~/talk

Who Destroyed Three Mile Island?

Talkat RailsConf 2018 · 2018-04-17..04-19· [engineering-leadership]

A control-room decision chain lets a small plumbing fault become a partial meltdown: a leaking pilot-operated relief valve floods the sump, operators see rising pressurizer level and turn off high pressure injection after 2½ minutes, then later close a block valve that seals in heat. About 30 tons of fuel melt, cleanup costs ~$1 billion and takes 14 years, containment prevents a public radiation release, and post‑accident inquiry rewrites procedures and training.

AI-written summary · about

  1. 0:00Start
  2. 22:47Hindsight Bias
  3. 23:14Outcome Bias
  4. 30:51Human error is never the cause.
  5. 31:23Understand why it made sense.
  6. 31:51Seek forward accountability. not backward.
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