Complete Loss of Main and Auxiliary Feedwater at a PWR Designed by Babcock & Wilcox ML031180244 Person / Time Site:
Beaver Valley , Millstone , Hatch , Monticello , Calvert Cliffs , Dresden , Davis Besse , Peach Bottom , Browns Ferry , Salem , Oconee , Mcguire , Nine Mile Point , Palisades , Palo Verde , Perry , Indian Point , Fermi , Kewaunee , Catawba , Harris , Wolf Creek , Saint Lucie , Point Beach , Oyster Creek , Watts Bar , Hope Creek , Grand Gulf , Cooper , Sequoyah , Byron , Pilgrim , Arkansas Nuclear , Braidwood , Susquehanna , Summer , Prairie Island , Columbia , Seabrook , Brunswick , Surry , Limerick , North Anna , Turkey Point , River Bend , Vermont Yankee , Crystal River , Haddam Neck , Ginna , Diablo Canyon , Callaway , Vogtle , Waterford , Duane Arnold , Farley , Robinson , Clinton , South Texas , San Onofre , Cook , Comanche Peak , Yankee Rowe , Maine Yankee , Quad Cities , Humboldt Bay , La Crosse , Big Rock Point , Rancho Seco , Zion , Midland , Bellefonte , Fort Calhoun , FitzPatrick , McGuire , LaSalle , 05000000 , Zimmer , Fort Saint Vrain , Shoreham , Satsop , Trojan , Atlantic Nuclear Power Plant , Skagit , Marble Hill , Crane Issue date:
07/08/1985 From:
Jordan E NRC/IE To:
References IN-85-050 , NUDOCS 8507080156Download: ML031180244 (7)
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Beaver Valley ,
Millstone ,
Hatch ,
Monticello ,
Calvert Cliffs ,
Dresden ,
Davis Besse ,
Peach Bottom ,
Browns Ferry ,
Salem ,
Oconee ,
Mcguire ,
Nine Mile Point ,
Palisades ,
Palo Verde ,
Perry ,
Indian Point ,
Fermi ,
Kewaunee ,
Catawba ,
Harris ,
Wolf Creek ,
Saint Lucie ,
Point Beach ,
Oyster Creek ,
Watts Bar ,
Hope Creek ,
Grand Gulf ,
Cooper ,
Sequoyah ,
Byron ,
Pilgrim ,
Arkansas Nuclear ,
Braidwood ,
Susquehanna ,
Summer ,
Prairie Island ,
Columbia ,
Seabrook ,
Brunswick ,
Surry ,
Limerick ,
North Anna ,
Turkey Point ,
River Bend ,
Vermont Yankee ,
Crystal River ,
Haddam Neck ,
Ginna ,
Diablo Canyon ,
Callaway ,
Vogtle ,
Waterford ,
Duane Arnold ,
Farley ,
Robinson ,
Clinton ,
South Texas ,
San Onofre ,
Cook ,
Comanche Peak ,
Yankee Rowe ,
Maine Yankee ,
Quad Cities ,
Humboldt Bay ,
La Crosse ,
Big Rock Point ,
Rancho Seco ,
Zion ,
Midland ,
Bellefonte ,
Fort Calhoun ,
FitzPatrick ,
McGuire ,
LaSalle ,
05000000 ,
Zimmer ,
Fort Saint Vrain ,
Shoreham ,
Satsop ,
Trojan ,
Atlantic Nuclear Power Plant ,
Skagit ,
Marble Hill ,
Crane Category:NRC Information Notice
[Table view] The following query condition could not be considered due to this wiki's restrictions on query size or depth: <code> [[:Beaver Valley]] OR [[:Millstone]] OR [[:Hatch]] OR [[:Monticello]] OR [[:Calvert Cliffs]] OR [[:Dresden]] OR [[:Davis Besse]] OR [[:Peach Bottom]] OR [[:Browns Ferry]] OR [[:Salem]] OR [[:Oconee]] OR [[:Mcguire]] OR [[:Nine Mile Point]] OR [[:Palisades]] OR [[:Palo Verde]] OR [[:Perry]] OR [[:Indian Point]] OR [[:Fermi]] OR [[:Kewaunee]] OR [[:Catawba]] OR [[:Harris]] OR [[:Wolf Creek]] OR [[:Saint Lucie]] OR [[:Point Beach]] OR [[:Oyster Creek]] OR [[:Watts Bar]] OR [[:Hope Creek]] OR [[:Grand Gulf]] OR [[:Cooper]] OR [[:Sequoyah]] OR [[:Byron]] OR [[:Pilgrim]] OR [[:Arkansas Nuclear]] OR [[:Braidwood]] OR [[:Susquehanna]] OR [[:Summer]] OR [[:Prairie Island]] OR [[:Columbia]] OR [[:Seabrook]] OR [[:Brunswick]] OR [[:Surry]] OR [[:Limerick]] OR [[:North Anna]] OR [[:Turkey Point]] OR [[:River Bend]] OR [[:Vermont Yankee]] OR [[:Crystal River]] OR [[:Haddam Neck]] OR [[:Ginna]] OR [[:Diablo Canyon]] OR [[:Callaway]] OR [[:Vogtle]] OR [[:Waterford]] OR [[:Duane Arnold]] OR [[:Farley]] OR [[:Robinson]] OR [[:Clinton]] OR [[:South Texas]] OR [[:San Onofre]] OR [[:Cook]] OR [[:Comanche Peak]] OR [[:Yankee Rowe]] OR [[:Maine Yankee]] OR [[:Quad Cities]] OR [[:Humboldt Bay]] OR [[:La Crosse]] OR [[:Big Rock Point]] OR [[:Rancho Seco]] OR [[:Zion]] OR [[:Midland]] OR [[:Bellefonte]] OR [[:Fort Calhoun]] OR [[:FitzPatrick]] OR [[:McGuire]] OR [[:LaSalle]] OR [[:05000000]] OR [[:Zimmer]] OR [[:Fort Saint Vrain]] OR [[:Shoreham]] OR [[:Satsop]] OR [[:Trojan]] OR [[:Atlantic Nuclear Power Plant]] OR [[:Skagit]] OR [[:Marble Hill]] OR [[:Crane]] </code>.
SSINS No.:
6835 IN 85-50
Contents
1 UNITED STATES
2 OFFICE OF INSPECTION AND ENFORCEMENT
3 July 8, 1985
4 COMPLETE LOSS OF MAIN AND AUXILIARY FEEDWATER
5 ADDRESSEES
6 Purpose
7 Description of Circumstances
7.1 Nevertheless, 30 seconds later, the reactor tripped
7.2 The pump continued to supply
7.3 SFRCS started
7.4 When an SFRCS
7.5 The SFRCS closes the steam
7.6 Five seconds
7.7 At six minutes into the event as both
7.8 The operator then tried to reopen the valves
7.9 On the third lift, the valve remained
7.10 Reactor coolant temperature reached
7.11 Refilling of the
7.12 The first occurred when the
7.13 The second occurred when
7.14 The third occurred when
7.15 The operator should have pressed
7.16 Instead, the operator pressed
7.17 When this occurred, steam was being supplied to
7.18 The licensee believes that significant
7.19 Further, the licensee
7.20 The valves did not reopen until an operator unseated
7.21 Division of Emergency Preparedness
7.22 Office of Inspection and Enforcement
7.23 Technical Contact:
7.24 R. W. Woodruff, IE
7.25 RCS Temperature and Pressure
7.26 List of Recently Issued IE Information Notices
7.27 Attaclnent 1
7.28 July 8, 1985
7.29 SG I OUT STM PRESS.PT12B2
7.30 AND PRESSURE
7.31 July 8, 1985
7.32 Attachment 3
7.33 July 8, 1985
7.34 IE INFORMATION NOTICES
7.35 Relay Calibration Problem
7.36 Breathing Apparatus Air
7.37 Induced Vibration On Certain
7.38 All power reactor
7.39 All power reactor
7.40 Priority 1 material
7.41 All power reactor
7.42 Clarification Of Several
7.43 Limits For Transport Packages
7.44 All power reactor
7.45 Flux Mapping System Used In
7.46 Emergency Communication
7.47 Radiography Events At Power
7.48 Loose Phosphor In Panasonic
7.49 All power reactor
7.50 All power reactor
7.51 All power reactor
7.52 All power reactor
UNITED STATES
NUCLEAR REGULATORY COMMISSION
OFFICE OF INSPECTION AND ENFORCEMENT
WASHINGTON , D.C.
20555
July 8, 1985
IE INFORMATION NOTICE NO. 85-50:
COMPLETE LOSS OF MAIN AND AUXILIARY FEEDWATER
AT A PWR DESIGNED BY BABCOCK & WILCOX
ADDRESSEES
All nuclear power facilities holding an operating license (OL ) or construction
permit (CP ).
Purpose
This information notice is being provided to inform licensees of a significant
reactor operating event involving the loss of main and auxiliary feedwater at
a pressurized water reactor.
Information in this notice is preliminary and was
obtained from the special NRC fact finding team which is investigating the
event.
A complete report of findings will form the basis for further communi- cations or actions related to this event.
The NRC expects that recipients
will review this notice for applicability to their facilities.
Suggestions
contained in this notice do not constitute NRC requirements; therefore, no
specific action or written response is required.
Description of Circumstances
On June 9, 1985, the Davis-Besse plant was operating at 90% power with Main
Feedwater Pump 2 in manual control because problems in automatic had been
experienced.
A control problem with Main Feedwater Pump 1 occurred, and it
tripped on overspeed .
Reactor runback at 50% per minute toward 55% power was
automatically initiated.
Nevertheless, 30 seconds later, the reactor tripped
at 80% power on high pressure in the reactor coolant system .
One second after reactor/turbine trip, one channel of the Steam and Feedwater
Rupture Control System (SFRCS) was automatically initiated due to a spurious
signal indicating low water level in Steam Generator 2. Both Main Steam
Isolation Valves (MSIVs ) closed. Three seconds after the actuation, the SFRCS
automatically reset.
Closing of the MSIVs isolated the turbine of the operating
main feedwater pump from its source of steam.
The pump continued to supply
feedwater to the steam generators for a few minutes as it coasted down.
Four and a half minutes after reactor trip , water level in the steam generators
began to fall from the normal post-trip level which is 35 inches.
After MSIV
closure, steam release to atmosphere continued to remove decay heat.
One minute
later, Channel 1 of SFRCS actuated when the water level in Steam Generator 1 actually reached the SFRCS setpoint at 27 inches (See Figure 1).
SFRCS started
Auxiliary Feedwater Pump 1 and initiated alignment of it to Steam Generator 1.
8507080156
IN 85-50
July 8, 1985 Within seconds after automatic initiation of Channel 1 of SFRCS, the operator
actuated both channels of SFRCS; however, he inadvertently actuated both SFRCS
channels on low steam pressure instead of low water level.
When an SFRCS
channel is actuated on low steam pressure, a rupture of the steam line associated
with that channel is presumed to have occurred.
The SFRCS closes the steam
generator isolation valves, including a valve in the auxiliary feedwater line, and aligns the auxiliary feedwater pump to the other steam generator .
Because
both channels had been manually actuated on low steam pressure, both steam
generators were isolated from both auxiliary feedwater pumps.
Five seconds
after the operator's inadvertent actuation of both channels on low steam
pressure, SFRCS Channel 2 received an actual low water level actuation signal.
Because low pressure initiation takes precedence, alignment of the auxiliary
feedwater pumps remained unchanged.
At six minutes into the event as both
auxiliary feedwater pumps were accelerating, they tripped on overspeed .
In summary, all main feedwater had been lost, both steam generators were isolated
from feedwater and were boiling dry, all auxiliary feedwater pumps were tripped, pressure of the reactor coolant system was rising, and reactor coolant system
temperature was increasing.
Within one minute after the operator's inadvertent actuation of the SFRCS on
low steam pressure, the mistake had been recognized and the SFRCS had been
reset.
If equipment had performed in accordance with system design requirements,
-the operator's-error-might not have had-a significant impact on the event.
The auxiliary feedwater isolation valves should have reopened automatically, but the valves did not reopen.
The operator then tried to reopen the valves
from the main control panel, but the valves would not reopen. Operators were
dispatched to locally start the auxiliary feedwater pumps, open the auxiliary
feedwater isolation valves, start the nonsafety-related motor-driven startup
feedwater pump, and valve it to the system.
Pressure and temperature in the reactor coolant system continued to rise
because there was not sufficient water in the steam generators to provide an
adequate heat sink.
At 13 minutes after reactor trip , reactor coolant system
pressure reached 2425 psig, and the Pilot Operated Relief Valve (PORV ) opened
three times to limit the pressure rise.
On the third lift, the valve remained
open.
The operator closed the PORV block valve and reopened it two minutes
later after the PORV had closed.
Approximately 16 to 18 minutes after reactor trip , the operators had the startup
and auxiliary feedwater pumps running and the valves aligned. Water levels were
beginning to rise in the steam generators .
Reactor coolant temperature reached
a maximum of 5940 F and then started to decrease to normal.
Refilling of the
steam generators caused the reactor coolant system to fall to 1716 psig and
about 5400F before returning to normal (See Figure 2).
At 30 minutes after reactor trip , plant conditions were essentially stable.
IN 85-50
July 8, 1985 Discussion:
For several minutes after reactor trip , the steam generators were unable to
cool the reactor coolant system adequately.
The first problem contributing to this event was the loss of all main feedwater
due to closure of the MSIVs .
The licensee's hypothesis, based on information
from Babcock & Wilcox, is that turbine trip caused a pressure transient upstream
from the turbine stop valves which caused the outputs of the redundant steam
generator level instrumentation channels to oscillate widely for several
seconds.
The licensee believes that this caused a spurious low level actuation
of SFRCS which closed the MSIVs .
Three additional problems contributed to this event by affecting the availability
of both trains of the auxiliary feedwater system.
The first occurred when the
reactor operator pressed the wrong SFRCS buttons.
The second occurred when
both auxiliary feedwater pumps tripped on overspeed .
The third occurred when
both auxiliary feedwater isolation valves did not reopen when SFRCS was reset.
Control buttons for the SFRCS are arranged in two vertical columns.
Each
column of buttons controls one SFRCS channel.
The operator should have pressed
the fourth button from the top in each column.
Instead, the operator pressed
the top buttons causing isolation of both steam generators .
Both auxiliary feedwater pumps are driven by Terry turbines which tripped on
overspeed early in the event.
When this occurred, steam was being supplied to
the turbines via crossover lines, which are longer than the normal supply lines
and include long horizontal runs.
The licensee believes that significant
condensation may have occurred in the crossover lines.
Further, the licensee
believes that the quality of steam arriving at the turbines may have been
affected significantly by the configuration of the crossover lines and may have
caused the overspeed trips .
The auxiliary feedwater system isolation valves have Limitorque motor operators.
The motor operators have torque switches which prevent overtorquing of the
valves by disconnecting power to the motors. When the valves are being opened, additional torque is required to overcome friction while the gates are being
unseated and while a significant pressure differential may exist across the
gates. During the initial part of the opening stroke, the torque switch in the
motor operator is bypassed by a bypass switch so that full motor torque is
developed if necessary.
The licensee believes that these bypass switches went
off bypass too early.
The valves did not reopen until an operator unseated
them by hand.
IN 85-50
July 8, 1985 No specific action or written response is required by this information notice.
If you have any questions about this matter, please contact the Regional
Administrator of the appropriate NRC regional office or this office.
ward /Jordan, Director
Division of Emergency Preparedness
and Engineering Response
Office of Inspection and Enforcement
Technical Contact:
R. W. Woodruff, IE
(301) 492-4507 Attachments:
1.
Figure 1 - Steam Generator 1 Level and Pressure
2. Figure 2 -
RCS Temperature and Pressure
3.
List of Recently Issued IE Information Notices
Attaclnent 1
IN 85-50
July 8, 1985
L883 SG I SU RANGE LVL. 983 (IN
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Attachment 2?
IN 85-50
July 8, 1985
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Attachment 3
IN 85-50
July 8, 1985
LIST OF RECENTLY ISSUED
IE INFORMATION NOTICES
Information
Date of
Notice No.
Subject
Issue
Issued to
85-49
85-48
Relay Calibration Problem
Respirator Users Notice:
Defective Self-Contained
Breathing Apparatus Air
Cylinders
Potential Effect Of Line-
Induced Vibration On Certain
Target Rock Solenoid-Operated
Valves
7/1/85
6/19/85
6/18/85
All power reactor
facilities holding
an OL or CP
All power reactor
facilities holding
an OL or CP , research, and test reactor, fuel cycle and
Priority 1 material
licensees
All power reactor
facilities holding
an OL or CP
85-47
85-46
Clarification Of Several
Aspects Of Removable Radio- active Surface Contamination
Limits For Transport Packages
6/10/85
All power reactor
facilities holding
an OL
85-45
85-44
85-43
85-42 Potential Seismic Interaction 6/6/85 Involving The Movable In-Core
Flux Mapping System Used In
Westinghouse Designed Plants
Emergency Communication
System Monthly Test
Radiography Events At Power
Reactors
Loose Phosphor In Panasonic
800 Series Badge Thermo- luminescent Dosimeter (TLD )
Elements
5/30/85
5/30/85
5/29/85
All power reactor
facilities holding
an OL or CP
All power reactor
facilities holding
an OL
All power reactor
facilities holding
an OL or CP
All power reactor
facilities holding
an OL or CP
OL = Operating License
CP = Construction Permit
list Information Notice 1985-01, Continuous Supervision of Irradiators (10 January 1985 )Information Notice 1985-02, Improper Installation and Testing of Differential Pressure Transmitters (11 January 1985 )Information Notice 1985-03, Separation of Primary Reactor Coolant Pump Shaft and Impeller (15 January 1985 )Information Notice 1985-04, Inadequate Management of Security Response Drills (17 January 1985 )Information Notice 1985-05, Pipe Whip Restraints (23 January 1985 )Information Notice 1985-06, Contamination of Breathing Air Systems (23 January 1985 , Topic : Spent fuel rack )Information Notice 1985-07, Contaminated Radiography Source Shipments (29 January 1985 )Information Notice 1985-08, Industry Experience on Certain Materials Used in Safety-Related Equipment (30 January 1985 )Information Notice 1985-09, Isolation Transfer Switches and Post-Fire Shutdown Capability (31 January 1985 , Topic : Safe Shutdown )Information Notice 1985-10, Posttensioned Containment Tendon Anchor Head Failure (6 February 1985 , Topic : Stress corrosion cracking )Information Notice 1985-11, Licensee Programs for Inspection of Electrical Raceway and Cable Installations (11 February 1985 )Information Notice 1985-12, Recent Fuel Handling Events (11 February 1985 , Topic : Eddy Current Testing )Information Notice 1985-13, Consequences of Using Soluble Dams (21 February 1985 , Topic : Hydrostatic )Information Notice 1985-14, Failure of a Heavy Control Rod (B4C) Drive Assembly to Insert on a Trip Signal (22 February 1985 )Information Notice 1985-15, Nonconforming Structural Steel for Safety-Related Use (22 February 1985 )Information Notice 1985-16, Time/Current Trip Curve Discrepancy of ITE/Siemens-Allis Molded Case Circuit Breaker (27 February 1985 )Information Notice 1985-17, Possible Sticking of Asco Solenoid Valves (1 March 1985 )Information Notice 1985-18, Failures of Undervoltage Output Circuit Boards in the Westinghouse-Designed Sold State Protection System (7 March 1985 )Information Notice 1985-19, Alleged Falsification of Certifications and Alteration of Markings on Piping, Valves, and Fittings (11 March 1985 )Information Notice 1985-20, Motor-Operated Valve Failures Due to Hampering Effect (12 March 1985 )Information Notice 1985-21, Main Steam Isolation Valve Closure Logic (18 March 1985 )Information Notice 1985-22, Failure of Limitorque Motor-Operated Valves Resulting from Incorrect Installation of Pinion Gear (21 March 1985 )Information Notice 1985-23, Inadequate Surveillance and Postmaintenance and Postmodification System Testing (22 March 1985 )Information Notice 1985-24, Failures of Protective Coatings in Pipes and Heat Exchangers (26 March 1985 , Topic : Ultimate heat sink , Coatings )Information Notice 1985-25, Consideration of Thermal Conditions in the Design and Installation of Supports for Diesel Generator Exhaust Silencers (2 April 1985 , Topic : Coatings )Information Notice 1985-26, Vacuum Relief System for Boiling Water Reactor Mark I and Mark II Containments (2 April 1985 , Topic : Coatings )Information Notice 1985-27, Notifications to the NRC Operations Center and Reporting Events in Licensee Event Reports (3 April 1985 , Topic : Coatings )Information Notice 1985-28, Partial Loss of AC Power and Diesel Generator Degradation (9 April 1985 , Topic : Coatings , Overspeed )Information Notice 1985-30, Microbiologically Induced Corrosion of Containment Service Water System (19 April 1985 , Topic : Hydrostatic , Coatings , Biofouling )Information Notice 1985-31, Buildup of Enriched Uranium in Ventilation Ducts and Associated Effluent Treatment Systems (19 April 1985 , Topic : Coatings )Information Notice 1985-32, Recent Engine Failures of Emergency Diesel Generators (22 April 1985 , Topic : Coatings )Information Notice 1985-33, Undersized Nozzle-To-Shell Welded Joints in Tanks and Heat Exchangers Constructed Under the Rules of the ASME Boiler and Pressure Vessel Code (22 April 1985 )Information Notice 1985-34, Heat Tracing Contributes to Corrosion Failure of Stainless Steel Piping (30 April 1985 , Topic : Hydrostatic )Information Notice 1985-35, Failure of Air Check Valves to Seat (30 April 1985 , Topic : Loss of Offsite Power )Information Notice 1985-35, Failure of Air Check Valves To Seat (30 April 1985 , Topic : Loss of Offsite Power )Information Notice 1985-37, Chemical Cleaning of Steam Generators at Millstone 2 (14 May 1985 , Topic : Feedwater Heater , Eddy Current Testing )Information Notice 1985-38, Loose Parts Obstruct Control Rod Drive Mechanism (21 May 1985 )Information Notice 1985-39, Auditability of Electrical Equipment Qualification Records at Licensees Facilities (22 May 1985 )Information Notice 1985-40, Deficiencies in Equipment Qualification Testing and Certification Process (22 May 1985 )Information Notice 1985-43, Radiography Events at Power Reactors (30 May 1985 , Topic : High Radiation Area , Scaffolding )Information Notice 1985-44, Emergency Communication System Monthly Test (30 May 1985 , Topic : Health Physics Network )Information Notice 1985-46, Clarification of Several Aspects of Removable Radioactive Surface Contamination Limits for Transport Packages (10 June 1985 )Information Notice 1985-47, Potential Effect of Line-Induced Vibration on Certain Target Rock Solenoid-Operated Valves (18 June 1985 )Information Notice 1985-48, Respirator Users Notice: Defective Self Contained Breathing Apparatus Air Cylinders (19 June 1985 , Topic : Hydrostatic )Information Notice 1985-49, Relay Calibration Problem (1 July 1985 )Information Notice 1985-50, Complete Loss of Main and Auxiliary Feedwater at a PWR Designed by Babcock & Wilcox (8 July 1985 , Topic : Overspeed trip , Overspeed )Information Notice 1985-51, Inadvertent Loss or Improper Actuation of Safety-Related Equipment (10 July 1985 )Information Notice 1985-52, Errors in Dose Assessment Computer Codes and Reporting Requirements Under 10 CFR Part 21 (10 July 1985 , Topic : Basic Component )Information Notice 1985-53, Performance of NRC-Licensed Individuals While on Duty (12 July 1985 )Information Notice 1985-54, Teletherapy Unit Malfunction (15 July 1985 )... further results