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[Music]

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Chain of events, cause and effect.

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We analyse what went right and what went wrong,

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as we discover that many outcomes can be predicted, planned for, and even prevented.

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I'm John Chidgey, and this is Causality.

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Causality is part of the Engineered Network.

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To support our shows, including this one,

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head over to our Patreon page and for other great shows visit https://engineered.network/ today.

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Chernobyl

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The fourth time is not a charm.

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On the 25th of April 1986, a cooling test began in Reactor 4 of a relatively new nuclear power

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plant called Chernobyl, near the town of Pripyat in northern Ukrainian Soviet Socialist Republic,

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the USSR in the Soviet Union. It would end the following day with what has become to date the

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most disastrous nuclear power incident in history, considered to be a Level 7 event on the international

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nuclear event scale. The only other event that has been classified as a Level 7 was covered in

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Episode 3 at Fukushima in 2011. It was an incident whose causes are hotly debated and it has been

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analysed by all and sundry for many many years since the event. One camp claiming

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that it wasn't caused by malfunctioning equipment but rather by human factors

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alone whilst others claim it was caused by a fundamentally flawed reactor

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design for which failure was inevitable at some point. Either way it wasn't

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caused by natural events that were inadequately prepared for, or for faulty

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equipment poorly serviced or monitored. But we're getting ahead of ourselves.

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The Soviet Union began a campaign in the 1960s of building towns to house the people

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that would construct and operate their power stations of the future.

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One of the nine so-called "Atom Towns" was the town of Pripyat, 104km or 65mi

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north of Kyiv.

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The construction of the new Chernobyl nuclear power plant began in 1970.

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Even after construction was well underway, debates continued through 1972 about the final

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design of the reactor. The two options considered were Pressurized Water Reactor (PWR) or Reaktor

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Bolshoy Moshchnosti Kanalnyy (or RBMKs for short), loosely translated meaning "High Power

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Channel Reactor". The RBMK design, specifically the 1,000 series, which is considered today

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to represent the second generation of large-scale nuclear reactor designs, was developed in

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Russia and was heavily favoured by nuclear scientists at the time as it was touted as

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having the lowest cost per MegaWatt of generated electricity.

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The downsides of the reactor design were instability in low power conditions and significantly

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higher radiation due to the fact it was a boiling water design.

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Ultimately the RBMK design was chosen for its cost effectiveness and the first unit

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was brought online in 1977, with a second following in 1978. In 1982, Unit 1 experienced

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a partial meltdown, however this is not directly related to what was to happen in subsequent

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years and therefore it's beyond the scope of this episode. The fact that details about

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this partial meltdown in Reactor 1, and the quantity of reactor issues that were covered-

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up by the Soviet Union in that time period is cause for some concern.

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In this case, the extent of the meltdown in 1982 wasn't released to the public until

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1985, long after the damage was repaired and the unit was returned to service.

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Unit 4, in this case, however, was brought online on the 20th of December 1983.

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An interesting side note was that three months prior to the incident, in the February 1986

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edition of Soviet Life, Vitaly Sklyarov, the Minister of Power and Electrification of Ukraine

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was quoted as saying "The odds of a meltdown are one in 10,000 years. The plants have safe

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and reliable controls that are protected from any breakdown with three safety systems."

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The power plant itself had a three-shift rotation, with 8 core hours of work per shift and

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a 30-minute handover between the shifts. Night shift ran from midnight to 8 in the morning,

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day shift from 8 in the morning to 4 in the afternoon, and evening shift from 4 in the

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afternoon to midnight.

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Like all nuclear fission power plants, the fission reaction of fissile material, in this

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case was U235, releases large amounts of heat, and that heat in turn converts liquid water

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to steam, which in turn drives a turbine, and this turbine drives a generator, which

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produces electricity.

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Beyond the usual need to condense the steam for recycling through the system, cooling

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water is also essential for keeping the temperature of the reactor under control,

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especially when the core is shut down to control decay heat generated.

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Decay heat has been covered in previous Episodes 3 and 17 if you want more information about

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that.

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Reactor 4 specifically had 1,600 fuel rods that required 28,000 litres per hour which

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is 7,400 gallons per hour of coolant flow.

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The cooling pumps that regulated the core temperature relied on steam created by the

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reactor to drive a turbine to create electricity to, in turn, drive those pumps.

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The backup diesel generators took 15 seconds to start once triggered, and between 60 and

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75 seconds in total to start, come online and ramp up to the minimum power required

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to run the cooling pumps.

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The idea was that the residual momentum of the steam turbine could continue to generate

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enough electricity to cover the gap for an estimated 45 seconds in the event that the

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steam cut out when there was no grid power available.

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The test that led to the incident itself had actually been carried out previously on several

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occasions. The first time was 4 years earlier in a different reactor with the same design,

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but the engineers found the output voltage produced under momentum rotation, was insufficient

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to drive the cooling pumps. It was attempted again 2 years after the first attempt and

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again a year after that, each time the test failed to achieve the desired goal.

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The fourth test was the one that led to the incident in 1986.

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Interestingly, the test focused more on electrical switching and electrical performance with

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minimal detail surrounding the reactor control.

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As a result, the test procedure had been heavily reviewed by the electrical engineering personnel

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and approved by the plant director however, the chief scientist and chief reactor designer

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were not involved in the co-ordination of the test itself.

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It seems at first glance that after 3 failed attempts they should have accepted

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the end result and investigated other options perhaps like redesigning including flywheels

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or including a UPS system.

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However with financial restrictions and a strong perception that this "gap" was a

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significant and unaddressed safety issue in the reactor's design, they pushed ahead with

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the test with the hope that they could prove it could work with the equipment that they

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had already installed.

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And now about the incident itself.

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This test had been planned for some time and the conditions required to execute the test

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required a power reduction for the unit overall.

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Under normal operational conditions the full 3.2GW of thermal power drove 2 turbines

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and in order to test low power operation they first needed to drop off one turbine and at

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on Friday, the 25th of April, plant operators began the 12-hour process of power reduction,

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reaching a target of 50% at 1.05pm that same day. At that time, turbine number 2 was switched

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off. Around 2pm, another power plant on the electrical

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grid had tripped, and the Kyiv electrical grid controller advised that the power should

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not be dropped further at Reactor 4 until the evening peak period had passed. Hence

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power at Chernobyl was maintained at 50% in Reactor 4, all the way through until 11pm

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that evening. Despite the original test plan requiring a drop to 30% prior to shutting

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off the Emergency Core Cooling System (the ECCS), was shut off anyway shortly after 2:00pm.

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At 4pm, the evening shift began. In the lead-up to the test, both day and evening

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shifts were run through the details of the test procedure at length, with the intention

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that the test be completed during the late day or early evening shifts of the Friday.

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However, with the 10-hour delay due to an unrelated power station trip elsewhere on

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the grid had meant that whilst most of the preconditions for the test had been achieved,

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When the night shift arrived for handover, the critical execution of the test itself

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was handed to the night shift to perform instead.

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Yuri Tregub was one of the two operators from the evening shift that was intended to run

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the test and he opted to stay around for the night shift to assist the night shift operators

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with the test.

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The night shift consisted of minimal staffing, with less experienced operators regularly

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given the night shift as a right of progression through the ranks, a standard practice in

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many companies the world over. Following references to reactor power in MegaWatts refer to MegaWatt

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thermal, meaning reactor power measurement specifically not the electrical output of

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the generator. Between 11pm and midnight the core was reduced from 50% to 30% and further to 700

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MegaWatt thermal (MWt) at 5 minutes past midnight now on Saturday the 26th of April as this was the

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targeted safe level for the test. The reactor power change was made significantly faster

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than during the previous night and day shift adjustments had been made. Reactors need to

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have their power levels increased and reduced gradually, otherwise instability can occur

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when the reactor goes out of equilibrium. So why do reactors go out of equilibrium?

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The Iodine-135 conversion by decay to Xenon-135 becomes a Neutron absorbing fission by-product

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acting similarly to a control rod.

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Under normal reactor operation, a common uranium fission by-product is Tellurium-135 which

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has a very brief half-life of only 19 seconds, which then beta decays into Iodine-135 with

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a half-life of 6.6 hours which then subsequently also beta decays into Xenon-135.

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Xenon-135 has a half-life of 9.2 hours, however the bigger problem is its cross-section for

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Neutron absorption which is measured in units called "Barns,"" where 1 Barn is 10^-24cm2.

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The probability of fission occurring relates on two characteristics relating to the Neutron,

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speed of the Neutron first. Under a fission event or a decay event, Neutrons are released

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at high speed, imaginatively called "Fast Neutrons". In order to increase the probability

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that the nucleus will retain an additional Neutron when it hits it, we try to slow the

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Neutron down first, to a so-called "Thermal Neutron". The cross-sectional area in Barns

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of the nucleus the Neutron is fired at means that the larger that value, the larger the

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target area, the more likely the Neutron will hit that target. The larger the

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Barns, meaning the higher the probability the nucleus will

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ultimately capture the Neutron as well. Since there are two Neutron speeds there

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are two cross sections: Thermal and Fast. Carbon in the form of Graphite is

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commonly used in rods to slow down fast Neutrons turning them into Thermal

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Neutrons and interestingly Carbon does not tend to capture Neutrons in this

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process. Control rods on the other hand are typically made of Boron-Cadmium or

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Indium as these have higher Thermal and Tast Cross-Sections and capture the

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Neutrons very readily. At Chernobyl the reactor used Boron-Carbide control rods

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and Graphite Carbon moderator rods. Boron's Thermal Cross-Section is 200

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Barns and Fast Cross-Section is 0.4 Barns. Circling back to Xenon-135 which

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is why we're going down this discussion and why all this matters is its Thermal Cross-Section

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is a whopping 2M Barns and its Fast Cross-Section is 0.0008 or 1/1250th of a Barn.

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In addition, Xenon-135 captures its Neutrons like a control rod is designed to, which actually

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is a problem. Hence, it doesn't take very much Xenon-135 to start absorbing a lot of

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Neutrons and to slow your reaction rate down significantly. Under normal

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operation the ramp up and ramp down of the reactor power ensures that there are

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sufficient Neutrons in the reactor in its Neutron flux such that the Iodine

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and Xenon-135 balance leads to the Xenon absorbing excess Neutrons and

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converting it to other isotopes: an effect referred to as "burning-off" the

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Xenon. If the Xenon isn't being burned off at the same or a similar rate as

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it's being created then this leads to an effect referred to as "Reactor Poisoning".

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When poisoning occurs too many Neutrons are absorbed by the Xenon-135 and

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unlike a control rod whose position inside the reactor core can be precisely

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controlled (hence its name) the Xenon concentration isn't directly

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controllable by an operator and that's a problem. It becomes a somewhat random

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element impacting the reactors controllability and thus leading to

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instability in the core. One more detail, the control rod insertion and removal mechanism

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operated at 0.4 m/sec at Chernobyl, that's about 16 in/sec, and each rod

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extended at maximum to the full height of the core, which was 7m. Hence it would take between 18

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to 20 seconds to fully extend into or retract out of the core. Now that we've established that,

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back to the incident. At 12:05am, Aleksandr Akimov, the Unit Shift

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Chief in charge of the test, took over from Tugrub, though despite being weary after back-to-back shifts,

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Tugrub stayed to advise if needed. The reactor power dropped even further, despite the fact

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that the shift operator, Leonid Toptunov, hadn't moved the control rod positions.

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The core further dropped to approximately 500MWt by 12:28am,

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due to reactor poisoning. At this time, Toptunov transferred control of the control rod positioning

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from local to automatic regulation without first selecting the option to "hold power at required

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level." This resulted in the control rods being inserted far deeper into the reactor core than

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intended, dropping even further the power output to only 30MWt, effectively performing

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an unintended shutdown of the core.

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The operators and engineers involved in the control room debated whether they should continue

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the test or to just completely abort it at that point.

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Anatoly Dyatlov, the deputy chief engineer, was supervising the test, and despite Akimov

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and Toptunov's objections, he threatened to hand control of the reactor to Tegrub from

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the previous shift if they did not comply and continue to push ahead with the test as

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planned. In order to increase the power from the reactor, the operator on shift switched

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to full manual control of rod positioning and removed more control rods from the core

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to try and accelerate the reaction. And at 12:32am local time, only 26 control rods remained

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in the core, noting that there are 211 in total.

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In preparation for the test, several of the automatic SCRAM initiator triggers had been

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disabled as the test conditions would have triggered a core shutdown automatically had

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they been left enabled, although the manual SCRAM button (labelled AZ-5) was available

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if it was needed. The reactor gradually responded to the removal of the control rods and appeared

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to stabilise at about 200MWt at 1:00am. At 1:03am, a standby cooling circulation pump

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was switched into the left cooling loop in accordance with the test procedure to increase

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water flow to the core. At 1:07am an additional cooling pump was connected to the right cooling

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loop in accordance with the test procedure. Since water acts as a Neutron absorber as

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well as a coolant, this began to affect the core which was already unstable due to poisoning.

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At 1:15am, with the reactor power now dropping once again as a result of the increased cooling

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water flow, 20 more rods were removed from the core, leaving only 6 control rods in place.

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The steam drum that separated the liquid water from the steam at 1:19am hit the emergency

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low level shutdown height, however the operator blocked this because this would have rendered

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the test invalid, effectively aborting it before the test could really begin.

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At 1:21am, the reactor section foreman was on the open platform above the reactor core

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and observed that the fuel channel blocks, each weighing 350kg or 770lbs, were jumping

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up and down and felt shockwaves rippling through the floor.

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At 1:21.50, the pressure in the steam separator drums fell sharply and the

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operator attempted to manually control the water flow rate to keep the water level in

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the drum at an acceptable level so they could begin the test.

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Now believing that they had achieved this and the conditions were acceptable to begin

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the test, at 1:23am the instruction to manually shut the steam lines was given and at 1:23:04am

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the valves were all closed and the test officially began.

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As the flow rate into the core slowed down, the boiling rate accelerated at the bottom

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of the core, creating an increasing number of steam voids in the coolant.

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These voids reduced the Neutron absorption and drove the reactivity of the core up higher.

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The pressure in the pressure tubes increased and within 20 seconds of the steam shut off,

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temperature spiked and the reactor power increased past 530MWt. It is believed

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that the operator realised the reactor power was surging and at that point they initiated

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a manual SCRAM event and pushed the AZ-5 button at 1:23:40am. Whether this was the reason

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a SCRAM was initiated or not, it cannot be determined for certain.

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As the control rods were reinserted into the core, in only 4 seconds the reactor power

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shot up to an estimated 100 times maximum design value, rupturing several fuel channels

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and the 1,000T reactor support plate detached, warping the control rod mechanisms, jamming

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them in their position at only half inserted.

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The fracturing allowed steam and water to enter back into the reactor completely uncontrolled,

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which at 1:23:45am, only 41 seconds after the test began, the core was open to air from

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the outside.

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There is some debate about the conditions in the core at this point, given the limited

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instrumentation available that was still functional at that point and the inaccessibility following

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the explosion, however the more commonly postulated source was a Graphite fire at high temperature

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leading to hydrogen production and subsequent explosion.

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The second explosion at approximately 1:24am was significantly larger, blowing the reactor

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lid off completely and ejecting large quantities of fuel, moderator and control rod material

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as well as concrete, steel and radioactive byproducts as high as 1km (6/10th of a mile)

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into the air.

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The force of the second explosion killed the main circulating pump plant operator Valery

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Khodemchuk instantly, with a second dying from injuries sustained in the explosion a

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few hours later.

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Power went out through the facility with only battery backed up lighting remaining,

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though the large amount of radioactive dust made visibility difficult in this early morning

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hours.

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At 1:26:03am, the fire alarm was activated by Akimov.

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At 1:28am, 14 firemen stationed on site arrived at the Reactor 4 building and began fighting

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the numerous fires that had broken out in and surrounding Reactor 4.

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In the following 30 minutes, the operators received mixed messages about whether the

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reactor had been breached and tried a multitude of things to re-establish core cooling with

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no success.

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Aleksandr Kudryavtsev and Viktor Proskuryakov were the trainees from other shifts, sent

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to observe and learn from Tuptunov during the test execution.

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They were sent by the shift lead to turn the manual control rod positioners to ensure a

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full core shutdown, still believing that they were operable.

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Upon reaching the reactor hall, with the upper biological shield in the reactor no longer

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containing radiation, in the 1min they observed the blue-red fire in the core of

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Reactor 4, their skin was darkened with a so-called "Nuclear Tan," also known as a Radiation

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Burn, as they absorbed a fatal dose of radiation. They returned to report the state of the reactor

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core to the control room, however when they arrived and told the story, they were not

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believed. By 2:00am a group of 100 firefighters from Pripyat converged on the largest fires

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on the roof of Reactor 4 and by 5:00am in the morning the majority of the fires had been

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extinguished. Following the explosion in the early hours a group of people from the town

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of Pripyat gathered on a nearby bridge to watch the fire from a distance. The flames

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were of many different colors reaching into the sky.

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However, the prevailing wind direction was blowing the fallout from the explosion

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directly across where they were standing

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in that part of town

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and none of the people on that bridge survived.

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At 6:00am

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Akimov was relieved by the unit chief, although he stayed on site fighting

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extreme nausea.

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By 6:35am all the fires had been extinguished by a contingent of now

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186 firefighters on the scene, with the sole exception of the Graphite fire in the remains

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of the core of Reactor 4. At 8:00am the day shift began, including the construction crews of

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286 people building Reactors 5 and 6 continued on site. No instruction was given to evacuate

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at that point. As the day went on in the town of Pripyat nearby, dozens of people became

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increasingly unwell, reporting severe headaches, metallic tastes in their mouths accompanied

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by uncontrolled fits of coughing and vomiting. Later in the evening on Saturday, the order

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was given to assemble transportation for a mass evacuation of Pripyat, and at midnight

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on Sunday the 27th of April, buses arrived in town ready for the evacuation order to be given.

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At 1:13am on Sunday, Reactor 1 was shut down, followed by Reactor 2 the next hour. At 7:00am

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Monday morning it was finally confirmed that the Graphite in the core was not only still

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burning but it was emitting extremely large amounts of radiation.

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The order was given to begin sky drops of a mixture of sand, boron and lead into the

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open reactor core from above via helicopters.

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From approximately 10:00am that morning helicopter dumps began and between the 27th of April

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on the 1st of May, 1,800 flights dropped over 5,000T of material into the reactor

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core. Following the incident it was confirmed that very little of this material ever actually

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reached the core because at that time the core had melted through deeper into the building

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structure. At 2:00pm Sunday Pripyat was evacuated with 43,000 residents leaving in a space of

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only 3-1/2hrs on a contingent of 1,200 buses. It was orderly and efficient,

286
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although somewhat belated.

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00:25:22,560 --> 00:25:29,280
The fallout from this incident was far-reaching, with radioactive material in the upper atmosphere

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00:25:29,280 --> 00:25:34,500
carried by the jet stream to the United States and Asia, though the largest concentrations

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00:25:34,500 --> 00:25:38,500
of radioactive material fell over Europe.

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The first signs of this were detected by the Forsmark Nuclear Power Plant in Sweden at

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00:25:44,060 --> 00:25:52,940
9:30am on Monday 28 April, only two days after the incident and some 1,100km or 680mi

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away.

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An American spy satellite provided detailed evidence to the world outside of the Soviet

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Union on Tuesday the 29th of April that showed the scale and severity of the incident at Chernobyl.

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In the weeks following the incident a tunnel was bored from underneath Reactor 3 to under Reactor 4 and a large slab of concrete was put in position

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under Reactor 4 to prevent the still molten core from entering the water table beneath.

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A month later, despite radiation levels dropping on site, the idea of a concrete sarcophagus was proposed to contain any further releases of radiation.

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More about that in a moment.

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31 people died as a direct result of the incident in the first 3 months alone, though the

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00:26:36,100 --> 00:26:39,740
following years would be much worse.

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00:26:39,740 --> 00:26:44,020
Akimov died on the 10th of May, 14 days after the incident.

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00:26:44,020 --> 00:26:51,500
Toptunov died four days later, on the 14th of May, along with Aleksandr Kudryavtsev and

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00:26:51,500 --> 00:26:59,100
Viktor Proskuryakov, the other trainee, dying on the 17th.

304
00:26:59,100 --> 00:27:02,940
Many of the operators involved couldn't provide critical details of the incident in

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00:27:02,940 --> 00:27:08,460
the days following due to their medical condition after the incident.

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00:27:08,460 --> 00:27:12,940
The town of Pripyat has been abandoned since the incident occurred, although interestingly

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00:27:12,940 --> 00:27:18,500
tourists have more recently been allowed with controlled visits to the town.

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00:27:18,500 --> 00:27:24,580
Both Caesium and Strontium radioisotopes are the primary fallout materials that are preventing

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00:27:24,580 --> 00:27:31,140
rehabitation of impacted areas in the fallout zone. The half-life of Caesium-137, for example,

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00:27:31,140 --> 00:27:36,660
is 30 years, hence safe habitable levels may be hundreds of years away depending upon the

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concentration in any given area. A forest area of about 4sqkm downwind of the plant

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00:27:43,460 --> 00:27:49,860
turned reddish brown following the incident and completely died. The losses of livestock were huge

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00:27:49,860 --> 00:27:54,480
across many parts of Europe, specifically looking at the United Kingdom though, it restricted

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00:27:54,480 --> 00:28:00,060
the movement of sheep from upland areas when Caesium-137 fell across parts of Northern

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00:28:00,060 --> 00:28:06,940
Ireland, Wales, Scotland and Northern England. Immediately following the disaster in 1986,

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00:28:06,940 --> 00:28:15,860
a total of 4,225,000 sheep had their movement restricted across 9,700 farms to prevent contaminated

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00:28:15,860 --> 00:28:21,780
meat from entering the human food chain, and that was just the United Kingdom.

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00:28:21,780 --> 00:28:28,500
Longer term, 237 people suffered from acute radiation sickness and it's estimated that

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00:28:28,500 --> 00:28:35,060
about 4,000 people will die prematurely in total due to cancers caused by the radioactive

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00:28:35,060 --> 00:28:38,300
fallout from Chernobyl.

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00:28:38,300 --> 00:28:41,340
So what went wrong?

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00:28:41,340 --> 00:28:45,700
As I said before, there are two formal groups that debate the true cause of the incident

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00:28:45,700 --> 00:28:50,160
– design flaw or people factors.

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00:28:50,160 --> 00:28:56,860
One of them was the INSAG-1 report International Nuclear Safety Advisory Group in 1986 and

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00:28:56,860 --> 00:29:02,580
their second report, INSAG-7, in 1992 followed the declassification of documents from the

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00:29:02,580 --> 00:29:08,460
former Soviet Union, which argued the primary cause was human factors.

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00:29:08,460 --> 00:29:16,300
The other was the IAEA, International Atomic Energy Agency's 1993 revised report that

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00:29:16,300 --> 00:29:22,600
also took detail from the declassified documents and their conclusion focused on the RBMK design

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00:29:22,600 --> 00:29:25,180
as the primary cause.

330
00:29:25,180 --> 00:29:28,200
Let's consider design flaw first.

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00:29:28,200 --> 00:29:33,300
The RBMK design lacked several key features that contributed to the outcome at Chernobyl.

332
00:29:33,300 --> 00:29:37,340
The first, a positive steam void co-efficient.

333
00:29:37,340 --> 00:29:40,000
It's a measure of how a reactor responds

334
00:29:40,000 --> 00:29:43,220
to increasing steam formation in the cooling water

335
00:29:43,220 --> 00:29:45,220
surrounding the fuel rods.

336
00:29:45,220 --> 00:29:47,460
Reactors cooled by boiling water

337
00:29:47,460 --> 00:29:50,240
contain a proportion of steam in their core.

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00:29:50,240 --> 00:29:52,940
Since liquid water is more efficient as a coolant

339
00:29:52,940 --> 00:29:55,920
and more effective at absorbing Neutrons than steam is,

340
00:29:55,920 --> 00:29:58,660
if there's a change in the proportion of steam bubbles

341
00:29:58,660 --> 00:30:00,700
or voids in the coolant,

342
00:30:00,700 --> 00:30:02,380
there will be a corresponding change in

343
00:30:02,380 --> 00:30:08,380
core reaction rate as a result. The ratio of these changes is termed the void co-efficient

344
00:30:08,380 --> 00:30:14,280
of reactivity. If the void co-efficient is negative, an increase in steam will lead to

345
00:30:14,280 --> 00:30:21,220
a decrease in reactivity. When the void co-efficient is positive, an increase in steam will lead

346
00:30:21,220 --> 00:30:26,480
to an increase in reactivity which will in turn lead to more heat being generated which

347
00:30:26,480 --> 00:30:31,640
will in turn further increase the reactivity. Hence positive void co-efficients are considered

348
00:30:31,640 --> 00:30:35,640
to be fundamentally bad design for nuclear reactors.

349
00:30:35,640 --> 00:30:39,760
Although it's an over-simplification to say that the void co-efficients are the main contributor

350
00:30:39,760 --> 00:30:45,040
to overall power co-efficients of reactivity in a nuclear reactor, in the RBMK design it

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00:30:45,040 --> 00:30:49,600
is the largest contributor and it is positive.

352
00:30:49,600 --> 00:30:55,400
Not only that, but with the RBMK design the void co-efficient depends on the reactor configuration

353
00:30:55,400 --> 00:31:01,240
and its stability which is dependent on other factors such as the reactor's ORM which

354
00:31:01,240 --> 00:31:07,320
leads to the next issue. The minimum number of rods to satisfy the ORM was

355
00:31:07,320 --> 00:31:13,740
far too low. The ORM stands for the Operational Reactivity Margin and it's a

356
00:31:13,740 --> 00:31:18,760
set of formulae that calculate the safe number of control rods to be inserted at

357
00:31:18,760 --> 00:31:24,540
any given time in the reactor. If there are too few control rods below the ORM

358
00:31:24,540 --> 00:31:30,000
the reactivity of the core will be unstable. In the technological

359
00:31:30,000 --> 00:31:34,960
regulations on operation of 3rd and 4th power units of the Chernobyl Nuclear Power

360
00:31:34,960 --> 00:31:42,880
Plant with RBMK-1000 reactors, dated 1983, the text translates from Russian approximately

361
00:31:42,880 --> 00:31:44,720
as follows.

362
00:31:44,720 --> 00:31:48,440
"Section 6.6.4:

363
00:31:48,440 --> 00:31:53,040
Minimum reactivity margin in the process of power lifting after a short-term stop should

364
00:31:53,040 --> 00:31:55,640
make not less than 15 rods.

365
00:31:55,640 --> 00:32:02,060
If at extraction of CPS (Control and Protection System) rods during reactor turn up to a critical

366
00:32:02,060 --> 00:32:08,080
condition the reactivity margin will decrease to 15 rods and will continue to fall.

367
00:32:08,080 --> 00:32:12,840
To dump all rods to bottom limit switches, rods to bring into the zone of their greatest

368
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efficiency.

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By the curves of poison out to define an idle time."

370
00:32:19,160 --> 00:32:25,960
That's not necessarily the best translation however we interpret that as meaning there

371
00:32:25,960 --> 00:32:32,480
should be 15 rods in the core in a situation the core was in immediately prior to the incident

372
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not 6.

373
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After the incident calculations were re-done estimating with the specific conditions at

374
00:32:41,720 --> 00:32:50,760
1:23:30am that the minimum equivalent number of rods for ORM was 8, which was still

375
00:32:50,760 --> 00:32:57,560
more than were inserted at the time. Clearly operators were either unfamiliar with the

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00:32:57,560 --> 00:33:03,400
regulations or if they were under the duress of the test at the time they didn't recall them or

377
00:33:03,400 --> 00:33:11,240
they didn't appreciate the risk of ignoring them. How this is a bad design is such that operators

378
00:33:11,240 --> 00:33:17,240
didn't have a visual indication or a real-time calculation to estimate the ORM when they're

379
00:33:17,240 --> 00:33:24,440
operating the reactor. Thirdly, the reactor control and protection mechanism, the control rods

380
00:33:24,440 --> 00:33:32,040
themselves, were badly designed. The control rods each had a section of Graphite for 152mm

381
00:33:32,040 --> 00:33:37,560
(that's 6") at their furthest position. When the control rods were fully extracted

382
00:33:37,560 --> 00:33:43,800
as they were being inserted into the core, the first Graphite segment also displaced water in

383
00:33:43,800 --> 00:33:50,680
the rod channel and then the Boron-Carbide control rod material would follow after the Graphite.

384
00:33:50,680 --> 00:33:55,160
The rate of insertion and removal was such that when they were commanded to be inserted,

385
00:33:55,160 --> 00:34:01,400
the reactor had the top position of the fuel rods exposed to an unintended moderator.

386
00:34:01,960 --> 00:34:09,320
The Graphite displaced 150mm of absorbing water with 150mm of Graphite as a moderator,

387
00:34:09,320 --> 00:34:15,880
for half a second. As the rods were inserted into the core, the additional set of moderators

388
00:34:15,880 --> 00:34:20,520
continued to track through the core until they reached final insertion when they were taken out

389
00:34:20,520 --> 00:34:26,920
of play. This had the effect of slowing enough Fast Neutrons to become Thermal Neutrons,

390
00:34:26,920 --> 00:34:33,240
which ironically led to an acceleration of the reaction rate for a period of time before the

391
00:34:33,240 --> 00:34:39,240
Boron-Carbide could then absorb excess Neutrons and slow down the reaction rate as they were

392
00:34:39,240 --> 00:34:45,880
intended to. Hence, inserting the control rods created a "power blip" in the reactor core

393
00:34:45,880 --> 00:34:50,920
before the control rods began controlling as they should have. When a reactor is operating

394
00:34:50,920 --> 00:34:56,360
under stable operational conditions at moderate to full load, this isn't a problem,

395
00:34:56,360 --> 00:35:01,680
and at normal load it's barely measurable. However when the reactor is

396
00:35:01,680 --> 00:35:08,320
heavily poisoned and highly unstable already it was the spark that set off a

397
00:35:08,320 --> 00:35:14,360
rate of fission sky-rocketing out of control. Now let's consider the human

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00:35:14,360 --> 00:35:19,640
factors. The training for the test was provided for the shifts when they were

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00:35:19,640 --> 00:35:24,880
supposed to carry out the tests not the graveyard shift. Pressure to execute the

400
00:35:24,880 --> 00:35:30,040
tests to close a known safety design flaw at the early hours of the morning bypassed

401
00:35:30,040 --> 00:35:36,280
their rationale and caution. There's also the effect of "RBMKs have been operating

402
00:35:36,280 --> 00:35:41,320
all over Russia for a decade without incident therefore they must be safe" that serves

403
00:35:41,320 --> 00:35:47,040
to throw common sense out the window as well. There weren't incidents in RBMKs because

404
00:35:47,040 --> 00:35:52,600
of a combination of factors including: operators of the other plants followed the rules, they

405
00:35:52,600 --> 00:35:55,720
understood reactor poisoning and how it functioned,

406
00:35:55,720 --> 00:36:01,240
the government regularly covered up and kept incidents a secret (even small ones) meaning

407
00:36:01,240 --> 00:36:05,440
there were incidents in other RBMK reactors, it's just the other operators were never

408
00:36:05,440 --> 00:36:07,320
told about them.

409
00:36:07,320 --> 00:36:14,220
And any high risk testing at other plants, they'd been handled by more experienced operators.

410
00:36:14,220 --> 00:36:19,360
More experienced operators would have known to abort the test, or at least let the reactor

411
00:36:19,360 --> 00:36:25,440
gradually stabilise, burn off the Xenon-135 and get rid of the reactor poisoning for several

412
00:36:25,440 --> 00:36:28,640
hours before they began the test.

413
00:36:28,640 --> 00:36:33,520
Had they done that, there wouldn't have been an incident.

414
00:36:33,520 --> 00:36:41,440
Like Challenger, the Space Shuttle, interestingly in the same year, the clear go/no-go criteria

415
00:36:41,440 --> 00:36:45,960
for the test to initiate had to be set.

416
00:36:45,960 --> 00:36:48,040
And at Chernobyl it had been.

417
00:36:48,040 --> 00:36:55,320
700MWt for the reactor with the correct ORM prescribed control rods in position.

418
00:36:55,320 --> 00:37:02,080
Not 200MWt and certainly not with only 6 control rods inserted.

419
00:37:02,080 --> 00:37:06,600
Clearly the operators didn't understand enough about the fission reaction and the

420
00:37:06,600 --> 00:37:12,940
reactor poisoning to appreciate why the test had been set the way it had been.

421
00:37:12,940 --> 00:37:20,340
They had made exceptions to the test to the go/no-go criteria on the fly without knowledge,

422
00:37:20,340 --> 00:37:26,000
experience or authorisation from those that should have been consulted first.

423
00:37:26,000 --> 00:37:31,200
The thing that amazes me is that it was so vital that the facility continued to generate

424
00:37:31,200 --> 00:37:36,860
electricity for the Soviet Union's power grid that despite the incident, the drawn-out

425
00:37:36,860 --> 00:37:42,000
clean-up and precautions taken, they pushed ahead anyway.

426
00:37:42,000 --> 00:37:45,580
Reactor 1 was restarted on the 29th of September that year.

427
00:37:45,580 --> 00:37:51,020
On the 10th of October, order was given to recommence construction of Reactors 5 and

428
00:37:51,020 --> 00:37:52,020
6.

429
00:37:52,020 --> 00:37:54,980
Reactor 2 came back online on the 9th of November.

430
00:37:54,980 --> 00:37:58,940
At that point the sarcophagus was still under construction over Reactor 4.

431
00:37:58,940 --> 00:38:04,600
It wasn't even completed until the 14th of December in 1986.

432
00:38:04,600 --> 00:38:11,500
The design life of the initial sarcophagus structure was 30 years, and it took some 300,000T

433
00:38:11,500 --> 00:38:19,420
of concrete and 6,000T of steel to construct, albeit hastily. Reactor 3 came back online on the

434
00:38:19,420 --> 00:38:25,180
21st of April 1987 and with this achieved, it was announced two days later, finally,

435
00:38:25,180 --> 00:38:29,900
Reactors 5 and 6 would no longer be completed and construction was finally stopped on them.

436
00:38:29,900 --> 00:38:38,060
In coming decades, Reactors 1, 2 and 3 continued to supply electricity until Reactor 3 was the

437
00:38:38,060 --> 00:38:43,540
last to be shut down on the 15th of December in the year 2000.

438
00:38:43,540 --> 00:38:50,840
Doing the math on the original sarcophagus for a moment, that design life ended in 2016.

439
00:38:50,840 --> 00:38:55,060
The Ukrainian government realised this was coming and the hastily built structure needed

440
00:38:55,060 --> 00:39:01,180
to be done properly and in 1992 launched an international competition to design and construct

441
00:39:01,180 --> 00:39:09,020
the NSC for New Safe Confinement Structure over the top of the entire existing sarcophagus.

442
00:39:09,020 --> 00:39:14,940
In 1997 the project formally began and after 2004 conceptual designs were completed.

443
00:39:14,940 --> 00:39:23,140
In 2007 it was awarded to Novarka: a consortium lent by French construction companies.

444
00:39:23,140 --> 00:39:29,420
Civil works began in 2010 with construction practical completion expected in mid 2018.

445
00:39:29,420 --> 00:39:34,780
The large arch structure is designed to stop particulates from escaping the enclosed space

446
00:39:34,780 --> 00:39:41,360
for the next 100 years, whilst allowing enough room inside to begin safely dismantling, removing

447
00:39:41,360 --> 00:39:47,280
and disposing of radioactive material both from the original sarcophagus as well as the

448
00:39:47,280 --> 00:39:52,440
reactor itself, gradually over that 100 years.

449
00:39:52,440 --> 00:39:56,680
The cost of the shelter implementation plan which includes the structure's costs is

450
00:39:56,680 --> 00:40:00,360
$2.3B USD.

451
00:40:00,360 --> 00:40:05,940
It's extremely difficult to confirm with absolute accuracy, however physics models

452
00:40:05,940 --> 00:40:11,640
and known measurements of radioactivity comparing airburst fused nuclear detonations, it's

453
00:40:11,640 --> 00:40:19,000
estimated that the Chernobyl incident released some 400 times more radioactive material than

454
00:40:19,000 --> 00:40:24,760
the bombing of both Hiroshima and Nagasaki at the end of the Second World War.

455
00:40:24,760 --> 00:40:30,360
100,000 square kilometers of land was significantly contaminated with fallout.

456
00:40:30,360 --> 00:40:31,880
The worst hit regions?

457
00:40:31,880 --> 00:40:35,000
Belarus, Ukraine and Russia.

458
00:40:35,000 --> 00:40:40,480
The Soviet Union claimed that they had spent $18B USD at the time in 1988

459
00:40:40,480 --> 00:40:45,440
on containment and decontamination as a result of the incident.

460
00:40:45,440 --> 00:40:52,920
In Belarus, the total cost between 1986 and 2005 was estimated all inclusively at a staggering

461
00:40:52,920 --> 00:41:01,120
$235B USD in total, factoring in loss of agriculture, compensation claims,

462
00:41:01,120 --> 00:41:04,760
containment, evacuation and much more.

463
00:41:04,760 --> 00:41:10,280
Interestingly, the incident forged a much closer tie between the United States and the

464
00:41:10,280 --> 00:41:17,000
Soviet Union and played a key role in the dissolution of the Soviet Union in 1991, five

465
00:41:17,000 --> 00:41:19,040
years later.

466
00:41:19,040 --> 00:41:21,600
So what do we conclude from this?

467
00:41:21,600 --> 00:41:28,760
Personally, when I was 9 years old at the time, I vividly remember watching the television

468
00:41:28,760 --> 00:41:36,080
news with a radiation/radioactivity symbol showing a cloud all over Europe.

469
00:41:36,080 --> 00:41:39,640
I was terrified it would spread through the world and we'd all become sick and die,

470
00:41:39,640 --> 00:41:43,360
the sort of thing that makes an impression on a child I suppose.

471
00:41:43,360 --> 00:41:48,840
There's several learnings about the RBMK reactor design that have since been addressed

472
00:41:48,840 --> 00:41:55,800
by significant retrofitting and the remaining operational RBMKs in Russia are better for that.

473
00:41:55,800 --> 00:42:02,760
But rather than explore those things, considering there's a dwindling number of active RBMKs

474
00:42:02,760 --> 00:42:08,360
using this design left in operation anymore, let's focus on two other points instead.

475
00:42:08,360 --> 00:42:13,480
An operator display that showed the operator the currently calculated ORM based on the

476
00:42:13,480 --> 00:42:17,960
reactor core configuration would have provided additional information to inform their decision.

477
00:42:17,960 --> 00:42:22,300
Without that key stability metric clear front and center for the operator they

478
00:42:22,300 --> 00:42:25,900
relied on their own mental map and understanding and training of what was

479
00:42:25,900 --> 00:42:31,860
likely to be stable versus what wasn't. If abnormal operational steps for any

480
00:42:31,860 --> 00:42:36,900
plant that you're operating are planned but not essential, if they slip in time

481
00:42:36,900 --> 00:42:46,220
due to unforeseen circumstances, stop. Just stop. You have to reassess if it's

482
00:42:46,220 --> 00:42:52,880
still safe to execute the job, because time changes risk.

483
00:42:52,880 --> 00:42:59,400
Be aware of your biases as well, knowing that just because nothing happened yesterday, and

484
00:42:59,400 --> 00:43:05,720
the day before, and the day before that, doesn't mean it can't happen today.

485
00:43:05,720 --> 00:43:13,920
That attitude, unchecked, leads to complacency, and complacency leads to incidents.

486
00:43:13,920 --> 00:43:19,360
But finally the problem lies with nuclear fission as an energy source.

487
00:43:19,360 --> 00:43:24,720
The RBMK design allowed for larger reactor cores for less money but at the expense of

488
00:43:24,720 --> 00:43:28,760
their stability and overall safety.

489
00:43:28,760 --> 00:43:35,640
Given the Chernobyl incident and its cost to both human life, plants, animals, agriculture

490
00:43:35,640 --> 00:43:42,720
and the staggering amounts of money to contain the radioactive fallout, can you really justify

491
00:43:42,720 --> 00:43:49,200
saving some money on your reactor design? If you're going to build yourself an atomic bomb

492
00:43:49,200 --> 00:43:55,200
in super slow motion, otherwise known as a nuclear fission reactor, you'd better design it

493
00:43:55,200 --> 00:44:01,440
to be as stable as possible with as many fail-safes as possible too. Train your people

494
00:44:01,440 --> 00:44:06,960
properly, share when incidents and learnings occur to prevent the next incident.

495
00:44:10,800 --> 00:44:17,840
As of the time of recording, there are about 450 nuclear power stations operating globally,

496
00:44:17,840 --> 00:44:21,280
with 50 new reactors currently under construction primarily in China.

497
00:44:21,280 --> 00:44:29,040
The estimated nuclear capacity growth is about 25% between 2015 and 2040,

498
00:44:29,040 --> 00:44:34,320
and it's driven by a fear of Carbon as well as simple economics.

499
00:44:34,320 --> 00:44:40,320
None of the new reactors being built are RBMKs, so I suppose that's something.

500
00:44:40,320 --> 00:44:48,600
But what worries me more though is that between Three Mile Island, Chernobyl and Fukushima,

501
00:44:48,600 --> 00:44:54,960
people are still betting that nuclear fission electricity generation is a better option

502
00:44:54,960 --> 00:45:01,360
than the alternatives despite these incidents and despite the risk.

503
00:45:01,360 --> 00:45:08,400
And with these incidents so far showing just how bad it can be when they go wrong, is that

504
00:45:08,400 --> 00:45:18,480
really the right decision? Is that the right way to go? Is it really worth it? I just don't

505
00:45:18,480 --> 00:45:22,200
get it.

506
00:45:22,200 --> 00:45:26,440
If you're enjoying Causality and want to support the show, you can. Like some of our backers,

507
00:45:26,440 --> 00:45:30,960
Carsten Hansen and John Whitlow. They, and many others, are patrons of the show via Patreon,

508
00:45:30,960 --> 00:45:36,360
and you can find it at https://patreon.com/johnchidgey (all one word). Patron rewards include a

509
00:45:36,360 --> 00:45:44,360
named thank you on the website, a named thank you at the end of episodes, access to pages of raw show notes, as well as ad-free, high-quality releases of every episode.

510
00:45:44,360 --> 00:45:50,360
So if you'd like to contribute something, anything at all, there's lots of great rewards, and beyond that, it's all very much appreciated.

511
00:45:50,360 --> 00:46:02,360
Causality is part of the Engineered Network, and you can find it at https://engineered.network/, and you can find me at Mastodon @chidgey@engineered.space, or the network on Twitter @Engineered_Net.

512
00:46:02,360 --> 00:46:04,360
This was Causality.

513
00:46:04,360 --> 00:46:11,360
I'm John Chidgey. Thanks so much for listening.

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00:46:11,360 --> 00:47:05,880
[Music]
