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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20203K5281998-03-0202 March 1998 RO 33732:on 980217,OSTR Failed to Shut Down When Console Manual Scram Button Was Pushed.Caused by Spring Return Switch Failed to Return Completely to Operate Position. Console Key Switch Cleaned & Relubricated ML20236K7251998-02-20020 February 1998 RO 33732:on 980217,manual Scram Failure Occurred.Caused by Spring Return Key Switch Failing to Return Completely to Operate Position & Wiring Change Difference.Removed & Cleaned Switch & Performed Encl 10CFR50.59 Evaluation ML20217A7451997-09-0505 September 1997 Ro:On 970812,questioned Whether OSTR Matl Balance Rept Date of 970728 Was Date Completed or Date Not to Be Exceeded. Caused by Reactor Administrator'S Pressure of Work Load. Completed OSTR Matl Balance Rept ML20138G7651996-12-23023 December 1996 Ro:On 961203,staff Performed Irradiations W/O Following Procedural Controls.On 961216,staff Prepared Shipment of Irradiated Fission Track Samples W/O Following Procedures. Caused by Staff Error.Staff Counseled ML20128G9901993-02-0101 February 1993 Ro:Discovered That Reactor Not Pulsed Semiannually to Compare Fuel Temp Measurements & Peak Power Levels W/Levels of Previous Pulses of Same Reactivity Value.Chart Listing Semiannual Surveillance & Maint Items Encl ML20245B3461989-04-17017 April 1989 Ro:On 890406,during Routine Pulsing Operation,Blue Pen Which Records Linear & Peak Power Went off-scale.Caused by Omission of 100-ohm Resistor Normally Placed Across Console Terminals.Operators Reprimanded & Procedures Changed ML20154J2511988-05-17017 May 1988 RO Re Jan 1988 Event in Which Procedures Consistent W/New NRC Policy Used Rather than Exact Written Procedures.Reactor Operations Committee Meeting on 880513 Preceeded Info for Review.Staff Instructed to Use Exact Procedures ML20071N4021983-05-25025 May 1983 Ro:On 830523,discovered Insp of Transient Control Rod Not Conducted Since 810317.Caused by Misinterpretation of Tech Specs.Surveillance Time Intervals Will Be Modified Per Ansi/Ans 15.1-1982 Guidelines 1998-03-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20195B6691998-11-10010 November 1998 Safety Evaluation Supporting Amend 17 to License R-106 ML20155E8121998-06-30030 June 1998 Annual Rept of Oregon State Univ Radiation Center & Triga Reactor for 970701-980630 ML20203K5281998-03-0202 March 1998 RO 33732:on 980217,OSTR Failed to Shut Down When Console Manual Scram Button Was Pushed.Caused by Spring Return Switch Failed to Return Completely to Operate Position. Console Key Switch Cleaned & Relubricated ML20236K7251998-02-20020 February 1998 RO 33732:on 980217,manual Scram Failure Occurred.Caused by Spring Return Key Switch Failing to Return Completely to Operate Position & Wiring Change Difference.Removed & Cleaned Switch & Performed Encl 10CFR50.59 Evaluation ML20236K7301998-02-20020 February 1998 Osu Triga Reactor (OSTR) Changes,Tests & Experiments Evaluated Under Provisions of 10CFR50.59 ML20199G0331998-01-28028 January 1998 Safety Evaluation Supporting Amend 16 to License R-106 ML20217A7451997-09-0505 September 1997 Ro:On 970812,questioned Whether OSTR Matl Balance Rept Date of 970728 Was Date Completed or Date Not to Be Exceeded. Caused by Reactor Administrator'S Pressure of Work Load. Completed OSTR Matl Balance Rept ML20236F4761997-06-30030 June 1997 Corrected Table V.B.2 for 1996-1997: Monthly Summary of Gaseous Effluent Releases to Annual Rept of or State Univ Radiation Ctr & Triga Reactor for Period July 1996 - June 1997 ML20212D4531997-06-30030 June 1997 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor,960701-970630 ML20138G7651996-12-23023 December 1996 Ro:On 961203,staff Performed Irradiations W/O Following Procedural Controls.On 961216,staff Prepared Shipment of Irradiated Fission Track Samples W/O Following Procedures. Caused by Staff Error.Staff Counseled ML20134E4181996-06-30030 June 1996 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor for Period 950701-960630 ML20094B3621995-06-30030 June 1995 Annual Rept of Changes,Tests & Experiments Performed Per 10CFR50.59 for Period Jul 1994 - June 1995 ML20093M9851995-06-30030 June 1995 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor June 1994-June 1995 ML20078C1511994-06-30030 June 1994 Annual Rept of or State Univ Radiation Ctr & Triga Reactor, 930701-940630 ML20059H5841993-06-30030 June 1993 Annual Rept of Changes,Tests & Experiments Performed Under 10CFR50.59 for 920701-930630 ML20059C4431993-06-30030 June 1993 Annual Rept of or State Univ Radiation Ctr & Triga Reactor,920701-930630 ML20128G9901993-02-0101 February 1993 Ro:Discovered That Reactor Not Pulsed Semiannually to Compare Fuel Temp Measurements & Peak Power Levels W/Levels of Previous Pulses of Same Reactivity Value.Chart Listing Semiannual Surveillance & Maint Items Encl ML20116J2381992-06-30030 June 1992 Annual Rept of Changes,Tests & Experiments Performed Under Provisions of 10CFR50.59 for Oregon State University Triga Reactor (Ostr) ML20116D0111992-06-30030 June 1992 Annual Rept of Oregon State Univ Radiation Center & Triga Reactor for Jul 1991 - June 1992 ML20079P0261991-11-0404 November 1991 Annual Rept of Changes,Tests & Experiments Performed Under Provisions of 10CFR50.59 for Oregon State Univ Triga Reactor for Jul 1990-June 1991 ML20085L0731991-06-30030 June 1991 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor,Jul 1990-June 1991 ML20029A7541991-02-25025 February 1991 Followup RO Per 910215 Telcon:On 910215,water Level in Reactor Tank Lower than Normal.Caused by Water Running Out from Under Concrete Block Shield Surrounding Demineralizer Tank.Barrier Dam Constructed Across HX Room ML20062H7911990-11-27027 November 1990 Annual Rept of Changes,Tests & Experiments for Jul 1989 - June 1990 Under 10CFR50.59 ML20058F2241990-06-30030 June 1990 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor, for Jul 1989 - June 1990 ML19327C0421989-10-31031 October 1989 Amend 5 to, SAR for Oregon State Triga Reactor (Ostr). ML19325C7001989-10-0202 October 1989 Annual Rept of Changes,Tests & Experiments Performed Under Provisions of 10CFR50.59 for Triga Reactor,For Jul 1988 - June 1989 ML20246D1071989-08-15015 August 1989 Safety Evaluation Supporting Amend 10 to License R-106 ML20012A0901989-06-30030 June 1989 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor Jul 1988 - June 1989. ML20005D6031989-06-30030 June 1989 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor Jul 1988 - June 1989. ML20245B3461989-04-17017 April 1989 Ro:On 890406,during Routine Pulsing Operation,Blue Pen Which Records Linear & Peak Power Went off-scale.Caused by Omission of 100-ohm Resistor Normally Placed Across Console Terminals.Operators Reprimanded & Procedures Changed ML20204G1161988-09-30030 September 1988 Annual Rept of Changes,Tests & Experiments for Oregon State Univ Triga Reactor for Jul 1987 - June 1988 ML20235D0601988-06-30030 June 1988 Annual Rept of Oregon State Univ Radiation Ctr & Triga Reactor Jul 1987 - June 1988 ML20154J2511988-05-17017 May 1988 RO Re Jan 1988 Event in Which Procedures Consistent W/New NRC Policy Used Rather than Exact Written Procedures.Reactor Operations Committee Meeting on 880513 Preceeded Info for Review.Staff Instructed to Use Exact Procedures ML20150C8761988-03-15015 March 1988 Requalification Program for Licensed Operators of Oregon State Univ Triga Reactor (Ostr) ML20149M7101988-02-11011 February 1988 Safety Evaluation Supporting Amend 9 to License R-106 ML20235R1021987-09-28028 September 1987 Annual Rept of Changes,Tests & Experiments Performed Under Provisions of 10CFR50.59 for Oregon State Univ Triga Reactor (Ostr), for Jul 1986 - June 1987 ML20235E7421987-06-30030 June 1987 Oregon State Univ Triga Reactor Annual Rept ML20197B2941986-10-0303 October 1986 Annual Rept of Changes,Tests & Experiments for Jul 1985 - June 1986,per 10CFR50.59 ML20138J9471985-10-0404 October 1985 Changes to Facility,To Facility Procedures & to Reactor Experiments for Jul 1984 - June 1985 ML20133N3991985-06-30030 June 1985 Oregon State Univ Triga Reactor Annual Rept, for Reporting Period Jul 1984 - June 1985 ML20080L2971983-09-19019 September 1983 Annual Rept of Changes,Tests & Experiments Made Under 10CFR50.59 for Triga Reactor,Jul 1982 - June 1983 ML20071N4021983-05-25025 May 1983 Ro:On 830523,discovered Insp of Transient Control Rod Not Conducted Since 810317.Caused by Misinterpretation of Tech Specs.Surveillance Time Intervals Will Be Modified Per Ansi/Ans 15.1-1982 Guidelines ML20003G2551981-04-17017 April 1981 Ro:On 810414,continuous Control Rod Withdrawal Occurred, Resulting in Net Insertion of 80 Cents Reactivity Worth. Caused by Failure of Safety Rod Up Switch.Operations Instructions Bulletin Written Re Possible Recurrence ML19340D3771980-12-19019 December 1980 Ro:On 801212,reactor Operated for Approx 1-h W/ Nonfuctioning Air Pump on Reactor Top Continuous Air Particulate Radiation Monitor.Caused by Loosely Fitting Power Plug &/Or Loose Fuse Holder Connection ML19337A7821980-08-31031 August 1980 or State Univ Triga Reactor Annual Rept for Jul 1979-June 1980 ML19310A3861980-06-0303 June 1980 Ro:On 800520,while Performing Routine Pulses,One of Five Pulses Produced Peak Power & Measured Fuel Temp Beyond Expectation for 2.55 Dollar Reactivity Insertion. Apparently Caused by 2.75 Dollar Reactivity Insertation ML20125C5651979-12-18018 December 1979 Safety Evaluation Supporting Amend 4 to License R-106 ML19290A0801979-06-30030 June 1979 Annual Operating Rept for Jul 1978-June 1979 1998-06-30
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, 02/20/98 14:29 0 541 737 0480 RADIATION CENTER @ 002 RADIA110N CElfTER Onecos SrrreUmvenstry 100 Radiation Cantar, corvallis, oregon 97331-5903 Tele;&me 541737.2341 rax 541-737-0480 February 20,1998 U.S. Nuclear Regulatory Commission Document Contro. Desk Washington, D.C. 20555
Reference:
Oregon State Univcersity TRIGA Reactor (OSTR)
Docket No. 50-243, License No. R-106
Subject:
Scram Failure on February 17,1998 - Event No. 33732 Gentlemen:
This letter is in response to our commitment to confer with you regrrding the subject event prior to restarting the reactor.
Let me describe again the basic event. A reactor operator trainee under the direction of a licensed reactor operator started up the reactor and performed the daily core excess measurement at 15 watts as usual. The operator instructed the trainee to manually scram the reactor once this had been done.
When the trainee attempted to comply by pushing the manual scram button, the reactor failed to scram. The reactor operator immediately attempted to scram the reactor himself. When the scram button failed again, the operator checked the key switch and felt it click from a position a little to the right of the OPERATE position (between the OPERATE and RESET position) back to the OPERATE position. He then pushed the manual scram button again which resulted in a proper scram. The operator secured the keys and notified the Reactor Supervisor of the event. From the first attempted scram to the actual scram, the time period was approximately 2-3 seconds.
The occurrence has two causes. The first is a result of the spring return key switch failing to return /,
completely to the OPERATE position after being turned to reset the scrams. Logical analysis concludes that it must have continued to touch contacts A4 and B4. (See figures included with the j attached 10 CFR 50.59 safety evaluation.) The root cause for its failure to completely return to the OPERATE position appears to have been a long term build-up of dirt. Since being removed and cleaned, the switch shows no tendency at all of being sticky or not fully returning. 7 The second cause is a wiring change that makes the OSTR circuit different from that in the original General Atomics (GA) Instrument Maintenance Manual. Figure 1 shows the relevant portion of circuitry from the GA manual. It can be seen that if the key switch is turned to the OPERATE position, magnet current is supplied from TB1-4 through TBl-9, then TB2-3, A3, Al and the console power switch. However, when the key is turned to RESET this circuit is opened and there is no 9007100056 980220 PDR ADOCK 05000243 s PDR
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. magnet current, thereby causing the rods to drop in if they were up, or disabling their withdrawal if they were down.
A careful examination of the actual OSTR consolc circuitry showed that it was different from that illustrated in the GA manual. The difference can be seen in Figure 2 where it is shown that thejumper between TB1-9 and TB2-3. is in fact between TB2-3 and TB10-10. The impact ofthis change is that control rod magnets have power whenever the key switch is in either the OPERATE or the RESET
. position. When the key switch did not fully return to the OPERATE position, the scrams and the control rod magnets were both energized. Therefore, when the manual scram button was pushed the relay did not close and the reactor did not scram.
Investigations of OSTR documentation have so far indicated that thejumper was wired in this manner sometime during the initial installation of the reactor console. The reasons for this thinking will be detailed in the required 14 day letter, liowever, it is very clear that there is very good documentation of all facility changes made since the first one performed under the provisions of 10 CFR 50.59 in March of1968. j The attached 10 CFR 50.59 safety evaluation outlines the corrective actions which are being completed. As discussed in our telephone conversation, the Reactor Operations Committee has met this morning and approved reactor restart no sooner than Febmary 24,1998 pending satisfactory completion of the actions described in the 10 CFR 50.59 safety evaluation. It is our conclusion that these actions provide good assurance that such an event as this cannot happen again and there are no other deviations from the facility as approved.
On a related, but separate matter, I would also like to provide this written confirmation of the verbal notification I made this morning that we will be implementing Section 8.2 of our Physical Security Plan this afternoon at 5:00 p.m. PST.
Should there be any questions regarding the information in this cover letter or should you require 3
more information, please let me know.
Y ours sin , ely, is i f l' rf Brian Dodd, PhD Director c: Oregon' Department of Energy,625 Marion Street, NE, Salem, Oregon 97310, Atta: Mary Lou Blazek L
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