ヒューマンエラーを考慮したリスクアセスメント
Contents
1.2. 6 Modifier
3. mod1mod2 mod3 Z 2 Modifiers high high high high 1 high high high megu mediun fneduny nedium medium 3 Significant Human Error medium low low negligible I 4 high high op high 4 high high medium medium 4 I I 1 medium mediu low llow 2 Exist Human Error I low low low A negligible 4 4 very likel i i Probability RN high high ho high a likely high high medium low t unlikely medium mediui low folgblg 1 Insignificant Human Error th remote low low Anegligible negligible i 8 E E Adopted from ANSI B11 TR3 2000 Severity 2 93 5
4. AS RR v 1 j EN ILO OSH 2001 BS8800 1 1
5. 8 i i OSHMS 1 1 HEP n N HEP THERP Swain 1983 NUREG CR 1278 103 10 0 5 10 HEP v E Human Error Probability HEP n
6. BS8800 E ILO OSH 2001 132 000 2004 4 80 5 DI 4 3 Norman Rasmussen Reason 3
7. 1 1 E ISO14121 1 7 3 6 2 3 SOP 1SO14121 1 7 3 4 4 5 6 SOP 7 ISO12100 1 2 Co ISO14121 1 7 3 4 1SO14121 1 7 3 4 10
8. HEP Norman SLIP Mistake 2 SLIP Mistake Rasmussen 1980 SB RB KB 3 J Reason 1 2
9. N 1 NUREG CR 1278 WASH 1400 HEP THERP HEP IX 10 1985 NUREG CR 1278 10 Williams Table20 1 Table20 27 CH 1 Modifiers 1
10. ISO14121 1 7 3 4 11 ISO14121 1 7 3 4 12 1SO14121 1 7 3 4 gt Mod 3 Mod 1 4 lt gt Mod 8 Mod2 9 lt Mod Mod 3 Mod 4 ISO14121 1 2007 P EC 0 R FC P f C E O A C The severity of harm Consequence of the hazardous event P The probability of occurrence of that harm E The exposure of person s to the hazard O The occurrence of a hazardous event A The technical and human possibilites of avoiding or limiting the harm C E O A ISO14121 1
11. References ANSI_B11 TR3 2000 2000 Risk assessment and risk reduction A Guide to estimate evaluate and reduce risks associated with machine tools Neudorfer A 2002 Konstruieren sicherheitsgerechter Produkte Japanese edition Heidelberg Norman D A 1981 Categorization of action slips Psychological Review 88 1 15 uk Heidelberg Springer Verlag Berlin Rasmussen J 1980 What can be learned from human error reports In Duncan KD Gruneberg MM Wallis D eds John Wiley amp Sons Ltd London Reason J 1990 Human Error p195 Cambridge University Press New York USNRC 1975 WASH 1400 Reactor Safety Study An Assessment of Accident Risks in U S Commercial Nuclear Power Plants NUREG 75 014 Swan A D Guttman H E 1983 Handbook of human reliability analysis with emphasis on nuclear power plant applications NUREG CR 1278 1 18 3 10 0310001 2 17
12. lt gt 2008 Copyright 2008 Risk analysis tools Incorporated Human Error Probabilities Tetsu MORIYAMA Yokohama National University NN Hideo Ohtani Yokohama National University Key Words Risk assessment Human Error Probabilities Modifier 2006 I SA ES OSHMS 1
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