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“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Outdated design…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
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2016-10-05
T Knöös