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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20057C4221993-09-22022 September 1993 Ro:On 930910,noticed Fluctuations on Power Channels Due to Element 574 in Position J-7 Becoming Unlatched for Listed Reasons.Subj Element Replaced.Special Instructions Will Be Provided to Operators on Fuel Handling & Monitoring ML20114D7111992-09-0202 September 1992 Ro:On 920824,several Annunicators Re Reactor in Manual, Servo Deviation Greater than 10% & Clutch Power Off Received.Caused by Shim 3 Slipping & Clutch Current on Low Alarm.Potentiometer Wiped Clean & Current Adjusted ML20059M1491990-09-25025 September 1990 Special Rept,On 900918:shim 1 Relay Failed to Release Completely Upon Manual Scram.Caused by mercury-wetted- Contact Relay in Manual Scram Circuit of Shim.Relay Replaced & Relays in Sys Checked & Found to Operate Normally ML20235M4711987-09-23023 September 1987 Ro:On 870911,while Performing Shim Arm Calibr Tests at Low Power,Shim 1 Would Not Drive Out But Would Drive In.Caused by Worn Thrust Bearings on Drive.Drive Reinstalled & Tested Satisfactorily ML20087N6121984-03-29029 March 1984 Ro:On 840319,following Shim Arm Calibr Test,Shift Arm 1 Did Not Fall.Cause Unknown.New Ball Nut & Screw Assembly Installed ML20067D9391982-12-0606 December 1982 Ro:On 821126,during Routine Refueling Operations,Fuel Element 345 Fell to Upper Grid in Transfer from Core Position D-1 to D-7.Caused by Operating Difficulty in E-2 Transfer Arm.Element Removed & Seated 1993-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20205B0511998-12-31031 December 1998 Operations Rept 51 for Jan-Dec 1998. with ML20217H4481997-12-31031 December 1997 Operations Rept 50 for Jan-Dec 1997 ML20147H3871997-03-31031 March 1997 Safety Evaluation Supporting Amend 8 to License TR-5 ML20137F2891996-12-31031 December 1996 Operations Rept 49 for Jan-Dec 1996 ML20101K9901995-12-31031 December 1995 Operations Rept 48,for 1995 ML20082B0421994-12-31031 December 1994 NIST Reactor Operations Rept 47 for Jan-Dec 1994 ML20064L2101993-12-31031 December 1993 NIST Reactor (Nbsr) Operations Rept 46 Jan-Dec 1993. W/ ML20057C4221993-09-22022 September 1993 Ro:On 930910,noticed Fluctuations on Power Channels Due to Element 574 in Position J-7 Becoming Unlatched for Listed Reasons.Subj Element Replaced.Special Instructions Will Be Provided to Operators on Fuel Handling & Monitoring ML20114D7111992-09-0202 September 1992 Ro:On 920824,several Annunicators Re Reactor in Manual, Servo Deviation Greater than 10% & Clutch Power Off Received.Caused by Shim 3 Slipping & Clutch Current on Low Alarm.Potentiometer Wiped Clean & Current Adjusted ML20094P1721991-12-31031 December 1991 Natl Inst of Stds & Technology Reactor Operations Rept, 1991 ML20070T4301990-12-31031 December 1990 Operations Rept 43 for Natl Inst of Stds & Technology Reactor for 900101-1231 ML20059M1491990-09-25025 September 1990 Special Rept,On 900918:shim 1 Relay Failed to Release Completely Upon Manual Scram.Caused by mercury-wetted- Contact Relay in Manual Scram Circuit of Shim.Relay Replaced & Relays in Sys Checked & Found to Operate Normally ML20043A4791990-05-15015 May 1990 Ro:On 900505,leak Discovered in Cooling Water Basin Steam Lines.Caused by Increasing Tritium Levels in Hx.Permanent Plug Installed in Steam Line ML20248J1901988-12-31031 December 1988 Operations Rept 41 for 1988 ML20195B3931988-06-10010 June 1988 Safety Evaluation Supporting Amend 6 to License TR-5 ML20151U3541987-12-31031 December 1987 Corrected Operations Rept 40,1987 ML20148N6081987-12-31031 December 1987 Operations Rept 40,Jan-Dec 1987 ML20235M4711987-09-23023 September 1987 Ro:On 870911,while Performing Shim Arm Calibr Tests at Low Power,Shim 1 Would Not Drive Out But Would Drive In.Caused by Worn Thrust Bearings on Drive.Drive Reinstalled & Tested Satisfactorily ML20237J2201987-02-28028 February 1987 Penetrations in Reactor Bldg for New Hot Plug Storage,Hx Vault & Neutron Beam Tubes, Study Rept ML20206D7691986-12-31031 December 1986 Operations Rept 39,1986 ML20202D3001985-12-31031 December 1985 Operations Rept 38,1985 ML20116H5891984-12-31031 December 1984 Operations Rept 37,1984 ML20098G3611984-08-31031 August 1984 SAR on D2O Cold Neutron Source for Nbs Reactor ML20087N6121984-03-29029 March 1984 Ro:On 840319,following Shim Arm Calibr Test,Shift Arm 1 Did Not Fall.Cause Unknown.New Ball Nut & Screw Assembly Installed ML20087N5901983-12-31031 December 1983 Semiannual Operating Rept 36,Jul-Dec 1983 ML20080K4781983-09-0808 September 1983 Operations Rept,Jan-June 1983 ML20072L3421983-03-18018 March 1983 Operations Rept 34,Jul-Dec 1982 ML20067D9391982-12-0606 December 1982 Ro:On 821126,during Routine Refueling Operations,Fuel Element 345 Fell to Upper Grid in Transfer from Core Position D-1 to D-7.Caused by Operating Difficulty in E-2 Transfer Arm.Element Removed & Seated ML20063P1801982-09-30030 September 1982 Operations Rept 33,Jan-June 1982 ML20050B5401982-03-30030 March 1982 Semiannual Operating Rept,Jul-Dec,1981. ML20010G1941981-09-10010 September 1981 Semiannual Operating Rept for Jan-June 1981 ML20038B2531981-08-26026 August 1981 Natl Bureau of Stds Reactor. ML20009H0111981-07-28028 July 1981 Ro:On 810717,no Deuterium Oxide Level Indication Discovered. Caused by Substance Draining Into Storage Tank Due to Failure of Valve DWV-39 to Close.Revised Procedures Instituted to Upgrade Insp Requirements ML19343C4501981-03-20020 March 1981 Operations Rept 30 for Jul-Dec 1980. ML19347B2911980-09-26026 September 1980 Semiannual Operating Rept,Jan-June 1980. ML19340E2031980-04-0808 April 1980 Semiannual Operating Rept 28,Jul-Dec 1979. ML20125D0401979-10-26026 October 1979 Rept on Nature & Source of Radioactive Matl Found at Nbs Reactor Site ML19208D5251979-09-28028 September 1979 Operations Rept 27, Jan-June 1979 ML20214M9261966-12-16016 December 1966 Suppl B of FSAR on Nbs Reactor ML20214M9321966-10-0101 October 1966 Suppl a of FSAR on Nbs Reactor ML20214M9461961-01-0101 January 1961 Preliminary Hazards Summary Rept 1998-12-31
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UNITED C)TATES DEPARTMENT OF COMMERCE f q/ g N Lclir n, . . ., - 1~ .
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September 22, 1993 U.S. Nuclear Regulatory Commission l Attention: Document Control Desk Washington, D.C. 20555
Subject:
Unlatched. Element, Docket No. 50-184 j on September 'o, 1993, following refueling the day before, a routine retatr startup was made. After required. stops at'O.1 ,
and 1 MW, reactor power was increased to the next level of 10 MW when the operator noticed fluctuations on the power channels.
Confirming that the fluctuations were real and on all three channels, he immediately reduced power to 1 MW and when the fluctuations continued, shut down the reactor. A check of the entire core revealed that element 574'in position J-7 was >
unlatched. Refueling consists of removing four. elements from the ,
center of the core, moving the remaining -26 elements sequentially towards the center and loading four.new elements on the outside.
'i Element 574 had been in the reactor for one cycle only. Proper .l latching is checked in two ways; the refueling tool is designed i so that it'cannot be removed unless the element is-latched. - This ,
is followed by a flow test of each element. . Starting primary ;
flow would raise an' unlatched element-above the grid.- ' This is .
detected by lowering the tool to touch the element head and ,
checking the height. In the past, this method has detected any ii unlatched element. Immediately following refueling', all checks-were normal and confirmed by two operators. Following'the .
reactor shut down on September 10, element 574 (which was found to be unlatched) was latched and unlatched in position J-7 several times and functioned normally. It was then transferred to the storage pool for examination. The element was intact but appeared more discolored than normal. There was no release of activity of any kind. It should be noted that all fueling ~
operations are carried out remotely '
A careful analysis of the cause of the unlatching indicated three possibilities:
- 1. The element was never latched'and was not-detected by flow tests.
- 2. The-element was only partially latched and.became unlatched, probably as a result of flow.
- 3. The element became partially unlatched.as a result of flow tests and then unlatched. :
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The latter is considered most unlikely since the orientation of the t6ol when lowered only rests en the element head and cannot latch-on to it or rotate it. Nevertheless, provisions are being I taken to guard against all three possibilities. 'i l
The decision was made not to reuse the element until a more '
thorough inspection could be made. Other immediate actions taken were to double check all elements and to double check the replacement element. The replacement element was initially' flow tested, after which primary flow was continued for about two hours. The flow was stopped for about 30 minutes, then restarted 1 and the element checked again. Nuclear instrumentation was also l carefully monitored once flow was started to possibly detect any i fuel movement. All checks were normal. A programmed reactor l restart was instituted with an additional stop at 5 MW and j operation at 10 MW for two days ~ prior to increasing power. The' ;
reactor was restarted on September 16, 1993 and everything was ,
routine and smooth. j Future plans include the following additional measures: ;
- 1. Special instructions to operators on fuel handling, i monitoring, and testing and response to instrument i fluctuations. ;
- 2. Examination by borescope of the area in position J-7 1 during the next refueling. .
- 3. Examination of all positions in the upper grid next i year during a major shutdown when the entire' core is ;
removed. i
- 4. Construction of a mock up test rig to allow tests of (
various hypotheses, and to facilitate training of new i operators. i once the results of these measures are evaluated, additional steps as necessary will be instituted.
. Si cerely, ,
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/ [/ Michael Rowe i
('- '/J. Chief, Reactor Radiation Division 'l+
i cc: Project Scientist ;
l U.S. Nuclear Regulatory Commission '
Region 1 475 Allendale Road -
King of Prussia, PA 19406
{
Project Manager Non-Power Reactor Directorate U.S. Nuclear Regulatory Commission Washington, D.C. 20555 l
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