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AbstractAbstract
[en] As a result of the April 11, 1986 failure and subsequent property damage of the silicon-controlled rectifier (SCR) device used to provide dc power to the motor driven construction and salt handling (CandSH) hoist at the Waste Isolation Pilot Plant (WIPP), the Project Manager, WIPP Project Office, appointed an Accident Investigation Board on April 14, 1986. The Board was tasked to investigate, to determine the cause or causes of the SCR failure, and to make appropriate recommendations to prevent a recurrence. Subsequently, the scope of the investigation was expanded on April 22, 1986, to include a series of failures that occurred after the initial failure. This occurrence came after the SCR had been released by the Board, repaired, modified, and returned to use. The investigation included a review of the engineering, procurement, operations, and maintenance programs of the Management and Operating Contractor (MOC), along with a detailed investigation of the hardware involved in the failure. Analytical techniques included use of the Management Oversight Risk Tree (MORT) and Events and Causal Factors Sequence Charting. 15 figs
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Source
10 Oct 1986; 147 p; Available from NTIS, PC A07 - OSTI; 3 as DE89003544; Paper copy only, copy does not permit microfiche production.
Record Type
Report
Report Number
Country of publication
ELECTRICAL EQUIPMENT, ELECTRONIC EQUIPMENT, EQUIPMENT, FUNCTIONAL MODELS, MANAGEMENT, MATERIALS, NATIONAL ORGANIZATIONS, NUCLEAR FACILITIES, PILOT PLANTS, RADIOACTIVE MATERIALS, RADIOACTIVE WASTE FACILITIES, RECTIFIERS, SEMICONDUCTOR DEVICES, SYSTEM FAILURE ANALYSIS, SYSTEMS ANALYSIS, US DOE, US ORGANIZATIONS, WASTE DISPOSAL, WASTES
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