Bill Salot,
In the nuclear power community the NRC has a minimalistic inspection program, called the Reactor Oversight Program (ROP),that is justified by each licensee having a good Problem Identification and Resolution (PI&R) function. If the PI&R function is not robust the basis of the NRC's process crumbles. The theory is that if the licensees are finding their own problems the NRC can back off and be "risk-informed. "
If the vast majority of harmful factors are surfaced by PI&R all is well. These are called "licensee-identifie d" problems. The others are called "self-revealing" problems and NRC-identified problems.
There are a few other identification modes that are left ambiguous.
If the "self-revealing" problems and NRC-identified problems are few and non-significant the system is working. Otherwise??? ??
I expect that ON, OFSG, and Terry Herrmann will straighten me out on this.
I hope this
helps.
Stay well.
All the best.
Bill Corcoran
--- In
Root_Cause_State_ of_the_Practice@ yahoogroups. com, "Salot, William" <william.salot@ ...> wrote:
>
> Bill C and Steve N,
>
>
>
> I have seldom used the term "self-revealing" , but, now that you have
> bought it up, I see a potentially powerful use for it.
>
>
>
> First, let me ask, Steve, how were you thinking of using it?
>
>
>
> Second, what I had in mind is that most "factors" on a "factor tree" are
> "self-revealing" , by clear evidence, common knowledge, simple deduction,
> etc. "Self-revealing" factors are obvious answers to the question:
>
"What combination of "factors" directly resulted in ___?"
>
>
>
> Here is where the power lies: If a "factor tree" ends up with nothing
> but "self-revealing" factors, there is something wrong with the "factor
> tree".
>
>
>
> We don't analyze things to identify their "self-revealing" factors. We
> analyze for unknowns.
>
>
>
> What did we fail to do that allowed ___ to happen? The answers to that
> question constitute unknown factors that underlie the adverse event.
> Let's call it them "mystery" factors. They are the opposite of
> "self-revealing" . They also add drama to the process.
>
>
>
> What did we fail to do that allowed the "mystery" factors to go
> unrecognized? That seldom-asked question takes us to an even deeper
> level. Maybe we should ask it more often.
>
>
>
> Bill Salot
>
>
>
> ____________ _________ _________ __
>
> From:
Root_Cause_State_ of_the_Practice@ yahoogroups. com> [mailto:
Root_Cause_State_ of_the_Practice@ yahoogroups. com] On Behalf Of
> DR WILLIAM CORCORAN
> Sent: Friday, July 03, 2009 9:13 AM
> To: SteveNikolai;
Root_Cause_State_ of_the_Practice@ yahoogroups. com> Cc:
Root_Cause_State_ of_the_Practice@ yahoogroups. com> Subject: Re: [Root_Cause_ State_of_ the_Practice] Re: Self-Revealing
>
>
>
> Steve and all,
>
>
>
> The Rootician's Dictionary is at
>
>
http://tech. groups.yahoo. com/group/ Root_Cause_ State_of_ the_Practice/ data> base
> <
http://tech. groups.yahoo.
com/group/ Root_Cause_ State_of_ the_Practice/ dat> abase>
>
>
>
> Try searching it on the following:
>
> 1. self-reveal
> 2. self reveal
>
> If there is more to be said on that topic please hit the REPLY button
> and type away.
>
>
>
> Take care,
>
> Bill Corcoran
>
>
>
>
>
> --- On Thu, 7/2/09, DR WILLIAM CORCORAN
> <William.R.Corcoran @...> wrote:
>
>
> From: DR WILLIAM CORCORAN <William.R.Corcoran @...>
> Subject: [Root_Cause_ State_of_ the_Practice] Re: Self-Revealing
> To: "SteveNikolai" <Steve.Nikolai@ ...>
> Cc:
Root_Cause_State_ of_the_Practice@ yahoogroups. com> Date: Thursday, July 2, 2009, 3:38 PM
>
> Steve,
>
>
>
> Thanks for the question.
>
>
>
> I will add a definition of "Self-revealing. "
>
>
>
> But before I do I'm going to ask the 650 or so members of the root cause
> e-group (and you as well) if they have any official definitions.
>
>
>
> To me a self-revealing item (problem, factor, consequence. ..) is one
> that calls attention to itself without the need for inspections,
> self-assessments, audits, or the like.
>
>
>
> Am I getting close?
>
> Take care,
>
> Bill Corcoran
>
> --- On Thu, 7/2/09, Nikolai, Steve <Steve.Nikolai@ fpl.com> wrote:
>
>
> From: Nikolai, Steve <Steve.Nikolai@ fpl.com>
> Subject: Self-Revealing
> To: "firebird.one@ alum.MIT. edu" <firebird.one@ alum.MIT. edu>
> Date: Thursday, July 2, 2009, 12:04 PM
>
> Hi Dr. Bill,
>
> I'm still doing causal analysis at Point Beach, and a question has been
> brought up about self-revealing. Now we're trying to define it. I
> looked through your Rooter's Dictionary that I keep handy but didn't see
> it in there. Do you have a definition for it?
>