ML091480413
| ML091480413 | |
| Person / Time | |
|---|---|
| Site: | Point Beach |
| Issue date: | 06/19/2009 |
| From: | Florida Power & Light Energy Point Beach |
| To: | NRC/RES/DRA |
| Hunter C, 251-7575 RES/DRA | |
| Shared Package | |
| ML091480404 | List: |
| References | |
| LER 08-001 | |
| Download: ML091480413 (22) | |
Text
Final Precursor Analysis Accident Sequence Precursor Program - Office of Nuclear Regulatory Research Point Beach, Unit 1 Concurrent Loss of Station Auxiliary Transformer 1X-04 and 480V Safeguards Bus 1B-04.
Event Date: 01/15/2008 LER: 266/2008-001 IR: 50-266/2008-07 CDP = 7x10-6 EVENT
SUMMARY
Event Description. Unit 1 experienced a lockout and loss of Low Voltage Station Auxiliary Transformer 1X-04 (offsite power supply to the Unit 1 4.16 kV safeguards busses) at 1404, on January 15, 2008. The unit concurrently experienced a loss of 480V Safeguards Bus 1B-04. All four emergency diesel generators (EDGs) responded as designed. As a result of loss of Bus 1B-04, the normal letdown valve closed and the operator controlled the pressurizer level by aligning the excess letdown line and utilized minimum charging flow.
Safeguards Bus 1B-04 was recovered approximately 6.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> after it was lost. On recovering Safeguards Bus 1B-04, normal letdown could not immediately be established, owing to difficulties with Letdown Isolation Valve 1CV-371A. In compliance with Technical Specification requirements, Unit 1 shutdown commenced on January 16, 2008 at 1549, and Unit 1 was in Mode 3 at 1948 on January 16, 2008.
Further event information is provided in References 1 and 2.
Cause. The licensee concluded that the cause of the cable failure from the 1X-04 Transformer to Buses 1A-03 and 1A-04 was a direct fault to ground of the B5 cable for the feed to Bus 1A-03 and that this fault was caused by long-term water induced degradation of the cables outer jacket, shield, and insulation. The licensees root cause team concluded that the organization failed to assign the appropriate prioritization to address the issue of submerged power cables.
The spurious actuation of the 50G relay of Breaker 1A52-84 was likely due to high frequency transients caused by the repeated grounding of cabling associated with the low side of the 1X-04 Transformer. As a result, the licensees root cause team concluded that the settings for this relay were too conservative. In addition, laboratory testing determined that the relay would actuate on primary current spike duration less than the existing time delay setting.
Additional Event Details. The sequence of key events is provided in Appendix A.
Recovery Opportunities. Safeguards Bus 1B-04 was recovered at 2049 on January 15 (approximately 6.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> after it was lost). The 6.5 hour5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> concurrent loss of Station Auxiliary Transformer 1X-04 and 480V Safeguards Bus 1B-04 is the event window for this analysis.
Analysis Rules. The Accident Sequence Precursor (ASP) Program uses Significance Determination Process (SDP) results for degraded conditions when available. However, the ASP Program performs independent initiating event analysis when an initiator occurs and a condition analysis when there are no performance deficiencies identified for a particular event.
In addition, the ASP Program analyzes separate degraded conditions that were present during 1
LER 266/08-001 the same period and similar degraded conditions on an individual system or component that had different performance deficiencies.
Three GREEN findings have been identified for this event and are described in Reference 2.
Since there was no plant trip and separate performance deficiencies were evaluated by the SDP, this analysis focuses solely on the risk due to concurrent loss of Station Auxiliary Transformer 1X-04 and 480V Safeguards Bus 1B-04.
ANALYSIS RESULTS Importance1 The importance for this event is 7x10-6. The results of an uncertainty assessment on the importance are summarized below.
5%
Mean 95%
Point Beach 1 1.3x10-6 6.5x10-6 1.8x10-5 The ASP Program acceptance threshold is an importance of 1x10-6.
Dominant Sequences The dominant accident sequences, TRANS Sequences 02-06-05, 02-08-05, and 02-10-05, contribute to 63% (1.3x10-6 per sequence) of the total internal events importance. The sequences involve a loss of reactor coolant pump seal cooling and subsequent seal loss-of-coolant accident (LOCA), failure to rapidly depressurize the secondary, failure to depressurize the reactor coolant system, and failure of high-pressure recirculation.
The dominant sequences are shown in Figures B-1 and B-2 of Appendix B. The events and important component failures in TRANS Sequences 02-06-05, 02-08-05, and 02-10-05 are:
The reactor trips, auxiliary feedwater is successful, power-operated relief valves (PORV) correctly reseat (if opened),
reactor coolant pump seal cooling is lost, operators successfully trip the RCPs, rapid secondary depressurization fails, reactor coolant pump seal LOCA initiates (o-ring extrusion of Stage 1 and/or Stage 2 seals),
feedwater is successful, high-pressure injection is successful, secondary side cooldown is successful, reactor depressurization fails, and high-pressure recirculation fails.
1 For a conditional assessment, the parameter of interest is the measure of importance. This value is obtained subtracting the baseline core damage probability (CDP) from the conditional core damage probability (CCDP).
2
LER 266/08-001 Results Tables The conditional probabilities for the dominant sequences are shown in Table 1.
The event tree sequence logics for the dominant sequences are presented in Table 2a.
Table 2b defines the nomenclature used in Table 2a.
The most important cutsets for the dominant sequences are listed in Table 3.
Definitions and probabilities for modified or dominant basic events are provided in Table 4.
MODELING ASSUMPTIONS Analysis Type The Revision 3-Plus (Change 3.45) of the Point Beach 1 and 2 Standardized Plant Analysis Risk (SPAR) model [Ref. 3] created in June 2008 was used for this assessment.
This event was modeled as a Unit 1 concurrent loss of Station Auxiliary Transformer 1X-04 and 480V Safeguards Bus 1B-04.
Unique Design Features Point Beach has a somewhat unique dependence on instrument air and a unique dependence of AFW on operator action. Manual action (basic event AFW-XHE-XM-MINGAG) is needed in order to preserve AFW function. This circumstance drives a relatively high SPAR model result for baseline CDF for this plant.
Modeling Assumptions Summary Key Modeling Assumptions. This event is analyzed using the GEM module in SAPHIRE. The risk increase that this ASP analysis focuses is due to three event factors:
(1) the increased probability of a reactor trip (i.e., failure of operators to initiate excess letdown and minimize charging flow, (2) the loss of Station Auxiliary Transformer 1X-04, and (3) concurrent loss of 480V Safeguards Bus 1B-04. The time window for this risk increase is 6.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br />. This event analysis is conditional analysis; however, the GEM initiating event module was utilized because the conditional probability of reactor trip cannot be converted into a frequency. The base CDP for this short time window is considered negligible when compared the CCDP; therefore, the importance equals the CCDP for this analysis.
Basic Event Probability Changes Table 4 provides all the basic events that were modified to reflect the best estimate of the conditions during the event. The basis for these changes is provided below:
ACP-BAC-LP-1B04 set to TRUE. This basic event represents the Safeguards Bus 1B04 that failed during the event and was unavailable for 6.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br />. This event was set to TRUE.
ACP-TFM-FC-1X04 set to TRUE. This basic event represents the Station Auxiliary Transformer 1X04 that failed during the event; therefore, this event was set to TRUE.
3
LER 266/08-001 ACP-XHE-XM-B089 set to 0.65. This basic event represents operators failing to align power to Busses B08 and B09 per abnormal operating procedures. In many of dominant cutsets, this operator action would follow ACP-XHE-XM-2A031A03 (operators fail to transfer power from Bus 2A03 to Bus 1A03) in the postulated accident sequence. After a review of the applicable sequences and cutsets, the staff determined that dependency needed to be addressed for ACP-XHE-XM-B089. Based on the dependency matrix provided in Reference 4, it was determined that this event was highly dependent (same crew, close time, different locations) on ACP-XHE-XM-2A031A03. Therefore, the failure probability of ACP-XHE-XM-B089 was calculated to be 0.65 using the dependency formula [Ref. 4].
IE-TRANS set to 2x10-2. In this analysis, IE-TRANS does not represent the reactor trip frequency. Rather, it represents the conditional probability of operators failing to establish excess letdown and minimize charging to flow to control pressurizer level and preclude a trip. This probability was calculated using the SPAR-H method [Ref. 4] and details of this evaluation are provided in Appendix C. All other initiating event frequencies were set to zero due to their very small probabilities during this short time window (i.e., the 6.5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> of concurrent unavailability of the Station Auxiliary Transformer 1X-04 and Safeguards Bus 1B-04).
REFERENCES
- 1. LER 266/08-001 Rev. 0, Manual Reactor Shutdown Required by Technical Specification LCO 3.8.1 AC Sources-Operating Not Met, March 16, 2008.
- 2. U.S. Nuclear Regulatory Commission, Point Beach Nuclear Plant-NRC Special Inspection Report 05000266/2008007, April 21, 2008.
- 3. Idaho National Laboratory, Standardized Plant Analysis Risk Model for Point Beach 1 and 2, Revision 3 Plus (Change 3.45), June 2008.
- 4. Idaho National Laboratory, The SPAR-H Human Reliability Analysis Method, NUREG/CR-6883, August 2005.
4
LER 266/08-001 Table 1. Conditional core damage probabilities of the dominating sequences.
Event Tree Name Sequence Number CCDP1 Contribution (%)
TRANS 02-06-05 1.3E-006 21.3 TRANS 02-08-05 1.3E-006 21.3 TRANS 02-09-05 1.3E-006 21.3 TRANS 20 7.5E-007 12.3 TRANS 02-07-05 6.5E-007 10.7 TRANS 02-10-05 6.5E-007 10.7 Total (all sequences)2 6.1E-006 100
- 1. Values are point estimates.
- 2. Total CCDP includes all sequences (including those not shown in this table).
Table 2a. Event tree sequence logic for dominating sequences.
Event Tree Name Sequence Number Logic
(/ denotes success; see Table 2b for top event names)
TRANS 02-06-05
/RPS /AFW /PORV LOSC /RCPT RSD /BP1 /O1
/BP2 O2 /FW /HPI /SSC PZR HPR TRANS 02-08-05
/RPS /AFW /PORV LOSC /RCPT RSD /BP1 O1
/BP2 /O2 /FW /HPI /SSC PZR HPR TRANS 02-09-05
/RPS /AFW /PORV LOSC /RCPT RSD /BP1 O1
/BP2 O2 /FW /HPI /SSC PZR HPR TRANS 20
/RPS AFW MFW FAB TRANS 02-07-05
/RPS /AFW /PORV LOSC /RCPT RSD /BP1 /O1 BP2 /FW /HPI /SSC PZR HPR TRANS 02-10-05
/RPS /AFW /PORV LOSC /RCPT RSD /BP1 O1 BP2 /FW /HPI /SSC PZR HPR Table 2b. Definitions of top events listed in Table 2a.
Top Event Definition AFW AUXILIARY FEEDWATER BP1 RCP SEAL STAGE 1 INTEGRITY BP2 RCP SEAL STAGE 2 INTEGRITY FAB FEED AND BLEED FW FEEDWATER (AFW or MFW)
HPI HIGH PRESSURE INJECTION HPR HIGH PRESSURE RECIRCULATION LOSC LOSS OF SEAL COOLING MFW MAIN FEEDWATER O1 RCP SEAL STAGE 1 INTEGRITY O2 RCP SEAL STAGE 2 INTEGRITY PORV PORV/SRVs ARE CLOSED PZR RCS DEPRESS FOR LPI/RHR RCPT REACTOR COOLANT PUMPS TRIPPED RPS REACTOR TRIP RSD RAPID SECONDARY DEPRESSURIZATION SSC SECONDARY SIDE COOLDOWN 5
LER 266/08-001 Table 3. Conditional cutsets for the dominant sequences.
CCDP Percent Contribution Minimum Cutsets (of basic events)
TRANS, Sequence 02-06-05 3.4E-007 26.0
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-B0809 1.3E-006 100 Total (all cutsets)1 TRANS, Sequence 02-08-05 3.4E-007 26.0
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-B0809 1.3E-006 100 Total (all cutsets)1 TRANS, Sequence 02-09-05 3.4E-007 26.0
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13
/RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-B0809 1.3E-006 100 Total (all cutsets)1
- 1. Total CCDP includes all cutsets (including those not shown in this table).
6
LER 266/08-001 Table 3. Conditional cutsets for the dominant sequences (cont.).
CCDP Percent Contribution Minimum Cutsets (of basic events)
TRANS, Sequence 20 1.1E-007 14.5 IAS-MDC-CF-K2AB3ABR AFW-XHE-XM-MINGAG 8.6E-008 11.5 IAS-MDC-FR-K2A AFW-XHE-XM-MINGAG IAS-MDC-FR-K2B IAS-MDC-FR-K3B 5.3E-008 7.04 ACP-XHE-XM-2A031A03 AFW-XHE-XM-MINGAG ACP-CRB-CC-57 2.6E-008 3.52 FPS-EDP-TM-P35B ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 7.5E-007 100 Total (all cutsets)1 TRANS, Sequence 02-07-05 1.7E-007 26.1
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 3.9E-008 6.06
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 6.01
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 3.3E-008 5.03 EPS-XHE-XM-G02-1A05
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 2.9E-008 4.50 ACP-TFM-FC-1X13
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-B0809 6.5E-007 100 Total (all cutsets)1 TRANS, Sequence 02-10-05 1.7E-007 26.1
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 3.9E-008 6.06
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 6.01
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 3.3E-008 5.03 EPS-XHE-XM-G02-1A05
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 2.9E-008 4.50 ACP-TFM-FC-1X13
/RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-B0809 6.5E-007 100 Total (all cutsets)1
- 1. Total CCDP includes all cutsets (including those not shown in this table).
7
Table 4. Definitions and probabilities for modified and dominant basic events.
Event Name Description Probability/
Frequency (per year)
ACP-BAC-LP-1B04 480 VAC BUS 1B-04 IS UNAVAILABLE TRUE1 ACP-CRB-CC-57 XFR 1X04 SUPPLY BREAKER TO BUS 1A05 FAILS TO CLOSE 2.5E-003 ACP-TFM-FC-1X04 13.8 KV XFR 1X04 FAILS TRUE1 ACP-TFM-FC-1X13 TRANSFORMER 1X13 FAILS DUE TO LOSS OF POWER 2.2E-005 ACP-XHE-XM-2A031A03 OPERATOR FAILS TO TRANSFER POWER FROM 2A03 TO 1A03 5.0E-002 ACP-XHE-XM-B0809 OPERATOR FAILS TO ALIGN TO B08 / B09 PER AOP 6.5E-0012 AFW-XHE-XM-MINGAG FAILURE TO GAG MINI RECIRC VALVE >1HR INTO EVENT 2.0E-002 CVC-XHE-XM-112B OPERATORS FAILS TO MANUALLY OPEN CV-112B VALVE 1.5E-001 EPS-DGN-CF-RG0102 CCF OF DIESEL GENERATORS G01 AND G02 TO RUN 4.2E-004 EPS-DGN-FR-G01 DIESEL GENERATOR G01 FAILS TO RUN 2.4E-002 EPS-DGN-FR-G02 DIESEL GENERATOR G02 FAILS TO RUN 2.4E-002 EPS-DGN-TM-G01 DIESEL GENERATOR G01 UNAVAILABLE DUE TO T&M 1.2E-002 EPS-DGN-TM-G02 DIESEL GENERATOR G02 UNAVAILABLE DUE TO T&M 1.2E-002 EPS-XHE-XM-G02-1A05 OPERATOR FAILS TO ALIGN G-02 TO 1A-05 2.0E-002 FPS-EDP-TM-P35B FP DIESEL DRIVEN PUMP 35B UNAVAILABLE DUE TO T&M 1.0E-002 IAS-MDC-CF-K2AB3ABR CCF OF IAS COMPRESSORS K-2A, K-2B, K-3A & K-3 2.6E-004 IAS-MDC-FR-K2A INSTRUMENT AIR COMPRESSOR K2A FAILS TO RUN 5.9E-002 IAS-MDC-FR-K2B INSTRUMENT AIR COMPRESSOR K2B FAILS TO RUN 5.9E-002 IAS-MDC-FR-K3B SERVICE AIR COMPRESSOR K-3B FAILS TO RUN 5.9E-002 IE-TRANS REACTOR TRANSIENT 2.1E-0023 RCS-MDP-LK-BP1 RCP SEAL STAGE 1 INTEGRITY (BINDING/POPPING) 1.3E-002 RCS-MDP-LK-BP2 RCP SEAL STAGE 2 INTEGRITY (BINDING/POPPING) 2.0E-001 RCS-MDP-LK-O1 RCP SEAL STAGE 1 INTEGRITY (O-RING EXTRUSION) 5.0E-001 RCS-MDP-LK-O2 RCP SEAL STAGE 2 INTEGRITY (O-RING EXTRUSION) 5.0E-001
- 1.
Set the event to TRUE to account for the unavailability of the component. See the Basic Event Probability Section for further details.
- 2.
Adjusted the probability of the event to 0.65 to account for human error dependency.
- 3.
Set the event to a probability of 2.1x10
-2. All other initiating event frequencies were set to zero. See the Basic Event Probability Section for further details.
LER 281/06-002 APPENDIX A SEQUENCE OF KEY EVENTS Time Event 0146; Multiple reports of loud noise heard on the north side of the Extension Building. The source 1/15/08 was found to be Manhole Number 3 located on the east side of the G05 Building.
0230 Plant manager, operations manager, work-week manager, and duty call superintendent informed of noise heard in Manhole Number 3.
0505 NRC was informed of issue with manhole in vicinity of Transformer 1X-04.
0602 Manhole Number 3 was checked; water level about 1 foot and slowly rising. Cables were not in water.
0611 The operation control center is manned to support the reports of sounds coming from Manhole Number 3 area.
0708 Manhole Number 3 was checked; cables verified not to be in water although water level was slowly rising.
1015 Shift Manager implemented the quarantine procedure to control access to Manhole Number
- 3. Hourly inspections of the manhole were reduced to twice per shift per engineering direction.
1110 Manhole Number 3 was checked. Cables verified not to be in water although water level was slowly rising.
1150 Walk downs of all plant 4160V and 13.8kV buses completed; SAT and all indications are normal.
1354 Operations reported cables are submerged in Manhole Number 5.
1404 Loss of 1B-04, both units enter TSAC 3.8.9.A. 1X-04 Station Transformer is de-energized resulting is a loss of offsite power to 1A-05 and 1A-06 4160V Safeguards Buses. Unit 1 enters TSAC 3.8.1.C. Both units enter TSAC 3.8.1.D. All four EDGs started on a loss of offsite power to 1A-05 and 1A-06. EDG G01 immediately restored power to Bus 1A-05.
EDG G-03 assumed load of Bus 1A-06. Unit 1 enters TSAC 3.8.1.B with required actions B.1 to restore 1X-04 Station Transformer to operable status within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.
1415 Classification made of an Unusual Event due to loss of offsite power to Unit 1.
1423 Unit 1 Pressurizer Level exceeded the parametric value of 48% due to the loss of CVCS letdown as a result of the 1X-04 Station Transformer lockout and loss of CVCS letdown.
Minimum charging flow and excess letdown were established in response to the event.
1430 Control Room notified that 1-51N/X04, 1X-04 over-current neutral relay was found tripped in the 13.8 kV building.
1635 Z-65C manhole No. 3 was checked. Cables verified not to be in water although water level was slowly rising.
1815 Secured EDG G-04.
1828 NRC has entered "monitoring" phase of response related to the loss of Unit 1 1X-04 Low Voltage Station Auxiliary Transformer.
1830 1B-04 (480 Volt Bus) meggered.
1900 Maintenance reports that manhole No. 5 has been pumped out.
1905 Secured EDG G-02.
2032 1B-04 normal feed circuit breaker is shut.
2049 Commenced recovery of 1B-04, 480V AC Safeguards power supply.
A-1
LER 266/08-001 A-2 Time Event 2111 While attempting to restore CVCS letdown on Unit 1, Valve 1CV-371A, Letdown Line Containment Isolation would not open. Both main control board and containment isolation panel status lights indicated the 1CV-371A was shut.
2200 NRC 4 hour4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> event notification EN 43908 for the press release was made.
2229 While attempting to establish normal letdown 1CV-371A was taken to the open position. The valve did not move from the full shut position.
0714; Task created to megger between Buses 1A-04 and 1A-06 (between Breakers 54 and 57).
1/16/08 1716 Completed 4-hour event notification worksheet for Unit 1; TS required shutdown commenced.
1917 Tripped main turbine generator output breaker.
1920 Entered Mode 2.
1924 Tripped Main Turbine.
2148 Manhole Number 3 visual inspection is complete. Inspection results, no visual indication of damage of any type noted.
2320 Reactor shutdown completed.
LER 281/06-002 APPENDIX B EVENT TREES CONTAINING DOMINANT SEQUENCES HPR HPR PRESSURE RECIRCULATION RHR RESIDUAL HEAT REMOVAL SSC SECONDARY SIDE COOLDOWN SSCR SECONDARY SIDE COOLING RECOVERED FAB FEED AND BLEED HPI HIGH PRESSURE INJECTION LOSC LOSS OF SEAL COOLING PORV PORV/SRVs ARE CLOSED MFW MAIN FEEDWATER AFW AUXILIARY FEEDWATER RPS REACTOR TRIP IE-TRANS TRANSIENT END-STATE 1
OK 2
T LOSC 3
OK 4
OK 5
CD 6
OK 7
CD 8
CD 9
OK 10 T
LOSC 11 OK 12 OK 13 CD 14 OK 15 CD 16 CD 17 OK 18 OK 19 CD 20 CD 21 T
ATWS PORV1 Figure B-1. Point Beach 1 transient event tree.
O2 RCP SEAL STAGE 2 INTEGRITY (O-RING EXTRUSION)
BP2 RCP SEAL STAGE 2 INTEGRITY (BINDING/POPPING)
O1 RCP SEAL STAGE 1 INTEGRITY (O-RING EXTRUSION)
BP1 RCP SEAL STAGE 1 INTEGRITY (BINDING/POPPING)
RSD RAPID SECONDARY DEPRESSURIZATION
RCPT REACTOR COOLANT PUMPS TRIPPED LOSC LOSS OF ALL SEAL COOLING END-STATE NOTES 1
OK 21-GPM/RCP 2
T SLOCA 182-GPM/RCP 3
T SLOCA 76-GPM/RCP 4
T MLOCA 480-GPM/RCP 5
OK 21-GPM/RCP 6
T SLOCA 172-GPM/RCP 7
T SLOCA 182-GPM/RCP 8
T SLOCA 61-GPM/RCP 9
T SLOCA 300-GPM/RCP 10 T SLOCA 300-GPM/RCP 11 T SLOCA 76-GPM/RCP 12 T SLOCA 300-GPM/RCP 13 T MLOCA 480-GPM/RCP 14 T MLOCA 480-GPM/RCP 0.0125 0.0125 0.500 0.200 0.200 0.200 0.200 0.200 0.500 0.500 0.500 Figure B-2. Point Beach 1 loss of RCP seal cooling event tree.
B-1
LER 281/06-002 APPENDIX C SPAR HUMAN ERROR WORKSHEET Plant: Point Beach 1 Initiating Event: Transient Basic Event: IE-TRANS Basic Event Context:
Failure of operators to diagnose loss of normal letdown, initiate excess letdown, and minimize charging flow will result in a scram due to high pressurizer level.
Basic Event
Description:
Operator fails to control pressurizer level when let down valves have gone shut to prevent scram annunciation. Operator can only utilize excess let down line and operator charging pumps on a min flow.
Does this task contain a significant amount of diagnosis activity?
Yes (start with Part IDiagnosis)
No (skip Part IDiagnosis; start with Part IIAction)
Why? N/A PART I. EVALUATE EACH PSF FOR DIAGNOSIS Evaluate PSFs for the Diagnosis Portion of the Task, if any.
PSFs PSF Levels Multiplier for Diagnosis Please note specific reasons for PSF level selection in this column.
Inadequate Time P(failure) = 1.0 Barely Adequate Time (.2/3xnominal) 10 Nominal Time 1
Extra Time (between 1-2xnominal and > than 30 min) 0.1 Expansive Time (> 2xnominal and > 30 min) 0.01 Available Time Insufficient Information 1
Extreme 5
High 2
Nominal 1
Stress/
Stressors Insufficient Information 1
Highly Complex 5
Moderately Complex 2
Nominal 1
Obvious Diagnosis 0.1 Complexity Insufficient Information 1
Diagnosis considered moderately complex due to presence of multiple annunciators (e.g., loss of transformer and vital bus) alarming at the same time as the loss of letdown.
Low 10 Nominal 1
High 0.5 Experience/
Training Insufficient Information 1
C-1
LER 266/08-001 PSFs PSF Levels Multiplier for Diagnosis Please note specific reasons for PSF level selection in this column.
Not Available 50 Incomplete 20 Available, but Poor 5
Nominal 1
Diagnostic/Symptom Oriented 0.5 Procedures Insufficient Information 1
Missing/Misleading 50 Poor 10 Nominal 1
Good 0.5 Ergonomics/
HMI Insufficient Information 1
Unfit P(failure) = 1.0 Degraded Fitness 5
Nominal 1
Fitness for Duty Insufficient Information 1
Poor 2
Nominal 1
Good 0.8 Work Processes Insufficient Information 1
Calculate the Diagnosis Failure Probability.
(1) If all PSF ratings are nominal, then the Diagnosis Failure Probability = 1x10-2 (2) Otherwise, the Diagnosis Failure Probability = 1x10-2 x Time x Stress or Stressors x Complexity x Experience or Training x Procedures x Ergonomics or HMI x Fitness for Duty x Processes Diagnosis HEP: 1x10-2 x 1 x 2 x 1 x 1 x 1 x 1 x 1 x1 = 2x10-2 C-2
LER 266/08-001 PART II. EVALUATE EACH PSF FOR ACTION Evaluate PSFs for the Action Portion of the Task, if any.
PSFs PSF Levels Multiplier for Diagnosis Please note specific reasons for PSF level selection in this column.
Inadequate Time P(failure) = 1.0 Time available. Time Required 10 Nominal Time 1
Time available > 5x the time required 0.1 Time available is > 50x the time required 0.01 Available Time Insufficient Information 1
Extreme 5
High 2
Nominal 1
Stress/
Stressors Insufficient Information 1
Highly Complex 5
Moderately Complex 2
Nominal 1
Complexity Insufficient Information 1
Low 3
Nominal 1
High 0.5 Experience/
Training Insufficient Information 1
Not Available 50 Incomplete 20 Available, but Poor 5
Nominal 1
Procedures Insufficient Information 1
Missing/Misleading 50 Poor 10 Nominal 1
Good 0.5 Ergonomics/
HMI Insufficient Information 1
Unfit P(failure) = 1.0 Degraded Fitness 5
Nominal 1
Fitness for Duty Insufficient Information 1
Poor 5
Nominal 1
Good 0.5 Work Processes Insufficient Information 1
C-3
LER 266/08-001 C-4 Calculate the Action Failure Probability.
(1) If all PSF ratings are nominal, then the Action Failure Probability = 1x10-3 (2) Otherwise, the Action Failure Probability = 1x10-3 x Time x Stress or Stressors x Complexity x Experience or Training x Procedures x Ergonomics or HMI x Fitness for Duty x Processes Action HEP: 1x10-3 x 1 x 1 x 1 x 1 x 1 x 1 x 1 x1 = 1x10-3 PART III. CALCULATE TASK FAILURE PROBABILITY WITHOUT FORMAL DEPENDENCE (PW/OD)
Calculate the Task Failure Probability without Formal Dependence (Pw/od) by adding the Diagnosis Failure Probability from Part I and the Action Failure Probability from Part II. In instances where an action is required without a diagnosis and there is no dependency, then this step is omitted.
Pw/od = Diagnosis HEP [2x10-2] + Action HEP [1x10-3] = 2.1x10-2 Part IV. DEPENDENCY For all tasks, except the first task in the sequence, use the table and formulae below to calculate the Task Failure Probability with Formal Dependence (Pw/d).
If there is a reason why failure on previous tasks should not be considered, such as it is impossible to take the current action unless the previous action has been properly performed, explain here:
This event is the postulated event initiator; therefore, no dependence is considered.
LER 281/06-002 APPENDIX D BEST ESTIMATE GEM RUN I N I T I A T I N G E V E N T A S S E S S M E N T Code Ver : 7:27 Fam : PBCH_3P Model Ver : 2008/07/08 User : INEEL Init Event: IE-TRANS Ev ID: BEST-ESTIMATE Total CCDP: 6.1E-006 Desc : Concurrent Loss of Station Auxiliary Transformer 1X-04 and 480V Safeguards Bus 1B-04.
BASIC EVENT CHANGES Event Name Description Base Prob Curr Prob Type ACP-BAC-LP-1B04 480 VAC BUS 1B-04 IS UA 9.6E-006 1.0E+000 TRUE ACP-TFM-FC-1X04 13.8 KV XFR 1X04 Fails 2.2E-005 1.0E+000 TRUE ACP-XHE-XM-B0809 OPERATOR FAILS TO ALIGN 3.0E-001 6.5E-001 IE-FLB FEED/STEAM LINE BREAK 3.0E-003 +0.0E+000 IE-ISL-HPI ISLOCA IE HPI Interface 2.3E-006 +0.0E+000 IE-ISL-LPI ISLOCA IE LPI Interface 2.0E-009 +0.0E+000 IE-ISL-RHR RHR Pipe Ruptures 4.0E-006 +0.0E+000 IE-LLOCA LARGE LOCA 2.5E-006 +0.0E+000 IE-LOCCW Loss OF CCW 4.0E-004 +0.0E+000 IE-LOCHS LOSS OF CONDENSER HEAT SINK 8.0E-002 +0.0E+000 IE-LODCD01 LOSS OF 125 VDC BUS D01 6.0E-004 +0.0E+000 IE-LODCD02 Loss OF 125 VDC BUS D02 6.0E-004 +0.0E+000 IE-LOIA LOSS OF INSTRUMENT AIR 1.0E-002 +0.0E+000 IE-LOMFW LOSS OF MAIN FEEDWATER 1.0E-001 +0.0E+000 IE-LOOP LOSS OF OFFSITE POWER +0.0E+000 +0.0E+000 IE-LOSWS LOSS OF SERVICE WATER 4.0E-004 +0.0E+000 IE-MLOCA MEDIUM LOCA 2.0E-004 +0.0E+000 IE-RXVRUPT REACTOR VESSEL RUPTURE 1.0E-007 +0.0E+000 IE-SGTR STEAM GENERATOR TUBE RUPTURE 4.0E-003 +0.0E+000 IE-SLB STEAM LINE BREAK 1.2E-002 +0.0E+000 IE-SLOCA SMALL LOCA 6.0E-004 +0.0E+000 IE-TRANS TRANSIENT 8.0E-001 2.1E-002 SEQUENCE PROBABILITIES Truncation : Cumulative : 95.0% Individual : 1.0%
Event Tree Name Sequence Name CCDP TRANS 02-06-05 1.3E-006 TRANS 02-08-05 1.3E-006 TRANS 02-09-05 1.3E-006 TRANS 20 7.5E-007 TRANS 02-07-05 6.5E-007 TRANS 02-10-05 6.5E-007 D-1
LER 266/08-001 SEQUENCE LOGIC Event Tree Sequence Name Logic TRANS 02-06-05 /RPS /AFW
/PORV LOSC
/RCPT RSD
/BP1 /O1
/BP2 O2
/FW /HPI
/SSC PZR HPR TRANS 02-08-05 /RPS /AFW
/PORV LOSC
/RCPT RSD
/BP1 O1
/BP2 /O2
/FW /HPI
/SSC PZR HPR TRANS 02-09-05 /RPS /AFW
/PORV LOSC
/RCPT RSD
/BP1 O1
/BP2 O2
/FW /HPI
/SSC PZR HPR TRANS 20 /RPS AFW MFW FAB TRANS 02-07-05 /RPS /AFW
/PORV LOSC
/RCPT RSD
/BP1 /O1 BP2 /FW
/HPI /SSC PZR HPR TRANS 02-10-05 /RPS /AFW
/PORV LOSC
/RCPT RSD
/BP1 O1 BP2 /FW
/HPI /SSC PZR HPR D-2
LER 266/08-001 Fault Tree Name Description AFW AUXILIARY FEEDWATER BP1 RCP SEAL STAGE 1 INTEGRITY BP2 RCP SEAL STAGE 2 INTEGRITY FAB FEED AND BLEED FW FEEDWATER (AFW or MFW)
HPI HIGH PRESSURE INJECTION HPR HPR PRESSURE RECIRCULATION LOSC LOSS OF SEAL COOLING MFW MAIN FEEDWATER O1 RCP SEAL STAGE 1 INTEGRITY O2 RCP SEAL STAGE 2 INTEGRITY PORV PORV/SRVs ARE CLOSED PZR RCS DEPRESS FOR LPI/RHR RCPT REACTOR COOLANT PUMPS TRIPPED RPS REACTOR TRIP RSD RAPID SECONDARY DEPRESS SSC SECONDARY SIDE COOLDOWN SEQUENCE CUT SETS Truncation: Cumulative: 90.0% Individual: 2.5%
Event Tree: TRANS CCDP: 1.3E-006 Sequence: 02-06-05 CCDP % Cut Set Cut Set Events 3.4E-007 26.05 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-B0809 5.6E-008 4.35 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 EPS-DGN-CF-RG0102 ACP-XHE-XM-2A031A03 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 D-3
LER 266/08-001 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G02 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 3.2E-008 2.50 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 ACP-XHE-XM-B0809 Event Tree: TRANS CCDP: 1.3E-006 Sequence: 02-08-05 CCDP % Cut Set Cut Set Events 3.4E-007 26.05 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-B0809 5.6E-008 4.35 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 EPS-DGN-CF-RG0102 ACP-XHE-XM-2A031A03 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 /RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G02 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 3.2E-008 2.50 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1
/RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 ACP-XHE-XM-B0809 D-4
LER 266/08-001 Event Tree: TRANS CCDP: 1.3E-006 Sequence: 02-09-05 CCDP % Cut Set Cut Set Events 3.4E-007 26.05 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 7.8E-008 6.06 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 7.8E-008 6.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 6.5E-008 5.02 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 5.8E-008 4.50 ACP-TFM-FC-1X13 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-B0809 5.6E-008 4.35 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 EPS-DGN-CF-RG0102 ACP-XHE-XM-2A031A03 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 3.01 /RCS-MDP-LK-BP1 /RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G02 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 3.2E-008 2.50 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1
/RCS-MDP-LK-BP2 RCS-MDP-LK-O1 RCS-MDP-LK-O2 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 ACP-XHE-XM-B0809 Event Tree: TRANS CCDP: 7.5E-007 Sequence: 20 CCDP % Cut Set Cut Set Events 1.1E-007 14.47 IAS-MDC-CF-K2AB3ABR AFW-XHE-XM-MINGAG 8.6E-008 11.49 IAS-MDC-FR-K2A IAS-MDC-FR-K2B AFW-XHE-XM-MINGAG IAS-MDC-FR-K3B 5.3E-008 7.04 ACP-XHE-XM-2A031A03 AFW-XHE-XM-MINGAG ACP-CRB-CC-57 2.6E-008 3.52 FPS-EDP-TM-P35B ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 D-5
LER 266/08-001 Event Tree: TRANS CCDP: 6.5E-007 Sequence: 02-07-05 CCDP % Cut Set Cut Set Events 1.7E-007 26.05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 3.9E-008 6.06 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 6.01 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 3.3E-008 5.03 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 2.9E-008 4.50 ACP-TFM-FC-1X13 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 ACP-XHE-XM-B0809 2.8E-008 4.35 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 EPS-DGN-CF-RG0102 ACP-XHE-XM-2A031A03 ACP-XHE-XM-B0809 2.0E-008 3.02 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G02 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 2.0E-008 3.02 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2
/RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 1.6E-008 2.50 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 /RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 ACP-XHE-XM-B0809 Event Tree: TRANS CCDP: 6.5E-007 Sequence: 02-10-05 CCDP % Cut Set Cut Set Events 1.7E-007 26.05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 ACP-XHE-XM-B0809 3.9E-008 6.06 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 3.9E-008 6.01 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 ACP-CRB-CC-57 CVC-XHE-XM-112B 3.3E-008 5.03 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 D-6
LER 266/08-001 D-7 2.9E-008 4.50 ACP-TFM-FC-1X13 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-B0809 2.8E-008 4.35 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 EPS-DGN-CF-RG0102 ACP-XHE-XM-2A031A03 ACP-XHE-XM-B0809 2.0E-008 3.02 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G02 EPS-DGN-FR-G01 ACP-XHE-XM-B0809 2.0E-008 3.02 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 EPS-DGN-FR-G02 ACP-XHE-XM-B0809 1.6E-008 2.50 EPS-XHE-XM-G02-1A05 /RCS-MDP-LK-BP1 RCS-MDP-LK-BP2 RCS-MDP-LK-O1 ACP-XHE-XM-2A031A03 EPS-DGN-TM-G01 ACP-XHE-XM-B0809 BASIC EVENTS (Cut Sets Only)
Event Name Description Curr Prob ACP-CRB-CC-57 XFR 1X04 SUPPLY BREAKER TO BUS 1A05 FAILS TO 2.5E-003 ACP-TFM-FC-1X13 TRANSFORMER 1X13 FAILS DUE TO LOSS OF POWER 2.2E-005 ACP-XHE-XM-2A031A03 OPERATOR FAILS TO TRANSFER POWER FROM 2A03 TO 5.0E-002 ACP-XHE-XM-B0809 OPERATOR FAILS TO ALIGN TO B08 / B09 PER AOP 6.5E-001 AFW-XHE-XM-MINGAG FAILURE TO GAG MINI RECIRC VALVE >1HR INTO EV 2.0E-002 CVC-XHE-XM-112B OP. FAILS TO MAN. OPEN CV-112B VALVE (RWST TO 1.5E-001 EPS-DGN-CF-RG0102 CCF OF DIESEL GENERATORS G01 AND G02 TO RUN 4.2E-004 EPS-DGN-FR-G01 DIESEL GENERATOR G01 FAILS TO RUN 2.4E-002 EPS-DGN-FR-G02 DIESEL GENERATOR G02 FAILS TO RUN 2.4E-002 EPS-DGN-TM-G01 DIESEL GENERATOR G01 UNAVAILABLE DUE TO T&M 1.2E-002 EPS-DGN-TM-G02 DIESEL GENERATOR G02 UNAVAILABLE DUE TO T&M 1.2E-002 EPS-XHE-XM-G02-1A05 OPERATOR FAILS TO ALIGN G-02 TO 1A-05U1 ECA-0 2.0E-002 FPS-EDP-TM-P35B FP DIESEL DRIVEN PUMP 35B UNAVAILABLE DUE TO 1.0E-002 IAS-MDC-CF-K2AB3ABR CCF OF IAS COMPRESSORS K-2A, K-2B, K-3A & K-3 2.6E-004 IAS-MDC-FR-K2A INSTRUMENT AIR COMPRESSOR K2A FAILS TO RUN 5.9E-002 IAS-MDC-FR-K2B INSTRUMENT AIR COMPRESSOR K2B FAILS TO RUN 5.9E-002 IAS-MDC-FR-K3B SERVICE AIR COMPRESSOR K-3B FAILS TO RUN 5.9E-002 RCS-MDP-LK-BP1 RCP SEAL STAGE 1 INTEGRITY (BINDING/POPPING O 1.3E-002 RCS-MDP-LK-BP2 RCP SEAL STAGE 2 INTEGRITY (BINDING/POPPING O 2.0E-001 RCS-MDP-LK-O1 RCP SEAL STAGE 1 INTEGRITY (O-RING EXTRUSION) 5.0E-001 RCS-MDP-LK-O2 RCP SEAL STAGE 2 INTEGRITY (O-RING EXTRUSION) 5.0E-001