SPECIALIZED TRAINING MATERIALS ON
ITO AND HUMAN & ORGANIZATIONAL FACTORS

Managing the Unexpected

From the perspective of the interaction between Individuals, Technology and Organization

Vienna, 25-27 June 2012

These training materials consist of lectures and presentations held during the technical meeting on “Managing the Unexpected – From the perspective of the interaction between Individuals, Technology and Organizations”. State of the art research was presented and leading world experts shared their knowledge. The materials address three main parts.

The first part provides an introduction to managing the unexpected, resilience engineering and the systemic perspective of the interaction between Individuals, Technology and Organizations (ITO). This part also consists of presentation on the current approach to nuclear safety related to severe accident management and defence in depth.

The second part provides complementary perspectives on severe accidents such as ITO and Resilience Engineering (RE). This includes Japanese presentations on the Fukushima Daiichi accident from an ITO perspective.

The third part is demonstrating examples on how to implement complementary safety improvement methods such as ITO, RE and how to manage for the unexpected.

1. Building a shared platform of knowledge

Managing for the Unexpected BY KATHLEEN SUTCLIFFE

A Bird's Eye View of Resilience Engineering BY ERIK HOLLNAGEL

MTO/ITO - A Systems View of Safety BY KERSTIN DAHLGREN

IAEAs Approach to Leadership and Management of Safety BY MONICA HAAGE

Defense in Depth towards Managing the Unexpected BY JOZEF MIŠÁK

Assessing and Managing Severe Accidents in Nuclear Power Plant BY HARRI TUOMISTO

2. From the Perspective of ITO, Culture and Resilience Engineering; Facts and Lessons learned from the Fukushima Nuclear Accident and other severe accidents

Facts and Lessons of the Fukushima Nuclear Accident - The Operator Viewpoints BY AKIRA KAWANO

Resilience in Aviation: The Challenge of the Unexpected. BY JEAN PARIES

The Deep Water Horizon Disaster from a Systemic and Unexpected Management Perspective BY KARLENE ROBERTS

The Accident at TEPCO's Fukushima Daiichi NPP: Possible Cultural and Interface Issues Influencing Decision-Making BY AKIRA OMOTO

Fukushima from the Perspective of Managing the Unexpected – TEPCO BY AKIRA KAWANO

Analysis on Human and Organizational Factors Regarding Initial Responses of Shift Teams and Field Workers to the Fukushima Daiichi NPP Accident BY HIROKO KOIKE

3. Practical Application of; Managing the unexpected, Safety Culture, ITO and Resilience Engineering

Organizing for Mindfulness BY KATHLEEN SUTCLIFFE

Resilience Engineering and Crisis Management BY ERIK HOLLNAGEL

Intensive Care Units: A Case Study for Resilience BY JEAN PARIÈS

Evaluating Organization’s Potential for Managing Varying Conditions BY PIA OEDEWALD & LUIGI MACCHI

The regulatory body’s role in managing for the unexpected BY CORNELIA RYSER

Using Operating Experience to Prevent or Mitigate Nuclear Events BY JACK HURST

Disclaimer
The information contained in these video lectures cannot be changed or modified in any way and should serve only the purpose of promoting exchange of experience, knowledge dissemination and training in nuclear safety. The information presented does not necessarily reflect the views of the IAEA or the governments of IAEA Member States and as such is not an official record. The IAEA makes no warranties, either express or implied, concerning the accuracy, completeness, reliability, or suitability of the information. Neither does it warrant that use of the information is free of any claims of copyright infringement. The use of particular designations of countries or territories does not imply any judgment by the IAEA as to the legal status of such countries or territories, of their authorities and institutions or of the delimitation of their boundaries. The mention of names of specific companies or products (whether or not indicated as registered) does not imply any intention to infringe proprietary rights, nor should it be construed as an endorsement or recommendation on the part of the IAEA.

For further information please contact NIS Training