When Kitty Litter Caused a Nuclear Catastrophe

0:01 Late in the night of Valentine’s Day 2014, air monitors at an underground nuclear waste repository outside Carlsbad, New Mexico, detected the release of radioactive elements, including americium and plutonium, into the environment. Ventilation fans automatically switched on to exhaust contaminated air up through a shaft, through filters, and out to the environment above ground. When filters were checked the following morning, technicians found that they contained transuranic materials, highly radioactive particles that are not naturally found on Earth. In other words, a container of nuclear waste in the repository had been breached. The site was shut down and employees sent home, but it would be more than a year before the bizarre cause of the incident was released. I’m Grady, and this is Practical Engineering.

1:02 The dangers of the development of nuclear weapons aren’t limited to mushroom clouds and doomsday scenarios. The process of creating the exotic, transuranic materials necessary to build thermonuclear weapons creates a lot of waste, which itself is uniquely hazardous. Clothes, tools, and materials used in the process may stay dangerously radioactive for thousands of years. So, a huge part of working with nuclear materials is planning how to manage waste. I try not to make predictions about the future, but I think it’s safe to say that the world will probably be a bit different in 10,000 years. More likely, it will be unimaginably different. So, ethical disposal of nuclear waste means not only protecting ourselves but also protecting

1:47 whoever is here long after we are ancient memories or even forgotten altogether. It’s an engineering challenge pretty much unlike any other, and it demands some creative solutions. The Waste Isolation Pilot Plant, or WIPP, was built in the 1980s in the desert outside Carlsbad, New Mexico, a site selected for a very specific reason: salt. One of the most critical jobs for long-term permanent storage is to keep radioactive waste from entering groundwater and dispersing into the environment. So, WIPP was built inside an enormous and geologically stable formation of salt, roughly 2000 feet or 600 meters below the surface. The presence of ancient salt is an indication that groundwater doesn’t reach this area since the

2:33 water would dissolve it. And the salt has another beneficial behavior: it’s mobile. Over time, the walls and ceilings of mined-out salt tend to act in a plastic manner, slowly creeping inwards to fill the void. This is ideal in the long term because it will ultimately entomb the waste at WIPP in a permanent manner. It does make things more complicated in the meantime, though, since they have to constantly work to keep the underground open during operation. This process, called “ground control,” involves techniques like drilling and installing roof bolts in epoxy to hold up the ceilings. I have an older video on that process if you want to learn more after this. The challenge in this case is that, eventually, we want the roof bolts to fail, allowing a gentle collapse of salt to fill the void because it does an important job.

3:23 The salt, and just being deep underground in general, acts to shield the environment from radiation. In fact, a deep salt mine is such a well-shielded area that there’s an experimental laboratory located in WIPP across on the other side of the underground from the waste panels where various universities do cutting-edge physics experiments precisely because of the low radiation levels. The thousands of feet of material above the lab shield it from cosmic and solar radiation, and the salt has much lower levels of inherent radioactivity than other kinds of rock. Imagine that: a low-radiation lab inside a nuclear waste dump. Four shafts extend from the surface into the underground repository for moving people, waste, and air into and out of the facility. Room-and-pillar mining is used to excavate

4:11 horizontal drifts or panels where waste is stored. Investigators were eventually able to re-enter the repository and search for the cause of the breach. They found the source in Panel 7, Room 7, the area of active disposal at the time. Pressure and heat had burst a drum, starting a fire, damaging nearby containers, and ultimately releasing radioactive materials into the air. On activation of the radiation alarm, the underground ventilation system automatically switched to filtration mode, sending air through massive HEPA filters. Interestingly, although they’re a pretty common consumer good now, High Efficiency Particulate Air, or HEPA, filters actually got their start during the Manhattan Project specifically to filter radionuclides from the air.

5:00 The ventilation system at WIPP performed well, although there was some leakage past the filters, allowing a small percentage of radioactive material to bypass the filters and release directly into the atmosphere at the surface. 21 workers tested positive for low-level exposure to radioactive contamination but, thankfully, were unharmed. Both WIPP and independent testing organizations confirmed that detected levels were very low, the particles did not spread far, and were extremely unlikely to result in radiation-related health effects to workers or the public. Thankfully, the safety features at the facility worked, but it would take investigators much longer to understand what went wrong in the first place, and that involved tracing that waste barrel back to its source.

5:54 It all started at the Los Alamos National Laboratory, one of the labs created as part of the 1940s Manhattan Project that first developed atomic bombs in the desert of New Mexico. The 1970s brought a renewed interest in cleaning up various Department of Energy sites. Los Alamos was tasked with recovering plutonium from residue materials left over from previous wartime and research efforts. That process involved using nitric acid to separate plutonium from uranium. Once plutonium is extracted, you’re left with nitrate solutions that get neutralized or evaporated, creating a solid waste stream that contains residual radioactive isotopes. In 1985, a volume of this waste was placed in a lead-lined 55-gallon drum along with an absorbent

6:43 to soak up any moisture and put into temporary storage at Los Alamos, where it sat for years. But in the summer of 2011, the Las Conchas wildfire threatened the Los Alamos facility, coming within just a few miles of the storage area. This actual fire lit a metaphorical fire under various officials, and wheels were set into motion to get the transuranic waste safely into a long-term storage facility. In other words, ship it down the road to WIPP. Transporting transuranic wastes on the road from one facility to another is quite an ordeal, even when they’re only going through the New Mexican desert. There are rules preventing the transportation of ignitable, corrosive, or reactive waste, and special casks are required to minimize the risk of radiological release in the unlikely

7:31 event of a crash. WIPP also had rules about how waste can be packaged in order to be placed for long-term disposal called the Waste Acceptance Criteria, which included limits on free liquids. Los Alamos concluded that barrel didn’t meet the requirements and needed to be repackaged before shipping to WIPP. But, there were concerns about which absorbent to use. Los Alamos used various absorbent materials within waste barrels over the years to minimize the amount of moisture and free liquid inside. Any time you’re mixing nuclear waste with another material, you have to be sure there won’t be any unexpected reactions. The procedure for repackaging nitrate salts required that a superabsorbent polymer be used, similar to the beads I’ve used in some of my demos, but concerns about reactivity led

8:22 to meetings and investigations about whether it was the right material for the job. Ultimately, Los Alamos and their contractors concluded that the materials were incompatible and decided to make a switch. In May 2012, Los Alamos published a white paper titled “Amount of Zeolite Required to Meet the Constraints Established by the EMRTC Report RF 10-13: Application of LANL Evaporator Nitrate Salts.” In other words, “How much kitty litter should be added to radioactive waste?” The answer was about 1.2 to 1, inorganic zeolite clay to nitrate salt waste, by volume. That guidance was then translated into the actual procedures that technicians would

9:08 use to repackage the waste in gloveboxes at Los Alamos. But something got lost in translation. As far as investigators could determine, here’s what happened: In a meeting in May 2012, the manager responsible for glovebox operations took personal notes about this switch in materials. Those notes were sent in an email and eventually incorporated into the written procedures: “Ensure an organic absorbent is added to the waste material at a minimum of 1.5 absorbent to 1 part waste ratio.” Did you hear that? The white paper’s requirement to use an inorganic absorbent became “...an organic absorbent” in the procedures. We’ll never know where the confusion came from, but it could

9:54 have been as simple as mishearing the word in the meeting. Nonetheless, that’s what the procedure became. Contractors at Los Alamos procured a large quantity of Swheat Scoop, an organic, wheat-based cat litter, and started using it to repackage the nitrate salt wastes. Our barrel first packaged in 1985 was repackaged in December 2013 with the new kitty litter. It was tested and certified in January 2014, shipped to WIPP later that month, and placed underground. And then it blew up. The unthinkable had happened; the wrong kind of kitty litter had caused a nuclear disaster. While the nitrates are relatively unreactive with inorganic, mineral-based zeolite kitty litter that should have been used, the organic, carbon-based wheat material could undergo

10:42 oxidation reactions with nitrate wastes. I think it’s also interesting to note here that the issue is a reaction that was totally unrelated to the presence of transuranic waste. It was a chemical reaction - not a nuclear reaction - that caused the problem. Ultimately, the direct cause of the incident was determined to be “an exothermic reaction of incompatible materials in LANL waste drum 68660 that led to thermal runaway, which resulted in over-pressurization of the drum, breach of the drum, and release of a portion of the drum’s contents (combustible gases, waste, and wheat-based absorbent) into the WIPP underground.” Of course, the root cause is deeper than that and has to do with systemic issues at Los Alamos and how they handled the repackaging of the material.

11:30 The investigation report identified 12 contributing causes that, while individually did not cause the accident, increased the likelihood or severity of it. These are written in a way that is pretty difficult for a non-DOE expert to parse: take a stab at digesting contributing cause number 5: “Failure of Los Alamos Field Office (NA-LA) and the National Transuranic (TRU) Program/Carlsbad Field Office (CBFO) to ensure that the CCP [that is, the Central Characterization Program] and LANS [that is, that is the contractor, Los Alamos National Security] complied with Resource Conservation and Recovery Act (RCRA) requirements in the WIPP Hazardous Waste Facility Permit (HWFP)

12:18 and the LANL HWFP, as well as the WIPP Waste Acceptance Criteria (WAC).” Still, as bad as it all seems, it really could have been a lot worse. In a sense, WIPP performed precisely how you’d want it to in such an event, and it’s a really good thing the barrel was in the underground when it burst. Had the same happened at Los Alamos or on the way to WIPP, things could have been much worse. Thankfully, none of the other barrels packaged in the same way experienced a thermal runaway, and they were later collected and sealed in larger containers. Regardless, the consequences of the “cat-astrophe” were severe and very expensive. The cleanup involved shutting down the WIPP facility for several years and entirely

13:04 replacing the ventilation system. WIPP itself didn’t formally reopen until January of 2017, nearly three full years after the incident, with the cleanup costing about half a billion dollars. Today, WIPP remains controversial, not least because of shifting timelines and public communication. Early estimates once projected closure by 2024. Now, that date is sometime between 2050 and 2085. And events like this only add fuel to the fire. Setting aside broader debates on nuclear weapons themselves, the wastes these weapons generate are dangerous now, and they will remain dangerous for generations. WIPP has even explored ideas on how to mark the site post-closure, making sure that future generations clearly understand the enduring

13:52 danger. Radioactive hazards persist long after languages and societies may have changed beyond recognition, making it essential but challenging to communicate clearly about risks. Sometimes, it’s easy to forget - amidst all the technical complexity and bureaucratic red tape that surrounds anything nuclear - that it’s just people doing the work. It’s almost unbelievable that we entrust ourselves - squishy, sometimes hapless bags of water, meat, and bones - to navigate protocols of such profound complexity needed to safely take advantage of radioactive materials. I don’t tell this story because I think we should be paralyzed by the idea of using nuclear materials - there are enormous benefits to be had in many areas of science,

14:39 engineering, and medicine. But there are enormous costs as well, many of which we might not be aware of if we don’t make it a habit to read obscure government investigation reports. This event is a reminder that the extent of our vigilance has to match the permanence of the hazards we create. I talk a lot about news stories related to engineering, and I get a lot of email from journalists wanting to interview me for stories they’re working on. About a year ago, one of those requests landed in my personal email. Not a big deal, but I try to keep that inbox separate, so I asked how they got the address, thinking I had accidentally posted it somewhere. The answer was, I think, kind of brazen. They said, “We just bought your information from a data broker.” I knew that was a thing,

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