ABSTRACT

In the year after the Three Mile Island accident, a team of what we would today

call cognitive system engineers was observing how nuclear power control room

operators handle simulated faults in a full scope training simulator (Figure 4). Over

several simulated cases the observers noticed that one of the operators would move

to the reactor display/control area, but they couldn’t tell how he knew to check out

information about these systems. The observers asked the operators about what

triggered them to monitor these displays but the operators made only vague general

comments, intensifying the mystery.