ABSTRACT

This paper summarizes work completed on human factors contributions to risks from spent nuclear fuel transportation. Human participation may have significant effects on the levels and types of risks from transportation of spent nuclear fuel by enabling or initiating incidents and exacerbating adverse consequences. Human errors are defined to be the result of mismatches between perceived system state and actual system state. In complex transportation systems such mismatches may be distributed in time (e.g., during different stages of design, implementation, operation, maintenance) and location (e.g., human error, its identification, and its recovery may be geographically and institutionally separate). Risk management programs may decrease the probability of undesirable events or attenuate the consequences of mismatches. This paper presents a methodology to identify the scope and types of human-task mismatches and to identify potential management options for their prevention, mitigation, or recovery. A review of transportation accident databases, in conjunction with human error models, is used to develop a taxonomy of human errors during design for the pre-identification of potential mismatches or after incidents have occurred to evaluate their causes. Risk management options to improve human reliability are identified by a matrix that relates the multiple stages of a spent nuclear fuel transportation system to management options (e.g., training, data analysis, regulation). The paper concludes with illustrative examples of how the methodology may be applied.