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Category:Licensee Event Report (LER)
MONTHYEAR05000237/LER-2023-001, HPCI Inoperable Due to Air Void Accumulation2024-01-19019 January 2024 HPCI Inoperable Due to Air Void Accumulation 05000237/LER-2022-001-01, Reactor Scram Due to Turbine Trip on High Reactor Water Level Caused by Feedwater Regulating Valve Failure2022-10-28028 October 2022 Reactor Scram Due to Turbine Trip on High Reactor Water Level Caused by Feedwater Regulating Valve Failure 05000237/LER-2022-002-01, Ultimate Heat Sink Declared Inoperable Due to River Grass Accumulation2022-10-28028 October 2022 Ultimate Heat Sink Declared Inoperable Due to River Grass Accumulation 05000237/LER-2022-002, Ultimate Heat Sink Declared Inoperable Due to River Grass Accumulation2022-09-27027 September 2022 Ultimate Heat Sink Declared Inoperable Due to River Grass Accumulation 05000237/LER-2022-001, Reactor Scram Due to Turbine Trip on High Reactor Water Level Caused by Feedwater Regulating Valve Failure2022-09-0909 September 2022 Reactor Scram Due to Turbine Trip on High Reactor Water Level Caused by Feedwater Regulating Valve Failure 05000249/LER-2021-001-01, Reactor Scram Due to Main Power Transformer Failure2022-06-14014 June 2022 Reactor Scram Due to Main Power Transformer Failure ML20135G7442020-05-14014 May 2020 Final ASP Analysis - Dresden 2 (LER 237-90-006) 05000249/LER-2019-001, Degraded Differential Pressure Indicating Switch in the LPCI Loop Select Logic Caused by Water Damage Results in a Condition Prohibited by Technical Specifications2019-11-19019 November 2019 Degraded Differential Pressure Indicating Switch in the LPCI Loop Select Logic Caused by Water Damage Results in a Condition Prohibited by Technical Specifications 05000237/LER-2019-002, Scram Due to Main Turbine Low Oil Pressure Trip2019-07-0202 July 2019 Scram Due to Main Turbine Low Oil Pressure Trip 05000237/LER-2019-001, Secondary Containment Differential Pressure Exceeded Technical Specification Due to Excess Ventilation Supply Flow2019-03-29029 March 2019 Secondary Containment Differential Pressure Exceeded Technical Specification Due to Excess Ventilation Supply Flow 05000237/LER-2017-002-01, Regarding Primary Containment Inboard and Outboard Feedwater Isolation Valves Exceed Leakage2018-02-15015 February 2018 Regarding Primary Containment Inboard and Outboard Feedwater Isolation Valves Exceed Leakage 05000237/LER-1917-002, Regarding Primary Containment Inboard and Outboard Feedwater Isolation Valves Exceed Leakage Limits2018-01-0202 January 2018 Regarding Primary Containment Inboard and Outboard Feedwater Isolation Valves Exceed Leakage Limits 05000249/LER-1917-001, Regarding Standby Liquid Control System Inoperable Due to a Manufacturing Defect Causing a Piping Leak2017-11-10010 November 2017 Regarding Standby Liquid Control System Inoperable Due to a Manufacturing Defect Causing a Piping Leak 05000237/LER-1977-050, /03L-0 for Dresden, Unit 2 Re Local Leak Rate Test of Drywell Personnel Air Lock During Refueling2017-11-0303 November 2017 /03L-0 for Dresden, Unit 2 Re Local Leak Rate Test of Drywell Personnel Air Lock During Refueling 05000249/LER-1977-040, /03L-0 for Dresden 3 Regarding the Circuit Breaker for Service Water Makeup Valve MO-3-4102 to the Isolation Condenser Found in Off Position2017-10-21021 October 2017 /03L-0 for Dresden 3 Regarding the Circuit Breaker for Service Water Makeup Valve MO-3-4102 to the Isolation Condenser Found in Off Position ML17252B4922017-08-28028 August 2017 LER 78-028/01X-1 for Dresden, Units 2 and 3 Re NRC Request for Immediate Actions to Be Taken to Mitigate the Potential for a Spurious Closure of a Recirculation Loop Suction Valve with a LOCA Occurring Between the Loop Discharge and Suction 05000237/LER-1978-028, /01X-1 for Dresden, Units 2 and 3 Re NRC Request for Immediate Actions to Be Taken to Mitigate the Potential for a Spurious Closure of a Recirculation Loop Suction Valve with a LOCA Occurring Between the Loop Discharge and Suct2017-08-28028 August 2017 /01X-1 for Dresden, Units 2 and 3 Re NRC Request for Immediate Actions to Be Taken to Mitigate the Potential for a Spurious Closure of a Recirculation Loop Suction Valve with a LOCA Occurring Between the Loop Discharge and Suction Valves 05000237/LER-1916-003, Cancellation of Licensee Event Report 237/2016-003-00, Control Room Emergency Ventilation System Charcoal Filter Bank Failure to Meet the Methyl Iodide Penetration Acceptance Criteria2017-05-26026 May 2017 Cancellation of Licensee Event Report 237/2016-003-00, Control Room Emergency Ventilation System Charcoal Filter Bank Failure to Meet the Methyl Iodide Penetration Acceptance Criteria 05000237/LER-2016-004, Regarding Reactor Building Differential Pressure Less than Technical Specification Requirement2017-01-0909 January 2017 Regarding Reactor Building Differential Pressure Less than Technical Specification Requirement 05000237/LER-2016-003, Regarding Control Room Emergency Ventilation System Charcoal Filter Bank Failure to Meet the Methyl Iodide Penetration Acceptance Criteria2016-11-18018 November 2016 Regarding Control Room Emergency Ventilation System Charcoal Filter Bank Failure to Meet the Methyl Iodide Penetration Acceptance Criteria 05000249/LER-2016-001, Regarding Alert Declared from Unit 3 HPCI Auxiliary Oil Pump Motor Fire2016-08-25025 August 2016 Regarding Alert Declared from Unit 3 HPCI Auxiliary Oil Pump Motor Fire 05000237/LER-2016-002, Regarding HPCI Inlet Steam Drain Pot Piping Leak Resulting in HPCI Inoperability2016-07-15015 July 2016 Regarding HPCI Inlet Steam Drain Pot Piping Leak Resulting in HPCI Inoperability 05000237/LER-2016-001, Regarding Secondary Containment Differential Pressure Transient2016-04-0808 April 2016 Regarding Secondary Containment Differential Pressure Transient 05000237/LER-2015-005-02, Regarding Unit 2 HPCI Motor Gear Unit Would Not Return to Full Flow During Testing2016-03-31031 March 2016 Regarding Unit 2 HPCI Motor Gear Unit Would Not Return to Full Flow During Testing 05000237/LER-2015-005-01, Regarding HPCI Motor Gear Unit Would Not Return to Full Flow During Testing2016-02-25025 February 2016 Regarding HPCI Motor Gear Unit Would Not Return to Full Flow During Testing 05000237/LER-2015-005, Regarding HPCI Motor Gear Unit Would Not Return to Full Flow During Testing2015-10-30030 October 2015 Regarding HPCI Motor Gear Unit Would Not Return to Full Flow During Testing 05000237/LER-2015-003, Regarding Turbine Building to Reactor Building Interlock Doors Open Simultaneously2015-10-30030 October 2015 Regarding Turbine Building to Reactor Building Interlock Doors Open Simultaneously 05000249/LER-2015-001, Regarding Main Steam Line Flow Switches Found Outside Tech Spec Allowed Value2015-10-29029 October 2015 Regarding Main Steam Line Flow Switches Found Outside Tech Spec Allowed Value 05000237/LER-2015-002, Regarding 2C ERV Failed to Actuate During Extent of Condition Testing2015-04-0303 April 2015 Regarding 2C ERV Failed to Actuate During Extent of Condition Testing 05000237/LER-2015-001, Regarding Unit 2 Scram Due to Feedwater Level Control Issues2015-03-0606 March 2015 Regarding Unit 2 Scram Due to Feedwater Level Control Issues 05000249/LER-2014-001, Regarding Electromatic Relief Valve Failing to Actuate During Surveillance Testing2015-01-0505 January 2015 Regarding Electromatic Relief Valve Failing to Actuate During Surveillance Testing 05000237/LER-2014-003, Regarding Reactor Scram During Automatic Voltage Regulator Channel Transfer2014-06-0606 June 2014 Regarding Reactor Scram During Automatic Voltage Regulator Channel Transfer 05000237/LER-2014-002, Regarding Reactor Scram Due to Main Power Transformer Failure2014-06-0606 June 2014 Regarding Reactor Scram Due to Main Power Transformer Failure 05000237/LER-2014-001, Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2014-05-27027 May 2014 Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2013-009, Regarding HPCI Failed to Achieve Rated Flow Due to Failure of Stop Valve to Open2014-01-29029 January 2014 Regarding HPCI Failed to Achieve Rated Flow Due to Failure of Stop Valve to Open 05000249/LER-2013-001, Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2014-01-27027 January 2014 Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2013-008, Regarding Leak Identified on a Relief Valve During Pressure Test Resulting in a Degraded Principal Safety Barrier2014-01-24024 January 2014 Regarding Leak Identified on a Relief Valve During Pressure Test Resulting in a Degraded Principal Safety Barrier 05000237/LER-2013-007, Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2014-01-15015 January 2014 Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2013-005, Regarding Primary Containment Inboard and Outboard Feed Water Isolation Valves Exceed Leakage Limits2014-01-13013 January 2014 Regarding Primary Containment Inboard and Outboard Feed Water Isolation Valves Exceed Leakage Limits 05000237/LER-2013-006, Dressden Nuclear Power Station, Unit 2, Regarding LPCI Swing Bus Auto Transfer Did Not Transfer as Expected2014-01-13013 January 2014 Dressden Nuclear Power Station, Unit 2, Regarding LPCI Swing Bus Auto Transfer Did Not Transfer as Expected 05000237/LER-2013-004, Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2014-01-0606 January 2014 Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2013-003, Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2013-11-22022 November 2013 Regarding Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2013-002, Movement of Control Rods with Control Rod Block Monitor Inoperable2013-09-27027 September 2013 Movement of Control Rods with Control Rod Block Monitor Inoperable 05000237/LER-2013-001, Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously2013-08-23023 August 2013 Secondary Containment Inoperable Due to Two Interlock Doors Being Open Simultaneously 05000237/LER-2011-005-01, For Dresden, Unit 2, Regarding Standby Liquid Control Explosive Valve Failure2012-12-18018 December 2012 For Dresden, Unit 2, Regarding Standby Liquid Control Explosive Valve Failure 05000237/LER-2012-001, Regarding One Division of APRM Neutron Flux-High Channels Inoperable as a Result of Power Maneuver2012-12-0606 December 2012 Regarding One Division of APRM Neutron Flux-High Channels Inoperable as a Result of Power Maneuver 05000249/LER-2012-001, Regarding Unexpected Isolation of the Isolation Condenser Due to Test Switch Failure2012-09-10010 September 2012 Regarding Unexpected Isolation of the Isolation Condenser Due to Test Switch Failure 05000237/LER-2012-002, Regarding Inlet Steam Drain Pot Drain Line Leaks Result in HPCI Inoperabilities2012-07-23023 July 2012 Regarding Inlet Steam Drain Pot Drain Line Leaks Result in HPCI Inoperabilities 05000249/LER-2010-002-01, For Dresden, Unit 3, Regarding MSIV Leakage Exceeds Technical Specifications Allowable Limits2011-12-16016 December 2011 For Dresden, Unit 3, Regarding MSIV Leakage Exceeds Technical Specifications Allowable Limits 05000237/LER-2011-004, Personnel Error Results in Control Room Emergency Ventilation Air Conditioning System Inoperability2011-12-16016 December 2011 Personnel Error Results in Control Room Emergency Ventilation Air Conditioning System Inoperability 2024-01-19
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B-88 ACCIDENT SEQUENCE PRECURSOR PROGRAM EVENT ANALYSIS LER No.: 237/90-006 Event
Description:
Stuck open safety relief valve followed by a manual scram Date of Event: August 2, 1990 Plant: Dresden 2 Summary Dresden had its Target Rock main steam combination safety relief valve (SRV) spuriously lift and stick open for 2.8 h on August 2, 1990. The valve lift was apparently caused by steam cuts on the first stage pilot valve disc. The unit was manually scrammed from 87% power. The conditional core damage probability estimated for this event is 2.6 x 10-4. The relative significance of this event compared to other postulated events at Dresden 2 is shown below.
LER 237/90-006-Lj lE-8 IE-7 IE-6 1E-5 lE-4 1E-3 III I 7 I 360 ht unava~ij -
L36o'hEP LTRIP IHPCI +IC OD precursor cutoff .-J LO)FW + HPCI Event Description During a Load Dispatcher requested power reduction from 90% power on August 2, 1990, the operators at Dresden received indication (acoustic monitor alarm, elevated tailpipe temperature, and a 600,000 lbn,/h decrease in main steam flow indication) that the Target Rock SRV had spuriously opened. The operators were unable to close the valve and within 5 min they had started two containment cooling service water (CCSW) pumps and one low-pressure coolant injection (LPCI) pump to try and control the increasing suppression chamber temperature. However, the suppression chamber water temperature continued to rise, so they started the other two CCSW pumps and one additional LPCI pump. About 2 min later the operators manually scrammed the reactor from 87% power. They started the last two LPCI pumps about 3 min after that to
B-89 maximize suppression chamber cooling, and the main turbine main steam bypass valves were opened to limit the heat load on the suppression chamber.
Approximately 2.8 h after it opened the SRV was determined to be closed. The reactor was placed in cold shutdown about 5 h after the event began. The apparent cause of the failure of the Target Rock SRV was a severely steam cut pilot valve disc. Excessive steam leakage through the pilot sensing port and past the pilot valve via the severe steam cuts allowed pressure to be transferred to the second stage piston. The second stage piston was forced down, moving the second stage disc away from its seat. This permitted pressure from the top of the main valve piston to be vented via the second stage disc and out the main valve piston vent. This created a differential pressure across the main valve piston. Reactor pressure then lifted the main valve piston and the main valve disc, thus opening the valve. When reactor pressure reached approximately 100 psig, the main valve preload spring force overcame the reactor pressure force, and the main valve disc subsequently closed. The root cause for the steam cuts on the pilot disc is believed by the utility to be an inherent design deficiency.
The Target Rock SRV indicator on the front panel showed a closed position due to the position indicators receiving their signals from the pressure switches on the drywell pneumatic air line between the solenoid and the SRV. Indication of the open SRV was provided by its acoustic monitor and tailpipe temperature indication, and by a change in main steam flow indication.
When the SRV was inspected in the drywell, an electrical junction box in the vicinity of the valve was found detached from its mounting, and a pressure switch nearby had separated from its conduit. However, both remained functional.
Additional Event-Related Information Dresden 2 has four electromatic main steam relief valves, eight spring-loaded main steam safety valves, and one Target Rock SRV. The relief valves and the Target Rock SRV relieve to the torus below the surface of the water, and the safety valves relieve to the drywell atmosphere.
The Target Rock SRV operates through self-actuation (safety mode) at 1135 psig reactor pressure, or through remote actuation of a solenoid valve that admits a pneumatic supply to an air operator. This remote actuation may occur from the following sources:
- 1. Remote manual switch in the control room.
- 2. High reactor pressure (1115 psig) from a pressure controller.
- 3. Initiation of automatic depressurization system (ADS) logic.
B-90 One other event (LER 237n76-034) like this occurred at Dresden 2 in 1976. The Target Rock SRV was opened during automatic blowdown surveillance testing and it remained open for approximately 3.8 h.
ASP Modeling Assumptions and Approach This event has been modeled as a loss-of-coolant accident (LOCA) due to a stuck open relief valve.
Analysis Results The conditional probability of severe core damage for this event is 2.6 x 10-4 The dominant sequence associated with the event is highlighted on the following event tree.
This sequence involves a LOCA with subsequent HPCI and ADS failure.
The LER for this report includes a detailed description of the operation of the Target Rock valve.
B-91 FiJCA IxHC SHUT HPI SRVs/SD ADS IPOS LPCI SDC LPCI) IET o SEQ END DONMODE) OTHER NO STATE OK OK 71 CORE DAMAGE OK OK 72 CORE DAMAGE OK OK 73 CORE DAMAGE OK 74 CORE DAMAGE OK 75 CORE DAMAGE 76 CORE DAMAGE 77 CORE DAMAGE 96 ATWS Dominant core damage sequence for LER 237/90-006
B-92 CONDITIONAL CORE DAMAGE PROBABILITY CALCULATIONS Event Identifier: 237/90-006 Event
Description:
Stuck open relief valve followed by manual scram Event Date: 08/02/90 Plant: Dresden 2 INITIATING EVENT NON-RECOVERABLE INITIATING EVENT PROBABILITIES LOCA 1 .0E+00 SEQUENCE CONDITIONAL PROBABILITY SUNS End State/Initiator Probability CD LOCA 2.6E-04 Total 2 .6E-04 ATWS LOCA 3.OE-05 Total 3.OE-D5 SEQUENCE CONDITIONAL PROBABILITIES (PROBABILITY ORDER)
Sequence End State P rob N Rec**
77 LOCA -rx.shutdown hpci srv.ads CD 2.6E-04 5.OE-01 96 LOCA rx.shutdown ATWS 3.OE-D5 1 .DE+DD
- non-recovery credit for edited case SEQUENCE CONDITIONAL PROBABILITIES (SEQUENCE ORDER)
Sequence End State Prob, N Rec**
77 LOCA -rx.shutdown hpci srv.ads CD 2.6E-04 S.DE-Dl 96 LOCA rx.shutdown AT9IS 3.OE-05 1 .DE+00
- non-recovery credit for edited case SEQUENCE MODEL: c: \asp\1989\bwrbseal.cmp BRANCH MODEL: c:\asp\1969\dresden.sll PROBABILITY FILE: c:\asp\1989\bwr-csll.pro No Recovery Limit BRANCH FREQUENCIES/PROBABILITIES Branch System Non-Re coy Opr Fail trans 3.4E-04 1.0E+00 loop 1.6E-05 3. 6E-01 LOCA 3.3E-06 > 3.3E-06 5.OE-Dl > l.DE+00 Event Identifier: 237/90-006
B-93 Branch Model: INITOR Initiator Freq: 3.3E-06 rx.shutdown 3.OE-05 1.OE+OO rx *shuitdown/ep 3.5E-04 l.OE+OO pcs/trans 1.7E-01 l.OE+OO arv.chall/trans.-scram l.OE+OO l.OE+OO 3rv.chall/loop.-scram. l.OE+OO l.OE+OO srv.cloae 1.6E-02 l.OE+OO eznerq.power 2.9E-03 B.OE-Ol ep.rec 6.6E-02 l.OE+OO fw/pcae.trans 2.9E-01 3.4E-Ol hpci 2.9E-02 7.0E-01 isol.cond 2.OE-02 l.OE+OO crd l.OE-02 l.OE+OO l.OE-02 srv.ads 3.7E-03 7.1E-01 l.0E-02 lpcs 2.0E-03 3.4E-01 lpci l.0E-03 7.1E-01 sdc 2.9E-03 3.4E-01 l.OE-03 lpCi (cc) l.0E-03 34E-01 lpci(cc)/lpci l.OE+OO l.OE+OO lpei (cc) /-lpci O.OE+OO 1.OE+OO firewater l.OE+OO l.OE+OO 2.09-03
- forced Minarick 08-06-1991 17:31:17 Event Identifier: 237/90-006