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2.1.1 Chernobyl Accident
2.1.1 Chernobyl Accident
2.1.1 Chernobyl Accident
Anthropogenic accident occurred on 26 April 1986 in the night from Friday to Saturday
at 1 hr 23 min 40 sec during a low-power engineering test of the Unit IV. Improper, unstable
operation of the reactor, which had design flaws, allowed an uncontrollable power surge to
occur, resulting in successive steam explosions, which severely damaged the reactor building
and completely destroyed the reactor (Figure5.2- Destroyed Unit IV)
Figure 5.2. Destroyed Unit IV
Source
Uncontrollable radioactive release
The accident released a mixture of radionuclides into the air over a period of about 10
days
The following stages of release may be identified
I – 26 April. Release due to explosions both as fine-dispersed fuel and violent
radionuclides released from fuel at Tfuel = 1600-1800 K
II – 26 April - 2 May. Release due to graphite burning at Tfuel < 1600 K
III – 2 -5 May. Release due to fuel overheating up to 2500-2800 K as a result of
radioactive decay
IV – Later 5 May. Release reduction and sporadic volley emissions of
radioactivity
Dynamics of radioactive release is shown in Figure 5.3
50
45
40
35
30
25 Ряд1
20
15
10
5
0
1 2 3 4 5 6 7 8 9 10 11
This table demonstrates that for planned exposure situation (according to the current
IAEA terminology) old-timer workers remembered their routine experience to operate in a heavy
radiation conditions with annual and dose limitation. However, the main part of personnel had no
such experience and proper trainning in time of the Chernobyl accident.
Basic regulation requirements of the USSR Radiation Safety Standards NRB-76 for
emergency situation were as follows:
Emergency plan shall be prepared in any legal person
All practicable measures shall be intended for minimize external exposure and
radionuclide intake for emergency workers (EWs)
Overexposure of EWs above dose limits may be justified:
- for the purpose of saving life,
- averting a large-scale public overexposure, and
- preventing the development of catastrophic conditions
Elevated planned exposure (EPE) shall be below twice dose limit for single
undertaken action and five times over dose limit for all emergency period of time (i.e. 100 and
250 mSv)
Written permission of administration and personal consent of EW to EPE is
required
Work Order shall include detailed list of actions, their time limitation and safety
tips
EPE not be allowed if:
- EPE+E(received before accident)>Dose Limit x T(radiation experience),
- worker already received elevated exposure over 250 mSv,
- worker is woman younger 40
These national requirements were in accordance with IAEA documents, for instance, No
50-SG-D9, IAEA, Vienna, 1985
Management system of EPR to 1986 at the Chernobyl NPP includes:
Plan of emergency management at the Chernobyl NPP
Plans of radiation protection of the NPP personnel and public
Procedure of emergency notification
Emergency system of the national operator “Souzatomenergy”
Special medical provision
General procedure for official inquiry and liquidation of major accidents in
industry
For clear understanding actual emergency response after the accident it is necessary to remind
features of state power. The USSR was a totalitarian state. So existed national EPR system had a
command-and-control management style:
Strict vertical of power
Secrecy order in nuclear energy and atomic industry
As a consequence:
Guaranteed financial and resource provisions of any countermeasures
Inability of serious decision making at a local level
Restriction on exchange emergency experience between NPPs and informing of nuclear
workers
Special judgment No 1
Formally, general approach to a problem of radiation protection
regulation for rescuers and emergency workers by the time of the
Chernobyl accident and currently not undergoes a change.
From practical application point of view, existed national EPR
system had a features agreeable to that command-and-control
management style and national mentality
2.1.1.3. Categories of emergency workers
According to the USSR, Belarus, Russia, Ukraine Laws specific cohort of emergency
workers and recovery workers are defined as participants of emergency response (so called
“liquidators”):
“Citizens taken part in termination of the accident and in mitigation of its consequences
on the affected areas in 1986-1990”
The total number of emergency and recovery operation workers (from 1986 to 1990) was
530,000 including 150,000 liquidators worked at the NPP site area
Within this period of time the duration of emergency exposure situation assumed to be 7
months (26 April - 30 November 1986 - completion of the SHELTER construction around Unit
IV).
Attributes for categorization of emergency workers
Management of emergency works, including radiation protection (national
governmental and functional EPR system) - Figure 5.4
Time after accident (first responders on scene, attracted units for urgent response,
emergency workers for restoration) - Table 5.2.
Type of emergency work (saving life, preventing of catastrophic conditions,
source localization, evacuation, decontamination etc) Tables 5.3, 5.4.
5
LIQUIDATOR S
CIVIL MILITARY
INGENEERING TROOPS
CHEMICAL TROOPS
FRONTIER GUARDS
CIVIL DEFENCE
FIRE-BRIGADES
ENTERPRISES
INSTITUTES
AIR FORCE
COMBINAT
SECURITY
SERVICE
POLICE
GUARD
ChNPP
US-605
Table 5.2.
Cohorts of liquidators (EWs) in 1986
Table 5.3.
Operating schedule in 1986
Table 5.4
General activities
Special judgment No 2
10 Chernobyl N PP area
Cooling pond
100 3000
1000
1000
Special judgment No 3
Unfortunately emergency dose monitoring was absent during
reflex phase:
The first radiation data were reported after 1 -3.5 hours later explosion
Individual dose monitoring has not been carried out on April, 26. Only film
badges (the upper level of registration of 20 mGy) were present. Routine individual dose
monitoring has been carried out for 4,750 ChNPP workers and attracted personnel before the
accident (data on 1 January 1986)
Actual doses for witnesses were in the range of 40- 15,000 mGy
Dose of 40 mGy was received only during one trip from Pripyat town to the NPP
Number of emergency workers and witnesses is given in Table 5.7 and urgent actions - in
Table 5.8.
As a result of a heavy radiation conditions, lack of occupational exposure monitoring
from one hand, and professional courage of workers and firemen, from other hand,
overexposures were occurred (Table 5.9)
Table 5.7.
First responders & witnesses of accident
Contingent Number of witnesses
At the accident moment 8 hours later
Personnel of Units I-IV 176 374
Builders of Units V, VI 268 -
Firemen 24 69
Guards 23 113
Medical staff - 10
Subtotal 491 566
Table 5.8.
Actions of the first responders
No Action
1 Fire control
2 Saving life
3 Cut-off ventilation/ electricity, switching of cooling system , lube swap
4 Examination of equipment
5 Radiation reconnaissance#
6 Water supply
# Radiation data were reported after 1 -3.5 – 8.5 -17.5 hours later explosion
Table 5.9
Individual and collective doses of the first responders
Internal exposures took a lower values compared with external doses .Average committed
equivalent dose (lung) for alive 125 witnesses of accident, treated in clinics was about 400 mSv.
Distribution of thyroid doses is shown in Figure 5.7
Internal thyroid doses: first responders
HT
Outside
mSv Industrial area Inside Unit IV Inside Unit IV industrial area
few hrs later
1000
75%
100
25%
max
10
A B C D min
1
Group of Chernobyl workers, 26 April 1986
Table 5.10.
Management during the first 18 hours
No Manager Arrival Operator guide
1 Director NPP +45 min Emergency headquarters actions
2 Main engineer NPP +3 hr Water supply, s/m measurements
3 Shift man NPP: Formal 0 Collect witnesses, notification. Actually
head of reflex response transmit his duty to No 4, 7
4 Deputy Main engineer on 0 Actual head: call the fire, switch on
operation Unit III+Unit IV diesel generator, ventilation, switch off
power supply cables, saving life, stop
Unit III
5 Shift man Unit III 0 Complete and strict compliance with
emergency plan & instructions
6 Shift man Unit IV 0 Translation of No 4 guides
7 Deputy head of safety +1 hr Radiation monitoring, zoning 30
department mGy/h#, switch off ventilation
# Radiation zoning has not be applied on April, 26
There are two alternative retrospective estimates of reflex management
View I– Decision making was chain of mistakes or
View II – Decision making would have been logical timely resolute actions (water supply,
preventing panics, challenging data of radiation reconnaissance, switch off long-distance
telephony etc) if reactor of Unit IV had not been destroyed.
Special judgment No 4
Along with positive action and results, delay of reflex administrative
response concerning occupational radiation protection is obvious:
“Dose Order form” did not apply during the first day for
organization of any work
Forbidden and restricted working radiation zones have not be
applied
Procedure of “Elevated Planned Dose Permission” did not apply
during the first day
Ignoring danger of overexposure by administration and personnel
excepting dosimetrists and the turbine shop workers
Urgent evacuation of unnecessary personnel
50 83 19
87
89A
57A 27A
48A 30A 91 38
35
42A
28A
83A 24A 80 85 40
300 42A
12
24
15A
1000 1000 4 82
15 13
42A 56
2000 93A 95
2A
100 23A 9A
10
3000 21A
23
9 8
300
4000 30 10 42 30
1000
7A 7A 34 7 7
16
6A 5A 6
3000
17 5
Coordinates in meters
Figure 5.5. Spatial distribution of exposure rate, mGy/hr at the NPP site
Table 5.5.
Total beta-activity. 26 April 1986
Sample Place of sampling Concentration, Bq m-3
Air Premises of Unit III 109 – 10 10
Pumped water# Flooded basement Up to 10 13
# 57, 700 m3 of water was pumped out of the basement to cooling pond
A 1000 C 30 mGy
100
100mGy
10
1
1mGy/h
B D
Re
lati
ve
co
1Gy
nte
nt,
%
R
B – Kerma within first 2 days – 4 km zone D – Fuel radionuclide composition with time
Fig 5.6. Gamma radiation near the Chernobyl NPP and radionuclide composition of fuel and fallout
2.1.1.5 Early Phase: 27 April -20 May 1986
Harmful working conditions at the early phase included chemical, physical, radiological and
psychological factors.
Table 5.11.
Chemical factor at working places
Physical factor was ionizing of air. Ionization levels exceeded permissible level many
times (103- 105 greater near Unit IV). This factor led to oropharyngeal syndrome estimated to be
58% among liquidators in 1986 (3000 questionnaires)
Total exposure
External Internal
External External
beta-particles Alpha-
photons neutrons
- beta-rays
Directed to
“forward-back”, Directed to
Distant & Inhalated
Isotropic, “forward-back”
contact radionuclides
Rotary
Neutron exposure
The first wrong measurements of neutron flux were evidence of nuclear chain
reaction. This suggestion became start point in the set of early countermeasures directed to
nuclear safety
Neutron exposure gave minor impact to the total dose (up to 1-2% of gamma
exposure nearby Unit IV, June-July 1986)
Types
of work
Table 5.12.
Sources and average energy of photons at the typical working places
Comparison of measured external and internal exposures show that external exposure was
dominant component of total dose (Figure 5.9)
Comparison of measured
external and internal exposures
1 1111
Internal dose/ ALI
0.01
0.0001
1
External dose/ Dose limit
0.0001 0.01 1 100
Figure 5.9. Ratios of measured external and internal exposures for early liquidators
Doses and dose distribution for early civil liquidators are presented in Table 5.14..
Table 5.14.
Individual and collective doses
It is important to estimate part of collective dose related to useful actions. Figure 5.10
demonstrates distributions of man-power and collective dose among general actions had been
carried out within first days following the accident.
Fig.5.10. Distributions of man-hours and collective doses during first 5 days after vthe accident
One can see that movement and loss of time account for ¾ of total collective dose.
Special judgment No 4
Optimization of traffic on contaminated area is important issue from
occupational radiological protection point of view.
Special judgment No 5
Involvement a great number of people in emergency response and
recovery operations without proper selection and training is professional
and social phenomenon of the Chernobyl event
Planned Actual
Public returning into 30-km Sept -Dec 1986 Not reevaluated
zone
Construction of the Shelter September 1986 November 1986
Decontamination on-site NPP September 1986 December 1987
Unit I startup July 1986 October 1986
Unit II startup July 1986 October 1986
Unit III startup August 1986 December 1986
Recovery of Units V and VI October 1986 Never
projects
Involvement of large number of common people was needed to fulfill this strategy.
Above-mentioned Decree resolved:
“To accelerate decontamination operations in the Chernobyl NPP zone, which operations
are of social and political importance and the first priority
to call up reservists for 6 month-term above limits provided to Ministry of Defense by
the USSR Council Ministers of 20 August 1985”.
However, targets has have been achieved with delay or other results have not been
achieved at all.
Special sanitary regulation
Special sanitary regulation covered all objects and aspects of emergency works.
Firstly, radiation zones has been established as follows;
Zone I – (so called, zone of strict control) – area between isolines 3.0 -5.0 mR/hr (30-50
µGy/h) decay-corrected on May, 10. Projected annual external dose below 50 mSv;
Zone II – (including 30-km zone and excluding or prohibited 10-km zone) - area
between isolines 5.0 -20 mR/hr (50-200 µGy/h) decay-corrected on May, 10
Zone III – area of prohibited 10-km zone above isoline 20 mR/hr (>200µGy/h), excluding
industrial site of NPP, Pripyat town
Zone IIIA – industrial site of NPP, Pripyat town
Secondly, different regulatory and administrative documents were adopted, applied and renewed.
Types of adopted documents in May and June 1986 are given in Tables 5.13, 5.14
Temporal permissible levels for surfaces were used at the sanitary check-points and applied as
criteria of decontamination. Primarily, values of flux density of beta-particles were identified.
However gamma-exposure rate was more convenient value for large scale radiometric
examination of surface contamination: 10,000 β/(cm2 min) →1 mR/hr or 1,000 β/(cm2 min) →
1 µGy/h (Table 5.15) . Change of temporal permissible levels is illustrated in Table 5.16.
Table 5.13
Sanitary regulation: May 1986
Table 5.14
Sanitary regulation: June 1986
Table 5.15
Temporary permissible levels (TPLs) of surface radioactive contamination. Adopted on May, 7,
1986
Table 5.16
Temporary permissible levels (TPLs) for surface contamination (mR/hr) Adopted on
02.06.1986 /on 14.10.1986
Zone
Contaminated object I II III III-A Outside
Total number of involved workers was 21,500. Maximal shift of workers was 11,000,
including 6,000 of military staff and 5,000 of civil workers. Monitoring procedure was the same
both civil and military staff. Numerical structure of dose monitoring department was 150 - 270.
System of dose monitoring management included radiation technical survey, dose monitoring,
radiation protection and research function. It was delineated 12 working zones of industrial area
during the US-605 activity according to radiation situation and operation technologies.
Administrative daily dose of 10 mSv was established for permanent control of received dose.
Also set temporary permissible levels of surface radioactive contamination were adopted and
timely revised by both regulatory body and emergency operator. A noticeable dose decreasing
gave using separate shuttle mobile means in different zone.
Figure 5.12. Dose distributions for civil and military liquidators of US-605 enterprises
Special study shown influence of behavior factor (both professional and psychological
origins) on individual dose value. Dose distribution for group of liquidators carried out a certain
operation at the same working place may be approximated by lognormal dependence with GSD
= 1.75±0.20 (see Figure 5.13)
Table 5.19.
\Individual and collective doses: 26 April – 31 December 1986): official data
Large scale application of protective means is one of important lesson of Chernobyl, Briefly,
results of this experience in heavy radiation conditions are illustrated in Tables 5.20-5.22
Table 5.20
Personal protective equipment
PPE Organ /tissue Reduction factor
Filter mask & respirator Lung 40 – 200 (without violation of
obturation)
Lead screen 3mm Red bone marrow 1.9
Lead band 3mm Gonads 1.83 ± 0.15
Dust proof spectacles 2mm Eyes 36 - 200
Plexiglass helmet visor 2-5mm Skin, lens of the eye
Lead inner soles 1.5mm Feet 1.4
Lead rubber apron Body 1.6
Lead rubber gloves Hands 1.4
Table 5.21.
Radiation protected mechanisms
Table 5.22.
Decontamination planning and carrying out
Principle Procedure
Choice of main source 1. To estimate exposure rate and collective dose due to
local areas
2. To select area raised maximal dose on other areas
Step-by step recapture of territory 1. To start from the most contaminated part removing
sources from a back space
2. To use local shield against radiation from front space
Application of unmanned techniques 1. To use building technology, robots, remote control
guidance
2. To equip point of control with monitors and
speakerphone
The reduction of operational duration 2. To work out operations in normal radiation condition
2.To analyze detailed operational time study
Positive lessons
Dose management on the base of Dose Order Form
Change of routine managers to the emergency managers in the field of radiation
protection
Dual personal dose monitoring of external exposure: daily and cumulative
Application of “Choice of main source”, “Step-by step recapture of territory” approaches,
“Optimal impact on radiation situation” concept
Application of unmanned techniques the reduction of operational duration
Dose distribution analysis in ALARA procedure
Lead protective equipment was not optimum in the limited time conditions for intensive
manual operations
Suitable and adequate personal protective equipment (including protective clothing,
respiratory equipment, protective aprons and gloves) is required from radiation protection
of EWs
Specific judgment No 6
Involvement a great number of people in emergency response and recovery operations
without proper selection and training is professional and social phenomenon of
Chernobyl event
Large-scaled application of Elevated Planned Exposure in excess of 50 mSv conflicts
with IBSS-2011 (4.15). However justification of such decision was outside of the SRP
Conclusions to 2.1.1
1. Both positive and negative lessons of the Chernobyl accident
concerning radiation protection of emergency workers are still valid for
international community.
2. Two issues are considered extremely important, i.e. (1) management
and dose control for the first responders and (2) involvement of a great number of
common people to recovery operation.
3. Chernobyl experience has demonstrated change of priorities and key
issues in different phases of mitigation consequences:
Reflex phase:
- To clarify situation and arising threats by forces of collection and
comprehensive analysis of witness evidence;
- To introduce emergency plan into action. Emergency management and
urgent actions should be directed on maintenance of the viability of the object;
- To limit the number of involved emergency workers by means of
evacuation of unnecessary witnesses, functionality of security check-points;
- To measure exposure rate and surface radioactivity contamination for
delineation of emergency zones;
- To prevent radionuclide carrying over by managing and functionality of
sanitary check-points.
Early phase:
- To identify list of urgent actions, available means and man power
according to radiation situation and predictable threats;
- To use graded approach for operational planning;
- estimate resources for urgent measures;
- To apply system of emergency management in proper manner.
Recovery phase:
- Strategy planning based on holistic approach;
- Stakeholder involvement;
- Transition from emergency management to management for existing
exposure situation;
- Implementation of analytic ALARA procedure;
- Design and application of optimized technologies and protective means
4. Brief list of negative lessons are as follows:
(1) Absence of adequate personal dose monitoring means and dosimeters for
measurements of high levels of air kerma rate;
(2) Working assumption that reactor was not destroyed for water supply
operation;
(3) Working assumption that active core was placed inside reactor;
(4) Political decision on Unit III restoration without economic justification
5. Positive lessons are as follows:
(1) Reliable system of security check-points and sanitary check points;
(2) The ranking of the harmful factors: external gamma → external beta→
internal exposure;
(3) Development of retrospective dosimetry techniques;
(4) Timely triage of victims and system of three-stage medical treatment;
(5) Managing stable iodine prophylaxis;
(6) Dose management on the base of Dose Order Form;
(7) Change of routine managers to the emergency managers in the field of
radiation protection;
(8) Dual personal dose monitoring of external exposure: daily and
cumulative;
(9) Application of “Choice of main source”, “Step-by step recapture of
territory” approaches, “Optimal impact on radiation situation” concept;
(10) Application of unmanned techniques the reduction of operational
duration;
(11) Dose distribution analysis in ALARA procedure;
(12) Application of suitable and adequate personal protective equipment
(including protective clothing, respiratory equipment, protective aprons and
gloves). It was proved that lead protective equipment was not optimum in the
limited time conditions for intensive manual operations
References
1 Chernobyl’ 88. Proceedings of the Union scientific-technical Conference. Ten volumes.
Edited by Ye. I. Ignatenko. Ministry of Atomic Energy. Chernobyl, 1989
2. R.M. Alexakhin et al. Large Radiation Accidents: Consequences and Protective
Countermeasures. Edited by L.A. Ilyin, V.A. Gubanov. Moscow, IzdAT, 2004.
Book was printed in Russian - 2001, in English - 2004 and in Japanese
3. V.P. Kruchkov et.al. Mitigation of accident consequences at Chernobyl NPP: Radiation and
dosimetry issues. Edited by V.G. Asmolov, O.A. Kochetkov. Moscow, IzdAT, 2013 Book was
printed in Russian - 2011, in English - 2013