% Safety Imperative \begin{frame}{Human operators are the root cause of 70--80\% of nuclear incidents} \begin{center} \begin{tikzpicture} \draw[thick, fill=gray!20] (0,0) rectangle (12,7); \node[align=center, text width=10cm] at (6,3.5) { \textbf{FIGURE: Human Error Statistics}\\[0.3cm] Top: Pie chart showing 70--80\% human error\\ vs 20\% equipment failure\\[0.3cm] Middle: TMI timeline visualization\\ 100+ alarms $\rightarrow$ operator confusion $\rightarrow$ 44\% meltdown\\[0.3cm] Bottom: Human Error Probability chart\\ HEP: 0.001 (optimal) $\rightarrow$ 1.0 (accident conditions)\\ Stress factors multiply error rates 10-50x }; \end{tikzpicture} \end{center} %SPEAKER NOTES: See comments below % \textbf{The Human Error Problem:} \begin{itemize} \item 70--80\% of events attributed to human error (multiple independent analyses) \item IAEA: ``Human error was the root cause of ALL severe accidents'' (TMI, Chernobyl, Fukushima) \end{itemize} \textbf{Three Mile Island (1979):} \begin{itemize} \item 100+ simultaneous alarms overwhelmed operators \item Operators shut down emergency cooling based on incorrect assessment \item Result: 44\% of fuel melted \item Risk assessment was off by 500-fold (5\% actual vs 0.01\% predicted) \end{itemize} \textbf{Fundamental Cognitive Limitations:} \begin{itemize} \item Working memory: 7±2 items (Miller, 1956) \item HEP: 0.001--0.01 optimal $\rightarrow$ 0.1--1.0 under accident conditions \item Four decades of training improvements haven't changed the 70--80\% ratio \end{itemize} % (End of speaker notes) \end{frame}