genie in the bottle version 2

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Human factors analysis on nuclear accident at SL-1. Powerpoint with some notes included.

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Genie in the Bottle

Genie in the BottleWilliam BenjaminTanner CheekAlan Greene

OutlineThe accident at SL-1Human Factors IssuesVariablesSolutionsDiscussion

Problems at SL-1Three servicemen on siteNo supervisorLittle to no training for the task at hand

Poor CommunicationLack of maintenance on the sticky rod

Very Poor Instructions GivenInstructions Given to the Men

Reassembly Instructions

Design Flaws of the ReactorReliance upon a few High Worth rods

Lack of safety precautions

Clamp used was incompatible with safety standardsAbility and necessity to manually lift the rodsNo signal or warning given regarding the height of the rod being lifted

6Inside the SL-1 Reactor

Rescue EffortsRescue workers were ill equipped

With full radiation suits, could still only remain inside the reactor for just over a minute

Took over an hour and a half to find the men

Radiation levels over 1000 rads/hrThird man not found for 6 days

9Symptoms of Nuclear Radiation Exposure

Comparison of Radiation levelsVariablesImproper training of team membersLack of supervision of team membersToo few team members on the night shiftVague instructions for disassembling and reassembling drive housingPoor procedures for local response teamsVariablesRemoving one rod lead to meltdownLack of built in safety precautionsLack of psychological support for the jobs level of stressSolutionsProper training for the servicemenPractice on a mock-reactorRequire supervisors for every shiftDetailed step-by-step InstructionsCreation of a maintenance log for work performed on the reactorDiscontinuation of manual labor on reactorBetter training and equipment for rescue workers

Flow-charts for careful proceduresChecklists to follow

14SolutionsIncorporate a safety measuresDiscontinuance of high worth rods in reactorsRedesign of clamps to be used on the control rodsFull stop on control rodInability to manually lift the rodWarning system to indicate the movement of the rodsVisual; Red lightsVerbal; Spoken warnings

15Plan of EvaluationAnnual tests for techniciansBoth practical, written, and psychologicalSupervisors performing weekly audits of the facility and its team membersComplete inspection of the reactor every refueling period

Records of weekly checks of the system put into logbooksChecks to ensure members are not attempting to bypass safety systems

16Conclusion

Works CitedCasey, S. Set Phasers on Stun. Santa Barbra: Aegean Publishing Company.Karam, A. (2004 12-11). Enviromental and Background Radiation. Retrieved November 28 2010 from Health Physics Society: http://www.hps.org/publicinformation/ate/q4099.htmlLeVay, S. (2008). When Science Goes Wrong: Twelve Tales From the Dark Side of Discovery. Penguin Group.McKeown, W. (2003). Idaho Falls: The Untold Story of America's First Nuclear Accident. Toronto, Ontario, Canada: ECW Press.Ragheb, M. (2010 23-11). Stationary Low Power Plant Number 1, SL-1 Accident. Retrieved November 28 2010 from https://netfiles.uiuc.edu/mragheb/www/NPRE%20457%20CSE%20462%20Safety%20Analysis%20of%20Nuclear%20Reactor%20Systems/Stationary%20Low%20Power%20Plant%20Number%201%20SL1%20Accident.pdfhttp://www.google.com/imgres?imgurl=http://www.tpub.com/content/armychemicaloperations/Cm5206b/Cm5206b0155im.jpg&imgrefurl=http://www.tpub.com/content/armychemicaloperations/Cm5206b/Cm5206b0155.htm&usg=__j6R1yt7NlnjzlerdS3ELgodR5Wo=&h=1188&w=918&sz=86&hl=en&start=3&zoom=1&itbs=1&tbnid=IMOFy-s_Tq0BmM:&tbnh=150&tbnw=116&prev=/images%3Fq%3Dradiation%2Bpoisoning%2Bcharts%26hl%3Den%26gbv%3D2%26tbs%3Disch:1http://books.google.com/books?id=CAPL7OQWwz8C&pg=RA1-PA2172&lpg=RA1-PA2172&dq=cGy+radiation+at+SL-1&source=bl&ots=6gD4vmpdMO&sig=p7L2IUMZxFQAHv78q2xBYBU6nUs&hl=en&ei=vHz-TL7bFcH58AaX14GNBw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CBYQ6AEwAA#v=onepage&q&f=false