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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20216H7451998-03-12012 March 1998 Ro:On 980224,SRO Left CR Leaving Key Unattended in Console. Caused by Personnel Error.Rso Was Reprimanded for Failing to Follow Procedures & Operators Participated in Special Training Class ML20058F6191993-11-30030 November 1993 Ro:On 931105,during Radiation Measurements in Exposure Room One,Core Support Shroud Came in Contact W/Lead Shield Doors When Interlock Failed,Causing Subj Doors to Close.Caused by Lack of Communication.Operators Involved Reprimanded ML20106B4991992-09-25025 September 1992 Ro:On 920904,discovered Operating Anomaly on Console Which Would Drive Out of Core in Pulse Mode If Square Wave Button Pressed While Pressing Rod Drive Up Button.Caused by Failure to Remove Transient Rod.Second Switch Installed 1998-03-12
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20205B1161998-12-31031 December 1998 1998 Annual Rept of Afrri Triga Reactor. with ML20216H7451998-03-12012 March 1998 Ro:On 980224,SRO Left CR Leaving Key Unattended in Console. Caused by Personnel Error.Rso Was Reprimanded for Failing to Follow Procedures & Operators Participated in Special Training Class ML20217F0331997-12-31031 December 1997 1997 Annual Rept of Affri Triga Reactor ML20137H5161996-12-31031 December 1996 1996 Annual Rept of Afrri Triga Reactor ML20108A1291995-12-31031 December 1995 Corrected 1995 Annual Rept of Afrri Triga Reactor ML20107K1921995-12-31031 December 1995 Corrected Copy of 1995 Annual Rept of Affri Triga Reactor Facility. W/Undated Ltr ML20101D5791995-12-31031 December 1995 1995 Annual Rept of Afrri Triga Reactor. W/Undated Ltr ML20081K3101994-12-31031 December 1994 1994 Annual Rept of Afrri Triga Reactor ML20065A0221993-12-31031 December 1993 1993 Annual Rept of Afrri Triga Reactor ML20058F6191993-11-30030 November 1993 Ro:On 931105,during Radiation Measurements in Exposure Room One,Core Support Shroud Came in Contact W/Lead Shield Doors When Interlock Failed,Causing Subj Doors to Close.Caused by Lack of Communication.Operators Involved Reprimanded ML20056C0691992-12-31031 December 1992 1992 Annual Rept of Afrri Triga Reactor ML20106B4991992-09-25025 September 1992 Ro:On 920904,discovered Operating Anomaly on Console Which Would Drive Out of Core in Pulse Mode If Square Wave Button Pressed While Pressing Rod Drive Up Button.Caused by Failure to Remove Transient Rod.Second Switch Installed ML20091A8621991-12-31031 December 1991 Afrri Triga Reactor 1991 Annual Rept. W/Undated Ltr ML20070Q1571990-12-31031 December 1990 1990 Annual Rept,Armed Forces Radiobiology Research Inst, Reactor Facility ML20055J4821990-07-23023 July 1990 Safety Evaluation Supporting Amend 19 to License R-84 ML20042F0431990-05-0303 May 1990 Comparison & Correlation of Proposed & Current Emergency Plans. ML20042F0291990-04-30030 April 1990 Fuel Follower Control Rod Safety Analysis for Armed Forces Radiobiology Research Inst Triga Reactor Facility. ML20012E9841990-03-29029 March 1990 Ro:On 900228,chamber Door of Primary Reactor Continous Air Monitors (CAM) Left Partially Open,Causing Filter to Be Several Centimeters Further from Detector than Normal. Backup CAM Will Be Wired Into Damper Isolation Sys ML20006G2261990-02-22022 February 1990 Ro:On 900126,reactor Room Sealing Dampers Did Not Fully Seal When in Closed Position During Triga Ventilation Sys Insp. Air Monitoring Sys Showed No Release of Fission Products or Release of Contaminants in Reactor Room.Dampers Repaired ML20006F1561990-02-0707 February 1990 Ro:On 900126,discovered That Reactor Room Sealing Dampers Did Not Fully Seal When in Closed Position During Insp of Ventilation Sys.Dampers Repaired & Returned to Svc on 900126 ML20245G8781988-12-31031 December 1988 Reactor Facility Annual Rept 1988 ML20006G2281988-11-0808 November 1988 Ro:On 881011,reactor Operator Left Console Unlocked While Tracing Electrical Circuit.Discovered by Another Operator Who Locked Console & Removed Key.Two Corrective Actions Were Taken to Prevent Recurrence.Operator Counseled ML20196D2731988-07-0505 July 1988 New Reactor Control Console QA Program ML20196D2821988-05-11011 May 1988 Description of Old & New Reactor Instrumentation & Control Sys for Affri Mark F Reactor Facility ML20196D2531988-05-11011 May 1988 10CFR50.59 SER of New Reactor Instrumentation & Control Sys at Armed Forces Radiobiology Research Inst ML20006G2311988-03-23023 March 1988 Ro:On 880229,reactor Room Primary Continuous Air Monitor Accidently Left in Test Mode During Operations.Two Sets of Corrective Actions Taken to Prevent Recurrence Including Flashing Visual Light Installed on Console in Control Room ML20150E6021987-12-31031 December 1987 Reactor Facility Annual Rept Jan-Dec 1987 ML20140B8901985-12-31031 December 1985 Reactor Facility Annual Rept 1985 ML20100D0301984-12-31031 December 1984 Annual Rept for Armed Forces Radiobiology Research Inst Triga Mark-F Reactor ML20100D0521984-09-30030 September 1984 Revised SAR for Armed Forces Radiobiology Research Inst Triga Mark-F Reactor ML20082B0791983-10-31031 October 1983 Annual Rept,Oct 1982 - Sept 1983 ML20066C1541982-09-30030 September 1982 Annual Operating Rept for Armed Forces Radiobiology Research Inst for Oct 1981 - Sept 1982 ML20040A9341981-12-29029 December 1981 Ro:On 811222 & 23,intermittently Changing But Fixed Vertical Position of Transient Control Rod Noted.Caused by Failure of Bolt That Secures Telescoping Section of Transient Connecting Rod.Section Removed & Secured W/Bolt ML20038B2551981-08-26026 August 1981 General Atomic Triga Mark F (GA-TRIGA F). ML20010B4051981-07-31031 July 1981 Ro:On 810730,operator Failed to Measure k-excess Prior to First Reactor Power Operation.Excess Reactivity,Measured on Daily Basis,Has Not Varied Outside Normal Operational Conditions.Internal Administrative Procedure Instituted ML20009B0231981-05-12012 May 1981 SAR for Armed Forces Radiobiological Research Inst Triga Reactor Facility,License R-84 ML19345C8651980-12-0303 December 1980 Armed Forces Radiobiology Research Inst R-84,Annual Rept Oct 1980. ML19338E8641980-10-0303 October 1980 Eia Data for AFRRI-TRIGA Reactor. ML19338E8531980-10-0303 October 1980 Reactor Operator Requalification Program. ML19345C8661980-09-18018 September 1980 Section VI Safety Analysis of Fsar. ML19338E8501980-09-18018 September 1980 Safety Analysis of Hazard Summary Rept,Chapter 6 to Fsar. ML19338D0441980-09-17017 September 1980 Proposed Reactor Operator Requalification Program. ML19322E5831980-03-25025 March 1980 Ro:On 800315,scram Indicators on Reactor Control Console Were Illuminated,Indicating Power Failure or Outage of Console.Caused by Damaged Operational Amplifier.Circuit Board Replaced.Relay,Requiring Manual Reset,Installed ML19242C4621979-08-0101 August 1979 Deficiency Rept Re Malfunction of Fuel Element Temp Sensing Circuit.Grounding Strap Installed at Main Ground to Lock Signal & Sys Ground Together ML19242C4971979-07-31031 July 1979 Amended Deficiency Rept Re Malfunction of Pool Water Level Sensing Switch,Submitted by Defense Nuclear Agency.Switch Unit Replaced & Addl Sleeving Placed at Wear Point ML20062A4411978-10-0606 October 1978 Forwards AFRRI-TRIGA(R-084 Yae)Annual Rept 1998-03-12
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Mcf! E r 5d-176 ic (FM Td 73 l - fii7pl . DEFENSE NUCLEAR AGENCY
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- h. AHMt O FOhCl.5 H A DIOUiOLOGY Hi SE AHCH ll45111Ull' Di 1 HE SD A. M AR YL A t4D 208H9-5145 DIR 25 SEPTEMBER 1992 United States Nuclear Regulatory Commission Document Control Deck Washington, DC. 20555 Please tind encioned Licensee Event Report (LER) for a reported event that originally occurred 4 September 1992 which was investigated and verifiod on 9 September. Corrective action was completed on 25 September 1992. For information, the point of contact is the Reactor Facility Director, Mr. Mark Moore at 301-29S-1290.
Sincerely, 4 ;
p/; 44 / 4-ROBER ' L. I JMGARNER Captain, MC, USN Director
Enclosure:
Licensee Event Report 1or the AFRR1 TRIGA Reactor Faci 11ty Copy Furn:
United States Nuclear Regulatory Commincion Region 1 47S Allendale Road King cf Prussia, PA. 19406-1415 Attn: Mr Thomas Dragoun United States Nuclear Regulatory Commission Attn: Mr Marvin Mendonca, Mail Stop 11H10 Washington DC. 20S55 9
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9210o20o12 92o92 PDR ADOCK 050001 0 S PD
r Licensee Event Report for the AFRR1 TRIG 4 Reactor Facility Prepared By:
Mr. Mark L. Moort.
Mr. Robert George Mr. Stephen Miller Approved:
.W Mr. M. L. Mog[e Reactor Facility Director Approved for Release:
72< > for d e /
ROBERf L. T5DMCARNER Captain, MC, USH
/ Director Abstract A reactor operating anomaly was discovered in the AFRRI Triga reactor. The. anomaly discovered allows the reactor to automatically pull.a control rod out of the core in pulse mode.
Accidental reoccurrence of this anomaly was prevented by an-administrative order _and the installation of a temporary additional switch 'into the pulse and square wave mode _ circuit. The switch was replaced by a permanent change c' the software. interlock system designed and programmed by the cyw ole manufacturer.
Narrative Description of Event On 4 September 1992 during the daily startup checklist a reactor trainee discovered an operating anomaly on the console in which a '
rod would. drive out of the core in pulse mode. With a shutdown core the trainee was asked to repeat the steps he had performed to cause the event to occur. The trainee then pressed the PULSE mode.
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r . %g button while pressing a roi drive UP b: '1 3r. to shop that the event
]6- gan repeatable. The Senior Reactor G :erator on console notified the Deactor L'7111ty Director and demon strated the situation to the
?
RFD The RFD directed the operator is call the supnliar of the mole for f urther inf ormatirn o: the problern and to determine the
, ieters of the problem through cauticus experimentation with the N 3m.
y n M iq further testing it was discovered that rods would drie out tne core if th^ Square wave button was pressed whil; pressing a H drive UP button. Also discovered was that the event does not r if the AUTO button is pressed while pressing a rod drive UP i b on.
(
y, The Reactor Facility Direr, tor notified the NRC on 9 September 1992.
The NRC Region One wa.; notified telephonically as per NRC regulations and a ca was received from the NRC Non-Power Reactor (NPR) staf f at NRC H uarters sportlv thereafter. The telephon' %
call was followed by visit by from tw i endquarters Non-Powe. @d Reactor Decomienioning and Environmental Pro j ect Directorate where the anomaly was demonstrated as well ca tR Uaction of a temporary additional key switch to prevent accident 1 ac":currence .
Assessment of Safety Consequences i ..e event was discovered during a chechout mode. Each time the event was tested it occurred with a fully scrammed shutdowr reactor. The shutdown margin with the most reactive control rod (Transient Rod) fully removed is $ 2.65. The transient rod was never removed during these tests. With the most reactive standard control rod removed by the ancmaly the reactor would be safely shutdown by $ 4.03. The reactor is considered shutdown if it is subcritical by at least $ .50. The reactor power did not increase f rom source level during these tests and at no time did it approach critical.
This event would not normally occur when the reactor is preparing for a pulse. When the reactor is critical and an operator is preparing for a petse, the operator would not be raising a control rod while entering pulce mode. Doing so would change the computed insertion above critical.
Description of Corrective Actions Until the permanent software fix by General Atomics, the cor3cle manufacturer, was installed, an administrative directive not to press a rod up button and either the pulse or squarc wave button at the samu time was implemented. A second switci. Was installed in series with both the pulse and square wave buttor: , The new switch causes the operator to be required to use two h n# for entering pulse nr square wave mode. With both hands beine J to enter the nr. -
a: tor mode the operator can not press a r. GP button at the a.,am, _ mm-.. - - - - ' - - - - - - - -
- k. .
same time as he presses a mode button. A permanent corrective action which required e. software correction was implemented on 23 Sept. Testing verified the corrective software fixed the anomaly.
Upon successful testing of the permanent sof tware fix the temporary preventive actions were removed. In addition a complete checkoat of all identifiable interlock combinations will be performed in October 1992 during the annual maintenance shutdown.
Reference to any previous similar events j l
During an earlier console checkout a similar occurrence resulted i- ;
an unsolved single occurrence during prestarts. The anomaly may s c_ ;
may not have been caused by this sequence of events. Extensive '
testing at that time failed to cause a reoccurrence.
Point of Contact for any~ Questions j Points of contact for further information are Mr. Mark L. Moore, Reactor Pacility Director, or Mr Robert George, Senior Reactor operator. Telephone 301-295-1290 4'
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