Investor Presentaiton
2.6. HUMAN AND ORGANIZATIONAL FACTORS -
Observations and Lessons (2)
Observation:
While the stakeholders involved in the accident at the Fukushima Daiichi
NPP were aware of the possibility of the single safety issues related to the
accident in advance they were not able to anticipate, prevent or
successfully mitigate the outcome of the complex and dynamic
combination of these issues within the sociotechnical system.
Lesson Learned:
•
To proactively deal with the complexity of nuclear operations, the
results of research on complex sociotechnical systems for safety need
to be taken into account by all stakeholders involved.
A systemic approach to safety needs to be taken in event and accident
analysis, considering all stakeholders and their interactions over time.
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