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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Outdated design…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