Unit-4
SAFETY
AND RISK:
Safety was defined as the risk that is known
and judged as acceptable. But, risk is a potential that something unwanted and
harmful may occur. It is the result of an unsafe situation, sometimes
unanticipated, during its use.
Probability of safety =
1 – Probability of risk
Risk = Probability of occurrence × Consequence
in magnitude
Different methods are
available to determine the risk (testing for safety)
1. Testing on the
functions of the safety-system components.
2. Destructive testing:
In this approach, testing is done till the component fails. It is too
expensive, but very realistic and useful.
3. Prototype testing:
In this approach, the testing is done on a proportional scale model with all
vital components fixed in the system. Dimensional analysis could be used to
project the results at the actual conditions.
4. Simulation testing:
With the help of computer, the simulations are done. The safe boundary may be
obtained. The effects of some controlled input variables on the outcomes can be
predicted in a better way.
RISK-BENEFIT
ANALYSIS
The major reasons for the analysis
of the risk benefit are:
1 To know risks and
benefits and weigh them each
2 To decide on designs,
advisability of product/project
3 To suggest and modify
the design so that the risks are eliminated or reduced
There are some
limitations that exist in the risk-benefit analysis. The economic and ethical
limitations are presented as follows:
1. Primarily the
benefits may go to one group and risks may go to another group. Is it ethically
correct?
2. Is an individual or
government empowered to impose a risk on someone else on behalf of supposed
benefit to somebody else? Sometimes, people who are exposed to maximum risks
may get only the minimum benefits. In such cases, there is even violation of
rights.
3. The units for
comparison are not the same, e.g., commissioning the express highways may add a
few highway deaths versus faster and comfortable travel for several commuters.
The benefits may be in terms of fuel, money and time saved, but lives of human
being sacrificed. How do we then compare properly?
4. Both risks and
benefits lie in the future. The quantitative estimation of the future benefits,
using the discounted present value (which may fluctuate), may not be correct
and sometime misleading.
Voluntary
Risk
Voluntary risk is the
involvement of people in risky actions, although they know that these actions are
unsafe. The people take these actions for thrill, amusement or fun. They also
believe that they have full control over their actions (including the
outcomes!) and equipment’s or animals handled, e.g., people participate in car
racing and risky stunts.
Testing becomes inappropriate when the
products are
1 Tested destructively
2 When the test
duration is long, and
3 When the components
failing by tests are very costly. Alternate methods such as design of
experiments, accelerated testing and computer-simulated tests are adopted in
these circumstances.
SAFETY
LESSONS FROM ‘THE CHALLENGER’
The safety lessons one
can learn in the Challenger case are as follows:
1. Negligence in design
efforts. The booster rocket casing recovered from earlier flights indicated the
failure of filed-joint seals. No design changes were incorporated. Instead of
two O-rings, three rings should have been fixed. But there was no time for
testing with three rings. At least three rings could have been tried while
launching.
2. Tests on O-rings
should have been conducted down to the expected ambient temperature i.e., to 20
of. No normalization of deviances should have been allowed.
3. NASA was not willing
to wait for the weather to improve. The weather was not favourable on the day
of launch. A strong wind shear might have caused the rupture of the weakened O-rings.
4. The final decision
making of launch or no-launch should have been with the engineers and not on
the managers. Engineers insisted on ‘safety’ but the managers went ahead with
the ‘schedule’.
5. Informed consent:
The mission was full of dangers. The astronauts should have been informed of
the probable failure of the O-rings (field joints). No informed consent was
obtained, when the engineers had expressed that the specific launch was unsafe.
6. Conflict of interest (Risk vs. Cost): There
were 700 criticality-1 items, which included the field joints. A failure in any
one of them would have cause the tragedy. No back-up or standby had been
provided for these criticality-1 components.
7. Escape mechanism or
‘safe exit’ should have been incorporated in the craft. McDonnell
The
Three Mile Island and Chernobyl case
The Three Mile Island
Unit 2 (TMI-2) reactor, near Middletown, Pa., partially melted down on March
28, 1979. This was the most serious accident in U.S. commercial nuclear power
plant operating history, although its small radioactive releases had no
detectable health effects on plant workers or the public. Its aftermath brought
about sweeping changes involving emergency response planning, reactor operator
training, human factors engineering, radiation protection, and many other areas
of nuclear power plant operations. It also caused the NRC to tighten and
heighten its regulatory oversight. All of these changes significantly enhanced
U.S. reactor safety.
A combination of
equipment malfunctions, design-related problems and worker errors led to
TMI-2's partial meltdown and very small off-site releases of radioactivity.
The accident began
about 4 a.m. on Wednesday, March 28, 1979, when the plant experienced a failure
in the secondary, non-nuclear section of the plant (one of two reactors on the
site). Either a mechanical or electrical failure prevented the main feed water
pumps from sending water to the steam generators that remove heat from the
reactor core. This caused the plant's turbine-generator and then the reactor
itself to automatically shut down. Immediately, the pressure in the primary
system (the nuclear portion of the plant) began to increase. In order to
control that pressure, the pilot-operated relief valve (a valve located at the
top of the pressurizer) opened. The valve should have closed when the pressure
fell to proper levels, but it became stuck open. Instruments in the control
room, however, indicated to the plant staff that the valve was closed. As a
result, the plant staff was unaware that cooling water was pouring out of the
stuck-open valve.
As coolant flowed from
the primary system through the valve, other instruments available to reactor
operators provided inadequate information. There was no instrument that showed
how much water covered the core. As a result, plant staff assumed that as long
as the pressurizer water level was high, the core was properly covered with
water. As alarms rang and warning lights flashed, the operators did not realize
that the plant was experiencing a loss-of-coolant accident. They took a series
of actions that made conditions worse. The water escaping through the stuck
valve reduced primary system pressure so much that the reactor coolant pumps
had to be turned off to prevent dangerous vibrations. To prevent the
pressurizer from filling up completely, the staff reduced how much emergency
cooling water was being pumped in to the primary system. These actions starved
the reactor core of coolant, causing it to overheat.
Without the proper
water flow, the nuclear fuel overheated to the point at which the zirconium
cladding (the long metal tubes that hold the nuclear fuel pellets) ruptured and
the fuel pellets began to melt. It was later found that about half of the core
melted during the early stages of the accident. Although TMI-2 suffered a
severe core meltdown, the most dangerous kind of nuclear power accident,
consequences outside the plant were minimal. Unlike the Chernobyl and Fukushima
accidents, TMI-2's containment building remained intact and held almost all of
the accident's radioactive material.
Federal and state
authorities were initially concerned about the small releases of radioactive
gases that were measured off-site by the late morning of March 28 and even more
concerned about the potential threat that the reactor posed to the surrounding
population. They did not know that the core had melted, but they immediately
took steps to try to gain control of the reactor and ensure adequate cooling to
the core. The NRC's regional office in King of Prussia, Pa., was notified at
7:45 a.m. on March 28. By 8 a.m., NRC Headquarters in Washington, D.C., was
alerted and the NRC Operations Center in Bethesda, Md., was activated. The
regional office promptly dispatched the first team of inspectors to the site
and other agencies, such as the Department of Energy and the Environmental Protection
Agency, also mobilized their response teams. Helicopters hired by TMI's owner,
General Public Utilities Nuclear, and the Department of Energy were sampling
radioactivity in the atmosphere above the plant by midday. A team from the
Brookhaven National Laboratory was also sent to assist in radiation monitoring.
At 9:15 a.m., the White House was notified and at 11 a.m., all non-essential
personnel were ordered off the plant's premises.
By the evening of March
28, the core appeared to be adequately cooled and the reactor appeared to be
stable. But new concerns arose by the morning of Friday, March 30. A
significant release of radiation from the plant's auxiliary building, performed
to relieve pressure on the primary system and avoid curtailing the flow of
coolant to the core, caused a great deal of confusion and consternation. In an
atmosphere of growing uncertainty about the condition of the plant, the
governor of Pennsylvania, Richard L. Thornburgh, consulted with the NRC about
evacuating the population near the plant. Eventually, he and NRC Chairman
Joseph Hendrie agreed that it would be prudent for those members of society
most vulnerable to radiation to evacuate the area. Thornburgh announced that he
was advising pregnant women and pre-school-age children within a five-mile
radius of the plant to leave the area.
Within a short time,
chemical reactions in the melting fuel created a large hydrogen bubble in the
dome of the pressure vessel, the container that holds the reactor core. NRC
officials worried the hydrogen bubble might burn or even explode and rupture
the pressure vessel. In that event, the core would fall into the containment
building and perhaps cause a breach of containment. The hydrogen bubble was a
source of intense scrutiny and great anxiety, both among government authorities
and the population, throughout the day on Saturday, March 31. The crisis ended
when experts determined on Sunday, April 1, that the bubble could not burn or
explode because of the absence of oxygen in the pressure vessel. Further, by
that time, the utility had succeeded in greatly reducing the size of the
bubble.
The NRC conducted
detailed studies of the accident's radiological consequences, as did the
Environmental Protection Agency, the Department of Health, Education and
Welfare (now Health and Human Services), the Department of Energy, and the
Commonwealth of Pennsylvania. Several independent groups also conducted
studies. The approximately 2 million people around TMI-2 during the accident
are estimated to have received an average radiation dose of only about 1
millirem above the usual background dose. To put this into context, exposure
from a chest X-ray is about 6 millirem and the area's natural radioactive
background dose is about 100-125 millirem per year for the area. The accident's
maximum dose to a person at the site boundary would have been less than 100
millirem above background.
In the months following
the accident, although questions were raised about possible adverse effects
from radiation on human, animal, and plant life in the TMI area, none could be
directly correlated to the accident. Thousands of environmental samples of air,
water, milk, vegetation, soil, and foodstuffs were collected by various
government agencies monitoring the area. Very low levels of radionuclides could
be attributed to releases from the accident. However, comprehensive
investigations and assessments by several well respected organizations, such as
Columbia University and the University of Pittsburgh, have concluded that in
spite of serious damage to the reactor, the actual release had negligible
effects on the physical health of individuals or the environment.
A combination of
personnel error, design deficiencies, and component failures caused the Three
Mile Island accident, which permanently changed both the nuclear industry and
the NRC. Public fear and distrust increased, NRC's regulations and oversight
became broader and more robust, and management of the plants was scrutinized
more carefully. Careful analysis of the accident's events identified problems
and led to permanent and sweeping changes in how NRC regulates its licensees –
which, in turn, has reduced the risk to public health and safety.
Here are some of the
major changes that have occurred since the accident:
• Upgrading and strengthening of plant design
and equipment requirements. This includes fire protection, piping systems,
auxiliary feed water systems, containment building isolation, reliability of
individual components (pressure relief valves and electrical circuit breakers),
and the ability of plants to shut down automatically;
• Identifying the
critical role of human performance in plant safety led to revamping operator
training and staffing requirements, followed by improved instrumentation and
controls for operating the plant, and establishment of fitness-for-duty
programs for plant workers to guard against alcohol or drug abuse;
• Enhancing emergency
preparedness, including requirements for plants to immediately notify NRC of
significant events and an NRC Operations Centre staffed 24 hours a day. Drills
and response plans are now tested by licensees several times a year, and state
and local agencies participate in drills with the Federal Emergency Management
Agency and NRC;
• Integrating NRC
observations, findings, and conclusions about licensee performance and
management effectiveness into a periodic, public report;
• Having senior NRC
managers regularly analyze plant performance for those plants needing
significant additional regulatory attention;
• Expanding NRC's
resident inspector program – first authorized in 1977 – to have at least two
inspectors live nearby and work exclusively at each plant in the U.S. to
provide daily surveillance of licensee adherence to NRC regulations;
• Expanding performance-oriented
as well as safety-oriented inspections, and the use of risk assessment to
identify vulnerabilities of any plant to severe accidents;
• Strengthening and
reorganizing enforcement staff in a separate office within the NRC;
Establishing the Institute
of Nuclear Power Operations, the industry's own "policing" group, and
formation of what is now the Nuclear Energy Institute to provide a unified
industry approach to generic nuclear regulatory issues, and interaction with
NRC and other government agencies;
• Installing additional
equipment by licensees to mitigate accident conditions, and monitor radiation
levels and plant status;
• Enacting programs by
licensees for early identification of important safety-related problems, and
for collecting and assessing relevant data so operating experience can be
shared and quickly acted upon; and
• Expanding NRC's international activities to
share enhanced knowledge of nuclear safety with other countries in a number of
important technical areas.
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