2. Basic human error probabilities

    4.2.1. Statistical results

    According to the experiment procedure, the number of errors

    made by subjects was recorded in the prepared checklists. Fig. 6

    showsthe total number of errors regardingdiagnosisand execution

    by each subject. While there were several subjects who did not

    make anyerrors, oneof thesubjectsmade 10 errors. This difference

    might be caused by personal Performance Shaping Factors (PSFs).

    Fig. 6. Number of human errors.

    However, in this study, PSFs were not investigated, because BHEPs

    according to human error modes should be determined in advance

    in the HRA process and then PSFs should be applied to the BHEPs

    for the final modified HEP.

    Human errors that occurred were classified using the human

    error modes defined in Section 4.1. Fig. 7 shows the number of

    human errors according to human error modes for the execution

    error, and the diagnosis error mode is added independently. Also,

    BHEPs for each error mode were calculated, as shown in Fig. 8.

    Fig. 7. Number of humanerrors accordingto error modes.

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    Table 3

    Number of humanerrors and probabilities of human errorsaccording to error modes.

    Errors/opportunities Probabilities of human errors 95% confidence limits Error factors

    E1 (operation omission) 5/1281 0.0039 0.00050.0073 3.87

    E2 (wrong object) 11/756 0.01455 0.00600.0231 1.96

    E3 (wrong operation) 5/441 0.01134 0.00150.0213 3.82

    E4 (mode confusion) 1/42 0.02381

    E5 (inadequate operation) 12/504 0.02381 0.01050.0371 1.88

    E6 (delayed operation) 71/504 0.01389 0.00370.0241 2.56

    Diagnosis error 9/360 0.0143 0.00500.0236 2.17

    The number of human errors/opportunities, probabilities of human

    errors, 95%confidence limits, and error factors according to human

    error modes are tabulated in Table 3. In case of mode confusion

    (E4), statistical analysis wasnot carried outbecausea small number

    of opportunities do not guarantee statistical results such as con-

    fidence limits, and error factors calculation. Among the BHEPs in

    execution error mode, inadequate operation (E5) and mode confu-

    sion showed the highest error probability but because the number

    of tasks that related to mode confusion (E4) was relatively smaller

    than other tasks it was hard to conclude that probability of E5 and

    E4 were the same due to different sample and calculated error

    factors.

    Several BHEPs were compared with established HEP data in theform of THERP tables. In the case of omission error in THERP Table

    20-7, shownin Table4, HEPis0.01withanerrorfactorof3whilethe

    probabilityof operationomissionin thisstudy is 0.0039 witha simi-

    larerrorfactor of 3.87. This comparison implies that thesoft control

    environment reduces human error regarding operation omission.

    In thecase of selectionerrors in THERP Table 20-9 shown in Table 5,

    HEP is either 0.001 or 0.003 with an error factor of 3 while the

    probability of a wrong object in this study is 0.01455 with an error

    factor of 1.96. After the Error Factor (EF) in the THERP table is con-

    sidered, comparing calculated error factorin this study, HEPs in the

    results of this study is similar to HEP from THERP table. In the case

    of failure of administrative control in THERP Table 20-6, shown in

    Table 6, HEPis 0.005 with an error factorof 10 while theprobability

    of wrong operation in this study is 0.01134 with an error factor of3.82. Because two values of uncertainty bounds (error factors) are

    considerably different, it was difficult to compare the result in this

    study with THERP table when soft control was used for probability

    of wrong operation.

    4.2.2. Human errors observed in this experiment

    After the calculation of BHEPs, the performance checklists and

    the recorded operators screens were analyzed again to verify the

    detailed reasons for human errors. Examples of human errors in

    this study are given below.

    As an example of the operation omission (E1), there was one

    step in the SGTR procedure where subjects have to line up the

    Fig. 8. Basic human error probabilities (BHEPs) according to error modes.

    following valves: LV-161 open, LV-615 close, LV-459 open, and

    HV-1, 2, 3 open. However, several subjects failed to line up one

    of the valves in the procedures. Regarding the human error mode

    of wrong object (E2), one subject operated the wrong controller.

    The subject should have performed the following step in the pro-

    cedure: Turn on pressurizer heaterto saturate cooling water at the

    pressure of ruptured S/G. In order to perform this step, the sub-

    ject had to select the BACKUP HEATER on the operators console,

    as shown in Fig. 9a. However, the subject selected the wrong con-

    troller, as shown in Fig. 9b. In the case of the human error mode

    of wrong operation (E3), the subject stopped all Reactor Coolant

    Pumps(RCPs), asshownin Fig.10, althoughRCP1and3shouldhave

    been stopped as explainedin theinstructions. Also, there wasa case

    Fig. 9. (a) Screenshot regarding right operation on right object. (b) Screenshot

    regardingright operation on wrong object.

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    86 I. Jang et al. / Nuclear Engineering and Design257 (2013) 7987

    Table 4

    THERPtable 20-7: estimatedprobabilitiesof errorsof omission per item of instruction when useof written procedures is specified.

    Omission of item: HEP Error factor

    When procedures with checkoff

    provisions are correctly used

    Short list 10 items 0.003 3

    When procedures without checkoff provisions are

    used, or when checkoff provisions are incorrectly used

    Short list 10 items 0.01 3

    When written procedures are available and should be used but are not used 0.05 5

    Table 5

    THERP table 20-9: estimated probabilities of errors in selecting annunciated displays for quantitative or qualitative readings.

    Selection of wrong display HEP EF

    When it is dissimilar to adjacent displays Negligible

    From similar-appearing displays when they areon a panelwith clearly drawn mimic lines that include the displays 0.0005 10

    From similar-appearing displays that are part of well-delineated functional group on a panel 0.001 3

    From an array of similar-appearing displays identified by labels only 0.003 3

    Table 6

    THERP table 20-6: estimated HEP related to failure of administrative control.

    Task HEP EF

    Carry out a plant policy of scheduled tasks such as periodic tests or

    maintenance performed weekly, monthly, of at longer intervals

    0.01 5

    Initiated a scheduled shiftly checking or inspection function 0.001 3Use written operation procedures under normal operation procedure 0.01 3

    Use written operation procedures under abnormal operation procedure 0.005 10

    Use a valve change or restoration list 0.01 3

    Use written test or calibration procedures 0.5 5

    Use written maintenance procedures 0.3 5

    Use checklist properly 0.5 5

    where the subject operated a controller in automatic mode when

    the controller should have been operated in manual mode; this is

    mode confusion (E4). As a human error mode of inadequate oper-

    ation, a subject performed a task incompletely. There was a task

    where the subject had to reset the Safety Injection (SI) and actu-

    atedauxiliary feedwatersignal in theprocedure. For thecompletion

    of this task, the subject should follow these steps: 1. Select Reac-

    tivity Control System from the operator console, 2. Press bypassfrom the operator console, 3. Press acknowledge button, 4. Press

    bypass button using the input device for the safety component, 5.

    Pressreset safeguard fromthe operator console, 6. Pressacknowl-

    edge button, 7. Press reset button using the input device for the

    safety component. In this task, several subjects did not perform

    steps 24, which resulted in incomplete operation. Fig. 11 shows

    Fig. 10. Screenshot regarding wrong operation.

    complete and incompleteoperation procedures, respectively. Next,

    several diagnosis errors were found.

    5. Discussion

    The results from this research show BHEPs according to defined

    human error modes when soft control is used in advanced MCRs.

    In order to investigate BHEPs, a mockup facility, CNS, was set up tosimulate an advanced MCRwith a focus on soft control. Using CNS,

    21 subjects participated in an experiment dealing with a SGTR.

    Recently, although numerous studies have proven the effects

    of PSFs on final HEPs, this research did not consider either exter-

    nal (e.g. darkness, high temperature, excessive humidity, and high

    work requirement) or internal PSFs (e.g. high stress, excessive

    fatigue, deficiencies in knowledge, skills and experience, etc.). In

    order to overcome this problem, the instructor tried to ensure a

    consistent and unbiased environment during the experiments and

    educated the subjects before the experiments in an effort to min-

    imize the effects of the external and internal PSFs. By maintaining

    consistent conditions, BHEPs not considering PSFs were extracted.

    However, as shown in Fig. 6, it was thought that internal PSFs may

    have affected subjects 18 and 20. These two subjects caused theBHEP to be higher. Because the database of BHEPs are values where

    PSFs are not applied, PSFs in advanced MCRs should be studied and

    final HEPs based on BHEPs (the results of this study) and PSFs (the

    results of further studies) should be calculated together in future

    work.

    Another aspect that should be discussed is the number of sub-

    jects and the number of opportunities for E4 in this experiment.

    This study focused on the effects of soft control on human perfor-

    mance as a starting point and pilot test. More experiments by the

    authors and other researchers should be performed with a large

    number of subjects, various scenarios that could extract or induce

    various error modes (especially E4 in this study), and even normal

    conditions so that BHEPs based on experimentalstudywill be more

    concrete and reliable.

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    I. Jang et al. / Nuclear Engineering and Design257 (2013) 7987 87

    Fig. 11. Screenshot regarding inadequate operation.

    6. Conclusion

    This paper investigated basic human errorprobabilities (BHEPs)

    according to human error modes in a soft control operation envi-

    ronment empirically, because soft control is one of the most

    important features in advanced MCRs and there is no BHEP

    database related to the use of soft control in the HRA method. As

    a mockup facility, a compact nuclear simulator (CNS) that includes

    features of soft control and advanced MCRs such as large display

    panels and computer technologies was used to simulate advanced

    MCRs.

    In order to extract the BHEPs, a task analysis for soft control,

    which yielded an error checklist, was completed. From the soft

    control task analysis it was revealed that secondary tasks that arerelated to manipulating the user interface to access information or

    controls or to change control modes are new kinds of tasks that

    do not exist in conventional MCRs. The errors made by 21 subjects

    were then checked on error check lists, classifying human error

    modes during the accident scenario. Using the results of the error

    checklists, several statistical and graphical analyses were imple-

    mented, such as the number of human errorsaccording to subjects,

    the number of human errors according to human error modes, and

    BHEP according to human error modes. Moreover,BHEPsusing soft

    control were compared with various THERP tables to investigate

    the level of human error reduction when using soft control. These

    comparisons implied that the soft control environment reduces

    human error related to operationomission, buttherewas no signif-

    icant effect on error regarding wrong operation and wrong object.

    Also, human errors observed in this experiment were investigated,

    and this might provide insight to modify soft control design or

    to prepare efficient operator training methods dealing with soft

    control.

    This empirical study will be helpful to verify whether soft con-

    trol haspositiveor negative effects on human performance andwill

    be able to provide modified BHEPs for advanced MCRs to various

    HRA methods if more data are collected continuously.

    Acknowledgement

    This research was supported by a Nuclear Research & Devel-

    opment Program of the National Research Foundation (NRF) grant

    funded by the Korean government (MEST) (grant code: 2012-

    011506).

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