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Category:REPORTABLE OCCURRENCE REPORT (SEE ALSO AO LER)
MONTHYEARML20210P3051999-08-0505 August 1999 Ro:On 990708,credible Single Failure in SR Temp Sys Could Result in Loss of Capability of Temp Sys to Protect Limiting Safety Sys Settings.Single Failure Is Loss of 15 V DC Power Supply.Mod Request 134 to Temp Sys Was Submitted ML20209E9771999-07-0808 July 1999 Preliminary Rept of non-routine Occurence Re Identification of Possible Single Failure for Safety Related Temperature Sys on 990706.Low Temperature Auto Rundown Proposed & Problem Rept Initiated to Document Review of Event ML20196B2091998-11-25025 November 1998 RO Update:On 981028,reactor Was Shutdown Upon Discovery That RB Ventilation Dampers Would Not Automatically Close.Damper Cylinder Was Repaired on 981102 & Reactor Operation Resumed on 981103 ML20154J6761998-10-0909 October 1998 RO 20:on 980925,Reactor Operators Made Error at Ford Nuclear Reactor in Implementing Calorimetry Procedures to Raise Power Level.Upon Discovery of Error Made in Linear Level Setpoint Reactor Power Was Reduced by 1% to Compensate ML20153H0841998-09-28028 September 1998 Special Rept:On 980925,inadequate Procedure Implementation Resulted in Possible steady-state Reactor Operation at 2.02 MW Thermal Power.Interim Reactor Manager Reviewed Calorimeter Data & Did Not See Any Obvious Errors ML20151Z1571998-09-17017 September 1998 Revised Ro:On 980817,980811 Event Re Slow Inward Drift of CR Reoccurred.Caused by Worn Worm Gear & Missing Full Turn of Worm Thread.Installed & Tested Drive Gear Coupling. Previously Submitted Ltr Rept Dtd 980911,deleted Text ML20151W6391998-09-11011 September 1998 Special Rept:On 980811,swing Shift Operators Noted That CR Would Slowly Drift Inwards When in Manual Control with CR low-raise Switch in Neutral.Cr lower-raise Switch Was Removed,Inspected & Cleaned,Then Reinstalled & Tested ML20236W0781998-07-30030 July 1998 RO 19:on 980720,determined That Reactor Was Operating W/ Inoperable Alarm Circuit on Bridge Radiation Monitor.Caused by Spurious Alarms Due to Temp & Humidity Sensitivity. Maint Procedures CP-216 & CP-219 Were Modified ML20236T0741998-07-23023 July 1998 Non-routine Rept:On 971112,reactor Operators Shut Down Ford Nuclear Reactor to Remove Piece of Polyethylene Irradiation Container.Caused by Lack of Oversight.Method Will Be Adopted to Track Quartz & Polyethylene Samples ML20236S2921998-07-20020 July 1998 RO-19:on 980720,reactor Operation w/in-operable Alarm Circuit on Bridge Radiation Monitor,Was Disabled.Caused by Spurious Alarms Due to Temperature & Humidity Sensitivity. Reactor Shutdown Pending Further Investigation ML20248L5931998-06-0303 June 1998 Ro:On 980510,discovered 75 Gallon Loss of Pool Water to Radioactive Liquid Retention Tank Sys.Caused by Leak in One of Two Resin Columns Comprising B Hot Demineralizer (Hot Di) Sys.Modified Operating Procedure OP-211 Encl ML20057F4521993-10-0606 October 1993 Follow-up on RO 18,dtd 930805 Re Release of low-level Radioactive Water from RB to Drain Tiles Around Foundation of Bldg.Line from Foundation Tiles Drains to Reactor Cold Sump,Through Which Water Released Permanently Sealed ML20128D4641992-11-25025 November 1992 Ro:On 921124,control Rod Interlock Sys Removed from Reactor Control Sys.Caused by Wiring Error Made During Mod That Disabled Interlock That Drops Reactor Out of Automatic Control.Control Rod Withdrawn to 23 Inches ML20058N7841990-08-0606 August 1990 RO 13:on 900721,tritium Content in Heavy Water Tank in Excess of 50 Ci.Samples Sent to Kms Fusion.Health Physics Procedure 107 Corrected to Reflect Correct Density of Heavy Water ML20246F3881989-05-0303 May 1989 RO 12:on 881227,concentrations of I-131 & Xe-133 Discovered in Reactor Pool Water.Caused by B&W Element 204 Releasing Fission Products.B&W Contacted to Review Mfg Process.Air Samples Will Be Taken Above Pool on Monthly Basis 1999-08-05
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20210P3051999-08-0505 August 1999 Ro:On 990708,credible Single Failure in SR Temp Sys Could Result in Loss of Capability of Temp Sys to Protect Limiting Safety Sys Settings.Single Failure Is Loss of 15 V DC Power Supply.Mod Request 134 to Temp Sys Was Submitted ML20209E9771999-07-0808 July 1999 Preliminary Rept of non-routine Occurence Re Identification of Possible Single Failure for Safety Related Temperature Sys on 990706.Low Temperature Auto Rundown Proposed & Problem Rept Initiated to Document Review of Event ML20205B0631998-12-31031 December 1998 Rept of Reactor Operations for Jan-Dec 1998 for Ford Nuclear Reactor Michigan Memorial - Phoenix Project Univ of Michigan,Ann Arbor. with ML20206P3021998-12-31031 December 1998 Revised Rept of Reactor Operations for Jan-Dec 1998 for Ford Nuclear Reactor Michigan Memorial - Phoenix Project Univ of Mi,Ann Arbor ML20196B2091998-11-25025 November 1998 RO Update:On 981028,reactor Was Shutdown Upon Discovery That RB Ventilation Dampers Would Not Automatically Close.Damper Cylinder Was Repaired on 981102 & Reactor Operation Resumed on 981103 ML20155J1131998-10-29029 October 1998 Part 21 Rept Re Failure of EDs to Automatically Close.Cause Due to Discovery That Air Cylinder That Operates RB Ventilation Supply & EDs Was Hanging Up.Reactor Will Remain Shut Down Until Damper Cylinder Is Repaired ML20154J6761998-10-0909 October 1998 RO 20:on 980925,Reactor Operators Made Error at Ford Nuclear Reactor in Implementing Calorimetry Procedures to Raise Power Level.Upon Discovery of Error Made in Linear Level Setpoint Reactor Power Was Reduced by 1% to Compensate ML20153H0841998-09-28028 September 1998 Special Rept:On 980925,inadequate Procedure Implementation Resulted in Possible steady-state Reactor Operation at 2.02 MW Thermal Power.Interim Reactor Manager Reviewed Calorimeter Data & Did Not See Any Obvious Errors ML20151Z2701998-09-17017 September 1998 Safety Evaluation Supporting Amend 45 to License R-28 ML20151Z1571998-09-17017 September 1998 Revised Ro:On 980817,980811 Event Re Slow Inward Drift of CR Reoccurred.Caused by Worn Worm Gear & Missing Full Turn of Worm Thread.Installed & Tested Drive Gear Coupling. Previously Submitted Ltr Rept Dtd 980911,deleted Text ML20151W6391998-09-11011 September 1998 Special Rept:On 980811,swing Shift Operators Noted That CR Would Slowly Drift Inwards When in Manual Control with CR low-raise Switch in Neutral.Cr lower-raise Switch Was Removed,Inspected & Cleaned,Then Reinstalled & Tested ML20236W0781998-07-30030 July 1998 RO 19:on 980720,determined That Reactor Was Operating W/ Inoperable Alarm Circuit on Bridge Radiation Monitor.Caused by Spurious Alarms Due to Temp & Humidity Sensitivity. Maint Procedures CP-216 & CP-219 Were Modified ML20236T0741998-07-23023 July 1998 Non-routine Rept:On 971112,reactor Operators Shut Down Ford Nuclear Reactor to Remove Piece of Polyethylene Irradiation Container.Caused by Lack of Oversight.Method Will Be Adopted to Track Quartz & Polyethylene Samples ML20236T0801998-07-23023 July 1998 Development of Model Characterizing Heat Transfer in MTR Fueled Ford Nuclear Reactor ML20236S2921998-07-20020 July 1998 RO-19:on 980720,reactor Operation w/in-operable Alarm Circuit on Bridge Radiation Monitor,Was Disabled.Caused by Spurious Alarms Due to Temperature & Humidity Sensitivity. Reactor Shutdown Pending Further Investigation ML20248L5931998-06-0303 June 1998 Ro:On 980510,discovered 75 Gallon Loss of Pool Water to Radioactive Liquid Retention Tank Sys.Caused by Leak in One of Two Resin Columns Comprising B Hot Demineralizer (Hot Di) Sys.Modified Operating Procedure OP-211 Encl ML20217K8811998-04-23023 April 1998 Corrected First Page of Safety Evaluation Supporting Amend 44 to License R-28,changing Date in First Paragraph to 970930 & Date in Second Paragraph to Oct 1996 ML20216J3501998-04-16016 April 1998 Safety Evaluation Supporting Amend 44 to License R-28 ML20217H1891997-12-31031 December 1997 Rept of Reactor Operations Jan-Dec 1997 for Ford Michigan Memorial - Phoenix Project Univ of Mi Ann Arbor ML20137F2251996-12-31031 December 1996 Rept of Reactor Operation Jan-Dec 1996 for Ford Nuclear Reactor Mi Memorial - Phoenix Project Univ of Mi Ann Arbor ML20137K7671996-12-31031 December 1996 Annual Rept of Reactor Operations for Period 960101-1231 ML20057F4521993-10-0606 October 1993 Follow-up on RO 18,dtd 930805 Re Release of low-level Radioactive Water from RB to Drain Tiles Around Foundation of Bldg.Line from Foundation Tiles Drains to Reactor Cold Sump,Through Which Water Released Permanently Sealed ML20059M3161993-08-0101 August 1993 Rev 2 to Safety Analysis ML20128D4641992-11-25025 November 1992 Ro:On 921124,control Rod Interlock Sys Removed from Reactor Control Sys.Caused by Wiring Error Made During Mod That Disabled Interlock That Drops Reactor Out of Automatic Control.Control Rod Withdrawn to 23 Inches ML20058N7841990-08-0606 August 1990 RO 13:on 900721,tritium Content in Heavy Water Tank in Excess of 50 Ci.Samples Sent to Kms Fusion.Health Physics Procedure 107 Corrected to Reflect Correct Density of Heavy Water ML20055H1141990-07-18018 July 1990 Requalification Program Ford Nuclear Reactor ML20245F9791989-08-0404 August 1989 Safety Evaluation Supporting Amend 33 to License R-28 ML20246F3881989-05-0303 May 1989 RO 12:on 881227,concentrations of I-131 & Xe-133 Discovered in Reactor Pool Water.Caused by B&W Element 204 Releasing Fission Products.B&W Contacted to Review Mfg Process.Air Samples Will Be Taken Above Pool on Monthly Basis ML20150C6951987-12-31031 December 1987 Rept of Reactor Operations,1987 ML20236U2031987-11-24024 November 1987 Safety Evaluation Supporting Amend 32 to License R-28 ML20141N1111986-02-24024 February 1986 Safety Evaluation Supporting Amend 31 to License R-28 ML20136G8911985-11-0505 November 1985 Safety Evaluation Supporting Amend 30 to License R-28 ML20126M2631985-07-31031 July 1985 Safety Evaluation Report Related to the Renewal of the Operating License for the Training and Research Reactor at the University of Michigan.Docket No. 50-2.(University of Michigan) ML20138L5791984-06-30030 June 1984 Low Enrichment Fuel Evaluation & Analysis Program Summary Rept for Jan 1983 - June 1984 ML20138L5731982-12-31031 December 1982 Low Enrichment Fuel Evaluation & Analysis Program Summary Rept for CY81 & CY82 ML20138L5621980-12-31031 December 1980 Low Enrichment Fuel Evaluation & Analysis Program Summary Rept for CY80 ML20138L5491980-03-10010 March 1980 Cycle 184 Reactor Operations Summary Rept for 800226-0310 ML20138L5241979-12-31031 December 1979 Low Enrichment Fuel Evaluation & Analysis Program Summary Rept for CY79 ML20148D8151978-10-13013 October 1978 Safety Evaluation Rept Supporting Amend 26 to Facil Oper Lic R-28 Concluding That an Increase from 1 Mw to 2 Mw in Maximum Allowed Pwr of Fnr w/10-plate Fuel Assemblies in E,W & Core Positions Is Acceptable ML20148C8061978-10-12012 October 1978 Safety Evaluation Supporting Amend 25 to License R-28 ML20138L5181978-04-20020 April 1978 Revised Safety Analysis:Utilization of Intermetallic U Aluminide (UAI3,UAI4,UAI2) & U Oxide (U308) Cermet Fuel Cores in Ford Nuclear Reactor 1999-08-05
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, SEP-28-98 05:15 PM PHOEHlX LAB 51595615"i"1 P.02
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- MICHIGAN MFMORIAL PHOCNix TWOltC1 PHOCNik MEMORI AL LAt)OR ATORY rORD NtJCirAR RLAcTOR ANN ARROR. MICHICAN 3510 N iOO I
September 28,1998 l Theodore S. Michacts. Senior Project Manager U.S. Nuclear Regulatory Commission Non Power Reactors and Decommissioning Project Directorate Division of Reactor Program Management Office of Nuclear Reactor Management Washington, D.C. 20555-0001 Re: Reportable Occurrence No. 20. Inadequate Procedure Implementation Resulting in Possible Steady State Reactor Operation at 2.02 MV lermal Power.
Description of Event On Friday, September 25,1998 at 18:39 the Ford Nuc! car Reactor was started up in l preparation for 2 MW operation following a three week shutdown. At 19:29 reactor power l was increased from low power to a nominal 1 MW (50% on the 2 MW range of the Linear 4 Level channel) and the reactor placed in autoinatic control for a calosimetrie determination core thermal power, OP- 106.
The calorimeter was completed and analyzed to detennine the true 1 MW Linear Level ,
conttel setpoint at approximately 20:51. At 20:58 the setroint for automatic control was ;
reduced from 50% to 49% to bring the true reactor power to 1 MW as determined by the calorimeter. The Assistant Manager for Operations was contacted and permission was granted to increase teactor power to 2 MW.
Power was increased and at 21:12 the reactor was put into automatic conuol at a Linear Level channel setpoint of 999. The calorimeter procedure indicated that the proper Linear Level automatic control setpoint should have been 987c.
At appioximately 23:30 the Interim Reactor Manager visited the Control Room to check on progress piior to leaving the facility. The Lead Reactor Operator b:ought to the Managei s attention that he beliesed the power level to be low. He felt this was the case because the primary coolant AT across the core was significantly less than what would be expected at 2 MW. The AT was 12.78"F at 23.00. The 2 MW core AT at the cuirent flow condition of 1000 gpm is expected to be approximately 13.SoF. In, addition a physical adjustment to the position of Safety Sptem Power Level channel ion chambers lad been required. The adjustment was needed to bring the Power Level channel's indicated power level up to the 2 MW operating band of 2 0 to 2.1 indicated power. A physical adjustment to the ion chamber positions had not been anticipated. 'lhere wcic no changes to the core configuration or maintenance performed on the Power Level channels that would have j affected their indicated powes to the extent of requiiing a physical adjustment to their i position subsequent to the last reactor operation at 2 MW on September 1.
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',:[/' ' D The interim Reactoi .%oiaget ieviewed the calorimeter data and did not see any obvious errors. He told the Lead Operator to maintain the current power level conecting for shim 9809300303 980928 PDR ADOCK 05000002 S PDR nwe en4, resmo raun4,m mi www om.ch edu/~mmpp/
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SEP-28-98 05:14 PM PHOEHIX_ LAB 3139361571 P 03
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, . I rod shadow and that the discrepancy would be investigated Monday,9/28. The Interim Reactor Manager was not informed at the time nor was he aware of the 1% "coirective" action already taken by the Lead Operator when power was increased from 1 to 2 MW at 2 t:12.
Saturday morning September 26, the Assistant Manager for Operations icviewed the calonimeter data with the intent of setting the target operating band for the core AT. It was at this point that he noticed the in correct Linear Level setpoint (99% instead of 98%) that had been initially established for 2 MW at 21:12 on September 25. At 10:47 the Assistant Manager of Operations lowered the Linear Level setpoint 1% to compensate for the prior error and contacted the Interim Reactor Manager to discuss the event and determine what additional actions should be taken.
The reactor may have been operated between 21:12 Friday, September 25 and 10.47 Saturday, September 26 at a steady-state power level of 2.02 MW thermal in violation of the licensed powei level of 2.0 MW thermal.
Safety Significance The safety significance operating at 2.02 MW thermalis minimal. The FNR SAR shows a steady-state power level of 4.68 MW at the minimum primary coolant flow of 900 gpm and 18 feet of pool head is required before boiling will occur in the hot channel.
Immediate Corrective Action Upon discovery Saturday of the error made in the Linear Level channel setpoint on Friday reactor power was reduced by 1% to compensate.
Sincerely,
/f FIiip A. Sim d7N%
Interim Reactor Manager I
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