A Taxonomy of Performance Influencing Factors for Human Reliability Analysis of Emergency Tasks(1)

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Journal of Loss Prevention in the Process Industries 16 (2003) 479–495 www.elsevier.com/locate/jlp A taxonomy of performance influencing factors for human reliability analysis of emergency tasks Jae W. Kim , Wondea Jung Integrated Safety Assessment Division, Korea Atomic Energy Research Institute, P.O. Box 105, Yuseong, Daejeon, 305-600, South Korea Abstract This paper introduces the process for, and the result of, the selection of performance influencing factors (PIFs) for the use in human reliability analysis (HRA) of emergency tasks in nuclear power plants. The approach taken in this study largely consists of three steps. First, a full-set PIF system is constructed from the collection and review of existing PIF taxonomies. Secondly, PIF candidates are selected from the full-set PIF system, considering the major characteristics of emergency situations and the basic criteria of PIF for use in HRA. Finally, a set of PIFs is established by structuring representative PIFs and their detailed subitems from the candidates. As a result, a set of PIFs comprised of the 11 representative PIFs and 39 subitems was developed. 2003 Elsevier Ltd. All rights reserved. Keywords: Performance influencing factors; Performance shaping factors; Human reliability analysis; Human error analysis; Emergency operation; Accident management 1. Introduction Computerized automation has been adopted in large parts of modern industrial high-risk and complex sys- tems such as nuclear power plants, aircraft and chemical plants. However, humans still play important roles in various parts of the design, maintenance, operation and supervision of such systems. All human activities perfor- med in those parts are influenced by given specific work- ing conditions or task situations, so-called context, which is comprised of the MTO (man, technology and organization) triad (Dougherty, 1993; Hollnagel, 1998). In human error analysis (HEA) (Kirwan, 1992a, 1992b) or human reliability analysis (HRA) in safety assessment, such conditions that influence human per- formance have been represented via several ‘context fac- tors’. These context factors are referred to by different terms according to method: PSF (performance shaping factors), PIF (performance influencing factors), IF (influencing factors), PAF (performance affecting factors), EPC (error producing conditions), CPC (common performance conditions), and so on. The PSFs Corresponding author. Tel.: +82-42-868-8886; fax: +82-42-868- 8374. E-mail address: [email protected] (J.W. Kim). 0950-4230/$ - see front matter 2003 Elsevier Ltd. All rights reserved. doi:10.1016/S0950-4230(03)00075-5 or PIFs are used as causes or contributors to unsafe, human actions in event analysis (Paradies, Unger, Haas & Terranova, 1993; Nakanishi et al., 2002), and also give a basis for assessing human factors in safety assessment (Hollnagel, 1998; Embrey, 1984). HRA has been performed as part of the probabilistic safety assessment (PSA) of large-scale systems, such as nuclear power plants. PSA is an approach that develops all the possible accident scenarios and evaluates the overall safety of a system probabilistically using the event tree (ET) and fault tree (FT) techniques. The acci- dent scenarios are composed of two failure components, i.e. human failure events (HFEs) and hardware (system/component) failure events. HRA takes part in estimating the probability of those HFEs. There have been various approaches for evaluating human reliability. In general, those approaches can be classified into two categories, i.e. those using time–reliability cor- relation (Hannaman et al., 1984; Moieni, Spurgin & Singh, 1994; Kim and Ha, 1997) and those manipulating PIFs (Embrey, 1984; Phillips et al., 1990; Gertman et al., 1992). For the methods using PIFs, some of them use a set of PIFs in adjusting the basic HEP (human error probability) such as THERP (Swain and Guttmann, 1983), HEART (Williams, 1988), CREAM (Hollnagel, 1998), and others in producing HEP by rating and inte- grating PIFs such as SLIM (Embrey, 1984), STAHR

description

A Taxonomy of Performance Influencing Factors for Human Reliability Analysis of Emergency Tasks(1)

Transcript of A Taxonomy of Performance Influencing Factors for Human Reliability Analysis of Emergency Tasks(1)

  • Journal of Loss Prevention in the Process Industries 16 (2003) 479495www.elsevier.com/locate/jlp

    A taxonomy of performance influencing factors for humanreliability analysis of emergency tasks

    Jae W. Kim, Wondea JungIntegrated Safety Assessment Division, Korea Atomic Energy Research Institute, P.O. Box 105, Yuseong, Daejeon, 305-600, South Korea

    Abstract

    This paper introduces the process for, and the result of, the selection of performance influencing factors (PIFs) for the use inhuman reliability analysis (HRA) of emergency tasks in nuclear power plants. The approach taken in this study largely consists ofthree steps. First, a full-set PIF system is constructed from the collection and review of existing PIF taxonomies. Secondly, PIFcandidates are selected from the full-set PIF system, considering the major characteristics of emergency situations and the basiccriteria of PIF for use in HRA. Finally, a set of PIFs is established by structuring representative PIFs and their detailed subitemsfrom the candidates. As a result, a set of PIFs comprised of the 11 representative PIFs and 39 subitems was developed. 2003 Elsevier Ltd. All rights reserved.

    Keywords: Performance influencing factors; Performance shaping factors; Human reliability analysis; Human error analysis; Emergency operation;Accident management

    1. Introduction

    Computerized automation has been adopted in largeparts of modern industrial high-risk and complex sys-tems such as nuclear power plants, aircraft and chemicalplants. However, humans still play important roles invarious parts of the design, maintenance, operation andsupervision of such systems. All human activities perfor-med in those parts are influenced by given specific work-ing conditions or task situations, so-called context,which is comprised of the MTO (man, technology andorganization) triad (Dougherty, 1993; Hollnagel, 1998).

    In human error analysis (HEA) (Kirwan, 1992a,1992b) or human reliability analysis (HRA) in safetyassessment, such conditions that influence human per-formance have been represented via several context fac-tors. These context factors are referred to by differentterms according to method: PSF (performance shapingfactors), PIF (performance influencing factors), IF(influencing factors), PAF (performance affectingfactors), EPC (error producing conditions), CPC(common performance conditions), and so on. The PSFs

    Corresponding author. Tel.:+82-42-868-8886; fax:+82-42-868-8374.

    E-mail address: [email protected] (J.W. Kim).

    0950-4230/$ - see front matter 2003 Elsevier Ltd. All rights reserved.doi:10.1016/S0950-4230(03)00075-5

    or PIFs are used as causes or contributors to unsafe,human actions in event analysis (Paradies, Unger,Haas & Terranova, 1993; Nakanishi et al., 2002), andalso give a basis for assessing human factors in safetyassessment (Hollnagel, 1998; Embrey, 1984).

    HRA has been performed as part of the probabilisticsafety assessment (PSA) of large-scale systems, such asnuclear power plants. PSA is an approach that developsall the possible accident scenarios and evaluates theoverall safety of a system probabilistically using theevent tree (ET) and fault tree (FT) techniques. The acci-dent scenarios are composed of two failure components,i.e. human failure events (HFEs) and hardware(system/component) failure events. HRA takes part inestimating the probability of those HFEs. There havebeen various approaches for evaluating humanreliability. In general, those approaches can be classifiedinto two categories, i.e. those using timereliability cor-relation (Hannaman et al., 1984; Moieni, Spurgin &Singh, 1994; Kim and Ha, 1997) and those manipulatingPIFs (Embrey, 1984; Phillips et al., 1990; Gertman etal., 1992). For the methods using PIFs, some of themuse a set of PIFs in adjusting the basic HEP (humanerror probability) such as THERP (Swain and Guttmann,1983), HEART (Williams, 1988), CREAM (Hollnagel,1998), and others in producing HEP by rating and inte-grating PIFs such as SLIM (Embrey, 1984), STAHR

  • 480 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    (Phillips, Humphreys, Embrey & Selby, 1990), etc. Onthe other hand, recently developed methods such asCREAM, INCORECT (Kontogiannis, 1997) andATHEANA (US NRC, 2000) use PIFs in the qualitativeanalysis/assessment of overall working conditions orerror-forcing context, as well as in the quantificationof HEP.

    Generally, PIF taxonomies are so developed as to besuitable for a specific purpose and application area. HRAmethodologies also have their own PIF taxonomies, orthe PIF sets considered for HRA are somewhat differentdepending on the developer or the analyst. This maycause some important problems. The first one is of thetrust between the HEP values calculated from differentmethodologies that use a different set of PIFs. Also,comparison between different HRA results would bemeaningless, and, in order to obtain error reduction mea-sures, different PIFs would be dealt with according tothe used method. The second problem may be applicablefor some methods with a limited number of PIFs. Theuse of a limited number of PIFs might not only causeanalysts to omit important error reduction measures, butalso make the contribution of human error to the overallsafety of a system to be assessed lower than reality. Thethird problem is that the definition and the specific itemsto be assessed for each PIF are deficient or different bymethod, which can cause an inconsistent assessment ofthe individual PIF between assessors and, accordingly,produce different HRA results.

    In this study, we suggest a new PIF taxonomy forhuman error/reliability analysis of emergency and acci-dent management tasks in nuclear power plants, withconsideration of the above-described problems of theexisting PIF taxonomies. The approach taken in thestudy to achieve the goal is summarized as follows.

    Firstly, approximately 220 PIFs are collected from theexisting PIF taxonomies and other literature, and thosefactors are collated into a new set of PIFs. Among them,HRA PIFs are examined for the characteristics and trendof selection and usage, and the insights from the examin-ation are considered in the development of the new tax-onomy.

    Second, the principal context under which humanoperators respond to emergency and severe accident situ-ations is analyzed, and PIFs relevant to such situationalcharacteristics are selected from the full-set of PIFs col-lated in the first step.

    Third, the criteria of the PIF sets to be adequate forHRA are described, and, on the basis of these criteria,the candidate PIFs selected in the second step arerescreened out and structured in a two-layer hierarchy,i.e. the representative PIFs and their subitems.

    The paper is structured as follows according to theabove-described approach. Section 2 includes a briefreview of the existing PIF taxonomies, the full-set ofPIFs collated, and the characteristics and trend of the

    HRA PIFs. In Section 3, the principal context affectinghuman reliability during accident management and theselection of PIFs based on the context is described. Sec-tion 4 provides the final set of PIFs structured based onthe criteria of a PIF sets for HRA. Finally, Section 5concludes the study with a summary and remarks.

    2. Collection and analysis of the existing PIFtaxonomies

    2.1. Review of the existing PIF taxonomies

    Two types of PIF taxonomies were collected in thestudy: one is composed of the detailed set of PIF, whichwas mainly developed for human error/factor analysis,and the other is the PIF set for the use in HRA. The firstone is referred to as the full set PIF taxonomy. Seventaxonomies among the detailed PIF sets and 11 taxo-nomies in HRA methodologies have been reviewed inthis study. HRA taxonomies are categorized accordingto the type of use as below. A brief description on thereviewed taxonomies is provided in Table 1. The list ofHRA PIFs is shown in Table 2.

    The taxonomies of full-set of PIFs

    CSNI taxonomy (Rasmussen, 1981) THERP (Swain and Guttman, 1983) HEART (Williams, 1988) PHECA (Whalley, 1987) PSF taxonomy (Bellamy, 1991) Influencing factors (Gerdes, 1997) K-HPES (KEPRI, 1998).

    The taxonomies for use in HRA

    Quantification of HEP: SLIM (Embrey, 1984), PLG-SLIM (Chu et al., 1994), INTENT (Gertman et al.,1992), STAHR (Phillips, Humphreys, Embrey &Selby, 1990), and HRMS (Kirwan, 1997)

    Analysis of errors of commission: Macwans PIF tax-onomy for errors of commission (Macwan & Mosleh,1994), Julius PIF taxonomy for errors of commission(Julius, Jorgenson, Parry & Mosleh, 1995), andATHEANA (US NRC, 2000)

    Overall context assessment and error analysis: HRMS,CREAM (Hollnagel, 1998; Hollnagel, Kaarstad &Lee, 1999), and INCORECT (Kontogiannis, 1997)

    Database for HRA: Taylor-Adams PSF taxonomy forCORE-DATA (Taylor-Adams, 1995), and RogersPSF taxonomy for CORE-DATA (Gibson et al.,1998).

  • 481J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 482 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

    able

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  • 483J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 484 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

    able

    2(c

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  • 485J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    2.2. Development of a new full-set of PIF

    Besides the 18 taxonomies described in the previoussection, other literature dealing with important influenc-ing factors related to team/organization behaviors havealso been included in the review. For instance, Jacobsand Haber (1994) describe organizational factors thatcan affect system safety, and Hollnagel (1998); Salas,Dickinson, Converse and Tannenbaum (1992); Xiao,Hunter, Mackenzie, Jefferies and Horst (1996), andUrban, Weaver, Bowers and Rhodenizer (1996) dealwith inter/intra team interaction. In addition to those,HRA practitioners opinions were also utilized to deriveimportant factors. Especially, factors related to systemdynamic features were much supplemented.

    All the factors collected from the above-mentionedsources were collated into a new full-set PIF taxonomy.It is assumed that the context under which an operatingcrew should perform given tasks can be modeled as inFig. 1. According to the Fig. 1, the collated PIFs areclassified into four main groups: HUMAN, SYSTEM,TASK, and ENVIRONMENT. The boundary of eachgroup is defined as follows.

    HUMAN: Personal characteristics and working capa-bilities of the human operator.

    SYSTEM: MMI, plant hardware system, and physicalcharacteristics of the plant process.

    TASK: Procedures and task characteristics requiredof the operator.

    ENVIRONMENT: Team and organization factors,and physical working environment.

    The four main groups are again divided into severalsubgroups. The final full set PIF taxonomy collated intothe new classification frame is shown in Table 3.

    2.3. Principal trend in the use of PIF for HRA

    This section presents the trend of the selection and thelevel of definition of PIFs for use in the HRA, as HRAmethodology develops.

    Fig. 1. The task context of nuclear power plants.

    Firstly, as HRA methodology has improved, variouskinds of factors have been considered. In early HRAmethods such as THERP, ASEP and HCR, a very limitednumber of PIFs were chosen. For the methods utilizingexpert judgment, such as SLIM and STAHR, team andorganization factors , in addition to individual factors ,could be included. In INTENT, safety culture was con-sidered as one of the important PIFs. Among the recentlydeveloped HRA methods, CREAM and INCORECTconsider team and organization factors , systemcharacteristics , and simultaneous goals/tasks asimportant factors for human error/reliability analysis,and furthermore, the meaning of PIFs becomes moreclearly defined than in the previous quantitative HRAmethods. ATHEANA suggests the plant conditions,including system dynamic conditions, as the constituentsthat create a situation in which human error is stronglylikely to happen, i.e. error-forcing context (EFC). Tosummarize the trend in the selection of PIFs for use inthe HRA, in the initial HRA methods, a few very limitedfactors such as individual factors , procedures , andMMI factors were considered in evaluating humanreliability. Gradually, as HRA method becomes sophisti-cated, the assessment of overall work context is emphas-ized for better analysis and prediction of human error.According to this trend, team and organization factors ,safety culture , plant dynamic features , and simul-taneous tasks/goals appeared as important factors whichshould be assessed.

    Secondly, PIFs could be grouped as follows withrespect to the frequency they are used in HRA methods.

    Factors that are used in the majority of HRA methods:training, experience, procedure, MMI/information,and time.

    Factors that are moderately used in HRA methods:stress, workload, motivation, task complexity, simul-taneous goals/tasks, working condition, supervision,team factors, and communication.

    Factors that are used in a minority of HRA methods:adequacy of resources, decision making criteria,response dynamics and system coupling, availabilityof equipment, trend and value of critical parameters,time of day, organization factors, task organization,and safety culture.

    Thirdly, the terminology and meanings of the selectedPIFs became more specific and practical. Some of thefactors being used in HRA methods are comprehensivein the meaning of their terminology. For this reason, theassessment results between analysts could be differentbecause they assess the factors with their subjectivemeaning. Such factors, for instance, include stress, work-load, task complexity, safety culture, organization factor,etc. For such factors, it is recommended that more appar-ent terminology be used or that the meaning/assessment

  • 486 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 487J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 488 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 489J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495T

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  • 490 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    items be clearly defined so that the consistency betweenanalysts is maintained.

    3. Situational characteristics during accidentmanagement

    This section describes the situational characteristicsduring accident management (including emergencyoperation) in nuclear power plants. Based on thosedescriptions, performance influencing elements thataffect operator performance during accident manage-ment are determined. Behavioral, phenomenological,organizational and environmental characteristics havebeen examined based on the literature dealing with acci-dent management in nuclear power plants (KEPRI, 1997;Ha et al., 1997; US NRC, 1988).

    Firstly, operators tasks required in accident manage-ment (AM) situations are composed of not simplemanipulative actions, but cyclic cognitive activities suchas detection, observation, diagnosis, evaluation, plan-ning, and decision-making. In performing such activities,

    Table 4Sample tasks appearing in accident management guidance (adapted from WOG, 1994)

    1. Evaluate the following negative impacts associated with implementing the strategy.Check the following two conditions, and if both conditions are satisfied, there will be insufficient injection source .Check if core has not been reflooded.Check the following condition: RWST level (L09)%.2. Evaluate mitigating actions.If there is a possibility of insufficient containment injection source, then evaluate the following mitigating actions.Evaluate the action of Increase RWST refill rateEvaluate the action of Control containment injection flowrate to maintain RWST water level greater than (L09)% .3. Evaluate the consequences of NOT injecting into the containment (Containment challenge due to Basemat Meltthrough, RPV failure maynot be delayed, Fission products from ex-vessel core debris, Consequences of HPME, Combustible gas generation due to CCI, Recirculationproblem)4. Determine if containment injection should be initiated by comparing the consequences of NOT injecting into the containment versus thenegative impacts of injecting into the containment.

    Table 5The situational characteristics of AM tasks and related human factors

    Situational characteristics under AM Human factors

    Behavioral characteristics Cognitive activities (observation, diagnosis, Knowledge (training, experience)interpretation, planning, decision-making, etc.) Procedure

    Manmachine interface

    Phenomenological characteristics Dynamic evolution of plant systems Dynamic system statusMultiple events Multiple goals and tasks

    Available time for task achievement

    Organizational characteristics Inter-/Intrateam cooperation Team and organization factorsDecision-making from higher organizations Decision-making structure

    Plant policy and safety culture

    Environmental characteristics Local operation Task location and physical environmentHarsh environment

    procedures, information, operator support systems, train-ing and experiences are crucial for the proper assessmentof plant dynamic situations and the appropriate planningof how to cope with the given situation. Some exampletasks appearing in accident management guidance areprovided in Table 4.

    Secondly, as an accident scenario evolves, plant sys-tems and physical phenomena also change dynamicallyand multiple events can take place. Those complex and

    Fig. 2. Emergency organizations and interactions between organiza-tions in nuclear power plant emergency situations.

  • 491J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    Tab

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  • 492 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    Fig. 3. Process of structuring PIFs relevant to AM situations.

    Table 7An example of structuring sub-itemsprocedures

    Full-set PIFs Sub-items

    TASK TASKProcedures Proceduresavailability format or type qualitylevel of detailmargin on interpretationclarity of instruction and terminology level of standardization in use of terminologydecision-making criterion logic structure number of logical conditions (branches)number of simultaneous tasksadequacy of caution/warning

    dynamic situations can be a critical influencing factorto operator performance. Multiple tasks, status of majorsystems and components, and temporal factors arerelated to this situational characteristic.

    Thirdly, most of AM tasks require inter-/intra-teamcooperation and decision-making in higher-level organi-zations beyond individual execution as in normal oper-ation. Under those situations, various factors related toteam performance, decision-making structure in a teamor organization, and plant policy and safety culture can

    be important contributors to task performance. Fig. 2shows the emergency organizations and interactionsbetween those organizations in nuclear power plants.

    Fourthly, harsh working environments such as highradioactivity, high pressure/temperature, and potential ofhydrogen detonation, etc., may take place in some tasklocations. Such environmental features can be a directobstacle, i.e. limitation in accessibility, to task perform-ance.

    Table 5 summarizes the situational characteristics ofAM tasks and related human factors. Candidate PIFs forstructuring to be fit for HRA are extracted from the full-set PIF taxonomy considering those situational charac-teristics and human factors relevant to AM. The list ofextracted candidate PIFs is shown in Table 6.

    4. Structuring PIFs for human reliability analysis

    The candidate PIFs for AM obtained in the previoussection should be reorganized to be appropriate for usein HRA. The structuring of PIFs was conducted on thebasis of the insights from the Section 2.3 Principal trendin the use of PIF for HRA. Fig. 3 shows the schematicrepresentation of the process to the construction of a setof PIFs for AM HRA. The PIFs relevant to AM situ-ations have firstly been selected from the full-set PIFtaxonomy, and those PIFs are grouped into ones with

  • 493J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    Table 8A set of PIFs for human error analysis of AM tasks

    PIF group Representative PIF Subitems

    HUMAN 1. Training and experience Adequacy of training (frequency, recent training, fidelity of simulation program)Experiences/practices of real operating eventsLearning of the past events/experiencesCareer of the operators

    TASK 2. Availability and quality of procedures AvailabilityFormat or typeClarity of instruction and terminologyDecision-making criterionLogic structure

    3. Simultaneous goals/tasks Number of simultaneous goals/tasksPriority between goals/tasksConflict between goals

    4. Task type/attributes Type of manmachine interactionDynamic/step-by-stepTask criticality/consequencesDegree of discrepancy with familiar tasks

    SYSTEM 5. Availability and quality of information Information availability (instrumentation fail/stuck)Clearness of meaning (direct indication/interpretationrequired/ambiguous/unreliable information)Distinguishability of informationControl display relationships

    6. Status and trend of critical parameters Value of critical parametersTrend of critical parameters (rate of change of critical parametersNumber of dynamic changing variablesDegree of alarm avalanche

    7. Status of safety system/component Success/fail state of safety system/componentLevel of trust on the system/componentNumber of failed/stuck componentsPrevious operation history and current status of safety system

    8. Time pressure Available time vs. required time

    ENVIRONMENT 9. Working environmental features Task location: (MCR/local CR/local area)Accessibility

    10. Team cooperation and communication Clearness in role/responsibility definitionDirection, type, method, protocolStandardization in instruction/information deliveryTeam collaboration/cooperationAdequacy of distributed workload

    11. Plant policy and safety culture Plant specific prioritized (or preference for/objection to) goals/strategiesAttitude toward EOP/AMP trainingSafety/economy tradeoffRoutine violations

    similar meaning. Then, considering the situationalcharacteristics of AM tasks and the criteria for use inHRA, the final taxonomy is systematized. The criteriafor the selection and structuring of PIFs for HRA areestablished as follows, considering the practical aspectsof HRA.

    It should include all the important factors to assessoverall task context as comprehensively as it can.

    It should not be overlapped between factors. It gave the keynote for selecting factors that directly

    affect human error occurrences.

  • 494 J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    It selects the factors that could be reflected intohuman error/reliability analysis.

    It selects the factors that are assessable in practice. The terminology should be as specific and practical

    as possible so that the meanings of the terms mightbe easily understood.

    According to these criteria, construction of the rep-resentative PIFs and their subitems was made using oneor mixed method of the following structuring processesby the property of each PIF. The first structuring methodis to use the full-set PIF taxonomy illustrated in Table7. Important subitems for the assessment of a PIF aremarked out from the given detailed items of a PIF. Thesecond method is to choose the representative PIF fromthe PIF group with similar meaning and to organize subi-tems. Thirdly, other factors from the literature and HRAexperts were also incorporated into those processes.

    Through repetitive modification, the final set of PIFs,which is composed of 11 representative PIFs and theirsubitems, is presented in Table 8. The proposed tax-onomy will need a continual revision process in associ-ation with the methodology development.

    5. Conclusions

    In this paper, we introduced a process of the system-atic construction of PIF sets for the use in HRA in aspecific context, especially, AM situations (includingemergency operations) in nuclear power plants. In orderto achieve this goal, firstly, 18 existing PIF taxonomiesincluding the recently developed methods have been col-lected and collated into a new set of PIFs consisting ofapproximately 220 detailed PIFs. In particular, PIF taxo-nomies for HRA were analytically reviewed in view ofthe trend and characteristics of selection and use, andthe insights from the review were considered in thedevelopment of the new taxonomy. In order to reflectthe task context, situational characteristics during theAM realm in nuclear power plants were describedaccording to the behavioral, phenomenological, organi-zational and environmental characteristics. Based on thedescriptions, PIFs relevant to such situational character-istics were selected from the full-set PIFs and, finally,those were structured in a two-layer hierarchical formconsidering the practical aspects of the use of PIFs inHRA.

    The proposed taxonomy could be used in the assess-ment of overall task context, prediction of human error,such as internal/external error modes, and quantificationof their probabilities, and so on. In order to use the tax-onomy in those areas, an appropriate analysis/assessmentframework should be developed. For example, thepsychological error mechanisms (PEMs) in human cog-nitive functions may help find a way to consider the PIFs

    in a systematic manner. In accordance with the PEM,some PIFs may be directly causing factors and othersbe contributory or shaping factors to human error. Theproposed taxonomy would require continual modifi-cations in association with the development ofHEA/HRA methodology.

    Acknowledgements

    This research has been carried out under the NuclearR&D Program by MOST (Ministry of Science andTechnology), Republic of Korea.

    References

    Acosta, C., & Siu, N. (1993). Dynamic event trees in accident sequenceanalysis: application to steam generator tube rupture. ReliabilityEngineering and System Safety, 41, 135154.

    Bellamy, L. J. (1991). The quantification of human fallibility. Journalof Health and Safety, 6, 1322.

    Chu, T. L., Musicki, Z., Yang, J., Kohut, P., Bozoki, G., Hsu, C. J.,Diamond, D. J., Wong, S. M., Upton, N. Y., Bley, D., & Johnson,D. (1994). Evaluation of potential severe accidents during lowpower and shutdown operations at Surry Unit 1. NUREG/CR-6144,2, (1B), USNRC.

    Dougherty, E. D. (1993). Context and human reliability analysis.Reliability Engineering and System Safety, 41, 2547.

    Embrey, D. (1984). SLIM-MAUD: An approach to assessing humanerror probabilities using structured expert judgement. NUREG/CR-3518, USNRC.

    Gerdes, G. (1997). Identification and analysis of cognitive errors:application to control room operators. PhD thesis.

    Gertman, D. I., Blackman, H. S., Haney, L. N., Seidler, K. S., & Hahn,H. A. (1992). INTENT: A method for estimating human error prob-abilities for decision-based errors. Reliability Engineering and Sys-tem Safety, 35, 127136.

    Gibson, H., Basra, G. & Kirwan, B. (1998). Development of theCORE-DATA database. The final IAEA-RCM on collection andclassification of human reliability data for use in probabilisticsafety assessments, IAEA-J4-RC589.3B.

    Ha, J., Kim, J. W., Jae, M., Yu, D., Park, R. J., Jeong, K. S., Suh, K.Y., & Park, C. K. (1997). Development of accident managementtechnology and computer codes, KAERI/RR-1742/96. Taejon,Korea: KAERI.

    Hannaman, G. W., Spurgin, A. J., & Lukic, Y. D. (1984). Humancognitive reliability model for PRA analysis (draft report). EPRIRP-2170-3.

    Hollnagel, E. (1998). Cognitive reliability and error analysis method-ology. London: Elsevier.

    Hollnagel, E., Kaarstad, M., & Lee, H. C. (1999). Error mode predic-tion. Ergonomics, 42(11), 14571471.

    Jacobs, R., & Haber, S. (1994). Organizational processes and nuclearpower plant safety. Reliability Engineering and System Safety, 45,7583.

    Julius, J., Jorgenson, E., Parry, G. W., & Mosleh, A. M. (1995). Aprocedure for the analysis of errors of commission in a probabilisticsafety assessment of a nuclear power plant at full power. ReliabilityEngineering and System Safety, 50, 189201.

    KEPRI (1997). Preliminary study for development of accident manage-ment plans in nuclear power plants. TR.96NJ11.97.77, Taejon,Korea.

  • 495J.W. Kim, W. Jung / Journal of Loss Prevention in the Process Industries 16 (2003) 479495

    KEPRI (1998). Development of Korean HPES (human performanceenhancement system) for nuclear power plants.TR.95ZJ04.J1998.21, Taejon, Korea.

    Kim, J. W., & Ha, J. (1997). The evaluation of accident managementstrategy involving operator action. Journal of the Korean NuclearSociety, 29(5), 368374.

    Kirwan, B. (1992a). Human error identification in human reliabilityassessment, part 1: overview of approaches. Applied Ergonomics,23, 299318.

    Kirwan, B. (1992b). Human error identification in human reliabilityassessment, part 2: detailed comparison of techniques. AppliedErgonomics, 23, 371381.

    Kirwan, B. (1997). The development of a nuclear chemical planthuman reliability management approach: HRMS and JHEDI.Reliability Engineering and System Safety, 56, 107133.

    Kontogiannis, T. (1997). A framework for the analysis of cognitivereliability in complex systems: a recovery centred approach.Reliability Engineering and System Safety, 58, 233248.

    Macwan, J., & Mosleh, A. (1994). A methodology for modeling oper-ator errors of commission in probabilistic risk assessment.Reliability Engineering and System Safety, 45, 139157.

    Moieni, P., Spurgin, A. J., & Singh, A. (1994). Advances in humanreliability analysis methodology. part I: frameworks, models anddata. Reliability Engineering and System Safety, 44, 2755.

    Nakanishi, M., Konishi, T., & Okada, Y. (2002). A study on analysismethod of performance shaping factors on human error. In The3rd International Forum on Safety Engineering and Science (IFSESIII), Nihon University, Japan.

    Paradies, M., Unger L., Haas, P., Terranova, M. (1993). Developmentof the NRCs human performance investigation process (HPIP).NUREG/CR-5455, Vol. 1, USNRC.

    Phillips, L. D., Humphreys, P., Embrey, D., & Selby, D. L. (1990). Asocio-technical approach to assessing human reliability. In R. M.Oliver, & J. Q. Smith (Eds.), Influence diagrams, belief nets anddecision analysis. John Wiley & Sons.

    Rasmussen, J., Pedersen, O. M., Mancini, G., Carnino, A., Griffon,M., & Gagnolet, P. (1981). Classification system for reporting

    events involving human malfunctions, RISO-M-2240. Denmark:RISO National Laboratory.

    Salas, E., Dickinson, T. L., Converse, S. A., & Tannenbaum, S. I.(1992). Toward an understanding of team performance and train-ing. In R. W. Swezey, & E. Salas (Eds.), Teams, their training andperformance (pp. 329). Norwood: Albex Publishing.

    Swain, A., & Guttmann, H. E. (1983). Handbook of human reliabilityanalysis with emphasis on nuclear power plant applications,NUREG/CR-1278. USA: US NRC.

    Taylor-Adams, S. E. (1995). An overview of the development of thecomputerized operator reliability and error database (CORE-DATA). The first IAEA-RCM on collection and classification ofhuman reliability data for use in probabilistic safety assessments,IAEA-J4-RC589.

    Urban, J. M., Weaver, J. L., Bowers, C. A., & Rhodenizer, L. (1996).Effects of workload and structure on team processes and perform-ance: implications for complex team decision-making. Human Fac-tors, 38, 300310.

    US NRC (1988). Integration plan for closure of severe accident issues.SECY-88-147, USA.

    US NRC (1989). Staff plans for accident management regulatory andresearch program, SECY-89-012, USA.

    US NRC (2000). Technical basis and implementation guidelines for atechnique for human event analysis (ATHEANA). NUREG-1624Rev. 1.

    Xiao, Y., Hunter, W. A., Mackenzie, C. F., Jefferies, N. J., & Horst,R. L. (1996). Task complexity in emergency medical care and itsimplications for team coordination. Human Factors, 38(4), 636645.

    Whalley, S. P. (1987). Factors affecting human reliability in the chemi-cal process industry. PhD thesis, Aston University.

    Williams, J. C. (1988). A data-based method for assessing and reduc-ing human error to improve operational performance. In Proceed-ings of the IEEE Fourth Conference on Human Factors and PowerPlants, Monterey, California. (pp. 436450).

    WOG (1994). Severe accident management guidance, vol. 2: guide-lines. WOG-SAMG, Westinghouse Electric Corporation.

    A taxonomy of performance influencing factors for human reliability analysis of emergency tasksIntroductionCollection and analysis of the existing PIF taxonomiesReview of the existing PIF taxonomiesDevelopment of a new full-set of PIFPrincipal trend in the use of PIF for HRASituational characteristics during accident managementStructuring PIFs for human reliability analysisConclusionsAcknowledgementsReferences