The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error

Thesis (M.Eng.)--Massachusetts Institute of Technology, Dept. of Nuclear Engineering, 1998.

Bibliographic Details
Main Author: Smith, Alan B. (Alan Bartow), 1961-
Other Authors: George Apostolakis.
Format: Thesis
Language:eng
Published: Massachusetts Institute of Technology 2010
Subjects:
Online Access:http://hdl.handle.net/1721.1/50497
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author Smith, Alan B. (Alan Bartow), 1961-
author2 George Apostolakis.
author_facet George Apostolakis.
Smith, Alan B. (Alan Bartow), 1961-
author_sort Smith, Alan B. (Alan Bartow), 1961-
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description Thesis (M.Eng.)--Massachusetts Institute of Technology, Dept. of Nuclear Engineering, 1998.
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spelling mit-1721.1/504972020-07-14T21:51:04Z The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error A plus B plus C plus Method Technique for achieving optimum balance of three critical barriers to human error Smith, Alan B. (Alan Bartow), 1961- George Apostolakis. Massachusetts Institute of Technology. Department of Nuclear Science and Engineering Nuclear Engineering Thesis (M.Eng.)--Massachusetts Institute of Technology, Dept. of Nuclear Engineering, 1998. Includes bibliographical references (leaves 51-52). After thirty years of commercial nuclear plant operation, the nuclear industry has achieved dramatic improvements in the safe and reliable operation of its electrical generating stations. Recent indications, however, are that the rate of improvement may be slowing, particularly in the area of human performance. The nuclear industry has been and will be heavily dependent on rigid structure and centralized organization. Defense- in- depth is a key element in the prevention of human error or equipment malfunction and will continue to be so. The accident at Three Mile Island significantly increased the emphasis placed on procedures as a means of preventing human error. However, current reductions in the rate of human performance improvement have prompted reevaluation of the ability of improvement techniques, which have unquestionably achieved noteworthy success in the past, to enjoy similar success in the future. Years of adding more and more detail to procedures may in fact be becoming counterproductive. The majority of work on procedure use and procedure violations that has been performed to date deals primarily with the psychological aspects of human behavior. The ability of the procedure user to follow the procedure without becoming confused, however, has been left relatively unanalyzed. This paper attempts to characterize the recent slowdown in human performance improvement and the dynamics associated with human performance, to ascertain the significance of procedure complexity, and to put forward a technique to achieve an optimum balance of the critical factors that constitute human error defense-indepth. The embodiment of the technique, referred to as the A + B + C Method, is a mnemonic to allow workers and supervisors to balance the level of procedure detail, the worker's level of knowledge, and the amount of supervisory involvement required when executing work tasks. by Alan B. Smith. M.Eng. 2010-01-07T20:46:01Z 2010-01-07T20:46:01Z 1998 1998 Thesis http://hdl.handle.net/1721.1/50497 42256356 eng M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 54 leaves application/pdf Massachusetts Institute of Technology
spellingShingle Nuclear Engineering
Smith, Alan B. (Alan Bartow), 1961-
The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title_full The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title_fullStr The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title_full_unstemmed The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title_short The A+B+C+ Method : a technique for achieving optimum balance of three critical barriers to human error
title_sort a b c method a technique for achieving optimum balance of three critical barriers to human error
topic Nuclear Engineering
url http://hdl.handle.net/1721.1/50497
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