Acessibilidade / Reportar erro

Analysis of minor incidents in the operation of nuclear power plants: a case study on the use of procedures in organizations dealing with hazardous technologies

Organizations that work with hazardous materials, such as nuclear power plants, offshore installations, and chemical and petrochemical plants, have risk management systems involving accident control and mitigation to ensure the safety of their facilities. These systems are based on physical devices, such as protective barriers, equipment and systems aimed at preventing the occurrence and propagation of accidents, and on human aspects such as regulations and procedures. This paper analyzes the use of a variety of procedures by nuclear power plant control room operators. The methodology consisted of analyzing the work of control room operators during the normal operations, shutdown, and startup of a nuclear power plant, and in full scale simulator training. This survey revealed that routine noncompliance to procedures was considered normal according to the operating rationale, which is based on technical, organizational and cultural factors. These findings indicate that the competencies nuclear power plant operators must possess far exceed proper technical training and the ability to follow written instructions.

ergonomics; industrial safety; procedures


Universidade Federal de São Carlos Departamento de Engenharia de Produção , Caixa Postal 676 , 13.565-905 São Carlos SP Brazil, Tel.: +55 16 3351 8471 - São Carlos - SP - Brazil
E-mail: gp@dep.ufscar.br