A Review of Criticality Accidents A Review of Criticality Accidents
A Review of Criticality Accidents A Review of Criticality Accidents
A Review of Criticality Accidents A Review of Criticality Accidents
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On 11 March 1963, the facility chief and the<br />
operations engineer proceeded with pre-experiment<br />
operations with the assembly pieces still in place. The<br />
experimentalists attempted to make adjustments to the<br />
machinery <strong>of</strong> MSKS using unauthorized attachments<br />
in violation <strong>of</strong> the operating procedures. As they<br />
worked on MSKS adjusting the electromechanical lift<br />
mechanism, an excursion occurred. Seeing a flash <strong>of</strong><br />
light, the experimentalists immediately exited and went<br />
to the control room, where the facility chief pushed the<br />
control button lowering the table. The automatic scram<br />
system did not activate because the detectors to which<br />
it was tied were not operating.<br />
The accident was the result <strong>of</strong> gross violations <strong>of</strong><br />
the MSKS operating procedures by the facility chief<br />
and operations engineer. The excursion was due to the<br />
inadvertent closure <strong>of</strong> the assembly by the experimentalists.<br />
As a result <strong>of</strong> the accident investigation and<br />
analysis, it was judged that the assembly had approached<br />
or possibly even exceeded the prompt critical<br />
Neutron Detectors<br />
FKBN<br />
MSKS<br />
Neutron Detectors<br />
FKBN<br />
Control Room<br />
Figure 52. Building B floor plan.<br />
state. The number <strong>of</strong> fissions was estimated to be<br />
~5 × 10 15 fissions. The nickel clad <strong>of</strong> the plutonium<br />
was not breached and therefore no contamination<br />
resulted. MSKS itself was undamaged and remained in<br />
long-term service. 54<br />
Since the assembly parts were not damaged, they<br />
were used in a special set <strong>of</strong> experiments to more<br />
accurately estimate the exposure to personnel. The<br />
facility chief’s dose was ~370 rem, and the operations<br />
engineer received ~550 rem. Both experienced<br />
radiation sickness. The facility chief survived for<br />
26 years, and the operations engineer was still alive<br />
36 years after the accident. Both were immediately<br />
taken to a hospital for treatment. Eventually they<br />
returned to work at the VNIIEF Physics Division. Four<br />
other people working in adjacent area also received<br />
doses, although much lower (~7, ~1, ~1, and<br />
~0.02 rem).<br />
MSKS<br />
Control Room<br />
FKBN<br />
Control<br />
Panel MSKS<br />
Control<br />
Panel<br />
Corridor<br />
Rail Track<br />
Neutron Source<br />
Entrance<br />
85