ML050880510
| ML050880510 | |
| Person / Time | |
|---|---|
| Site: | Kewaunee |
| Issue date: | 03/17/2005 |
| From: | Nuclear Management Co |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| ea-05-021, IR-04-009 | |
| Download: ML050880510 (26) | |
Text
1 Regulatory Conference, March 17, 2005 Kewaunee Nuclear Power Plant Containment Equipment Hatch Interference
2 Agenda Introduction Craig Lambert
Background
Kevin Davison Risk Analysis Tom Breene Corrective Actions Kevin Davison Conclusion Craig Lambert
3 Background
- Reactor Pressure Vessel (RPV) head replacement - Fall 2004 outage.
- Temporary transport (rail) system required to move RPV head into/out of containment.
- Two piece system to facilitate hatch closure.
- Interference identified during closure for refueling integrity.
- Although we believe the risk from this issue to be very low, this was a significant event for Kewaunee.
4 Success Paths
- Successfully completing any of the following would end the exposure time
- Restore off-site power
- Restore B Emergency Diesel Generator
- Restore the Station Blackout (SBO) Diesel Generator
- Close the equipment hatch
5 Risk Analysis Topics
- Event Timeline
- Methodology
- Dominant Risk Sequence
- Differences between final NMC analysis and NRC choice letter
- Probability of Hatch Closure
- Summary of the Risk Analysis
=
Background===
10/9/04 0055 hrs Reactor Shutdown 10/10/04 0814 hrs Entered Cold Shutdown 10/10/04 1515 hrs Equipment Hatch Opened 10/11/04 1606 hrs Rail System Installation Complete 10/11/04 1430 hrs Pressurizer Safety Removed 10/14/04 1200 hrs Discovered Containment Hatch Would Not Close.
10/14/04 0300 hrs Start Removal of Reactor Studs from Containment 10/12/04 0127 hrs DG A OOS 10/12/04 0502 hrs RCS Draindown to 6" Below Flange.
Timeline 10/11/04 1245 hrs Start of Rail System Installation 10/13/04 1045 hrs Reactor Stud Hoist On 10/14/04 2030 hrs Containment Hatch Closed.
10/14/04 1855 hrs Rail System Obstruction Removed
7 Risk Analysis Methodology
- Used dominant risk sequences from shutdown PRA
- Examined basis for recovery actions
- Assessed the time available for hatch closure
- Calculated human error probabilities
8 Risk Analysis Dominant Risk Sequence
- Loss of off-site power.
- Loss of emergency diesel generator B.
- Loss of charging via the SBO diesel generator.
- Failure to close equipment hatch.
- A/C Power is not recovered.
9 Risk Analysis Risk Value Detail Failure NMC Revised NRC SERP Loss of offsite power during shutdown (per year) 0.189 0.0108 0.068 0.0661 0.37 0.00748 2.5x10-8 0.189 Emergency Diesel generator B fails 0.0546 Core uncovery before flow restoration 0.131 Charging via SBO diesel fails 0.0899 Equipment hatch closure fails 1.00 Exposure time (years) 0.00765 Total large early release frequency (LERF) 9.3x10-7
10 Risk Analysis Differences Between Preliminary NRC Choice Letter and Final NMC Assessment
- EDG diesel generator failure probability
- Plant specific failure data updated through January 2005
- Removed double-counting of diesel air supply and exhaust failure
- A recovery probability was applied
- Mission time was updated
11 Risk Analysis Differences Between Preliminary NRC Choice Letter and Final NMC Assessment
- SBO diesel generator failure probability
- Plant specific failure data updated through January 2005
- Removed double-counting of diesel air supply and exhaust failure
- Mission time was updated
- Removed the Test and Maintenance probability term
- Increased the assumed stress level for charging alignment
12 Risk Analysis Differences Between Preliminary NRC Choice Letter and Final NMC Assessments
- Time to core uncovery
- 5.4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> - pressurizer safety valve removed case
- >9.0 hours0 days <br />0 hours <br />0 weeks <br />0 months <br /> - pressurizer safety removed and head detensioned case
13 Risk Analysis Sensitivity
- Assuming a probability of 1.0 for failure to close the hatch.
- LERF becomes 6.9 x 10-8
- Very low risk significance (Green)
14 Risk Analysis Habitability of Containment
- Temperature
-< 70 degrees at open hatch.
-Increases at hatch closure.
- Radiation levels
-Within 10CFR20 limit.
- Noise
-Hearing protection adequate.
- Lighting
-Portable generators outside
-Portable handheld lights inside.
Risk Analysis
[0 min]
Station Blackout Starts
[156 min]
Containment Hatch In Place
[.8 min]
Operations Enters ECA-0.0, "Loss of All AC Power"
[64 min]
Decision Made to Move Rail
[54.5 min]
Exterior Rail Removed
[94 min]
Mobilization of Crew to Move Inner Rail
[39.5 min]
Crew Mobilized to Remove Exterior Rail
[58.5 min]
Hatch Interference Discovered
[124 min]
Hatch Interference Cleared
[84 min]
Determine Method to Clear Hatch Interference
[136 min]
Hatch Positioned For Bolting Hatch Closure Timeline
[34.5 min]
Operators Order Hatch Closure per ECA-0.0
16 Risk Analysis Human Error Probability Cognitive Error 0.32 Execution Error 0.05 Total HEP 0.37
- Cognitive error assumes decisions made at Control Room or Outage Control Center
- Execution error assumes containment habitability conditions.
17 Risk Analysis Cognitive Error For Moving The Rail
- Type of response is skill based
- Complexity of response is complex
- Environment is habitable
- Stress is extreme
18 Risk Analysis Key Analysis Conservatisms
- Diesel generator B successfully tested three hours prior to DG A being taken out of service.
- Used conservative decay heat assumptions.
- Kewaunee Steam Generators have 26% more primary side volume than those used in our analysis.
- Kewaunee reactor vessel water level was 9 inches higher than those used in our analysis.
19 Risk Analysis Kewaunee analyses validated by industry experts
- PRA results reviewed by Scientech and Erin Engineering
- Habitability conditions analysis reviewed by Enercon Services
- Review results incorporated in final NMC analysis
20 Risk Analysis Summary
- The Change in Large Early Release Frequency (LERF of 2.5 x 10-8) has a very low risk significance (Green).
- Assuming no hatch closure, the LERF is 6.9 x 10-8, which is also very low risk significance (Green).
21 Root Cause Root Cause
- Failure to recognize a potentially risk significant condition outside of the technical specifications or licensing basis.
- Incomplete incorporation of industry guidance.
Cornerstone Affected
- Barrier Integrity
22 Corrective Actions
- Independent Review Group / Engineering effectiveness
- Reviewed NUMARC 91-06, GL 97-12 and GL 88-17 to identify any additional vulnerabilities.
- Revise procedural controls for containment closure to assure that closure can be accomplished in a time commensurate with plant conditions (time to boil).
23 Conclusion Summary
- Actions have been taken to correct deficiencies.
- Actions are ongoing to find other documents with inadequate reviews.
- Without crediting hatch closure this finding is of very low safety significance (6.9 x 10-8).
- With credit for hatch closure this finding is of very low safety significance (2.5 x 10-8).