2016 Risk Course Book

53

“Causes” of the accidents in this lecture

 Incorrect commissioning o Non-qualified physicist o Lack of internal/external audit after commissioning  Incorrect repair of accelerator o Non-qualified repair and lack of reporting…  Accelerator interlock failure o Outdated design…  Miss-calibration of beam o Lack of understanding and education… o Lack of internal/external audit after commissioning  In-correct use of TPS/RV system o Lack of understanding and education… o Missing one data route – risk analysis missing

2016-10-05

T Knöös