Workers at the INL Materials and Fuels Complex were packaging plutonium (Pu) reactor fuel plates. When the workers attempted to remove the wrapping material from one of the Pu fuel plates, an uncontrolled release of radioactive contaminants occurred, resulting in the contamination of 16 workers and the facility. The DOE Office of Health, Safety and Security Accident Investigation Board concluded that this accident was preventable and that, over time, a number of opportunities had been missed that could have prevented the accident.
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