Information Notice 1985-85, Systems Interaction Event Resulting in Reactor System Safety Relief Valve Opening Following a Fire-Protection Deluge System Malfunction: Difference between revisions
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{{#Wiki_filter:SSINS No.: | {{#Wiki_filter:SSINS No.: | ||
6835 IN 85-85 | |||
===UNITED STATES=== | |||
NUCLEAR REGULATORY COMMISSION | NUCLEAR REGULATORY COMMISSION | ||
OFFICE OF INSPECTION AND ENFORCEMENT | ===OFFICE OF INSPECTION AND ENFORCEMENT=== | ||
WASHINGTON, D.C. | |||
20555 | |||
===October 31, 1985=== | |||
IE INFORMATION NOTICE 85-85: | |||
===SYSTEMS INTERACTION EVENT RESULTING IN REACTOR=== | |||
SYSTEM SAFETY RELIEF VALVE OPENING FOLLOWING | SYSTEM SAFETY RELIEF VALVE OPENING FOLLOWING | ||
| Line 38: | Line 45: | ||
event involving the fire-protection deluge system located in the control room | event involving the fire-protection deluge system located in the control room | ||
ventilation charcoal filter housing. | ventilation charcoal filter housing. | ||
===Following inadvertent actuation of this=== | |||
system, an analog transient trip system (ATTS) panel was sprayed with water | system, an analog transient trip system (ATTS) panel was sprayed with water | ||
| Line 48: | Line 56: | ||
their facilities and consider actions, if appropriate, to preclude a similar | their facilities and consider actions, if appropriate, to preclude a similar | ||
problem occurring at their facilities. | problem occurring at their facilities. | ||
===However, suggestions contained in this=== | |||
notice do not constitute requirements; therefore, no specific action or written | notice do not constitute requirements; therefore, no specific action or written | ||
| Line 60: | Line 69: | ||
scrammed the reactor from 75% power because of a stuck open low-low-set safety | scrammed the reactor from 75% power because of a stuck open low-low-set safety | ||
relief valve (LLS-SRV). | relief valve (LLS-SRV). | ||
===Shorting of one of the two redundant power supplies=== | |||
and/or possibly intermittent shorting of logic system contacts in the ATTS | and/or possibly intermittent shorting of logic system contacts in the ATTS | ||
panel is believed to have caused the stuck open LLS-SRV. The panel is one of | panel is believed to have caused the stuck open LLS-SRV. The panel is one of | ||
two redundant panels located in the control room. | two redundant panels located in the control room. | ||
===The cause of the electrical=== | |||
shorts in the affected panel was water intrusion into the panel. | shorts in the affected panel was water intrusion into the panel. | ||
The event began about 8:35 p.m. when an instrument water supply vent valve was | The event began about 8:35 p.m. when an instrument water supply vent valve was | ||
damaged, apparently by dragging of a crane hook along the line. The instru- ment water supply line eventually depressurized causing a portion of the fire- protection deluge system to actuate. The water supply line is located above | damaged, apparently by dragging of a crane hook along the line. | ||
The instru- ment water supply line eventually depressurized causing a portion of the fire- protection deluge system to actuate. The water supply line is located above | |||
the control building and the deluge system is located in the control room | the control building and the deluge system is located in the control room | ||
| Line 80: | Line 93: | ||
Following actuation of the deluge system, approximately 15 to 25 gal of water | Following actuation of the deluge system, approximately 15 to 25 gal of water | ||
backed up into the ventilation header before the system could be secured. The | backed up into the ventilation header before the system could be secured. | ||
The | |||
8510290039 | 8510290039 | ||
IN 85-85 October 31, 1985 backup was caused by plugged drains in the charcoal filter housing. Water | IN 85-85 October 31, 1985 backup was caused by plugged drains in the charcoal filter housing. | ||
Water | |||
eventually leaked through a hole in the ventilation piping that was located | eventually leaked through a hole in the ventilation piping that was located | ||
| Line 90: | Line 107: | ||
above the ATTS panel in the control room. Whenthe water sprayed onto the panel, one of two redundant panel power supplies apparently shorted because of water | above the ATTS panel in the control room. Whenthe water sprayed onto the panel, one of two redundant panel power supplies apparently shorted because of water | ||
intrusion into the panel. | intrusion into the panel. | ||
closed. The SRV cycled three | As a result, a LLS-SRV valve began to cycle open and | ||
closed. | |||
The SRV cycled three t imes and then opened and remained open. | |||
The | |||
operator manually scrammed the reactor from 75% power. A false turbine high | operator manually scrammed the reactor from 75% power. A false turbine high | ||
| Line 98: | Line 121: | ||
exhaust pressure trip signal also was generated, temporarily disabling the high | exhaust pressure trip signal also was generated, temporarily disabling the high | ||
pressure core injection (HPCI) system. | pressure core injection (HPCI) system. | ||
(RCIC) system was inoperable at the time, so neither HPCI nor RCIC was imme- diately available for use. | ===The reactor core isolation cooling=== | ||
(RCIC) system was inoperable at the time, so neither HPCI nor RCIC was imme- diately available for use. | |||
event. | ===Fortunately, neither system was needed during the=== | ||
event. | |||
reactor feedwater system until the MSIVs were shut. Subsequent to MSIV closure, water level was maintained by the control rod drive (CRD) system with the | This is because the water level was restored and maintained by the | ||
reactor feedwater system until the MSIVs were shut. | |||
Subsequent to MSIV closure, water level was maintained by the control rod drive (CRD) system with the | |||
excess water being dumped to the condenser via the reactor-water cleanup-system. | excess water being dumped to the condenser via the reactor-water cleanup-system. | ||
| Line 113: | Line 142: | ||
The event is of considerable concern because of the potential for multiple | The event is of considerable concern because of the potential for multiple | ||
safety system failures through unanalyzed systems interactions. In this event, the water from the fire-suppression deluge system in the control room caused | safety system failures through unanalyzed systems interactions. | ||
In this event, the water from the fire-suppression deluge system in the control room caused | |||
opening of a safety relief valve and loss of primary system inventory. | |||
The | |||
event could have been seriously aggravated by the spurious HPCI turbine high | event could have been seriously aggravated by the spurious HPCI turbine high | ||
| Line 121: | Line 154: | ||
exhaust pressure-trip-that-wasreceived-also apparently as a result of the | exhaust pressure-trip-that-wasreceived-also apparently as a result of the | ||
water intrusion. Because the RCIC system was inoperable at-the time of the | water intrusion. | ||
Because the RCIC system was inoperable at-the time of the | |||
event, no safety-related high pressure injection system'would have been imme- diately available to restore water level should that have been necessary. | event, no safety-related high pressure injection system'would have been imme- diately available to restore water level should that have been necessary. | ||
| Line 131: | Line 166: | ||
Perhaps more serious is the potential effect the water could have had on | Perhaps more serious is the potential effect the water could have had on | ||
numerous other safety systems. | numerous other safety systems. | ||
===The ATTS panels have permissive and arming=== | |||
logic and trip, logic for various safety systems, as well as water level inputs | logic and trip, logic for various safety systems, as well as water level inputs | ||
to the HPCI, RCIC, core spray (CS)., automatic depressurization system (ADS), | to the HPCI, RCIC, core spray (CS)., automatic depressurization system (ADS), | ||
residual heat removal (RHR) system, and diesel activation logic. | |||
===It is hard to=== | |||
predict the anomalous behavior that could occur if both power supplies had been | predict the anomalous behavior that could occur if both power supplies had been | ||
| Line 146: | Line 183: | ||
Prior to this event, no procedures were in place at Hatch Unit 1 for adequately | Prior to this event, no procedures were in place at Hatch Unit 1 for adequately | ||
cleaning the ventilation plenums or drains in the charcoal filter units. Had | cleaning the ventilation plenums or drains in the charcoal filter units. | ||
Had | |||
these procedures been prepared and implemented, the drain's would have functioned | these procedures been prepared and implemented, the drain's would have functioned | ||
as designed with no serious adverse effects. | as designed with no serious adverse effects. | ||
===In response to this event, the=== | |||
licensee cleaned and inspected drains in the remaining filter units and is | licensee cleaned and inspected drains in the remaining filter units and is | ||
| Line 158: | Line 198: | ||
schedules. | schedules. | ||
IN 85-85 October 31, 1985 Another example of a design feature which | IN 85-85 October 31, 1985 Another example of a design feature which | ||
interactions was recently found at Unit 1 | interactions was recently found at Unit 1 seismic, non-category I potable water line | ||
room envelope via a relay room next to | room envelope via a relay room next to the | ||
solid-state protection system cabinets | solid-state protection system cabinets anc | ||
system located nearby to water damage foll | system located nearby to water damage foll | ||
unit is under construction, it does point out that these problems can occur. | unit is under construction, it does point | ||
could cause potential adverse system | |||
of the South Texas Project. A non- | |||
> was found to pass through the control | |||
> control room. | |||
===This could subject the=== | |||
I the Westinghouse 7300 process control | |||
owing a seismic event. | |||
===Although this=== | |||
out that these problems can occur. | |||
Also, IE Information Notice 83-41, "Actuation of Fire Suppression System | Also, IE Information Notice 83-41, "Actuation of Fire Suppression System | ||
| Line 186: | Line 241: | ||
listed below. | listed below. | ||
w4ar | w4ar | ||
. Jordan, Director | |||
===Divis n of Emergency Preparedness=== | |||
and Engineering Response | and Engineering Response | ||
Office of Inspection and Enforcement | ===Office of Inspection and Enforcement=== | ||
===Technical Contact:=== | ===Technical Contact:=== | ||
===David R. Powell, IE=== | ===David R. Powell, IE=== | ||
(301) 492-8373 Attachment: | |||
===List of Recently Issued IE Information Notices=== | |||
===Attachment 1=== | |||
IN 85-85 | |||
===October 31, 1985=== | |||
LIST OF RECENTLY ISSUED | |||
===IE INFORMATION NOTICES=== | |||
Information | |||
Date of | |||
Notice No. | |||
Subject | |||
Issue | |||
Issued to | |||
85-84 | |||
85-83 | |||
85-82 | |||
85-81 | |||
85-80 | |||
Inadequate Inservice Testing 10/30/85 | |||
===Of Main Steam Isolation Valves=== | |||
Potential Failures Of General 10/30/85 Electric PK-2 Test Blocks | |||
Diesel Generator Differen- | |||
10/18/85 tial Protection Relay Not | |||
===Seismically Qualified=== | |||
Problems Resulting In | |||
10/17/85 | |||
===Erroneously High Reading=== | |||
With Panasonic 800 Series | |||
===Thermoluminescent Dosimeters=== | |||
Timely Declaration Of An | |||
10/15/85 Emergency Class Implemienta- tion Of An Emergency Plan, | |||
===And Emergency Notifications=== | |||
Possible Sticking Of ASCO | |||
10/1/85 | |||
===Solenoid Valves=== | |||
Inadequate Communications | |||
9/30/85 Between Maintenance, | |||
===Operations, And Security=== | |||
Personnel | |||
Event Notification | |||
9/23/85 | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP and | |||
certain material | |||
and fuel cycle | |||
licensees | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | an OL or CP | ||
===All power reactor=== | |||
facilities holding | |||
an OL or CP | |||
===All power reactor=== | |||
facilities holding | |||
an OL or CP; research | |||
and nonpower reactor | |||
facilities; fuel | facilities; fuel | ||
| Line 265: | Line 368: | ||
processing facilities | processing facilities | ||
===All power reactor=== | |||
facilities holding | facilities holding | ||
an OL or CP | an OL or CP | ||
OL = Operating License | 85-17 Sup. 1 | ||
85-79 | |||
85-78 OL = Operating License | |||
CP = Construction Permit}} | CP = Construction Permit}} | ||
{{Information notice-Nav}} | {{Information notice-Nav}} | ||
Latest revision as of 10:25, 16 January 2025
SSINS No.:
6835 IN 85-85
UNITED STATES
NUCLEAR REGULATORY COMMISSION
OFFICE OF INSPECTION AND ENFORCEMENT
WASHINGTON, D.C.
20555
October 31, 1985
SYSTEMS INTERACTION EVENT RESULTING IN REACTOR
SYSTEM SAFETY RELIEF VALVE OPENING FOLLOWING
A FIRE-PROTECTION DELUGE SYSTEM MALFUNCTION
Addressees
All nuclear power reactor facilities holding an operating license (OL) or a
construction permit (CP).
Purpose
This notice is provided to alert licensees of a serious systems interaction
event involving the fire-protection deluge system located in the control room
ventilation charcoal filter housing.
Following inadvertent actuation of this
system, an analog transient trip system (ATTS) panel was sprayed with water
causing malfunctions in certain safety system components.
It is expected that recipients will review this notice for applicability to
their facilities and consider actions, if appropriate, to preclude a similar
problem occurring at their facilities.
However, suggestions contained in this
notice do not constitute requirements; therefore, no specific action or written
response is required.
Description of Circumstances
On May 15, 1985, at Georgia Power Company's Hatch Unit 1, personnel manually
scrammed the reactor from 75% power because of a stuck open low-low-set safety
relief valve (LLS-SRV).
Shorting of one of the two redundant power supplies
and/or possibly intermittent shorting of logic system contacts in the ATTS
panel is believed to have caused the stuck open LLS-SRV. The panel is one of
two redundant panels located in the control room.
The cause of the electrical
shorts in the affected panel was water intrusion into the panel.
The event began about 8:35 p.m. when an instrument water supply vent valve was
damaged, apparently by dragging of a crane hook along the line.
The instru- ment water supply line eventually depressurized causing a portion of the fire- protection deluge system to actuate. The water supply line is located above
the control building and the deluge system is located in the control room
charcoal filter housing.
Following actuation of the deluge system, approximately 15 to 25 gal of water
backed up into the ventilation header before the system could be secured.
The
8510290039
IN 85-85 October 31, 1985 backup was caused by plugged drains in the charcoal filter housing.
Water
eventually leaked through a hole in the ventilation piping that was located
above the ATTS panel in the control room. Whenthe water sprayed onto the panel, one of two redundant panel power supplies apparently shorted because of water
intrusion into the panel.
As a result, a LLS-SRV valve began to cycle open and
closed.
The SRV cycled three t imes and then opened and remained open.
The
operator manually scrammed the reactor from 75% power. A false turbine high
exhaust pressure trip signal also was generated, temporarily disabling the high
pressure core injection (HPCI) system.
The reactor core isolation cooling
(RCIC) system was inoperable at the time, so neither HPCI nor RCIC was imme- diately available for use.
Fortunately, neither system was needed during the
event.
This is because the water level was restored and maintained by the
reactor feedwater system until the MSIVs were shut.
Subsequent to MSIV closure, water level was maintained by the control rod drive (CRD) system with the
excess water being dumped to the condenser via the reactor-water cleanup-system.
The LLS-SRV closed without operator action at 9:52 pm.
Discussion:
The event is of considerable concern because of the potential for multiple
safety system failures through unanalyzed systems interactions.
In this event, the water from the fire-suppression deluge system in the control room caused
opening of a safety relief valve and loss of primary system inventory.
The
event could have been seriously aggravated by the spurious HPCI turbine high
exhaust pressure-trip-that-wasreceived-also apparently as a result of the
water intrusion.
Because the RCIC system was inoperable at-the time of the
event, no safety-related high pressure injection system'would have been imme- diately available to restore water level should that have been necessary.
The HPCI turbine trip signal was reset shortly after it occurred, however, and
the system was returned to operability.
Perhaps more serious is the potential effect the water could have had on
numerous other safety systems.
The ATTS panels have permissive and arming
logic and trip, logic for various safety systems, as well as water level inputs
to the HPCI, RCIC, core spray (CS)., automatic depressurization system (ADS),
residual heat removal (RHR) system, and diesel activation logic.
It is hard to
predict the anomalous behavior that could occur if both power supplies had been
lost, or if other portions of the logic had been shorted; but quite possibly, several safety systems could have malfunctioned, seriously handicapping the
operators during their efforts to stabilize the unit.
Prior to this event, no procedures were in place at Hatch Unit 1 for adequately
cleaning the ventilation plenums or drains in the charcoal filter units.
Had
these procedures been prepared and implemented, the drain's would have functioned
as designed with no serious adverse effects.
In response to this event, the
licensee cleaned and inspected drains in the remaining filter units and is
preparing cleanout and inspection procedures to be added to the maintenance
schedules.
IN 85-85 October 31, 1985 Another example of a design feature which
interactions was recently found at Unit 1 seismic, non-category I potable water line
room envelope via a relay room next to the
solid-state protection system cabinets anc
system located nearby to water damage foll
unit is under construction, it does point
could cause potential adverse system
of the South Texas Project. A non-
> was found to pass through the control
> control room.
This could subject the
I the Westinghouse 7300 process control
owing a seismic event.
Although this
out that these problems can occur.
Also, IE Information Notice 83-41, "Actuation of Fire Suppression System
Causing Inoperability of Safety Related Equipment," was issued on June 22, 1983.
That notice identified a number of instances in which automatic actuation of
fire suppression systems degraded or jeopardized the operability of safety- related equipment.
No specific action or written response is required by this information notice.
If you have any questions regarding this matter, please contact the Regional
Administrator of the appropriate NRC regional office or the technical contact
listed below.
w4ar
. Jordan, Director
Divis n of Emergency Preparedness
and Engineering Response
Office of Inspection and Enforcement
Technical Contact:
David R. Powell, IE
(301) 492-8373 Attachment:
List of Recently Issued IE Information Notices
Attachment 1
October 31, 1985
LIST OF RECENTLY ISSUED
IE INFORMATION NOTICES
Information
Date of
Notice No.
Subject
Issue
Issued to
85-84
85-83
85-82
85-81
85-80
Inadequate Inservice Testing 10/30/85
Of Main Steam Isolation Valves
Potential Failures Of General 10/30/85 Electric PK-2 Test Blocks
Diesel Generator Differen-
10/18/85 tial Protection Relay Not
Seismically Qualified
Problems Resulting In
10/17/85
Erroneously High Reading
With Panasonic 800 Series
Thermoluminescent Dosimeters
Timely Declaration Of An
10/15/85 Emergency Class Implemienta- tion Of An Emergency Plan,
And Emergency Notifications
Possible Sticking Of ASCO
10/1/85
Solenoid Valves
Inadequate Communications
9/30/85 Between Maintenance,
Operations, And Security
Personnel
Event Notification
9/23/85
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
certain material
and fuel cycle
licensees
All power reactor
facilities holding
All power reactor
facilities holding
All power reactor
facilities holding
and nonpower reactor
facilities; fuel
fabrication and
processing facilities
All power reactor
facilities holding
85-17 Sup. 1
85-79
85-78 OL = Operating License
CP = Construction Permit