Implicit rules
Operators are expected to follow operational rules, even when
they are implicit.
Definition
An implicit rule is one missing from the formal
system documents, and
thereof may or may not be implemented.
The risks of implicit rules
Implicit rules are
error-prone.
- They could be taught in training sessions, which
operators might forget
later
- they could be documented in the operational manual, which the
operators
might miss when reading them
- Operators might fail to trace the
system mode, or might fail to obey the
rules.
Examples
- The design of the TMI nuclear power plant enabled the
operators to
close the backup cooling
system (
Perrow ).
- The design of the
navigation handle of the Torrey Canyon supertanker
enabled the operators to change it to the Control position, which disconnected the wheel from
the rudder (Casey ).
If
the rules are implicit, then the
operators might execute
maintenance activities in functional
operation. Sometimes, these activities
are
risky, especially, when the maintenance activities involve
safety add-ons.
Updated on 29 Mar 2016.