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Additional resources for People in Control: Human Factors in Control Room Design (IEE Control Engineering Series, Vol. 60) (I E E Control Engineering Series)
Three Mile Island was the location of a nuclear power plant in Pennsylvania on the east coast of America, where in 1979, a major incident occurred. One of the Human error 9 relief valves that should have operated automatically had not opened, and the flow of coolant water to the main pumps was interrupted. For over two hours, the control room operators fought to isolate the problem and then, to solve it. Their concern was a meltdown of the reactor or at very least, an escape of radiation into the environment.
The answer to this question may seem rather obvious, especially given the familiarity that we all have with making errors. However, despite the fact that the topic of 'human error' has been well researched, we are still some way from having any real, in-depth understanding of it (Amalberti and Wioland, 1997). Even establishing a precise and accurate definition for human error continues to prove a difficult and elusive goal (Senders and Moray, 1991). There are many reasons for this. First, there is an extreme view held by some individuals that human error does not exist at all, since it is a cognitive process that is neither observable nor measurable.
Following the accident, speed restrictions of up to one-third of the permitted speed were imposed on bends for high-speed lines throughout the UK. • Other personnel - the track at Hatfield was due to be inspected by Health & Safety on the day of the accident. g. one error). Although there will be active failures at the time of the accident, there will also be a myriad of factors leading up to the accident. These may result from latent failures resulting from poor design, insufficient training, inadequate procedures, system design (hardware and software), regulatory, management and operational failures, as well as communication difficulties and maintenance activities.