The Blue Ribbon Commission on America’s Nuclear Future (BRC) asked us to study whether
occupational safety and health conditions in today's U.S. nuclear industry are reasonably safe,
and if those conditions have improved since the Three Mile Island event in 1979. The BRC also
asked us to look to the future, to try to anticipate worker safety and health risks that should be
addressed by the industry, its government regulators and private watchdogs.
Over the eight weeks allotted, we performed a limited review of the literature and spoke with

Background The U.S. Department of Energy (DOE) established medical screening
programs at the Hanford Nuclear Reservation, Oak Ridge Reservation, the Savannah
River Site, and the Amchitka site starting in 1996.Workers participating in these programs
have been followed to determine their vital status and mortality experience through
December 31, 2004.
Methods A cohort of 8,976 former construction workers from Hanford, Savannah River,
Oak Ridge, and Amchitka was followed using the National Death Index through December

The Construction Industry Research and Policy Center (CIRPC) at the University of Tennessee was awarded a contract by the Center to Protect Workers’ Rights, under their grant program with the National Institute of Occupational Safety and Health (NIOSH), to analyze injuries of employees of the U. S. Department of Energy (DOE) and their contractors’ working at DOE work sites. The injury data analyzed were injuries recorded in DOE’s Computerized Accident Incident Reporting System (CAIRS).

Background Medical screening programs were begun in 1996 and 1997 at three Department
of Energy (DOE) nuclear weapons facilities (Hanford Nuclear Reservation, Oak
Ridge, and the Savannah River Site) to evaluate whether current and former construction
workers are at significant risk for occupational illnesses. The focus of this report is
pneumoconiosis associated with exposures to asbestos and silica among workers enrolled
in the screening programs through September 30, 2001.

Background Medical screening programs at three Departments of Energy (DOE)
nuclear weapons facilities (Hanford Nuclear Reservation, Oak Ridge, and the Savannah
River Site) have included audiometric testing since approximately 1996. This report
summarizes hearing evaluations through March 31, 2003.
Methods Occupational examinations included a medical history, limited physical
examination, and tests for medical effects from specific hazards, including audiometric
testing. Hearing thresholds by frequency for DOE workers were compared to agestandardized

Background To determine whether current and former construction workers are at
significant risk for occupational illnesses from work at the Department of Energy’s (DOE)
nuclear weapons facilities, screening programs were undertaken at the Hanford Nuclear
Reservation, Oak Ridge Reservation, and the Savannah River Site.