Risk Recognition and Mitigation LD Holland Transmission and System - - PowerPoint PPT Presentation

▶
risk recognition and mitigation
SMART_READER_LITE
LIVE PREVIEW

Risk Recognition and Mitigation LD Holland Transmission and System - - PowerPoint PPT Presentation

Sep 23, 2022 221 likes •427 views

Risk Recognition and Mitigation LD Holland Transmission and System Operations Duke Energy Improving Human Performance On The Grid 2013 2 nd Annual NERC HP Conference Remember 1978? Technology o No cell phones, Personal Computers,

slide-1
SLIDE 1

Risk Recognition and Mitigation

LD Holland Transmission and System Operations Duke Energy

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-2
SLIDE 2

Remember 1978?

  • Technology
  • No cell phones, Personal Computers, Digital Television,

Satellite Receivers.

  • Cars had either 8-Track tapes or the new high end cassette

tape decks.

  • There was no Google. If you wanted information on a subject,

you went to the encyclopedia.

  • Essentials
  • Milk was $1.71 per gallon and gas was .63 per gallon
  • People didn’t buy water.
  • Average home price $62,000

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-3
SLIDE 3
  • 52 nuclear units had been completed in the US.
  • 253 new nuclear plants had been ordered.
  • INPO did not exist
  • Plants had no CAP programs, no real human performance programs,

few procedures, no plant evaluations.

  • Not unusual to experience multiple reactor SCRAMs in a year.

Remember 1978?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-4
SLIDE 4

What Changed Things in 1979?

  • There were three significant “happenings” in 1979 that

changed the industry:

The Movie “The China Syndrome” was released 3/16/1979. Twelve days later on 3/28/1979, the accident at Three Mile Island occurred.

  • In December, following the issuance of the

Kemeny Report, the Institute of Nuclear Power Operators (INPO) was formed.

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-5
SLIDE 5

What has changed?

  • 104 Nuclear Units operate today
  • It has taken many years to rebuild confidence, much in part

to INPO and the human performance focus.

  • Nuclear Industry is on the verge of starting new plants .
  • Recent NRC developments could help pave the way for more

new plants.

  • But we are always one accident away………

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-6
SLIDE 6

Name some things we did in the past that today would no longer be considered an acceptable risk?

Question:

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-7
SLIDE 7

The Iceberg Analogy

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-8
SLIDE 8

8

Personal Risk Tolerance

How do we decide what is risky ?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-9
SLIDE 9

Factors That Influence Our Decisions

  • Personal Factors
  • Experience

(Positive/negative)

  • Knowledge/Skill
  • Age
  • Physical Ability
  • Organizational

Factors

  • Safety/HP Program
  • Leadership

Behaviors

  • Peer Behaviors
  • Situational Factors
  • Stress
  • Rushing
  • Control

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-10
SLIDE 10

What personal beliefs would motivate someone to do this?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-11
SLIDE 11

11

  • Safety /HP Program

– Are systems in place to encourage people to do the job with minimal risk?

  • Leadership Behaviors

– Are at-risk, time-saving actions accepted?

  • Peer Behaviors

– Do our co-workers encourage at risk behavior?

Our Actions Are Driven By Organizational Beliefs

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-12
SLIDE 12

What in the Safety/HP program would allow this?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-13
SLIDE 13

13

Organizational Factors

What in a Safety/HP program would allow this?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-14
SLIDE 14

Risk Perception

  • We perceive risk differently
  • Many factors influence our decisions
  • By understanding our risk tolerance and

personal / organizational factors, we can prevent errors that can lead to Events.

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-15
SLIDE 15

Objective Reasoning vs. Personal Opinion

Using a simple Risk Model instead of relying on one person’s assessment of what is “risky”.

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-16
SLIDE 16

16

Accessing Acceptable Risk

  • Probability
  • What is the “CHANCE”……. ?
  • Severity
  • How “BAD” could it be………. ?

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-17
SLIDE 17

Amount of Risk Time Real Risk Level DRIFT Perceived Risk

Individual’s Risk Recognition in terms

  • f “DRIFT”.

Instant Feedback & Constant Reinforcement Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-18
SLIDE 18

So how do we make it EASY for our folks to Recognize and Mitigate Risk ?

Core 4 Crusader IMG_1001.wmv Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference

slide-19
SLIDE 19

Takeaways

  • 1. The way we look at “RISK” has changed
  • 2. Make Risk Recognition “EASY” for the people who touch the

equipment.

  • 3. Stick to the fundamentals for “ERROR PREVENTION”
  • 4. “COACHING “across the industry is where it is at…………..

Improving Human Performance On The Grid 2013 2nd Annual NERC HP Conference