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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20205A6551999-03-19019 March 1999 Ro:On 990310,main Ventilation Damper Failed to Close on Receipt of High Radiation Test Signal.Cause Indeterminate. Relays Associated with Main Exhaust Damper/Fans & Main Intake Damper Were Replaced ML20206P5321999-01-0606 January 1999 Ro:On 981229,only One Nuclear Safety Period Scram Channel Was Operable,For Period of Five Minutes.Caused by Placement of Nuclear Safety Sys Channel 1 Input Signal Cable on Wrong Bnc Connector.Placed Channel on Correct Bns Connector ML20217E8071998-03-23023 March 1998 Ro:On 980127,containment Integrity No Longer Existed & Key Switch Was Still 'On' for One of Test & Calibr Procedures. Caused by Retrieving Tool Box from Truck Air Lock.Discussed Occurrence W/Personnel & Will Consider TS Rev Re Key Switch ML20092K8281995-09-22022 September 1995 Corrective Action for RO 50-20/1995-4,re Abnormal Situations Which Occurred on 950711 ML20091K3091995-08-18018 August 1995 Ro:On 950809,malfunction of Shim Blade Drive Mechanism Occurred.Determined That Mechanism Experienced Intermittent Slippage When Blade Being Withdrawn.Blade Drive Mechanism Assembly Procedure PM 7.1.1.1 Will Be Reviewed ML20086T7571995-07-28028 July 1995 RO 50-20/1995-4:on 950720,operated W/One Shim Blade Fully Inserted.Caused by Failure of Licensed Operators to Follow Written Procedure for Investigating Mismatch.Failed Proximity Switches Replaced ML20082B8551995-03-30030 March 1995 RO 50-20/1995-2:on 950320,operation of Reactor in natural- Circulation Mode W/O Required Two Operable Nuclear Safety Level Channels Set to Scram at or Less than 100 Kw,Mitr TS 3.7 ML20078S2241995-02-17017 February 1995 Reportable Occurrence 50-020/95-01:on 950206,voltage & Specific Gravity Measurements of Cell of Emergency Battery Bank Recorded at Less than Specified Weekly SR in TS 4.3.5. C/A Will Modify SR to Monthly ML20058Q2371993-12-17017 December 1993 RO 50-20/1993-1:on 931207,operation W/Fewer than Required Number of 100 Kw Nuclear Safety Sys Level Channels Identified.Caused by Faulty four-segment Relay in low-range Amplifier of Channel 5.Amplifier Replaced ML20094K0721992-03-12012 March 1992 RO 50-020/1992-2:on 911030,three Fission Chambers Missing During Annual Inventory of SNM Matl.Search for Missing Chambers Completed on 920311 W/O Locating Chambers.Snm Inventory for 1991 Has Been Amended ML20090D6661992-03-0202 March 1992 RO 50-20/92-1 on:920218,malfunction Occurred in Reactor Analog Controller Due to Improper Performance of Increase in Reactor Power.Caused by Operator Error.Analog Automatic Control Sys Investigated & Temporarily Repaired ML20082K5911991-08-22022 August 1991 RO 50-20/1991-1:on 910813,fission Product Gas Levels Rose from Normal Operating Levels to Max of 15% of Mpc.Caused by Small Blister on One of Element MIT-17 Fuel Plates. Corrective Action Consisted of Removing MIT-17 from Core ML20248C7111989-08-0404 August 1989 RO 50-20/1989-2:on 890726,console Operator Received Abnormal Bldg Alarm.Leak Test Revealed Crack on Sys Ref Line Which Senses Atmospheric Pressure Outside Containment.All Polyethylene Tubing in Sys Replaced ML20246P3071989-03-17017 March 1989 RO 50-20/1989-1:on 890308,operation W/Fewer than Required Number of Nuclear Safety Channel Level Scrams Due to Lack of High Voltage Power Supply (Hvps) to Channel 5.Reactor Shut Down & Hvps Energized to Supply Channel 5 ML20154M6501988-05-26026 May 1988 RO 50-20/1988-1:on 880511,incipient Fuel Clad Defect Detected.Caused by Small Blister on One Element MIT-12 Fuel Plate.Element MIT-12 Removed from Core ML20236S4931987-11-19019 November 1987 RO 50-20/1987-2:on 871110,improper Performance of Reactor Reshim Resulted in Excessive Power Rise.Caused by Operator Error.Operator Suspended from All Licensed Duties Pending Further Review of Circumstances & Disciplinary Measures ML20213G0601986-11-0606 November 1986 RO 50-20/1986-3:on 861027,shim Blade 6 Could Not Operate at full-out Position Due to Mechanical Interference.Caused by Misalignment of Blade Proximity Switch Tube.Switch Tube Reinstalled Properly ML20214V9001986-10-17017 October 1986 Revised RO 50-20/1986-2:on 861008,elevated Levels of Fission Gases Discovered in Primary Containment.Cause Undetermined. Refueling Initiated & Element MIT-19 Removed.All in-core Elements Sipped.No Abnormalities Found ML20214H9541986-10-17017 October 1986 RO 50-020/86-02:on 861008,elevated Levels of Fission Gases in Primary Containment Observed.Cause Unknown.Element MIT-19 Removed from Core & All in-core Elements Sipped ML20154S4591986-02-28028 February 1986 RO 50-20/1986-1:on 860219,fission Product Gas Levels Rose from Normal Operating Levels.Caused by Blister on Surface of Outer Fuel Plate of Element MIT-11.Element MIT-11 Removed from Core ML20137G3661985-07-23023 July 1985 RO 50-20/1985-2:on 850715,defect in Fuel Element Cladding Observed.Caused by High Rate of Outgassing from Fuel Element MIT-32.Defective Element Removed ML20137G3531985-04-18018 April 1985 RO 50-20/1985-1:on 850408,main Intake Valve Failed Light Test Maint Procedure.Caused by Excessive Wear of Valve Gasket.Gasket Replaced ML20081H8191983-09-15015 September 1983 RO 50-20/1983-2:on 830906,fission Product Gas Levels Rise from 2.8% Max Permissible Concentration in Jul 1983 to 4.57% in Aug Noted.Caused by Excessive Outgassing of Fuel Element MIT-08.Element Removed from Core ML20074A7521983-04-29029 April 1983 RO 50-20/1983-1:on 830419,main Intake Valve Closed & Could Not Be Reopened.Caused by Piston Rod Rupture Near Rod Eye, Leaving Valve in Closed Position.Defective Hydraulic Cylinder Shaft Replaced ML20063B9221982-08-17017 August 1982 Ro:On 820809,slight Increase Found in Levels of Fission Products in Reactor Primary Sys.Cause Under Investigation. Criterion for Operation W/Possible Faulty Core Element Per RO 50-20/79-4 Will Be Observed 1999-03-19
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20209C9331999-07-0808 July 1999 Vols 1 & 2 to SAR for Ma Institute of Technology Nuclear Reactor Lab ML20196K0331999-06-30030 June 1999 Quality Mgt Program for Generation of MITR-II Medical Therapy Facility Beams for Human Therapy, Reflecting Change to Provision 14 ML20205A6551999-03-19019 March 1999 Ro:On 990310,main Ventilation Damper Failed to Close on Receipt of High Radiation Test Signal.Cause Indeterminate. Relays Associated with Main Exhaust Damper/Fans & Main Intake Damper Were Replaced ML20206P5321999-01-0606 January 1999 Ro:On 981229,only One Nuclear Safety Period Scram Channel Was Operable,For Period of Five Minutes.Caused by Placement of Nuclear Safety Sys Channel 1 Input Signal Cable on Wrong Bnc Connector.Placed Channel on Correct Bns Connector ML20199H2371998-12-31031 December 1998 Revised SER for Fission Converter Facility ML20196B7541998-06-30030 June 1998 Mit Research Reactor Nuclear Reactor Lab Ma Inst of Technology,Annual Rept to Us NRC for Period 970701-980630. with ML20217E8071998-03-23023 March 1998 Ro:On 980127,containment Integrity No Longer Existed & Key Switch Was Still 'On' for One of Test & Calibr Procedures. Caused by Retrieving Tool Box from Truck Air Lock.Discussed Occurrence W/Personnel & Will Consider TS Rev Re Key Switch ML20217G2181997-10-0303 October 1997 SER for Fission Converter Facility ML20198P8071997-06-30030 June 1997 Annual Operating Rept for Jul 1996 - June 1997 ML20137L5901997-04-0303 April 1997 Safety Evaluation Supporting Amend 30 to License R-37 ML20129B3201996-06-30030 June 1996 Annual Rept to Us NRC for Period 950701-960630 ML20092K8281995-09-22022 September 1995 Corrective Action for RO 50-20/1995-4,re Abnormal Situations Which Occurred on 950711 ML20091K3091995-08-18018 August 1995 Ro:On 950809,malfunction of Shim Blade Drive Mechanism Occurred.Determined That Mechanism Experienced Intermittent Slippage When Blade Being Withdrawn.Blade Drive Mechanism Assembly Procedure PM 7.1.1.1 Will Be Reviewed ML20086T7571995-07-28028 July 1995 RO 50-20/1995-4:on 950720,operated W/One Shim Blade Fully Inserted.Caused by Failure of Licensed Operators to Follow Written Procedure for Investigating Mismatch.Failed Proximity Switches Replaced ML20092K2301995-06-30030 June 1995 Mit Research Reactor Annual Rept to NRC for Period Jul 1994 - June 1995 ML20082B8551995-03-30030 March 1995 RO 50-20/1995-2:on 950320,operation of Reactor in natural- Circulation Mode W/O Required Two Operable Nuclear Safety Level Channels Set to Scram at or Less than 100 Kw,Mitr TS 3.7 ML20078S2241995-02-17017 February 1995 Reportable Occurrence 50-020/95-01:on 950206,voltage & Specific Gravity Measurements of Cell of Emergency Battery Bank Recorded at Less than Specified Weekly SR in TS 4.3.5. C/A Will Modify SR to Monthly ML20072T3041994-06-30030 June 1994 Annual Rept for Mit Research Reactor for 930701-940630 ML20058Q2371993-12-17017 December 1993 RO 50-20/1993-1:on 931207,operation W/Fewer than Required Number of 100 Kw Nuclear Safety Sys Level Channels Identified.Caused by Faulty four-segment Relay in low-range Amplifier of Channel 5.Amplifier Replaced ML20056G8011993-06-30030 June 1993 Mit Research Reactor Nuclear Reactor Lab Mit,Annual Rept to NRC for Period 920701-930630 ML20128P4371993-02-16016 February 1993 Safety Evaluation Supporting Amend 27 to License R-37 ML20073H1451992-12-0909 December 1992 Study of MITR-II Core Tank Aging for Relicensing Consideration ML20114D9261992-06-30030 June 1992 Mit Research Reactor Nuclear Reactor Lab Mit,Annual Rept to NRC for 910701-920630 ML20094K0721992-03-12012 March 1992 RO 50-020/1992-2:on 911030,three Fission Chambers Missing During Annual Inventory of SNM Matl.Search for Missing Chambers Completed on 920311 W/O Locating Chambers.Snm Inventory for 1991 Has Been Amended ML20090D6661992-03-0202 March 1992 RO 50-20/92-1 on:920218,malfunction Occurred in Reactor Analog Controller Due to Improper Performance of Increase in Reactor Power.Caused by Operator Error.Analog Automatic Control Sys Investigated & Temporarily Repaired ML20082K5911991-08-22022 August 1991 RO 50-20/1991-1:on 910813,fission Product Gas Levels Rose from Normal Operating Levels to Max of 15% of Mpc.Caused by Small Blister on One of Element MIT-17 Fuel Plates. Corrective Action Consisted of Removing MIT-17 from Core ML20082L8451991-06-30030 June 1991 Mit Research Reactor Annual Rept to NRC for Jul 1990 to June 1991 ML20058N5741990-08-10010 August 1990 QA Program for MITR-II Spent Fuel Shipment ML20059G4331990-06-30030 June 1990 Mit Research Reactor Annual Rept to NRC for Jul 1989 - June 1990 ML20012D9651990-03-22022 March 1990 RO 50-20/1990-1:on 900312,incorrect Calculation of Estimated Critical Position (ECP) Attained During Reactor Startup. Caused by Failure to Check Second Portion of ECP Calculation Performed by Individual in Training ML20012C2771990-03-0909 March 1990 SER for BWR Coolant Chemistry Loop to Be Installed & Operated in Mitr ML20248C7111989-08-0404 August 1989 RO 50-20/1989-2:on 890726,console Operator Received Abnormal Bldg Alarm.Leak Test Revealed Crack on Sys Ref Line Which Senses Atmospheric Pressure Outside Containment.All Polyethylene Tubing in Sys Replaced ML20247H7041989-06-30030 June 1989 Mit Research Reactor Annual Rept for Jul 1988 - June 1989 ML20246P3071989-03-17017 March 1989 RO 50-20/1989-1:on 890308,operation W/Fewer than Required Number of Nuclear Safety Channel Level Scrams Due to Lack of High Voltage Power Supply (Hvps) to Channel 5.Reactor Shut Down & Hvps Energized to Supply Channel 5 ML20195K1161988-10-24024 October 1988 Suppl to PWR Loop Ser:Use of Large Circulating Pump ML20154J6221988-08-29029 August 1988 Revised Mit Research Reactor Annual Rept to NRC for Jul 1987 - June 1988 ML20153F5591988-06-30030 June 1988 Mit Research Reactor Annual Rept to NRC for Jul 1987 - June 1988 ML20154M6501988-05-26026 May 1988 RO 50-20/1988-1:on 880511,incipient Fuel Clad Defect Detected.Caused by Small Blister on One Element MIT-12 Fuel Plate.Element MIT-12 Removed from Core ML20151R7341988-04-19019 April 1988 Sser for PWR Coolant Chemistry Loop (Pccl) MITNRL-020 ML20236S4931987-11-19019 November 1987 RO 50-20/1987-2:on 871110,improper Performance of Reactor Reshim Resulted in Excessive Power Rise.Caused by Operator Error.Operator Suspended from All Licensed Duties Pending Further Review of Circumstances & Disciplinary Measures ML20237K6121987-06-30030 June 1987 Mit Research Reactor Annual Rept to NRC for Jul 1986 - June 1987 ML20151R7271987-02-13013 February 1987 SER for PWR Coolant Chemistry Loop (Pccl) MITNRL-020 ML20213G0601986-11-0606 November 1986 RO 50-20/1986-3:on 861027,shim Blade 6 Could Not Operate at full-out Position Due to Mechanical Interference.Caused by Misalignment of Blade Proximity Switch Tube.Switch Tube Reinstalled Properly ML20214V9001986-10-17017 October 1986 Revised RO 50-20/1986-2:on 861008,elevated Levels of Fission Gases Discovered in Primary Containment.Cause Undetermined. Refueling Initiated & Element MIT-19 Removed.All in-core Elements Sipped.No Abnormalities Found ML20214H9541986-10-17017 October 1986 RO 50-020/86-02:on 861008,elevated Levels of Fission Gases in Primary Containment Observed.Cause Unknown.Element MIT-19 Removed from Core & All in-core Elements Sipped ML20148B3011986-06-30030 June 1986 Mit Research Reactor Annual Rept to NRC for Period Jul 1985 - June 1986 ML20154S4591986-02-28028 February 1986 RO 50-20/1986-1:on 860219,fission Product Gas Levels Rose from Normal Operating Levels.Caused by Blister on Surface of Outer Fuel Plate of Element MIT-11.Element MIT-11 Removed from Core ML20214R3811986-01-31031 January 1986 Rept of Educational & Research Activities for Academic/ FY84-85 W/Selected Data from Previous Yrs ML20137G3661985-07-23023 July 1985 RO 50-20/1985-2:on 850715,defect in Fuel Element Cladding Observed.Caused by High Rate of Outgassing from Fuel Element MIT-32.Defective Element Removed ML20133H4081985-06-30030 June 1985 Mit Research Reactor Annual Rept to Us NRC for Jul 1984 - June 1985 1999-07-08
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- ,1, s 7 NUCLEAR REACTOR LABORATORY - k,g AN INTERDEPARTMENTAL CENTER OF %$'Jg/
MASSACHUSETTS INSTITUTE OF TECHNOLOGY O K HARLING 138 Albany Street Cambridge, Mass. 02139 L. CLARK.JR.
DirOctor (617)253-42 11 Director of Reactor Operations July 23, 1985 Dr. Thomas E. Murley, Acting Administrator Region I U.S. Nuclear Regulatory Commission Attn: Mr. R. Sommers, Reactor Inspector 631 Park Avenue King of Prussia, PA 19406
Subject:
Reportable Occurrence 50-20/1985-2, License R-37 Increase in Outgassing of a Fuel Element Gentlemen Massachusetts Institute of Technology hereby submits the 10-day report of an occurrence at the MIT Research Reactor, in accordance with paragraph 7.13.2(d) of the Technical Specifications. An initial report of this occurrence was made by telephone to Region I on July 16, 1985.
The format of this report is based on Regulatory Guide 1.16, Revision I.
- 1. Report No: 50-20/1985-2 2a. Report Da te: 23 July 1985 2b. Occurrence Date: 15 July 1985
- 3. Facility: MIT Nuclear Reactor Laboratory 138 Albany Street Cambridge, MA 02139 l
- 4. Identification of Occurrence:
A steady increase in the fission product gas release over a period of several hours to approximately 5% of the maximum permissible concentration (MPC) was interpreted as an indication of a possible defect in the cladding of a fuel element. This increase started at about 1000 12 July 1985. The reactor was shutdown for the weekend at 1800 12 July 1985 in accordance with the standard operating schedule. It was decided that the best means to investigate this increased outgassing was to both " sip" B508270279 850723 ADOCK 05000020
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Dr. Thomas E. Murley July 24, 1985 Page 2 and visually inspect fuel elements prior to the next scheduled startup. The sipping process consists of collecting and counting one liter coolant samples drawn through the fuel element. This procedure, coupled with visual inspection using alternately light and the Cerenkov radiation to illuminate the plates, would permit:
determination of whether or not any particular element had either a higher fission product gas release than what normally diffuses through the aluminum cladding or a blister. This was done on 15 July 1985 and element MIT-32 was identified as having an abnormally high rate of outgassing. A refueling was then initiated and element MIT-32 was removed from the core. Reactor operation was resumed later on 15 July and fission product gas >
release levels were observed to be normal.
- 5. Condition Prior to Occurrence Element MIT-32 was first inserted in the reactor's B-Ring on 30 Jan. 1984. It remained in-core continuously until 15 July 1985 when it was removed. The reactor was operated on its normal schedule of 90-100 hours / week of full-power operation during this period.
- 6. Description of the Occurrence The fission product gas levels obtained in accordance with i standard sampling procedures rose from normal levels to 5% of MPC I- over a period of eight hours starting at 1000 12 July 85. This rise was steady and was not accompanied by periodic spiking of I the core purge monitor.
j 7. Description of Apparent Cause of Occurrence:
The apparent cause of this occurrence is excessive outgassing of fuel element MIT-32. Visual examinations of the element (under water) have been performed. No defect or blister l
- is readily apparent. One member of the staff reports that he can
' discern what may be a tiny blister corresponding to the location where strain gauge measurements were made on the fuel plates
! during the manufacturing process. (Such checks are part of the quality assurance requirements.) However, other members of the staff could not confirm this. The exact mode of failure can not l
be determined without the use of hot cells and special facilities not available at MIT.
l 8. Analysis of Occurrence:
i Quality assurance records on the manufacture of element MIT-32 do not indicate any deviations from the MITR element
Dr. Thomas E. Murley July 24, 1985 Page 3 specifications. Element MIT-32 had been in-core while 28,718 MWH of energy were produced. It has 433 grams of its original 506 gram Icading of U-235 remaining. It is standard MITR policy to both rotate and invert fuel elements in order to maximize Eburtup. Neither of these operations had been performed on MIT-32 because it was not yet sufficiently advanced in the fuel cycle.
Power production in the upper portions of the MIT Reactor is, by design, kept low through the use of fixed poison plates. As a result, while the point of peak burnup on MIT-32 was 39.2% of the allowed fission density (1.8 1021 fissions /ce), the element as a whole had culy attained 14.4% of the limit. Primary coolant chemistry is carefully monitored. The three parameters measured (pH, chloride, conductivity) have generally been as specified.
The few deviations that have occurred were too brief and of too low a magnitude to have caused this occurrence.
Relative to effluent releases, the combination of standard sampling procedures and the existence of procedures for handling any abnormalities in the sampling results means that the problem was quickly diagnosed, identified, and corrected. No significant release occurred.
- 9. Corrective Action:
The immediate corrective action consisted of removing element MIT-32 from the core. Fission product gas levels subse-quently decreased and are currently what was measured prior to the occurrence. All other in-core elements have been " sipped" and no abnormalities were found. MIT-32 was again sipped on 22 July 1985 and the prior existence of an abnormally high fission product release rate was confirmed.
- 10. Failure Data:
A cladding failure occurred to a "4M" series element in June 1979. Refer to ROR #50-20/79-4 dated 2 July 1979. Excess out-gassing occurred in an "MIT" series element in Sept. 1983. Refer to ROR #50-20/83-2. The current failure was far less severe than the one in 1979 and less severe than the one in 1983. ("MIT" series fuel was made by Atomics International. The "4M" series by Culf Atomic.) The existence of a gradual and slight increase in the fission product levels in the MITR's primary coolant was reported to Region I as a matter of information on 17 Aug. 1982.
One element, MIT-21, was identified as being suspect at that time. MIT-32 was not in the core during 1982.
Dr. Thomas E. Murley July 24, 1985 Page 4 Operating experience with fuel from both manufacturers has been good, except as noted below. Of 43 elements made by Culf Atomic, 41 elements (615 plates) have been permanently discharged from the core af ter peak burnup approached the license limit.
One other element (15 plates) is still in use. One failed in 1979 as reported earlier, at an average burnup of 32.5%. Average burnups on the Gulf Atomic fuel are in the range 42-44%.
Of 33 elements made by AI and now in use, three elements (45 plates have peak fission densities exceeding 1.50 x 2021g/ce, average burnup 37%. 27 other elements now in use (405 lates) have peak fission densities in the range 0.1-0.75 x 10 2gffee, On the basis of the above experience, the failures are very likely fabrication defects and not generic problems.
Sincerely, fN &
John A. Bernard Superintendent (d [k '
Lincoln Clark, Jr.
Director of Operations JAB /gw cc MITRSC USNRC-0MIPC USNRC-DMB 1
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