Reliability Engineering and System Safety 206 (2021) 107304
Available online 10 November 2020
0951-8320/© 2020 Elsevier Ltd. All rights reserved.
Identifying key factors affecting the performance of team decision-making
based on the analysis of investigation reports issued from diverse industries
Dong-Han Ham
a
, Won-Jun Jung
a
, Jinkyun Park
b, *
a
Chonnam National University, Republic of Korea
b
Korea Atomic Energy Research Institute (KAERI), Republic of Korea
A R T I C L E INFO
Keywords:
Probabilistic safety assessment
Human reliability analysis
Team decision-making performance
Key factors
Event investigation report
ABSTRACT
Operational experience of sociotechnical systems has revealed that the degradation of their safety is attributable
to human error. Accordingly, various kinds of human reliability analysis (HRA) techniques have been proposed
over the past several decades for safety enhancement. The Fukushima accident, however, stressed that existing
HRA techniques have a limitation in estimating the human error probability (HEP) of safety critical tasks that
should be conducted under challenging circumstances (e.g., insuffcient or misleading information) originating
from the characteristics of a severe accident condition. This means that the very frst step to properly estimate
HEPs in severe accident conditions is to identify a catalog of key factors related to the performance of team
decision-making tasks. This study therefore suggests a conceptual model based on signifcant factors pertaining
to the performance of team decision-making tasks. Event investigation reports issued from diverse sociotechnical
systems were analyzed along the proposed model, and as a result, 14 key factors were identifed that could be a
good starting point to scrutinize the performance of team decision-making tasks.
1. Introduction
From the perspective of the sustainability of sociotechnical systems,
the crucial requirement is to maintain, to the greatest extent possible,
operational risk within a minimum level. In the case of a nuclear power
plant (NPP), as a representative sociotechnical system with a particular
emphasis on safety over its entire lifetime, this requirement is more
stringent than in other industries. Probabilistic safety assessment (PSA)
or probabilistic risk assessment (PRA) techniques have accordingly been
widely used for several decades to evaluate the operational risk of NPPs.
Without loss of generality, the PSA technique is useful for estimating
the risk level of a target NPP by answering a couple of basic questions
such as ‘What could go wrong?’, ‘How likely is it?’, and ‘What would the
consequence be?’ [4]. In this light, the PSA technique provides a sys-
tematic approach to identifying a catalog of plausible accident scenarios
that lead to adverse consequences with associated frequencies (e.g., the
frequency of core damage or the frequency of radioactive material
release to the environment). To this end, it is important to identify the
key systems and/or components in which failure directly results in the
adverse consequences. Since the operating experience of sociotechnical
systems continuously reveals that human error is one of the determinant
contributors to the occurrence of incidents and accidents [1–4], it is
indispensable to consider the likelihood of human errors that are able to
engender the failure of the key systems and/or components (i.e., safety
critical tasks). Accordingly, many kinds of human reliability analysis
(HRA) techniques have been proposed for several decades, of which the
major role is to estimate the human error probabilities (HEPs) of human
operators who have to conduct the safety critical tasks [20]. These HRA
techniques allow us to theoretically estimate HEPs by considering
diverse contextual factors that affect the performance of human opera-
tors. These contextual factors have slightly different names such as
performance shaping factors (PSFs), infuence factors, common perfor-
mance condition, and error producing conditions.
From these concerns, PSAs have been traditionally performed at
three levels (Level 1, Level 2, and Level 3 PSA), each with a dedicated
purpose and scope. In brief, Level 1 PSA focuses on accident scenarios
leading to core damage, while Level 2 PSA deals with accident scenarios
that challenge the containment integrity. Level 3 PSA emphasizes public
health and other societal risks (e.g., the contamination of land or food)
following the potential release of radioactive materials [34].
After the Fukushima accident, however, the nuclear industry faced
with several issues that were not properly resolved (or not even
* Corresponding author: 989-111 Daedeokdaero, Yuseong-Gu, Daejeon, 34057, Republic of Korea.
E-mail address: kshpjk@kaeri.re.kr (J. Park).
Contents lists available at ScienceDirect
Reliability Engineering and System Safety
journal homepage: www.elsevier.com/locate/ress
https://doi.org/10.1016/j.ress.2020.107304
Received 5 April 2019; Received in revised form 7 September 2020; Accepted 7 November 2020