~/talk

Who Destroyed Three Mile Island?

Talkat The Lead Developer London 2018 · 2018-07-02..07-03
slides:none on file

A minute-by-minute reconstruction explains why operators switch off emergency cooling: misread pressurizer level, a stuck pilot-operated relief valve, a delayed block-valve closure, and overloaded alarms; timeline shows core exposed by ~2/3 and about 20 tons of melted uranium with cleanup costing over $1 billion and taking decades; root causes are training, instrument design, and procedures; recommends systems thinking, blameless post-mortems and human-factors fixes that actually reduced risk.

AI-written summary · about

  1. 0:00Start
  2. 0:53How a Nuclear Reactor Generates Power
  3. 2:02Basic Mechanics of a Nuclear Power Plant
  4. 2:45Families of Nuclear Reactors
  5. 2:59Pressurized Water Reactor
  6. 7:38Schematic of Three Mile Island Unit Two
  7. 9:41The Pressurizer
  8. 10:58The Pilot-Operated Relief Valve Opens
  9. 24:34Hindsight Bias
  10. 25:04Outcome Bias
  11. 31:31Why Did the Crew Not Respond When the Sump Alarm Went Off
  12. 32:35Alarm Printer
  13. 33:50Understand Why It Made Sense
  14. 34:16Seek Forward Accountability
  15. 34:30Holding People Accountable
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