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When Kitty Litter Caused a Nuclear Catastrophe

practical.engineering

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Re: When Kitty Litter Caused a Nuclear Catastrophe

#2
I'm submitting this based on the current top item "North Dakota law lists fake critical minerals based on coal lawyers' names" [0].

This accident was traced to a manager transcribing "inorganic absorbent" as "an organic absorbent". A more serious example of the need to have competent people with domain knowledge in the room and empowered when documents are written.

[0] https://news.ycombinator.com/item?id=46492161

Re: When Kitty Litter Caused a Nuclear Catastrophe

#5

I'm submitting this based on the current top item "North Dakota law lists fake critical minerals based on coal lawyers' names" [0]. This accident was traced to a manager transcribing "inorganic absorbent" as "an organic absorbent". A more serious example of the need to have competent people with domain knowledge in the room and empowered when documents are written. [0] https://news.ycombinator.com/item?id=46492161

I'm surprised they made critical material purchasing decisions based on what some guy thinks he heard in a meeting, rather than official written documents written by and cross-checked by multiple engineers.

Re: When Kitty Litter Caused a Nuclear Catastrophe

#7

I'm submitting this based on the current top item "North Dakota law lists fake critical minerals based on coal lawyers' names" [0]. This accident was traced to a manager transcribing "inorganic absorbent" as "an organic absorbent". A more serious example of the need to have competent people with domain knowledge in the room and empowered when documents are written. [0] https://news.ycombinator.com/item?id=46492161

Not just when documents are written, but also when the practices they describe are implemented.

You don't need to know a lot of chemistry to realize that mixing organics with nitric acid is a bad idea. Why did none of the technicians doing the work say "hold on, this doesn't seem right"?

Re: When Kitty Litter Caused a Nuclear Catastrophe

#8

I'm submitting this based on the current top item "North Dakota law lists fake critical minerals based on coal lawyers' names" [0]. This accident was traced to a manager transcribing "inorganic absorbent" as "an organic absorbent". A more serious example of the need to have competent people with domain knowledge in the room and empowered when documents are written. [0] https://news.ycombinator.com/item?id=46492161

Inflammable means flammable? What a country!

Re: When Kitty Litter Caused a Nuclear Catastrophe

#10
It's not the litter, it's the typo.

It was not sufficient to just write "inorganic". Given the seriousness of possible consequences, some redundancy should have been added. E.g. "inorganic mineral-based kitty litter can be used; organic kitty litter is not acceptable". A few more words would have prevented an actual nuclear incident.

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