核电厂运行中的人为失误

Human Errors in NPP Operations

从核电厂运行经验中说明了研究人为失误的重要性;并根据大量人为失误事件的统计分析,阐述了人为失误的各种根原因及各种失误模式的相对显著性。根原因中主要是规程、工作场所、通讯和培训等四方面的缺陷,而失误模式则以疏忽遗漏、寻错位置、定量错误等最为常见。由此对我国核电厂人为失误研究工作提出了建议。

Based on the operational experiences of nuclear power plants (NPPS), the importance of studying human performance problems is described. Statistical analysis on the significance or frequency of various root-causes and error-modes from a large number of human-error-related events demonstrate that the defects in operation/maintenance procedures, work place factors, communication and training practices are primary root-causes, while omission, transposition, quantitative mistake are the most frequent among the error-modes. Recommendations about domestic research on human performance problesm in NPPs are suggested.