ML17228B495
| ML17228B495 | |
| Person / Time | |
|---|---|
| Site: | Saint Lucie |
| Issue date: | 05/16/1996 |
| From: | Wiens L NRC (Affiliation Not Assigned) |
| To: | Plunkett T FLORIDA POWER & LIGHT CO. |
| References | |
| NUDOCS 9605210273 | |
| Download: ML17228B495 (50) | |
See also: IR 05000335/1996004
Text
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Event Description
On August
1, 1995, thc National Hurricane Center predicted hurricane force winds from thc passage of
Hurricane Erin near thc St. Lucic site. Both units were shut down and cooled down to an average temperature
of 350'F to allow for enhanced
stcam generator
heat removal capability with a steam-driven
auxiliary
feedwater (AFW) pump, and a storm crew was stationed on-site to support potential recovery efforts.
Enclosure
1
4
LER Nos. 335/95-004, -005, -006
Hurricane Erin made landfall approximately 20 miles north ofthe site, and maximum wind speed on-site was
less than 45 mph. The Unusual Event that had been declared because ofthe hurricane was terminated at 0542
on August 2, 1995, and a decision was made to return both units to service.
At 0805, while Unit 1 was in Mode 3 with an RCS pressure of 1550 psia, RCP 1A2 middle seal cavity
pressure was observed to be approximately equal to RCS pressure; an indication that the lower seal stage had
failed. A decision was made to "restage" the leaking seal - increasing the differential pressure across it by
sequentially depressurizing the seal cavities from top to bottom.
During the restaging evolution, the RCP middle stage failed and the upper and vapor stage degraded.
The
licensee attributed these failures to the performance of the restaging procedure at RCS temperatures
above
200'F and on a rotating pump.
Twenty minutes aAer control room indication of the failed middle stage, at
1810 on August 2, 1995, operators began to cool down and depressurize
secured.
By'2018 on August 2, 1995, reactor cavity leakage had increased to about 2 gpm.
This leakage decreased
the next day due to the ongoing RCS cooldown and depressurization.
The RCP 1A2 seal was subsequently
replaced, as was the RCP 1A1 seal (due to degraded performance).
During the RCS depressurization
and cooldown on August 3, 1995, the PORVs were also stroke tested.
No
increase
in acoustical flow indication was
observed.
Because of apparent
inconsistencies
with other
indications, the problem was initially attributed to the acoustic monitors, and further PORV testing was
planned following replacement of the RCP seals.
On August 9, 1995, the PORVs were again tested with
unsatisfactory results, first at 260 psia, then in Mode 4 at 320 psia and with SDC secured, and finally at an
RCS pressure of475 psia.,
The problem with both PORVs was caused by the improper installation of the main disc guides following
overhaul during the 1994 fall refueling outage and by inadequate post-maintenance
testing before returning
the valves to service (only a seat leakage test was performed).
J
LER Nos. 335/95-004, -005, -006
With both PORVs inoperable, Limiting Condition for Operation (LCO) 3.4.13 required the unit to be
depressurized
and a vent path established within 24 h. A cooldown and depressurization was begun.
At0018 on August 10, 1995, with the unit at 278'F and 261 psia, the 1A LPSI pump was started to place the
SDC system in service to continue the cooldown.
Shortly after starting the pump, pressurizer
level and
letdown flow were observed to be decreasing.
Since no annunciations
associated with RCS leakage were
reccivcd, no increases in reactor cavity sump flowor waste management
system sump levels and tanks werc
detected,
and no leakage was observed
in thc LPSI pump rooms and other auxiliary building areas,
the
operators concluded that the unexpected mismatch between charging and letdown flow was the result of the
RCS cooldown.
At 0105, the 1B LPSI pump was started and the remaining steps in the SDC normal
operating procedure were completed.
At 0215 on August 10, 1995, water was discovered to bc accumulating in the auxiliary building pipe tunnel.
Both trains of SDC were secured (decay heat removal was provided by thc steam generators).
Pressurizer
level and charging/letdown flow werc observed to be stable, indicating that the leakage had stopped.
The
floor dram isolation valves to the safeguards
pump room sump were found to be closed.
When these valves
were subsequently opened, high sump level annunciated.
Thc safcguards pump room sump isolation valves
had been stroke-tested in preparation for Hurricane Erin, and some of the seven valves controlled by a single
switch had failed to close.
Following trouble-shooting efforts thc control switch had been left in the close
position.
At 0611 on August 10, 1995, thermal relief valve V3439 was dctcrmined to have been the cause of the
leakage.
This valve is located in LPSI pump discharge piping that is common to both trains.
During the
event, the operating pressure ofthe SDC system immediately followingLPSI pump start was within the relief
valve's lift-prcssure range, resulting in the valve opening.
The SDC system operating pressure
remained
above the reliefvalve reseat pressure, which prevented the valve from closing. Approximately 4000 gal was
discharged over the almost 2-h period that the valve was open.
t
~i
I I
LER Nos. 335/95-004, -005, -006
Three and one-half hours after the relief valve leakage was identified both trains of the SDC system were
removed from service for 22 h in order to replace the valve. RCS temperature was increased to 305'F, where
the PORV Technical Specification was not applicable.
Decay heat was removed using the steam generators,
thc only source of decay heat removal at that point.
Following replacement of the relief valve, both SDC
trains were restored to operable status and the RCS was cooled down and depressurized to repair the PORVs.
Three other reportable events occurred within the same time frame as the events described above.
These
events, which would not be selected as precursors, arc summarized below in order to provide a more complete
picture ofthe situation at St. Lucie 1 during the August 1995 time period.
While RCS temperature was being decreased
on August 2, 1995, in response to the failed RCP seal, the main
steam isolation signal (MSIS) block permissive annunciators alarmed and were acknowledged by an operator.
That operator did not refer to the annunciator summary procedure but concluded that blocking MSIS was not
required since all valves that would have been affecte by an MSIS actuation were already in their actuated
positions.
The shift technical advisor subsequently
questioned whether MSIS should be'blocked, but the
annunciator procedure was again not consulted.
Six minutes after thc block permissive annunciated, MSIS
actuated and was then blocked and reset.
On August 11, 1995, the train A containment spray header flowcontrol valve, FCV-07-1A, failed its stroke
test and was declared inoperable.
Since repair of the valve was expected to take a significant length oftime,
the valve was instead placed in its safeguard position (open), and repair was deferred until the next refueling
outage.
On August 16, 1995, a Unit 1 heatup was begun and the SDC system was secured.
Unspecified
maintenance
on the LPSI system
delayed
performance of the emergency
core cooling system
venting
procedure until 1756 on August 17, 1995, when the RCS was at 532'F and 1550 psia. As part ofthc venting
procedure, the 1A LPSI pump was started and used to circulate refueling water tank (RWT) water through
the SDC warmup line. The SDC heat exchanger inlet and outlet valves were then opened to circulate water
through the heat exchanger.
Because FCV-07-1A was open, this provided a direct path from the RWT to thc
"A" containment spray header.
Three minutes later, at 1806, the control room reccivcd high reactor cavity
leakage
annunciation,
multiple containment fire alarms,
and rapidly increasing
containment
sump flow
- ~p
LER Nos. 335/95-M4, -005, -M6
indication, and entered the off-normal operating procedure for excessive RCS leakage.
The 1A LPSI pump
was stopped,
the flow path through the spray header identified, the SDC heat exchanger isolation valves
closed, and the venting procedure exited.
Approximately 10,000 gal of borated water was sprayed into the
containment.
The containment fire detection system malfunctioned during the event; 90% ofthe containment
smoke detectors either alarmed or faulted.
In addition, an electrical ground occurred on one safety injection
tank sample valve [Ref. 4].
On August 28, 1995, with the unit in Mode 5 with an RCS temperature ofaround 120'F and an RCS pressure
'f
250 psia, high pressure safety injection (HPSI) header stop valve V-3656 was opened and HPSI pump 1A
was started to support an inscrvicc leak test ofheader reliefvalve V-3417. This valve is the HPSI equivalent
of the LPSI relief valve that opened on August 10, 1995.
HPSI pump operation is prohibited at RCS
temperatures below 236F. Allfour HPSI injection valves were shut and disabled at the time, so the RCS was
not affected [Ref. 5].
Additional Event-Related Information
The PORVs provide thrcc functions at St. Lucie: (1) low temperature overpressure protection (LTOP) when
the RCS is below 305'F and not vcntcd, (2) RCS pressure reliefabove normal operating pressure to minimize
challenges to the pressurizer code safety valves, and (3) a bleed path for "once through cooling," (feed and
bleed) in the event that secondary-side
decay heat removal is unavailable.
The LPSI system at St. Lucie provides injection for large- and medium-break
loss-of-coolant
accidents
(LOCAs). The system is secured at the start ofthe recirculation phase and the HPSI pumps are realigned and
used to provide RCS makeup from the containment
sump.
The LPSI system also provides decay heat
removal during normal plant shutdowns.
Either LPSI pump can bc used to circulate reactor coolant through
a shutdown heat exchanger, returning it to the RCS via thc low-prcssure injection header.
I
1 I
LER Nos. 335/95-004, -005, -006
Modeling Assumptions
The combined event has been modeled as (1) an unavailability of both PORVs from the time St. Lucie
1
returned to power followingits Fall 1994 refueling outage, (2) a potential RCP seal LOCA resulting from the
two failed seal stages, and (3) a 22 h unavailability of the SDC system for decay heat removal.
The failure
of the operator to block the MSIS, inadvcrtcnt spray-down of the containmcnt, and HPSI pump start at low
temperature, while problematic, did not substantially impact core damage sequences
and were not addressed.
discovered on August 3, 1995. During this period (approximately 5840 h), the PORVs were unavailable for
both pressure relief and for feed and bleed.
To reflect the unavailability for feed and bleed, basic events for
failure ofthe valves to open, PPR-SRV-CC-1 and PPR-SRV-CC-2, were set to TRUE.
The ASP models do not specifically address failure of relief valves to open for pressure relief; a sufficient
number of valves are assumed
to open to prevent overpressure.
Since the.two PORVs were failed, the
pressurizer code safety valves (SVs) would have been demanded in the event ofhigh RCS pressure.
Because
SVs cannot be isolated, failure of an open valve to close would result in an unisolatable small-break LOCA.
The potential for the SVs to be challenged instead of the PORVs was rcflcctcd in the model by setting the
basic events for failure ofthe PORVs to close (PPR-SRV-00-1 and PPR-SRV-00-2) to FALSE and adding
a basic event (PPR-SRV-00-SRVS) to represent the potential that an open SV willfail to close.
The rclicfvalve challenge rate used in thc model was not revised to reflect the fact that the SVs would bc
challenged on high RCS pressure
instead of the PORVs.
The SV liftpressure
is 100 psi greater than thc
PORV liftpressure, and fewer transients are expected to reach this pressure.
This should result in fewer SV
challenges
and therefore
a lower challenge
rate.
Unfortunately, because
are usually available,
operational data on SV challenges docs not exist. Thc significance ofimpacted sequences
(primarily transient
sequences
5, 7, and 8 in Fig. 1), is thcrcfore potentially overestimated
in the analysis.
However, these
sequences
do not significantly contribute to the overall results even with the conservative SV challenge rate.
0
4'
LER Nos. 335/95-004, -005, -006
P ten 'al R
P seal LOCA. The seal on RCP 1A2 could have degraded further and failed, resulting in a small-
break LOCA. The probability of a small-break LOCA, given the degraded seal, was estimated from Byron-
Jackson RCP seal data in Tables 4 and B-3 ofNUREG-1275, Vol. 7 [Ref. 6]. These tables list actual RCP
seal degradations
(such
as the failure of a stage or increased
controlled bleed-off fiow) in which plant
operation was allowed to continue for some period oftime in accordance with operating procedures.
Most ofthe data in Tables 4 and B-3 ofRef. 6 were from the Nuclear Plant Reliability Data System (NPRDS)
and excluded the names of the plants at which the events occurred.
However, data was listed for Arkansas
Nuclear One (ANO), Units
1 and 2. This data was compared with the seal histoty data included for these two
units in Appendix A of Ref. 6 to determine the fraction of events in Tables 4 and B-3 that were unrelated to
thc seal degradation
observed during this event primarily seal degradations
caused
component cooling
water transients, weld cracks, and cnd-of-life failures.
Approximately one-third of the ANO degradations
were determined to be unrelated to this event. Assuming this fraction is applicable to all ofthe data in Tables
4 and B-3, 25 instances ofseal degradation have occurred which appear to be relevant to the failure observed
during this event and in which RCP operation continued.
None of these
25 instances
proceeded
to a
'atastrophic seal failure.'sing a Chi-square approach'ith zero observed seal failures in these 25 demands,
a probability of 0.028 is estimated for a subsequent
RCP seal failure and a small-break LOCA, given an
observed seal degradation (stage failure).
The probability of a small-break LOCA resulting from further degradation ofthe RCP 1A2 seal was reflected
in the ASP model by revising basic event 1E-SLOCA to 0.028.
Consistent with the analysis of the failed
PORVs, PPR-SRV-CC-1 and PPR-SRV-CC-2 were set to TRUE to reflect the unavailability of the PORVs
1 Onc catastrophic seal failure was included in Table B-3, but was excluded from the set ofseal degradations relevant to this event. That
event occurred at ANO l and followed a LOOP and a deliberate isolation ofseal injection during a test.
2 Thc usc ofa Chi-square distribution, a standard approach to estimate failure probabilities for small numbers ofcvcnts, is dcscribcd in
Chapter 5 ofNUREGICR-2300, PRA Proc'edures Guide.
LER Nos. 335/95-004, -005, -006
for feed and bleed cooling, and PPR-SRV-00-1
and PPR-SRV-00-2
werc set to FALSE to reflect the
unavailability ofthe PORVs for pressure relief.'
unavailabili f r 22 h. During the 22 h that the SDC system was removed from service to repair failed
thermal relief valve V3439, the only source of decay heat removal was via the steam generators,
since feed
and bleed was unavailable due to the failed PORVs.
The analysis for this case assumed that both motor-
driven AFW pumps were availablc for usc, and that ifboth failed, RCS heatup would allow use ofthe turbine-
driven AFW pump as well. The analysis also assumed that the AFW system had been returned to its pre-
initiation state prior to the discovery of the stuck-open relief valve and that component failure probabilities
applicable following a typical reactor trip from power were applicable in this situation as we11.4
The LPSI system was removed from service nine days'aflcr St. Lucie was shut down for hurricane Erin, when
decay heat was approximately one-eighth of its nominal post-trip value.
This lower decay heat level would
substantially extend the time available to recover the AFW system, ifit failed, and eliminate the requirement
to provide an alternate AFW suction source, since the CST would not bc expected to be emptied during thc
22-h LPSI unavailability. This was reflected in the model by reducing the probability ofnot recovering AFW
as described in the following paragraph, setting the basic event representing
the failure of the operator to
provide an alternate water source upon depletion ofthe CST, AFW-XHE-XA-CST2,to FALSE, and utilizing
a 22-h mission
time.'hc
ASP models utilize a probability of 0.26 for failing to rccovcr an initiallyfailed AFW system within
about 0.5 h following a reactor trip from power (basic event AFW-XHE-NOREC).
Assuming the time
available to recover AFW is proportional to the decay heat load, 4 h would be available ifAFW had failed
3
~
Since high RCS pressure would not exist followinga postulated small-break LOCA, model changes were not actually rcquircd to reflect
thc unavailability ofthe PORVs for prcssure relief.
This is most likelyconservative since at least sornc ofthe AFW components had recently opcratcd and non4emand, standby failures
would thcreforc not substantially contribute to these component failure probabilities.
Certain basic events in the ASP models address both failure to start and failure to run. The probabilities for these basic events werc not
revised to reflec thc 22-h mission time. This has!css than a 2 pcrccnt impact on these basic event probabilities.
'A
LER Nos. 335/95-M4, -005, -M6
during the LPSI relief valve repair. AFW-XHE-NOREC was revised to 0.12 to reflect this greater recovery
time. This value is the demand-related AFWnonrecovery probability developed in Faulted Systems Recovery
Experience, NSAC-161 [Ref. 7] (Fig. 3.1-2) at 2 h, the longest nonrecovery duration addressed
in that
document.
This probability is conservative for 4 h, but consistent with the data-based
approach summarized
in NUREG/CR-4834, Vol. 2 [Ref. 8], the data in Fig. 3.1-2 ofRef. 7 was not extrapolated.
The probability that AFW would have failed during the 22-h that the SDC system was removed form service
is estimated to be 3.0 > 10'sing the St. Lucie ASP model modified as described above. Ifthe AFW system
had failed, the condensate system could have been used for SG makeup.
In addition, ifthe AFW system had
failed when initiallydemanded following isolation ofthc SDC system (failure at this time is more likelythan
failure following a successful demand), the SDC system could have been returned to service with the leaking
relief valve until the AFW system had been restored to operation.
The probability that both of these
alternatives would fail is estimated to be well below 0.03, which reduces the overall conditional probability
for the 22-h SDC unavailability to less than 1.0
>< 10~, thc truncation limit for documentation in the ASP
program.
Because the conditional probability for thc 22-h SDC unavailability is estimated to be less than 1.0
x 10, it was not analyzed further.
Analysis Results
The conditional core damage probability (CCDP) estimated for this event is 1.3
>< 10
. About 95% of the
CCDP is contributed by the unavailability of the PORVs. Thc remaining 5% of the CCDP is associated with
a postulated RCP seal LOCA initiating event.
Only the conditional assessment of thc unavailability of the
PORVs is discussed below. The dominant core damage sequence, highlighted as sequence number 21 on the
event tree in Fig. 1, contributes about 41% to the conditional probability estimate and involves:
~
a postulated reactor trip during the 5840 h period that the PORVs were unavailable,
~
nonrecoverable failures ofMFW and AFW, and
~
ability to feed and bleed is lost due to thc unavailability ofthe PORVs.
The second highest core damage sequence, which contributes about 20% of the CCDP, is similar to sequence
number 21 on Fig. 1, but involves a postulated LOOP instead ofa transient.
Sequence
16 involves:
LER Nos. 335/95-004, -005, -006
~
a successful reactor trip given a loss-of-offsite power with emergency power available,
the AFW system fails,
operators successfully recover offsite power within 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br />, and
ability to feed and bleed is lost due to the unavailability ofthe PORVs.
Definitions and probabilities for selected basic events are shown in Table l. The conditional probabilities
associated with the highest probability sequences for the condition assessment
are shown in Table 2. Table
3 lists the sequence logic associated with the sequences
listed in Table 2. Table 4 describes the system names
associated with the dominant sequences
for the condition assessment.
Minimal cut sets associated with the
dominant sequences for the condition assessment
are shown in Table 5.
AuxiliaryFeedwater
Arkansas Nuclear One
LCO
Accident Sequence Precursor
Conditional Core Damage Probability
Condcnsatc Storage Tank
High Pressure Safety Injection
LimitingCondition for Operation
Loss-of-Coolant Accident
Loss-of-Offsite Power
Low Pressure Safety Injection
Low Temperature Overpressure Protection
Main Fecdwater
Main Steam Isolation Signal
Reactor Coolant Pump
Refueling Water Tank
10
+<
p~
I 4
LER Nos. 335/95-004, -005, -006
Power Operated Relief Valve
Station Blackout
Safety Valve
References
1. LER 335/95-004, Rev. 0, "Hurricane Erin at St. Lucie," August 27, 1995.
2. LER 335/95-005, Rev. 0, "Pressurizer Power Operated ReliefValves (PORV) Inoperable due to Personnel
Error," August 22, 1995.
3. LER 335/95-006, Rev. 0, "Loss of Reactor Coolant Inventory through a Shutdown Cooling Relief Valve
due to Lack ofDesign Margin," August 22, 1995.
4. LER 335/95-007, Rev. 0, "Inadvertent Containmcnt Spray via 1A Low Pressure
Safety Injection Pump
while Venting the Emergency Core Cooling System During Startup duc to Inadequate Procedure," August
27, 1995.
5. LER 335/95-008, Rev. 0, "High Pressure
Safety Injection Pump Operation During Plant Conditions Not
Allowed by Technical Specifications due to Personnel Error," September 27, 1995.
6. Operating Experience Feedback Report - Experience ivith Pump Seals Installed in Reactor Coolant Pumps
Manufactured. by Byron Jackson,
L.G. Bell and P.D. O'Reilly, NUREG-1275, Vol. 7, U.S. Nuclear
Regulatory Commission, September
1992.
7. Faulted
Systems
Recovery
Experience,
H.R.
Booth,
F.J.
Mollerus,
and
J.L.
Wray, NSAC-161,
Nuclear Safety Analysis Center, May 1992.
8. Recovery Actions in PRAfor the Risk Methods Integration and Evaluation Program (RMEP), Volume
2: Application ofthe Data-Based Method, D.W. Whitehead, NUREG/CR-4834, Vol. 2, Sandia National
Laboratories, 1987.
11
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AUXILIARY
FEEDWA
SYSTEM
MAIN
FEEDWA
SYSTEM
HQH
PRESSURE
INJECDON
RECOVER
RESIDUAL
S~r
COOLDOWN
HEAT
COOU
USINO
REMOVAL
DECAYI%AT
HOH
REMOVAL
UQNS CSR
SEQS
END
STATE
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14
15
OK
CD
16
CD
17
18
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CD
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RDAOYK
IISTTO
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SEQ ¹
END
STATE
2
3
4
5
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7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
2e
27
28
29
30
31
32
33
34
35
38
37
38
39
40
41
42
OK
OK
OK
OK
CD
OK
CO
CD
OK
CO
CO
OK
OK
CO
CD
CD
OK
OK
CD
CO
CO
OK
CO
OK
OK
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CD
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335/95 - 004, - 005, - 006
~P
~ '
LER Nos. 335/95-004, -005, -006
Table 1. Definitions and probabilities for selected basic events for
LER Nos, 335/95-004, -005, -006
Event
name
AFW-MOVEF-SGALL
AFW-PMP<F-ALL
AFW-TDP-FC-IC
AFW-XHE-NOREC
AFW-XHFrNOREC-EP
AFW-XHE-NOREC-L
AFW-XHE-XACST2
AFW-XHE-XANST2E
AFW-XHE-XANST2L
EPS-DGNZF-AB
EPS-DGN-FC-DGA
EPS-DGN-FC-DGB
EPS-XHE-NOREC
HPI-MDPZF-ALL
HPI-MOVNF-DISAL
Description
Common Cause Failure ofall
Stcam Generator Motor-
Operated Valves
Common Cause Failure ofall
AFW Pumps
AFWTurbine Driven Pump IC
Fails
Operator Fails to Recover AFW
System
Operator Fails to Recover AFW
During a Station Blackout
Operator Fails to Rccovcr AFW
During LOOP
Operator Fails to Initiate Backup
Water Source
Operator Fails to Initiate Backup
Water Source During a Station
Blackout
Operator Fails to Initiate Backup
Water Source During a LOOP
Common Cause Failure ofDiesel
Generators
Dicscl Generator A Failures
Diesel Generator B Failures
Operator Fails to Recover
Emergency Power
Common Cause Failure ofHPI
Motor-Driven Pumps
Common Cause Failure ofall
HPI Injection Valves
Base
probability
5.5 E405
1.7 FA04
3.2 E402
2.6 E401
3.4 E401
2.6 E401
1.0 E403
1.0 E403
1.0 E403
1.6 E403
4.2 E402
4.2 E402
8.0 E401
1.0 E404
5.5 E405
Current
probability
5.5 E405
1.7 E404
I
3.2 E402
2.6 E401
3.4 E401
2.6 E401
1.0 E403
1.0 E403
1.0 E403
1.6 E403
4.2 E402
4.2 E402
8.0 E401
1.0 FA04
5.5 E405
Type
Modified
for this
event
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
14
I
LER Nos. 335/95-004t -005r -006
Table 1. Definitions and probabilities for selected basic events for
LER Nos. 335/95-004, -005, -006
Event
name
HPI-TNK-FC-RWST
MFW-SYS-TRIP
MFW-XHE-NOREC
OEP-XHE-NORECAH
OEP-XHE-NOREC-BD
OEP-XHE-NOREC-SL
PCS-PSF-HW
PCS-XHE-SM-SG
PPR-SRV<C-I
PPR-S
ROC-2
PPR-SRV<O-SBO
PPR-SRV<O-TRAN
PPR-SRV~PRVI
PPR-SRV-OO-PRV2
PPR-SRV~-SRVS
RCS-MDP-LK-SEALS
Description
RWST and Water Supply Valve
Failures
Main Fccdwatcr System Trips
Operator Fails to Rccovcr Main
Fecdwatcr
Operator Fails to Recover Offsite
Power Within 6 Hours
Operator Fails to Recover Offsite
Power Bcforc Batteries Are
Dcplcted
Operator Fails to Recover Offsite
Power (Seal LOCA)
Hardware Failures Causing
Failure to Dcprcssurizc
Operator Fails to Initiate RCS
Dcprcssurization
PORV I Fails to Open on
Demand
PORV 2 Fails to Open on
Demand
PORV I Fails to Reclose After
Opening
PORV 2 Fails to Reclose AAer
Opening
At Least Onc Safety Valve Fails
to Reclose AIter Opening
RCP Seals Fail Without Cooling
and Injection
Base
probability
2.7 E406
2.0 E401
3.4 E401
5.7 E402
1.1 E402
6.0 E401
1.0 E405
4.0 E404
2.0 E403
2.0 E403
1.0 E+000
4.0 E402
2.0 E403
2.0 E403
0.0 E&00
3.4 E402-
Current
probability
2.7 E406
2.0 E401
3.4 E401
5.7 E402
1.1 E402
6.0 E401
1.0 E405
4.0 E404
1.0 E&00
1.0 EK00
1.0 E&00
4.0 E402
0.0 E&00
0.0 E&00
9.0 E402
3.4 E402
Type
TRUE
TRUE
FALSE
FALSE
Modified
for this
event
No
No
No
No
No
No
No
No
Ycs
Ycs
No
No
Ycs
Yes
Ycs
No
15
~Q
LER Nos. 335/95-004, -005, -006
Table 2. Sequence conditional probabilities for LER Nos. 335/95-004, -005, -006
Event tree
name
TRANS
LOOP
LOOP
LOOP
LOOP
Sequence name
21
16
40
30
39
05
41
23
32
21
06
Conditional core
damage
probability
(CCDP)
5.1 E-005
2.6 E-005
1.9 E-005
4.4 E-006
4.4 E-006
3.9 E-006
2.5 E-006
2.4 E-006
2.4 E-006
1.5 E-006
1.5 E-006
Contribution
40.8
21.3
15.7
3.5
3.5
3.1
1.9
1.9
1.9
1.2
1.2
TRANS
08
Total (all sequences)
1.3 E-006
1.2 E-004
1.0
16
LER Nos. 335/95-004, -005, -006
Table 3. Sequence logic for dominant sequences for LER Nos. 335/95-004, -005, -006
Event tree name
TRANS
LOOP
LOOP
SGTR'OOP
LOOP
TRANS
Sequence name
21
-16
40
30
39
05
41
.
23
32
21
06
08
Logic
/RT-L, /EP, AFW-L,/OP-6H,
F&B-L
/RT-L, EP, /AFW-L,PORV-
SBO, PRVL-RES
/RT-L, EP, /AFW-L,/PORV-
SBO, SEALLOCA, OP-SL
/RT-L, EP, /AFW-L,PORV-
SBO, /PRVL-RES,
SEALLOCA, OP-SL
/RT, /AFW-SGTR, /HPI, RCS-
/RT-L, EP, AFW-L-EP
/RT-L, EP, /AFW-L,/PORV-
SBO, /SEALLOCA,OP-BD
/RT-L, EP, /AFW-L,PORV-
SBO, /PRVL-RES,
/SEALLOCA,OP-BD
/RT-L, /EP, AFW-L,OP-6H,
F&B-L
/RT, /AFW-SGTR, HPI
/RT, /AFW, PORV, PORV-
17
LER Nos. 335/95-004, -005, -006
Table 4. System names for LER Nos. 335/95-004, -005, -006
System name
AFW-L
AFW-L-EP
AFW-SGTR
F&B
F&B-L
OP-BD
OP-SL
PORV-RES
PORV-SBO
PRVL-RES
RCS-SG
SEALLOCA
Logic
No or Insufficient AFW Flow
No or Insufficient AFW Flow During LOOP
No or Insufficient AFW Flow During Station Blackout
No or Insufficient AFW Flow During a Stcam
Generator Tube Rupture
Failure ofBoth Trains ofEmer'gency Power
Failure to Provide Feed and Bleed Cooling
Failure ofFeed and Bleed Cooling During a LOOP
No or Insufficient Flow from HPI System
Failure ofthe Main Feedhvater System
Operator Fails to Recover Offsite Power Within 6 h
Operator Fails to Recover Offsite Power Before
Batteries are Depleted
Operator Fails to Recover Offsite Power (Seal LOCA)
PORVs Fail to Reseat
PORVs Open During Station Blackout Event
PORVs and Block Valves Fail to Reclose [Electric
Power (EP) succeeds]
Failure to Lower RCS Pressure to Less Than the Steam
Generator ReliefValve Setpoint
Reactor Fails to Trip During Transient
Reactor Fails to Trip During LOOP
18
E.
lg;
'IE
LER Nos. 335/95-004, -005, -006
Table 5. Conditional cut sets for higher probability sequences for
LER Nos. 335/95-004, -005, -006
Cut set
No.
Percent
Contribution
Conditional
Probability'ut sets
TRANS Sequence
21
80.2
4.1 E-005
AFW-XHE-NOREC,AFW-XHE-XAZST2,MFW-SYS-TRIP,
MFW-XHFNOREC
14.2
7 2 E pp6
AFW-PMP-CF-ALL,AFW-XHE-NOREC, MFW-SYS-TRIP,
MFW-XHE-NOREC
4.4
LOOP Sequence
16
2.2 E-006
2.
E 005
AFW-MOV-CF-SGALL,AFW-XHE-NOREC, MFW-SYS-TRIP,
MFW-XHE-NOREC
79.0
14.0
44
2 1 E P05
AFW-XHE-XAZST2L,AFW-XHE-NOREC-L
3.6 E-006
AFW-PMP4F-ALL,AFW-XHE-NOREC
1
1 E PP6
AFW-MOVCF-SGALL,AFW-XHE-NOREC-L
LOOP Sequence 40
52.4
47.6
LOOP Sequence 30
52.4
47.6
LOOP Sequence 39
52.4
47.6
1.9 E-005
1.0 E-005
9.0 E-006
4.4 E-006
2.3 E-006
2.1 E-006
2.3 E-006
2.1 E-006
EPS-DGN-FC-DGA, EPS-DGN.FC-DGB, EPS-XHE-NOREC,
PPR-SRV<O-SBO, PPR-SRV~SRVS
EPS-DGNZF-AB, EPS-XHE-NOREC, PPR-SRVZO-SBO,
PPR-SRV~SRVS
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHF NOREC,
RCS-MDP-LK-SEALS, OEP-XHE-NOREC-SL
EPS-DGN-CF-AB, EPS-XHE-NOREC, RCS-MDP-LK-SEALS,
OEP-XHE-NOREC-SL
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHE-NOREC,
PPR-SRVZO-SBO, RCS-MDP-LK-SEALS, OEP-XHE-NOREC-SL
EPS-DGN4:F-AB, EPS-XHE-NOREC, PPR-SRVNO-SBO,
RCS-MDP-LK-SEALS, OEP-XHE-NOREC-SL
19
'l
j 4I,
t
~I
LER Nos. 335/95-004, -005, -006
Table 5. Conditional cut sets for higher probability sequences for
LER Nos. 335/95-004, -005, -006
Cut set
No.
Percent
Contribution
Conditional
Probability'ut sets
SGTR Sequence 05
97.6
39E nn6
3.8 E-006
PCS-XHE-XM-SG
2.4
9.4 E-008
PCS PSF HW
LOOP Sequence
41
50.2
45.5
2.5 E-006
1.3 E-006
1.1 E-006
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHE-NOREC,
AFW-TDP-FC-lC, AFW-XHE-NOREC-EP
EPS-DGNZF-AB, EPS-XHE-NOREC, AFW-TDP-FC-lC,
AFW-XHE-NOREC-EP
1.6
1.4
LOOP Sequence 23
52.4
4.0 E-008
3.5 E-008
2.4 E-006
1.3 E-006
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHE-NOREC,
AFW-XHE-XAZST2E,AFW-XHE-NOREC-EP
EPS-DGNZF-AB, EPS-XHE-NOREC, AFW-XHE-XACST2E,
AFW-XHE-NOREC-EP
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHE-NOREC,
OEP-XHE-NOREC-BD
47.6
1
1 E PP6
EPS-DGNZF-AB, EPS-XHE-NOREC, OEP-XHE-NOREC-BD
LOOP Sequence 32
52.4
47.6
LOOP Sequence
21
79.0
14.0
44
2.4 E-006
1.3 E-006
1.1 E-006
1.5 E-006
1.2 E-006
2.1 E-007
6.6 E-008
EPS-DGN-FC-DGA, EPS-DGN-FC-DGB, EPS-XHE-NOREC,
PPR-SRV-CO-SBO, OEP-XHE-NOREC-BD
EPS-DGN4F-AB, EPS-XHE-NOREC, PPR-SRVZO-SBO,
OEP-XHE-NOREC-BD
AFW-XHE-NOREC-L,AFW-XHE-MST2L,
OEP-XHE-NORECAH
AFW-PMP-CF-ALL,AFW-XHE-NOREC-L,
OEP-XHE-NORECAH
AFW-MOV-CF-ALL,AFW-XHE-NOREC-L,
OEP-XHE-NORECAH
20
pC
W
LER Nos. 335/95-004, -005, -006
Table 5. Conditional cut sets for higher probability sequences for
LER Nos, 335/95-004, -005, -006
Cut set
No.
Percent
Contribution
Conditional
Probability'ut sets
SGTR Sequence 06
62.7
1.
9 4 E PP7
HPI-MDPZF-ALL
34.7
1.7
TRANS Sequence 08
5.2 E-007
2.6 E-008
HPI-MOV-CF-DISAL
HPI-TNK-FC-RWST
62.7
34.7
1.7
Total (all sequences)
8.2 E-P07
HPI MDP cF ALL
4 5 E PQ7
PPR-sRY4o-TRAN, PPR-sRv-oo-svRs,
HPI-Mov-cF-DIsAL
2 2 E PQ8
PPR-sRvco-TRAN, PPR-sRv-oo-svRs,
HPI-TNK-Fc-RwsT
5.9 E-006
1,
E 004
a. 'he conditional probability for each cut sct is determined by multiplying the probability that the
portion ofthe sequence that makes the precursor visible (e.g., the system with a failure is demanded) will
occur during the duration ofthe event by the probabilities ofthe remaining basic events in the minimal
cut set. This can be approximated by 1 - e', whcrc p is determined by multiplying the expected number
ofinitiators that occur during the duration ofthe event by the probabilities ofthe basic events in that
minimal cut set. The expected number ofinitiators is given by At, where A, is the frequency ofthe
initiating event (given on a per hour basis), and t is the duration time ofthe event (in this case, 5840 h).
This approximation is conservative for precursors made visible by the initiating event. The frequencies
ofinterest for this event are: A~, = 4.0 x 10 /h, A~p = 1.4 x 10'/h, and Amra = 1.63 x 10 /h.
21
') 4
i
'~)l
GUIDANCE FOR LICENSEE REVIEW OF
PRELININARY ASP ANALYSIS
Backgr ound
The preliminary precursor
analysis of an operational
event that occurred at
your plant has
been provided for your review.
]his analysis
was performed
as
'
part of the NRC's Accident Sequence
Precursor
(ASP)
Program.
The
Program
uses probabilistic risk assessment
techniques
to provide estimates
of
operating
event significance
in terms of the potential for core
damage.
The
types of events
evaluated
include actual initiating events,
such
as
a loss of
off-site power
(LOOP) or loss-of-coolant
accident
(LOCA), degradation
of plant
conditions,
and safety equipment failures or unavailabilities that could
increase
the probability of core
damage
from postulated
accident
sequences.
This preliminary analysis
was conducted
using the information contained
in the
plant-specific final safety analysis report
(FSAR), individual plant
examination
(IPE),
and the licensee
event report
(LER) for this event.
Nodeling Techniques
The models
used for the analysis of 1995
and
1996 events
were developed
by the
Idaho National
Engineering
Laboratory (INEL).
The models were developed
using
the Systems Analysis Programs for Hands-on
Integrated Reliability Evaluations
(SAPHIRE) software.
The models
are
based
on linked fault trees.
Four types
are considered:
(1) transients,
(2) loss-of-coolant
accidents
(LOCAs), (3) losses
of offsite power
(LOOPs),
and (4) steam
generator
tube ruptures
(PWR only).
Fault trees
were developed
for each top
event
on the event trees to
a supercomponent
level of detail.
The only
support
system currently modeled is the electric power system.
The models
may be modified to include additional detail for the systems/
components
of interest for a particular event.
This may include additional
equipment or mitigation strategies
as outlined in the
Probabilities
are modified to reflect the particular circumstances
of the
event being analyzed.
Guidance for Peer
Review
Comments regarding
the analysis
should address:
Does the "Event Description" section accurately describe
the event
as it
occurred?
Does the "Additional Event-Related
Information" section provide accurate
additional
information concerning
the configuration of the plant
and the
operation of and procedures
associated
with relevant
systems?
Does the "Hodeling Assumptions" section accurately describe
the modeling
done for the event?
Is the modeling of the event appropriate for the
events that occurred or that
had the potential to occur under the event
conditions?
This also includes
assumptions
regarding the likelihood of
equipment
recovery.
Enclosure
2
NJ
JJ
Appendix
H of Reference
I provides
examples of comments
and responses
for
previous
ASP analyses.
Criteria for Evaluating
Comments
Hodifications to the event analysis
may be made
based
on the comments that
you'rovide.
Specific documentation will be required to consider modifications to
the event analysis.
References
should
be
made to portions of the
LER, AIT, or
other event documentation
concerning
the sequence
of events.
System
and
component capabilities
should
be supported
by references
to the
FSAR,
IPE,
plant procedures,
or analyses.
Comments related to operator
response
times
and capabilities
should reference
plant procedures,
the
FSAR, the
IPE, or
applicable operator
response
models.
Assumptions
used in determining failure
probabilities should
be clearly stated.
Criteria for Evaluating Additional Recovery measures
Additional systems,
equipment,
or specific recovery actions
may be considered
for incorporation into the analysis.
However, to assess
the viability and
effectiveness
of the equipment
and methods,
the appropriate
documentation
must
be included in your response.
This includes;
normal or emergency
operating
procedures'.'iping
and instrumentation
diagrams
(P&IDs),
electrical one-line diagrams,
results of thermal-hydraulic
analyses,
and
operator training (both procedures
and simulator),
etc.
Systems,
equipment,
or specific recovery actions that were not in place at the
time of the event will not be considered.
Also, the documentation
should
address
the impact (both positive
and negative) of the
use of the specific
recovery measure
on:
the sequence
of events,
the timing of events,
the probability of operator error in using the system or
equipment,
and
other systems/processes
already
modeled in the analysis
(including
operator actions).
"For example,
Plant
A (a
PWR) experiences
a reactor trip, and during the
subsequent
recovery, it is discovered that
one train of the auxiliary
(AFW) system is unavailable.
Absent
any further information
regrading this event,
the
ASP Program would analyze it as
with one train of AFW unavailable,
The
AFW modeling would be patterned
after information gathered either from the plant
FSAR or the
IPE.
However, if information is received
about the use of an additional
system
(such
as
a standby
system)
in
recovering
from this event,
the transient
would be modeled
as
a reactor
trip with one train of AFW unavailable,
but this unavailability would be
Revision or practices
at the time the event occurred.
I
p4
mitigated
by the use of the standby feedwater
system.
The mitigation
effect for the standby feedwater
system would be credited in the
analysis
provided that the following material
was available:
standby
system characteristics
are documented
in the
FSAR or accounted for in the
IPE,
procedures
for using the system during recovery existed at the
time of the event,
the plant operators
had
been trained in the use of the system
prior to the event,
a clear diagram of the system is available (either in the
FSAR,
IPE, or supplied
by the licensee),
previous
analyses
have indicated that there would be sufficient
time available to implement the procedure
successfully
under the
circumstances
of the event under analysis,
the effects of using the standby feedwater
system
on the operation
and recovery of systems
or procedures
that are already included in
the event modeling.
In this case,
use of the standby
system
may reduce the likelihood of recovering failed
equipment or initiating feed-and-bleed
due to time and personnel
constraints.
Haterials
Provided for Review
The following materials
have
been provided in the package
to facilitate your
review of the preliminary analysis of the operational
event.
~
The specific
LER,
augmented
inspection
team (AIT) report, or other
pertinent reports.
~
A summary of the calculation results.
An event tree with the dominant
sequence(s)
highlighted.
Four tables in the analysis
indicate:
(1)
a
summary of the relevant basic events,
including modifications to the
probabilities to reflect the circumstances
of the event,
(2) the
dominant core
damage
sequences,
(3) the system
names for the systems
cited in the dominant core
damage
sequences,
and (4) cut sets for the
dominant core
damage
sequences.
Schedule
Please refer to the transmittal letter for schedules
and procedures
for
submitting your comments.
References
1.
L. N. Vanden
Heuvel et al., Precursors
to'Potential
Severe
Core
Damage
Accidents:
1994,
A Status
Report,
USNRC Report
(ORNL/NOAC-
232)
Volumes
21
and 22, Hartin Harietta
Energy Systems,
Inc.,
Oak Ridge
National Laboratory
and Science Applications International
Corp.,
December
1995.
.r