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Others


                                                                                            Mechanical Failure
              Human Factors
                                                           5%

                                                   11%
                I & C Failure





                                                                              51%
                                          20%






                                                      13%




              Electrical Failure


                                    Fig. 1.9: Classification of Direct Causes of SERs



                                                                                             Human
                    Others                                                                   Performance
                                                                                             related-Personnel
                                                                                             work practices
                RCA under
                  progress                                 5%
                                                13%
                                                                                             Human
                                                                                             Performance
                                   11%                                 27%                   related-Procedure
                                                                                             unavailability/
                                                                                             incompleteness/
         Equipment related-                                                                  non-compliance
        Maintenance, testing
             or surveillance
                                      13%
                                                                                            Equipment
                                                                                            related-Design
          Equipment related-                                           11%                  configuration &
                Specification,           4%             16%                                 analysis
         manufacture, storage
              and installation
                                                                                             Equipment related-
                                                                                             Ageing

                                   Fig. 1.10: Classification of Root Causes of SERs


                                                                                      AERB Annual Report 2019  33
   56   57   58   59   60   61   62   63   64   65   66