Presentation on theme: "Yong Hee Lee (email@example.com) 16-th Annual HPRCT Conference Baltimore, MD, USA, June 21-25, 2010 Development of a Human Factors Management Program."— Presentation transcript:
1Yong Hee Lee (firstname.lastname@example.org) 16-th Annual HPRCT Conference Baltimore, MD, USA, June 21-25, Development of a Human Factors Management Program (HFMP) for Operating Nuclear Power Plants in KoreaYong Hee LeeI & C ∙ Human Factors DivisionKorea Atomic Energy Research Institute
2Introduction : Human Factors Activities in Korean NPPs In Korea, 20 NPPs in Operation and 6 Units in ConstructionSelf-reliance of NPP Tech. and Export to UAENuclear Renaissance : Energy Self-reliance -> CO2/Environment ProtectRegulations by Nuclear Law and Codes :Safety First for Public AcceptanceDetailed Regulations and Codes for Machinery and Tech.Very Conceptual Requirement Definition for Human ErrorsStatus of Human Error Events in Korean NPPsSpecific Means to Human Errors in NPPs : HPES, etc.13%(utility) vs. 25%(regulatory) vs. 36%(Research)NPP performance enhancement project : 9402 campaignHuman Resource Management Issues for HE Prevention★
3Introduction : HF Activities in NPP Safety Regulation Post-TMI ActionsD-CRDREOP UpgradeERF/SPDSFSAR Ch. 18 Human Factors EngineeringKSNPAPR-1400Safety Reviews of Operating NPPsSafety Review on Changes and Enhancements : SPDS/ERF etc.Periodic Safety Review (PSR) -> Minor change reportsIAEA Safety Series No. 50-SG-O12Introduced by the Atomic Energy Acts in 2001Upgrade Review for Continuous OperationSafety Inspections of Operating NPPsInspections during O/H Periodic InspectionAnalysis and data management of events and near-missesMaintenance of MMIActions taken against human performance degradationInvestigation of trip events involving human errors
4Introduction : Status of D-CRDR & FSAR Applications in Korea Nuclear Power PlantsUnitPower (MW)Commercial Operation StartRX Type Kori15871978PWR265019833950198541986Yonggwang19871,00019951996520026Nuclear Power PlantsUnitPower (MW)Commercial Operation StartRX TypeWolsung16791983PHWR270019973199841999Ulchin9501988PWR19891,0005200462005( Black- FSAR Ch Blue - DCRDR Brown - None )
5Introduction (3)12 Basic Activities in HFE Program Plan for HFE Program Review Model(0711)This figure shows HFE Program Review Model Review Elements.This HFE Program Review Model consists of four general activities including Planning analysis, design, verification and validation, and implementation and operation.
6Human Factor Review Items in PSR HF items defined in the Enforcement Regulation of the ActsTech. Areas by KAERI9. Human factors(a) Staffing levels for the operation of a nuclear power plant with due recognition of absences, shift working and overtime restrictions(b) Availability of qualified staff on duty at all times(c) Programs for initial, refresher and upgrade training, including the use of simulators(iv) Human Factors for Human Resources ManagementWork statusQualification and assignmentTraining Prog. & Simulator(d) Information requirements and workload of staff(iii) Information Requirements and Workload Assess.(e) Man-machine interface (MMI)(ii) MMI6. Use of experience from other plants and of research findings(a) Appropriateness of the plan and system for the feedback of experience (relevant to human factors)(b) Programs for the feedback of experience and research findings (relevant to human factors)incorporated into other areasAccumulated records of Operations7. Procedures(c) Clarity of procedures with human factor principles taken into account(i) Human Factors in Procedures
7HF items in the revised IAEA PSR Guide(2003) (a) Staffing levels for the operation of a nuclear power plant with due recognition of absences, shift working and overtime restrictions(b) Availability of qualified staff on duty at all time(c) Policy to maintain the know-how of the plant staff(d) Systematic and validated staff selection methods (e.g. testing for aptitude, knowledge and skills(e) Programmes for initial training, refresher training and upgrading training, including the use of simulators(f) Training in safety culture, particularly for management staff(g) Programmes for the feedback of operating experience for failures and/or errors in human performance that have contributed to safety significant events and of their causes and corrective actions and/or safety improvements(h) Fitness for duty guidelines relating to hours of work, good health and substance abuse(i) Competence requirements for operating, maintenance, technical and managerial staff(j) Human-machine interface: design of the control room and other work stations; analysis of human information requirements and task workload; linkage to PSA and deterministic analyses(k) Style and clarity of proceduresItems (c), (d), (f), (h), and (i) are new compared to those in the 1994 version.KAERI incorporated these items into the area (iv) human resources.
8Implementation Process of HF PSR Establishment of relevant criteria and assessment proceduresCriteria for Procedure assessmentCriteria for MMI assessmentCriteria for other HF assessmentDetailed Assessment-document-based assessment-on-site reviews-expert panel reviews-experimental evaluationsyesSatisfy criteria?Report of satisfied factorsnoIssue collection and evaluationReport of issues and corrective action plansReport to KINSKINS evaluation
9Requirements for Continuous Operation The Enforcement Regulation of the Atomic Energy Act was revised in September 2005.added two items to the existing PSR items(i) life assessment of the major components in consideration of the duration of an extended operation,(ii) assessment of the radiation effects for the environments changed after the operating license.In human factors aspects, the resolution of HF PSR issues is required for a Continuous Operation.Request for the Continuous Operation permit for Kori 1 (out of 30 years design life) was submitted by July 2007.
10HF Issues and Resolutions from Kori #1 PSR Issue No.Titles of PSR IssuesDescriptionCurrent StatusK1-PR-31Development of a procedure management systemdevelopment of guidelines for managing HF in the procedures including the HF management criteria and processesUnder development by KAERI (HFMP)K1-HF-37Development of an HF improvement and management systemK1-HF-37.1development of an integrated HF management system including MMIK1-HF-37.2Integration and improvement of the information and monitoring functions of the plant computer systemK1-HF-37.3improvement of the remote shutdown panelK1-HF-37.4improvement of the MMI elements and colorsK1-HF-38Improvement of the main control board and the simulatorgradual improvement of the main control board and installation of a simulatorK1-OA-33Assessment of the suitability of departmental workload and personal workloadtask analysiscompleted by KHNPK1-OA-35Enhancement of training and educationenhancement of EOP performing abilityK1-HF-36Improvement of the shift workman-power enhancement and organization changeK1-PC-1Preparation of a BISI installation planBISI installation, or OACS (Operation Aid Computer System) utilization, or procedure modificationsUpgrade design of MCR, RSP, and other systems by KOPEC* Independent review by NETEC of KHNP & KAERINuclear Engineering & Techonology Institute (NETEC)
11Upgrades of Kori # 1 MMI Two stage upgrades first stage : until July 2007upgrades of MMI as a PSR issue resolutionPSR issue resolutionsecond stage : until 2011massive upgrades of MMI beyond PSR issue resolution requirementsIntroduction of Human Factors Management Program (HFMP)Upgraded MCR by KOPECDesign with a Simulator in advanceIndependent Reviews by KAERIImplementation by HEC
12Human Factors Management Program (HFMP) by KAERI To resolve some HF issues after the Kori #1 PSR for the Continuous OperationFor plant personnel to manage Human Factors in the plant continuously by themselvesHuman Resource ManagementManagement of MMIManagement of ProceduresSupport other HF Issues in Kori #1The first version by July 2007,the final version by DecManagement ProceduresTechnical Guidelines and CriteriaVarious forms for Tasks ; Checklists , etc.e-HFMP : Web-based Support SystemUnexpected Event of NPP by Human ErrorEfficiencyHFMPControl for the Hazard FactorsSystematic Administration of Human FactorsSafetyPerformanceEffectivenessNEEDSManSystem
13Human Factors Management Program (HFMP) by KAERI 1. General human factors management program (HFMP)Kori # 1 human factors management procedure: a high level procedure governing the MMI, procedures, work environment, qualification, work condition, etc.Human factors management guides for individual jobs: detail guides (general and specific guides) for the lower level documents relevant to a design, purchase, fabrication, installation, operation, maintenance, etc.Criteria for a human factors management organization and committeeCriteria and process for decision making on human factors issuesProcedure for a change of the HFMP2. Procedures and guidelines for MMI managementProcedures for MMI management: maintenance, test for replace, purchase, etc.Control board design criteria: arrangement and integration criteria for analog, hybrid, and digital type control boardsDesign criteria for each device type - controllers, indicators, labels, indication lights, and recordersDesign criteria for computer monitorsSupplemental tool criteria: covers, tags, etc.Environmental factor management criteria: temperature, humidity, noise, illumination, etc.Criteria for a control board and device operationMMI checklists
14Human Factors Management Program (HFMP) by KAERI 3. Procedures and guidelines for plant procedure management- EOP management guidelines including verification and validation guidelines- General guidelines for a procedure management- Detailed human factors guidelines for writing procedures- Checklists and forms for procedure assessments4. Procedures and guidelines for the management of other human factors- Common human factors criteria or guidelines - terminology, abbreviations, etc.- Personnel management guidelines: stress, the musculoskeletal system, health, substance abuse, etc.- Training and education management guidelines- Guidelines and supporting tools for a work management and an overtime managementWork environment human factors management guidelines5. HFMP application and validation6. Description of the Kori# 1 MCR and RSP7. Management of the Kori #1 human factors issues raised from the past to the present8. Revision of the Kori 1 procedures9. Development training materials for a human performance enhancement10. Development of a human factors assessment methodology
15Effects and Benefits through the Application of HFMP Increased Operation TechnologySafety & CompetitivenessObject & ProceduresEarly StageDivision of DutiesTrial ApplicationFamiliarityOrganizational Mgt.Effective Job PerformancePeriodic Mgt. of Safety Sys.Characterized Mgt. GoalSystematic AdministrationModificationContinuous FeedbackInvigoration StageAdministrative Standards
16Structure of HFMP HF Procedure HF Commission Detailed Guidelines HumanResourceQualificationTrainingWorkloadMMIGeneral- GOP etc.General.QualificationMgt.SATInformation Mgt. on DutiesMCRExperienceOEREOPShift workTraining Program based on SimulatorMaintenancePhysical/Mental Health, DrugComputerized EquipmentInformationWork EnvironmentLocal EquipmentEducation MaterialJob StressInspection / Test EquipmentApplication of PSRMusculoskeletal DisordersGeneral Equipment & FacilityEvaluation Method
17Organizational Structure of HFMP Team in ChargeCooperation TeamHuman Factors CommissionHuman Factors AdministratorSupport & Back upManagement of Pending IssuesPutting a Important ItemManagement of Guidelines in ChargeExchanging a InformationHuman Factors ExpertMain Administrating FactorsHuman Engineering DiscrepancyImportant ItemHuman Factors Management ProcedureDetailed GuidelinesContractorDeliberation & Determination related to SafetyCoordination for Division of DutiesEstablishment of Authority
18MMI Guidelines in HFMP : Human Factors Guideline for the Instruments of MCB (ex. Purchasing Process)Present : Purchasing Process + Human Factors ChecklistImprovement : Reinforcement of Purchasing Process – Operation Guideline, Technical Standards, and etc.Description for Detailed HF Spec. of Instrument : Detailed Technical Guideline(1)Providing Detailed HF Spec./Standard to Provider : Detailed Technical Guideline(2)Management & IR of Detailed Design Spec. from Provider : UAT/GAT/PAT Guideline, IR GuidelineChecklist for Acceptance Inspection : HF Checklist of InstrumentField Installation Standard : Installation Standard/Checklist + Revision of Documented Procedure (if necessary)Managerial Standard : Purchasing Standard + Supply Spec. of Instrument + Installation Standard + Control Standard
19eg.) MMI Transaction of Trouble Report TR output & technical investigationSafety & technical investigationPower fluctuation TRMajor maintenance TRGeneral TRWorking acknowledgmentWork executionPerformance testAcknowledgment of work completionInput of work resultTR publicationTR acknowledgment & confirmationTR designWork termination-TR, Maintenance & Inspection Report, Revision Record, Instrument RecordTR FILINGcontractdirectQA informationPerformance verificationQA investigation
20eg.) Task Analysis : Transaction of Trouble Report for MMI in NPPs 1234SEQ.No.Detailed operationDept.ChargeInput inform.Output inform.RestrictionMethodERP5TR publication (power gen.)Power gen.StaffPSR, SafetyTRDocument.TR publication (the others)The othersTR acknowledgmentI & CSolutionConferenceTR designDesign spec.TR output & technical invest.Technical reviewDirect6Contract7Safety & technical Invest.Head sec.Power fluctuation TRSafety & Tech. reviewInvestigation8Major maintenance TR9General TR10Working acknowledgmentTechnical orderAcknowl.11QA informationQAQA occur.12Work executionMaintenanceExecution13Performance testPower gen. OperatorResult of perform. Test14Performance verificationResult of perform. testPerform. VerificationVerification15QA investigation QA of resultResult QA investigation16Acknowledgment of work completionWork resultAcknowledgement17Input of work resultWork result 18Work termination19Maintenance & inspection report20Revision record21Instrument record22TR documentFileMCREquipmentMaintenanceTransaction of TR
21eg.) Management Tasks for MMI : Purchase Phase (with ERP system) Changing/Making material inventoryapprovalMaking PM OrderMRP executionPR (purchase request) creationReleasePurchase plan establishment/approvalMaking/Input of PO (purchase order)Purchase promotionSearchingMaterial Inventory1Electronic contract documentAcceptance inspection/storeInput of electro. invoice23Input of invoicePayment4Bill of accountsInventory accountunpaid (GR/IR)Bill of payment requestunpaid contractor(GR/IR)contractor depositDelivery reservationDelivery operationBudget checkExpense account Inventories5Demand divisionContract (material) divisionContractorAccount divisionAutomatic creationDecision of contractorRequest of exchangeOperation of exchangeSource : Dreams 구매/자재관리 교육, p. 5
22eg.) Management Tasks for MMI : Purchase Phase 1234SEQ.No.Detailed operationDept.ChargeInput inform.Output Inform.RestrictionMethodERPSearching material inventoryDemand divisionComputationChanging/Making material inventoryApprovalMaking of PM OrderNO stockMRP execution5PR(Purchase Request) creation6Purchase plan establishment/approvalContract (material) divisionK-Pro7Purchase promotion8Decision of contractor9Making/Input of PO (purchase order)10Electronic contract (indent) document11Input of electronic invoiceContractor12Acceptance inspection / store13Bill of accounts (store)Automatic creation14Input of invoice15Bill of payment request16PaymentAccount division17Seq. 3Exist stock18Delivery reservationPM Order Release19Delivery operation20Budget check21Bill of accounts (delivery)22Request of exchange23Operation of exchange24Bill of accounts (exchange)MCREquipmentPurchasePurchase & Store/Delivery of Material
23Detailed HFE Standard/Specification : Digital Indicator (example) 3452102030405060ℓ/h100mm35mmColor : WhiteFont : GothicSize : 10ptColor : Black5-6mm75-85mmSize : 20ptColor : GreenBrightness : 250cdSize : 1фResolution : 100(above)10mm30mmScale color : BlackMajor : 6mmIntermediate : 4mmMinor : 2mmThickness : 1.5mmScales should have tick marks at a standard interval of 1, 2, 5, or 10 (or multiples of 10) for labeleddivisionsEx) 1, 2, 3, 4 / 10, 20, 30, 40or 5, 10, 15, 20 or 2, 4, 6, 8or 20, 40, 60
24Human Factors of Procedures Writers’ Guide for Procedures (Example)Detailed Guidelines on the human factorsof the procedures for procedure writers- example : (Kori-1) EOP writing guideline
25eg.) Task Procedure : Management of EOP Organization and instruction of the procedure writing teamTechnical guideline developmentWriter’s guideline developmentEOP(AOP) writingEOP(AOP) validationEOP(AOP) verificationEOP(AOP) approvalEOP(AOP) documentationEOP(AOP) trainingProcedure revision and maintenanceEOP(AOP) disuse
26plan, writing validation Title of task Task details Remarks Organization and instruction of the writing team for EOP(AOP)organization and training of the writing team for EOP(AOP)Material acquisition and reviewfundamental materials acquisition and review for EOP(AOP) of Operation OfficeDevelopment of technical guideline and writer’s guidewriting of the fundamental documents to be basis of procedure writingOrganization and instruction of validation teamorganizing the validation team for EOP(AOP), instruction for validation processOrganization and instruction of verification teamorganizing the verification team for EOP(AOP), instruction for verification processEOP(AOP) writingwriting of EOP(AOP) based on the technical guideline and writer’s guideplan,writingvalidationTitle of taskTask detailsRemarksPreparation of EOP validationacquisition and review of fundamental materials for EOPValidation of EOPevaluation of the suitability in terms of writing and the precision of technical informationProblem solving of EOP after the validationsuggestion and writing of the solving alternatives, writing of the solving alternatives after the discussion between writers and validation persons, implementation of the solving alternativesReporting and documentation of the validation result of EOPwriting of the verification result report, documentation after the final approval of the Chief manager, Operation Officerefer to the maintenance procedurePreparation of EOP verificationchoice of verification method (simulator, field survey, discuss, etc)Verification of EOPselection of verification scenario, writing of the evaluation criteria sheet, selection of the shift operatorevaluation of the suitability in terms of using and operationwriting the verification checklist and inconsistenciesProblem solving of EOP after the verificationcause analysis of inconsistencies, suggestion and review of the solving alternativesApproval and implementation of EOP after verificationimplementation of the solving alternatives after the approval of Senior manager, Operation SectionReporting and documentation of the verification result of EOPdocumentation of the verification result report after final approval
27Human Factors of the Procedures in NPPs Checklist Forms for management of HFs in the Proceduresa checklist for the procedure suitabilityConstant Technical Items applied in Periodic Safety Review
28eg.) A Guide for the improvement of the procedures 14.0 Verify that the C/V watering is not requiredIf possible, the descriptions should be expressed simply.The descriptions having negative meanings should be avoided.14.0 Verify that the C/V watering is required
29Technical Fields for the Human Resource Management in NPPs NumberPSR itemCategoryContents for Guidelines and Procedures19.AWorking timesuitable working time, overtime, rest time, commuting time2Working attitudeOff-day, holiday, taking over the duty3Abnormal condition4Shift workguideline, schedule5Transition6Responsibility of transition7A health (medical) Examination8additional examinationdetailed medical examination9epidemiological examinationsolution10assessment of physical environmentprocedure and guideline of physical environment11mental health, drug abuseoperator12improvement of health13Musculo-Skeletal disorders14Cardio-cascular and cerebro-vascluar accidentmanagement of health15job Stressmanagement of job condition16accident prevention17fire, emergency18protection tools19warning post209.BRecruitExistence and observance of criteria for recruit21Maintenance QualificationQualification condition, Completion of essential training for qualification22maintenance specialty, Know-howApplication content of employee’s know-how and human errors239.CSATSystematic training program24Safety cultureSafety culture training program particularly for management staff25Training program using simulator26Propriety of simulator27training for cooperator289.DInformation requirement and workload
30eg.) Shift work support tools: Scheduler (Shift Work Support Systems)(1) Min. where d1: the difference of the sum of the work times in each workgroup.d2: the difference of the sum of the break times in each workgroup.objectiveThe objective is to consider two factors: i) the difference of the sum of the work times (including M, A, N, S, and T) and ii) that of the break times (B) among each workgroup. The two factors should be minimized to balance the workloads in each workgroupAdvantage
31eg.) Shift work support tools: Scheduler (Shift Work Support Systems)(2) Calculation and Allocation of work timeSubstitute of manpowerRestriction of work allocation
32Fitness For Duty : A Management Procedure for the Mental Health A doubt Of mental illness in the screening testA confirmation of patient’s pretreated experienceA diagnosis and opinion of psychiatristAvailable workingComplete remission, conclude treatment according to judgment of the medical specialistStop treatment at patient's optionRetry of a diagnostic workup in the health-screening teamRetry of diagnosis by the medical specialist whom patients receive treatmentResults of diagnosisComplete remission, No need of maintenance therapyComplete remission, Need of maintenance therapyDevelop symptomsAvailable workingNeed of diagnosisDenial of maintenance therapyDenial of treatmentNeed of job transfer while receiving treatmentA serious illness, After temporary retirement from office, an positive treatmentA slight symptomsA serious illnessThe necessity of job transferJob transferTemporary retirement from officeJob transferNeed for human factors managementRetry of a diagnostic in every 6 months (diagnosis by the medical specialist)Available workingDecision whether com back or not by the medical specialist whom patients receive treatment
33Fitness For Duty : Job Stress Evaluation and EAP Based on Survey Result from KOSS in 2009
34Fitness For Duty : A Management Procedure for the Drug Taking Drug taking testpositivenegativeCocaineTHCMethamphetamine(MET)Morphine (OPI)Confirming medication by the diseases(medical certificate, list of drug dose)No evidence of curative drug usecurative drug usingAvailable workingRetry of drug taking testNeed for human factors managementpositivenegative
35A guide for the Development of Campaign Posters against to the Human Errors Trip Events Report => Lesson LearnedPrecursors and Error Shaping Factors to the Human ErrorsSelection Guide for the Additional PostersFor Training Material to Human Error LessonFor Campaign for the Human Error Prevention
36A Proposed Training Content to meet the HFE Requirements in HFMP No.CourseTimeHF SupervisorHF Manager1Practical Human Factors Engineering6O2Human Factors Management Program43Operational Experience from precedent examplesPractical Operational Experience5Work Physiology in NPPWork Psychology in NPP7Practical Human Error8Practical Prevention for Human ErrorTotal30Substitute Course : K-HPES, Human Performance Expert Education CourseThe subject of Training : a new employee, redeployed person, an experienced person about human error
37eg. ) Education Materials for Human Factors Eng eg.) Education Materials for Human Factors Eng A way of making a questionConfidential[Question] (Let’s describe a question’s text in the next row) What is corresponding answer which input other people’s a pattern of behavior or an attitude in the mechanism of human relationship or detect something like oneself among other peoples?[A] suggestion [B] imitation[C] projection[D] identification[Answer] D[Answer’s explanation]A. suggestion is to get uncritically logical and realistic without evidence the thoughts, feelings or behavior of another.B. imitation is an advanced behavior whereby an individual observes and replicates another's.C. projection is to regard suppressible something inside oneself as someone else's.
38Thank you. Conclusion Please let me know if Anyone want to HealthMgt.BehaviorImprovementEffectivenessEval.EventInvestigationQAIssueHFReview개별 인적 요소WorkSupportHumanFactorsEmployeeProcedureDutyQualificationTrainingWorkloadMMILegal Requirements(PSR)PersonalProtectionDeviceSafetyCultureHazardDangerousDiscriminatione-HFMPPerformanceLeadershipMgtEvaluationMethodIndividual FactorsHFMPHuman Factors Management Program (HFMP) for NPPsPeriodic Safety Review and Regulation of NPPs in KoreaHFE Activities for the currently operating NPPsPSRs have revealed many Human Factors Issues.Human Factors Issues are various to improve the Operation of NPPsHFMP is proposed to enhance and efficiently manage the human factors in the Korean NPPs. => Kori #1technical programs for HFMPPlanned with MCR UpgradePlease let me know if Anyone want toexchange the Experiences and Perspectiveson the Human Factors Management Program (HFMP)in NPPs.Thank you.