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A Review of Criticality Accidents A Review of Criticality Accidents

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determined by a radiation control person called to the<br />

scene. Measurements indicated that an intense gamma<br />

radiation field was emanating from the filtrate receiving<br />

vessel. These measurements were made about 15 to<br />

20 minutes after the accident. The radiation control<br />

person immediately ordered a prompt evacuation <strong>of</strong> the<br />

area.<br />

About 5.5 hours after the event, the exposure rate<br />

was measured to be 18 R/h at a distance <strong>of</strong> 1.5 m from<br />

the filtrate receiving vessel. It was estimated that this<br />

exposure rate corresponded to a fission yield <strong>of</strong><br />

approximately 1.0 × 10 17 fissions. Seventeen hours<br />

after the accident, measurement <strong>of</strong> the specific activity<br />

<strong>of</strong> the 24 Na in the operator’s blood showed<br />

245 Bq/cm 3 . Based on analysis done at that time, this<br />

activity was consistent with an absorbed whole body<br />

dose <strong>of</strong> about 3,000 rad. The operator died twelve days<br />

after the accident.<br />

Five other operators had been in the room at varying<br />

distances from the reacting vessel at the time <strong>of</strong> the<br />

accident. They received doses estimated to be upwards<br />

3. Mayak Production Association, 2 January 1958<br />

This particular accident was unique in that it<br />

occurred during operations with a vessel used for in–<br />

plant critical experiments. However, since the accident<br />

occurred well after the cessation <strong>of</strong> an experiment and<br />

during handling operations associated with transferring<br />

the fissile solution into favorable geometry bottles, it<br />

has been categorized as a process criticality accident.<br />

After the 21 April 1957 accident, it was decided to<br />

set up a small-scale experiment capability for measuring<br />

the critical parameters <strong>of</strong> high concentration,<br />

highly enriched uranyl nitrate solution. This was<br />

deemed necessary in light <strong>of</strong> the widespread use <strong>of</strong><br />

unfavorable geometry process vessels, the uncertainties<br />

in the critical parameters, and in recognition <strong>of</strong> two<br />

prior criticality accidents at the same plant. Previously,<br />

critical vessel dimensions and critical solution concentrations,<br />

masses, and volumes were estimated based on<br />

calculations, since directly applicable experimental<br />

results were unavailable in Russia at that time. The<br />

experimental capability was set up in the same building<br />

where large volumes <strong>of</strong> this material were being<br />

processed, giving efficient access to the fissile solution.<br />

The small critical experiment setup, shown in<br />

Figure 8, was located in a separate room in the main<br />

process building. It had only been in operation for two<br />

months at the time <strong>of</strong> the accident. During measurements,<br />

the critical experimenters worked at a control<br />

<strong>of</strong> 300 rad. All <strong>of</strong> them suffered from temporary<br />

radiation sickness but recovered without apparent<br />

long-term health effects.<br />

After dismantling the glovebox and cleaning the<br />

various pieces <strong>of</strong> equipment, a total <strong>of</strong> 3.06 kg <strong>of</strong> 235 U<br />

was discovered in the filtrate receiving vessel. This<br />

material was primarily in two forms: a thin, hard crust,<br />

due to long-term buildup, and a flocculent precipitate,<br />

the concentration <strong>of</strong> which decreased with height in the<br />

vessel. The accident caused no mechanical damage to<br />

this vessel, and the room was not contaminated. The<br />

glovebox was taken apart, cleaned, and reassembled<br />

with essentially the original equipment. The operation<br />

was resumed after just a few days. During the downtime,<br />

a radiation meter was installed on the glovebox,<br />

operating instructions were revised, and enhanced<br />

operator training was implemented.<br />

This accident led to the decision to set up an in–<br />

plant critical experiment measurement capability to<br />

better determine critical parameters for vessels in<br />

routine use. The next criticality accident at Mayak on<br />

2 January 1958 involved this critical experiment set up.<br />

Uranyl nitrate solution, U(90), in an experiment vessel; one prompt critical burst; three fatalities one serious<br />

exposure.<br />

panel located a few meters away from the setup and<br />

shielded by a 500 mm thick, water–filled slab tank<br />

located 600 mm from the experiment vessel. There<br />

were no criticality alarms installed in the building.<br />

This was the first day <strong>of</strong> work after the New Year’s<br />

holiday. While the plant generally ran continuously on<br />

four 6–hour shifts daily, there was only one team <strong>of</strong><br />

critical experimenters. They were working on their first<br />

shift <strong>of</strong> the new year, 13:00 to 19:00. Other plant<br />

operators were involved in preparing the fissile<br />

solution and in assembling the experimental apparatus,<br />

but the critical experiments were performed solely by<br />

this dedicated, knowledgeable team.<br />

The prior series <strong>of</strong> experiments had focused on<br />

determining critical parameters for smaller vessels and<br />

had been concluded before the end <strong>of</strong> the year. During<br />

the last working days <strong>of</strong> December the equipment for<br />

the next experimental series had been assembled. This<br />

was the first experiment conducted with this larger<br />

vessel. It was a cylindrical stainless steel vessel,<br />

750 mm inside diameter, with a wall thickness <strong>of</strong> 2 to<br />

4 mm, representative <strong>of</strong> the vessels in common use at<br />

the facility. The fissile solution, <strong>of</strong> known concentrations<br />

and volumes, was added from an overhead,<br />

graduated cylinder 3 l in capacity.<br />

The experiment vessel was bolted to a stand and sat<br />

atop an 8 mm thick steel support plate approximately<br />

11

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