

“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Outdated design…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
53
2016-10-05
T Knöös