
116
Human and Organizational Factors in Nuclear Safety
On Tuesday, the researchers assembled a line to perform the
transfer. Upon seeing that the level in the tank was not rising, they
stopped the transfer but, a few seconds later, the building’s criticality
alarm sounded. What happened is that the researchers had incorrectly
assembled the line, causing the contents of the container to be
transferred to the glovebox, which was still connected to the cabinet
housing the container because the rinsing line used the previous
Friday was still in place. However, the workstation was not equipped
to receive solutions with such a level of radioactivity. ...