Information Notice 1994-89, Equipment Failures at Irradiator Facilities: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(Created page by program invented by StriderTol)
Line 14: Line 14:
| page count = 9
| page count = 9
}}
}}
{{#Wiki_filter:-/UNITED STATESNUCLEAR REGULATORY COMMISSIONOFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDSWASHINGTON, D.C. 20555December 28, 1994NRC INFORMATION NOTICE 94-89: EQUIPMENT FAILURES AT IRRADIATOR FACILITIES
{{#Wiki_filter:-/UNITED STATES NUCLEAR REGULATORY
 
COMMISSION
 
===OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS===
WASHINGTON, D.C. 20555 December 28, 1994 NRC INFORMATION
 
NOTICE 94-89: EQUIPMENT
 
FAILURES AT IRRADIATOR
 
FACILITIES


==Addressees==
==Addressees==
All U.S. Nuclear Regulatory Commission irradiator licensees.PurRoseThe U.S. Nuclear Regulatory Commission (NRC) is issuing this informationnotice to alert addressees to several equipment failures -- some of which havegeneric implications -- that involve wet source storage irradiators. It isexpected that all recipients (including dry source storage irradiatorlicensees) will review the information for applicability to their facilitiesand consider actions, as appropriate, to avoid similar problems. However,suggestions contained in this information notice are not new NRC requirements;therefore, no specific action or written response is required.Descrition of CircumstancesThe first equipment failure involved the time delay system required in 10 CFR36.23(f). The second equipment failure involved two incidents where thecontrol console provided false indications of irradiator condition. The finalequipment failure involved a source rack that failed to return to its shieldedposition after the comnand was initiated at the control console.1. Fault in the Operational Time Delay Reset Power Supply.In this incident, a fault in the control console circuitry occurred at alicensee's facility when an external electrical power surge caused a fuse toblow in the operational time delay reset power supply. This circuit had beenrecently installed to meet the requirements of 10 CFR Part 36. Theoperational time delay circuit prevents the control console from activatingfor a preset time after being initiated by the operator in the irradiationroom, thereby preventing source rack movement per 10 CFR 36.23(f). Inaddition, the operational time delay circuit of this irradiator must beoperational for the audible and visual warning circuit and the door interlockcircuit to function properly. The audible and visual warning systems aredesigned to activate whenever the irradiator door is opened and sourcemovement is initiated. Nevertheless, the audible and visual warning systemsdid not activate when the operator left the irradiation room, until thecontrol console was turned 0ON6 with the console key. The planned irradiationwas performed, however, since the audible warning system did activate beforeirradiation, per the requirement In 10 CFR 36.31(a).9412210186 PDR ZV > cL(~ (l4eX am t31195 IN 94-89December 28, 1994 The operational time delay circuit was also designed to reset after anirradiation to prevent the control console from being re-energized andallowing additional source movement. The control console should not re-energize until the circuit is again initiated by the operator In theirradiation room. However, in this incident, the control console was able tobe re-energized before the time delay circuit was initiated. The blown fusein the reset power supply prevented the time delay circuit from resetting asdesigned.To prevent reoccurrence, a surge protector was installed to protect the entiresystem from external power surges, and the time delay circuit was redesignedto disable the control console, audio and visual safety circuits, and thesource positioning system, in case the fuse blows again. This alerts theoperator to a fault and prevents source movement until the fuse is replaced.2. False Indications of Source Rack Position.A false indication of source rack position (rack not in the fully downposition) was received at the control console of a wet source storage licenseewhen the wire that carries the source position signal shorted because of worninsulation. Vibration in the system caused the wire to rub against nearbymetal and wore away the insulation. The short-circuit also caused an initialintermittent false indication of a collision between the source rack and thecarrier. The licensee verified that the sources were in the shielded positionand traced the fault to the damaged wire. The wire was replaced and reroutedthrough a flexible conduit to reduce the possibility of additional wear.A second false indication of source rack position occurred at the samefacility when the plunger of a source rack down-position switch failed toextend and thereby did not properly indicate the true position of the sourcerack. The plunger failed to extend because of corrosion between the plungerand sleeve causing increased friction. The irradiator licensee receivedconflicting signals when the lower position switch indicated that the sourcerack was not fully down, but the upper position switch Indicated that thesource rack was fully down. The installed radiation monitors and subsequentsurveys performed outside of the cell indicated that the source rack wasshielded. Further visual analysis confirmed that the source racks were in thefully shielded position.The licensee concluded that the lower source rack position switch wasmalfunctioning and replaced the switch. On further analysis of the switch, itwas determined that green corrosion deposits on the brass sleeve and steelplunger of the switch caused the plunger to stick in the retracted position,preventing it from springing back to the extended position. With the plungerin the retracted position, the switch indicates the source rack is not in thefully down position. The Irradiator vendor, Nordion International, Inc.(NII), was notified and has issued Service Bulletin IND-93-2, which isincluded as Attachment 1 to this information notice. Service Bulletin IND-93-2 advises all users of NIl pool type irradiators containing these plunger-typeposition indicators to check the switches for evidence of corrosion, clean theswitches if corrosion is found, and replace the switches as soon as possible.
All U.S. Nuclear Regulatory
 
Commission
 
irradiator
 
licensees.
 
PurRose The U.S. Nuclear Regulatory
 
Commission (NRC) is issuing this information
 
notice to alert addressees
 
to several equipment
 
failures -- some of which have generic implications
 
-- that involve wet source storage irradiators.
 
It is expected that all recipients (including
 
dry source storage irradiator
 
licensees)  
will review the information
 
for applicability
 
to their facilities
 
and consider actions, as appropriate, to avoid similar problems.
 
However, suggestions
 
contained
 
in this information
 
notice are not new NRC requirements;
therefore, no specific action or written response is required.Descrition
 
of Circumstances
 
The first equipment
 
failure involved the time delay system required in 10 CFR 36.23(f).
 
The second equipment
 
failure involved two incidents
 
where the control console provided false indications
 
of irradiator
 
condition.
 
The final equipment
 
failure involved a source rack that failed to return to its shielded position after the comnand was initiated
 
at the control console.1. Fault in the Operational
 
Time Delay Reset Power Supply.In this incident, a fault in the control console circuitry
 
occurred at a licensee's
 
facility when an external electrical
 
power surge caused a fuse to blow in the operational
 
time delay reset power supply. This circuit had been recently installed
 
to meet the requirements
 
of 10 CFR Part 36. The operational
 
time delay circuit prevents the control console from activating
 
for a preset time after being initiated
 
by the operator in the irradiation
 
room, thereby preventing
 
source rack movement per 10 CFR 36.23(f).
 
In addition, the operational
 
time delay circuit of this irradiator
 
must be operational
 
for the audible and visual warning circuit and the door interlock circuit to function properly.
 
The audible and visual warning systems are designed to activate whenever the irradiator
 
door is opened and source movement is initiated.
 
Nevertheless, the audible and visual warning systems did not activate when the operator left the irradiation
 
room, until the control console was turned 0ON6 with the console key. The planned irradiation
 
was performed, however, since the audible warning system did activate before irradiation, per the requirement
 
In 10 CFR 36.31(a).9412210186 PDR ZV > cL(~ (l4eX am t31195 IN 94-89 December 28, 1994 The operational
 
time delay circuit was also designed to reset after an irradiation
 
to prevent the control console from being re-energized
 
and allowing additional
 
source movement.
 
The control console should not re-energize until the circuit is again initiated
 
by the operator In the irradiation
 
room. However, in this incident, the control console was able to be re-energized
 
before the time delay circuit was initiated.
 
The blown fuse in the reset power supply prevented
 
the time delay circuit from resetting
 
as designed.To prevent reoccurrence, a surge protector
 
was installed
 
to protect the entire system from external power surges, and the time delay circuit was redesigned
 
to disable the control console, audio and visual safety circuits, and the source positioning
 
system, in case the fuse blows again. This alerts the operator to a fault and prevents source movement until the fuse is replaced.2. False Indications
 
of Source Rack Position.A false indication
 
of source rack position (rack not in the fully down position)  
was received at the control console of a wet source storage licensee when the wire that carries the source position signal shorted because of worn insulation.
 
Vibration
 
in the system caused the wire to rub against nearby metal and wore away the insulation.
 
The short-circuit
 
also caused an initial intermittent
 
false indication
 
of a collision
 
between the source rack and the carrier. The licensee verified that the sources were in the shielded position and traced the fault to the damaged wire. The wire was replaced and rerouted through a flexible conduit to reduce the possibility
 
of additional
 
wear.A second false indication
 
of source rack position occurred at the same facility when the plunger of a source rack down-position
 
switch failed to extend and thereby did not properly indicate the true position of the source rack. The plunger failed to extend because of corrosion
 
between the plunger and sleeve causing increased
 
friction.
 
The irradiator
 
licensee received conflicting
 
signals when the lower position switch indicated
 
that the source rack was not fully down, but the upper position switch Indicated
 
that the source rack was fully down. The installed
 
radiation
 
monitors and subsequent
 
surveys performed
 
outside of the cell indicated
 
that the source rack was shielded.
 
Further visual analysis confirmed
 
that the source racks were in the fully shielded position.The licensee concluded
 
that the lower source rack position switch was malfunctioning
 
and replaced the switch. On further analysis of the switch, it was determined
 
that green corrosion
 
deposits on the brass sleeve and steel plunger of the switch caused the plunger to stick in the retracted
 
position, preventing
 
it from springing
 
back to the extended position.
 
With the plunger in the retracted
 
position, the switch indicates
 
the source rack is not in the fully down position.
 
The Irradiator
 
vendor, Nordion International, Inc.(NII), was notified and has issued Service Bulletin IND-93-2, which is included as Attachment
 
1 to this information
 
notice. Service Bulletin IND-93-2 advises all users of NIl pool type irradiators
 
containing
 
these plunger-type
 
position indicators
 
to check the switches for evidence of corrosion, clean the switches if corrosion
 
is found, and replace the switches as soon as possible.
 
IN 94-89 December 28, 1994 In addition, NII has provided replacement
 
switches constructed
 
of corrosion- resistant
 
materials (porcelain
 
sleeve and stainless
 
steel plunger) to all users whose irradiators
 
contain the non-corrosion-resistant
 
switches, and has provided instructions
 
for installation
 
and initial testing of the new switches.3. Failure of Source Rack to Return to the Shielded Position.In this incident, a source rack at a licensee's
 
facility failed to return to the shielded position.
 
This occurred when an air solenoid valve failed to fully return to the exhaust position and stuck in an intermediate
 
position that blocked any air passage through the valve, thereby trapping air pressure in the line between the valve and source rack hoist. During a typical irradiation, the licensee noted an irregular
 
reading on the control console (not related to source rack position)
and pressed the emergency
 
stop button.The source rack position indication
 
on the control console indicated
 
that one of the two irradiator
 
source racks failed to return to the fully down/shielded
 
position.
 
The installed
 
radiation
 
monitors, the position of the source rack cable on the roof of the irradiator
 
builcing, and subsequent
 
radiation
 
surveys performed
 
outside the Irradiation
 
cell confirmed
 
that one source rack had remained in the up/unshielded
 
position.
 
Further investigation
 
revealed that pressure remained in the air line to the source rack hoist, keeping the rack in the exposed position, when this pressure should have been released.
 
The licensee cut the air line to release the pressure, and the source rack returned to the fully down/shielded
 
position.
 
The licensee determined
 
that one or both of the air solenoid valves in the supply line failed to move to the exhaust position when the source down command was initiated, thereby not lowering the source rack. Both valves were replaced and the source hoist system operated normally.The irradiator
 
vendor, NII, was notified and both solenoid valves were returned to NII for further investigation.
 
NII determined
 
that the solenoid valves that were indicated
 
to be four-way, two-position (exhaust/pressurize), five-port
 
valves could in certain circumstances, operate as four-way, three-position (exhaust/pressurize/neutral), five-port
 
valves. A two-position
 
valve would exhaust pressure in the air line to the source rack hoist upon loss of supply air pressure, regardless
 
of valve position.
 
The neutral position of a three-position
 
valve would maintain pressure In the air line to the source rack hoist regardless
 
of supply air pressure.
 
Therefore, a three-position
 
valve would not allow for a fail-safe
 
operation.
 
The circumstance
 
that allowed the valve to operate as a three-position
 
valve was attributed
 
to the deterioration
 
and hardening
 
of the seals in the valve spool, causing the valve spool to stick in the neutral position.
 
Nil's investigation
 
showed that it is unlikely that the ingress of contaminants
 
caused the valve spool to stick in the 'neutral position.
 
However, NII did not rule that out as a contributing
 
factor. According
 
to NII, harding of the seals is thought to be caused by oxidation
 
over time of the seal material.
 
One of the spools, in use for over 5 years, showed considerable
 
hardening
 
of the seal material, whereas the seals of the other spool, in use for only 14 months, had become hardened, but not as hard as the first valve's seals.
 
...j IN 94-89 December 28, 1994 As a result of this incident, NII issued Service Bulletin IND-94-1, which is included as Attachment
 
2 to this information
 
notice. To preclude future failures of this nature, NlI recommends
 
that Norgren part 54237-56 valve spools no longer be used in Norgren Nugget 200 Series Source Hoist Valves, part K71EAOO KSI AECKGI, and that Norgren part 54237-58 spools be used as replacement
 
spools in existing and all new valves of this type used in NII pool type irradiators.
 
The 54237-58 spools allow for the exhaust of air in all positions, thus eliminating
 
the possibility
 
of pressure remaining
 
in the air line to the source rack hoist on removal of supply air pressure.
 
In addition, NII recommended
 
in their report to the licensee, that the spools be replaced periodically
 
to reduce the possibility
 
of additional
 
failures because of seal hardening.
 
NII's investigation
 
revealed that detectable
 
hardening
 
of the seal material has occurred, in at least one case, within 14 months of use.However, the valve in that case continued
 
to operate without failure.In addition, NII reports that licensees
 
who have ordered replacement
 
valves for the original installed
 
valves (part K71EAOO KSI AECKGI), may have received replacement
 
valves labeled with Norgren's
 
off-the-shelfl
 
part numbers.Therefore, Norgren Nugget 200 Series Source Hoist Valves with part numbers K71EAOO KS6 KQI, K71EAOO KS6 AECKGI, and any other variants of the K71EAOO valves used for these operations
 
should have their valve spools replaced also.NII asserts that the construction
 
and operation
 
of these valves are identical to the K71EAOO KSI AECKGI valves.Discussion:
The failures of the audible and visual warning systems and operational
 
time delay to initiate properly were caused by a blown fuse in the operational
 
time delay reset power supply, failing to cause the timer to reset. This allowed the control console to be energized
 
and source movement to occur before the operational
 
time delay being re-initiated, contrary to Part 36 requirements.
 
The redesigned
 
circuit prevents this situation
 
from occurring
 
by not allowing the control console to re-energize
 
if this fuse blows again. The control console is designed such that source movement cannot occur unless the control console is energized.
 
Irradiator
 
users should evaluate all possible failure modes of source positioning
 
control circuitry
 
and interlocks, or circuitry that supports these systems, upon installation
 
and whenever modifications
 
are made.The worn insulation
 
that caused the short in the source rack position indication
 
circuit did not cause a situation
 
in which the source racks were in the exposed position unintentionally.
 
However, the licensee was required to bypass safety interlocks (using appropriate
 
safety measures)
to verify the true position of the source rack. Users should be aware of and take precautions
 
against conditions (e.g., wear caused by vibration, excessive heat, embrittlement
 
caused by high radiation, etc.) which could cause the failure of essential
 
electrical
 
components
 
and indicators.
 
IN 94-89 December 28, 1994 Users of NII pool-type
 
irradiators
 
containing
 
source down-position
 
indication
 
switches constructed
 
of non-corrosion-resistant
 
materials
 
should be aware that if the recommendations
 
contained
 
in NII Service Bulletin IND-93-2 are not followed, the potential
 
for false or conflicting
 
source rack position signals exists. If a false signal is received, the operator may be required to bypass safety interlocks (using appropriate
 
safety measures)
to verify the true position of the source rack.The most likely cause of the corrosion
 
was the close proximity
 
of the switch to the water line and high humidity in the irradiation
 
room. To date, NII is not aware of any indications
 
of corrosion
 
developing
 
in the upper source position switch, which is constructed
 
using materials
 
similar to the original bottom source down-position
 
switches.
 
The upper switch is located away from the water line and is exposed to higher temperatures
 
and lower humidity when the source rack is in the raised/exposed
 
position.
 
===However, if conditions===
exist in the area around the upper switch that are favorable
 
to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type
 
irradiators
 
containing
 
Norgren part 54237-56 valve spools used in Norgren Nugget 200 Series Source Hoist Valves, part K71EAOO, should be aware that if they do not follow the NII recommendation
 
to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.
 
Licensees
 
may have to cut the air line to the source rack hoist to return the source rack to the shielded position.
 
In addition, the licensees
 
should consider NII's recommendation
 
that the spools be replaced on a periodic basis to reduce the possibility
 
of failure, according
 
to their specific operation.
 
If not replaced, the replacement
 
valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped in the air line.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice, please contact the technical
 
contact listed below or the appropriate
 
regional office.Carl J. perie o, Director Division of Industrial
 
and Medical Nuclear Safety Office of Nuclear Materials
 
===Safety and Safeguards===
Technical
 
contact: Douglas Broaddus, NKSS (301) 415-5847 Attachments:
1. Nordion International
 
Inc., Service Bulletin IND-93-2 2. Nordion International
 
Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information
 
Notices 4. List of Recently issued NRC Information
 
Notices
 
<_4 _ 94-89 December 28, 1994 Users of NII pool-type
 
irradiators
 
containing
 
source down-position
 
indication
 
switches constructed
 
of non-corrosion-resistant
 
materials
 
should be aware that if the recommendations
 
contained
 
in NII Service Bulletin IND-93-2 are not followed, the potential
 
for false or conflicting
 
source rack position signals exists. If a false signal is received, the operator may be required to bypass safety interlocks (using appropriate
 
safety measures)
to verify the true position of the source rack.The most likely cause of the corrosion
 
was the close proximity
 
of the switch to the water line and high humidity in the irradiation
 
room. To date, NII is not aware of any indications
 
of corrosion
 
developing
 
in the upper source position switch, which is constructed
 
using materials
 
similar to the original bottom source down-position
 
switches.
 
The upper switch is located away from the water line and is exposed to higher temperatures
 
and lower humidity when the source rack is in the raised/exposed
 
position.However, if conditions
 
exist in the area around the upper switch that are favorable
 
to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type
 
irradiators
 
containing
 
Norgren part 54237-56 valve spools used in Norgren Nugget 200 Series Source Hoist Valves, part K71EA00, should be aware that if they do not follow the NII recommendation
 
to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.
 
Licensees
 
may have to cut the air line to the source rack hoist to return the source rack to the shielded position.
 
In addition, the licensees
 
should consider Nil's recommendation
 
that the spools be replaced on a periodic basis to reduce the possibility
 
of failure, according to their specific operation.
 
If not replaced, the replacement
 
valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped in the air line.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice, please contact the technical
 
contact listed below or the appropriate
 
regional office.Carl J. Paperiello, Director Division of Industrial
 
and Medical Nuclear Safety Office of Nuclear Materials
 
===Safety and Safeguards===
Technical
 
contact: Douglas Broaddus, NMSS (301) 415-5847 Attachments:
1. Nordion International
 
Inc., Service Bulletin IND-93-2 2. Nordion International
 
Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information
 
Notices 4. List of Recently issued NRC Information
 
Notices DOCUMENT MANE: 94-89.IN Technical
 
Editor*EKraus 11/16/94 *See previous concurrence
 
cop without at L. 6* WM attachs t L. BE- a Co p1* ous 'on c OFC IMOB* IMOB* SCDB* lKE INS I KANE KRamsey/l
 
GPangburn
 
FCombs RBaer MFederline
 
EBrach CPa p 110 DATE 11/15/94 11/29/94 11/30/94 12/09/94 12/09/94 Not In 124l1V9= _ _ _ _ _ _ FLRoffice
 
j
 
~'IN 94-~ December , 1994 Users of NII pool-type
 
irradiators
 
containing
 
source down-position
 
indication
 
Ailtdas. constructed
 
of non-corrosion-resistant
 
materials
 
should be aware that if the recommendations
 
contained
 
In NII Service Bulletin IND-93-2 are not followed, the potmntial
 
for false or conflicting
 
source rack position signals exists.- IfMa false signal Is received, the operator may be required to bypass safety interlocks (using appropriate
 
safety measures)
to verify the true position of the source racuk The most likely cause of the corrosion
 
was the close proximity
 
of the switch to the water line and high humidity In the irradiation
 
room. To date, NII is not aware of any Indicattons
 
of.corrosion
 
developing
 
in the upper source position switch, which Is constructed
 
using Oateri as similar to the original bottom source down-position
 
switches.
 
The upper switch is located away from the water line and Is exposed to higher toWperatures
 
and lower humidity when the source rack Is in the raised/exposed
 
position.
 
===However, if conditions===
exist in the area around the upper switch that are favorable
 
to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type
 
irradiators
 
containing
 
Norgren part 54237-56 valve spools used In Norgren Nugget 200 Series Source Hoist Valves, part K71EA00, should be aware that if they do not follow the NII recommendation
 
to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.
 
Licensees
 
may have to cut the air line to the source rack hoist to return the source rack to the shielded position.
 
In addition, the licensees
 
should consider NII s recommendation
 
that the spools be replaced on a periodic basis to reduce the possibility
 
of failure, according
 
to their specific operation.
 
If not replaced, the replacement
 
valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped In the air line.This information
 
notice requires no specific action or written response.
 
If you have any questions
 
about the information
 
in this notice please contact the technical
 
contact listed below or the appropriate
 
reglonal office.Carl J. Paperiello, Director Division of Industrial
 
and Medical Nuclear Safety Office of Nuclear Materials
 
===Safety and Safeguards===
Contact: Douglas Broaddus, NMSS (301) 415-5847 Attachments:
1. Nordion International
 
Inc., Service Bulletin IND-93-2 2. Nordion International
 
Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information
 
Notices 4. List of Recently issued NRC Information
 
Notices DOCUMENT NAME: G:IM-IRRAD.KNR
 
Technical
 
Editor*EKraus 11/16/94 *See previous concurrence
 
without t GP With, tt tu. upt
 
* U _ ___OFC J IMOB* SCW .M lM"+)KANE KRamsey/ll
 
GPangburn
 
FCombs RBaer NFederline
 
c C'peuello DATE 11/15/94 11/29/94 11/30/94 129/94 1209/94V 9 4  94^ -OFFI:'CIAL
 
RECOR COP
 
IN 94-November , 1994 aware of any Is4kcations
 
of corrosion
 
developing
 
in the upper source position switch, whicd is coestructed
 
using materials
 
similar to the original bottom source do"w#mpositls
 
switches.
 
The upper switch Is located away from the water line and Is exposed to higher taperatures
 
and lower humidity when the source rack is In the ralse/Uxposed
 
position.
 
However, if conditions
 
exist In the area around the upper switch that are vorable to corrosion (e.g., high humidity or a caustic atmosphere), this switc could corrode also.Users of KIU pool-type
 
irradiato
 
containing
 
Norgren part # 54237-56 valve spools used I. Korgren Nugget 200 rios Source Hoist Valves, part # K71EAOO, should be aware that If they do not fllow the NII recommendation
 
to replace the 54237-S6 spools with 5423748 spo4ls, the source racks may become stuck In the exposed position.
 
Licensees
 
may hav to cut the air line to the source rack hoist to return the source rack to shielded position.
 
In addition, the licensees
 
should consider NII's recoe ation that the spools be replaced on a periodic basis to reduce the possibility
 
of failure, according
 
to their specific operation.
 
If not replaced, the replace nt valve spools could fail because of seal material hardening, although such fa ure would not cause pressure to remain trapped In the air line.This information
 
notice requires no specifi action or written response.
 
If you have any questions
 
about the information
 
n this notice, please contact the technical
 
contact listed below or the appro Wate regional office.Carl J. periello, Director Division f Industrial
 
and* Medical uclear Safety Office of uclear Materials
 
Safety and Safegua Contact: Douglas Broaddus, NKSS (301) 415-5847 Attachments:
1. Nordion International
 
Inc., Service Bulleti IND-93-2 2. Nordion International
 
Inc., Service Bulletin IND-94-1 3. List of Recently issued NISS Information
 
Hoti es 4. List of Recently issued NRC Information
 
Notic s DISTRIBUTION:\
INOB r/f SCOB r/f iNKS r/f DOCIMENT NAME: G:IN-RRAD.KN\
Technical
 
Editor*EKraus 11/16/94 , mc'. Caov ulthout attedaclMmtc. -V a Caw wifth mttclumVc.qCuu
 
_U_______-!g OFC IM I IO M0BEI l -_ I I S INNS I INANE IKRUSseYIll
 
6Pnbr cobS , K\ E~aCh Pe110-ngur k t _ -.drC~peiel DAE 11/15/94 11/29/94 I~D AT E I 9 li994 1 1 194 -/q/ 1 I 1 I I OFFICM R ECOD COP
 
K>IN 94-November , 1994 aware of any indications
 
of corrosion
 
developing
 
in the upper source pos iton switch, which is constructed
 
using materials
 
similar to the original ottom source down-position
 
switches.
 
The upper switch is located away from e water line and is exposed to higher temperatures
 
and lower humidity when e source rack is In the raised/exposed
 
position.
 
However, if conditions
 
exis in the area around the upper switch that are favorable
 
to corrosion (e.g., h humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type
 
irradiators
 
containing
 
Norgren par t 54237-56 valve spools used In Norgren Nugget 200 Series Source Hoist Va es, part t K71EA00, should be aware that if they do not follow the NII rec ation to replace the 54237-56 spools with 54237-58 spools, the source racksay become stuck in the exposed position.
 
Licensees
 
may have to cut the ai line to the source rack hoist to return the source rack to the shielded p ition. In addition, the licensees
 
should consider NII's recommendation
 
tha the spools be replaced on a periodic basis to reduce the possibility
 
of failure, in their specific application.
 
If not replaced, the replacement
 
alve spools could fail because of seal material hardening, although such fa ure would not cause pressure to remain trapped in the air line.This information
 
notice requires no sped c action or written response.
 
If you have any questions
 
about the informati
 
in this notice, please contact the technical
 
contact listed below or the ipproprate


IN 94-89December 28, 1994 In addition, NII has provided replacement switches constructed of corrosion-resistant materials (porcelain sleeve and stainless steel plunger) to allusers whose irradiators contain the non-corrosion-resistant switches, and hasprovided instructions for installation and initial testing of the newswitches.3. Failure of Source Rack to Return to the Shielded Position.In this incident, a source rack at a licensee's facility failed to return tothe shielded position. This occurred when an air solenoid valve failed tofully return to the exhaust position and stuck in an intermediate positionthat blocked any air passage through the valve, thereby trapping air pressurein the line between the valve and source rack hoist. During a typicalirradiation, the licensee noted an irregular reading on the control console(not related to source rack position) and pressed the emergency stop button.The source rack position indication on the control console indicated that oneof the two irradiator source racks failed to return to the fully down/shieldedposition. The installed radiation monitors, the position of the source rackcable on the roof of the irradiator builcing, and subsequent radiation surveysperformed outside the Irradiation cell confirmed that one source rack hadremained in the up/unshielded position. Further investigation revealed thatpressure remained in the air line to the source rack hoist, keeping the rackin the exposed position, when this pressure should have been released. Thelicensee cut the air line to release the pressure, and the source rackreturned to the fully down/shielded position. The licensee determined thatone or both of the air solenoid valves in the supply line failed to move tothe exhaust position when the source down command was initiated, thereby notlowering the source rack. Both valves were replaced and the source hoistsystem operated normally.The irradiator vendor, NII, was notified and both solenoid valves werereturned to NII for further investigation. NII determined that the solenoidvalves that were indicated to be four-way, two-position (exhaust/pressurize),five-port valves could in certain circumstances, operate as four-way, three-position (exhaust/pressurize/neutral), five-port valves. A two-position valvewould exhaust pressure in the air line to the source rack hoist upon loss ofsupply air pressure, regardless of valve position. The neutral position of athree-position valve would maintain pressure In the air line to the sourcerack hoist regardless of supply air pressure. Therefore, a three-positionvalve would not allow for a fail-safe operation. The circumstance thatallowed the valve to operate as a three-position valve was attributed to thedeterioration and hardening of the seals in the valve spool, causing the valvespool to stick in the neutral position. Nil's investigation showed that itis unlikely that the ingress of contaminants caused the valve spool to stickin the 'neutral position. However, NII did not rule that out as acontributing factor. According to NII, harding of the seals is thought to becaused by oxidation over time of the seal material. One of the spools, in usefor over 5 years, showed considerable hardening of the seal material, whereasthe seals of the other spool, in use for only 14 months, had become hardened,but not as hard as the first valve's seals.
regional office.Carl J. Paperiello, Director Division of Industrial


...jIN 94-89December 28, 1994 As a result of this incident, NII issued Service Bulletin IND-94-1, which isincluded as Attachment 2 to this information notice. To preclude futurefailures of this nature, NlI recommends that Norgren part 54237-56 valvespools no longer be used in Norgren Nugget 200 Series Source Hoist Valves,part K71EAOO KSI AECKGI, and that Norgren part 54237-58 spools be used asreplacement spools in existing and all new valves of this type used in NIIpool type irradiators.The 54237-58 spools allow for the exhaust of air in all positions, thuseliminating the possibility of pressure remaining in the air line to thesource rack hoist on removal of supply air pressure. In addition, NIIrecommended in their report to the licensee, that the spools be replacedperiodically to reduce the possibility of additional failures because of sealhardening. NII's investigation revealed that detectable hardening of the sealmaterial has occurred, in at least one case, within 14 months of use.However, the valve in that case continued to operate without failure.In addition, NII reports that licensees who have ordered replacement valvesfor the original installed valves (part K71EAOO KSI AECKGI), may have receivedreplacement valves labeled with Norgren's off-the-shelfl part numbers.Therefore, Norgren Nugget 200 Series Source Hoist Valves with part numbersK71EAOO KS6 KQI, K71EAOO KS6 AECKGI, and any other variants of the K71EAOOvalves used for these operations should have their valve spools replaced also.NII asserts that the construction and operation of these valves are identicalto the K71EAOO KSI AECKGI valves.Discussion:The failures of the audible and visual warning systems and operational timedelay to initiate properly were caused by a blown fuse in the operational timedelay reset power supply, failing to cause the timer to reset. This allowedthe control console to be energized and source movement to occur before theoperational time delay being re-initiated, contrary to Part 36 requirements.The redesigned circuit prevents this situation from occurring by not allowingthe control console to re-energize if this fuse blows again. The controlconsole is designed such that source movement cannot occur unless the controlconsole is energized. Irradiator users should evaluate all possible failuremodes of source positioning control circuitry and interlocks, or circuitrythat supports these systems, upon installation and whenever modifications aremade.The worn insulation that caused the short in the source rack positionindication circuit did not cause a situation in which the source racks were inthe exposed position unintentionally. However, the licensee was required tobypass safety interlocks (using appropriate safety measures) to verify thetrue position of the source rack. Users should be aware of and takeprecautions against conditions (e.g., wear caused by vibration, excessiveheat, embrittlement caused by high radiation, etc.) which could cause thefailure of essential electrical components and indicators.
and Medical Nuclear Safety Office of Nuclear Materials


IN 94-89December 28, 1994 Users of NII pool-type irradiators containing source down-position indicationswitches constructed of non-corrosion-resistant materials should be aware thatif the recommendations contained in NII Service Bulletin IND-93-2 are notfollowed, the potential for false or conflicting source rack position signalsexists. If a false signal is received, the operator may be required to bypasssafety interlocks (using appropriate safety measures) to verify the trueposition of the source rack.The most likely cause of the corrosion was the close proximity of the switchto the water line and high humidity in the irradiation room. To date, NII isnot aware of any indications of corrosion developing in the upper sourceposition switch, which is constructed using materials similar to the originalbottom source down-position switches. The upper switch is located away fromthe water line and is exposed to higher temperatures and lower humidity whenthe source rack is in the raised/exposed position. However, if conditionsexist in the area around the upper switch that are favorable to corrosion(e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type irradiators containing Norgren part 54237-56 valvespools used in Norgren Nugget 200 Series Source Hoist Valves, part K71EAOO,should be aware that if they do not follow the NII recommendation to replacethe 54237-56 spools with 54237-58 spools, the source racks may become stuck inthe exposed position. Licensees may have to cut the air line to the sourcerack hoist to return the source rack to the shielded position. In addition,the licensees should consider NII's recommendation that the spools be replacedon a periodic basis to reduce the possibility of failure, according to theirspecific operation. If not replaced, the replacement valve spools could failbecause of seal material hardening, although such failure would not causepressure to remain trapped in the air line.This information notice requires no specific action or written response. Ifyou have any questions about the information in this notice, please contactthe technical contact listed below or the appropriate regional office.Carl J. perie o, DirectorDivision of Industrial andMedical Nuclear SafetyOffice of Nuclear Materials Safetyand SafeguardsTechnical contact: Douglas Broaddus, NKSS(301) 415-5847Attachments:1. Nordion International Inc., Service Bulletin IND-93-22. Nordion International Inc., Service Bulletin IND-94-13. List of Recently issued NMSS Information Notices4. List of Recently issued NRC Information Notices
===Safety and Safeguards===
Contact: Douglas Broaddu , NMSS (301) 415-5847 Attachments:
1. Nordion Intern lonal Inc., Service Bulletin IND-93-2 2. Nordion Inte ational Inc., Service Bulletin IND-94-1 3. List of Rec tly Issued NHSS Information


<_4 _ 94-89December 28, 1994 Users of NII pool-type irradiators containing source down-position indication switchesconstructed of non-corrosion-resistant materials should be aware that if therecommendations contained in NII Service Bulletin IND-93-2 are not followed, thepotential for false or conflicting source rack position signals exists. If a falsesignal is received, the operator may be required to bypass safety interlocks (usingappropriate safety measures) to verify the true position of the source rack.The most likely cause of the corrosion was the close proximity of the switch to thewater line and high humidity in the irradiation room. To date, NII is not aware of anyindications of corrosion developing in the upper source position switch, which isconstructed using materials similar to the original bottom source down-positionswitches. The upper switch is located away from the water line and is exposed to highertemperatures and lower humidity when the source rack is in the raised/exposed position.However, if conditions exist in the area around the upper switch that are favorable tocorrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type irradiators containing Norgren part 54237-56 valve spools used inNorgren Nugget 200 Series Source Hoist Valves, part K71EA00, should be aware that ifthey do not follow the NII recommendation to replace the 54237-56 spools with 54237-58spools, the source racks may become stuck in the exposed position. Licensees may haveto cut the air line to the source rack hoist to return the source rack to the shieldedposition. In addition, the licensees should consider Nil's recommendation that thespools be replaced on a periodic basis to reduce the possibility of failure, accordingto their specific operation. If not replaced, the replacement valve spools could failbecause of seal material hardening, although such failure would not cause pressure toremain trapped in the air line.This information notice requires no specific action or written response. If you haveany questions about the information in this notice, please contact the technical contactlisted below or the appropriate regional office.Carl J. Paperiello, DirectorDivision of Industrial andMedical Nuclear SafetyOffice of Nuclear Materials Safetyand SafeguardsTechnical contact: Douglas Broaddus, NMSS(301) 415-5847Attachments:1. Nordion International Inc., Service Bulletin IND-93-22. Nordion International Inc., Service Bulletin IND-94-13. List of Recently issued NMSS Information Notices4. List of Recently issued NRC Information NoticesDOCUMENT MANE: 94-89.INTechnical Editor*EKraus11/16/94 *See previous concurrencecop without at L. 6* WM attachs t L. BE- a Co p1* ous 'on cOFC IMOB* IMOB* SCDB* lKE INS IKANE KRamsey/l GPangburn FCombs RBaer MFederline EBrach CPa p 110DATE 11/15/94 11/29/94 11/30/94 12/09/94 12/09/94 Not In 124l1V9= _ _ _ _ _ _ FLRoffice j
Notices 4. List of Re ntly issued NRC Information


~'IN 94-~ December , 1994 Users of NII pool-type irradiators containing source down-position indicationAiltdas. constructed of non-corrosion-resistant materials should be aware thatif the recommendations contained In NII Service Bulletin IND-93-2 are notfollowed, the potmntial for false or conflicting source rack position signalsexists.- IfMa false signal Is received, the operator may be required to bypasssafety interlocks (using appropriate safety measures) to verify the trueposition of the source racukThe most likely cause of the corrosion was the close proximity of the switchto the water line and high humidity In the irradiation room. To date, NII isnot aware of any Indicattons of.corrosion developing in the upper sourceposition switch, which Is constructed using Oateri as similar to the originalbottom source down-position switches. The upper switch is located away fromthe water line and Is exposed to higher toWperatures and lower humidity whenthe source rack Is in the raised/exposed position. However, if conditionsexist in the area around the upper switch that are favorable to corrosion(e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type irradiators containing Norgren part 54237-56 valvespools used In Norgren Nugget 200 Series Source Hoist Valves, part K71EA00,should be aware that if they do not follow the NII recommendation to replacethe 54237-56 spools with 54237-58 spools, the source racks may become stuck inthe exposed position. Licensees may have to cut the air line to the sourcerack hoist to return the source rack to the shielded position. In addition,the licensees should consider NII s recommendation that the spools be replacedon a periodic basis to reduce the possibility of failure, according to theirspecific operation. If not replaced, the replacement valve spools could failbecause of seal material hardening, although such failure would not causepressure to remain trapped In the air line.This information notice requires no specific action or written response. Ifyou have any questions about the information in this notice please contactthe technical contact listed below or the appropriate reglonal office.Carl J. Paperiello, DirectorDivision of Industrial andMedical Nuclear SafetyOffice of Nuclear Materials Safetyand SafeguardsContact: Douglas Broaddus, NMSS(301) 415-5847Attachments:1. Nordion International Inc., Service Bulletin IND-93-22. Nordion International Inc., Service Bulletin IND-94-13. List of Recently issued NMSS Information Notices4. List of Recently issued NRC Information NoticesDOCUMENT NAME: G:IM-IRRAD.KNRTechnical Editor*EKraus11/16/94 *See previous concurrencewithout t GP With, tt tu. upt
Notices DISTRIBMTON:/
INOB r/f SCDB r IHNS r/f DOCUKENT NARE: 6: IRRAD.KKR Technical


* U _ ___OFC J IMOB* SCW .M lM"+)KANE KRamsey/ll GPangburn FCombs RBaer NFederline c C'peuelloDATE 11/15/94 11/29/94 11/30/94 129/94 1209/94V94  94^ -OFFI:'CIAL RECOR COP
Edito EKraus/ /IC/94%'On CpY WitMou sttaduasnwInc.


IN 94-November , 1994 aware of any Is4kcations of corrosion developing in the upper source positionswitch, whicd is coestructed using materials similar to the original bottomsource do"w#mpositls switches. The upper switch Is located away from the waterline and Is exposed to higher taperatures and lower humidity when the sourcerack is In the ralse/Uxposed position. However, if conditions exist In the areaaround the upper switch that are vorable to corrosion (e.g., high humidity ora caustic atmosphere), this switc could corrode also.Users of KIU pool-type irradiato containing Norgren part # 54237-56 valvespools used I. Korgren Nugget 200 rios Source Hoist Valves, part # K71EAOO,should be aware that If they do not fllow the NII recommendation to replace the54237-S6 spools with 5423748 spo4ls, the source racks may become stuck In theexposed position. Licensees may hav to cut the air line to the source rackhoist to return the source rack to shielded position. In addition, thelicensees should consider NII's recoe ation that the spools be replaced on aperiodic basis to reduce the possibility of failure, according to their specificoperation. If not replaced, the replace nt valve spools could fail because ofseal material hardening, although such fa ure would not cause pressure to remaintrapped In the air line.This information notice requires no specifi action or written response. If youhave any questions about the information n this notice, please contact thetechnical contact listed below or the appro Wate regional office.Carl J. periello, DirectorDivision f Industrial and* Medical uclear SafetyOffice of uclear Materials Safety andSafeguaContact: Douglas Broaddus, NKSS(301) 415-5847Attachments:1. Nordion International Inc., Service Bulleti IND-93-22. Nordion International Inc., Service Bulletin IND-94-13. List of Recently issued NISS Information Hoti es4. List of Recently issued NRC Information Notic sDISTRIBUTION:\INOB r/f SCOB r/f iNKS r/fDOCIMENT NAME: G:IN-RRAD.KN\Technical Editor*EKraus11/16/94 ,mc'. Caov ulthout attedaclMmtc. -V a Caw wifth mttclumVc.qCuu _U_______-!gOFC IM I IO M0BEI l -_ I I S INNS IINANE IKRUSseYIll 6Pnbr cobS , K\ E~aCh Pe110-ngur k t _ -.drC~peielDAE 11/15/94 11/29/94 I~D AT E I 9 li994 1 1 194 -/q/ 1 I 1 I IOFFICM R ECOD COP
8E


K>IN 94-November , 1994 aware of any indications of corrosion developing in the upper source pos itonswitch, which is constructed using materials similar to the original ottomsource down-position switches. The upper switch is located away from e waterline and is exposed to higher temperatures and lower humidity when e sourcerack is In the raised/exposed position. However, if conditions exis in the areaaround the upper switch that are favorable to corrosion (e.g., h humidity ora caustic atmosphere), this switch could corrode also.Users of NII pool-type irradiators containing Norgren par t 54237-56 valvespools used In Norgren Nugget 200 Series Source Hoist Va es, part t K71EA00,should be aware that if they do not follow the NII rec ation to replace the54237-56 spools with 54237-58 spools, the source racksay become stuck in theexposed position. Licensees may have to cut the ai line to the source rackhoist to return the source rack to the shielded p ition. In addition, thelicensees should consider NII's recommendation tha the spools be replaced on aperiodic basis to reduce the possibility of failure, in their specificapplication. If not replaced, the replacement alve spools could fail becauseof seal material hardening, although such fa ure would not cause pressure toremain trapped in the air line.This information notice requires no sped c action or written response. If youhave any questions about the informati in this notice, please contact thetechnical contact listed below or the ipproprate regional office.Carl J. Paperiello, DirectorDivision of Industrial andMedical Nuclear SafetyOffice of Nuclear Materials Safety andSafeguardsContact: Douglas Broaddu , NMSS(301) 415-5847Attachments:1. Nordion Intern lonal Inc., Service Bulletin IND-93-22. Nordion Inte ational Inc., Service Bulletin IND-94-13. List of Rec tly Issued NHSS Information Notices4. List of Re ntly issued NRC Information NoticesDISTRIBMTON:/INOB r/f SCDB r IHNS r/fDOCUKENT NARE: 6: IRRAD.KKRTechnical EditoEKraus/ /IC/94%'On CpY WitMou sttaduasnwInc. 8E
* aCWp with~ af m/awd. or a so__________
OR IeBI im CD-1 IA


* aCWp with~ af m/awd. or a so__________OR IeBI im CD-1 IA
* NNS INN KANE KRams trn VQS RBaer iin Etrach CPaperiello


* NNS INNKANE KRams trn VQS RBaer iin Etrach CPaperielloDATE J L f -j ff \ F -I _  
DATE J L f -j ff \ F -I _}}
}}


{{Information notice-Nav}}
{{Information notice-Nav}}

Revision as of 13:04, 31 August 2018

Equipment Failures at Irradiator Facilities
ML031210550
Person / Time
Site: Beaver Valley, Millstone, Hatch, Monticello, Calvert Cliffs, Dresden, Davis Besse, Peach Bottom, Browns Ferry, Salem, Oconee, Mcguire, Nine Mile Point, Palisades, Palo Verde, Perry, Indian Point, Fermi, Kewaunee, Catawba, Harris, Wolf Creek, Saint Lucie, Point Beach, Oyster Creek, Watts Bar, Hope Creek, Grand Gulf, Cooper, Sequoyah, Byron, Pilgrim, Arkansas Nuclear, Three Mile Island, Braidwood, Susquehanna, Summer, Prairie Island, Columbia, Seabrook, Brunswick, Surry, Limerick, North Anna, Turkey Point, River Bend, Vermont Yankee, Crystal River, Haddam Neck, Ginna, Diablo Canyon, Callaway, Vogtle, Waterford, Duane Arnold, Farley, Robinson, Clinton, South Texas, San Onofre, Cook, Comanche Peak, Yankee Rowe, Maine Yankee, Quad Cities, Humboldt Bay, La Crosse, Big Rock Point, Rancho Seco, Zion, Midland, Bellefonte, Fort Calhoun, FitzPatrick, McGuire, LaSalle, Fort Saint Vrain, Shoreham, Satsop, Trojan, Atlantic Nuclear Power Plant  Entergy icon.png
Issue date: 12/28/1994
From: Paperiello C J
NRC/NMSS/IMNS
To:
References
IN-94-089, NUDOCS 9412210186
Download: ML031210550 (9)


-/UNITED STATES NUCLEAR REGULATORY

COMMISSION

OFFICE OF NUCLEAR MATERIAL SAFETY AND SAFEGUARDS

WASHINGTON, D.C. 20555 December 28, 1994 NRC INFORMATION

NOTICE 94-89: EQUIPMENT

FAILURES AT IRRADIATOR

FACILITIES

Addressees

All U.S. Nuclear Regulatory

Commission

irradiator

licensees.

PurRose The U.S. Nuclear Regulatory

Commission (NRC) is issuing this information

notice to alert addressees

to several equipment

failures -- some of which have generic implications

-- that involve wet source storage irradiators.

It is expected that all recipients (including

dry source storage irradiator

licensees)

will review the information

for applicability

to their facilities

and consider actions, as appropriate, to avoid similar problems.

However, suggestions

contained

in this information

notice are not new NRC requirements;

therefore, no specific action or written response is required.Descrition

of Circumstances

The first equipment

failure involved the time delay system required in 10 CFR 36.23(f).

The second equipment

failure involved two incidents

where the control console provided false indications

of irradiator

condition.

The final equipment

failure involved a source rack that failed to return to its shielded position after the comnand was initiated

at the control console.1. Fault in the Operational

Time Delay Reset Power Supply.In this incident, a fault in the control console circuitry

occurred at a licensee's

facility when an external electrical

power surge caused a fuse to blow in the operational

time delay reset power supply. This circuit had been recently installed

to meet the requirements

of 10 CFR Part 36. The operational

time delay circuit prevents the control console from activating

for a preset time after being initiated

by the operator in the irradiation

room, thereby preventing

source rack movement per 10 CFR 36.23(f).

In addition, the operational

time delay circuit of this irradiator

must be operational

for the audible and visual warning circuit and the door interlock circuit to function properly.

The audible and visual warning systems are designed to activate whenever the irradiator

door is opened and source movement is initiated.

Nevertheless, the audible and visual warning systems did not activate when the operator left the irradiation

room, until the control console was turned 0ON6 with the console key. The planned irradiation

was performed, however, since the audible warning system did activate before irradiation, per the requirement

In 10 CFR 36.31(a).9412210186 PDR ZV > cL(~ (l4eX am t31195 IN 94-89 December 28, 1994 The operational

time delay circuit was also designed to reset after an irradiation

to prevent the control console from being re-energized

and allowing additional

source movement.

The control console should not re-energize until the circuit is again initiated

by the operator In the irradiation

room. However, in this incident, the control console was able to be re-energized

before the time delay circuit was initiated.

The blown fuse in the reset power supply prevented

the time delay circuit from resetting

as designed.To prevent reoccurrence, a surge protector

was installed

to protect the entire system from external power surges, and the time delay circuit was redesigned

to disable the control console, audio and visual safety circuits, and the source positioning

system, in case the fuse blows again. This alerts the operator to a fault and prevents source movement until the fuse is replaced.2. False Indications

of Source Rack Position.A false indication

of source rack position (rack not in the fully down position)

was received at the control console of a wet source storage licensee when the wire that carries the source position signal shorted because of worn insulation.

Vibration

in the system caused the wire to rub against nearby metal and wore away the insulation.

The short-circuit

also caused an initial intermittent

false indication

of a collision

between the source rack and the carrier. The licensee verified that the sources were in the shielded position and traced the fault to the damaged wire. The wire was replaced and rerouted through a flexible conduit to reduce the possibility

of additional

wear.A second false indication

of source rack position occurred at the same facility when the plunger of a source rack down-position

switch failed to extend and thereby did not properly indicate the true position of the source rack. The plunger failed to extend because of corrosion

between the plunger and sleeve causing increased

friction.

The irradiator

licensee received conflicting

signals when the lower position switch indicated

that the source rack was not fully down, but the upper position switch Indicated

that the source rack was fully down. The installed

radiation

monitors and subsequent

surveys performed

outside of the cell indicated

that the source rack was shielded.

Further visual analysis confirmed

that the source racks were in the fully shielded position.The licensee concluded

that the lower source rack position switch was malfunctioning

and replaced the switch. On further analysis of the switch, it was determined

that green corrosion

deposits on the brass sleeve and steel plunger of the switch caused the plunger to stick in the retracted

position, preventing

it from springing

back to the extended position.

With the plunger in the retracted

position, the switch indicates

the source rack is not in the fully down position.

The Irradiator

vendor, Nordion International, Inc.(NII), was notified and has issued Service Bulletin IND-93-2, which is included as Attachment

1 to this information

notice. Service Bulletin IND-93-2 advises all users of NIl pool type irradiators

containing

these plunger-type

position indicators

to check the switches for evidence of corrosion, clean the switches if corrosion

is found, and replace the switches as soon as possible.

IN 94-89 December 28, 1994 In addition, NII has provided replacement

switches constructed

of corrosion- resistant

materials (porcelain

sleeve and stainless

steel plunger) to all users whose irradiators

contain the non-corrosion-resistant

switches, and has provided instructions

for installation

and initial testing of the new switches.3. Failure of Source Rack to Return to the Shielded Position.In this incident, a source rack at a licensee's

facility failed to return to the shielded position.

This occurred when an air solenoid valve failed to fully return to the exhaust position and stuck in an intermediate

position that blocked any air passage through the valve, thereby trapping air pressure in the line between the valve and source rack hoist. During a typical irradiation, the licensee noted an irregular

reading on the control console (not related to source rack position)

and pressed the emergency

stop button.The source rack position indication

on the control console indicated

that one of the two irradiator

source racks failed to return to the fully down/shielded

position.

The installed

radiation

monitors, the position of the source rack cable on the roof of the irradiator

builcing, and subsequent

radiation

surveys performed

outside the Irradiation

cell confirmed

that one source rack had remained in the up/unshielded

position.

Further investigation

revealed that pressure remained in the air line to the source rack hoist, keeping the rack in the exposed position, when this pressure should have been released.

The licensee cut the air line to release the pressure, and the source rack returned to the fully down/shielded

position.

The licensee determined

that one or both of the air solenoid valves in the supply line failed to move to the exhaust position when the source down command was initiated, thereby not lowering the source rack. Both valves were replaced and the source hoist system operated normally.The irradiator

vendor, NII, was notified and both solenoid valves were returned to NII for further investigation.

NII determined

that the solenoid valves that were indicated

to be four-way, two-position (exhaust/pressurize), five-port

valves could in certain circumstances, operate as four-way, three-position (exhaust/pressurize/neutral), five-port

valves. A two-position

valve would exhaust pressure in the air line to the source rack hoist upon loss of supply air pressure, regardless

of valve position.

The neutral position of a three-position

valve would maintain pressure In the air line to the source rack hoist regardless

of supply air pressure.

Therefore, a three-position

valve would not allow for a fail-safe

operation.

The circumstance

that allowed the valve to operate as a three-position

valve was attributed

to the deterioration

and hardening

of the seals in the valve spool, causing the valve spool to stick in the neutral position.

Nil's investigation

showed that it is unlikely that the ingress of contaminants

caused the valve spool to stick in the 'neutral position.

However, NII did not rule that out as a contributing

factor. According

to NII, harding of the seals is thought to be caused by oxidation

over time of the seal material.

One of the spools, in use for over 5 years, showed considerable

hardening

of the seal material, whereas the seals of the other spool, in use for only 14 months, had become hardened, but not as hard as the first valve's seals.

...j IN 94-89 December 28, 1994 As a result of this incident, NII issued Service Bulletin IND-94-1, which is included as Attachment

2 to this information

notice. To preclude future failures of this nature, NlI recommends

that Norgren part 54237-56 valve spools no longer be used in Norgren Nugget 200 Series Source Hoist Valves, part K71EAOO KSI AECKGI, and that Norgren part 54237-58 spools be used as replacement

spools in existing and all new valves of this type used in NII pool type irradiators.

The 54237-58 spools allow for the exhaust of air in all positions, thus eliminating

the possibility

of pressure remaining

in the air line to the source rack hoist on removal of supply air pressure.

In addition, NII recommended

in their report to the licensee, that the spools be replaced periodically

to reduce the possibility

of additional

failures because of seal hardening.

NII's investigation

revealed that detectable

hardening

of the seal material has occurred, in at least one case, within 14 months of use.However, the valve in that case continued

to operate without failure.In addition, NII reports that licensees

who have ordered replacement

valves for the original installed

valves (part K71EAOO KSI AECKGI), may have received replacement

valves labeled with Norgren's

off-the-shelfl

part numbers.Therefore, Norgren Nugget 200 Series Source Hoist Valves with part numbers K71EAOO KS6 KQI, K71EAOO KS6 AECKGI, and any other variants of the K71EAOO valves used for these operations

should have their valve spools replaced also.NII asserts that the construction

and operation

of these valves are identical to the K71EAOO KSI AECKGI valves.Discussion:

The failures of the audible and visual warning systems and operational

time delay to initiate properly were caused by a blown fuse in the operational

time delay reset power supply, failing to cause the timer to reset. This allowed the control console to be energized

and source movement to occur before the operational

time delay being re-initiated, contrary to Part 36 requirements.

The redesigned

circuit prevents this situation

from occurring

by not allowing the control console to re-energize

if this fuse blows again. The control console is designed such that source movement cannot occur unless the control console is energized.

Irradiator

users should evaluate all possible failure modes of source positioning

control circuitry

and interlocks, or circuitry that supports these systems, upon installation

and whenever modifications

are made.The worn insulation

that caused the short in the source rack position indication

circuit did not cause a situation

in which the source racks were in the exposed position unintentionally.

However, the licensee was required to bypass safety interlocks (using appropriate

safety measures)

to verify the true position of the source rack. Users should be aware of and take precautions

against conditions (e.g., wear caused by vibration, excessive heat, embrittlement

caused by high radiation, etc.) which could cause the failure of essential

electrical

components

and indicators.

IN 94-89 December 28, 1994 Users of NII pool-type

irradiators

containing

source down-position

indication

switches constructed

of non-corrosion-resistant

materials

should be aware that if the recommendations

contained

in NII Service Bulletin IND-93-2 are not followed, the potential

for false or conflicting

source rack position signals exists. If a false signal is received, the operator may be required to bypass safety interlocks (using appropriate

safety measures)

to verify the true position of the source rack.The most likely cause of the corrosion

was the close proximity

of the switch to the water line and high humidity in the irradiation

room. To date, NII is not aware of any indications

of corrosion

developing

in the upper source position switch, which is constructed

using materials

similar to the original bottom source down-position

switches.

The upper switch is located away from the water line and is exposed to higher temperatures

and lower humidity when the source rack is in the raised/exposed

position.

However, if conditions

exist in the area around the upper switch that are favorable

to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type

irradiators

containing

Norgren part 54237-56 valve spools used in Norgren Nugget 200 Series Source Hoist Valves, part K71EAOO, should be aware that if they do not follow the NII recommendation

to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.

Licensees

may have to cut the air line to the source rack hoist to return the source rack to the shielded position.

In addition, the licensees

should consider NII's recommendation

that the spools be replaced on a periodic basis to reduce the possibility

of failure, according

to their specific operation.

If not replaced, the replacement

valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped in the air line.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice, please contact the technical

contact listed below or the appropriate

regional office.Carl J. perie o, Director Division of Industrial

and Medical Nuclear Safety Office of Nuclear Materials

Safety and Safeguards

Technical

contact: Douglas Broaddus, NKSS (301) 415-5847 Attachments:

1. Nordion International

Inc., Service Bulletin IND-93-2 2. Nordion International

Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information

Notices 4. List of Recently issued NRC Information

Notices

<_4 _ 94-89 December 28, 1994 Users of NII pool-type

irradiators

containing

source down-position

indication

switches constructed

of non-corrosion-resistant

materials

should be aware that if the recommendations

contained

in NII Service Bulletin IND-93-2 are not followed, the potential

for false or conflicting

source rack position signals exists. If a false signal is received, the operator may be required to bypass safety interlocks (using appropriate

safety measures)

to verify the true position of the source rack.The most likely cause of the corrosion

was the close proximity

of the switch to the water line and high humidity in the irradiation

room. To date, NII is not aware of any indications

of corrosion

developing

in the upper source position switch, which is constructed

using materials

similar to the original bottom source down-position

switches.

The upper switch is located away from the water line and is exposed to higher temperatures

and lower humidity when the source rack is in the raised/exposed

position.However, if conditions

exist in the area around the upper switch that are favorable

to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type

irradiators

containing

Norgren part 54237-56 valve spools used in Norgren Nugget 200 Series Source Hoist Valves, part K71EA00, should be aware that if they do not follow the NII recommendation

to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.

Licensees

may have to cut the air line to the source rack hoist to return the source rack to the shielded position.

In addition, the licensees

should consider Nil's recommendation

that the spools be replaced on a periodic basis to reduce the possibility

of failure, according to their specific operation.

If not replaced, the replacement

valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped in the air line.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice, please contact the technical

contact listed below or the appropriate

regional office.Carl J. Paperiello, Director Division of Industrial

and Medical Nuclear Safety Office of Nuclear Materials

Safety and Safeguards

Technical

contact: Douglas Broaddus, NMSS (301) 415-5847 Attachments:

1. Nordion International

Inc., Service Bulletin IND-93-2 2. Nordion International

Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information

Notices 4. List of Recently issued NRC Information

Notices DOCUMENT MANE: 94-89.IN Technical

Editor*EKraus 11/16/94 *See previous concurrence

cop without at L. 6* WM attachs t L. BE- a Co p1* ous 'on c OFC IMOB* IMOB* SCDB* lKE INS I KANE KRamsey/l

GPangburn

FCombs RBaer MFederline

EBrach CPa p 110 DATE 11/15/94 11/29/94 11/30/94 12/09/94 12/09/94 Not In 124l1V9= _ _ _ _ _ _ FLRoffice

j

~'IN 94-~ December , 1994 Users of NII pool-type

irradiators

containing

source down-position

indication

Ailtdas. constructed

of non-corrosion-resistant

materials

should be aware that if the recommendations

contained

In NII Service Bulletin IND-93-2 are not followed, the potmntial

for false or conflicting

source rack position signals exists.- IfMa false signal Is received, the operator may be required to bypass safety interlocks (using appropriate

safety measures)

to verify the true position of the source racuk The most likely cause of the corrosion

was the close proximity

of the switch to the water line and high humidity In the irradiation

room. To date, NII is not aware of any Indicattons

of.corrosion

developing

in the upper source position switch, which Is constructed

using Oateri as similar to the original bottom source down-position

switches.

The upper switch is located away from the water line and Is exposed to higher toWperatures

and lower humidity when the source rack Is in the raised/exposed

position.

However, if conditions

exist in the area around the upper switch that are favorable

to corrosion (e.g., high humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type

irradiators

containing

Norgren part 54237-56 valve spools used In Norgren Nugget 200 Series Source Hoist Valves, part K71EA00, should be aware that if they do not follow the NII recommendation

to replace the 54237-56 spools with 54237-58 spools, the source racks may become stuck in the exposed position.

Licensees

may have to cut the air line to the source rack hoist to return the source rack to the shielded position.

In addition, the licensees

should consider NII s recommendation

that the spools be replaced on a periodic basis to reduce the possibility

of failure, according

to their specific operation.

If not replaced, the replacement

valve spools could fail because of seal material hardening, although such failure would not cause pressure to remain trapped In the air line.This information

notice requires no specific action or written response.

If you have any questions

about the information

in this notice please contact the technical

contact listed below or the appropriate

reglonal office.Carl J. Paperiello, Director Division of Industrial

and Medical Nuclear Safety Office of Nuclear Materials

Safety and Safeguards

Contact: Douglas Broaddus, NMSS (301) 415-5847 Attachments:

1. Nordion International

Inc., Service Bulletin IND-93-2 2. Nordion International

Inc., Service Bulletin IND-94-1 3. List of Recently issued NMSS Information

Notices 4. List of Recently issued NRC Information

Notices DOCUMENT NAME: G:IM-IRRAD.KNR

Technical

Editor*EKraus 11/16/94 *See previous concurrence

without t GP With, tt tu. upt

  • U _ ___OFC J IMOB* SCW .M lM"+)KANE KRamsey/ll

GPangburn

FCombs RBaer NFederline

c C'peuello DATE 11/15/94 11/29/94 11/30/94 129/94 1209/94V 9 4 94^ -OFFI:'CIAL

RECOR COP

IN 94-November , 1994 aware of any Is4kcations

of corrosion

developing

in the upper source position switch, whicd is coestructed

using materials

similar to the original bottom source do"w#mpositls

switches.

The upper switch Is located away from the water line and Is exposed to higher taperatures

and lower humidity when the source rack is In the ralse/Uxposed

position.

However, if conditions

exist In the area around the upper switch that are vorable to corrosion (e.g., high humidity or a caustic atmosphere), this switc could corrode also.Users of KIU pool-type

irradiato

containing

Norgren part # 54237-56 valve spools used I. Korgren Nugget 200 rios Source Hoist Valves, part # K71EAOO, should be aware that If they do not fllow the NII recommendation

to replace the 54237-S6 spools with 5423748 spo4ls, the source racks may become stuck In the exposed position.

Licensees

may hav to cut the air line to the source rack hoist to return the source rack to shielded position.

In addition, the licensees

should consider NII's recoe ation that the spools be replaced on a periodic basis to reduce the possibility

of failure, according

to their specific operation.

If not replaced, the replace nt valve spools could fail because of seal material hardening, although such fa ure would not cause pressure to remain trapped In the air line.This information

notice requires no specifi action or written response.

If you have any questions

about the information

n this notice, please contact the technical

contact listed below or the appro Wate regional office.Carl J. periello, Director Division f Industrial

and* Medical uclear Safety Office of uclear Materials

Safety and Safegua Contact: Douglas Broaddus, NKSS (301) 415-5847 Attachments:

1. Nordion International

Inc., Service Bulleti IND-93-2 2. Nordion International

Inc., Service Bulletin IND-94-1 3. List of Recently issued NISS Information

Hoti es 4. List of Recently issued NRC Information

Notic s DISTRIBUTION:\

INOB r/f SCOB r/f iNKS r/f DOCIMENT NAME: G:IN-RRAD.KN\

Technical

Editor*EKraus 11/16/94 , mc'. Caov ulthout attedaclMmtc. -V a Caw wifth mttclumVc.qCuu

_U_______-!g OFC IM I IO M0BEI l -_ I I S INNS I INANE IKRUSseYIll

6Pnbr cobS , K\ E~aCh Pe110-ngur k t _ -.drC~peiel DAE 11/15/94 11/29/94 I~D AT E I 9 li994 1 1 194 -/q/ 1 I 1 I I OFFICM R ECOD COP

K>IN 94-November , 1994 aware of any indications

of corrosion

developing

in the upper source pos iton switch, which is constructed

using materials

similar to the original ottom source down-position

switches.

The upper switch is located away from e water line and is exposed to higher temperatures

and lower humidity when e source rack is In the raised/exposed

position.

However, if conditions

exis in the area around the upper switch that are favorable

to corrosion (e.g., h humidity or a caustic atmosphere), this switch could corrode also.Users of NII pool-type

irradiators

containing

Norgren par t 54237-56 valve spools used In Norgren Nugget 200 Series Source Hoist Va es, part t K71EA00, should be aware that if they do not follow the NII rec ation to replace the 54237-56 spools with 54237-58 spools, the source racksay become stuck in the exposed position.

Licensees

may have to cut the ai line to the source rack hoist to return the source rack to the shielded p ition. In addition, the licensees

should consider NII's recommendation

tha the spools be replaced on a periodic basis to reduce the possibility

of failure, in their specific application.

If not replaced, the replacement

alve spools could fail because of seal material hardening, although such fa ure would not cause pressure to remain trapped in the air line.This information

notice requires no sped c action or written response.

If you have any questions

about the informati

in this notice, please contact the technical

contact listed below or the ipproprate

regional office.Carl J. Paperiello, Director Division of Industrial

and Medical Nuclear Safety Office of Nuclear Materials

Safety and Safeguards

Contact: Douglas Broaddu , NMSS (301) 415-5847 Attachments:

1. Nordion Intern lonal Inc., Service Bulletin IND-93-2 2. Nordion Inte ational Inc., Service Bulletin IND-94-1 3. List of Rec tly Issued NHSS Information

Notices 4. List of Re ntly issued NRC Information

Notices DISTRIBMTON:/

INOB r/f SCDB r IHNS r/f DOCUKENT NARE: 6: IRRAD.KKR Technical

Edito EKraus/ /IC/94%'On CpY WitMou sttaduasnwInc.

8E

  • aCWp with~ af m/awd. or a so__________

OR IeBI im CD-1 IA

  • NNS INN KANE KRams trn VQS RBaer iin Etrach CPaperiello

DATE J L f -j ff \ F -I _