Introduction - DOE-HDBK-1141-2001

Radiological Assessor Training

DOE-HDBK-1141-2001

Instructor's Guide

Show OT 16.1.

Introduction

State objectives.

The radiological incident about

II.

Case studies guidance

which the case study is

developed concerned a loss of

control of radioactive

Point to remember: If each root cause is not

contamination at the Paducah

adequately treated/corrected by a corrective action,

Gaseous Diffusion Plant in

recurrence of the event or some variation of it is

August of 1991. This event was

likely.

worsened by the fact that some

offsite to employees' homes and

Review a reconstruction of events from the available

data.

As a group, discuss the known

A proper investigation report or occurrence report

facts and whether there is

enough information to

reconstructs the events as they occurred.

reconstruct the event.

Determine whether the

"performance of the workers" or

the "systems in place" led to the

event. This discussion will lead

to how the systems support the

workers and the workers

support the systems.

Module 16 2