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Fukishima Nuclear Accident, Equipment Design., . - Coggle Diagram
Fukishima Nuclear Accident
People
Insufficient skills and knowlege
Human factors investigation tool
Inadequate risk analysis
Incident cause analysis method
Inadequate Job design and oversight
Workload analysis tool
Lack of knowledge around containment processes
Work Places
Workplace factors
Poor placement. ie generators in basement of the plant.
Poor position plant. 10 meter elevation.
Safety through organizational learning
Poor position of fuel tanks.
Hierarchical task analysis
Work Environment
High risk Work Environment
Poor safety culture.
Safety through organizational learning
Management
System Factors.
Lack of resourcing
Incident cause analysis method
Work load analysis
Organisational
Inadequate cleaning process
Failure in testing emergency Equipment
Workload analysis
Failure in emergency preperadness
Safety through organizational learning
Poor standards around safety
Leaderhsip
Ignored warnings
Management oversight and risk tree analysis
Failure in containment processes
Incident cause analysis method
Failure to enforce recomendations
Information Transfer
Failure to keep unto date with maintainance records
24 hour operation lack of communication between shift supervisors
Life Cycle
Planning Design
Hierarchical task analysis
Construction July 1967
Procurement
Management operational
Management oversight and risk tree analysis
Waste management
Upgrade refurbishment
Sale
Decommissioning Currently
commissioned 1971
Job Design
No employed to asses Tsunamis
Hierarchical task analysis
No big picture job design
Workload analysis
specialized job design
Task Descriptive tool
Equipment Design
.
Inadequate Computer modeling
Technical failures, Inadequate warning system
Multiple Equipment Failures
Inadequate Pumping system
.