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Incident in the Forsmark 1 nuclear power plant in 2006 and knowledge breakdowns
KTH, School of Architecture and the Built Environment (ABE), Civil and Architectural Engineering, Structural Design and Bridges (name changed 20110630).
KTH, School of Architecture and the Built Environment (ABE), Civil and Architectural Engineering, Structural Design and Bridges (name changed 20110630).
2010 (English)In: International Journal of Nuclear Knowledge Management, ISSN 1479-540X, E-ISSN 1479-5418, Vol. 4, no 3Article in journal (Refereed) Published
Abstract [en]

The incident in Forsmark nuclear plant in 2006 can be seen not merely as a failure of technology or safety culture but as a failure of knowledge. A previous study of the chain of events that led to the incident revealed that the recent modernization activities in the plant had lead to striking gaps in knowledge and introduction of flaws. This article aims to analyze the exact mechanisms underlying breakdowns in knowledge and to suggest how to prevent re-occurence. The Shannon’s communication theory and the activity theory are used for the purposes.

Place, publisher, year, edition, pages
2010. Vol. 4, no 3
Keyword [en]
nuclear, knowledge management, communication, information, knowledge, activity theory, communication theory
Identifiers
URN: urn:nbn:se:kth:diva-27601OAI: oai:DiVA.org:kth-27601DiVA: diva2:377380
Note

QC 20101214

Available from: 2010-12-14 Created: 2010-12-14 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Understanding the application of knowledge management to the safety critical facilities
Open this publication in new window or tab >>Understanding the application of knowledge management to the safety critical facilities
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Challenges to the operating nuclear power plants and transport infrastructures are outlined. It is concluded that most aggravating factors are related to knowledge. Thus, of necessity, effective knowledge management is required.

Knowledge management theories are reviewed in their historical perspective as a natural extension and unification of information theories and theories about learning. The first line is identified with names as Wiener, Ashby, Shannon, Jaynes, Dretske, Harkevich. The second line – with Vygotsky, Engeström, Carayannis.

The recent developments of knowledge management theorists as Davenport, Prusak, Drew, Wiig, Zack are considered stressing learning, retaining of knowledge, approaching the state awareness of awareness, and alignment of knowledge management with the strategy of the concerned organizations.

Further, some of the details and results are presented of what is achieved so far. More specifically, knowledge management tools are applied to the practical work activities as event reporting, data collection, condition assessment, verification of safety functions and incident investigation. Obstacles are identified and improvements are proposed.

Finally, it is advised to continue to implement and further develop knowledge management tools in the organizations involved in various aspects of safety critical facilities.

Abstract [sv]

Utmaningar som kärnkraftverken och transportinfrastrukturer står inför har kartlagts. Kartläggningen pekar på att problemen är relaterade till brister i kunskap. Det är därför nödvändigt att fokusera på kunskap och implementera kunskapsmanagement med däri ingående teorier.

Sådana teorier beskrivs i ett historiskt perspektiv. Det framgår att kunskapsmanagement har flera rötter av vilka de viktigaste är informationsteorier och teorier om inlärning. Den första är associerad med namn som Wiener, Ashby, Jaynes, Dretske, Harkevich. Den andra med namn som Vygotsky, Engeström, Carayannis.

Även bidrag från moderna tänkare inom kunskapsmanagement som Davenport, Prusak, Drew, Wiig, Zack utvärderas för att förstå hur de involverade organisationerna kontinuerligt kan lära sig, bevara kunskap, nå medvetande gällande kunskap och integrera kunskapsmanagement med företagsstrategier.

Vidare så presenteras ett urval av resultat för att illustrera vad som har åstadkommits hittills. Kunskapsmanagement-teorier appliceras på verksamheter som erfarenhetsrapportering, databaser, provning, verifiering av säkerhetsfunktioner och utredning av incidenter. Kunskapsmanagement gör det möjligt att identifiera och beskriva brister i de etablerade verksamheterna och att föreslå förbättringar.

Rekommendationen för framtiden är att fortsätta arbetet med implementering och vidareutveckling av kunskapsmanagement för applikationer som är relevanta för kärkraftverk, transportinfrastrukturer och andra säkerhetskritiska anläggningar.

Place, publisher, year, edition, pages
Stockholm: KTH, 2010. x, 23 p.
Series
Trita-BKN. Bulletin, ISSN 1103-4270 ; 105
National Category
Subatomic Physics Building Technologies
Identifiers
urn:nbn:se:kth:diva-27608 (URN)
Public defence
2010-12-15, F3, Lindstedtsvägen 26, KTH, Stockholm, 10:00 (English)
Opponent
Supervisors
Note
QC 20101214Available from: 2010-12-14 Created: 2010-12-14 Last updated: 2010-12-20Bibliographically approved

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