Journal of Japan Society for Safety Engineering
Online ISSN : 2424-0656
Print ISSN : 0570-4480
ISSN-L : 0570-4480
ORIGINAL PAPER
Root Cause Analysis of Accidents on Large-scale Complex Systems using Dual Vee Model
Hironori Maejima, Naohiko Kohtake, Yoshiaki Ohkami and Kenichi Takano
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JOURNAL OPEN ACCESS

2013 Volume 52 Issue 2 Pages 82-90

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Abstract
Root cause analyses of system failures are important from a viewpoint of prevention of recurrence of the failures and occurrence of similar failures. Five-why Analysis and Fault Tree Analysis are most popular however these analysis results depend on the skill of the analysts strongly because these use brain-storming method. The authors have proposed a root cause analysis method using Dual Vee Model, which has given a guidance in space systems applications to analyze and therefore the result less depends on the skill of the analyst. This paper demonstrates the results of the application of the method to failures of Nuclear Power Plants. This paper also proposes a chart to identify systems to which the method can be applied.
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© 2013 JAPAN SOCIETY FOR SAFETY ENGINEERING
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