Nureg CR-6144
Nureg CR-6144
OSTI BNL-NUREG-52399
- Vol. 2, Part IB
Evaluation of Potential
Severe Accidents During
Low Power and Shutdown
Operations at Surry, Unit 1
Analysis of Core Damage Frequency from
Internal Events During Mid-Loop Operations
Prepared for
U.S. Nuclear Regulatory Commission
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DISCLAIMER
Evaluation of Potential
Severe Accidents During
Low Power and Shutdown
Operations at Surry, Unit 1
Analysis of Core Damage Frequency from
Internal Events During Mid-Loop Operations
Main Report (Chapters 7-12)
Prepared by
T. L. Chu, Z. Musicki, P. Kohut, D. Bley , J. Yang, B. Holmes ,
1 2
Prepared for
Division of Safety Issue Resolution
Office of Nuclear Regulatory Research
U.S. Nuclear Regulatory Commission
Washington, DC 20555-0001
NRC FIN L1922
Traditionally, probabilistic risk assessments (PRA) of severe accidents in nuclear power plants have
considered initiating events potentially occurring only during full power operation. Some previous screening
analyses that were performed for other modes of operation suggested that risks during those modes were small
relative to full power operation. However, more recent studies and operational experience have implied that
accidents during low power and shutdown could be significant contributors to risk.
During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully
examine the potential risks during low power and shutdown operations. The program includes two parallel
projects being performed by Brookhaven National Laboratory (BNL) and Sandia National Laboratories (SNL).
Two plants, Surry (pressurized water reactor) and Grand Gulf (boiling water reactor), were selected as the
plants to be studied.
The objectives of the program are to assess the risks of severe accidents initiated during plant
operational states other than full power operation and to compare the estimated core damage frequencies,
important accident sequences and other qualitative and quantitative results with those accidents initiated
during full power operation as assessed in NUREG-1150. The scope of the program includes that of a level-3
PRA.
The objective of this volume of the report is to document the approach utilized in the level-1 internal
events PRA for the Surry plant, and discuss the results obtained. A phased approach was used in the level-1
program. In phase 1, which was completed in Fall 1991, a coarse screening analysis examining accidents
initiated by internal events (including internal fire and flood) was performed for all plant operational states
(POSs). The objective of the phase 1 study was to identify potential vulnerable plant configurations, to
characterize (on a high, medium, or low basis) the potential core damage accident scenarios, and to provide
a foundation for a detailed phase 2 analysis.
In phase 2, mid-loop operation was selected as the plant configuration to be analyzed based on the
results of the phase 1 study. The objective of the phase 2 study is to perform a detailed analysis of the
potential accident scenarios that may occur during mid-loop operation, and compare the results with those
of NUREG-1150. The scope of the level-1 study includes plant damage state analysis, and uncertainty analysis.
Volume 1 summarizes the results of the study. Internal events analysis is documented in Volume 2. It also
contains an appendix that documents the part of the phase 1 study that has to do with POSs other than mid-
loop operation. Internal fire and internal flood analyses are documented in Volumes 3 and 4. A separate
study on seismic analysis, documented in Volume 5, was performed for the NRC by Future Resources
Associates, Inc. Volume 6 documents the accident progression, source terms, and consequences analysis.
In the phase 2 study, system models applicable for shutdown conditions were developed and
supporting thermal hydraulic analysis were performed to determine both the timing of the accidents and
success criteria for systems. Initiating events that may occur during mid-loop operations were identified and
accident sequence event trees were developed and quantified. In the preliminary quantification of the mid-
loop accident sequences, it was found that the decay heat at which the accident initiating event occurs is an
important parameter that determines both the success criteria for the mitigating functions and the time
available for operator actions. In order to better account for the decay heat, a "time window" approach was
iii NUREG/CR-6144
developed. In this approach, time windows after shutdown were defined based on the success criteria
established for the various methods that can be used to mitigate the accident. Within each time window, the
decay heat and accident sequence timing are more accurately defined and new event trees developed and
quantified accordingly. Statistical analysis of the past outage data was performed to determine the time at
which a mid-loop condition is reached, and the duration of the mid-loop operation. Past outage data were
used to determine the probability that an accident initiating event occurs in each of the time windows. This
probability is used in the quantification of the accident sequences.
The mean core damage frequency of the Surry plant due to internal events that may take place during
mid-loop operations is SE-06 per year, and the Sth and 95th percentiles are 5E-07 and 2E-05 per year,
respectively. This can be compared with the mean core damage frequency from internal events of 4E-05 per
year estimated in the NUREG-1150 study for full power operations.
NUREG/CR-6144 iv
TABLE OF CONTENTS
Abstract iii
Table of Contents v
List of Figures xv
List of Tables xxi
Executive Summary xxvii
Foreword xli
Acknowledgements xliii
Acronyms xlv
3. Definition and Characterization of Outage Types and Plant Operational States (POSs) 3-1
3.1 Introduction 3-1
3.2 Outage Types 3-1
33 Definition of Plant Operational States for a Refueling Outage 3-1
3.4 Plant Operational States for Other Types of Outages 3-2
3.5 Low Power and Shutdown Outage Activities 3-3
35.1 POS 1-Low Power Operation and Reactor Shutdown 3-3
3.5.1.1 Summary of POS 1 Activities 3-3
3.5.1.2 Significant POS 1 Activities 3-3
3.5.1.3 Associated POS 1 Operating Procedures 3-4
35.2 POS 2-Cooldown with SGs to 345°F 3-4
35.2.1 Summary of POS 2 Activities 3-4
3.5.2.2 Significant POS 2 Activities 3-5
3.5.2.3 Associated POS 2 Operating Procedures 3-5
3.5.3 POS 3-Cooldown with RHR to 200°F 3-6
35.3.1 Summary POS 3 Activities 3-6
35.3.2 Significant POS 3 Activities 3-6
3.5.3.3 Associated POS 3 Operating Procedure 3-6
3.5.4 POS 4-Cooldown to Ambient Temperatures (using RHR) 3-7
3.5.4.1 Summary of POS 4 Activities 3-7
35.4.2 Significant POS 4 Activities 3-7
35.4.3 Associated POS 4 Operating Procedures 3-7
3.5.5 POS 5-Draining the RCS to Mid-loop 3-7
3.5.5.1 Summary of POS 5 Activities 3-7
3.5.5.2 Significant POS 5 Activities 3-8
355.2.1 Draining the RCS to 5% Pressurizer Level 829.0 ft) 3-8
355.2.2 Draining the RCS from 5% Pressurizer Level
(29.0 ft) to Mid-Nozzle (12.5 ft) 3-9
35.5.3 Associated POS 5 Operating Procedures 3-10
3.5.6 POS 6-Mid-loop Operation 3-10
v NUREG/CR-6144
Table of Contents (continued)
NUREG/CR-6144 vi
Table of Contents (continued)
APPENDIX 4.6.A - List of Component Failure Rates Used in the ISLOCA Analysis 4-112
4.6.A1 Check Valve Failure Rates 4-112
4.6.A1.1 Check Valve, Large Reverse Leakage 4-112
4.6.Al.2 Check Valve Failure to Operate (to Close) on Demand 4-112
4.6.A2 Motor Operated Valve Failure Rates 4-113
4.6.A2.1 MOV Internal Leakage 4-113
vii NUREG/CR-6144
Table of Contents (continued)
NUREG/CR-6144 viii
Table of Contents (continued)
ix NUREG/CR-6144
Table of Contents (continued)
NUREG/CR-6144 x
Table of Contents (continued)
xi NUREG/CR-6144
Table of Contents (continued)
NUREG/CR-6144 xii
Table of Contents (continued)
xiii NUREG/CR-6144
TaUeof Contents (continued)
NUREG/CR-6144 xiv
LIST OF FIGURES
3.1 Connection of the Standpipe System to the Vessel Head Vent 3-20
5.1-1 State 6 (24 hours), Mid-loop Operation, Loops are Isolated 5-9
5.1-2 Melcor Noding 5-10
5.1-3 Case 3 - Primary Circuit Collapsed Liquid Levels (ft) 5-11
5.1-4 Case 3 - Primary Circuit Pressure (psia) 5-12
5.1-5 Case3 - RWSTMassFlow (Ibm/s) 5-13
5.1-6 Case 3 - Rod Temperatures (F) 5-14
5.1-7 Case 3 - RWST Flow Path Fraction Open 5-15
5.1-8 Case3 - Pressurizer and RWST Liquid Levels (ft) 5-16
5.1-9 Case3 - SRV Manifold Mass Flow (Ibm/s) 5-17
5.1-10 Case 3 - Surge Line Mass Flow (lbm/s) 5-18
5.1-11 Case 3 - Containment Vapor Temperatures (F) 5-19
5.1-12 Case 3 - Containment Pressures (psia) 5-20
5.1-13 Impact of Delayed Injection - Pressurizer Pressure (psia) 5-21
5.1-14 Impact of Delayed Injection - SRV Manifold Flow Velocity (ft/s) 5-22
5.1-15 Impact of Delayed Injection - RWST Mass Flow (lbm/s) 5-23
5.1-16 Case 3 - Hot Leg C and Pressurizer Vapor Temperatures (F) 5-24
5.1-17 Base Cases - RWST How Path Fraction Open 5-25
5.2-1 Diagram of RCS and Pressurizer 5-41
5.2-2 PRV Pressure at Decay Time of 1 Day and with the Opening of 2 PORVs 5-42
5.2-3 PRV Pressure at Decay Time of 2 Days and with the Opening of 2 PORVs 5-43
5.2-4 PRV Pressure at Decay Time of 29 Days and with the Opening of 2 PORVs 5-44
5.2-5 PRV Pressure at Decay Time of 1 Day and with the Opening of 1 PORV 5-45
5.2-6 PRV Pressure at Decay Time of 2 Days and with the Opening of 1 PORV 5-46
5.2-7 PRV Pressure at Decay Time of 29 days and with the Opening of 1 PORV 5-47
xv NUREG/CR-6144
list of Figures (continued)
7.1-1 Event Tree (R5W1R6) for a Recoverable Loss of RHR(RHR5) Initiating Event
in Window 1 of POS 6 of a Refueling Outage 7-5
7.1-2 Fault Tree for the T Top Event of Event Tree R5W1R6 7-6
7.1-3 High Level Fault Tree for Recovery of RHR Given a RHR5
Initiating Event in Window 1 7-7
72-1 Reflux Cooling in Window 1 7-13
72-2 Feed and Bleed RCS with V failed in RHR4, Window 1 7-14
7.2-3 Failure of Recirculation in Window 1 7-15
7.2-4 Gravity from RWST in RHR5, Window 1 7-16
73.1-1 Event Tree for Over-draining to Mid-loop in Window 1 R6 (RAW1R6) 7-28
73.1-2 Event Tree for Over-draining to Mid-loop in Window 2 R6 (RAW2R6) 7-29
73.1-3 Event Tree for Over-draining to Mid-loop in Window 3 R6 (RAW3R6) 7-30
73.1-4 Event Tree for Over-draining to Mid-loop in Window 4 R6 (RAW4R6) 7-31
7.3.1-5 Event Tree for Over-draining to Mid-loop in Window 1 D6 (RAW1D6) 7-32
NUREG/CR-6144 xvi
List of Figures (continued)
xvii NUREG/CR-6144
List of Figures (continued)
NUREG/CR-6144 xviii
List of Figures (continued)
7.5.1-6 Event Tree for Loss of 4KV Bus in Window 3 of RIO (4KW3R10) 7-159
7.5.1-7 Event Tree for Loss of 4KV Bus in Window 1 of D6 (4KW1D6) 7-160
7.5.1-8 Event Tree for Loss of 4KV Bus in Window 2 of D6 (4KW2D6) 7-161
7.5.1-9 Event Tree for Loss of 4KV Bus in Window 3 of D6 (4KW3D6) 7-162
7.5.1-10 Event Tree for Loss of 4KV Bus in Window 4 of D6 (4KW4D6) 7-163
7.5.2-1 Event Tree for Loss of Vital Bus - (VBW1R6) 7-168
7.5.2-2 Event Tree for Loss of Vital Bus - (VBW2R6) 7-169
7.5.2-3 Event Treefor Loss of Vital Bus- (VBW3R6) 7-170
7.5.2-4 Event Tree for Loss of Vital Bus - (VBW4R6) 7-171
7.5.2-5 Event Tree for Loss of Vital Bus - (VBW3R10) 7-172
7.5.2-6 Event Tree for Loss of Vital Bus - (VBW4R10) 7-173
7.5.2-7 Event Tree for Loss of Vital Bus - (VBW1D6) 7-174
7.5.2-8 Event Tree for Loss of Vital Bus - (VBW2D6) 7-175
7.5.2-9 Event Tree for Loss of Vital Bus - (VBW3D6) 7-176
7.5.2-10 Event Tree for Loss of Vital Bus - (VBW4D6) 7-177
7.5.3-1 Event Tree for Spurious SI - in Window 1 of R6 (SIW1R6) 7-182
7.5.3-2 Event Tree for Spurious SI - in Window 2 of R6 (SIW2R6) 7-183
7.5.3-3 Event Tree for Spurious SI - in Window 3 of R6 (SIW3R6) 7-184
7.5.3-4 Event Tree for Spurious SI - in Window 4 of R6 (SIW4R6) 7-185
7.5.3-5 Event Tree for Spurious SI - in Window 3 of RIO (SIW3R10) 7-186
7.5.3-6 Event Tree for Spurious SI - in Window 4 of RIO (SIW4R10) 7-187
7.5.3-7 Event Tree for Spurious SI - in Window 1 od D6 (SIW1D6) 7-188
7.5.3-8 Event Tree for Spurious SI - in Window 2 of D6 (SIW2D6) 7-189
7.5.3-9 Event Tree for Spurious SI - in Window 3 of D6 (SIW3D6) 7-190
7.5.3-10 Event Tree for Spurious SI - in Window 4 of D6 (SIW4D6) 7-191
7.5.4-1 Event Tree for Loss of Instrument Air in Window 1 R6 (ARW1R6) 7-194
7.5.4-2 Event Tree for Loss of Instrument Air in Window 2 R6 (ARW2R6) 7-195
7.5.4-3 Event Tree for Loss of Instrument Air in Window 3 R6 (ARW3R6) 7-196
7.5.4-4 Event Tree for Loss of Instrument Air in Window 4 R6 (ARW4R6) 7-197
7.5.4-5 Event Tree for Loss of Instrument Air in Window 1 D6 (ARW1D6) 7-198
7.5.4-6 Event Tree for Loss of Instrument Air in Window 2 D6 (ARW2D6) 7-199
7.5.4-7 Event Tree for Loss of Instrument Air in Window 3 D6 (ARW3D6) 7-200
7.5.4-8 Event Tree for Loss of Instrument Air in Window 4 D6 (ARW4D6) 7-201
7.5.4-9 Event Tree for Loss of Instrument Air in Window 3 R10 (ARW3R10) 7-202
7.5.4-10 Event Tree for Loss of Instrument Air in Window 4 R10 (ARW4R10) 7-203
7.5.5-1 Event Tree for Loss of CCW in Window 1 of R6 (CCW1R6) 7-208
7.5.5-2 Event Tree for Loss of CCW in Window 2 of R6 (CCW2R6) 7-209
7.5.5-3 Event Tree for Loss of CCW in Window 2 of R6 (CCW3R6) 7-210
7.5.5-4 Event Tree for Loss of CCW in Window 4 of R6 (CCW4R6) 7-211
7.5.5-5 Event Tree for Loss of CCW in Window 3 of R10 (CCW3R10) 7-212
7.5.5-6 Event Tree for Loss of CCW in Window 4 of R10 (CCW4R10) 7-213
7.5.5-7 Event Tree for Loss of CCW in Window 1 of D6 (CCW1D6) 7-214
7.5.5-8 Event Tree for Loss of CCW in Window 2 of D6 (CCW2D6) 7-215
7.5.5-9 Event Tree for Loss of CCW in Window 3 of D6 (CCW3D6) 7-216
7.5.5-10 Event Tree for Loss of CCW in Window 3 of D6 (CCW3D6) 7-217
7.5.6-1 Event Tree for Loss of ESGR Cooling in Window 1 of R6 (SRW1R6) 7-220
7.5.6-2 Event Tree for Loss of ESGR Cooling in Window 2 of R6 (SRW2R6) 7-221
7.5.6-3 Event Tree for Loss of ESGR Cooling in Window 3 of R6 (SRW3R6) 7-222
7.5.6-4 Event Tree for Loss of ESGR Cooling in Window 4 of R6 (SRW4R6) 7-223
7.5.6-5 Event Tree for Loss of ESGR Cooling in Window 3 of R10 (SRW3R10) 7-224
xix NUREG/CR-6144
List of Figures (continued)
73.6-6 Event Tree for Loss of ESGR CooUng in Window 4 of RIO (SRW4R10) 7-225
73.6-7 Event Tree for Loss of ESGR CooUng in Window 1 of D6 (SRW1D6) 7-226
73.6-8 Event Tree for Loss of ESGR CooUng in Window 2 of D6 (SRW2D6) 7-227
73.6-9 Event Tree for Loss of ESGR CooUng in Window 3 of D6 (SRW3D6) 7-228
73.6-10 Event Tree for Loss of ESGR CooUng in Window 4 of D6 (SRW4D6) 7-229
7.6-1 Surry Reactivity Accident Due to Unplanned Boron Dilution During RCS
Mid-Loop Operation 7-232
NUREG/CR-6144 xx
LIST OF TABLES
5.1 Summary of Results-Core-Damage Frequency by Initiating Event and
Plant Operational States xxviii
5.2 Comparison of Total Core-Damage Frequency with NUREG-1150 and IPE xxvix
5.3 Result of the Uncertainty Analysis for Total Core-Damage Frequency (per year) xl
1.1 Summary of Results-Core Damage Frequency by
Initiating Event and Plant Operational States 1-15
1.2 Comparison of Total Core Damage Frequency
with NUREG-1150 and IPE 1-16
1.3 Result of the Uncertainty Analysis for
Total Core Damage Frequency(per year) 1-17
xxi NUREG/CR-6144
List of Tables (continued)
43.1-4 Estimated Frequency of Loss of Offsite Power Using Data up to End of 1988 4-34
43.1-5 Mean Non-Recovery Curves for POSs 1 and 15 4-35
43.1-6 Mean Non-Recovery Curves for^ POS 2 to 14 4-38
43.2-1 LOSP/SBO Analysis Cases 4-48
43.2-2 LOSP/SBO Analysis Cases 4-49
432-3 Conditional Probabilities of Various Bus Failures 4-50
432-4 LOSP Initiating Event Frequencies 4-51
4.4-1 Data Used in Two Stage Bayesian Analysis .. 4-59
4.4-2 Data used in Two Stage Bayesian Analysis for Loss of Instrument Air 4-61
4.4-3 Mean Non-Recovery Curves for Support System Initiators 4-64
44-1 State Applicability of LOCAs . ._„_.. ,..,^_.,_,._._.... ^...__............._._._..._. ^ .__ .4-79
44-2 Fraction of Time that the Plant stays in the POSs 4^80
44-3 A LOCA Frequency vs. POS vs. Outage Type (Without ISL Contribution) 4-81
4.5-4 ALOCAs Initiator Frequency (/yr) Corresponding to POSSpecificEvent Trees
(Without ISL Contribution) 4-82
44-5 A LOCAs Initiator Frequency With ISL Contribution 4-83
4.5-6 SI LOCA Initiator Frequency vs. POS vs. Outage Type (Without ISL Contribution) 4-84
44-7 SI LOCA Initiator Frequency Corresponding to POS-Specific Event Trees 4-85
44-8 S2 LOCA Initiator Frequency vs. POS vs. Outage Type (Without ISL Contribution) 4-86
4.5-9 S2 LOCA Initiator Frequency Corresponding to POS-Specific Event Trees 4-87
44-10 S3 LOCA Initiator Frequency vs. POS vs. Outage Type 4-88
—44-11 S3-LOCA-Initiator-Erequency-for-POS^Specific-Event-Trees . . 4=89
4.5-12 Other LOCA Initiator Frequencies Considered in Report 4-90
4.6-1 CbreT)amageTrequency uTVarious POSs^ueTo^the^LPIS V-Eveht"Scenario" 4-107
—4;6-2 Initiating^FrequenciesforSmauVMediumand-Large-LOGAs Inside-Containment due to
ISLOCAs through RHR Suction and Discharge Lines
RHR Rupture Probability: 0.98 4-108
4.6-3 Core Damage Frequencies due to "V-Events"
through the RHR-CVCS Letdown Line 4-109
4.6-4 Core Damage Frequencies due to V-Events through the Connecting Line to the RWST . 4-110
__4.6-5 Initiating Frequencies for Small and Medium LOCAs Inside Containment
due to ISLOCAs through the Accumulator Discharge Lines
Probability for the Loss oLAccumulator_Integrity:_1.0 ._...._ 4-111
4.6-A1 RHR System Rupture Probabilities as a Function of RCS Pressure
(Pipe failure pressure log-std-dev = 036) 4-115
4.7-1 SGTR tatiating Frequency . . . . . . . . . . . . . . _ . _ ^ ^ ^ . . _. ^_..._. _-^L-^ • 4-1 2 0
4.9-1 Initiating Event Categorization for Surry Plant At Low Power/Shutdown States 4-124
4.9.2 TotalHours in POSs 4-126
4.93 Frequency Estimates of-Initiators .— — - 4-127
4.9-4 Frequency Estimates of Transient Event Categories 4-128
"4710-1 Mean ConditionalCore Damage FrequenciesHue"to~PTS"for
Various Initiating Events at Robinson Unit 2 Power Plant 4-133
4.10-2 PTS Core Damage Frequencies due to Various Initiating Events
DliringLow Power Operation and Shutdown at Surry UniFl Power Plant . V\.. 77^134
4.12-1 Initiating Events that Are Applicable to the Mid-Loop POSs 4-146
NUREG/CR-6144 xxii
List of Tables (continued)
xxiii NUREG/CR-6144
List of Tables (continued)
7.2-3 Probability that the RCS Loops Are Isolated Such that Reflux Cooling Is Unavailable or
Ineffective 7-20
7.2-4 Probability that the Safety Valves on the Pressurizer Is Removed 7-20
7.4-1 LOSP/SB Analysis Cases 7-147
7.4-2 Power Supplies for Circulating Water Main Condensers' Inlet and Outlet Valves 7-148
7.6-1 Summary of Inadvertent RCS Boron Dilution Which Occurred
at Surry Plants During Cold Shutdown 7-233
NUREG/CR-6144 xxiv
List of Tables (continued)
xxv NUREG/CR-6144
List of Tables (continued)
NUREG/CR-6144
S. EXECUTIVE SUMMARY
5.1 Background
This volume presents the results of a level one probabilistic risk assessment (PRA) of the Surry Nuclear Power
Plant for accidents initiated during mid-loop operations. It also contains accident initiating event analysis, and
system analysis for other low power and shutdown conditions. The work was performed by Brookhaven
National Laboratory (BNL) for the Nuclear Regulatory Commission (NRC) Office of Nuclear Regulatory
Research (RES) in support of the NRC response to the Chernobyl accident; and the program was later
modified by the NRC staffs follow-up actions to the March 20, 1990 Vogtle incident.
A phased approach was taken in this project. In phase 1, a broadly-scoped screening analysis, which included
internal Ores and flooding, was completed in November, 1991. This analysis produced a preliminary level one
PRA for accidents initiated during low power and shutdown (LP&S) and also gave insights on potential
accident scenarios and potentially vulnerable configurations during low power and shutdown conditions. Phase
2 focused on a detailed analysis of mid-loop operation which was selected because many incidents have
occurred during mid-loop operations throughout the world. Further, recent studies, including phase 1 of this
program, found that the core-damage frequency during mid-loop operation is comparable to that of power
operation. This report documents the results of the analysis of phase 2 internal events. It contains also an
appendix, Appendix I, that documents an updated version of the key chapters/sections of the Phase 1 draft
report. The work on internal fire, internal flood, seismic analysis, and level 2/3 analysis are reported in
separate volumes.
Surry Unit 1 was chosen for this study in part because the Surry plant was previously analyzed in the Reactor
Safety Study and NUREG-1150, and in part because Virginia Power offered to cooperate. The core-damage
frequency during low power and shutdown calculated in this study will be compared with that calculated in
NUREG-1150 for accidents during full power. The Surry plant has two Pressurized Water Reactors (PWRs),
each rated at 788 megawatts (electrical) capacity, and is located near Surry in Virginia. Grand Gulf, a boiling
water reactor, was selected as the plant for a parallel analysis performed by Sandia National Laboratories
(SNL).
Throughout the study, the LP&S team had many trips to the Surry plant to gather plant information, walk
down the plant, and participate in meetings with the Virginia Power staff. The draft reports were also
provided to Virginia Power for their comments. The comments received were resolved and incorporated into
the final report.
A total of 5 meetings of the Senior Consulting Group (SCG) were held, during which the BNL and SNL staff
presented the details of the analyses as well as the approaches used in various tasks. The SCG members
provided their suggestions and comments. The comments from the SCG were addressed by the PRA teams
at the two labs and the proposed resolutions were presented at the following SCG meeting.
In addition to the comments from the SCG and Virginia Power, an internal BNL Quality Assurance team
reviewed the draft reports and provided comments. The comments received were resolved and incorporated
into the final report.
5.2 Objectives
The objectives of phase 2 of this program are:
1) Estimate the frequencies of severe accidents that might be initiated during mid-loop
operation,
xxvii NUREG/CR-6144
S. Executive Summary (continued)
2) Compare the estimated core-damage frequencies, important accident sequences, and other
qualitative and quantitative results of this study with those of accidents initiated during full
power operation (as assessed in NUREG-1150), and
3) Demonstrate methodologies for accident sequence analysis for plants in modes of operation
other than full power.
SL3 Methodology
Due to the changing plant configuration during low power and shutdown operation, it was necessary to define
different outage types, and different plant operational states (POSs) within each outage type. Within each
POS, the plant configuration continues to change with time, and the decay heat continues to decrease. These
factors significantly affect scenario frequencies. Therefore, a "time window" approach was developed in which
different time windows were defined representing different levels of decay heat and success criteria. Within
each time window, the approach used in performing the PRA for a particular POS in a particular outage type
is similar to that used in the NUREG-1150 study. The approach includes typical PRA tasks, such as
identification of initiating events, development of fault trees and event trees, and their quantification. The
following is a summary of the approach used in the key tasks of this study. We believe that the approached
developed in this study can be readily adopted for studies of POSs other than mid-loop and for other PWRs.
Outages were grouped into four different types: refueling, drained maintenance, non-drained maintenance
with use of the residual heat removal (RHR) system, and non-drained maintenance without the RHR system.
Due to the continuously changing plant configuration in any outage, plant operational states (POSs) were
defined and characterized within each outage type. Each POS represents a unique set of operating conditions
(e.g. temperature, pressure, and configuration). For example, in a refueling outage, up to 15 POSs were used,
representing the evolution of the plant throughout a refueling from low power down to cold shutdown and
refueling, and back-up to low power. An extensive effort was made to collect Surry-specific data to
characterize each POS, that included reviewing operating and abnormal procedures for shutdown operations,
the shift supervisor's log books, and the monthly operating reports, and performing supporting thermal
hydraulic calculations. Three mid-loop POSs, in which the reactor coolant system (RCS) level is lowered to
the mid-plane of the hot leg, were selected for detailed analysis. Two of them occur in a refueling outage,
POSs R6 and RIO, and one in a drained maintenance outage, POS D6. They are characterized by different
levels of decay heat, and different plant configurations, such as the number of RCS loops that are isolated,
and whether or not the RCS has a large vent. R6 represents a mid-loop operation that takes place early in
a refueling outage allowing the RCS loops to drain quickly to permit eddy current testing of the steam
generator tubes. RIO takes place after the refueling operation is completed to allow additional maintenance
of equipment in the RCS loops. D6 represents mid-loop operation in which maintenance activities require
the plant to go to mid-loop, and is characterized by the highest level of decay heat among the three mid-loop
POSs.
To more accurately define the decay heat level when an accident is initiated, a time-window approach was
developed. Four time windows after shutdown were defined, each with its unique set of success criteria
reflecting the decay-heat level. For POSs R6 and D6, all four windows were needed. For POS RIO, onty time
windows 3 and 4 were applicable. One hundred and sixty event trees were developed for 16 initiating events.
During the latest Surry Unit 1 refueling outage that started on February 28,1992, the utility changed previous
practice and avoided going to mid-loop operation. It is our understanding that the plant staff intends to
continue this new practice. However, it is believed that certain maintenance requirements may prevent totally
NUREG/CR-6144 xxviii
S. Executive Summary (continued)
avoiding going to mid-loop in the future. With NRC concurrence, BNL developed the PRA model based on
outages (that included mid-loop operation) before the February 1992 refueling. Since the results are presented
on a per-unit-time basis, the present results can be used to draw conclusions on the management of mid-loop
outages.
To identify initiating events, review of existing studies, licensee event reports, (LERs), published NRC
documents, and current Surry operating procedures was performed. This approach should ensure that any
incident that has occurred or any scenario that has been studied will be considered in the present study.
However, no systematic approach was undertaken, such as a failure mode and effect analysis (FMEA) or a
hazard and operability study (HAZOP), to further assure that all possible initiating events in all possible
operating states were identified.
In phase 1 of this study, accident scenarios were developed for all low power and shutdown POSs. For those
POSs that are similar to power operations,'(e.g., low power operations), the relevant NUREG-1150 event trees
developed for Surry were reviewed and modified (if necessary) to reflect the current plant design and
operation. For other POSs, event trees were developed in group discussions, involving typically four or more
BNL staff members with expertise in PWR operations, PRA, human reliability analysis (HRA), and thermal
hydraulics. Fequent communications were held with the staff at Virginia Power to ensure that the PRA
reflects the current plant design and operations.
In phase 2, the event trees developed for the mid-loop POSs were reviewed and modified to incorporate
additional information obtained in the system analysis, and to reflect our current understanding of the
expected operator responses to the accidents. A two-day meeting with Virginia Power operations personnel
was held to discuss potential accident scenarios, and the expected responses of the plant and operator.
System Analysis
The fault tree models, developed as part of NUREG-1150 study, were reviewed and modified, when necessary,
to develop two fault tree models for the plant applicable to shutdown and to low power operation for each
system. The system configuration during shutdown was identified by reviewing the operating procedures used
during shutdown, shift supervisor's log books, and the system training manual. Typically, the following
changes were made to NUREG-1150 fault trees to derive the fault trees applicable to shutdown conditions.
1) Valve failure modes were changed. The position of valves during shutdown may be different
from that during power operation. Therefore, the applicable failure modes of the valves will
be different from those of power operations.
2) Human error events associated with backup of automatic actuated systems or components
which failed were modified to manual actuation with no automatic backup.
3) Maintenance unavailabilities relevant to the specific POS were estimated. For mid-loop
POSs, the reduced inventory check list was used to determine whether certain maintenance
events are permitted; those events prohibited, e.g., diesel generator maintenance, were
deleted from the model.
XXIX NUREG/CR-6144
S^Executive Summary (continued)
Definition of Core-Damage - In the NUREG-1150 study, core-damage is defined for PWRs to be the RCS
level reaching the top of active fuel. Due to the high decay heat level, the difference between this time and
the time of cladding failure is small. In the low power and shutdown condition, the decay heat level may be
significantly lower, and this difference becomes more significant. In this study, core-damage is defined to be
the collapsed RCS level reaching 2.5 feet above the bottom of the core. This is based on the result of a
MELCOR calculation of RCS level in the core region when cladding temperature reaches 1340 degree F,
above which phenomena such as clad oxidation and ballooning will have an impact on core behavior. Time
to core- damage is used in the level-1 study as the time available for operator actions such as initiating safety
injection. The more realistic estimate of the time available has the tendancy of lowering the associated human
error probabilities.
The main purpose of the thermal hydraulic analysis was to support the development of event trees and
quantification of accident sequences. Thermal hydraulic considerations are the basis of the time-window
approach. Basically, the time windows were defined on the times when the success criteria of important
mitigating functions change. In the phase 1 study, assumptions were made based on simple "back of the
envelope" calculations. It was found that more detailed calculations were needed to confirm the simple
calculations, and support the assumptions made.
In the phase 2 study, a more detailed calculation was done to determine the timing of a feed and bleed
operation during mid-loop operation. The calculation also gave information on the amount of water from the
refueling water storage tank (RWST) needed to sustain the feed and bleed operation, as well as the timing
of core uncovery for different initial conditions.
The MELCOR codealso was used toassess whether or notgravity feed from the RWST could be used to
provide long term cooling (i.e. 24 hours, decay heat removal). It was found that although gravity feed is
sufficient only when the decay heat is low, it can provide a few hours for restoring other means of removing
decay heat even when the decay heat is high.
For reflux cooling, the studies at the Idaho National Engineering Laboratory (INEL), Westinghouse, and
Virginia Power were used to determine the success criteria. The analysis of feed and spill, gravity feed and
reflux cooling were used to determine the boundary of the time windows. For example, the time boundary
between windows 2 and 3 was chosen to be the time when recirculation is not necessary for the first 24 hours
after the accident started. The boundary was estimated to be 10 days, based on the inventory available in the
refueling water storage tank (RWST) and the flow needed in the feed-and-spill operation.
Quantification
A Bayesian approach was used to estimate the initiating event frequencies. The basic event data for hardware
failures were derived from the NUREG-1150 data base for Surry. The IRRAS computer code was used to
quantify the fault tree and event tree. An uncertainty analysis of the total core- damage frequency was
performed by propagating the uncertaihty c)f th^^afalneteTs^use^ in the model.
NUREG/CR-6144 XXX
S. Executive Summary (continued)
Two types of human error events were identified and modeled in this study: pre- and post-accident errors.
The pre-accident errors identified in the NUREG/CR-4550 study for Surry were adopted, together with others
identified in the system analysis task and added to the system fault trees.
To evaluate human actions and recovery actions that follow an initiator we first qualitatively defined the event
scenario, required actions, important factors affecting operator performance, and the consequences of the
action being unsuccessful. Two types of post accident human errors were modeled, failure to diagnose and
failure to carry out the needed action given successful diagnosis. They were used in the fault trees for the top
events of the event trees. It was assumed that, given failure to diagnose, the operator would fail to perform
the needed actions; therefore, core-damage would result. The same basic event representing failure to
diagnose was used in all fault trees of a given event tree. On the other hand, failure to carry out the action
given successful diagnosis would only fail the specific top event of the event tree.
The qualitative evaluation of the actions and the important parameters that affect operator's performance were
used to derive the human error probabilities (HEPs) by adapting the success likelihood index methodology.
This methodology assumes that the likelihood of operator error in a particular situation depends on the
combined effects of a small set of performance-shaping factors (PSFs) that influence the operator's ability to
accomplish the action.
To quantify the HEPs, the PSFs were rated with weights that reflect the relative influence of each PSF on the
likelihood of the success of the action, and a score that reflects whether the PSF helps or hinders the operator
in canying out the actions. With the rating for PSF, the numerical model was calibrated using well-defined
actions obtained from analysis for other PRAs. Calibration ensures that the error probabilities are realistic
and consistent with the data, observed human behavior, and the results from comparable expert evaluations
of similar activities.
An extensive effort was devoted to collecting data to characterize the plant during shutdown.
1) A data base of initiating events was compiled for the initiating event analysis.
2) The shift supervisor's log books, outage schedules, minimum equipment list, and monthly
operating report were reviewed to collect the data needed to estimate the frequency of
shutdown, duration of plant operational states, and maintenance unavailabilities.
3) The shift supervisor's log books were reviewed to determine the time that the plant is in
different configurations. For example, the reactor coolant loops were found to be isolated
for a long period in a refueling.
xxxi NUREG/CR-6144
S. Executive Summary (continued)
Their characteristics are high decay-heat level and a relatively short time available for operator action.In
contrast, POS 10 of a refueling outage has a very low decay heat, and its core-damage frequency is
approximately one order of magnitude lower.
Table S-2 compares the results of this study with those of NUREG-llSO and the individual plant examination
(IPE) performed by Virginia Power. The results are displayed in two ways. The core-damage frequency,
shown in the first row, is the frequency that core-damage occurs when the plant is at mid-loop, and the
conditional core-damage frequency, shown in the third row, is the core-damage frequency divided by the
fraction of time the plant is at mid-loop. The former accounts for the fact that the plant is at mid-loop only
a small fraction of the time, while the latter is the conditional frequency^ which core-damage occurs given
the plant is at mid-loop. The contribution to total core-damage frequency due to mid-loop operations is
approximately one eighth of that of power operation as estimated in NUREG-llSO, since the plant is in mid-
loop operation approximately 7% of a year. The numbers in the parentheses of the third row of the table are
the conditional probability of core-damage due to over-draining events, given that the plant enters mid-loop
operation in the POS.
The core-damage frequencies shown in the first row of Table S-2 are additive. That is, the sum of the core-
damage frequencies of the 3 POSs is the total core-damage frequency of mid-loop operation. This total, 5
E-06 per year, can be added to the core-damage frequency of power operation, e.g., 4 E-05 per year for
NUREG-llSO. Therefore, the sum of 4.S E-05 per year is the frequency per year that core-damage occurs
while the plant is at full power or mid-loop operation.
The conditional core-damage frequency shown in the third row of Table S-2 is a measure of how susceptible
a plant configuration is with respect to core-damage. For example, the fact that the conditional core-damage
frequency of mid-loop operation, 8 E-05 per year, is higher than that of full power operation, 4 E-05 per year,
shows that mid-loop operation is more susceptible to core-damage than full power operation, although the
plant is at mid-loop only a small fraction of the time.
Table S-3 lists the key uncertainty characteristics of the core-damage frequencies for mid-loop operation and
power operation, and shows that the core-damage frequency for mid-loop operation has a broader distribution
than that of power operation. Note also that the mean total CDF in Table S-3 is slightly different for the total
CDF in Tables S-l and S-2. This is because the numbers in Tables S-l and S-2 are point estimates whereas
the information in Table S-3 reflects an uncertainty analysis.
The following insights were gained from this study. They are based on the Surry specific design and operation.
Their applicability and significance with respect to other PWRs have to be assessed separately.
Operator Response- The dominant cause of core-damage was the operator's failure to mitigate the accident.
(Note that there is very large uncertainty in the human error probabilities used in this study.) In general, it
would be beneficial to have good training, procedures, and instrumentation to ensure that the utility's staff
can respond to shutdown accidents.
Procedures for Shutdown Accidents- Very few procedures are available for accidents during shutdown; the
procedure for loss of decay heat removal, AP 27.00, is the only one that was written specifically for the
shutdown scenarios analyzed in this study. The procedure is conservative with regard to the equipment needed
to establish reflux cooling and feed-and-bleed. In this study, the use of fewer than the number of steam
generators specified in the procedure for reflux cooling was treated as a recovery action, and a more realistic
success criteria was used for feed-and-bleed when the decay heat is high. In most cases, the information in
the procedures for power operation is helpful, for shutdown accidents. For example, the procedure for station
blackout, ECA-0.0, gives instructions for dumping steam to the condenser. Credit for this procedure was taken
NUREG/CR-6144 xxxii
S. Executive Summary (continued)
into account in this study. However, some procedures written for power operation would mislead the operator
if followed during shutdown. For example, the procedure for loss of offsite power, AP 10.00, states that
"When the EDG is the only source of power to an emergency bus, the Component Cooling Pump should NOT
be in service". During shutdown, CCW flow to the RHR heat exchanger is necessary for decay heat removal.
Therefore, following this procedure under these circumstances would not be the most appropriate operator
response.
Instrumentation- It was recognized that the level instrumentation used during mid-loop operation, i.e.,
standpipe level instrumentation and ultra-sonic level instrumentation, has limited applicability during a
shutdown accident. The standpipe system indicates the correct level only when there is no build-up of
pressure in the system. The ultra-sonic level instrumentation only provides level indication when the level is
within the reactor coolant loops, and therefore, may not be useful during a feed and bleed operation.
Supporting Thermal Hydraulic Analysis- The thermal hydraulic behavior of the reactor coolant system is
rather complex, mainly because the pressurizer is usually the relief path for coolant or steam, and the vessel
head does not have a large vent. When performing thermal hydraulic analysis in support of the PRA effort,
consideration must be given to longer term system behavior, at least 24 hours into the accident. In this study,
such calculations were done for feed-and-bleed operation using a charging pump, and with gravity feed from
the RWST. It is believed that additional calculations would be helpful to better understanding the
effectiveness of reflux cooling, and feed and bleed using a low pressure injection pump. In this study, the
conservative results of the Virginia Power Technical Report # 865 (Revision 1, dated July 3,1992) were used
to determine the number of steam generators needed as a function of time after shutdown, because such
criteria are explicitly written in the procedure for loss of RHR. In the event trees and fault trees, it was
assumed that if there were too few, then no credit was given to reflux cooling. In this case, reflux cooling still
would help. In fact, a review of the studies performed by Westinghouse and Idaho National Engineering
Laboratory found that one steam generator is sufficient for any level of decay heat. To take some credit for
reflux cooling in this case, a recovery action with failure probability 0.1 was applied to those core-damage
cutsets that involve failure of reflux cooling due to insufficient steam generators. It was assumed that hot-leg
injection using a low head injection pump is adequate to prevent core-damage. Due to the low shut-off head
of the pumps, approximately ISO psig, the concern is that if boiling takes place in the system, the low head
pump may be unable to inject.
Maintenance Unavailability- A review of shift supervisor's log books and minimum equipment lists for three
refueling outages showed that the maintenance unavailabilities of equipment that can be used to mitigate an
accident were very high. For example, two out of three charging pumps were found to be tagged out
practically throughout the whole mid-loop period. The two low-head injection pumps also were unavailable
a large fraction of the time. Generic letter 88-17, requires the plant to have one high-head pump and one low-
head pump available. In our quantifications, we assumed that charging pump A, charging pump cooling water
pump A, and low head injection pump B are available. Based on the check list used for reduced inventory
conditions, it was also assumed that the maintenance of diesel generators, 4 kv emergency buses, and stub
buses is not allowed.
We found that maintenance unavailability is the dominant cause of equipment unavailability. In combination
with human errors, maintenance of the charging pump cooling water pump, the charging pump, and the low
head injection pump appear in the dominant cutsets for some of the core-damage sequences.
Isolation of Reactor Coolant Loops- It was found that isolation of the RCS loops is an important contributor
to core-damage frequency. Review of the plant shutdown experience indicated that the reactor coolant loops
are isolated for extendedperiods in a refueling outage, making the steam generators unavailable for decay-heat
removal upon loss of RHR. In a cold shutdown condition, the steam generators are usually maintained in the
xxxiii NUREG/CR-6144
S. Executive Summary (continued)
wet lay-up condition with the secondary side filled with water. During mid-loop operation, the availability of
the SGs makes reflux cooling a possible method of mitigating a loss of RHR; this might be the only mitigation
function available in a station blackout.
Single Failures of the RHR System- The RHR system at Surry has no active safety function (i.e., it does not
perform the safety injection function in scenarios initiated at full power). Consequently, many single
component failures can cause loss of RHR. In the RHR system, a single suction line from the loop A hot
leg and a single flow control valve HCV-1758 are used. During its operation, a single CCW header provides
cooling to both RHR pump seal coolers and the operating RHR heat exchanger, and two CCW return lines
from the RHR system are used. Hence, a failure of the trip valve 109A or B in one of the two CCW return
lines can. cause loss of the system. .These trip valves also fail closed on loss of instrument air, or vital bus.
It was found that closure of the TV-109 valves is a significant contributor to loss of RHR. It was assumed
that the opening of the RHR flow control valve HCV-1758 as a result of loss of vital bus HI will cause RHR
pump run out; this also was a significant contributor to loss of RHR.
Valve Arrangement of Auxiliary Feedwater System and Main Steam System During Shutdown- The auxiliary
feedwater system has six MOVs (151AJB, C, D, E, and F) in the flow path to the steam generators, that are
normally closed during shutdown. They are difficult to locate during a station blackout. Similarly, the main
steam non-return valves are normally closed during shutdown, and have to be opened to use steam dump to
the condenser. They depend on offsite power and would be very difficult to open without it.
Potential for Plugging the Containment Sump When Recirculation Is Needed- Because of activities inside the
containment, transient material and equipment are brought into it during shutdown. For example, large plastic
Herculite sheets are often used to separate work areas from the rest of the containment. If an accident
requiring recirculation from the containment sump occurs, as is the case in time windows 1 and 2, the material
would increase the potential for plugging the containment sump.
SL5 Conclusion
This study shows that the core-damage frequency during mid-loop operation at the Surry plant is comparable
to that of power operation. The probability distribution of the core damage frequency during mid-loop
operation is wider than that of power operation. This is due to the large uncertainty in the human error
probabilities used in this study. It was identified that only a few procedures are available for mitigating
accidents that may occur during shutdown. Procedures written specifically for shutdown accidents would be
useful. Realistic thermal hydraulic analysis should be used as the basis of the procedures.
It was assumed that reduced inventory check list was followed, and found that the maintenance unavailability
of equipment not on the list were dominant contributors to system unavailability. However, the check list is
believe to be sufficient for ensuring the availability of essential equipment.
Changine plant practices and information- BNL observed that the plant is aware of the potential safety
concerns of reduced inventory operations and is constantly improving its practice regarding such operation.
This is reflected in the improvement in the operating procedures and abnormal procedures used during
shutdown, as well as changes in the plant practice. The most significant change in plant practice started in
NUREG/CR-6144 xxxiv
S. Executive Summary (continued)
the refueling outage of unit one in 1992, during which mid-loop operation was totally avoided; this appears
to be the new policy. Another way of reducing the risk is to carry out reduced inventory operation while the
fuel in the core is removed during refueling operation.
To limit the changes in the model developed for this study to account for the changes in plant practice and
information, it was decided to use the procedures and other plant information available as of April 30,1993.
Regarding the plant's policy of avoiding mid-loop operation, it was decided that this study would use the data
collected from past outages before the unit 1 refueling outage of 1992. Consequently, the estimated core-
damage frequency .could be an overestimation of that of the current plant. However, it is emphasized that
the core-damage frequency calculated in the current study was reduced significantly by changes made after
the start of the study and before April 1, 1993.
Changing Plant Configuration- Due to the activities taking place during shutdown, the plant configuration
changes with time, which, in turn, affects the likelihood of accident initiating events and the plant's ability to
mitigate the accidents. In this study, the constantly changing plant configuration is approximated by a few
discrete configurations, by introducing different outage types, POSs, and time windows. It also is reflected
by the different basic events and different event trees for different outage types, POSs, and time windows.
The following is a description of the basic events and how they are varied.
Initiating event frequency- The initiating events are assumed to occur with constant rates independent of the
outage type or POS. The conditional probability that an IE occurs in a POS is calculated as the product of
the rate and the duration of the POS. The initiating event frequency is the frequency of the POS multiplied
by the conditional probability. The frequency that it occurs in a given time window of a given POS of a given
outage type is the initiating event frequency times the conditional probability of the time window of the given
POS.
Loop isolation probability- Isolating the loops makes it impossible to establish reflux cooling. Its probability
was estimated by judgment using the information from the log books for outages, and an outage plan for a
refueling outage. It was estimated as a function of the outage types, and time windows.
Removal of pressurizer safety valves- The fraction of time that the safety valves are removed in a given time
window of a given POS in a given outage type was estimated by judgment, using information from the log
books for outages, and an outage plan for a refueling outage. With the safety valves removed, it is possible
to use gravity feed from the RWST, but not reflux cooling because of inventory loss through the opening.
Success Criteria- The success criteria for shutdown conditions were determined by reviewing various studies,
and performing supporting thermal hydraulic analysis based on the Surry-specific design. The changing level
of decay heat was accounted for by defining four time windows after shutdown, each with its own set of success
criteria. In general, whenever the success criteria for one system or mitigating function changes, a new time
window needs to be defined, and potentially, more than four time windows would be needed. The use of four,
therefore, is a trade-off between the accuracy of the model and the level of effort needed to arrive at a
solution; it is believed that four time windows gives an adequate representation.
xxxv NUREG/CR-6144
S. Executive Summary (continued)
During development of the time window approach, it was recognized that the procedure for loss of RHR, AP-
27.00, is conservative with respect to the success criteria for reflux cooling and feed-and-spill, and does not
include all possible methods of establishing recirculation. These are the areas in which the plant model used
in this study deviated from the abnormal procedure. The following describes how these issues were treated.
Reflux cooling- In AP 27.00, the number of steam generators (SGs) needed for reflux cooling is given as a
function of the decay heat, e.g, 3 SGs are needed for the Grst 75 hours after shutdown. This value is based
on the thermal hydraulic consideration of Virginia Power NE technical report 865. From a review of existing
studies performed by INEL and Westinghouse on reflux cooling, and BNL calculations, we determined that
one steam generator should be sufficient. Therefore our current understanding is that one SG would be
sufficient, while the abnormal procedure states that three would be needed. The issue is, how much credit
should be given to reflux cooling when less than three SGs are available. In this study, the success criterion
based on the procedure was used in the logic model, and whenever reflux cooling was failed due to insufficient
SGs, a recovery action was entered with a failure probability of 0.1.
Feed-and-spill- In AP27.00 and its supporting study (Virginia Power NE technical report 865), the number
of pumps and PORVs needed for this operation was determined based on the flow from the RWST needed
to maintain sub-cooling, the capacity and shut-off head of the pumps, and the relieving capability of the
PORVs. For example, during the first 129 hours after shutdown, 2 charging pumps and 2 PORVs would be
needed. This success criterion was derived from the requirement to maintain sub-cooling, and is more
stringent than the criterion needed for feed-and-bleed during an accident that occurs during full power
operation. An alternative to feed-and-spill, (i.e. feed-and-steam), which is also discussed in technical report
865, is much less demanding in terms of the needed flow. However, feed and steam is not the recommended
method because of the difficulty in maintaining the RCS level, and the potential for over pressurization. In
this study, a success criterion of 1 charging pump and 1 PORV was used, based on the understanding that this
is sufficient to prevent core-damage.
Recirculation- AP 27.00 instructs the operators to establish high pressure recirculation by using the low-
pressure injection pump to take suction from the containment sump, and discharge to the suction of the high
pressure injection system; this requires that a low head injection pump and a charging pump are available.
In the fault tree model for recirculation, two alternative methods also are modeled, low-pressure feed-and-
steam (by taking suction from the containment sump), and low-pressure feed and spill (by taking suction from
the sump and using spray recirculation). Inthese modes,~low-head"injectionis neededr The feed-and-steam
mode requires that the safety valves be removed to provide an adequate vent path, and does not require
cooling of the sump water. The feed-and-spill operation requires operation of the spray recirculation systems
to cool the water in the sump, so that sub-cooling in the reactor vessel can be established.
Operator Response- The operator's actions modeled in this study were identified in developing the event
freesT The identification process involved reviewing abnormal and emergency procedures, and discussing the
accident scenarios with plant personnel. In most cases, the operator's responses to various accidents are
identified in the procedures. For example, abnormal procedures for loss of RHR, loss of instrument air, and
loss of offsite power give guidance on what to do in case of respective losses during shutdown. The latter two
procedures are not written specifically for shutdown conditions. In case of a station blackout, the procedure
written for power operation in mind, (l-ECA-0.0), does not address shutdown conditions. Therefore, only the
relevant steps in the procedure are applicable. Similarly, for other initiating events, such as loss of component
cooling, spurious safety injection, and loss of a vital bus, there is no specific procedure for shutdown condition,
and the ability of the operators to use the relevant steps in the procedures for power operations becomes very
important. As discussed under success criteria, some of the operator's actions modeled in this study are not
explicitly spelled-out in the existingplant procedures, and some recovery actions modeled are extension of the
existing procedures.
NUREG/CR-6144 xxxvi
S. Executive Summary (continued)
The operator actions needed to mitigate an accident are included in the high level fault trees. A high level
fault tree models one method of mitigating the accident, e.g., feed-and-spill operation which typically contains
two human error events, and one transfer to the fault tree for hardware failures. One human error event
represents the failure of the operator to diagnose, so that the correct actions cannot be decided upon; the
other represents failure to carry out the action after correct diagnosis. Assuming that the failure to diagnose
would lead to core damage, many of the dominant core-damage cutsets are caused by such events. Human
error probabilities were quantified using the method of failure likelihood index that involves assessing weights
and scores on various performance-shaping factors, and calibration using the HEPs from existing studies.
xxxvii NUREG/CR-6144
S. Executive Summary (continued)
Table S.l Summary of Results-Core-Damage Freqnency by Initiating Event and Plant Operational States
RHR4-Non-Recoverable Loss of Operating Train of RHR 5.3E-06/hr 7.6E-9 1.2E-9 2.3E-8 3.2E-8
L3-1H energized, not U, unit 2 blackout 3.8E-08/hr 4.2E-8 1.3E-8 9.9E-8 UE-7
7. SWGR-Loss of Emergency Switchgear Room Cooling 1.8E-08/hr 3.6E-8 1.2E-8 7.4E-8 1.2E-7
Study Results
NUREG-1150
NUREG/CR-6144 xl
FOREWORD
During 1989, the Nuclear Regulatory Commission (NRC) initiated an extensive program to carefully examine
the potential risks during low power and shutdown operations. The program includes two parallel projects
performed by Brookhaven National Laboratory(BNL) and Sandia National Laboratories(SNL), with the
seismic analysis performed by Future Resources Associates. Two plants, Surry (pressurized water reactor) and
Grand Gulf (boiling water reactor), were selected as the plants to be studied.
The objectives of the program are to assess the risks of severe accidents due to internal events, internal fires,
internal floods, and seismic events initiated during plant operational states other than full power operation
and to compare the estimated core damage frequencies, important accident sequences and other qualitative
and quantitative results with those accidents initiated during full power operation as assessed in NUREG-1150.
The scope of the program includes that of a level-3 PRA.
The results of the program are documented in two reports, NUREG/CR-6143 and 6144. The reports are
organized as follows:
NUREG/CR-6143 - Evaluation of Potential Severe Accidents during Low Power and Shutdown
Operations at Grand Gulf, Unit 1
xli NUREG/CR-6144
Foreword (continued)
For Surry:
NUREG/CR-6144- Evaluation of Potential Severe Accidents during Low Power and Shutdown
Operations at Surry Unit-1
NUREG/CR-6144 xlii
ACKNOWLEDGEMENTS
The authors wish to acknowledge the following individuals for their contribution to the study.
Ms. Candee Lovett, of Virginia Power, for promptly providing the plant information needed for developing
the model.
Mr. Kenneth Russell of Idaho Nuclear Engineering Laboratory for his help in using the latest versions of the
IRRAS computer code.
Ms. Florence O'Brien, Kathy Ryan, and Barbara Kponou for their working long hours throughout the project
in providing secretarial support.
Mr. William J. Luckas for his help with interpretation of plant information and participation in the accident
scenario development.
Ms. Cheryl Conrad, Mr. Chun-Chang Chao of National Tsing Hua University, Taiwan, and Mr. Tsu-Jen Lin
of Institute of Nuclear Energy Research, Taiwan, for their technical support.
xliii NUREG/CR-6144
ACRONYMS
Acronym Meaning
ACC Accumulator
AEOD Office for Analysis and Evaluation Operational
Data, US NRC
AFW Auxiliary Feedwater
AHU Air Handling Unit
ANS American Nuclear society
AOT Allowed Outage Time
AOV Air Operated Valve
AP Abnormal Procedure
ASEP Accident Sequence Evaluation Program
ASME American Society of Mechanical Engineers
ATWS Anticipated Transient Without Scram
BAT Boric Acid Tank
BHEP Basic Human Error Probability
BAST Boric Acid Storage Tank '
BIT Boron Injection Tank
BNL Brookhaven National Laboratory
BRT Boron Recovery Tank
CAS Compressed Air System
CCW Component Cooling Water
CD Core Damage
CDF Core Damage Frequency
CEDM Control Element Drive Mechanism
CESSAR Combustion Engineering Standard Safety Analysis
Report
CFR Code of Federal Regulation
CIS Containment Isolation Signal
CLCS Consequence Limiting Control System
CPC Charging Pump Cooling
NUREG/CR-6144 xlv
Acronyms
xlvi NUREG/CR-6144
Acronyms
NUREG/CR-6144 xlvii
Acryonyms
xlviii NUREG/CR-6144
Acronyms
PTL Pull-to-lock
PTS Pressurized Thermal Shock
R&D Refueling and Drained Maintenance
RC Reactor Coolant
RCCA leactor Control Cluster Assembfy
RCP Reactor Coolant Pump
RCS Reactor Coolant System
REA Rod Ejection Accident
RES Office of Nuclear Regulatory Research, US NRC
RF Recovery Factor
RF Range Factor
RHR Residual Heat Removal
RMP Remote Monitoring Panels
RMT Recirculation Mode Transfer
RMTS Recirculation Mode Transfer System
RPS Reactor Protection System
RPV Reactor Pressure Vessel
RSS Reserve Station Service
RTND Reference Temperature for Transition to
Nil-Ductility
RTS Return to Service
RVLIS Reactor Vessel Level Indication System
RWST Refueling Water Storage Tank
RX Reactor
RY Reactor year
SBO Station Blackout
SCSS Sequence Coding Search System
SFP Spent Fuel Pool
SG Steam Generator
SGRCT Steam Generator Reactivity
SGRTS Steam Generator Recirculation and Transfer
NUREG/CR-6144 xlix
Acryonyms
1 NUREG/CR-6144
7 EVENT TREE ANALYSIS
Revision 4, February 15, 1993. It provides guidance on restoring RHR, primary inventory makeup and
alternate methods of decay heat removal. In addition, the Virginia Power technical report # 865 ', revision
12
1 and its supplement' give a supporting analysis and updated guidance for ensuring adequate backup of decay
31
heat removal after a loss of RHR. For other initiators, the expected responses of the plant and operator are
not as clearly defined. Therefore, information gathered from the procedures developed for power operations
has to be used. In the procedures for loss of offsite power' ', AP 10.00 Rev. 7, and loss of instrument air' ',
4 5
AP 40.00 Rev. 3, the operators are instructed to check if the unit was on RHR, and a few steps needed to
restore RHR are given. No other procedure has guidance specifically for the shutdown accidents analyzed
in this study.
We developed event trees in this study by a talk-through format. Typically, a team of 4 members, including
engineers with background and training in the area of plant operations, PRA, and thermal hydraulics met to
discuss the plant's initial conditions and the responses to the initiators. Related procedures and documents
were reviewed, and then, accident scenarios were developed. The process was very time consuming and
sometimes agreement was hard to reach. In general, it was found that deterministic analysis is very helpful
to better understand the behavior of the plant. The expected responses of the plant and possible operator
actions were also discussed with plant operations personnel during a two-day meeting at the plant.
In the time window approach, each accident initiating can occur in 4 different time windows and 3 POSs. In
principle, 12 event trees would be needed to delineate the possible accident scenarios. Because POS 10 of
a refueling outage occurs after refueling is completed, it cannot occur in time windows 1 and 2. Therefore,
ten event trees were developed for each initiating event.
The structure of the event trees that we developed differs from that of a typical event tree in that the first top
event of the event tree is used as part of the calculation of initiating event frequency. That is, the first top
event (the "I" top event) is used to calculate the frequency that the initiating event occurs in the POS and time
window. For example, Figure 7.1-1 is the loss of RHR event tree for an initiating event (RHR5) that occurs
in time window 1. The first top event "IR5W1", shown in Figure 7.1-2, represents the fault tree that is used
to calculate the frequency that the RHR5 initiating event occurs in window 1 of the POS. Its top gate is an
"AND" gate with a basic event, representing the rate that the R5 initiating event occurs, and an "OR" gate as
its input. The "OR" gate has three "AND" gates as inputs. Each "AND" gate, combined with the hourly rate
that the initiating event occurs, is used to calculate the frequency that the RHR5 initiating event occurs in
each of the three POSs. "HOUSE" events are used to select the right part ("AND" gate) of the fault tree that
is appropriate for the POS being analyzed. For example, the left most "AND" gate is used to calculate the
frequency that the initiating event occurs in POS 6 of a refueling outage. As discussed in chapter 4, this
frequency is the product of the frequency of refueling outage, the frequency of the initiating event, the
duration of POS 6 of a refueling outage, and the probability that the initiating event occurs in time window
1, given that it occurred in this POS.
7-1 NUREG/CR-6144
7 Event Tree Analysis
Most other top events of the event trees have the same structure as that shown in Figure 7.1-3 for restoring
RHR subsequent to the loss of RHR event. Two high-level human error events represent failure to diagnose
the initiating event and failure to carry out the action, and a transfer to the system fault trees models hardware
failures. Human errors at a lower level, e.g., operator failure to open a valve, are included in the system fault
trees. This approach allows the system fault trees to be shared by many top events in the event trees.
The following is the convention used to name POSs, event trees, event tree top-events, and human-error
events in the high-level fault trees. It was used in the computer model, using the IRRAS code.
(1) The name of an event tree has three parts, the initiating event, window number, and POS. For example,
"R5W1R6" represents the event tree for non-recoverable loss of RHR (R5) in window 1 (Wl) in POS
6 of a refueling outage (R6)
Initiating Event
RA-over draining to mid-loop
RB-failure to maintain level
R3-non recoverable loss of RHR
R4-non-recoverable loss of operating train of RHR
R5-recoverable loss of RHR
Si-inadvertent safety injection
CC-loss of ccw
4K-loss of 4 kv bus . _ - . _ . - .
Ll-loss of offsite power case 1
L2-loss of offsite power case 2
L3-loss of offsite power case 3
Bl-Unit 1 blackout
B2-2 unit blackout
VB-loss of vital bus
AR-loss of instrument air
SR-loss of emergency switch-gear room cooling
Window Number
Wl-Window 1
W2-Window2
W3-Window3
W4-Window4
(2) The names of event tree top events are chosen by adding a prefix to the event tree name (without the
POS designator) to represent the generic type of the top event. For example, the fourth top event
"SR5W1" in Figure 7.1-1 has a prefix of "S" to represent reflux cooling using the steam generators. The
high-level fault trees were built such that they depend on the initiating event and time window, but are
NUREG/CR-6144 7-2
7 Event Tree Analysis
independent of the POSs. Therefore, the POS designators are not needed in naming the top events.
The following is a list of the prefixes for the generic top events.
(3) The names of human error events modeled in the system fault trees follow the convention of
NUREG/CR-4550, and are indicated by "XHE" in the names. The name of high-level human error
events consists of the following fields separated by hyphens:
(a) The first letter in the name is either an "A" or "D" representing failure to take Action and failure
to Diagnose, respectively. (X-,2 letters)
(b) Name of event tree without POS designator, (XXXX-,5 letters)
(c) "XHE" representing a human error event, (XHE-,4 letters)
(d) a one-letter top event prefix representing the generic top event type, (X-, 2 letters)
(e) a sequence number indicating the sequence that the event is applicable to. (XX,2 letters)
For example, A-R5W1-XHE-SF-9 means that in sequence 9 of the event tree "R5W1", the operator fails to
establish feed to the steam generators. In this example, "SF' was used instead of "S" because 3 separate
operator actions are modeled. "SF' represents feeding the SGs. "SI" represents bleeding the SGs before
rupture of the PRT rupture disk. "S2" represents bleeding the SGs and closing the PORVs after the PRT has
ruptured. D-R5W1-XHE represents failure to diagnose the loss of RHR in window 1, resulting in core
damage.
7-3 NUREG/CR-6144
7 Event Tree Analysis
7.1.1 References
1. "Loss of Decay Heat Removal Capability," Virginia Power Surry Power Station, Abnormal Procedure 1-AP-
27.00, Revision 4, February 15, 1993.
2. "Background and Guidance for Ensuring Adequate Backup Decay Heat Removal Following Loss of RHR
Surry and North Anna Power Stations,", Nuclear Analysis and Fuel Nuclear Engineering Services, Virginia
Power, NE Technical Report No. 865, Revision 1, June 1992.
3. "North Anna Power Station, Surry Power Station, NE Technical Report 856 Rev. 1, Supplemental
Information", Virginia Power, October 9, 1992.
4. "Station Blackout," Virginia Power Surry Power Station, Abnormal Procedure 1-AP 10.00, Revision 7, July
2,1992.
5. "Non-Recoverable Loss of Instrument Air," Virginia Power Surry Power Station, Abnormal Procedure AP
1-40.00, Revision 3, December 19, 1991.
NUREG/CR-6144 7-4
UNITY RR5W1 VW1 SR5W1 FR5W1 GR5W1 CR5W1 SEQ # END-STATE
1 OK
2 OK
3 CD
4 CD
5 CD
6 OK
7 OK
8 CD
9 CD
'•1
I
Figure 7.1-1 Event Tree (R5W1R6) for a Recoverable Loss of RHR Initiating Event (RHR5) in Window 1 of POS 6 of a Refueling Outage
I top event for loss of RHR- R5 in Window 1
E Frequency
CdculaUon for
R5VY1
RS[n
Frequency of
Loss ,0f RhR
(RHR5)
o\
IT
n
Frequency of , R-obcbllfty t L Probcblty
)3 10 5 Refueling Refueling Refueling Outage f POS 10 Grwn , l h d E occurs
Outage E«fuMng Outogt w wl gwe-n RW
R5WC4-
Figure 7.1-2 Fault Tree for the T* Top Event of Event Tree R5W1R6
Restore RHR
Given RHR5
in Window 1
Failure to Restore
RHR, given RHR5 Failure to Diagnose
Loss of RMR5 Loss of RHR
in Window 1 POSs 3-13
Event in Window
1
W3-S
A-R5W1-XHE-R-4
D-R5W1-XHE
Figure 7.1-3 High Level Fault Tree for Recovery of RHR Given a RHR5 Initiating Event in Window 1
7 Event Tree Analysis
Corporation . Feed-and-spill operation was analyzed using simplified models developed for the LP&S
151
program, covering a large range of initial and operating conditions. For all three cooling methods, we
attempted to identify the conditions under which the operation could be successful.
In this section, the results of chapter 5 are summarized and their use in the event tree analysis is described.
In this study, a mission time of 24 hours is used; that is, we assumed that if the operators can prevent core
damage during the first 24 hours after an initiating event, then it can be avoided because of the additional help
that would become available. Thermal hydraulic calculations are used to determine the success criteria of the
various systems or mitigation functions based on the 24-hours mission time. In addition, the calculations
determine the timing of the accident scenarios and the time available for the operators to act.
Table 7.2-1 summarizes the success criteria as functions of the decay heat. Table 7.2-2 summarizes the success
criteria for the time windows, and the timing of the important events that determine the time available for
operator actions. Table 7.2-2 differs from table 7.2-1 in the success criteria for feed-and-bleed. The latter
shows the success criteria based on Virginia Power technical report 865 , which is intended to maintain
[6]
sub-cooling in the RCS to allow restoration 6 of RHR, and is conservative in preventing core damage. Table
7.2-2 is more realistic in some areas, and is used in the PRA analysis.
The following important assumptions were made about the possible plant configurations that affect the plant's
ability to mitigate the accident cenarios:
(1) In a refueling outage, the plant keeps the loops isolated for an extended period. If the reactor coolant
loops are isolated, no heat removal using steam generators can be taken credit for. Table 7.2-3
summarizes the estimated fraction of time that the loops are isolated in the time windows, such that
reflux cooling would be ineffective (the success criteria specified in table 7.2-2 is not satisfied); this value
was estimated in chapter 9, based on a review of the log books of past refueling outages. In a drained
maintenance, one loop is assumed to be isolated for maintenance.
(2) If the safety valves on the pressurizer are removed, then gravity feed from RWST is possible. Review
of the log books for past refueling outages indicates that the 3 safety valves are usually removed at the
same time. Table 7.2-4 lists the estimated probability that the safety valves are removed in each time
window of each POS. Section 5.1 analyzed gravity feed from RWST and found that before 32 days
after shutdown, gravity feed from RWST is not adequate to provide 24 hours of decay heat removal.
Therefore, in windows 1 to 3, if gravity feed is the only way to remove decay heat in a given sequence,
then there would be additional time for recovery actions before core damage occurs. In window 4,
successful gravity feed is assumed to terminate the accident. In reviewing the log books of drained
maintenance outages, no removal of safety valve was found. Therefore, we assumed that gravity feed
is not possible in a drained maintenance.
(3) For reflux cooling to take place to remove decay heat, the following conditions must exist:
NUREG/CR-6144 7-8
7 Event Tree Analysis
(a) The RCS must not be vented with the pressurizer safety valves removed, otherwise, steam loss
through the vents is assumed to defeat reflux cooling.
(b) The pressurizer PORVs are normally open during mid-loop operation. Inventory loss through them
during reflux cooling can uncover the core in a few hours. Therefore, as part of the procedure of
establishing reflux cooling, the operators are supposed to close the PORVs.
(c) The number of steam generators needed for reflux cooling was based on the Virginia Power technical
report # 865. For example, in window 2, 2 out of 3 steam generators are needed.
(d) The ability to relieve secondary pressure in the needed steam generators must be maintained by
opening the steam generator PORVs, or dumping steam to the condenser.
(e) The amount of water in the steam generator is sufficient for approximately 10 hours of reflux
cooling. Therefore, to remove decay heat for 24 hours, feed to the steam generators is required.
The following discussions summarize the success criteria of the generic top events of the event trees.
Reflux Cooling The success criteria for reflux cooling was based on Virginia Power Technical Report 865.
It is also specified in AP 27.00. There, the number of steam generators needed is specified as a function
of decay heat. It is known that the success criteria is conservative. Also, it is assumed that the operators
would follow the procedure. For Window 1 of a drained maintenance, this means that the success criteria
cannot be satisfied, because 3 steam generators are needed and only 2 are available. In such case, the
possibility of using 2 steam generators is modeled as a recovery action.
As part of the procedure for establishing reflux cooling, the operators are supposed to close the vessel head
vent and PORVs to ensure no inventory is lost through these openings. In section 5.3, it was estimated that
the leakage through the tygon tube connected to the vessel head is insignificant. If the PRT rupture disks are
ruptured, the leakage through an open PORV is large enough to lead to core damage in a few hours. If reflux
cooling is established before the PRT is ruptured, the PRT becomes a part of the RCS boundary, and no
significant loss of inventory is expected. Therefore, if the operators can establish reflux cooling by venting
the secondary side of the SGs before PRT rupture disks rupture, then there is no need to close the PORVs.
If reflux cooling is established after PRT ruptures, then the PORVs must be closed to prevent inventory loss.
It is assumed that reflux cooling is sufficient to remove decay heat if it is established before the core is
uncovered. When reflux cooling is established, the SG inventory is sufficient for about 10 hours. Feeding the
steam generator after the SG inventory becomes low is modeled as a long-term operator action.
Figure 7.2-1 is the high-level fault tree for the reflux cooling top event of the example event tree.
Feed-and-Spill Section 5.2 documents the determination of the success criteria for feed-and-spill operation.
There, both the Virginia Power Technical Report 865 and BNL analysis are discussed. Table 7.2-1 summarizes
the success criteria, based on the Virginia Power Technical Report 865 which is the basis of AP 27.00. In AP
27.00, LHSI to hot legs is the preferred method for feed-and-spill. If hot leg injection is not available, then
cold leg injection is used. If LHSI is not available, the HHSI is used. Similar to LHSI, HHSI prefers hot leg
injection to cold leg injection. The needed number of PORVs is specified as a function of the time after
shutdown. The operators are expected to throttle the injection flow to maintain 200 F° at the core exit
thermal couple.
The success criteria in the Virginia Power technical report are intended to maintain sub-cooling in the RCS.
In reality, much more relaxed success criteria are sufficient to prevent core damage. For example, the Virginia
Power technical report requires that 2 charging pumps and 2 PORVs are needed for feed-and-spill during the
first 129 hours. As an alternative to feed-and-spill, the report discussed the option of using feed-and-steam
operation that demands much less flow from the RWST. If only 1 charging pump and 1 PORV are available,
7-9 NUREG/CR-6144
7 Event Tree Analysis
feed-and-steam should be sufficient to keep the core covered as long as water is available in the RWST. The
success criteria of Table 7.2-2 is used in this study.
To account for the low shut off head of the LHSI pumps, the time at which RCS pressure reaches 165 psia
was determined and used as the time available for operator to use LHSI. For HHSI, it is assumed that the
time to core damage is the time available. In the high-level fault trees, two separate human error events are
used. <
Figure 7.2-2 is the high-level fault tree for the feed-and-spill top event of the example event tree.
Recirculation As the level in the RWST becomes low, the operators are instructed to establish either
RWST cross connect or high- head recirculation. Section 5.2 estimated that approximately 10 days after
shutdown, recirculation is not needed. The calculation shows that with successful feed-and-spill, the core will
not be damaged within24hoursaftertheloss ofRHRinitiating event^Thereforerhigh-pressure recirculation
is needed only during the first 10 days after shutdown; this 10 days is used as the boundary between windows
2 and 3. In time window 2, either high-pressure recirculation or cross-connection of RWSTs would be
sufficient to remove decay heat for 24 hours. In the-fault-tree model for high-pressure recirculation in window
2, failure of recirculation requires failure to cross connect the RWSTs. In time window 1, cross connection
of RWSTs is not sufficient for 24 hours, and is not taken credit for.
AP 27.00 provides instructions on how high-pressure recirculation can be estabUshed, and states the possible
need for the spray recirculation heat exchangers. High-pressure recirculation is established by using the low
pressure injection pump to take suction from the containment sump, and discharge to the suction of the high-
pressure injection-system. In-the fault tree model for-recirculation^Figure-7-.2-3rtwo alternative methods also
are modeled; the low-pressure feed-and-steam by taking suction from the containment sump, and the low-
pressure feed-and-spill by taking suction from the sump and using spray recirculation. In both modes, only
low head injection is needed. The feed-and-steam mode requires that the safety valves are removed to provide
an adequate vent path,and does not-require cooling of-the sump water; The-feed-and-spill operation requires
operation of the spray recirculation systems to cool the water in_the sump, so that subcooling can be
established.
Spray Recirculation In section 5.2, it was estimated that during the first 10 days after shutdown the RWST
inventory is not sufficient for feed-and-spill and recirculation is needed. High-pressure recirculation would
introduce steam into the containment, introducing the potential of containment failure. In this study, we
assumed that if spray recirculation is not available, then the containment would fail. The impact of
containment failure on recirculation is that there is a small probability, 0.02, that the low head pumps would
lose their needed net positive suction head. This cause of failure is similar to the failure mode considered
in NUREG-1150, that is, failure of recirculation is modeled as a potential failure mode of the low-head
injection pumps.
Another function of the spray recirculation systems is to support the operation of low-pressure feed-and -spill
by taking suction from the containment sump. It cools the containment sump water so maintaining subcooling
in the reactor vessel.
Gravity feed from RWST Gravity feed from RWST is established by opening the low-head injection flow
path from RWST to the RCS cold legs or hot legs. The RCS must be vented by removing the SVs on the
pressurizer so that gravity flow can be established. Depending on the level of decay heat and the number of
SVs removed, gravity feed may or may not provide 24 hours of cooling after the initiating event. The analysis
NUREG/CR-6144 7-10
7 Event Tree Analysis
documented in section 5.1 found that with 1 SV removed approximately 32 days after shutdown (5MW decay
heat), the core is damaged after 24 hours. Therefore, 32 days was chosen as a boundary of the time windows.
In the PRA model, for an accident initiating event that takes place after 32 days after shutdown, gravity feed
from RWST is sufficient to terminate the accident. For accidents that start'before 32 days, gravity feed from
RWST would give some additional time for operators to restore failed mitigation systems. Table 7.2-2 lists
the additional amount of time for each of the time windows. These times are the estimated delays in core
damage based on the modeling of gravity feed using MELCOR , and the amount of time that subcooling is
maintained, as estimated in attachment 9 of AP 27.00. Operator recovery using these times is modeled as
recovery actions in the event-tree analysis. In section 5.1, sensitivity calculations were made to determine the
effect of the timing of gravity feed. They showed that at 2 days after shutdown (13.2 MW) with only 1 SV
on the pressurizer removed, gravity feed from RWST became ineffective if initiated after 50 minutes after the
loss of RHR, due to the build up of RCS pressure. For lower decay heat, gravity feed is effective if
established less than 1 hour before the core is uncovered. The review of refueling outage log books found
that the plant usually remove the 3 SVs together. Therefore, the vent capacity of the safety valves is always
sufficient for gravity feed. The time available for the operators to establish gravity feed is assumed to be the
same time as that before core uncovery occurs.
Figure 7.2-4 is the high-level fault tree used for the gravity feed top event in the example event tree R5W1R6.
In this study, the use of gravity feed from RWST is taken credit for only in station blackout. In other cases,
there are many other methods of mitigating an accident, and use of gravity feed is judged to be either not
needed or not helpful. In these cases, the human-error probability of establishing gravity feed was assigned
a value of 1.0.
7-11 NUREG/CR-6144
7 Event Tree Analysis
7.2.1 References
1. Summers, R.M., et. al., "MELCOR 1.8.0: A computer code for Nuclear Reactor Severe Accident Source
Term and Risk Assessment Analysis, "NUREG/CR-5531, Sandia National Laboratories, Albuquerque, NM,
January 1991.
2. Naff, SA., et. al., "Thermal Hydraulic Processes During Reduced Inventory Operation with Loss of
Residual Heat Removal," NUREG/CR-5855, Idaho National Engineering Laboratory, April 1992.
3. Fletcher, CD., et. al., "Thermal-Hydraulic Processes Involved in Loss of Residual Heat Removal During
Mid-Loop Operation, EGG-East-9337, Idaho National Engineering Laboratory, October 1990.
4. Wald, L.W., et. al., "Consequence of the Loss of Residual Heat Removal Systems in Pressurized Water
Reactors," NUREG/CR-5820, Idaho National Engineering Laboratory, May 1992.
5. Audreycheck, T.S., et. al., "Loss of RHRs Cooling While the RCS is Partially Filled," WCAP - 11916,
Westinghouse Electric Corporation, July 1988.
6. "Background and Guidance For Ensuring Adequate Decay Heat Removal when RCS Loop Stop Valves
are closed, Surry and North Anna Power Stations, "NE Technical Report No. 865, Rev.l, Virginia Power,
June 1992.
NUREG/CR-6144 7-12
Reflu* Cootng
Glvon o RHR5
In Window
u
Failure to Wognooo RCS Loops Isoloted
Loss of RHR5 to Causa Failure
Event in Window of Reflux Cooling
SR5WKM0 BO-W1
D-R5W1-XHE
FREW1V
Failure to Diagnose
n
Loss of RHR5
Event in Window
1
FR5V1VG0
D-R5W1-XHE
FSW12H FSW12L-
A-R5W1-XHE-FH-10 A-R5W1-XHE-FL-10
Figure 7.2-2 Feed-and-BIeed Top Event for RHR5 with V Failed in Window 1 of POS R6
Fo3tr» ot Kch
terorBRecirgulatK
HPR
Fotbr* to Diocnow roikr* ef R«cVcukrtlo i Cptrotor Fctlrt HSUF FLOW FM NSUF FUW FRU
Sfray m Window
High P Iwcffe ctAfio nap SUCT
F&Steam h gnftt 1 —
F&Spill
•with LPil
Witts' LPft
ZJ n-nawi-XHB JI-R3V1-IHS-C-*
I
I—' Mctv Ww» Follire of RecVcuWio i Operator FoiLre Operator Folure
Nat R*mov* In Sffioy In Window to Ettobtah BtomuUtlm to DHcblah
n a
Virttow 1 H.oh P R«drc Krfi P RBCI-C
fa qfapw '
Figure 7.2-3 Failure-of-Recirculation Top Event for RHR5 in Window 1 of POS R67747
Gravity from
RWST Given RHR5
in Window 1
GR!iW1
Safety Valve
Removed in Window
1
GR5V1G2 SV-W1
D6-CG
D-R5W1-XHE A-R5W1-XHE-G-6
7-17 NUREG/CR-6144
7 Event Tree Analysis
NUREG/CR-6144 7-18
7 Event Tree Analysis
Table 7.2-2 (continued)
7-19 NUREG/CR-6144
7 Event Tree Analysis
Table 7.2-3
R6 RIO D6
Wl 0.3 - True
W2 0.7 - False
W3 True True False
W4 True True False
Table 7.2-4
R6 R10 D6
Wl 0.01 - False
W2 0.05 - False
W3 0.9 0.9 False
W4 0.3 0.3 False
NUREG/CR-6144 7-20
7 Event Tree Analysis
In sections 7.1 and 7.2, the nomenclature used in the event trees and high level fault trees was discussed, using
event tree R5W1R6 and its associated high-level fault trees as an example. In this section, the accident
sequences defined in the event trees are discussed.
This event occurs at the beginning of the POS due to overdraining. It may be annunciated by the shutdown
cooling low-level annunciator and RHR heat exchanger low-flow annunciator, and indicated by motor
amperage and flow oscillation, and excessive noise on the RHR pump. The expected responses of the
operator include stopping the votexing pump, locally venting the RHR pump if necessary, restoring RCS level,
and restoring RHR.
Window 1 (RAW1R6)
The event tree top events of this event tree, Figure 7.3.1-1, are described below.
7-21 NUREG/CR-6144
7 Event Tree Analysis
In the feed-and-steam operation, much less flow is needed, and the RWST inventory can, potentially, last
much longer. However, the control of the injected flow and level poses an operational challenge. There is
the potential for pressurized thermal shock and over-pressurization if the vent path is insufficient.
In time window 1, we decided that 1 charging pump with 1 open PORV flow path is sufficient for the feed-
and-bleed operation. This is more relaxed than what is required for feed-and-bleed during power operations
where two PORVs are needed. In the case of low-pressure injection pumps, 2 PORVs are needed to ensure
that the system pressure is below 165 psia. The PORVs are normally blocked open with the block valves de-
NUREG/CR-6144 7-22
7 Event Tree Analysis
energized open. It is assumed that there is a small chance that one PORV flow path is closed, due to the
problem of PORV leakage during power operations. For bleeding purposes, the flow path can be re-opened.
In those sequences in which the VW1 top event is successful, i.e., the pressurizer safety valves are removed,
the fault tree for the feed-and-bleed operation contains an event representing removal of the safety valves.
This event is needed to quantify these sequences correctly, because treatment of the successful event is not
automatically included. For those sequences in which the VW1 top event failed, i.e., the safety valves are not
removed, the basic event representing this condition is automatically included as the cutset of the VW1 top
event.
CRAW1 - Recirculation
Recirculation can be established in 3 ways. The first method, high-pressure recirculation, is defined in AP
27.00, and requires one charging pump running and taking suction from the discharge of a low pressure
injection pump that is running and taking suction from the containment sump. This method requires two
pumps and the associated flow path to be available. The second method, feed-and-steam with the low-
pressure injection pump, uses the pump to take suction from the containment and inject into the RCS. In
chapter 5, it was estimated that the water in the containment sump would be approximately 140 degrees F.
Therefore, NPSH should not be a problem. To bleed the steam successfully, it is assumed that the pressurizer
safety valves have to be removed. The third method, low- pressure feed-and-spill, uses the low-pressure
injection pump to take suction from the containment sump, and inject into the RCS. For this method to
succeed, at least one of the spray recirculation systems have to operate to cool the water in the containment
sump.
In time window 1, cross connection of RWSTs is not sufficient to support feed-and-spill operation for 24
hours. Therefore, it is not taken credit for.
In those sequences in which the VW1 top event is successful, i.e., the pressurizer safety valves are removed,
the fault tree for the recirculation operation contains the event representing removal of the safety valves. This
is needed to correctly quantify these sequences because the treatment of the successful event is not
automatically included. For sequences in which the VW1 top event failed, i.e., safety valves are not removed,
the basic event representing this condition is automatically included as the cutset of the VW1 top event.
We conservatively assumed that the human-error probability associated with establishing gravity feed is one
except for station blackout scenarios in which gravity feed may be the only method of decay heat removal.
The frequency of those sequence with no credit given to gravity feed was found to be insignificant.
7-23 NUREG/CR-6144
7 Event Tree Analysis
Sequence 4: In this sequence, an overdraining event (IRAW1) occurs in window 1 of a refueling outage. The
RCS makeup (MRAWl) is successful, but restoration (RRAWl) of RHR is not. The pressurizer safety valves
are removed (VW1) that makes reflux cooling (SRAW1) impossible. Feed-and-spill operation (FRAW1) is
successful, and recirculation (CRAW1) fails.
Sequence 5 - This sequence is similar to sequence 4, except that feed-and-spill fails, but gravity feed from
RWST is successful, so that there is more time for the operator to recover from the preceding failures.
Recovery actions could be applied to this sequence. Because the human-error probability for gravity feed is
set to TRUE", this sequence becomes logically impossible.
Sequence 6 - This sequence differs from sequence 5 in that the gravity feed from RWST fails. The HEP for
gravity feed is set to TRUE".
Sequence 9 - This sequence is the same as sequence 4, except that the pressurizer safety valves (VW1) are
not removed that allow reflux cooling. Reflux cooling fails in this sequence, and causes core damage to occur.
Sequence 10 - In this sequence, the RHR is not restored (RRAWl), safety valves are not removed (VW1),
reflux cooling is failed (SRAW1), and feed-and-spill failed (FRAW1).
Sequence 12 - In this sequence, RCS makeup (MRAWl) fails, making restoring RHR (RRAWl) impossible.
The pressurizer safety valves (VW1) are removed, so that reflux cooling (SRAW1) is impossible. Feed-and-
spill (FRAW1) is successful, and recirculation (CRAWl) is not.
Sequences 13 to 18 - These sequences are similar to sequences 5 to 10 , except that RHR can not be
restored due to failure of RCS makeup, while in sequence 5 to 10, restoration of RHR itself failed.
Window 2 (RAW2R6)
The event tree, Figure 7.3.1-2, for time window 2 has the same structure as that of window 1. The only
differences are in the timing of the scenarios, and in the success criteria for recirculation and reflux cooling.
Due to the difference in timing of the accidents, the various HEPs may differ. Those event tree top events
that have different success criteria than those of window 1 are described below.
CRA.W2 - Recirculation
In time window 2, cross connection of RWSTs would provide 24 hours of feed-and-spill. In the fault tree for
failure of recirculation, failure to cross-connect the RWSTs is a required condition. It is assumed that for
cross connection to be successful, a unit 1 charging pump must be available and the operator action must be
successful. No credit was taken for this in the logic model. The use of unit 2 charging pump is modeled as
a recovery action.
NUREG/CR-6144 7-24
7 Event Tree Analysis
Window 3 (RAW3R6)
This event tree, figure 7.3.1-3, differs from that of window 1 in that no top event representing reflux cooling
or recirculation is used. Reflux cooling is not possible because the RCS loops are known to be isolated in this
time window during refueling. Recirculation is not necessary, because the flow needed for feed-and-spill
operation is low enough so that the RWST inventory is sufficient for 24 hours.
Window 4 (RAW4R6)
This event tree, figure 7.3.1-4, should be identical to that of window 3, except that here successful gravity feed
does not damage the core. The thermal hydraulic analysis of section 5.1 found that after 24 days the decay
heat is low enough so that gravity feed from RWST is sufficient to remove decay heat for 24 hours. The top
event on reflux cooling was inadvertently kept in this event tree, so that the event tree appears different from
that of window 3; this does not affect the results, because reflux cooling is always failed in this time window.
POS 10 of a refueling outage occurs after refueling is completed. As a result, it can only take place in
windows 3 and 4. The event trees for POS 10, Figures 7.3.1-5 to 7.3.1-6, have the same structure as those of
POS 6 of a refueling outage. The only differences are the maintenance unavailabilities,conditional probability
of the time windows, and the frequency of the POSs. Section 3.6 gives detailed discussions on the differences
among the POSs.
Besides the frequency and conditional probabilities of time windows, POS 6 of a drained maintenance outage
differs from the POS6 of refueling outage in
Tables 7.1-3 and 7.1-4 summarize the differences of items 1 and 2. In a drained maintenance, it is assumed
that one RCS loop is unavailable/isolated for maintenance. Depending on the time window, the success
criteria for reflux cooling may or may not be satisfied. It is also assumed that the safety valves on the
pressurizer are not removed. Therefore, gravity feed is not an option for a drained maintenance. The
probability that the SGs are drained is modeled as a failure mode for reflux cooling. These differences, and
their effects on the event trees and fault trees, are discussed for each time window.
Window 1 (RAW1D6)
The event tree for this POS, figure 7.3.1-7, differs from that of RAW1R6, figure 7.3.1-1, in that the safety
valves are not removed, and success criteria for reflux cooling cannot be satisfied. In this POS, the safety
valves are not removed making gravity feed impossible. Reflux cooling is failed because the success criteria
of requiring 3 SGs cannot be satisfied. Therefore, top events VW1, SRAW1, and GRAW1 of event tree
RAW1R6 do not appear in this event tree. The top events in this event tree have the same meaning as those
of R6. Due to the differences in the frequency of the POSs, conditional probability of the time window,
7-25 NUREG/CR-6144
7 Event Tree Analysis
probability of SGs draining, and probability of RCS loops isolation, the quantitative results of the sequences
in this event tree differ from those of RAW1R6.
CRAW1 - Recirculation
This top event is the same as that of R6.
Window 2 (RAW2D6)
This event tree, figure 7.3.1-8, differs from that of R6, figure 7.3.1-2, in that the safety valves are not removed
and gravity feed is not possible. As a result, top events VW2 and GRAW2 are not used in the event tree.
The rest of the top events are the same as those of R6, with the following difference in quantification:
Window 3 (RAW3D6)
The event tree, figure 7.3.1-9, differs from that of R6, figure 7.3.1-3, in that safety valves are not removed,
reflux cooling is possible, and gravity feed is not in this time window of a drained maintenance outage. In
NUREG/CR-6144 7-26
7 Event Tree Analysis
time window 3 of a refueling outage, the RCS loop are all isolated, so reflux cooling is impossible. The top
events of this event tree represent the same top events for R6, except the following:
Window 4 (RAW4D6)
The event tree, figure 7.3.1-10, differs from that of R6, figure 7.3.1-4, in that safety valves are not removed,
reflux cooling is possible, and gravity feed is not in this time window of a drained maintenance outage. In
time window 4 of a refueling outage, the RCS loop are all isolated, making reflux cooling impossible. The
top events of this event tree represent the same top events for R6, except the following:
7-27 NUREG/CR-6144
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7-28
UNITY IRAW2 MRAW2 RRAW2 VW2 SRAW2 FRAW2 GRAW2 CRAW2 SEQ 8 END-STA TE -NAMES
1 OK
2 OK
3 OK
4 CD
5 CD
6 CD
7 OK
8 OK
9 CD
10 CD
11 OK
12 CD
13 CD
CD
14 OK
15 OK
16 CD
17 CD
18
1 OK
2 OK
3 OK
4 CD
5 CD
6 OK
7 CD
O 8 OK
9 CD
10 CD
11 OK
12 CD
1 OK
2 OK
3 OK
4 OK
5 CD
6 OK
7 OK
8 CD
9 OK
10 OK
11 CD
12 OK
13 OK
14 CD
1 OK
2 OK
3 OK
4 CD
5 CD
6 OK
7 CD
to 8 OK
9 CD
10 CD
U OK
12 CD
Figure 73.1-5 Event Tree for Over-draining to Mid-loop in Window 3 of RIO (RAW3R10)
UNITY IRAW4 MRAW4 RRAW4 VW4 SRAW4 FRAW4 CRAW4 SEQ # END-STATE-NAMES
1 OK
2 OK
3 OK
4 OK
5 CD
6 OK
7 OK
8 CD
9 OK
10 OK
11 CD
12 OK
13 OK
14 CD
Figure 73.1-6 Event Tree for Over-draining to Mid-loop in Window 4 of RIO (RAW4R10)
UNITY IRAW1 MRAW1 RRAW1 FRAW1V CRAW IV SEQ # END-STATE-NAMES
OK
OK
OK
CD
CD
OK
CD
CD
•p.
1 OK
2 OK
3 OK
4 OK
5 CD
6 CD
7 OK
8 OK
9 CD
10 CD
1 OK
2 OK
3 OK
OK
•
1 1 4
5 CD
<i 6 OK
OJ 7 OK
0\ 1 8 CD
OK
OK
OK
OK
CD
OK
OK
CD
This initiating event is very similar to the over-draining event discussed in section 7.3.1; it differs in that this
event could occur any time during mid-loop, while RHR2A event occurs at the beginning. This difference is
accounted for in the conditional probability of the time windows. These probabilities for RHR2A were
calculated from the distribution of time to mid-loop. The same for RHR2B and other initiating events were
calculated using the distribution of time to mid-loop plus the duration of mid-loop times, a uniform random
variable. Table 7.2.-2, tabulates these probabilities, and shows that RHR2A has higher probability of occurring
in the earlier windows.
The event trees for this initiating event are shown in figures 7.3.2-1 to 7.3.2-10. They have the same structure
as the event trees for RHR2A; the only difference between the two sets is the way the initiating event
frequency is calculated, using the "I" top event. In the "P top event for RHR2A, the probability of
overdraining is used, while for RHR2B as well as other initiating events, the probability that the initiating
event occurs is calculated as the product of an hourly frequency of the initiating event and the duration of the
POS.
NUREG/CR-6144 7-38
UNITY IRBW1 MRBWl RRBW1 VW1 SRBW1 FRBW1 GRBWl CRBW1 SEQ # END-STA TE-NAMES
1 OK
2 OK
3 OK
4 CD
5 CO
6 CD
7 OK
8 OK
9 CD
10 CD
11 OK
<1i 12 CD
13 CD
14 CD
15 OK
16 OK
17 CD
18 CD
1 OK
2 OK
i — 3 OK
4 CD
5 CD
1 1 6 CD
7 OK
1 1
8
9
10
OK
CD
CD
11 OK
12 CD
11 13 CD
14 CD
15 OK
16 OK
1
17 CD
18 CD
1 OK
2 OK
3 OK
4 CD
5 CD
6 OK
7 CD
8 OK
9 CD
10 CD
11 OK
12 CD
J
Figure 7.3.2-3 Event Tree for Loss of Inventory in Window 3 of R6 (RBW3R6)
UNITY IRBW4 MRBW4 RRBW4 VW4 FRBW4 CRBW4 . SEQ # END-STATE-NAMES
1 OK
2 OK
1 3 OK
l | - 4 OK
1 5 CD
6 OK
' 1
6 7
8
CD
OK
1 , 9
10
OK
CD
|l 11 OK
IS CD
1 OK
if*'l
OK
OK
OK
•^J CD
OK
OK
CD
Figure 7.3.2-5 Event Tree for Loss of Inventory in Window 3 of RIO (RBW3R10)
UNITY IRBW4 MRBW4 RRBW4 SRBW4 FRBW4V SEQ U END-STATE-NAMES
OK
OK
OK
OK
CD
OK
£ OK
CD
Figure 73.2-6 Event Tree for Loss of Inventory in Window 4 of RIO (RBW4R10)
UNITY IRBW3 MRBW3 RRBW3 VW3 FRBW3 CR8W3 SEQ # END-STATE-NAMES
1 OK
2 OK
3 OK
4- CD
5 CD
6 OK
7 CD
8 OK
9 CD
10 CD
tl OK
12 CD
1 OK
2 OK
3 OK
4 OK
5 CD
ON 6 OK
7 CD
8 OK
9 OK
10 CD
IX OK
12 CD
1 OK
2 OK
3 OK
1 I 4 CD
<x 1 5 CD
**
-J 1 6 OK
1 7 CD
1 f) CD
•$£
1 OK
2 OK
3 OK
4 OK
5 CD
6 CD
7 OK
oo 8 OK
9 CD
10 CD
7.3.3 Event Trees for Total Loss Residual Heat Removal (RHR3)
This initiating event represents a loss of RHR event that can not be easily recovered from. For example, a
small leak in the RHR system requiring isolation of the system would be assigned to this category. The event
trees for this initiating event, Figure 7.3.3-1 to 7.3.3-10, were derived from the event trees for RHR2B by
removing the top events on RCS makeup and recovery of RHR and replacing the RHR2B frequency with that
of RHR3 in the "F top events. The HEPs used in the event trees may also be different.
7-49 NUREG/CR-6144
UNITY IR3W1 VW1 SR3W1 FR3W1 GR3W1 CR3W1 SEQ # END-STATE-NAMES
OK
OK
CD
CD
CD
OK
OK
Lft CD
O CD
Figure 733-1. Event Tree for Total Loss of RHR in Window 1 of R6 (R3W1R6)
UNITY IR3W2 vwa SR3W2 FR3W2 GR3W2 CR3W2 SEQ # END-STATE-NAMES
1 OK
2 OK
3 CD
+ CD
5 CD
6 OK
7 OK
8 CD
9 CD
Figure 73.3-2 Event Tree for Total Loss of RHR in Window 2 of R6 (R3W2R6)
UNITY IR3W3 VW3 FR3W3 GR3W3 SEQ H
to
OK
OK
OK
CD
OK
CD
Figure 73.3-4 Event Tree for Total Loss of RHR in Window 4 of R6 (R3W4R6)
UNITY IR3W3 VW3 FR3W3 GR3W3 SEQ » END-STATE-NAMES
OK
OK
CD
CD
OK
CD
Figure 733-5 Event Tree for Total Loss of RHR in Window 3 of RIO (R3W3R10)
UNITY IR3W4 VW4 FR3W4 GR3W4 SEQ § END-STATE-NAMES
OK
OK
OK
CD
OK
CD
tyi
Figure 7.33-6 Event Tree for Total Loss of RHR in Window 4 of RIO (R3W4R10)
UNITY IR3W1 FR3W1V CR3W1V SEQ g END-STATE-NAMES
OK
OK
CD
CD
2
ON
Figure 133-1 Event Tree for Total Loss of RHR in Window 1 of D6 (R3W1D6)
L.
UNITY IR3W2 SR3W2 FR3W2V CR3W2V SEQ g END-STATE-NAMES
OK
OK
OK
CD
CD
Figure 7.3.3-8 Event Tree for Total Loss of RHR in Window 2 of D6 (R3W2D6)
UNITY 1R3W3 SR3W3 FR3W3 SEQ 8 END-STATE-NAMES
OK
OK
OK
CD
oo
Figure 733-9 Event Tree for Total Loss of RHR in Window 3 of D6 (R3W3D6)
UNITY IR3W4 SR3W4 FB3W4V GR3W4 SEQ # END-STATE-NAMES
OK
OK
OK
CD
•M
Figure 7.3.3-10 Event Tree for Total Loss of RHR in Window 4 of D6 (R3W4D6)
7 Event Tree Analysis
This initiating event represents an event that causes failure of the operating train of the RHR system, and the
failure can not be recovered within the time frame of the accident scenarios that may result. For example,
a hardware failure of the operating RHR pump would be assigned to this category. The event trees for this
initiating event, Figure 7.3.4-1 to 7.3.4-10, were derived from those for RHR2B by removing the top event on
RCS makeup and failing the normally running RHR train by setting a house event "HOUSE-RHR5" to true.
Other differences between the two sets of event trees are the frequency of the initiating event and the HEPs
used.
NUREG/CR-6144 7-60
UNITY IR4W1 RR4W1 VW1 SR4W1 FR4W1 GR4WI CR4W1 SEQ H END-STATE-NAMES
1 OK
2 OK
3 OK
4 CD
5 CD
6 CD
7 OK
8 OK
9 CD
10 CD
Figure 73.4-1 Event Tree for Loss of Operating Train of RHR in Window 1 of R6 (R4W1R6)
UNITY IR4W2 RR4W2 VW2 SR4W2 FR4W2 GR4W2 CR4W2 SEQ g END--STATE-NAMES
I OK
2 OK
3 OK
1 4 CD
5 CD
to ' 6 CD
7 OK
8 OK
1 9 CD
10 CD
Figure 7.3.4.-2 Event Tree for Loss of Operating Train of RHR in Window 2 of R6 (R4W2R6)
UNITY IR4W3 RR4W3 VW3 FR4W3 CR4W3 SEQ # END-STATE-NAMES
OK
OK
OK
CD
CD
OK
CD
0\
Figure 7.3.4-3 Event Tree for Loss of Operating Train of RHR in Window 3 of R6 (R4W3R6)
J
UNITY IR4W4 RR4W4 VW4 FR4W4 GR4W4 SEQ # END-STATE-NAMES
1 OK
2 OK
* 3 OK
1 OK
1 1 4
5 CD
1 6 OK
7 CD
2
Figure 73.4-4 Event Tree, for Loss of Operating Train of RHR in Window 4 of R6 (R4W4R6)
UNITY IR4W3 RR4W3 VW3 FR4W3 CR4W3 SEQ I END-STATE-NAMES
OK
OK
OK
CD
CD
OK
ON
CD
Figure 73.4-5 Event Tree for Loss of Operating Train of RHR in Window 3 of RIO (R4W3R10)
UNITY IR4W4 RR4W4 VW4 FR4W4 GR4W4 SEQ I END-STATE-NAMES
OK
OK
OK
OK
CD
OK
0\ CD
0\
Figure"73.4-6 Event Tree for Loss, of Operating Train of RHR in Window 4 of RIO (R4W4R10)
UNITY 1R4W1 RR4WI FR4W1V CR4W1V SEQ # END-STATE-NAMES
OK
OK
OK
CD
CD
Figure 7.3.4-7 Event Tree for Loss of Operating Train of RHR In Window 1 of D6 (R4W1D6)
UNITY IR4W2 RR4W2 SR4W2 FR4W2V CR4W2V SEQ g END-STATE-NAMES
OK
OK
OK
OK
CD
CD
00
Figure 7.3.4-8 Event Tree for Loss of Operating Train of RHR in Window 2 of D6 (R4W2D6)
I
UNITY IR4W3 RR4W3 SR4W3 FR4W3V SEQ g END-STATE-NAMES
OK
OK
OK
OK
CD
0\
Figure 73.4-9 Event Tree for Loss of Operating Train of RHR in Window 3 of D6 (R4W3D6)
UNITY IR4W4 RR4W4 SR4W4 FR4W4V SEQ H END-STATE-NAMES
OK
OK
OK
OK
CD
o
Figure 73.4-10 Event Tree for Loss of Operating Train of RHR in Window 4 of D6 (R4W4D6)
7 Event Tree Analysis
This initiating event represents interruption of the RHR that can be recovered in the time frame of the
accident scenarios that may result: for example, a spurious trip of the RHR pump would be assigned to this
category. The event trees for this initiating event, Figure 7.3.5-1 to 7.3.5-10, were derived from those for
RHR2B by removing the top event on RCS makeup. Other differences between the two sets of event trees
are the frequency of the initiating event and the HEPs used.
7-71 NUREG/CR-6144
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UNITY IR5W2 RR5W2 VW2 SR5W2 FR5W2 GR5W2 CR5W2 SEQ END-STATE-NAMES
I OK
z OK
3 OK
4 CD
5 CD
6 CD
7 OK
a 8
9
OK
CD
10 CD
Figure 7.3.5-2 Event Tree for Recoverable Loss of RHR In Window 2 of R6 (R5W2R6)
UNITY IR5W3 RR5W3 VW3 FR3W3 OR5W3 SEQ g END-STATE-NAMES
OK
OK
OK
CD
CD
OK
CD
Figure 7.3.5.3 Event Ttee for Recoverable Loss of RHR In Window 3 of R6 (R5W3R6)
UNITY IR5W4 RR5W4 VW4 FR5W4 GR5W4 SEQ # END-STATE-NAMES
OK
OK
OK
OK
CD
OK
CD
Figure 73.5-4 Event Tree for Recoverable Loss of RHR in Window 4 of R6.(R5W4R6)
r
i
OK
OK
OK
CD
CD
a OK
CD
Figure 7.3.5-5 Event Tree for Recoverable Loss of RHR in Window 3 of RIO (R5W3R10)
UNITY IR5W4 RR5W4 VW4 FR5W4 CR5W4 SEQ » END-STATE-NAMES
OK
OK
OK
OK
CD
OK
-~1 CD
Figure 7.3.5-6. Event Tree for Recoverable Loss of RHR in Window 4 of RIO (R5W4R10)
UNITY IR5W1 RR5W1 FRSW1 GR5W1 CR5W1 SEQ ft END-STATE-NAMES
OK
OK
OK
CD
CD
£
Figure 73.5-7 JEvent Tree for Recoverable Loss of RHR In Window 1 of D6 (R5W1D6)
UNITY IR5W2 RR5W2 SR3W2 FR3W2V CR5W2V SEQ # END-STATE-NAMES
j l OK
z OK
3 OK
4 OK
i 1 5 CD
1 6 CD
7-79
Figure 7.3.5-8 Event Tree for Recoverable Loss of RHR in Window 2 of D6 (R5W2D6)
UNITY IR5W3 RR5W3 SR5W3 FR5W3V SEQ ft END-STATE-NAMES
OK
OK
OK
OK
CD
Figure- 7.3.5-9 Event Tree for Recoverable Loss of RHR in Window 3 of D6 (R5W3D6)
UNITY 1R5W4 RR5W4 SR5W4 FR5W4V SEQ # END-STATE-NAMES
OK
OK
OK
OK
CD
00
Figure 73.5-10 Event Tree for Recoverable Loss of RHR in Window 4 of D6 (R5W4D6)
7 Event Tree Analysis
73.6 References
1. "Background and Guidance for Ensuring Adequate Backup Decay Heat Removal Following Loss of RHR
Surry and North Anna Power Stations," Nuclear Analysis and Fuel Nuclear Engineering Services, Virginia
Power, NE Technical Report No. 865, Revision 1, June 1992.
NUREG/CR-6144 7-82
7 Event Tree Analysis
In accordance with the approach discussed in Section 7.1 of this study, event trees were developed to evaluate
the LOSP initiating event at plant operational states (POS) during the mid-loop configuration for five
boundary conditions.
In the first case (LI), EDGs 1 and 3 (swing diesel generator) are aligned to 4 kV emergency buses 1H and
1J respectively, and both EDGs are assumed to start successfully and continue operating to supply emergency
AC power to vital safety equipment throughout the LOSP event. In the second scenario (L2), either
combination of EDGs 1 and 2, EDGs 1 and 3, or EDGs 2 and 3, are successful. Therefore, the 4 kV
emergency buses 1H (or 1J) and 2H (or 2J), or combinations thereof, are assumed to be available to provide
AC power to safety-related equipment. In the third case (L3), either EDG 1 or 3 is assumed to start
successfully and continue operating to supply emergency AC power to vital safety equipment at Unit 1. One
of the two EDGs may be in maintenance, and Unit 2 is under station blackout conditions as a result of EDG
2 being unavailable due to its failure to start or continue to run. Therefore, only one 4 kV emergency bus
1H (or 1J) is assumed to be available at Unit 1. For the fourth case (Bl), SBO at Unit 1 occurs when there
is no emergency AC power supply to its vital safety equipment. EDG 1 fails to start or continue to run;
however, there is one operable DG at Unit 2 to provide AC power to operate cross-connectable systems, such
as the charging and AFW systems. This DG could be EDG 2, supplying power to the 2 H bus, or EDG 3
supplying power to the 2J bus. A critical event during an SBO is depletion of the batteries which will result
in loss of instrumentation and control power. In the fifth case (B2), an SBO at both units is caused by the
unavailability of all three DGs upon loss of offsite power. This condition arises when EDG 1 and EDG 3 are
7-83 NUREG/CR-6144
7 Event Tree Analysis
in failed states, and EDG 2 is under maintenance. Therefore, the unavailability of AC power at Unit 2 results
in the unavailability to provide charging flow and AFW supply from Unit 2 systems.
Table 7.4-1 lists the diesel-generator unavailability states corresponding to each of the five LOSP/SBO cases.
In section 4.3.2, fault trees were developed to determine the conditional probabilities for these five cases. By
combining the success, failure, or maintenance states of each EDG, the conditional probabilities of the five
LOSP/SBO cases were derived. The assumptions made in modelling EDG failures are similar to those made
in Section 6.2.7.4.2 for developing the Emergency Power System (EPS) fault trees. In addition, maintenance
unavailability of EDG 1 and EDG 3 during mid-loop operations is not allowed because of the requirements
stipulated in the newly implemented "Reduced Inventory (15.3 ft) Checklist", which is included as an
attachment in the station operating procedure OP-RC-005 (Rev. 1, 4/07/92). Specifically, this checklist
requires that EDG 1 and EDG 3 be verified operable before the RCS level is dropped to its reduced inventory
configuration. Procedure OP-RC-005 also requires that the checklist is completed once every shift while the
RCS is in this configuration.
Since failures of the diesels to start and run are incorporated in the definition of the LOSP initiator, these
failures are disallowed from the subsequent model (unless power is recovered and a subsequent LOSP event
occurs). This is true also for some other failures (e.g. failures of the batteries used to power the switches
connecting the EDGs to the appropriate electrical buses). The failure of various components to start (e.g.
RHR pumps, CCW pumps,) also is included in the model, as these will be temporarily disconnected after a
LOSP.
The LOSP and SBO event trees were developed by considering the specific actions required of the hardware
and operators to recover the plant from the LOSP event in the related Surry plant procedures:
The procedures for loss of offsite power emphasize full power operation; therefore, some interpretation may
be needed to apply them to mid-loop LOSP events. For instance, the procedure cautions the operator not
to reconnect the CCW pump (which is on the stub bus) if the only source of power is a diesel generator. The
EDG maximum load is 2750 kW, and this may be approached, if, at full power, a LOCA coincides with a loss
of offsite power. The following equipment may be running at the same time, shortly after the event: charging
pumps (600 HP each, with possibility of 2 pumps on the same bus), AFW pump (400 HP), CSS (250 HP), ISR
(300 HP), OSR (300 HP), and LPI (300 HP). At Surry, the spray recirculation systems (ISR and OSR) run
concurrently with the injection spray system (CSS). In addition, some smaller systems will be connected
(charging pump cooling, recirculation fans). A CCW pump has a rating of 600 HP, i.e. it is relatively big in
terms of power consumption. Therefore, loading it onto a diesel under these conditions may bring the diesel
generator down (and it is not strictly necessary, if everything else is working). However, in the events analyzed
here for mid-loop operation, the diesel's power requirements will be much smaller, depending on the
availability of equipment. An RHR pump has a capacity of 300 HP, and CCW is needed to operate the RHR
NUREG/CR-6144 7-84
7 Event Tree Analysis
system. Therefore, if an attempt is made to restart the RHR, it is assumed that the operators will connect
the CCW pump(s).
As discussed in section 7.2, success criteria in the procedures were relaxed when we judged that the operators
(or the TSC) will realistically try to save the core rather than strictly follow the rigid guidelines. For example,
low pressure recirculation is taken credit for when the pressurizer safety valves are removed.
An LOSP event will have the following consequences: Compressed air will be lost, at least temporarily (due
to loss of bearing cooling water to the instrument air compressor), which will incapacitate the RHR (as the
CCW valves 109 A and B will close) and the reflux bleed path via steam generator PORVs. It is assumed
(and included in the model) that the operators will quickly recover from this loss (as written in the procedure)
by connecting the standby diesel compressor and/or using fire-water to cool the bearings of the instrument air
compressor. Even then, further action may be needed to operate the steam generator PORVs, as the semi-
vital bus is used for control power. This bus can be powered from either emergency bus (via MCCs 1H1-1
or 1J1-1), so it may be necessary to align this semi-vital bus to the live source of emergency power, depending
on the initiator (in a blackout, control of the steam generator PORV will be lost). If the SG PORVs cannot
be recovered, reflux cooling (which is the preferred method of cooling, except for a restart of the RHR
system) can be effected by dumping the steam into the condenser. If the condenser is not available, the steam
eventually will be dumped inside the turbine building (the procedure cautions that this building should first
be evacuated). For the steam dump to work, the operators have to open the main steam non-return valve
(along with the manual bypass valve around the main steam trip valve). This valve is powered from normal
buses, so it must be opened manually, which is not a simple operation.
On loss of compressed air, the air-operated valves cross-connecting the two Units' RWSTs will fail open, so
this connection will be established automatically, at least initially.
The charging, LPI, recirculation spray, and AFW systems will lose power temporarily and then be reconnected
to the live buses. In case of charging, it may be possible to cross-connect from Unit 2.
AFW also can be cross-connected (from any pump on Unit 2, including the steam-driven pump, as Unit 2 is
assumed to be initially at power). The steam-driven pump on Unit 1 will not work due to the low quality of
the steam. A fallback option for AFW is to use fire-water to replenish the steam generator secondary (which
is not necessary until several hours into the accident).
Since the LPI is needed for recirculation and since LPI train A, charging trains B and C, and spray
recirculation train B are assumed down for maintenance, the recirculation function will have a high
unavailability unless both emergency buses are powered. If bus 1H is down, then high-pressure recirculation
and spray recirculation both will be down. Low pressure recirculation will be up, but this configuration will
work only if the pressurizer safety valves are removed. These valves are never removed in drained
maintenance, and have a certain probability of not being removed in a refueling outage. If bus 1J is down,
then the low-pressure recirculation system, an essential component of recirculation function, will be down and
recirculation will not work. The recirculation function is needed in windows 1 and 2 (unless the RWSTs are
successfully cross-connected in window 2).
7-85 NUREG/CR-6144
7 Event Tree Analysis
In case of a blackout at either Unit (initiators L3, Bl and B2), there is a high probability that service water
will be lost to both Units due to draining of the Intake Canal through the open condenser 96" intake lines.
These lines are likely to be open even on Unit 1 (the shutdown Unit). These valves have to be closed
manually in the absence of emergency power, which probably will take longer than the time to drain the Canal.
If the service water is lost, then the RHR, the charging system, and the recirculation sprays will be lost.
If all else fails, gravity feed can be used to extend the time to core damage. This option will give a full 24
hours of cooling in window 4. Gravity feed uses essentially the same flowpath from the RWSTs as the forced
feed-and-bleed, so certain valves may need power; without power, these valves can be opened manually.
The success criteria used in the event trees and the timing of the accident scenarios were determined by the
thermal hydraulic analysis discussed in Chapter 5. These analyses also estimated the time available for AC
power recovery to allow mitigating actions. Recovery of offsite power is modeled as a top event in the event
trees. The time for offsite power recovery was taken to equal the time to uncovery of the core if no action
is taken, since, after that, reflux cooling will not be effective due to loss of inventory. In some scenarios, some
mitigating function may be operating but is not sufficient to provide 24 hours of decay heat removal (gravity
feed, reflux cooling or feed-and-bleed). After the cutsets were generated, the offsite power non-recovery
probability was adjusted to account for additional time available should certain mitigating features be effective.
Once offsite power is recovered, the conditional probability of core damage will be significantly reduced.
Instrument air will be recovered, so reflux cooling will have a higher availability (steam generator PORVs will
be operable, as power will be available to the semi-vital bus and compressed air will be available from regular
sources); also, the RHR system will have a higher availability once instrument air is recovered. The feed-and-
bleed function will have a higher availabilitybecause there will be no degradation in power supplies coincident
with a high probability of maintenance of trains (e.g. trains B and C of charging are in maintenance, as are
train B of LPI and train B of the recirculation sprays). The same is true for the AFW system (train B has a
high probability of downtime due to maintenance). Circulating water pumps will be started to recover the
service water system if it was lost in a blackout (see discussion in L3, Bl and B2). Also, there will be a higher
probability of help from Unit 2. For instance, for charging cross-connect, charging pump 2C must be operable,
i.e. electrical bus 2H must be up, which may or may not have been before the recovery of offsite power.
In the following Sections, the event trees for each LOSP category will be discussed. Ten event trees for each
LOSP category were constructed to define the accident sequences; one for each combination of time windows
and POSs. They are shown in Figures 7.4-1 to 7.4-50. The event trees for LI, L2 and L3 are identical for a
given window and POS, although the structure of certain fault trees will be different and some basic events
will be quantified differently.
7.4.1 Event Trees for Loss of Offsite Power with Both Emergency Buses Available (LI)
In Window 1, the plant conditions are characterized by a decay heat load of 13.2 MW attained in 2 days after
shutdown from full-power operation. Figure 7.4-1 shows the event tree for the LOSP initiating event, LI,
where both 4 kV AC emergency buses 1H and 1J are available. Following a LOSP, the RHR pump is tripped
NUREG/CR-6144 7-86
7 Event Tree Analysis
by load shedding of stub buses from the 4 kV emergency buses. The stub buses must be manually reconnected
to the 4 kV emergency buses to restore power supply to the RHR pumps, before the core starts to boil,
otherwise, the RHR pumps will be vapor-bound and unstartable. Because of the estimated decay-heat load
in the reactor coolant system (RCS), the time to core uncovery is 2.0 hours if no mitigating systems are
available to keep it covered and cooled. If the ability of the RCS to remove decay heat is lost due to the
inability to restore RHR pumps, the operator must control RCS temperature by dumping secondary steam
to the main condenser via main turbine steam dump valves. Long-term makeup to the steam generators (SGs)
is required, while RCS makeup can be provided by gravity feed from RWST inventory when depressurized,
or by feed-and-bleed operation using a charging pump or low head injection pump. Long-term cooling has
to be supplied by the recirculation systems when feed-and-bleed or gravity feed are used. Recovery of offsite
AC power within 2.0 hours would restore the plant to stable conditions; therefore, non-recovery of offsite AC
power is modeled in the event tree as a decision point for successful mitigation of the initiator. Due to the
similarity of top event definitions for the L2W1R6 and L3W1R6 event trees, only the top events of the
L1W1R6 event tree are described below:
7-87 NUREG/CR-6144
7 Event Tree Analysis
NUREG/CR-6144 7-88
7 Event Tree Analysis
recirculation failing if the full combination of HHSI and LHSI pumps is used (taken from the NUREG-1150
analysis ' ). If the HHSI is not available, two methods of recirculation were taken credit for (as discussed in
1 1
section 7.2), low pressure feed-and-spill and low pressure feed-and-steam. The low pressure feed-and-spill
requires that the sprays must operate for the LHSI pump to be effective in pushing the coolant out of the
pressurizer PORVs (there is not enough head for the pressure drop from saturated coolant flowing out the
PORVs). In low pressure feed-and-steam operation with the safety valves removed, the LHSI pump has
adequate head to overcome the pressure drop, even in the absence of sprays. The LHSI pump then is subject
to the same 2% probability of failure if the recirculation sprays are unavailable.
Sequence 4 has a loss of offsite power initiator with failure to recover RHR. The safety valves are removed,
which means reflux cooling cannot be used. Offsite power is recovered within 2 hours and forced feed-and-
bleed works in the injection mode. However, failure of recirculation eventually leads to core damage.
Sequence 5 is similar, except forced feed-and-bleed fails. Gravity feed is successful, but insufficient to keep
the core cooled for 24 hours. Any actions taken after gravity feed are addressed in the recovery analysis.
Sequences 8, 9, and 10 are similar to sequences 4, 5, and 6, respectively, except that offsite power is not
recovered within 2 hrs.
In Sequence 13, RHR is not recovered after the initiator, pressurizer safety valves are not removed, but reflux
cooling fails nevertheless. Offsite power is recovered within 2 hours, forced feed-and-bleed works, but
recirculation fails, causing core damage (gravity feed cannot be used because the safety valves were not
removed).
Sequences 17 and 18 are similar to sequences 13 and 14, respectively, except that offsite power is not
recovered within 2 hrs.
This event tree, Figure 7.4-2, has a similar structure to the POS R6 trees except events VWl, reflux cooling
and gravity feed are absent. In POS D6, one loop is isolated, so 2 steam generators are not enough to provide
reflux cooling. VWl is not questioned because the safety valves are not removed in drained maintenance.
Therefore, gravity feed cannot be used.
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7 Event Tree Analysis
Sequence 4 has the LOSP initiator followed by failure to recover RHR, recovery of offsite power within 2 hrs,
success of forced feed-and-bleed in the injection mode, but failure in recirculation mode, resulting damage
to the core.
Sequence 5 is similar, except feed-and-bleed fails in the injection mode, resulting in early core damage.
Sequences 7 and 8 are similar to sequences 4 and 5, respectively, except that offsite power is not recovered
within 2 hrs.
The event tree structure and sequence logic of this event tree, Figure 7.4-3, are the same as those for the
L1W1R6 event tree. Success criteria of top events are somewhat relaxed due the to lower decay power (10
MW). The time available to recover offsite power increases to 2.62 hrs. Onfy 2 steam generators are needed
for successful reflux cooling (+ AFW for long-term cooling after 10 hours). Gravity feed will provide an
additional 6.5 hours,AnAcrp_ss tyjng.the„RWSTs_(withchargmg available) will give a t l e a s t ^
z
This tree,Figure 7.4-4, is similar to the window 1 tree in D6 (i.e., Figure 7.4-2), except that credit is taken for
reflux cooling, because, with one loop isolated in this POS, reflux cooling will still be successful with two steam
generators. The core-damage sequences are 5, 6, 9, and 10 (corresponding to 4, 5, 7, and 8 in the L1W1D6
trees, except that reflux cooling is an additional failure in all of these sequences).
This tree, Figure 7.4-5, is similar to W1R6 and W2R6 trees, except that all three loops are isolated, so there
is no reflux cooling, but decay power is sufficiently low (7MW) that recirculation cooling is not needed in the
first 24 hours. Gravity feed is still not sufficient for 24 hours (so its failure results in core damage, pending
analysis of recovery actions), but provides an additional 12 hours of cooling. Success criteria are further
relaxed; the time for recovery of offsite power increases to 3.46 hrs. Two SGs are'still needed for reflux
cooling, but AFW is not needed for 15 hours.
Sequences 4,5, 7, and 8 have the safety valves.removed. Sequences^ and 7 have failure of forced feed-and-
bleedI but success of gravity feed (which isinsufficient torpyeveBt COTe^ma^)] se^ueMe^ haYoffafe^ower
recovered within 3.5 hours. Sequences 5 and 8 are similar to 4 and 7, except that gravity feed fails.
Sequences 10 and 12 are caused by failure of forced feed-and-bleed (with or without restoration of offsite
power); gravity feed cannot be used because the pressurizer safety valves are not removed.
NUREG/CR-6144 7-90
7 Event Tree Analysis
This event tree, Figure 7.4-6, has exactly the same structure as that of L1W3R6. The only differences are the
frequency that the initiating event occurs and maintenance unavailabilities.
In D6, only one loop is isolated, so credit can be given to reflux cooling in window 3. The tree structure in
Figure 7.4-7 is similar to that of L1W2D6 trees, except recirculation cooling is not needed, so that successful
forced feed- and-bleed avoids core damage. The core-damage sequences are 5 and 8, resulting from failure
of reflux cooling, forced feed-and-bleed, and non-restoration of RHR. In addition, in sequence 5, offsite
power is restored within 3.5 hours.
This event tree, Figure 7.4-8, has a similar structure to the corresponding L1W3R6 event tree, except that now
gravity feed is sufficient to cool the core for at least 24 hours, due to a lower decay power (5 MW); hence,
its success avoids core damage within the 24 hr mission time. The success criteria are further relaxed; offsite
power recovery is credited within 4.6 hours after the initial event. Only one SG is needed for reflux cooling
(and AFW is not needed for 10 hours, as only one SG is assumed available).
The description of the core damage sequences' is the same as that of L1W3D6, except that sequences involving
success of gravity feed are no longer core damage (sequences 4 and 7).
This event tree, Figure 7.4.1-9, has exactly the same structure as that of L1W4R6. The only differences are
the frequency that the initiating event occurs and maintenance unavailabilities.
This event tree, Figure 7.4.1-10, is the same in structure, and the core damage sequences are the same as in
window 3.
7.4.2 Event Tree for Loss of Offsite Power with Only One Emergency Bus Available (L2)
The L2 event trees are shown in Figures 7.4-11 to 7.4-20. The event tree model for this initiator is similar to
that of the LI initiator. Basic events (such as HEPs) may be given different values due to availability of only
one bus. Some fault trees are changed to account for availability of only one emergency bus, with a
probability calculated for unavailability of 1H vs. 1J bus in this event (see section 4.3.2), which will impact the
availability of equipment powered from these buses. Also, the availability of 2H bus is calculated in case it
is necessary to cross-connect the charging pump cooling systems.
Otherwise, the descriptions of event trees and sequences for L2 event trees is the same as those of the LI
event trees.
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7 Event Tree Analysis
7.43 Event Tree for Loss of Offsite Power with Only One Emergency Bus at Unit One
and Station Black-out at Unit 2 (L3)
The L3 event trees are not shown in Figures 7.4-21 to 7.4-30. The event tree model for this initiator is similar
to that of the LI initiator. Basic events (such as HEPs) may be given different values due to availability of
only one bus. Some fault trees are changed to account for availability of only one emergency bus, with a
probability calculated for unavailability of 1H vs. 1J bus in this event (see section 4.3.2), which will impact the
availability of equipmentpoweredfrom these buses.
Another consideration in the L3 event tree (blackout on Unit 2)-is the availability of service water and its
impact on frontline systems. The Intake Canal drains quickly (30-60 min) unless the condenser valves are
closed. This is because the main circulating water (CW) pumps run on normal power, and the emergency
service water pumps are badly mismatched to the outflow through the condenser inlet lines. Also, the outlet
isolation valves automatically close to the 25% open (75% closed) position on receipt of a blackout signal.
However, this is not perceived to have much effect on the flow through the valves (it may make them easier
to close) due to their construction. Also, there is a certain chance that the shutdown Unit will not have water
running through its condensers due to maintenance. The vacuum priming system may be off, which will slow-
down the outflow from the Canal. These considerations will not have much effect on the conclusion that
powered closure of these valves is the only option, because the manual closure will take too much time.
Table 7.4-2 shows the power sources of these valves. Those marked "106" and "206" are the condenser inlet
valves for Unit 1 and Unit 2, respectively, whereas the valves marked "100" and "200" are the condenser outlet
valves for the two Units. ILpower is available to the 1J bus, all 8 condenser lines can be successfully isolated
througL a_ combination ofinletand outlet valves. If-power-is available-to-the-2J bus,-there are provisions
(hardware and procedure) for tying the 2J bus to the MGG lJl-LVso that the Canal can again be isolated
from the condensers. If either 1H or 2H (but not both) buses have power, then only 4 out of 8 lines can be
isolated, and the buses must be cross-tied tO"close~the"remainingUnes"(th'e proce*dures afe'in^pla^e fOT tKis
_ _ _ _
action).
In the model for initiating events L3 and Bl, a high-level HEP event is used to model failure of the operator
to isolate the Canal.
If offsite power is recovered ('N' event successful), the model assumes service water is recovered, as the CW
valves are assumed closed by the operators once the power is available. Otherwise, the descriptions of event
trees and sequences for L3 event trees are the same as those of the LI event trees.
Event trees were constructed to analyze the accident sequences during mid-loop operation where Unit 1 has
no AC power, but Unit 2 has one operable DG, that could be EDG-2, supplying power to the 2H bus, or
EDG3, supplying power to the 2J bus. As shown on Figures 7.4-31 to 7.4-40, these event trees areBlWlR6,
B1W1D6, B1W2R6, B1W2D6, B1W3R6, B1W3R10, B1W3D6, B1W4R6, B1W4R10, and B1W4D6 which
represent the response to the initiating event at the mid-loop POSs of the two outage types. During SBOs,
loss of instrument air causes the main steam-trip valves (MSTVs) to fail closed, the SG PORVs to fail closed,
while AFW flow distribution to the SGs is lost. A critical event in timing for SBO evaluations is the depletion
NUREG/CR-6144 7-92
7 Event Tree Analysis
of the vital batteries causes the loss of instrumentation or control power throughout the plant. The batteries
at the Surry plant are designed for a two-hour load discharge; however, depletion time could be extended by
shedding non-essential loads. An assumption of four hours to the expected battery depletion was considered
in the SBO sequences in the event tree models that are discussed next.
Important considerations during an SBO event are the preservation of the RCS inventory, the removal of
decay heat by the supply of feedwater to the steam generators, and the extension of battery life. In the Unit
1 SBO scenarios, cross-connecting the Unit 2 charging pump to provide HPI flow for RCS makeup is a
reliable, alternative source of fluid inventory to the primary system. We note that the charging pumps depend
on the Charging Pump Cooling (CPC) system to provide cooling to the charging pump's seal coolers (via the
charging pump cooling water system) and the lube-oil coolers (via the charging pump service water system).
Seal cooling is not required as long as the pumped fluid is below 115°F (the RWST water is kept at 45°F,
except right after refueling, i.e. possibly in POS 10)' . Therefore, the CPC system would be needed only in
2)
recirculation mode, and only if the recirculation sprays are not working (only windows 1 and 2 would be
affected). If needed, the ultimate heat sink for this system would be the service water. The lubricating oil
to charging pump bearings also is cooled by service water via lube-oil coolers of the CPC system. Therefore,
sufficient service water is necessary for the continued operation of charging pumps in either unit of the Surry
station.
The service water lines tap off the 96-inch circulating water inlet pipes upstream of the inlet isolation valves
of the main condenser. Circulating water or service water inventory is gravity-fed from the Intake Canal,
which depends on the difference in pressure head between the Intake Canal and the Discharge Tunnel. The
Intake Canal inventory, which is commonly shared by both units of the Surry nuclear station, is provided by
the motor-driven Circulating Water Pumps (CWPs), which draw suction from the James River. When offsite
AC power supply is lost, the CWPs become unavailable. Then, if the main condenser is not isolated, the
outflow of circulating water through the condenser will be much greater than the makeup provided by the
diesel-driven emergency service water pumps. The canal may be drained before the offsite AC power needed
to operate CWPs is restored, depending on the number of condensers that are not isolated. The inlet and
outlet isolation MOVs of the condensers are powered by the 4kv emergency AC buses. As described in
Section 6.2.14.2.2, the distribution of power supply for these MOVs ensures that at least one isolation MOV
in each of the eight CW lines can be closed to conserve Intake Canal level if the offsite AC power supply is
lost.
If there is a station blackout at both units, there will be no electrical power to operate the CW isolation
MOVs. Assuming that all eight CW lines are filled with running water when both units are at full power, it
is conservatively estimated that the canal would drain in about 30 minutes to an hour. This estimate is
conservative because credit can be taken for operational constraints on the plants configuration during
shutdown conditions. For example, if Unit 1 is in a refueling outage, part or all of the four tube bundles of
the main condenser may be under eddy-current testing. Then, the associated inlet and outlet CW lines are
required to be isolated. Also, when a unit is in cold shutdown, the Discharge Tunnel is open to the
atmosphere via the vacuum breaker vents. This configuration would reduce the gravity flow through
unisolated CW lines, and thus, somewhat increase the time to canal drainage.
In previous PRA studies (e.g., NUREG-1150' ), manual isolation of the condenser isolation valves by the
11
operator was identified as a viable means to maintain sufficient inventory in the Intake Canal in the event of
loss of offsite AC power or station blackout at one unit. However, from discussions with Virginia Power
7-93 NUREG/CR-6144
7 Event Tree Analysis
personnel, we estimated that it would take two operators about 30 minutes to close the handwheel of any one
of the 96-inch butterfly-type isolation valves. We concluded that manual isolation of the condensers to
conserve Intake Canal inventory during SBO is not achievable. Thus, remote isolation of condenser inlet and
outlet valves by electrical means is considered in the SBO event trees. In the case of SBO at Unit 1, there is
at least one operable EDG at Unit 2. If the 2J bus is energized, either the inlet or outlet MOV in each of
the eight CW lines is powered by the 2J bus and can be closed electrically (this is possible because the 2J bus
can be cross-tied to the MCC 1J1-1A, normally connected to the 1J bus on Unit 1; this MCC powers a
sufficient combination of inlet and outlet CW MOVs to successfully isolate the Canal from the condensers).
If only the 2H bus is energized and 2J bus is not, then local cross-tying of the 2H and 2J buses is required to
establish power supply to the Unit 1 CW MOVs. The conservative assumption is that 2J bus is not energized
during a Unit 1 station blackout.
When SBO occurs at Unit 1 during mid-loop conditions, the RHR pumps are tripped and the capability to
remove decay heat is lost. If the RCS is vented, RCS makeup from Unit 2 charging system, or gravity feed
from RWST inventory can be used to maintain RCS water level upon loss of RHR capability. If the SGs are
in wet layup conditions, the SG inventory is a heat sink that helps to mitigate any heatup of the primary
system unless the RCS loops are isolated for maintenance.
The Bl event tree for window 1 of R6 is shown in Figure 7.4-31. The top events of the event tree are
described below:
NUREG/CR-6144 7-94
7 Event Tree Analysis
and-spill operation. Therefore, the success of this top event still leads to core damage. However, it provides
more time for recovery actions such as recovery of offsite power and reflux cooling.
Sequences 6 through 8 delineate outcomes when RCS is not vented. Sequence 6 represents the successful
restoration of offsite AC power supply and is transferred to the R5W1R6 (recoverable loss of RHR) event
tree for further evaluation. Sequence 7 is a logically impossible sequence, because reflux cooling is not taken
credit for in the logic model and is modeled as a recovery action. In sequence 8, forced flow from the Unit
2 charging system provides RCS makeup to prevent heatup of the primary system and subsequent core damage
in the near term. In sequence 9, the unavailability of RCS makeup from the Unit 2 charging system results
in RCS boiloff and subsequently, the core is damaged.
The Bl event tree for window 1 of D6 is shown in Figure 7.4-32. The top events of this event tree have the
same definition as those of the event tree for R6. The 2 event trees differ in their structure due to the facts
that the safety valves on the pressurizer are not removed in D6, and in window 1, the success criterion for
reflux cooling cannot be satisfied in D6.
Sequence 1 characterizes the initial conditions in POS 6 of the drained maintenance outage. Sequence 2
represents the recovery of AC power supply and transfers to the R5W1D6 (recoverable loss of RHR) event
tree for further evaluation. In sequence 3, RCS makeup from the Unit 2 charging system is sufficient to
maintain RCS cooldown and depressurization. In the near term, however, core damage results due to
unavailability of recirculation systems on Unit 1. Sequence 4 represents the unavailability of RCS makeup
7-95 NUREG/CR-6144
7 Event Tree Analysis
from the Unit 2 charging system to the primary system, and this results in RCS boiloff and the ensuing core
damage.
The differences between sequences and event tree structure in other windows are similar to the considerations
described in Section 7.4.1, for LI event trees.
Station blackout at both units occurs when all three diesel generators are unavailable upon loss of offsite
power. Due to the unavailability of AC power supply at Unit 2, the charging pump flow to provide RCS
makeup to the Unit 1 primary system is not available. Therefore, the event tree models for dual unit SBO
event, B2, differ from the single unit SBO event trees only in that the availability of charging flow from Unit
2 is not considered.
As shown in Figures 7.4-41 to 7.4-50, the event tree models developed for the dual unit SBO event are the
B2W1R6, B2W1D6, B2W2R6, B2W2D6, B2W3R6, B2W3R10, B2W3D6, B2W4R6, B2W4R10, and B2W4D6
event trees which represent the response to the initiating event, B2, at the mid-loop POSs. The definitions
of top events for these event trees are similar to the single unit SBO event, Bl; therefore, the descriptions are
analogous. The accident sequences identified for the B2 event are also analogous to those identified for the
Bl event, without considering the availability of RCS makeup from the Unit 2 charging system.
7.4.6 References:
1. Bertucio, R.C. and Julius, J.A. "Analysis of Core Damage Frequency: Surry, Unit 1, Internal Events",
April, 1990, NUREG/CR-4550.
2. Virginia Power Company, "10CFR50 Appendix R Report, Surry Power Station - Units 1 and 2", Chapter
10, Volume IV.
NUREG/CR-6144 7-96
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Figure 7.4-31 Event Tree for Unit-1 Station Blackout in Window 1 of R6 (B1W1R6)
UNITY IB1W1 NB1W1 2CHGW1 SEQ # END-STATE-NAMES
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Figure 7.4-32 Event Ttee for Unlt-1 StaUon Blackout In Window 1 of D6 (B1W1D6)
UNITY IB1W2 VW2 NB1W2 SB1W2 2CHGW2 GB1W2 SEQ # END-STATE -NAMES
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Figure 7.4-33 Event Tree for Unlt-l Station Blackout in Window 2 of R6 (B1W2R6)
UNITY IB1W2 NB1W2 SB1W2 2CHGW2 SEQ # END-STATE-NAMES
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Figure 7.4-34 Event Tree for Unit-1 Station Blackout in Window 2 of D6 (B1W2D6)
UNITY IB1W3 VW3 NB1W3 2CHGW3 GB1W3 SEQ # END-STATE-NAMES
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Figure 7.4-35 Event Tree for Unlt-1 Station Blackout In Window 3 of R6 (B1W3R6)
UNITY IB1W3 VW3 NB1W3 2CHGW3 GB1W3 SEQ # END-STA-TE-NAMES
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B1W3R10 EVENT TREE
Figure 7.4-36 Event Tree for Unit-1 Station Blackout in Window 3 of RIO (B1W3R10)
UNITY IB1W3 NB1TC3 SB1W3 2CHGW3 SEQ # END-STATE-NAMES
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Figure 7.4-37 Event Tree for Unit-1 Station Blackout in Window 3 of D6 (B1W3D6)
UNITY IB1W4 VW4 NB1W4 2CHGW4 GB1W4 SEQ # END-STATE-NAMES
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Figure 7.4-38 Event Tree for Unit-1 Station Blackout In Window 4 of R6 (B1W4R6)
UNITY IB1W4 VW4 NB1W4 2CHGW4 GB1W4 SEQ # END-STATE-NAMES
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Figure 7.4-39 Event Tree for Unlt-l Station Blackout In Window 4 of RIO (B1W4R10) }
UNITY IB1W4 NB1W4 SB1W4 2CHGW4 SEQ # END-STATE-NAMES
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Figure 7.4-40 Event Tree for Unit-1 Station Blackout in Window 4 of D6 (B1W4D6)
UNITY IB2W1 VW1 NB2W1 GB2W1 SEQ # END-STATE-NAMES
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Figure 7.4-41 Event Tree for Station Blackout at Both Units in Window 1 of R6 (B2W1R6)
UNITY IB2W1 NB2W1 SEQ # END-STATE-NAMES
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Figure 7.4-42 Event Tree for Station Blackout at Both Units in Window 1 of D6 (B2W1D6)
UNITY IB2W2 VW2 NB2W2 GB2W2 SEQ # END-STATE-NAMES
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3 CD
4 CD
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6 CD
Figure 7.4-43 Event Tree for Station Blackout at Both Units In Window 2 of R6 (B2W2R6)
UNITY IB2W2 NB2W2 SEQ # END-STATE-NAMES
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Figure 7.4-44 Event Tree for Station Blackout at Both Units in Window 2 of D6 (B2W2D6)
UNITY IB2W3 VW3 NB2W3 GB2W3 SEQ # END-STATE-NAMES
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4 CD
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6 CD
Figure 7.4-45 Event Tree for Station Blackout at Both Units in Window 3 of R6 (B2W3R6)
UNITY IB2W3 VW3 NB2W3 GB2W3 SEQ # END-STATE-NAMES
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6 CD
Figure 7.4-46 Event Tree for Station Blackout at Both Units in Window 3 of RIO (B2W3R10)
UNITY IB2W3 NB2W3 SEQ # END-STATE-NAMES
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Figure 7.4-47 Event Tree for Station Blackout at Both Units in Window 3 of D6 (B2W3D6)
UNITY IB2W4 VW4 NB2W4 GB2W4 SEQ # END-STATE-NAMES
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Figure 7.4^18 Event Tree for Station Blackout at Both Units In Window 4 of R6 (B2W4R6)
UNITY IB2W4-" VW4 NB2W4 GB2W4 SEQ # END-STATE-NAMES
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Figure 7.4-49 Event Tree for Station Blackout at Both Units in Window 4 of RIO (B2W4R10)
UNITY IB2W4 NB2W4 SEQ # END-STATE-NAMES
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Figure 7.4-50 Event Tree for Station Blackout at Both Units in Window 4 of D6 (B2W4D6)
7 Event Tree Analysis
Table 7.4-1
NOTES:
7-147
7 Event Tree Analysis
Table 7.4-2
NUREG/CR-6144 7-148
t
Ten event trees were developed for each initiating event. The different event trees reflect the different system
configurations and other conditions in the respective mid-loop operation modes: POS 6 -Refueling, POS 10 -
Refueling, and POS 6 - Drained Maintenance, as well as the different success criteria used in different time
windows.
(a) abnormal procedure AP 27.00 Rev. 4 describing the operator's actions given a generic loss of the RHR
system,
(b) abnormal procedures describing the operator's actions given loss of a particular support system (under
power operation),
l-ECA-0.0 Loss of All AC Power (Rev. 6), 4/22/92
l-ECA-0.1 Loss of All AC Power Without SI Required (Rev. 6), 4/22/92
l-ECA-0.2 Loss of all AC Power With SI Required (Rev. 4), 4/22/92
O-AP-17.00Auto Start Failure of #1 or #2 EDG (Rev. 1), 3/29/91
O-AP-17.01#l or #2 EDG Fails to Accept Electrical Load (Rev. l),3/28/91
O-AP-17.02Auto Start Failure of 3 EDG (Rev. 0), 8/14/90
O-AP-17.03#3 EDG Fails to Accept Electrical Load (Rev. 1), 3/28/91
l-AP-10.01 Loss of Vital Bus I (Rev. 3), 4/23/92
1-AP-10.02 Loss of Vital Bus II (Rev. 2), 4/23/92
l-AP-10.03 Loss of Vital Bus III (Rev. 2), 4/23/92
l-AP-10.04 Loss of Vital Bus IV (Rev. 1), 4/23/92
l-AP-10.05 Loss of Semi-Vital Bus (Rev. 1), 12/12/91
l-AP-15.00 Loss of Component Cooling (Rev. 1), 12/5/91
O-AP-40.0 Non-Reversible Loss of Instrument Air (Rev. 3), 12/5/91
(c) information obtained from plant personnel.
The support system event trees are similar to the event trees for loss of RHR. Each loss of support system
initiating event has its own impacts on the plant. The impacts and how they were modeled are discussed in
this section. The recovery from such loss is modeled as a top event, the "H" top event, in the event trees.
The recovery is modeled using the recovery curves estimated using industry data, (see Chapter 4 and
Appendix D)
"Loss of a 4.16 kV AC Emergency Bus" initiator is defined as a power failure either due to a loss of preferred
feed from the Reserve Station Service Supply or due to a local bus/breaker failure (short), causing a
momentary loss of all the loads on the bus affected. The power can be recovered after the failure is cleared
by the associated diesel generator, by the RSS Supply or by backfeed.
7-149 NUREG/CR-6144
7 Event Tree Analysis
We selected, the loss of 4.16 kV AC Emergency Bus "H" event for analysis because it interrupts the operating
RHR train. The associated event tree treats the "Loss of a 4.16 kV AC Emergency Bus" event as a loss of
RHR event, coupled with the unavailability of one of the two essential power supplies to the RHR System.
Window 1
The event tree, 4KW1R6, applicable to this POS in this window is presented in Figure 7.5.1-1.
NUREG/CR-6144 7-150
7 Event Tree Analysis
C4KW1 • Recirculation
The feed-and-bleed method must be supplemented by the recirculation function to insure long-term heat
removal.
The event tree shows that Sequences 4, 5, 6, 9,10,13,14 15,18, and 19 lead to core damage, because of the
failed methods of decay- heat removal. We note that Sequences 4, 5, 6, 9, and 10 have to be quantified with
recovered Emergency Bus H, and Sequences 13 through 19 with the condition that Emergency Bus H is not
available.
Window 2
Figure 7.5.1-2 shows the event tree, 4KW 2R6, applicable to this POS in window 2. The meanings of the top
events are similar to top events in window 1, and only those are described which are different (the notation
changes by replacing Wl to W2, i.e., I4KW1 - I4KW2, etc.)
C4KW2 • Recirculation
If the unit 2 RWST can be cross-connected to unit 1 RWST, then there is no need for a recirculation function.
Window 3
Figure 7.5.1-3 shows the event tree, 4KW3R6.
Window 4
Figure 7.5.1-4 shows the event tree, 4KW4R6.
i
Window 3
The event tree, 4KW3R10, applicable to this POS is given in Figure 7.5.1-5. Due to the different conditions
and features characterizing this POS, top events questioning the availability of reflux cooling (S) and the
necessity of recirculation function are not needed.
7-151 NUREG/CR-6144
7 Event Tree Analysis
The meanings of the top events are identical to those involved in the window 3 POS 6 - Refueling Event Tree.
Window 4
Figure 73.1-6 shows the event tree, 4KW4R10. The top events are functionally the same as in window 3, and
identical to the POS 6 refueling event tree.
7.5.13 "Loss of a 4.16 kV AC Emergency Bus" Event Tree - Drained Maintenance POS 6
Window 1
The event tree, 4KW1D6, applicable to POS 6 - Drained Maintenance is shown in Figure 7.5.1-7. Due to
stringent success criteria for successful heat removal, there is only one alternate technique besides the RHR
System: Primary Feed-and-BIeed, coupled with the recirculation function.
Window 2
The event tree 4KW2D6 is presented in Figure 7.5.1-8.
NUREG/CR-6144 7-152
7 Event Tree Analysis
Window 3
Figure 7.5.1-9 shows the event tree, 4KW3D6. The recirculation function (c) is removed.
Window 4
The event tree, 4KW4D6, is given in Figure 7.5.1-10, which is the same as window 3 with the appropriate top
events.
7-153 NUREG/CR-6144
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UNITY I4EW2 H4EW2 R4EW2 VW2 S4EW2 F4EW2 G4EW2 C4EW2 SEQ # END-STATE-NAMES
1 @
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4 CD
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6 CD
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8 @
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10 CD
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14 CD
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Figure 7.5.1-2 Event Tree for Loss of 4KV Bus in Window 2 of R6 (4KW2R6)
UNITY I4KW3 H4KW3 R4KW3 VW3 P4KW3 G4EW3 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 CD
5 CD
6 @
7 CD
ON
8 @
9 @
10 CD
11 CD
12 ®
13 CD
Figure 7.5.1-3 Event Tree for Loss of 4KV Bus in Window 3 of R6 (4KW3R6)
UNITY I4KW4 H4KW4 R4KW4 VW4 F4EW4 G4KW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 OK
5 CD
6 @
7 CD
8 ®
9 @
10 OK
11 CD
12 ®
13 CD
Figure 73.1-4 Event Tree for Loss of 4KV Bus in Window 4 of R6 (4KW4R6)
UNITY I4KTV3 H4KW3 R4KW3 VW3 P4EW3 G4EW3 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 CD
5 CD
6 @
7 CD
8 @
9 @
oo 10 CD
11 CD
12 <£?
13 CD
Figure 73.1-5 Event Tree for Loss of 4KV Bus in Window 3 of RIO (4KW3R10)
UNITY I4EW4 H4EW4 R4EW4 VW4 F4EW4 G4EW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 OK
5 CD
6 <s>
7 CD
8 @
9 @
10 OK
11 CD
12 <S5>
13 CD
Figure 7.5.1-6 Event Tree for Loss of 4KV Bus in Window 4 of RIO (4KW4R10)
UNITY I4KW1 H4KW1 R4KW1 F4KW1 C4KW1 SEQ # END-STATE
1 @
2 @
3 @
4 CD
5 CD
8 6 @ '
7 @,
8 CD
9 CD
Figure 7.5.1-7 Event Tree for Loss of 4KV Bus in Window 1 of D6 (4KW1D6)
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UNITY I4KW3 H4KW3 R4KW3 S4KW3 F4KW3 SEQ # END-STATE
1 @'
2 @"
3 OK
4
5 CD
6 @-
7 OK
8 @
9 CD
Figure 73.1-9 Event Tree for Loss of 4KV Bus in Window 3 of D6 (4KW3D6) >
UNITY I4KW4 H4KW4 R4KW4 S4KW4 F4KW4 SEQ # END-STATE
1
2 @
3 OK
4 @
5 CD
6 @
7 OK
8 @
9 CD
Figure 7.5.1-10 Event Tree for Loss of 4KV Bus in Window 4 of D6 (4KW4D6)
7 Event Tree Analysis
causes the flow control valve l-RH-HCV-1758 (RHR HX flow) to fail open with the potential of starting RHR
pump runout.
The bus can be recovered after its local failure has been cleared. If not, the operator has to adjust the flow
control valve locally to restore the operation of the RHR. If the operator could not regain flow control, but
started the standby RHR train, there would be a risk of losing the whole RHR.
Window 1
Figure 7.5.2-1 presents the event tree, VBW1R6, applicable to this POS in Window 1.
'The loss of Vital Bus 1-1 or l-II has the possibility of failing the operation of the RHR because it causes
the isolation valve 1-TV-CC-109A or 109B (CCW return from RHR) to close. If the 109A valve is closed,
CCW is lost to the operating RHR heat exchanger. Closure of the 109B valve will isolate the CCW to both
RHR pump seal coolers. According to plant personnel, loss of RHR pump seal cooling does not represent
real initiating event because the RHR pumps can operate, even for 24 hours, without seal cooling provided
that relatively cool water is circulating in the RHR. Therefore, it would be conservative to assume that loss
of bus l-II leads to loss of RHR. If the Vital Bus cannot be recovered, the operator will have to local
manualry open the 109 valve with a portable air bottle and restore the CCW to RHR.
NUREG/CR-6144 7-164
7 Event Tree Analysis
The event represents the initial condition of the RCS, whether the three pressurizer safety relief valves are
removed or not. The event is required because it affects the applicability of alternative heat removal
techniques: gravity feed from the RWST needs vented RCS. The availability of reflux cooling also is affected
because such cooling is not possible if there was a loss of RCS inventory through the vents of the pressurizer
(each safety valve removed leaves a 4-inch diameter opening on top of the pressurizer). For such an event,
a probability of 0.01 was estimated in window 1 (see Sections 3.6 and 9.4).
C4KW1 - Recirculation
Recirculation function provides long term heat removal once the RWST inventory is injected.
The event tree shows that Sequences 4, 5, 6, 9, 10, 13, 14, 15, 18, and 19 lead to core damage because of the
failure of decay heat removal. Sequences 4, 5, 6, 9, and 10 have to be quantified with recovered Vital Bus
l-III, and sequences 13, 14, 15, 17, 18, and 19 with the condition that Vital Bus l-III is not available.
Window 2
Figure 7.5.2-2 shows the event tree, VBW2R6.
Window 3
The event tree, VBW3R6, is presented in Figure 7.5.2-3. Reflux cooling is not available due to isolation of
the loops. Recirculation is not needed due to low decay heat.
Window 4
Figure 7.5.2-4 gives the event tree, VBW4R6. In this time window, reflux cooling is not available due to
isolation of the RCS loops, and recirculation is not needed due to low decay heat level.
7-165 NUREG/CR-6144
7 Event Tree Analysis
7.S.7.7. "Loss of a 120 VAC Vital Bns Event Tree - Refueling POS 10
a
Window 3
The event tree, VBW3R10, applicable to this POS is presented in Figure 7.5.2-5. Due to the different
conditions and features characterizing this POS, the top events questioning the availability of reflux cooling
(S) and recirculation function (C) are not needed.
The meanings of the top events are very similar to those involved in the POS 6 - Refueling Event Tree.
However, for completeness, they are described again emphasizing the differences.
In the event tree the following six sequences lead to core damage: Sequences 4, 5, 7, 10, 11, and 13.
Sequences 4,5, and 7 are quantified with recovered Vital Bus l-III. Sequences 10,11, and 13 are quantified
with the condition that the Vital Bus is not available.
Window 4
The event tree for this time window is shown in Figure 7.5.2-6. It has the same structure as that of window
3 except that those sequences with successful gravity feed lead to successful termination.
7.5.23 "Loss of a 120 VAC Vital Bus" Event Tree - Drained Maintenance POS 6
Window 1
Figure 7.5.2-7 shows the event tree, VBW1D6, applicable to POS 6 - Drained Maintenance condition. Due
to the stringent success criteria for successful heat removal, there is only one alternate technique besides the
RHR System: Primary Feed-and-BIeed coupled with the recirculation function.
NUREG/CR-6144 7-166
7 Event Tree Analysis
In the event tree, the following sequences lead to core damage: Sequences 4, 5, 8, and 9. Sequences 4 and
5 are quantified with recovered Vital Bus l-III. Sequences 8 and 9 are quantified with the condition that the
Vital Bus is not available.
Window 2
The event tree, VBW2D6, is presented in Figure 7.5.2-8
Window 3
Figure 7.5.2-9 shows the event tree, VBW3D6. The recirculation function (C) is removed.
Window 4
The event tree, VBW4D6, is presented in Figure 7.5.2-10 similar to window 3, and the top events are described
in tree VBW4R6.
7-167 NUREG/CR-6144
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7-168
UNITY IVBW2 HVBW2 RVBW2 VW2 SVBW2 FVBW2 GVBW2 CVBW2 SEQ # END-STATE-NAMES
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6 cn
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Figure 7.5.2-2 Event Tree for Loss of Vital Bos in Window 2 of R6 (VBW2R6)
UNITY. IVBW3 HVBW3 RVBW3 VW3 FVBW3 GVBW3 SEQ # END-STATE-NAMES
I
I
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1 @
2 @
3 @
4 CD
5 CD
6 @
7 CD
8 @
9 @
10 CD
11 CD
12 @
13 CD
Figure 7.5.2-3 Event Tree for Loss of Vital Bos in Window 3 of R6 (VBW3R6)
UNITY IVBW4 HVBW4 RVBW4 VW4 FVBW4 GVBW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 OK
5 CD
6 @
7 CD
8 @
9 @
10 OK
11 CD
12 @
13 CD
Figure 7.5.2-4 Event TWe for Loss of Vital Bus in Window 4 of R6 (VBW4R6)
UNITY IVBW3 HVBW3 RVBW3 VW3 PVBW3 GVBW3 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 CD
5 CD
6 ®
7 CD
8 @
9 @
10 CD
11 CD
12 <S>
13 CD
Figure 7.5.2-5 Event Tree for Loss of Vital Bus in Window 3 of RIO (VBW3R10)
UNITY IVBW4 HVBW4 RVBW4 VW4 FVBW4 GVBW4 SEQ # END-STATE-NAMES
1 @
2 ®
3 @
4 OK
5 CD
6 ®
7 CD
8 @
9 @
10 OK
11 CD
12 <*
13 CD
Figure 7.5.2-6 Event Tree for Loss of Vital Bus in Window 4 of RIO (VBW4R10)
UNITY IVBWi HVBWI RVBWl FVBW1 CVBW1 SEQ # END-STATE
1 @
2 @
3 @
4 CD
5 CD
2 6 @
7 @
8 CD
9 CD
Figure 7 3J-7 Event Tree for Loss of Vital Bus In Window 1 of D6 (VBW1D6)
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7-177
7 Event Tree Analysis
The event can be recovered by resetting the spurious signal or manually opening one of the isolation valves
and restoring the operation of the RHR.
Window 1
Figure 7.5.3-1 shows the event tree, S1W1R6, applicable to this POS.
NUREG/CR-6144 7-178
7 Event Tree Analysis
CSIW1 • Recirculation
The Feed-and-Bleed method of heat removal must be supplemented by the recirculation function to insure
long term heat removal.
The event tree one can see that Sequences 4, 5, 6, 9,10, 13,14, 15,18, and 19 lead to core damage, because
of failure of decay heat removal.
Window 2
The event tree, SIW2R6, applicable to this POS in window 2 is presented in Figure 7.5.3-2. The meanings
of the top events are similar to top events in window 1, and only those are described which are different.
CSIW2 - Recirculation
If the unit 2 RWST can be cross-connected to the unit 1 RWST, then there is no need for recirculation.
Window 3
Figure 7.5.3-3 shows the event tree, SIW3R6.
Window 4
The event tree SIW4R6 is presented in Figure 7.5.3-4.
Window 3
The event tree, SIW3R10, applicable to this POS is given in Figure 7.5.3-5. Due to the different conditions
and features characterizing this POS, the top events questioning the availability of reflux cooling (S), and the
necessity of recirculation function are not needed.
7-179 NUREG/CR-6144
7 Event Tree Analysis
The meanings of the top events are identical to those in POS 6 - Refueling Event Tree.
For the event tree the following sequences lead to core damage, sequences 4, 5, 7,10,11, and 13.
Window 4
The event tree, SIW4R10, is presented in Figure 7.5.3-6. The top events are functionally the same as in
Window 3.
Window 1
The Figure 7.5.3-7 is the event tree, SDV1D6, applicable to POS 6 of Drained Maintenance. Due to stringent
success criteria for successful heat removal, there is only one alternate technique besides the RHR system:
Primary Feed-and-BIeed coupled with the recirculation function.
The top events are described below:
Window 2
The event tree, SIW2D6 is presented in Figure 7.5.3-8.
SSIW2 - Reflux Cooling
Reflux cooling is available.
Window 3
Figure 7.5.3-9 shows the event tree, SIW3D6. The recirculation function (C) is removed.
NUREG/CR-6144 7-180
7 Event Tree Analysis
Window 4
The event tree, SIW4D6, is presented in Figure 7.5.3-10, the same as in Window 3 with the appropriate top
events.
7-181 NUREG/CR-6144
UNITY ISIW1 HSIW1 RSIW1 VW1 SSIW1 FSIW1 GSIW1 CSIW1 SEQ # END-STATE-NAMES
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(1) Loss of instrument air to the main steam relief valves MS-RV-101A/B/C will cause them to fail closed
and become inoperable. To relieve the steam generators and dump steam to the condenser, the
operators will have to localfy open the by-pass valves, l-MS-84, l-MS-116 and l-MS-155, and the steam
dump valves TCV-MS-105 A and B. The main steam non-return valves NRV 101 A, B and C in the
flow path can be remotely operated as long as offsite power is available. The steam dump valve will
also lose the air needed to operate. However, they can be localfy operated in the turbine building.
(2) The RHR flow control valve HCV-1758 will fail open and FCV-1605 will fail closed, causing full RHR
flow through the RHR heat exchangers.
(3) l-SW-263 in the service-water supply to the emergency switchgear room cooling system will fail closed
causing loss of redundancy in the service-water supply.
(4) Letdown will be isolated by the air-operated valves HCV-1142 and TV-1204 in the letdown line. A full
charging flow to loop B cold leg will occur, due to the failed open charging flow control valve, FCV-
1122.
The procedure for loss of instrument air, AP 40.00, instructs the operators to block open valve TV-CC-109
A or B using a portable air bottle, and locally throttle the CCW outlet valve, l-CC-104 or 100, for the in-
service RHR heat exchanger; this should restore the RHR function. Then, the operators are instructed to
isolate charging by closing the charging line isolation valves MOV-1289A and manual valve l-CH-304. The
operators also will attempt to determine the cause for loss of air, and restore instrument air. If the loss is due
to failure of the dryer, then the operator will bypass it. If the loss is due to a leak, the procedure gives the
locations of various isolation valves that can be closed to isolate the instrument air system from other air
systems, or different parts of the instrument air system. When the instrument air is restored, the operators
will return the air supply to 109 valves to the normal condition and unblock the valves, return the RHR flow
control valves to normal position, and open the outlet valve for the in-service RHR heat exchanger.
Upon loss of offsite power, the normally running service air compressor would lose its power, and the
instrument air compressor should start automatically to supply the instrument air loads. Because the
instrument air compressor depends on bearing cooling water for cooling, and the bearing cooling water cooling
system depends on offsite power, the compressor would eventually fail. In the procedure for loss of offsite
power, the operators are instructed to use the fire pump to provide cooling to the instrument air compressor;
these are modeled in the loss of offsite power and station blackout event trees.
Figures 7.5.4-1 to 7.5.4-10 are the loss of instrument air event trees for the 3 mid-loop POSs in 4 different time
windows. They are somewhat similar in structure to the loss of RHR event trees, except that an additional
top event, "H" top event, representing recovery of instrument air, was included as the first mitigating event.
The recovery of the instrument air is modeled using the recovery curve derived in appendix D. If instrument
air is recovered before the RCS boils, then it is assumed that RHR can be easily recovered and the transient
is terminated successfully. If the instrument air is not restored before RCS boiling, then RHR has to be
recovered by the local actions of the operator. It is conservatively assumed that the running RHR pump is
failed due to either run out or cavitation, and the standby pump is the only pump that can be used. In the
NUREG/CR-6144 7-192
7 Event Tree Analysis
fault tree for the RHR system, loss of instrument air would lead to a failure of the RHR system. To take
credit for the local action of the operator in restoring RHR, this dependency is removed by setting a house
event, HOUSE-AIR, to false. In the fault tree for reflux cooling, loss of instrument air would cause failure
of the SG PORVs, steam dump valves, and reflux cooling. The same house event is used to remove the
dependency of steam dump valves on instrument air to take credit for the operator opening the steam dump
valves locally.
The top events in the event trees for loss of instrument air that differ from those of the loss of RHR event
trees are described below. Window 1 of R6 is used as an example, and other time windows and POSs are
similar, except for the frequency of the POSs, probability of time windows, non-recovery probability of
instrument air, and the HEPs.
7-193 NUREG/CR-6144
UNITY IARW1 HARW1 RARVU VW1 SARW1 FARW1 GARWl CARW1 SEQ # END-STATE-NAMES
l OK
2 OK
3 OK
4 OK
5 CD
6 CD
7 CD
* 8 OK
9 OK
10 CD
11 CD
Figure 7.5.4-1 Event Tree for Loss of Instrument Air in Window 1 of R6 (ARW1R6)
UNITY IARW2 HARW2 RARW2 VW2 SARW2 FARW2 GARW2 CARW2 SEQ f END-STATE
1 OK
2 OK
3 OK
4 OK
5 CD
6 CD
7 CD
8 OK
9 OK
10 CD
11 CD
Figure 7.5.4-2 Event Tree for Loss of Instrument Air in Window 2 of R6 (ARW2R6)
UNITY IARW3 HARW3 RARW3 VW3 FARW3 CARW3 SEQ # END-STATE-NAMES
OK
OK
OK
OK
CD
CD
OK
£ CD
Figure 7.5.4-3 Event Tree for Loss of Instrument Air in Window 3 of R6 (ARW3R6)
UNITY IARW4 HARW4 RARW4 VW4 FARW4 GARW4 SEQ # END-STATE-NAMES
OK
OK
OK
OK
OK
CD
OK
CD
Figure 13.44 Event Tree for Loss of Instrument Air in Window 4 of R6 (ARW4R6)
1
UNITY IARW3 HARW3 RARW3 VW3 FARW3 GARW3 SEQ ft END-STATE-NA&ES
OK
OK
OK
OK
CD
CD
OK
CD
Figure 7.5.4-5 Event Tree for LOM of Instrument Air in Window 3 of RIO (ARW3R10)
UNITY IARW4 HARW4 RARW4 VW4 FARW4 CARW4 SEQ 8 END-STATE-NAMES
OK
OK
OK
OK
OK
CD
OK
CD
Figure 7^.4-6 Event IVee for Loss of Instrument Air In Window 4 of RIO (ARW4R10)
UNITY IARW1 HARW1 RARW1 FARW1V CARW1V SEQ H END-STATE-NAMES
OK
OK
OK
OK
CD
CD
sto
Figure 7.5.4-7 Event Tree for Loss of Instrument Air in Window 1 of D6 (ARW1D6)
UNITY IARW2 HARW2 RARW2 SARW2 FARW2V CARW2V SEQ # END-STATE-NAMES
OK
OK
OK
OK
OK
CD
CD
Figure 7.5.4-8 Event Tree for Loss of Instrument Air in Window 2 of D6 (ARW2D6)
UNITY IARW3 HARW3 RARW3 SARW3 FARW3V SEQ » END-STATE-NAMES
OK
OK
OK
OK
OK
CD
to
Figure 7.5.4-9 Event Tree for Loss of Instrument Air in Window 3 of D6(ARW3D6)
UNITY IARW4 HARW4 RARW4 SARW4 FARW4V SEQ # END-STATE-NAMES
OK
OK
OK
8 OK
OK
CD
figure 7.5.4-10 Event Tree for Loss of Instrument Air in Window 4 of D6*<ARW4D6)
7 Event Tree Analysis
Three event trees were developed for the mid-loop POSs in each windows to reflect the different system
configurations and other conditions in the respective operating modes, POS 6 Refueling, POS 6 Drained
Maintenance, and POS 10 windows 1,2,3, and 4. The event trees are derived from the generic loss of RHR
event tree, specialized for the loss of CCW conditions.
Window 1
Figure 7.5.5-1 shows the event tree, CCW1, applicable in this POS. The top events represent the various
alternate possibilities for heat removal available to the operator:
The top event, HCCW1, questions the non-recovery probability of the loss of CCW event, which, again, was
obtained from the operating experiences (PRNR = .8).
NUREG/CR-6144 7-204
7 Event Tree Analysis
The first 3 sequences are successes without core damage. Sequence 2 represents the case when the CCW
recovers in the first 20 minutes and decay-heat removal can be reestablished by the RHR system. It is
assumed that, if the operating RHR pump is damaged, the other RHR pump is available and may be
restarted.
Sequences 4, 5, 6, 9, and 10 lead to core damage.
Window 2
The event tree, CCW2R6, applicable to this POS in window 2 is presented in figure 7.5.5-2. The meanings
of the top events are similar to top events in window 1, and only those are described which are different.
-
CCCW2 - Recirculation
If the unit 2 RWST is cross-connected to the unit 1 tank, then there is no need for recirculation.
Window 3
Figure 7.5.5-3 shows the event tree, CCW3R6.
Window 4
The event tree, CCW4R6, is presented in Figure 7.5.5-4.
7-205 NUREG/CR-6144
7 Event Tree Analysis
Window 3
In POS 10, all three RCS loops are isolated and the SGs cannot be used for alternate heat-removal. The
event tree was modified accordingly (Figure 7.5.5-5). The top events are essentially the same as for CCW3R6.
Window 4
The event tree CCW4R10 is presented in Figure 7.5.5-6. The top events are functionally the same as in
window 3, and identical to the ones in the POS 6 event.
Decay-heat removal through the secondary side is not available, since successful reflux cooling would require
3 SGs, but only two are available. In addition, the pressurizer safety valves are not removed, potentially
preventing the use of the gravity feed function. Figure 7.5.5-7 presents the event tree, CCW1D6.
Window 2
The event tree CCW2D6 is presented in Figure 7.5.5-8.
NUREG/CR-6144 7-206
7 Event Tree Analysis
Window 3
Figure 7.5.5-9 shows the event tree CCW3D6. The recirculation function (c) is removed.
Window 4
The event tree CCW4D6 is shown in Figure 7.5.5-10, which is the same as in window 3 with the appropriate
top events.
7-207 NUREG/CR-6144
UNITT ICCTT1 HCCWl viri sccwi FCCWl GCCWl CCCW1 BBQ # BND-STATB-HAMBS
l OK
2 OK
3 OK
4- CD
5 CD
6 CD
7 OK
8 OK
00 9 CD
10 CD
1%
l OK
2 OK
3 OK
4 CD
5 CD
6 CD
OK
8 7
8 OK
CD
9
10 CD
^1
to
OK
z OK
3 OK
4 CD
5 CD
to 6 OK
7 CD
Figure 7.5.5-5 Event Tree for Loss of CCW in Window 3 of RIO (CCW3R10)
UNITT ICCW4 HCCTW4 V¥4 FCCW4 GCCTW4 SEQ # BND-STATB-NAMES
1 OK
2 OK
3 OK
4 OK
to 5 CD
6 OK
7 CD
Figure 7.5.5-6 Event Tree for Loss of CCW in Window 4 of RIO (CCW4R10)
UNITY ICCW1 HCCWi. Fccrwiv CCCV1V SBQ #
1
2
3
4
5
1 OK
2 OK
3 OK
4 OK
5 CD
6 CD
N»
1
2
3
4-
5
to
I—'
ON
Figure 7.5.5-9 Event Tree for Loss of CCW in Window 3 of Dti (CCW3D6)
UMTT ICCTTt HCCTT4 BCCTTt pccnr+v SSQ t
to
Fig. 7.5.5-8
Event Tree for
Loss of CCW in 06-Window 4-
7.5.6 Event Trees for Loss of Emergency Switehgear Room Cooling (SR)
This section describes the event tree models that were developed to analyze the accident sequences initiated
by a loss of emergency switchgear room (ESGR) cooling event during mid-loop operations in two types of
outages at the Surry nuclear plant. ESGR ventilation is required to maintain the temperature in the
emergency switchgear room below the acceptable limit at both Units 1 and 2 under abnormal and normal
operating conditions. The acceptable limit was defined as 120°F, and, at temperatures above this limit, several
deleterious effects could degrade the functionality of the electrical equipment. The most important failure
modes of electrical equipment operating under adverse ambient temperatures include spurious transfer of the
relays, loss of thermal overload margin in the load breakers which trip the circuit breakers, and eventual
failure of solid-state components in the UPS subsystems. The temperatures at which each of these types of
electrical equipment failures would occur was not specifically determined.
Cooling and ventilation for the ESGR is provided for both units by a single air conditioning system consisting
of air handling units (AHUs) and a Chilled Water System (CHWS). The CHWS is a closed-cycle system
consisting of six pumps and three chillers; the heat sink for the normal ESGR chillers is the Service Water
System. Backup chilled water is supplied by the Backup Air-Conditioning Chilled Water System. The backup
chillers can be cross-connected to a single Main Control Room/ESGR AHU group by opening two manual
valves; one on the supply and the other on the discharge of the chilled water side of the AHUs. Loss of
ESGR ventilation as an initiating event was assessed by fault-tree modeling considering that operational
constraints require at least one ESGR AHU and that any two of three chillers are operable when any unit is
in shutdown.
If ESGR cooling is lost due to failures of the chillers or service water, there is no immediate impact on the
unit. As the emergency switchgear room will heat up eventually, it is postulated that loss of vital power
supplies or perturbations in DC power supply will trip the unit. The emergency systems are operable for a
limited time as long as DC control power is available. Depending on the cause of the loss of room cooling,
it is possible to restore ventilation by cross-connecting chilled water from the Central Conditioning System
chillers or by establishing cross flow of air from the Unit 2 ESGR. This must be accomplished prior to loss
of AC and DC power supplies. Failure to restore room cooling causes a station blackout that eventually
damages the core. Thus, the event tree models for the loss of ESGR cooling during mid-loop operations are
somewhat similar in structure to those developed for the Unit 1 SBO event, Bl.
Figures 7.5.6-1 through 7.5.6-10 show the event trees for loss of switchgear room cooling (SR initiator).
If not recovered in time, this initiator will damage the emergency equipment in the switchgear room so that
it cannot be recovered. This equipment is the power source for all the frontline systems. The only systems
that can be used are the reflux bleed (via the steam dump), gravity feed, and cross-connect of Unit 2 charging.
As a recovery action, feeding the steam generators with AFW from Unit 2 or with fire-water is a possibility.
Due to the similarity of top event definitions for the other windows and POSs, only the top events of the
SRW1R6 event tree, Figure 7.5.6-1, are described below:
ISRW1 - SR Initiator - This event represents the loss of ESGR occurrence, SR, where failure of ESGR
ventilation results in heat up of the room and causes the eventual failure of the 4kv AC distribution system
and DC power supplies.
ARCW1 - Restore ESGR Cooling - This top event represents the restoration of the ESGR ventilation system
by cross-connecting the Central Air Conditioning System chillers to the ESGR chilled water system.
NUREG/CR-6144 7-218
7 Event Tree Analysis
VWl - RCS Initially Vented - This top event represents the plant configuration in which the RCS is initially
vented with the pressurizer safety relief valves removed.
SSRWl - Steam Generator Feed-and-Bleed- This top event represents the use of reflux cooling to adequately
remove decay heat and prevent core damage. Reflux cooling is possible when the RCS loops are not isolated,
and the secondary side of the SGs is in the wet layup condition. The PORV control will be lost due to loss
of emergency power, so the bleed operation has to be accomplished by dumping the steam into the condenser.
The feed function from Unit 1 will be unavailable, as the AFW systems depends on emergency power. The
feed function is not necessary for the first 10 hours; it can then be accomplished by AFW cross-tie from Unit
2, or by using fire-water to replenish the steam generators' secondary side.
2CHSW1 - Cross-connection of Unit 2 Charging System - This event represents the cross-tie of the operable
Unit 2 charging pump to provide RCS makeup to the primary system for feed-and-bleedoperation to maintain
RCS cooldown and depressurization.
GSRW1 - Gravity Feed from RWST - This event represents gravity feed of RWST inventory through the low
head injection flowpath to the RCS if the RCS is vented. In window 1, this option provides about 4 hours
of cooling. In window 4, gravity feed is enough for at least 24 hours, which is defined as the mission time.
In other windows, the allowable time can be extended by cross-connecting the two Units' RWSTs.
The descriptions of the sequence outcomes in the event trees are similar to those for the sequences initiated
by the Unit 1 SBO event, Bl, thus, the descriptions are not discussed here.
7-219 NUREG/CR-6144
UNITY ISRW1 ARCWl VW1 SSRWi 2CHSW1 GSRWi SEQ # END-STATE-M.ME
1 @ '
2 @
3 CD.
4 CD
5 CD
6 @
7 CD
8 CD
Figure 7.5.6-1 Event TVee for Loss of ESGR Cooling in Window 1 of R6 (SRW1R6)
UNITY ISRW2 ARCW2 VW2 SSRW2 2CHSW2 GSRW2 SEQ # END-STATE-MAME
1 @
2 @
3 CD
4 CD
CD
en
6 @
7 CD
8 CD
to
Figure 7.5.6-2 Event Tree for Loss of ESGR Cooling in Window 2 of R6 (SRW2R6)
UNITY ISRW3 ARCW3 VW3 2CHSW3 GSRW3 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 CD
5 CD
6 @
7 CD
to
JO
Figure 7^.6-3 Event Ire* for Loss of ESGR Cooling In Window 3 of R6 (SRW3R6)
UNITY ISRW4 ARCW4 VW4 2CHSW4 GSRW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 @
5 CD
6 @
7 CD
Figure 7.5.6-4 Event Tree for Loss of ESGR Cooling in Window 4 of R6 (SRW4R6)
' -
CO
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S
<
• i
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<
E-<
CO
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on
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Figure 7,.5.6-5
7-224
UNITY ISRW4 ARCW4 VW4 2CHSW4 GSRW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 @
5 CD
6 @
7 CD
to
Figure 7.5.6-6 Event Tree for Loss of ESGR Cooling in Window 4 of RIO (SRW4R10)
UNITY ISRW1 ARCWl 2CHSW1 SEQ # END-STATE-NAMES
1 @
2 @
3 CD
4 CD
to
to
Figure 7.5.6-7 Event Tree for Loss of ESGR Cooling in Window 1 of D6 (SRW1D6)
UNITY ISRW2 ARCW2 SSRW2 2CHSW2 SEQ # END-STATE-NAMES
1 @
2 ®
3 @
4 CD
5 CD
Figure 7.5.6-8 Event Tree for Loss of ESGR Cooling in Window 2 of D6 (SRW2D6)
UNITY ISRW3 ARCW3 SSRW3 2CHSW3 SEQ # END-STATE-NAMES
1 @
3 @
3 @
4 <s>
5 CD
^i
k
£
Figure 7.5.6-9 Event Tree for Loss of ESGR Coollnj? In Wtadow 3 of D6 (SRW3D6)
UNITY ISRW4 ARCW4 SSRW4 2CHSW4 SEQ # END-STATE-NAMES
1 @
2 @
3 @
4 @
5 CD
to
to
VO
Figure 7.5.6-10 Event free for Loss of ESGR Cooling in Window 4 of D6 (SRW4D6)
7 Event Tree Analysis
After screening each of these categories, we determined that only uncontrolled boron dilution from CVCS
(category 4) during mid-loop operations is relatively risk significant, requiring an in-depth study. The
probabilistic assessment of this reactivity accident for Surry is presented next.
The Surry Chemical and Volume Control System (CVCS) is composed of two major subsystems, charging and
letdown, and makeup. The operation of the two subsystems is coordinated to perform the various functions
of the CVCS, the primary purposes of which include the following: 1) Adjusts boron concentration in the
RCS for reactivity control; 2) Maintains proper water inventory in the RCS; 3) Provides high pressure flow
to the RCS upon initiation of safety injection (SI); 4) Maintains proper concentration of corrosion-inhibiting
chemicals in the RCS; and 5) Injects seal water into the reactor coolant pumps (RCPs).
Uncontrolled boron dilution is defined as the reduction in the RCS boron concentration caused by the
inadvertent addition of unborated water. Such an event can occur as a result of operator errors or CVCS
equipment failures, such as failure in the blending system or failure in the boric acid/demineralized water
makeup flow path to the suction of the charging pump.
If allowed to continue, uncontrolled dilution could add enough positive reactivity to cause recriticality during
reactor shutdown, leading eventually to core damage. Although inadvertent dilution can occur during any
plant operating state (POS), the problem can become particularly acute if it occurs when the RCS is in mid-
loop operation (POSs 6 and 10) when, because of the relatively small amount of water remaining in the RCS,
the effects can be more easily felt and transients can proceed faster. Furthermore, since the RCS is operating
at near atmospheric pressure, addition of neutronic power to the decay heat can easily cause the reactor
coolant to heat up quickly and eventually boil, inducing RHRS failure. Therefore, for Surry, the probabilistic
analysis of reactivity accidents due to boron dilution from CVCS, centered on those which are assumed to
occur when the RCS is in mid-loop operation.
7.&2 Probabilistic Analysis of Boron Dilution Events During RCS Mid-Loop Operation
From 1973 through 1985, there were six reported incidents of uncontrolled boron dilution at Surry Units 1
and 2, five of which occurred during cold shutdown and one during hot shutdown. One half of these events
were attributed to equipment failures, the other half to human errors. Table 7.6-1 briefly describes the five
dilution events that occurred during cold shutdown.
NUREG/CR-6144 7-230
7 Event Tree Analysis
To estimate the core-damage frequency associated with boron dilution during RCS mid-loop operations, an
event tree was developed (Figure 7.6-1). Since the five Surry events did not necessarily occur during mid-loop
operations, we estimated the probability that they occurred during mid-loop operations. To do this, we divided
the average duration of mid-loop operation (277 hrs/yr) by the average number of hours the RHR was in
operation during shutdown (3332 hrs/yr). Taking the reactor years during the period given above to be 25
years, the initiating event frequency was calculated as 1.66 E-2 event/year.
When an inadvertent dilution from CVCS occurs, the first positive indication of low boron concentration in
the RCS could come from a high neutron-flux alarm. Assuming a balance between charging and letdown
flows, the alarm could come on about 40 minutes after the inception of the accident. Upon receiving the
alarm, the operator is instructed to look for the cause of dilution and terminate it by, for example, stopping
the charging pump and isolating letdown. Depending upon the dilution flow rate, there is about 20 to 30
minutes to take these mitigative actions before criticality is reached. Once recriticality occurs, the reactor
power will cause the reactor coolant to heat up rapidly, and eventually boil. This will induce cavitation of
RHRS pumps and, hence, failure of RHRS. To terminate the boron dilution event at this point would require
the operator to actuate emergency boration by injecting borated water into the RCS via the CVCS or the low-
head safety injection (LHSI) lines. Failure to initiate the emergency boration and supply makeup to the RCS
will lead to core damage.
The branch point probability assigned to the fourth event-tree top event (no makeup water to RCS) takes into
account both operator's failure to initiate the makeup flow and failure of the low-pressure injection system.
The second top event models the possible failure of the high neutron flux alarm. The failure probability of
the alarm was calculated based on an alarm failure rate of 6.06 E-6 per hour! and an average mid-loop
11
operation duration of 277 hours at Surry. Even if the high flux alarm fails, the operator could realize the
abnormal situation through other symptoms of contingency, such as an increase in coolant temperature or
failure of RHRS pumps. If the operator becomes aware of the adverse circumstance after RHRS is lost,
emergency boration would have to be started within 15 to 20 minutes to prevent core damage. All the human
error probabilities used in this event tree are taken from Swain and Guttmann' . Quantification of the event
21
tree yields a core damage frequency of 6.8 E-8tyr for boron dilution events during RCS mid-loop operations
at Surry.
7.63 References
(1) Davis, R.E., et al, "PRAM Procedures Guide, Volume 1: Analysis of Accidents Leading to Radiological
Releases at a High-Level Waste Repository" Draft, Department of Nuclear Energy, Brookhaven
National Laboratory, February, 1988.
(2) Swain, A.D. and Guttmann, H.E. "Handbook of Human Reliability Analysis with Emphasis on Nuclear
Power Plant Applications," NUREG/CR-1363, Idaho National Engineering Laboratory, 1982.
7-231 NUREG/CR-6144
Unplanned Doton Operator Falls to Operator Falls to
No Makeup Water
Dilution During High Flux Identity Ihe Causo Rcallio the Situation
to RCS alter
Alarm Falls and Take
ncs. and Tcrmlnoto LossolRHRS
Mid-Loop Operation Ihc Dilution Preventive Action
OK
OK
5.0 E-4
~4
&
to
1.66 E - 2 / y r 7.82 E-3
CD 6.49 E-8
OK
8.4 E-4
2.0 E-4
CD 2.79 E-9
Figure 7.6-1 Surry Reactivity Accident Due to Unplanned Boron Dilution During RCS Mid-Loop Operation
7 Event Tree Analysis
7-233 NUREG/CR-6144
8 HUMAN INTERFACE ANALYSIS
Human reliability of the Surry plant operators is analyzed for a small subset of plant operating conditions.
Only those event sequences originating during reactor shutdown with the reactor coolant loops drained to
midloop in the hot legs are considered. In truth, the Surry Low Power and Shutdown Probabilistic Risk
Assessment (PRA) analyzes a "Surry-like" plant that is assumed to operate under administrative controls that
differ from those currently in place at Surry. In particular, the model assumes more time at midloop than
Surry management currently anticipates, and assumes that the "Surry-like" plant does not procedurally prevent
entering reduced inventory at less than 200 hours after shutdown as in the current version of Surry
Procedure OP-RC-005 (Reference 8-1). The model, while based on former practice at Surry, can be valuable
to the U.S. Nuclear Regulatory Commission (NRC) because it is representative of current operations at many
pressurized water reactors (PWR).
This analysis supports the Brookhaven National Laboratory (BNL) Phase 2 PRA for midloop conditions. PLG
analysts Dr. Dennis C. Bley, Dr. David H. Johnson, and Mr. James C. Lin performed the human reliability
analysis (HRA). In support of this effort, they participated in the development of the POS 6 and POS 10
event trees at BNL, reviewed the available thermal-hydraulics calculations (performed by BNL, Virginia Power,
and the Westinghouse Owners Group), reviewed the Phase 1 and draft Phase 2 BNL shutdown PRA reports
(References 8-2 and 8-3), and studied plant procedures. Dr. Bley visited the plant to interview operators and
to tour the facility.
The HRA identifies key dependency issues and flags them for consideration during the comprehensive human
reliability analysis following the work described in Reference 8-6. For the current analysis, we have tried to
match the most appropriately conditioned human actions to the event tree models. That is, using judgment
based on our PRA and HRA experience, we have quantified the human action events that we believe would
most contribute to the risk if the full set of dependent actions were analyzed on a cutset-by-cutset basis. The
current event tree model imbeds the human actions within a series of functional top events that include
hardware failures in safety systems and their support systems. The imbedded human actions are modeled in
two parts: a global diagnosis event affecting all actions and the top event-related action events.
The crux of the judgment for selecting human action models was that, for subsequent events, the most
important cases would be those in which the previous event tree's functional top event failures were caused
by equipment failure or were the result of the physics of the process rather than the cognitive failure of the
operator. Rough estimates indicate that, in many cases, equipment failure dominates those top events. In
most other cases, because global diagnosis has been successful, the operators are on the right track, but the
8-1 NUREG/CR-6144
8 Human Interface Analysis
difficulties of the physical operation (e.g., residual heat removal (RHR) pump venting) are causing long time
delays. There are substantial cues to encourage the operators to proceed to alternative cooling options. In
addition, the procedures are reasonably clear in this regard; training, simulator exercise, and experience are
supportive; and discussions with Surry operators have demonstrated that their focus is on moving through
alternative options until clear evidence (instrument readings) demonstrates that cooling is restored and system
conditions are returning to normal.
Surry has implemented many of the recommendations of the available guidance for controlling shutdown PWR
risk (References 8-10 through 8-13) that directly address the most important scenarios contributing to
shutdown risk. In addition, there are design features that make the plant less vulnerable to certain scenarios.
Surry has implemented administrative and response procedures for shutdown conditions, and a training
program for operators. The plant has loop isolation valves, which permit draining a loop for maintenance
without maintaining drained conditions in all three loops. Plant policy is to minimize time drained to midloop.
If extensive reduced inventory work is required, the plan is to off-load the core.
The RHR system provides no other service (such as safety injection), and is completely inside containment.
No automatic trip function is provided for the RHR isolation valves so a major cause of interruption of
cooling at other plants is eliminated. Two independent, permanently installed level systems are provided. One
is a standpipe with local indication by flags on the standpipe. The other is an ultrasonic sensor on one loop.
Both are monitored and alarmed in the control room. The RHR pump piping and valves are configured so
that if one pump vortexes and becomes air bound, the other pump remains flooded. After level is restored,
the pump lineup can be shifted from the control room, and the standby pump can be started without first
venting the air bound pump.
The keynote procedure for shutdown conditions is AP-27.00, "Loss of Decay Heat Capability"
(Reference 8-14). According to plant personnel, this procedure has been in the plant for 5 years, and the
operators have performed simulator drills for shutdown conditions, including midloop operations, for that
entire time.
The procedure follows standard Westinghouse Owners Group format defining the entry conditions (initiating
events), then sequentially diagnosing the event and restoring stable conditions. Loss of inventory problems
are addressed first, followed by other causes for interruption of cooling. Restoration is orderly: first, trying
to recover normal modes of RHR cooling; next, checking time until boiling, protecting personnel, isolating
containment, and trying steam generator cooling (reflux cooling if drained); and then moving on to feed and
spill, use of a charging pump from the opposite unit, and gravity feed.
NUREG/CR-6144 8-2
8 Human Interface Analysis
The operators are well trained on this procedure. We have reviewed the simulator drill scenarios and
critiques. The operators train on all of the basic scenarios that were analyzed. In addition, they have a sense
of the potential importance of these actions and indicate that they would not wait long in a configuration that
failed to yield the expected temperature reduction. They understand that the ultimate measure of the
effectiveness of any cooling mode is the core exit thermocouple temperatures, which are displayed on the
control panel and monitored throughout the procedure. The procedure is based on vendor and utility
thermal-hydraulics analyses for shutdown conditions (References 8-15 and 8-16).
Additional procedures apply during shutdown. There are general operating procedures that guide cooldown,
depressurization, and draining operations (References 8-17 through 8-23). These provide detailed
requirements for maintaining control of the shutdown machine. There are special procedures, such as OC-28,
"Operational Check, Assessment of Maintenance Activities for Potential Loss of Reactor Coolant Inventory"
(Reference 8-24), and a reduced inventory checklist (Reference 8-1), that provide special guidance for reducing
the chance of loss of cooling events when RCS maintenance can lead to reduced inventory conditions. Other
procedures have been expanded to provide a focus on shutdown conditions. For example, in AP-40.00,
"Non-Recoverable Loss of Instrument Air" (Reference 8-25), if the unit is shut down on RHR, the first step
requires use of a portable air bottle and fitting to reopen the containment isolation valves in the component
cooling water system that supplies the RHR heat exchanger. We found the bottles and fitting in the Appendix
R locker, as expected.
Similarly, the blackout, loss of AC power, loss of intake canal level, main control room inaccessibility, and fire
procedures (References 8-26 through 8-30) provide important guidance.
• Three to Four Senior Reactor Operators (SRO). At least one SRO is required in the control room at all
times; usually two will be there.
• Four to Five Licensed Reactor Operators (RO). Three in the control room and one to two outside; after
shutdown, a second RO is shifted to the shutdown plant.
• One Shift Technical Advisor (STA). The STA is assigned to licensing, not operations. STAs are not
licensed. They take the same licensed operator requalification training (LORT) and testing. STAs perform
calculations (shutdown margin, mass balance, etc.) and know technical bases for operations (ultrasonic level
detector, critical safety function monitoring, etc.).
During alert or higher emergency action levels, the Technical Support Center (TSC) must be called to action.
Approximately 15 to 20 people staff the TSC, including the plant superintendent, the emergency manager, and
four or five department heads. During the daytime, the center is manned within about 15 minutes; at other
times, when people must be called in, less than 1 hour is required. A review of Plant Procedure EPIP-1.01,
8-3 NUREG/CR-6144
8 Human Interface Analysis
"Emergency Action Level Table (Tab A) System Shutdown, or Assessment System Shutdown"
(Reference 8-31), indicates that, for cold shutdown conditions at midloop, the TSC will be called to duty for
the following defined conditions:
• Impact the availability of support or safety systems at the time of the initiating event.
• Mitigate against core damage during the sequence of events following the initiating event.
With this in mind, the following types of human action's are evaluated:
• Routine Actions before an Initiating Event Routine actions considered in the PRA involve restoring a
component or flow path to normal after completing the testing, inspection, or maintenance, and ensuring
that the sensing equipment is correctly aligned and calibrated for automatic response to emergency
actuation conditions. Errors that are important to plant risk leave safety-related equipment disabled or
in an undetected, misaligned state, causing it to be unavailable to accomplish its function on demand during
an event sequence.
• Actions That Can Cause Initiating Events. Actions that can initiate plant transients are implicitly
accounted for in the quantification of initiating event frequencies to the extent that these human actions
are the cause of such events. Generic plant data are used to assign total initiating event frequencies of
which human errors is only one cause. These types of human actions are accounted for in the initiating
event analysis and are not discussed further here. However, as pointed out in References 8-4 and 8-6,
human-induced initiating events during shutdown often influence the likelihood of subsequent human
failures. This issue is being addressed in the program of Reference 8-6.
• Dynamic Operator Actions Accomplished during the Plant Response to an Initiator. Guided by the plant
abnormal and emergency response procedures, the operators make active decisions and take appropriate
actions in response to a complex series of stimuli during the sequence of events following an initiator.
They are scenario specific and include well-defined tasks for manual initiation, control, and alignment of
plant emergency equipment or selected backup systems. Usually, the operators must complete a particular
activity within a specified period of time to avoid an unfavorable change in the state of the plant. These
actions are an integral part of the plant response to the initiating event.
NUREG/CR-6144 8-4
8 Human Interface Analysis
• Recovery Actions. Recovery actions generally involve recovery from failures that completely or partially
disable the standard system response during an event sequence. They generally involve alignment of
alternate systems or repair and restoration of the failed system. They may be well defined in procedures
or based on general guidance and the training and knowledge of the operators and plant staff. For the
purposes of this study, recovery actions are those identified through the first quantification, after the
dominant scenarios have been identified.
Quantified human error probabilities (HEP) can be incorporated into the plant model in a number of ways,
depending on the influence of the action on other events in the sequence and, in particular, how they impact
the quantification of other events. The potential dependencies of HEPs on other elements of the plant model
can strongly affect how the action and subsequent events are quantified. There are three general types, as
follows:
• Plant-human dependency accounts for the impact of'the plant instrumentation and other performance
indications on the ability of the operators to accomplish the action. They are scenario dependent and
influence the potential-for-failure that the operators face when responding to the scenario.
• Human-plant dependency accounts for those actions that can cause more than one system to fail. The
event trees that are used to express the plant response to an initiating event can serve as a vehicle to
represent these dependencies.
• Human-human dependency involves the increased potential for making a series of errors once the first
error is made.
Depending on the type of dependency involved, any one of the following approaches can be used to
incorporate human actions into the overall risk model:
• An action may be included within the system fault trees if the human error affects subsequent events in
the sequence in the same way as hardware causes of system failure. Errors that occur before the initiating
event, and some dynamic operator actions, fall into this category.
• If failure of an operator action that fails a system has a different effect on the subsequent response of the
plant than a hardware failure, a separate top event may be used to represent the human action. Dynamic
operator actions may, but not always, fall into this category.
• Recovery actions are often appended to accident sequence cutsets as separate basic events. In this way,
they can be made very cutset-specific and not alter the remainder of the model.
8-5 NUREG/CR-6144
8 Human Interface Analysis
Routine human actions considered in the PRA are system-specific activities performed by one or more
operations staff members as part of their normal workday duties to align a safety function properly before
leaving it in its ready condition. These include:
• Realignment of a component or flow path to normal after completing the testing, inspection, or
maintenance.
• Calibration and alignment of sensing equipment to ensure proper automatic response to emergency
actuation conditions.
Errors that are important to plant risk cause the system to be unavailable to accomplish its function properly
following an initiating event. Failure modes that could produce this condition involve, primariry, leaving
safety-related equipment disabled or, in an undetected misaligned state, causing it to fail to operate upon
demand.
The system analyst is responsible for evaluating routine actions that cause equipment unavailability. This
approach is used because the system analyst is most familiar with the equipment, its location, control room
alarms and indications, and details of all procedures and other guidance impacting the maintenance and
surveillance testing of the system.
Normally, only surveillance procedures are evaluated to identify specific causes of equipment unavailability.
Maintenance procedures are evaluated only if the operability of the system is not verified by a surveillance
procedure at the conclusion of the maintenance or repair activity.
These routine actions were quantified in the Phase 1 report (Reference 8-2) and are unchanged.
Dynamic operator actions and recovery actions that take place following an initiator are identified and
qualitatively described during the construction of the plant model event trees and quantification of the accident
sequence, respectively. The licensed plant operators were consulted for evaluation and feedback on the
process for restoring RHR cooling and establishing alternate decay heat removal. The qualitative descriptions
for the operator actions are expanded to account for all factors significant to quantification. The methodology
laid out in this section is an abbreviated approach to adapt to project scope. Rather than evaluation by teams
of operators, quantification is based on the judgment of the analysts. Because of the similarity in assigned
weights, only one calibration group was used.
The anah/sts bring extensive experience to the evaluation including actual nuclear plant operations and
supervision, performance of many PRAs, thorough familiaritywith emergency operatingprocedures, interviews
with many operators at many plants, and performance of many HRAs with extensive operator interaction,
including quantitative evaluations by multiple crews of operators.
NUREG/CR-6144 8-6
8 Human Interface Analysis
Although multiple calibration groups were not used, the calibration actions bracketed the range of HEPs from
1 x 10" tol x 10' . The actions were rank ordered by likelihood index and verified by extensive consistency
5 1
checking. Given confidence in the rank ordering and the HEP endpoints, error among the intermediate HEPs
is limited.
Section 8.3.3.1 describes the qualitative process by which the actions are identified and described.
Section 8.3.3.2 describes the procedure used for evaluations within the context of the failure likelihood index
(FLI) methodology (Reference 8-32), a modified versio'n of SLIM. Finally, Sections 8.3.3.3 and 8.3.3.4
summarize the quantification process, including an assessment of uncertainty.
• Identify dynamic operator actions to include in the event tree sequence evaluation.
• Identify recovery actions to realistically model the accident sequence.
• Ensure that the impact of the success or failure of those actions is properly modeled.
• Develop descriptions of those actions in a form that will facilitate evaluation.
During event tree construction and accident sequence evaluation, a variety of operator tasks are considered
for inclusion in the model. These include:
• Manual actions required in abnormal and emergency procedures to prevent core damage following
an initiating event.
Once individual actions are identified for evaluation, the action boundary conditions, success criteria, and
event scenario timing are identified and recorded on the Operator Response Forms. The Operator Response
Form follows the format shown in Table 8-1. The purpose of this form is to provide a consistent format to
convey the context of the action to the evaluation team who will analyze its potential-for-failure, and to
provide a short summary of what is required to accomplish it. The available thermodynamic calculations
supporting the timing considerations and arguments supporting engineering judgments regarding timing are
contained in Chapter 5.
The first two sections of the form set up the situation facing the operators. They describe where in the event
tree model this action will take place and what indications the operators are expected to respond to in the
control room. The next three sections describe what is involved in accomplishing the action, the relevant
training and experiences, and those factors that compete for the operators' attention or divert them from the
task. Two sections are then provided to describe what happens in the event sequence model if the action
succeeds or fails. Finally, the time frame over which the action can be expected to be accomplished is
addressed.
8-7 NUREG/CR-6144
8 Human Interface Analysis
Plant-human dependencies are described explicitly on the Operator Response Form, both in the section that
relates the action to the plant model and in the discussion of required actions and competing factors. This
permits the assessment team to understand the context of the action during the quantification of the action
so that the dependencies can be reflected property in the final error frequency.
The Operator Response Form presents human-human dependenciesby asking the assessment team to identify
with the situation at hand and to consider how an operating team may have made previous errors from which
they must recover. They are then asked to identify ways to recognize and recover from previous errors when
quantifying the dependent action.
This study uses an adaptation of SLIM to elicit judgment and to convert the operator evaluations into
quantitative error frequencies. SLIM is based on the following assumptions:
• The likelihood of operator error in a particular situation depends on the combined effects of a
relatively small set of performance-shaping factors (PSF) that influence the operator's ability to
accomplish the action successfully.
• Evaluators can address each of these PSFs independently so that the overall evaluation can be
expressed as the sum of the results of each PSF to form a numerical likelihood index.
• The actual quantitative error rate is related to the numerical likelihood index by a logarithmic
relationship.
• The logarithmic relationship can be calibrated on a situational basis by use of appropriately selected
calibration tasks having generally accepted error rates.
The basis for the logarithmic relationship between the likelihood index and error rate is documented in
References 8-5,8-33, and 8-34. Each of the other assumptions is addressed in the implementation procedure
below.
A small set of generic PSFs has been selected that are judged to encompass the major influences on operator
success or failure. These PSFs were chosen after a review of both the instructions and examples of the SLIM
documentation and the discussion of PSFs in Reference 8-34. Seven PSFs have been chosen to relate the
impact of the following:
• Conditions of the work setting under which the action must be accomplished. The PSFs are as
follows:
— Significant preceding and concurrent actions; i.e., the dependencies between actions..
NUREG/CR-6144 8-8
8 Human Interface Analysis
— Procedural guidance.
• Psychological and cognitive condition of the operators. The PSFs are as follows:
• A rating relates the degree to which the conditions of PSF help or hinder the operator to perform
the action.
• A weight relates the relative influence of each PSF on the likelihood of the success of the action.
The evaluation of dynamic human errors with SLIM is made consistent by the development of a set of forms
and instructions to explain and expand on the rating procedures for the PSFs. These instructions constitute
behaviorally anchored rating scales (BARS) of Reference 8-35 that enhance consistency throughout the
evaluation process.
• Table 8-2 provides detailed guidance regarding the definition, interpretation, and application of each
PSF and the thought process that could lead to a specific potential-for-failure rating.
• Table 8-3 provides a summary of the definition of each PSF and detailed guidance regarding the
thought process that could lead to a relative influence weight.
• Table 8-4 summarizes the relationship between the rating and weighting processes. The rating
addresses the actual conditions under which the action must be accomplished. The weight is
equivalent to the operators stating how much the conditions relative to a specific PSF actually impact
the potential for success or failure of the action. If it is not a factor that controls their ability to do
the action, it is weighted low or insignificant.
The SLIM methodology has been modified so that the evaluators scale the potential-for-failure, rather than
the potential for success, when they rate the action. This change in orientation produces an FLI rather than
a success likelihood index. This approach has the advantage of quantitatively highlighting the causes of
operator difficulty. A high rating combined with a high weight produces a large FLI. This permits efficient
analysis of the potential problem areas and trends.
The shift to FLI is a simple algebraic transformation that does not affect the underlying assumptions of SLIM.
While the benchmarking of MAUD (Reference 8-5), Embrey's computer code to enforce consistency among
the weighting factors, may no longer apply, we do not rely on MAUD. Rather, we enforce consistency through
the BARS of Table 8-3, and we review the rank-ordered actions for reasonableness.
The independence of the PSFs is addressed by the definition at the top of each evaluation form that
emphasizes the different influences that each PSF is intended to address. While independence is impossible
8-9 NUREG/CR-6144
8 Human Interface Analysis
to achieve, the structured approach defined by the form provides a practical approach for controlling the
influence of one PSF on another. Another major premise of the SLIM methodology is that the evaluation
team can rate the weight and rate independently. The thought process necessary to distinguish between these
two orientations of the process is stressed in Table 8-4.
During evaluation of the operator actions, the evaluation team is also requested to consider a number of
possible errors. These include:
• Nonresponse Errors, Also Called Errors of Omission. This would include problems generatedby both
the plant interface and the competition of other actions.
• Time and Resource Limitations. For certain actions, the operators are requested to identify the
number of people and the coordination required to get the job done. The potential-for-failurewill
then be impacted by the personnel and communications they have available.
• Nonviable Errors. Under some conditions, the operators may correctly diagnose the accident scenario
but select the wrong response. These errors are believed to be governed by operator slips; e.g.,
selecting the wrong controls for the tasks. The control room feedback problems that could keep such
errors from being detected are also considered.
First, a normalized weight for each PSF is obtained by dividing the weight assigned by the evaluation team
by the total of all of the weights for that particular action.
The FLI is calculated by multiplying the normalized weight of the PSF by its rating and adding that result to
similar results for the other PSFs, or
FLI = E w R i i
where
The error rate of each action is estimated by comparing the overall FLI to a correlation that follows the
relationship:
The coefficients of the correlation are obtained from a least squares fit of the FLI of calibration actions that
have reasonable or generally accepted error rates in the industry.
NUREG/CR-6144 8-10
8 Human Interface Analysis
To provide error rates that are consistent with other studies, the calibration of the human error rate model
generally uses well-defined actions obtained from evaluations for other PRAs and other statistical or analytical
evidence of failure frequencies for these actions. A human interaction database that encompasses these
sources and provides this documented evidence is available for events occurring at power.
No such database is yet available for shutdown events. Reference 8-6 offers a first gathering of the necessary
data, but events from Reference 8-4 are used for calibration at this time. The calibration procedure should
ensure that the numerical error rate estimates are realistic and consistent with available data, observed human
behavior, and the results from comparable expert evaluations of similar activities.
The use of some combinations of calibration actions may produce human error rates of 1.0 per demand for
FLI values of less than 10. When this occurs, all actions with an FLI above that value are quantified as being
guaranteed to fail.
83.3.4 Uncertainly
The point estimate calculations are mean values because the calibration tasks provide mean values.
Uncertainty is quantified by direct judgment based on consideration of the absolute value of the point estimate
mean, type of action modeled, and judgments concerning the range of possible specific scenarios imbedded
in the definitions of events analyzed. For dynamic actions (A) and recovery actions (R), previous successful
actions have occurred. We believe that the uncertainty range should be larger as the mean value decreases.
The more frequent errors are of types we have observed on many occasions, while the rare events rely more
heavily on judgment and decomposition. For A and R events, we assign lognormal distributions with the
following range factors:
For diagnosis events (D), the mean values are almost all very low, in the 1 x 10"* to 1 x 10" range. Given
4
the alarms and procedures at the plant, failing to diagnose and act in response to an initiating event is difficult
to imagine. Still, such events do happen. In particular, they occur when some unusual characteristic of the
initiating event or the sequence interferes with the operators' normally straightforward thinking process. Thus,
we believe that the distributions should be skewed toward low values, with a high end tail that affects the
mean. For diagnosis events, we assign a lognormal distribution with a range factor of 20. Numerical
experiments with such a distribution will convince the reader that it meets the requirements stated above.
83.3.4 Summary
The error rates resulting from the evaluation and the quantification are displayed in tabular format. This
permits easy review, comparison, and identification of the most important factors influencing each assessment.
8-11 NUREG/CR-6144
8 Human Interface Analysis
It is important to recognize that the quantification of human error rates is only a small portion of the
information obtained from the SLIM approach. The trends of weights and ratings provide much valuable
information regarding the evaluator's judgment with respect to the focus of safety-related actions and the
difficulties involved in accomplishing them.
The large number of specific action scenarios are actually special cases of a small number of functional
responses defined by plant procedures and colored by special conditions of the sequence of events that leads
to the need for action. To aid in understanding the many special cases, we organize their presentation under
the following topics:
• Human Responses
— Global Actions
— Primary Cognitive Response
— Specific Activities
— Recovery Actions
— Initiating Event
— Previous/Concurrent Hardware Failures and Human Actions
— Other Performance-Shaping Factors
NUREG/CR-6144 8-12
8 Human Interface Analysis
All of the actions discussed and quantified in this section fall into four broad categories, as shown in the
following table. Under each category, there are several specific cases described.
Category Specific Cases Code Discussion
Global Actions These global events strongly affect other
actions within the same event tree. If they
fail, the subsequent actions that depend on
them cannot succeed.
Diagnosis D The initiator for each event tree creates a
loss of RHR cooling condition that must
be recognized. Furthermore, it must be
understood to the extent that appropriate
procedures are begun that can restore
core cooling within the time available.
Isolation of A2 The loss of power events trip the major
Canal water supplies to the canal. If action is
not taken quickly, the canal will drain
through the main condensers, and service
water cooling will be lost. No actions that
involve equipment that requires cooling
(pumps and heat exchangers) can succeed.
Category Specific Cases Code Discussion
Primary Cognitive A- These actions are associated with the
Responses individual top events in the event trees.
They represent the likelihood that, given a
successful diagnosis (and, if necessary,
successful isolation of the canal), the
operators carry out the actions required by
procedure to provide core cooling.
Make-Up M If the reactor vessel level falls, either
because of active overdraining or failure to
property maintain level, the operators can
restore level to permit recovery of RHR
system flow.
Restore RHR R If the loss of RHR cooling is recoverable,
Cooling the operators can shift to standby
equipment or recover failed equipment.
Steam S The reactor can be cooled by boiling water
Generator on the secondary side of the steam
Bleed and generator. For conditions analyzed here,
Feed Cooling only reflux cooling is possible, as described
in Chapters 5 and 7. While procedures
call for feeding the steam generators, the
cases of interest have sufficient inventory
to support steaming alone.
8-13 NUREG/CR-6144
8 Human Interface Analysis
NUREG/CR-6144
8 Human Interface Analysis
Note that the decomposition of human actions shown above is for the convenience of coupling the HRA with
the event tree/fault tree model. It is not a cognitive model of human behavior. Nevertheless, it is a scheme
for decomposing the actions into a form amenable to application of the analysis process of Section 8.3.
8-15 NUREG/CR-6144
8 Human Interface Analysis
Thus, the current analysis is thorough'in terms of modeling actions for which the operators are well trained.
However, for some unlikely but possible situations, the analysis is optimistic. It is believed that the overall
impact of not quantifying such situations will be small. That belief must be tested during the comprehensive
work that is to follow (Reference 8-6).
NUREG/CR-6144 8-16
8 Human Interface Analysis
• Qualitative description of the tasks required to accomplish the actions successfully, and the conditions
under which they must be accomplished.
• Mean value of the human error rates derived from the quantification evaluation using the adaption
of the SLIM methodology discussed in Section 8.3.3.
The naming convention for the human error basic events used the following format:
A-BBCC-DDD-EEE-F
where
RA for overdraining.
RB for failure to maintain level.
R3 for nonrecoverable loss of RHR.
R4 for nonrecoverable loss of the operating RHR train.
R5 for recoverable loss of RHR.
SI for inadvertent safety injection.
CC for loss of CCW.
AR for loss of instrument air.
SR for loss of emergency switchgear room cooling.
VB for loss of a vital bus.
4K for loss of a 4-kV emergency bus.
LI for loss of offsite power Case 1.
L2 for loss of offsite power Case 2.
L3 for loss of offsite power Case 3.
BI for Unit I blackout.
B2 for Unit 2 blackout.
8-17 NUREG/CR-6144
8 Human Interface Analysis
CC is the time window Wl, W2, W3, or W4 as defined in Chapter 5. For recovery events, the POS
D6, R6, or RIO is also necessary.
DDD is the designation for dynamic actions and recovery actions: XHE.
For global failure to diagnose, core damage is assumed to result, and no sequence number is needed. For
failure to take the correct action, a sequence number is necessary.
To keep the differences in judgments explicit, no adjustment is made to the normalized weights or individual
PSF rating of either the evaluated actions or the calibration actions during this process. The FLI evaluations
are converted to human error rate estimates in accordance with the procedures outlined in Section 83.3.3.
The quantitative results for mean value HEPs covered a wide range:
Diagnoses: 1 x W -» 5 x lO'
6 2
Actions: 1 x lO -* 1.0
-4
The individual human error rates are organized in Table 8-13. Evaluation details, and the weights and ratings
for the PSFs, are shown in Table 8-14.
8.6 Recommendations
Assumptions made to support the quantifications need to be verified to increase confidence in the results of
this human action analysis. In addition, we believe that it is important to test the assumption that low
frequency scenarios involving dependent human actions not rigorously quantified will not contribute
substantially to risk. The dependencies involve previous human failures and previous support system failures.
The comprehensive HRA program is designed to provide this information (Reference 8-6).
However, as discussed elsewhere in this report, there are reasons to believe that the effects of dependencies
among human actions during shutdown are not as severe a problem at Surry as at other PWRs. The most
significant problems during shutdown identified in References 8-6 through 8-9 have been addressed by the
modifications at Surry. Table 8-15 summarizes special factors affecting human response at PWRs, and
compares the impacts of those factors during full-power operations, shutdown at most plants, and shutdown
NUREG/CR-6144 8-18
8 Human Interface Analysis
at Surry. The additional alarms, procedures, and training at Surry lead to the conclusion that modeling human
response at Surry should be more similar to full-power operations at other PWRs than shutdown conditions
at them. Dependency is still an issue but is more on the order of that found in a typical full-power PRA.
For those modeling shutdown at other PWRs, more thorough care for dependencies will be required than is
found here. The results of the comprehensive HRA program (Reference 8-6) will be especially important.
8.7 References
8-1. Virginia Power, Operating Procedure, "Draining the RCS from 5% Pressurizer Level (29.0 ft) to
Mid-Nozzle (12.5 ft)," Surry Power Station, l-OP-RC-005, Rev. 1, April 7, 1992.
8-2. Chu, T-L., et al., "PWR Low Power and Shutdown Accident Frequencies Program, Phase 1A —
Coarse Screening Analysis," Rough Draft Letter Report, Brookhaven National Laboratory,
November 13, 1991.
8-3. Chu, T-L., et al., "PWR Low Power and Shutdown Accident Frequencies Program, Phase 2 —
Internal Events," Rough Draft Letter Report, Brookhaven National Laboratory, August 31, 1992.
8-4. Bley, D. C , et al., "Zion Nuclear Plant Residual Heat Removal PRA," Pickard, Lowe, and Garrick,
Inc., prepared for Electric Power Research Institute, EPRI/NSAC Report NSAC-84, July 1985.
8-5. Embrey, D. E., et al., "SLIM-MAUD: An Approach To Assessing Human Error Probabilities Using
Structured Expert Judgment," Brookhaven National Laboratory, prepared for U.S. Nuclear Regulatory
Commission, NUREG/CR-3518, Vols. 1-2, March 1984.
8-7. Vine, G., et al., "Residual Hoat Removal Experience Review and Safety Analysis - Pressurized Water
Reactors," Electric Power Research Institute, Nuclear Safety Analysis Center, NSAC-52, January 1983.
8-8. Mollerus Engineering Corporation, "Residual Heat Removal Experience Review and Safety Analysis
— Pressurized Water Reactors, 1982-1989," prepared for Electric Power Research Institute, Nuclear
Safety Analysis Center, NSAC-156, August 1991.
8-9. Jones, W. R., "AEOD Special Evaluation — Review of Operating Events Occurring during Hot and
Cold Shutdown and Refueling," December 1991.
8-10. Westinghouse Electric Company, "Background Information for Westinghouse Owners Group
Abnormal Response Guideline ARG-1, Loss of RHR While Operating at Mid-Loop Conditions,"
March 15, 1991.
8-11. EG&G Idaho, Inc., "Thermal-Hydraulic Processes Involved in Loss of Residual Heat Removal During
Reduced Inventory Operation," Technical Report EGG-EAST-9337, Rev. 1, February 1991.
8-12. U.S. Nuclear Regulatory Commission, "Shutdown and Low-Power Operation at Commercial Nuclear
Power Plants in the United States," Draft Report for Comment, NUREG-1449, February 1992.
8-19 NUREG/CR-6144
8 Human Interface Analysis
8-13. Nuclear Management and Resources Council, Inc., "Guidelines for Industry Actions to Assess
Shutdown Management," NUMARC 91-06, December 1991.
8-14. Virginia Power, Abnormal Procedure, "Loss of Decay Heat Removal Capability," Surry Power Station,
l-AP-27.00, Rev. 4, February 18,1993.
8-15. Technical Report NE-865, "Background and Guidance for Ensuring Adequate Decay Heat Removal
following Loss of RHR," Surry and North Anna Power Stations, June 1992.
8-16. Technical Report NE-801, "Evaluation and Development of Setpoints for Abnormal Response
Guideline ARG-1, Loss of RHR While Operating at Mid-Loop Conditions," Surry Power Station
Units 1 and 2, December 1990.
8-17. Virginia Power, General Operating Procedure, "Unit Shutdown, RCS Cooldown from HSD to 345°F
— 350°F," Surry Power Station, l-GOP-2.4, Rev. 1, February 27,1992.
8-18. Virginia Power, General Operating Procedure, "Unit Shutdown, RCS Cooldown from 345°F—350°F
to 195°F," Surry Power Station, l-GOP-2.5, Rev. 1, February 27,1992.
8-19. Virginia Power, General Operating Procedure, "Unit Shutdown, RCS Cooldown from 195°F to
Ambient," Surry Power Station, l-GOP-2.6, Rev. 1, February 27,1992.
8-20. Virginia Power, Operating Procedure, "Draining the RCS to 5% Pressurizer Level (29.0 ft)," Surry
Power Station, l-OP-RC-004.
8-21. Virginia Power, Operating Procedure, "Isolation and Drain of One Reactor Coolant Loop with the
Drained Loop Stop Valves Closed and RHR in Service," Surry Power Station, l-OP-RC-006, Rev. 0,
March 2,1992.
8-22. Virginia Power, Operating Procedure, "Isolation and Drain of All Reactor Coolant Loops with All
Loop Stop Valves Closed and RHR in Service," Surry Power Station, l-OP-RC-007, Rev. 0., March 2,
1992.
8-23. Virginia Power, Operating Surveillance Procedure, "Unit 1 Safety Systems Status List for Cold
Shutdown/Refueling Conditions," Surry Power Station, l-OSP-ZZ-004, Rev. 1, March 6,1993.
8-24. Virginia Power, Operational Check, "Assessment of Maintenance Activities for Potential Loss of
Reactor Coolant Inventory," Surry Power Station, OC-28, January 22,1991.
8-25. Virginia Power, Abnormal Procedure, "Non-Recoverable Loss of Instrument Air," Surry Power
Station, 0-AP-X0.00, Rev. 3, December 19,1991.
8-26. Virginia Power, Abnormal Procedure, "Station Blackout," Surry Power Station, 0-AP-10.00, Rev. 5,
September 19,1991.
8-27. Virginia Power, Emergency Contingency Action, "Loss of All AC Power," Surry Power Station,
1-ECA-0.0, Rev. 6, April 27,1992.
8-28. Virginia Power, Abnormal Procedure, "Loss of Intake Canal Level," Surry Power Station, O-AP-12.01,
Rev. 2, January 31, 1992.
8-29. Virginia Power, Abnormal Procedure, "Main Control Room Inaccessibility," Surry Power Station,
0-AP-20.00, Rev. 1, no date.
NUREG/CR-6144 8-20
8 Human Interface Analysis
8-30. Virginia Power, Abnormal Procedure, "Fire Protection — Operator Response," Surry Power Station,
O-AP-48.00, Rev. 3, no date. •
8-31. Virginia Power, Emergency Procedure, "Emergency Action Level Table (Tab A) System Shutdown
or Assessment System Shutdown," Surry Power Station, EPIP-1.01.
8-32. Chien, S. H., A. A. Dykes, J. W. Stetkar, and D. C. Bley, "Quantification of Human Error Rates
Using a SLIM-Based Approach," Proceedings of the 1988 IEEE Fourth Conference on Human Factors
and Power Plants, Monterey, California, June 5-9, 1988.
8-33. Embrey, D. E., "The Use of Performance Shaping Factors and Quantified Expert Judgment in the
Evaluation of Human Reliability: An Initial Appraisal," Brookhaven National Laboratory, prepared
for U.S. Nuclear Regulatory Commission, NUREG/CR-2986, May 1983.
8-34. Rosa, E., et al., "Application of SLIM-MAUD: A Test of an Interactive Computer-Based Method
for Organizing Expert Assessment of Human Performance and Reliability," Brookhaven National
Laboratory, prepared for U.S. Nuclear Regulatory Commission, NUREG/CR-4016, September 1985.
8-35. Jacobs, R., J. Mathieu, F. Landy, et al., "Organizational Processes and Nuclear Power Plant Safety,"
Proceedings of the Probabilistic SafetyAssessment International Topical Meeting, pp. 211-215, Clearwater
Beach, Florida, January 26-29, 1993.
8-21 NUREG/CR-6144
8 Human Interface Analysis
PRECEDING EVENTS
• List initiating events after which action may be required.
• Briefly summarize sequence of events leading to action.
— Base the sequences on the fault tree and event tree descriptions.
— Bound the range of possibilities (identify if influenced by initiating event).
• Identify any abnormal plant responses that may complicate the situation.
FAILURE IMPACT
• Characterize the plant condition following failure to accomplish based on fault tree and event
tree success criteria.
• Identify later actions the operators have available to respond with once the plant has made a
transition to the failed condition.
TIME CONSTRAINTS
• List thermal/hydraulic and physical/equipment response considerations that influence time
available before transition to failed condition.
• Summarize what is known about time required to both diagnose and accomplish the tasks.
NUREG/CR-6144 8-22
8 Human Interface Analysis
Table 8-2 (Page 1 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
Definition: This performance-shaping factor rates the effect of multiple requirements on task success. It
can range through the entire gamut of coordination, multiple locations, remote operations, variety of
tasks, and communications requirements. It also rates the availability of resources.
Scaling Guidance: Compare different types of complexity, or lack of complexity, by judging how much
the operator is helped or hindered. Consider how the system is designed to avoid error if complex
actions must be accomplished. Also consider the availability of resources to accomplish the various parts
of the action.
-0 Very clearly understood and straightforward task with no interpretation of current situation
required.
-1
-2 Skill-based response by one operator with SRO concurrence that can be performed and verified
at one location.
-3
-4
-5 Series of tasks accomplished under direct control of one operator with SRO concurrence with a
rule-based response.
-6
-7 Knowledge-based response.
-8 Tasks involving coordination of more than one operator at more than one location.
-9 Tasks with contingencies that require coordinating decisions during different stages of the
-10
Notes:
8-23 NUREG/CR-6144
8 Human Interface Analysis
Table 8-2 (Page 2 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
DeBnition: This performance-shaping factor relates the impact of the man-machine interface on the
likelihood of success. It measures the degree to which the instruments, alarms and controls available to
the operators at the time when the action must be accomplished assist them to preform the action.
Scaling Guidance:
-0 A wide variety of instruments and/or alarms focus the operators' attention on the blatant need
-1 i
-2 Alarms and indications are clear and easily interpreted. Feedback is readily available close to
-3
-4
-5 Indications for this action are found within a familiar pattern of alarms, which operators are
trained to diagnose.
-6
-7
-8 Action requires that two or more operators work together because of controls and indications
that are far apart.
-9
-10 Indications confuse the operators and cause actions that could be wrong or inappropriate.
Notes:
NUREG/CR-6144 8-24
8 Human Interface Analysis
Table 8-2 (Page 3 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
Definition: Measure of time required to act compared with the time available and the effect on success.
The rating reflects the operator's confidence that the task can be accomplished in time to avert a change
to a failed state.
Scaling Guidance: Judgment should be based on the time required compared with the time available to
recognize, diagnose, and accomplish the action. Judgment about the length of these times may be
reflected by noting the task description times. Both the absolute difference in time and the ratios of the
time may be useful for making these judgments.
-0 Adequate time to accomplish action, bring in assistance if necessary, and correct errors.
-2 Enough time to complete procedures carefully and methodically with some outside assistance.
-3 Enough time to complete procedures carefully and methodically if no outside assistance needed.
-4
-5 Enough time to complete at a normal speed and to verify results, but with limited time to
correct significant errors.
-6
-7 Success requires rapid, practiced operator actions with little time to correct anything but a small
slip. Requires skillful and well-trained actions for success with any problem endangering the
chance for success.
-8
-9
-10 Time required about the same as time available. Operators can complete the task, but it will be
a very close call.
Notes: If the time required to complete the action exceeds time available, the action is guaranteed to
fail. Under these circumstances the reason why the action cannot be done is documented and
no PSF evaluation is required.
8-25 NUREG/CR-6144
8 Human Interface Analysis
Table 8-2 (Page 4 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
Definition: Preceding and concurrent actions set the stage for the modeled action and make it necessary
and obvious to the operators. They can also divert the operators' attention from this action or even
cause failure. (If necessary, some strongly dependent failures may be accounted for by specific split
fractions in the event trees.) Lack of preceding actions may create a surprise effect that should be
accounted for in this performance-shaping factor.
Scaling Guidance:
-1 There are no distractions from this action; it could also get close supervision and follow-up, if
necessary.
-2
-3 Operators are alerted to the need for possible action and are expecting it.
-5 Action is not a surprise, but previous actions create some competition for operator attention.
-6
-7 This is one of many concurrent actions and could possibly be overlooked. Operator is taking
-8 Operators are busy with other work and this is "an unexpected, unusual transient
- 10 The need to accomplislTth& action is unexpected and inconsistent with previous actions.
Notes:
NUREG/CR-6144 8-26
8 Human Interface Analysis
Table 8-2 (Page 5 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
Definition: This performance-shaping factor accounts for the extent to which plant procedures enhance
the operator's ability to perform the action. The operator may have available not only step-by-step
instructions but also guidance on when the action has been correctly done.
Scaling Guidance:
-0 Procedures are clear and definite. Operators can easily follow them.
-1
-2 Procedures are clear and definite. Operators can easily follow them but clarity could be
impacted by recent changes or other modifications.
-3
-4
-6 Sequence of steps in procedure may require operators to return a place that has been passed
(eg. continuous action (WHEN) or retainment override steps)
-7 Procedures are being used but because of the need to act, the operator can use them only as a
backup check.
-8 Action is a chance event for which procedures can give only vague guidance.
Notes:
8-27 NUREG/CR-6144
8 Human Interface Analysis
Table 8-2 (Page 6 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
Definition: This performance-shaping factor measures the effect of the familiarity and confidence the
operators have about the actions
Scaling Guidance:
-0 Action is normally carried out during plant trip situations. Operators are thoroughly familiar
with this action and competent at it.
-1 Action is repeatedly carried out during simulator training. Operators are thoroughly familiar
with this action and competent at it.
-2 Actions that are normally carried out during typical plant trip situations can be easily applied to
this situation. Operators are well trained.
-3 Action is part of focus on safety functions. It is subject to thorough and repeated training.
-5 Action is part of normal training, but receives no particular emphasis. Same action is used
during surveillance testing.
-6 Nonroutine action that is included in annual training. Surveillance test routinely carried out has
different steps than the required action.
Notes:
NUREG/CR-6144 8-28
8 Human Interface Analysis
Table 8-2 (Page 7 of 7). Guidance for Rating the Potential for Failure Presented by Each PSF
Associated with Each Dynamic Human Action
PSF: Stress
Definition: This performance-shaping factor accounts for the impact of adverse environmental
conditions and situations that may endanger the operator or damage or contaminate either the plant or
the environment. Depending on its nature and level, stress can serve as an incentive to accomplish the
action, or provide a diversion of attention that increases the likelihood of failure.
Scaling Guidance: Rating should focus on how the presence of stress will affect the concentration of the
operator on successfully accomplishing the action. In this context, stress can have both beneficial and
detrimental effects, and it is the judge's responsibility to assess the relative importance of the two.
-0 Stress level has made the operators alert, but they are not yet threatened; provides best incentive
to act.
-1
-2 Stress level is moderate; operators are aware of potential consequences; situation is typical of
training or experience.
-3
-5 Stress level is moderate; operators are aware of potential consequences; situation is unusual.
-8 Potential loss is high if action is not successful; situation is unfamiliar. Consequences are high
enough to create physical tension.
- 9 Action must be done under severe environmental conditions of heat and humidity, loud noise, or
significant vibration.
- 10 Operators fight fear, tension and uncertainty while acting. Consequence could be high radiation
exposure, significant release, core damage, or threat to life.
Notes:
8-29 NUREG/CR-6144
8 Human Interface Analysis
Table 8-3 (Page 1 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Significant Preceding and Concurrent Actions: The rating evaluates the impact of the preceding
scenario and other concurrent actions for either focusing the operators on or distracting them from
accomplishing the action.
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant Other PSFs, such as time and indications, are so important to the success of this action
that what else has previously occurred or is going on has no influence on the success of
this action.
1 Low Other PSFs, such as time and indications, are so important to the success of this action
that what else has previously occurred or is going on has little influence on the success
of this action.
2 Normal The action must be accomplished in the context of what else is going on. We have no
reason for considering it more or less important than other PSFs.
4 High The context in which the requirement for this action arises is a prime influence in our
potential for successfully completing it.
NUREG/CR-6144 8-30
8 Human Interface Analysis
Table 8-3 (Page 2 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Plant Man-Machine Interface and Indications of Conditions: Scaled on the ability of the man-machine
interface to provide the information necessary to make the action a success.
The weight measures whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant Other factors dominate so much that I don't care how bad or good the indications are
because they are not going to change the likelihood of the success of this particular
action.
1 Low This is a skill-based action done in response to many alarms, with little or no diagnosis
required. I can easily verify my action in a variety of ways.
2 Normal Patterns of indications are required to take action and verify proper plant response, but
no sophisticated diagnostics or control are required.
4 High The success of the action is not possible without the proper response to feedback from
the plant instruments. We must use specific parameters to diagnose the problem and/or
control the plant.
8-31 NUREG/CR-6144
8 Human Interface Analysis
Table 8-3 (Page 3 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Adequacy of Time To Accomplish Action: Measure of how the relationship between the time required to
recognize and to accomplish the action to the time available can influence the likelihood of success.
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant Events evolve so gradually that the relationship between available and required time
does not matter. If we fail to do the action, it will be due to reasons other than time.
1 Low A slowly evolving situation in which there should be sufficient time to act. Under these
circumstances, other PSFs would tend to be more important for determining the
potential for successful accomplishment.
2 Normal Task must be done within a fairly well-understood period of time that has some
flexibility.
4 High Time frame in which we must accomplish the action is well defined. The transitions
that present the initial requirement to accomplish the action are not gradual. If the
action is not accomplished, something definite will happen at a well-understood point in
the transient.
NUREG/CR-6144 8-32
8 Human Interface Analysis
Table 8-3 (Page 4 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Procedural Guidance: The rating evaluates the extent to which the written procedures enhance the
operator's ability to perform the task correctly.
•
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant Immediate action task in which the operators do not have time, nor are expected, to
refer to the procedure before acting.
1 Low Specific skill-based actions for which procedures provide only general guidance
regarding options.
2 Normal Operators are tracking and responding to plant status using procedures, indications, and
other cognitive resources.
8-33 NUREG/CR-6144
8 Human Interface Analysis
Table 8-3 (Page 5 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Task Complexity: The rating evaluates how the presence or the lack of the following influences the
potential for the success of this action: available resources, multiple objectives, coordination,
communication, location of action, and sequencing of tasks.
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant Other PSFs dominate the considerations of the action so much that the complexity (or
lack of complexity) of this action has little or no influence on the potential for its
failure.
1 Low Other PSFs control the likelihood for the success of this action, but complexity does
have some influence.
2 Normal The number and sequencing of tasks and coordination necessary to accomplish them,
along with other factors definitely have an influence.
4 High It makes a big difference to us that this type of action is simple and straightforward, of
normal complexity, or really hard to accomplish without communication, coordination,
sequencing, etc.
NUREG/CR-6144 8-34
8 Human Interface Analysis
Table 8-3 (Page 6 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Training and Experience: The rating evaluates the degree to which familiarity, skill level, and
confidence that the operators have regarding an action can influence its success.
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant
1 Low Simple actions that we are confident of being able to do when other factors are
controlling whether we can do them.
2 Normal Training and experience will have an influence on our ability to do this action, but many
other factors are of similar importance.
4 High Skill- or knowledge-based task for which the operators must rely on their training and
experience to be successful.
8-35
8 Human Interface Analysis
Table 8-3 (Page 7 of 7). Guidance for Assigning Relative Weights to the PSF Ratings Associated with
Each Dynamic Human Action
Stress. The rating evaluates the impact of the state of mind of the operators as they attempt to
accomplish the action or their ability to successfully concentrate on the requirements summarized in the
other six PSFs.
The weight relates whether the above factors have any influence on the potential for the successful
completion of this action.
0 Insignificant
1 Low Other PSFs are so important to the success of this action that our frame of mind has
little influence.
2 Normal Operators are tracking plant status and required responses during a transient.
4 High Because of the nature of the situation (either environmental or threat), our frame of
mind will have a strong impact on our ability to focus on the other PSFs that influence
success.
NUREG/CR-6144 8-36
8 Human Interface Analysis
Table 8-4. Summary of the Relationship between the Rating and Weighting Processes
Rating; With respect to the things addressed by this PSF, are the conditions under which the action
must be accomplished helping or hindering us to successfully complete it? In other words, we are rating
the impact of the conditions on our likelihood to fail in accomplishing the action. Interpretation of the
range of ratings:
0-3 Helps
4-6 Is Neutral
7-10 Hinders
Weight: Does a variation between helping and hindering have more influence on the probability that we
will fail to complete it than other PSFs? In other words, is this PSF a focus of the action? Do we key
in on the things addressed by this PSF?
2. Adjust weights of the PSFs only if you believe that their importance for judging the likelihood of
accomplishing the action is significantly (a factor of 2) greater or less than the other PSFs. The
weights will be normalized so that the maximum overall failure likelihood index will be a 10, so
the effect of increasing all of the weights is the same as increasing none.
3. Generally, actions requiring similar types of skills have the same PSF weights. Some examples
of groups of actions where differences in the focus may require different PSF weights are as
follows:
1 1—9
2 3-7
4 4-6
8-37 NUREG/CR-6144
8 Human Interface Analysis
Table 8-5. Qualitative Descriptions of Dynamic Human Actions Evaluated for the Surry Shutdown PBA
MRA(B):
Operator makes up RCS inventory following a loss of RHR at mid-loop.
PRECEDING EVENTS
• Loss of RHR due to
• over-draining (RA) or
• Mure to maintain RCS level (RB).
• For the action event of accomplishing the RCS inventory makeup, operators have successfully diagnosed that a loss of RHR has occurred andreferredto
l-AP-27.00 (Loss of Decay Heat Removal Capability).
PROCEDURAL GUIDANCE
• l-OP-RC-005 Draining the RCS from 5% Pressurizer Level (29X1 ft) to Mid-Nozzle (125 ft); for RAW1(23,4)-XHE-M-12
- Step 5.2: Draining the RCS from 5% Pressurizer Level to between 183 ft and 153 ft
(There is no level indication from 0 * in the pressurizer to 24.0 ft in the ttandpipe)
• Step 53: Requirements for entering Reduced Inventory (less than 153 ft).
- Step 5A: Draining from 153 ft to 123 ft (Mid-Nozzle)
• l-AP-27.00 Loss of Decay Heat Removal Capability
- Steps 2 & 9: Stop inventory loss and restore RCS level by increasing RCS makeup (dose letdown line pressure control valve l-CH-PCV-1145
and open chargingflowcontrol valve 1-CH-FCV-l 122).
- Steps 4,11,15,27, and 28: Stop and isolate vortodng RHR pump; start other RHR pump.
TIME CONSTRAINTS
• Time until boiling and time until core damage are time window dependent and are given in Chapter 5.
• It may be difficult to restore RHR when RCS starts boiling.
• Restoration of level should have taken only a few minutes.
NUREG/CR-6144 8-38
8 Human Interface Analysis
Table 8-6. Qualitative Descriptions of Dynamic Human Actions Evaluated for the Surry Shutdown PRA
RRA(BA5):
PRECEDING EVENTS
PROCEDURAL GUIDANCE
• l-AP-27.00 Lou of Decay Heat removal Capability.
- Steps 4,11,15,27, and 28: Stop and Isolate vortexing RHR pump; start other RHR pump.
TIME CONSTRAINTS
•lime until boiling and time until core damage are time window dependent and are given in Chapter 5.
• Restoration of level should have taken only a few minutes (for RA(B)Wl(2A4)-XHE-R-5). Stopping the vortexing RHR pump, and starting the standby RHR pump
should not talce
more than several minutes.
8-39 NUREG/CR-6144
8 Human Interface Analysis
PRECEDING EVENTS
PROCEDURAL GUIDANCE
• l-AP-27.00 Loss of Decay Heat Removal Capability
- Steps 25,27, and 28 and Attachment 5, Fart 4: Maintain SGs near 33% NR level and dump steam using SG FORVs or main condenser to control RCS
temperature.
TRAINING A N D E X P E R I E N C E
C O N C U R R E N T ACTIONS/COMPETING FACTORS
TIME CONSTRAINTS
• Time until boiling and time until core damage are time window dependent and are given In Chapter 5.
• Establishing SG reflux cooling should only take a few minutes if Instrument air and semi-vital bus are available and if providing water to the SGs Is not necessary.
NUREG/CR-6144 8-40
8 Human Interface Analysis
8-41 NUREG/CR-6144
8 Human Interface Analysis
PRECEDING EVENTS
• Lots of RHR due to
• over-draining (RA),
- Mure to msintaln RCS level (RB),
- uncoverabte RHR Mure (R3),
- operating RHR train failure (R4), or
- recoverable loss of RHR (R5).
• For the action event of establishing RCS feed and bleed, operators have successfully diagnosed that a loss of RHR has occurred and referred to
l-AP-27.00 (Lots of Decay Heat Removal Capability).
• RCS feed and bleed Is considered In 4 sequences:
- Pretsurizer safety varve(s) was removed, restoration of RCS inventory has been successful (for RA(B)Wl(23.4)-XHE-F-5), and recovery of RHR cooling has failed
(RA(B,4,S)W1(2A4>XHE.F.5).
- Presturizer safety valve(s) was not removed, restoration of RCS inventory has been successful (for RA(B)Wl(2A4)-XHE-F-9), recovery of RHR cooling has failed (for
RA(B,4,5)W1 (2A4>XHE-F-9), and SG bleed and feed has not been established.
- Pressurizer safety vatve(s) was removed and restoration of RCS inventory has failed (for RA(B)Wl(2 3,4)-XHE-F-12).
r
- Pressurizer safety vatve(s) was not removed, restoration of RCS inventory has failed (for RAR(B)W1(£3,4)-XHE-F-16), and SG bleed and feed has not been established.
makeup; for
RA(B)Wl(2A4)-XHE-F-5(9)), and slowly decreasing RCS level.
• Control room RCS standpipe level 1-RC-LI-lOOA (may not be accurate when RCS boiling starts).
- Control room cold shutdown RCS level narrow range l-RC-LR-105.
(ultrasonic indication of RCS level within the loop, i.e, from middle to top of the loop; may be partially unavailable if vital bus is unavailable)
- RCS standpipe level local indication.
• Shutdown cooling low level annunciator B-C-8.
• RHR pump motor amperage oscillation (in the event of over-draining or failure to maintain level; for RA(B)W1(2A4)-XHE-F-5(9,12,16)).
• Excessive RHR pump noise (in the event of over-draining or failure to maintain level;forRA(B)W1(2A4)-XHE-F-5(9,12,16)).
• No RHR flow
- Control room RHR flow Indication l-RH-FI-1605.
- RHR heat exchanger lowflowannunciator B-C-6.
• Incore thermal couples for RCS temperature (may be partially unavailable if vital bus Is unavailable) and sub-cooling monitoring.
PROCEDURAL GUIDANCE
• l-AP-27.00 Loss of Decay Heat Removal Capability.
- Steps 23 A 25.C, 27, and 28 and Attachment 5, Parts 2 and 3: Feed and bleed of RCS and charging pump cross connect from unit 2; cold leg injection is the preferred
cooling
path; however, this procedure instructs the operators to use the hot leg injection path Erst; this procedure only instructs the operators to
open 1PORV (both PORVs are blocked open in the mid-loop operation); this procedure does not mention the feed and spill mode of operation which Is the
preferred mode of operation, suppresses core boiling, and maintains RCS subcooling.
TRAINING A N D E X P E R I E N C E
C O N C U R R E N T ACTIONS/COMPETING FACTORS
NUREG/CR-6144 8-42
8 Human Interface Analysis
TIME CONSTRAINTS
• Time until boiling and time until core damage are time window dependent and are gtven in Chapter 5.
• Establishing RCS feed and bleed should only take a few minutes unless local valve manipulations are necessary (e.£, crosstying unit 2 charging pump).
• D-RAW1(2A4)-XHE. Operator diagnoses that a loss of RRR has occurred due to over-draining at mid-loop.
(Also see tables for MRA, RRA, SRA, and GRA.)
• D-RBW1(2A4)-XHE. As described above for D-RAW1 (2J,4)-XHE, except the initiating event is Mure to maintain RCS level.
• D-R3W1(2A4>XHE. As described above for D-RAW1(2A4)-XHE, except the Initiating event is unrecoverable loss of RHR.
• D-R4W1(2A4)-XHE. As described above for D-RAW1 (23,4)-XHE, except the initiating event Is loss of one (operating) RHR train.
• D-R5Wl(i3,4)-XHE. As described above for D-RAW1(2A4)-XHE, except the initiating event is recoverable loss of RHR.
• A-RAWl (2A4)-XHE-F-£ Operator establishes RCS feed and bleed following over-draining at midloop, successful RCS makeup, failure to restore RHR cooling,
and pressurizer safety valve removed. It is assumed that failure of RHR cooling restoration is primarily attributed to hardware Mure or
difficulty in executing therestorationprocess (Le, not due to incompetent operator performance).
• A-RAWl(2A4)-XHE-F-9. Operator establishes RCS feed and bleed following over-draining at midloop, successful RCS makeup, failure to restore RHR cooling
and failure to establish SG reflux cooling It is assumed that failures of RHR coolingrestorationand failure of SG reflux cooling are
primarUyartributed to hardware failures or difficulty in executing the restoration or establishing process (i.e, not due to incompetent
operator performance).
• A-RAW1(2A4)-XHE-F-12. Operator establishes RCS feed and bleed following over-draining at midloop. Mure to provide RCS makeup, and pressurizer safety
valve removed. It is assumed that Mure of RCS makeup is primarily attributed to hardware Mure or difficulty in executing the
restoration process (i.e, not due to incompetent operator performance).
• A-RAWl (2A4)-XHE-F-16. Operator establishes RCS feed and bleed following over-draining at midloop. Mure to provide RCS makeup, and Mure to establish
SG reflux cooling It is assumed that Mure of RCS makeup and SGrefluxcooling are primarily attributed to hardware Mure or
difficulty In executing the restoration process (i.e, not due to incompetent operator performance).
• A-RBW1(23.4)-XHE-F-S. As described above for A-RAWl(24.4)-XHE-F-5 except the initiating event is Mure to maintain level; all else is identical.
Use same value as A-RAWl(23,4)-XHE-F-5.
• A-RBWl(23.4)-XHE-F-9. As described above for A-RAWl(23,4)-XHE-F-9 except the initiating event is Mure to maintain level; all else is identical.
Use same value as A-RAWI(2A4)-XHE-F-9.
• A-RBWI(2A4)-XHE-F-1Z As described above for A-RAW1(2^,4)-XHE-F-12 except the initiating event is Mure to maintain level; all else is identical.
Use same value as A-RAW1(2A4)-XHE-F-12.
• A-RBW1(£3,4)-XHE-F-16. As described above for A-RAW1(23,4)-XHE-F-16 except the initiating event is Mure to maintain level; all else is identical.
Use same value as A-RAWl (2A4)-XHE-F-16.
As described above for A-RAW1 (2,3,4)-XHE-F-12 except adequate RCS level has been maintained and an unrecoverable loss of RHR has
• A-R3Wl(W,4)-XHE-F-4. occurredgill else is identical; no proceeding actions; no indication of low and restored RCS levels; there may not be RHR pump motor
amperage oscillation or excessive pump noise.
As described above for A-RAW1(2^,4)-XHE-F-16 except adequate RCS level has been maintained and an unrecoverable loss of RHR
• A-R3Wl(2^,4)-XHE-F-8. has occurred^ else Is identical; no proceeding actions; no indication of low andrestoredRCS levels; there may not be RHR pump motor
amperage oscillation or excessive pump noise.
As described above for A-RAWl (23,4)-XHE-F-5 except adequate RCS level has been maintained and the initiating event is loss of one
• A-R4Wl(2A4)-XHE-F-5. RHR train (operating); preceding actions do not include success of RCS makeup; no indication of low and restored RCS levels; there may
not be RHR pump motor amperage oscillation and excessive pump noise.
Use same value as A-RAWl (23,4)-XHE-F-5.
• A-R4Wl(2A4)-XHE-F-9. As described above for A-RAWl (2^,4)-XHE-F-9 except adequate RCS level has been maintained and the initiating event is loss of one
RHR train (operating); preceding actions do not include success of RCS makeup; no indication of low and restored RCS levels; there may
not be RHR pump motor amperage oscillation and excessive pump noise.
Use same value as A-RAWl(2^,4)-XHE-F-9.
• A-R5Wl(2A4)-XHE-F-5. Identical to A-R4W1 (2A4)-XHE-F-5, except the initiating event is a recoverable loss of RHR.
Use same value as A-RAWl (13,4)-XHE-F-5.
• A-R5Wl(2A4)-XHE-F-9. Identical to A-R4Wl(2A4)-XHE-F-9, except the initiating event is a recoverable loss of RHR.
Use same value as A-RAWl (2£,4)-XHE-F-9.
8-43 NUREG/CR-6144
8 Human Interface Analysis
PRECEDING EVENTS
• Low RCS lose! (Car RA<B)W1(1M>XH&<3-<S(1J)), restated RCS level ( b tbe eseat of n a n h l RCS«j»to.p;fof R A ( B ) W l ( U , « > X H & < M ) , M d i l o . l y d « r t u i « R C S
level. — ~ " ' " ~
- dottrel toon RCS studprpe level l-RC-LI-lOOA (nay sot be m m wbea RCS boiliaa starts>
- Coetrol rooei eold sbaldowa RCS level aarrow r u g * 1*RC-LR>IQ5.
(eltrtsoatoiadkatioaof RCS level wilbb the loop, l e . Crow atiddbto top of the bop; ataybepsitialr/aasffa3sbtoif*italbesbeatrailabb)
• RCS staadpipe bed local iadfcatio*.
• SaatbWacooIiae low level asaeaoiatorlVC4L
• RHRpaetp aaotor anperaje eedllatba(br RA(B)Wl(2J.4)-XHEO-6(15)).
• EzoeitieeRHR p e s v e e e w (tor RA(B)WI(2J.4>XH&<M(13)).
• N o RHR Clow
- Coatrol rooo RHR Boar isdkatioe I-RH-H-16DJ.
- RHR keat exobsaaer low flow aaaenoiator H C 4
• leooretberaiaJcQaplestorRCSteapBratBreXaiaybe^retftisiyasa^
PROCEDURAL GUIDANCE
IMPACT OF FAILURE/ADDmONALCUES
TIME CONSTRAINTS
• Tisaoaatilboiliaaaadlbsaatril core dsatage are tiaTowiadowcieprafWet aad are gjesa b Chapter 3. (It aisy be dilticelt to establish priesary parity feed whea RCS beiliag
starts).
• Estabtisbbg prbnary gravity Ceed sboeld oar/ take a few niaates.
NUREG/CR-6144 8-44
8 Human Interface Analysis
• D-R3W1(2A4)-XHE. As described aboveforD-RAW1(2£,4)-XHE, except the initiating event is unrecoverable loss of RHR.
• D-R4Wl(i3,4)-XHE. As described aboveforD-RAW1(£3,4)-XHE, except the initialing event is loss of one (operating) RHR train.
• D-R5W1(2J,4)-XHE. As described aboveforD-RAW1(2^,4)-XHE, except the initiating event is recoverable loss of RHR.
• A-RAW1(2J,4)-XHE-<W. Operator establishes primary gravityfeedfollowing over-draining at midloop, snccessfiil RCS makeup, failure to restore RHR cooling,
pressurizer safety valve removed, and Wlure of primary 'feed and spill*. It U -*""*•*'< that failure of RHR coolingrestorationand
establishing primary 'feed and spill* are primarily attributed to hardware failures or difficulty in executing the restoration or establishing
process; i.e, not due to incompetent operator performance.
• A-RAWl(23,4)-XHE-0-13. Operatorftstahllshesprimary gravityfeedfollowingover-draining at midloop, faflnre to provide RCS makeup, pressarlzer safetyvalve
removed, and failure of primary 'feed and spill*. It is assumed that failure of RCS makeup and failure of primary 'feed and spill* are
primarily attributed to hardware failures or difficulty In executing the restoration or establishing process (Le, not due to incompetent
operator performance).
• A-RBWI(24,4)-XHE-0-6. As described above for A-RAWl(2 J,4)-XHE^-6 except the initiating event Is failure to maintain level; all else Is identical.
r
8-45 NUREG/CR-6144
Table 8-10. Relationship between Loss of Support
System/Loss of Ofisfte Power/Safety Injection Initiating Events
and RHR Initiating Events
midloop,
L2 R5 10. Unique conditions and the associated HEPs,
AC Power Recovered S.F.G 7
Hnsttta Cats*
Basic Event Condition AppUcaMeCntxU Functions! Deseriptioii,Tliiitntj, etc Recovery Possibilities Tirbsslrsl Potato
Adloa 1M3/M/3*
R-A1W1D6-XHE-C-A1 A1W1D6[A] LPIMDP-MA-SHA Redrc failure-RWST suction valve FTC, 2 'Recoveries:" man dose vtv & 4J1E-03 Analyses by Westinghouse, INEL, and 140,39,47
LPR-MOV-FT-1S62B after HP F&S success. No reflux-WlD6 uncertainty in success criteria. {If valve BNL (undocumented) indicate that 1
[A-RAW1-XHE-R-4 assumption of 3/3 SG req'd and 1 locally operable, dosed before pump SG is adequate at all times. VEPOO
or (CCW-LF.RHE2A and unavailable. If valve not ihut before air bound? If dosed later, can pump analysis and AP27 give more stringent
CCW-LF-RHE2B)] RWST empties, the LPI pump may prime?} {2/3 SG OK.OR U2 RWST success criteria. Operator fails to
become air bound. Because Wl, x-con to + MU} recover RHR early; shift to redrc Is >
U 2 RWST Insufficient. 10 hours later.
R-A2W1D6-XHE-OA2 A2W1D6[A] LFI-MDF-MA-SI1A Recirc failure-sump suction FTO, after 2 "Recoveries:" man open vtv & 431E-03 Analyses by Westinghouse, INEL, and 548
LPR-MOV-FT-1860B HP F&S success. No refluic-WlD6 uncertainty in success criteria. {If valve BNL (undocumented) indicate that 1
[A-RAW1-XHE-R-4] assumption of 3/3 SG req'd and 1 locally operable, open before core SG is adequate at all times. VEPCO
unavailable. Because W l , x-con to U2 damage) {2/3 SG OK.OR U 2 RWST analysis and AP27 give more stringent
RWST Insufficient. + MU) success criteria. Operator rails to
recover RHR carry; shift to recirc is >
10 hours later.
R-A3W1D6-XHE-C-A3 A3W1D6(A] {LPI-MDP-MA-SI1A Recirc fallure-both low pressure pumps "Recovery:* uncertainty in success N Analyses by Westinghouse, INEL, and 4,17
LFI-MDP-FS-SI1B unavail, after HP F&S success. No criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
[A-RAW1-XHE-R-4]} reflux-WlD6 assumption of 3/3 SG req'd MU) SG is adequate at all times. VEPCO
or and 1 unavailable. Because Wl, x-con to analysis and AP27 give more stringent
{LPI-MDP-MA-SHA U2 RWST insufficient. success criteria. Operator fails to
((DCP-BAT-LP-BAT1B recover RHR early; shift to redrc is >
and 10 hours later.
(ACP-BCH-MA-UPSB1) or
DCP-BDC-ST-BUS1B)
CCW-LF-RHE2A)
R-A4W1D6-XHE-C-A4 A4VV1D6 CON-VFC-RP-COREM Delayed recirc failure-HP F&S success. "Recovery:" uncertainty in success N Analyses by Westinghouse, INEL, and 15
OSR-TRA-MA No recirc spray, when sump overheats, criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
ISR-TRA-MA containment fails and LP pump fails. No MU> SG is adequate at all times. VEPCO
reflux-WlD6 assumption of 3/3 SG req'd analysis and AP27 give more stringent
and 1 unavailable. Because Wl, x-con to success criteria.
U 2 RWST insufficient.
R-A5W1 D6-XH&C-A5 A5W1D«[A) {ACP-BAC-ST-4KV1J 4KV1J and UPSB1 cause valve 109B to "Recovery:* uncertainty in success N Analyses by Westinghouse, INEL, and 19,21,22,52
orACP-BAC-ST-Ul-2 dose. Isolating CCW to RHR pump seal criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
orACP-BAC-ST-Ul) cooler No reflux-WlD6 assumption of MU> SG is adequate at all times. VEPCO
ACP-INV-NO-UPSBl 3/3 SG req'd and 1 unavailable. Because analysis and AP27 give more stringent
LPI-MDP-MA-SI1A W l , x-con to VI RWST insufficient. success criteria. Operator tails to
recover RHR carry; shift to redrc is >
10 hours later.
R-A6W1D6-XHE-C-A6 A6W1D6[A) {ACP-BAC-ST-4KV1H or UPSA2 causes RHR flow control valve to "Recovery:" uncertainty in success N Analyses by Westinghouse, INEL, and 20,25,26
ACP-BAC-ST-1H1) open resulting in runout of RHR. Loss of criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
ACP-INV-NO-UPSA2 H bus results in failure of recirc spray. No MU) SG is adequate at ail times. VEPCO
(HPI-MDP-MA-CHIB or reflux-WlD6 assumption of 3/3 SG req'd analysis and AP27 give more stringent
CPC-MDP-MA-SW10B) and 1 unavailable. Because Wl, x-con to success criteria. Operator tails to
U 2 RWST insufficient. recover RHR early, shift to redrc Is >
10 hours later.
Table 8-11 (Page 2 of 4). Recovery Factors Initiators RA, RB, R3, R4 and R5
Csawt
Bask Eves* Ceatltlea AaalkakkCatsets FaactlMMl Descri»ti**,TlBWs«, etc Racsmsy Feasibilities Tectaical Petals
ActlM
R-A6W1D6-XHE-C-A6 A6W1D6[A] (ACP-BAC-ST-4KV1H RHR and LPI lott. High head Injection "Recovery:" uncertainty in success N Analyses by Wesdnghouse, INEL, and 50,51
HPI-MDP-MA-CH1B > or possible. No creditforreflux due to criteria {2/3 SO OK.OR U2 RWST + BNL (undocumented) indicate that 1
{ACP-BAC-ST-4KV1J •ucceu criteria assumption. Because MU> SO Is adequate at all times. VEPCO
Ln-MDP-MA-SHA) Wl, x-con to U2 RWSTinnifficient. analrtk and AP27 give more stringent
CCW-LF-RHE2B success criteria. Operator rails to
recover RHR early; shift to redre is >
10 hours later.
R-A7W2R6-XHE-C-A7 A7W2R6[A] {ACP-BAC-ST-4KV1H or UPSA2 causes RHRflowcontrol valve to 3.15E-03 Operator fails to recover RHR eariy; 33,36,37
ACP-BAC-ST-1H1) open resulting in runout of RHR. Loss of shift to redrc is > 10 hours later.
ACP-INV-NO-UPSA2 H bus results in failure of redrc spray. No
LOOPISOLATED2R6 reflux-vowel isolated.
{Hn-MDP-MA-CH1B or
CPC-MDP-MA-SW10B)
R-A8W1R6-XHE-C-A8 A8W1R6[A] LPI-MDP-MA-SI1A Redrc failure-RWST suction valve FTC, "Recovery:* man dosevhr (If valve 4.43E-03 Operator Wis to recover RHR early; 38
LFR-MOV-FT-1862B after HP F&S success. No reflux-vessel Is locally operable, dosed before pump shift to redrc is > 10 hours later.
LOOPISOLATED1R6 isolated If valve not shut before RWST air bound? If dosed later, can pump
empties, the LPI pump may become air prime?)
bound. Because Wl, x-con to U2 RWST
insufficient.
R-B1DR6-XHE-D-B1 B1DR6 D-RAWl-XHE Fail to diagnose. No recoveiy. N The most Hkery cause of diagnosis 2,8,941,14,
D-RAW2-XHE failure involves complications 23,28,43,48
D-RAW3-XHE associated with human-induced IEs
D-RBW2-XHE causing misdirection on the part of the
D-RSW2-XHE operators. The likelihood of failure to
D-R5W3-XHE diag depends on the IE, time window
and POS, as previously quantified.
R-C1W1D6A-XHE-R-C1 C1W1D6A CPC-MDP-FR-SW10A Failure to recover RHR andfailureof "Recoveiy." account for realistic CPC N For cases in which the safety valves 3,54
CPC-MDP-MA-SW10B F&S. Assumes that failure of charging pump run rime (initially assumed to be are not removed and loops unisolated,
{(LPI-MDP-FS-SI1B and pump cooling water prevents recoveiy of 24 hours) to refill RHR. Cutset is reflux cooling under less severe success
LPI-MDP-MA-SI1A) or RHR. recovered if CPC runs for 1 hour and criteria may be possible. For windows
LFI-CCF-FS-SIIAB) operator recovers RHR (eg, 1 and 2, the time available may be too
A-RAWl-XHE-R-n). short to restore RHR by gravity feed.
R-C2W2D6A-XHE-R-C2 C2W2D6A CPC-MDP-FR-SW10A Failure to recover RHR and failure of "Recoveiy." account for realistic CPC N For windows 2, thetimeavailable 6
CPC-MDP-MA-SW10B F&S; no reflux because pressurlzer safety pump run rime (initially assumed to be may be too short to restore RHR by
LPI-MDP-FS-SI1B valves have been. Assumes that failure of 24 hours) to refill RHR. Cutset is gravity feed.
LPI-MDP-MA-SI1A charging pump cooling water prevents recovered if CPC runs for 1 hour and
/PZR-SV-REMOVEDW2 recovery of RHR. operatorrecoversRHR
(A-RAWl-XHE-R-n).
Table 8-11 (Page 3 of 4). Recovery Factors Initiators RA, RB, R3, R4 and R5
Cats*
Basic E r a * CeaaltUa AsflicaM* Cossets Ftaactteaal D«scrit<le»,Tla»l«i, H e Recant? PMsiUUtict Tn M i l l f l a t s
Actlm
R-C2W3D6A-XHE-R-C2 C2W3D6A CPC-MDP-FR-SW10A Failure to recover RHR and failure of "Recovery." account for realistic CPC N 16
CPC-MDP-MA-SW10B F&S; no reflux because pressurizer safety pump run time (initially assumed to be
LPI-MDP-FS-SI1B valves have been. Assumes that failure of 24 hours) to refill RHR. Cutset is
LPI-MDP-MA-SI1A charging pump cooling water prevents recovered if CPC runt for 1 hour and
/PZR-SV-REMOVEDW3 recovery of RHR. operator recovers RHR
(A-RAWl-XHE-R-n). More time
available for recovery than for
window 2.
R-C2W3D6A-XHE-R-C2 C2W3D6A CPC-MDP-FR-SW10A Failure to recover RHR and failure of "Recovery." account for eallstic CPC N 16
CPC-MDP-MA-SW10B F&S; no refulx because pressurizer safety pump run time (initially assumed to be
LPI-MDP-FS-SI1B valves have been. Assumes that failure of 24 hours) to refill RHR. Cutset it
LPI-MDP-MA-SI1A charging pump cooling water prevents recovered If CPC runt for 1 hour and
/PZR-SV-REMOVEDW3 recovery of RHR. operator recovers RHR (A-RAW1-
XHE-R-n). More time available for
recovery than for window 2.
R-C3W4R10A-XHE-R- C3W4R10A CPC-MDP-FR-SW10A Failure to recover RHR and failure of "Recovery." account for realistic CPC N For case* in which the safety valves 29
C3 CPC-MDP-MA-SWIOB F&S. Assumes that failure of charging pump run time (initially assumed to be are not removed and loops unlsolatcd,
LPI-MDP-FS-SI1B pump cooling water prevents recovery of 24 hours) to refill RHR. Cutset is reflux cooling under less severe success
LPI-MDP-MA-SI1A RHR. recovered if CPC runs for 1 hour and criteria may be possible.
operator recovers, RHR (e.g,
A-R10W4-XHE-R-n).
R-D1W2R6-XHE-C-D1 D1W2R6 {CPC-MDP-FR-SW10A or Redrc spray failure, successful low head cross connect unit 2 charging pump 3.15E-03 Reflux cooling is not possible. Lost of 7,27,30
ACP-BAC-ST-4KV1H) F&S, unrecoverable loss of RHR and RWST. but H fails HPI pump A and
{CPC-MDP-MA-SWIOB or recirculation.
HPI-MDP-MA-CH1B)
(OSR-TRA-MA
ISR-TRA-MA)
R-E1W2D6-XHE-C-E1 E1W2D6 ACP-BAC-ST-4KV1H Redrc spray failure, no high head action required starting at 10 hrs 1.20E-O4 gravity feed could be used to extend 12,13
AFW-MDP-MA-FW3B injection, aux feedwater unavailable extends time to 21 hrs. fire pump or time to align unit 2 AFW
{HPI-MDP-MA-CH1B or prevents long term reflux, low pressure unit 2 AFW needed for long term
CPC-MDP-MA-SWIOB} F&S successful. Reflux lasts about 10 hrs. success. Recovery considers only the
use of unit 2 AFW.
R-F1W1D6-XHE-C-FI FIW1D6 A-R3W1-XHE-C-8 Operator falls to establish redrc "Recovery:" uncertainty in success N Revisit basis for quantification of 24
criteria (2/3 SO OK. While alignment event.
to U2 RWST + MU could succeed,
no credit it given for operators to shift
toU2}
R-G1W2DR6-XHE-C-G1 G1W2DR6A ACP-BAC-ST-4KV1H RHR pump falls due to runout (loss of 1. feed SO via U2 AFW or fire pump; 1.03E-04 32,35,40,42,
ACP-INV-NO-UPSA2 bus UPSA2 results in RHR discharge valve or, 2. feed reactor via U2 RWST and 44,46
AFW-MDP-MA-FW3B to FO). Reflux cooling falls, SO dryout at charging pump
{HPI-MDP-MA-CH1B or 10 hrs. LPI successful; bus H fails redrc
CPC-MDP-MA-SWIOB} spray.
Table 8-11 (Page 4 of 4). Recovery Factors Initiators RA, RB, R3, R4 and R5
Catset
BulcEvtai Coalition A>pllc»MeCiitt«U Faactloaal DeKripUon/rlmlaf, eta Recovery Poulhilltios TecMcal Folate
Adieu
R-H1W1DR5-XHE-T?? H1W1DR6A RWT-TNK-LF-RWST RWST Inventory low. rcvitlt iyitem model for RWST N 34,45
£ i
o
!
:
j
Table 8-12 (Page 1 of 5). Recovery Factors for Initiators SR, SI, 4KYV, AR, and CC
Hassan Cats*
Basic Event CeaslltlM ApaUcahkCntsrts Fnctieaal Dacrisitiaa.tlmlai, etc Rsctrety Pusibilltlt* Tscfcsslcal Fafatts
ActlM 1M3/M0*
R-A1W1D6-XHE A1W1D6(A] {(FREOCCW and Redrc failure-RWST suction valve FTC, 2 'Recoveries:' man dose vtv & 430E-03 Analyses by Westinghouse, INEL, and 13,63,69
H-CCW-REC-Wl)or after HP F&S success. Noreflux-WlD6 uncertainty in success criteria. {If valve BNL (undocumented) indicate that 1
(FREQ-SIand assumption of 3/3 SG req'd and 1 locally operable, dosed before pump SG Is adequate at ad rimes. VEPCO
H-SI-REC-W1) or unavailable. If valve not thut before air bound? If dosed later, o n pump analysis and AP27 give more stringent
(FREOVBaud RWST empties, the LPI pump may prime?) {2/3 SG OK.OR U 2 RWST success criteria. Operator b u s to
H-VB-REC-W1)} become air bound. Became W l , x-con to + MU) recover RHR carry; shift to redrc is >
LPI-MDP-MA-SIIA U 2 RWST insufficient. 10 hours later.
LPR-MOV-FT-1862B
R-A2W1D6-XHE-C A2W1D6{A] {(FREOCCW and Redrc failure-sump suction FTO. after 2 "Recoveries:'' man open vlv & 4.30E-03 Analyses by Westingaouse, INEL. and 22
H-CCW-REC-Wl) or HP F&S success. No reflux-WlD6 uncertainty in success criteria. {If valve BNL (undocumented) Indicate that 1
(FREQ-SIand assumption of 3/3 SG req'd and 1 locally operable, open before core SG is adequate at all times. VEPCO
H-SI-REC-W1) or unavailable. Because Wl, x-con to TJ2 damage) {2/3 SG OK.OR U2 RWST analysis and AP27 give more stringent
(FREQ-VBand RWST insufficient. + MU) sucoess criteria. Operator fails to
H-VB-REC-W1)} recover RHR early; shift to redrc is >
LPI-MDP-MA-SIIA 10 hours later.
LPR-MOV-FT-1S60B
R-A3W1D6-XHE-C A3W1D6(A] {(FREOCCW and Redrc failure-both low pressure pumps "Recovery:" uncertainty in success N Analyses by Westinghouse, INEL, and 23,37,38
H-CCW-REC-Wl) or unavaU, after HP F&S success. No criteria {2/3 SG OK.OR U 2 RWST + BNL (undocumented) indicate that 1
(FREOSIand reflux-WlD6 assumption of 3 0 SG req'd MU> SG is adequate at all times. VEPCO
H-SI-REC-W1) or and 1 unavailable. Because Wl, x-con to analysis and AP27 give more stringent
(FREOVB and U2 RWST insufficient. success criteria. Operator fails to
H-VB-REC-W1)} recover RHR early; shift to redrc is >
{(LPI-MDP-MA-SIIA and 10 hours later.
LPI-MDP-FS-SUB)
or
CCW-LF-RHE2A)
R-A4W1D6-XHE-C A4W1D6 FREOCCW Delayed redrc failure-HP F&S success. "Recovery:" uncertainty in success N Analyses by Westinghouse, INEL, and 49
H-CCW-REC-Wl No redrc spray, when sump overheats, criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
CON-VFC-RP-COREM containment (alls and LP pump fails. No MU) SG Is adequate at all nines. VEPCO
OSR-TRA-MA reflux-WlDo assumption of 3/3 SG req'd analysis and AP27 give moro stringent
ISR-TRA-MA and 1 unavailable. Because Wl, x-con to success criteria.
U2RWSTlnsuffident.
R-A6W1D6-XHE-C A6W1D6[A] {ACP-BAC-ST-4KV1H or UPSA2 causes RHR flow control valve to "Recovery:" uncertainty in success N Analyses by Westinghouse, INEL, and 14,15
ACP-BAC-ST-1H1) open resulting in runout of RHR. Loss of criteria {2/3 SG OK.OR U2 RWST + BNL (undocumented) indicate that 1
ACP-INV-NOUPSA2 H bus results in failure of redrc spray. No MU) SG is adequate at all times. VEPCO
{HPI-MDP-MA-CH1B or reftux-WlD6 assumption of 3/3 SG req'd analysis and AP27 give more stringent
CPC-MDP-MA-SW10B) and 1 unavailable. Because Wl, x-con to success criteria. Operator fails to
U2 RWST Insufficient. recover RHR early, shift to redrc is >
10 hours later.
Table 8-12 (Page 2 of 5). Recovery Factors for Initiators SR, SI, 4KW, AR, and CC
C«s*t
Basic BvssU CeaaltUa AnlicaMe Cutsets FmKti«ulD<url|Ml«a,UaJac«(c. RsemtyPeuiMUUs* Tiih»iiir«fcsto
ActlM 1M3/M/M
1 i
R-A10W1D6-XHE-C A10W1D6(A) FREQ-CCW "Recovery" usceratinty in success N 64
1 1
H-CCW-REC-W1 criteria of reflux cooling
A-CCWl-XHE-d-9 1 !
R-AI1W1R5-XHE-C A11W1R6[A] {(FRET>CCW and Redrc fallure-RWST tucdon valve FTC, "Recovery:" man dose vtv {U2 4.30E-O3 77
H-CCW-REC-Wl)or after HP F&S success. No reflux-loops RWST + MU)
(FREQ-SI and isolated If valve not shut before RWST
H-SI-REOWl)or empties, the LPI pump may become air
(FREQ-VBand bound. Because Wl,x-oon to U2 RWST
H-VB-REC-W1)} Insufficient.
LPI-MDP-MA-SI1A
LFR-MOV-FT-1862B
1
LOOPISOLATED1R6
i
R-A12W1R6-XHE-C A12W1R6[A] FREQ-4KV Redrc faUure-RWST sucdon valve FTC, "Recovery:' man dose vhr {U2 430E-03 79,88
H-4KV-REC-W1 after HP F&S success. No reflux-loops RWST + MU)
{HPI-MDP-MA-CH1B or Isolated If valve not shut before RWST '
CPC-MDP-MA-SW10B) empties, the LPI pump may become air
ACP-INV-NO-UPSA2 bound. Because Wl[ x-con to U2 RWST
LOOPISOLATED1R6 insufficient.
R-B1DR6-XHE-D B1DR6 D-4KW2-XHE Fall to diagnose. No recovery. 1 The most likely cause of diagnosis 29,45,55,73
LWKW3-XHE failure Involves complications
associated with human-Induced IEs
i
causing misdirection on the part of the
operators. The likelihood of failure to
diag depends on the IE,timewindow
and POS, as previously quantified.
R-D2W2DR6-XHE-C D2W2DR6 FREQ-4KV Redrc spray failure, successful low head cross connect unit 2 charging pump 3.20E-03 Reflux cooling Is not possible. Loss of 26,33
H-4KV-REC-W2 F&S, unrecoverable loss of RHR and RWST. bus H fails HPI pump A and
{CPC-MDP-MA-SW10B or recirculation.
HPI-MDP-MA-CH1B} 1
(RHR-MDP-FS-RHR1B or
CCW-MDP-FS-CCP1B)
LOOHSOLATED2R6 i
Table 8-12 (Page 3 of 5). Recovery Factors for Initiators SR, SI, 4KVV, AR, and CC
Csttst
Bask Eras* CMSSUUM ApplkaMsCatsets Foaclieaal Ds«cris)tt*a,tuatif, «& Reomsy P«slMIltlt« Tecftaical ratals
Actlwi 1M3/MKU
R-D3W2R6-XHE-C D3W2R6 FREQ-4KV Rodrc spray failure, successful low head cross connect unit 2 charging pump 3.20BO3 Reflux cooling is not possible. Loss of 27,28,32,34,
H-4KV-REC-W2 FftS, unreooverable loss of RHR and RWST. bus H falls HFI pump A and 62,68
{CPC-MDP-MA-SW10B or recirculation.
HPI-MDP-MA-CH1B)
A-4KW2-XHE-R-12
LOOPISOLATEDW2
R-E1W2D6-XHE-C E1W2D6 FREQ-4KV Redrc spray failure, no high head action required starting at 10 hrs 1.20E-04 gravity feed could be used t o extend 5 9 , 6 a 66,67
H-4KV-REC-W2 Injection, aux feedwater unavailable extends time to 21 hrs. fire pump or time to align unit 2 AFW
AFW-MDP-MA-FW3B prevents long term reflux; low pressure unit 2 AFW needed for long term
{HFI-MDP-MA-CH1B or F&S successful. Reflux lasts about 10 hit. success. Recovery considers only the
CPC-MDP-MA-SW10B) use of unit 2 AFW.
R-G1W2DR6-XHE-C G1W2DR6A FRBCMKV RHR pump falls due to runout (loss of 1. Feed SG via U 2 AFW or fire
H-RKV-REC-W2 bus UPSA2 results in RHR discharge valve pump; or
{ACP-1NV-NO-UPSA2 or to FO). Reflux cooling falls, SG dtyout at - 2. Feed reactor via U 2 RWST and
RHR-CCF-FS-MDPAB or 10 hrs. LFI successful; bus H falls redrc charging pump
RHR-XVM-PG-XV6or spray.
1, 2, 6,61, 6578,
DCP-BAT-LLP-BAT1A) 1.00E-04
SO, 81 82, 83, 84
{AFW-MDP-MA-FW3B or
AFW-MDP-FS-FW3B)
{HPI-MDP-MA-CH1B or
HPI-MOD-FT-101B or
CPC-MDP-MA-SW10B)
R-G1W2DR6-XHE-C G1W2DR6A FREO-4KV RHR pump fails due to runout (loss of 1. feed SG via U2 AFW or fire pump; 1.00E-04 1,2,6,61,6578,
H-4KV-REC-W2 bus UPSA2 results in RHR discharge valve or, 2. feed reactor via U2 RWST and 80,81,82,83,
(ACP-INV-NO-UPSA2 or to FO). Reflux cooling fails, SG diyout at charging pump 84
RHR-CCF-FS-MDPAB or 10 hrs. LPI successful; bus H fails redrc
RHR-XVM-PG-XV6 or spray.
DCP-BAT-LP-BAT1A)
{AFW-MDP-MA-FW3B or
AFW-MDP-FS-FW3B}
(HFI-MDP-MA-CH1B or
HFI-MOD-FT-101B or
CPC-MDP-MA-SW10B)
R-G2W2DR6-XHE-C G1W2DR6A FREQ-4KV RHR pump fails due to runout (loss of . feed reactor via U2 RWST and 1.00E-04 3 , 4 , 7 0 , 7 1 , 74,
H-4KV-REC-W2 bus UPSA2 resulu in RHR discharge valve charging pump 75,85,86, 87
{ACP-INV-NO-UPSA2 or to FO). Reflux cooling falls, SG diyout at
RHR-MDP-FR-B24HR or 10 hrs. LPI successful; bus H fails redrc
CCW-MDP-FR-CCP1B or spray.
DCP-BAT-LP-BAT1A)
AFW-MDP-MA-FW3B
{HFI-MDP-MA-CH1B or
CPC-MDP-MA-SW10B)
{LOOFISOLATED2R6 or
(MS-AOV-FC-101A/B and
MSS-NRV-MA-101A/B)}
Table 8-12 (Page 4 of 5). Recovery Factors for Initiators SR, SI, 4KW, AR, and CC
Cats*
Basic Enai CeaalUea Applicable Cntstts Rnxtleatl Description, tiinlaf, etc, ReenrsfyPMsikUJtks TecaalcalPeiats
ActiM 1M3/M/3*
R-G3W2DR6-XHE-C G3W2DR6A FRECMKV RHR pump fails due tofailureof CCW 1. feed SG via U2AFW orfirepump; 1.00E-04 5,7,8.11,12,
H-4KV-REC-W2 (assumed to fail RHR due to loss of seal or, 2. feed reactor via U2RWST and 16,17,2a 21,
<CCW-LF-RHE3Bor cooling). Reflux cooling fails, SGdiyout charging pump 24,25,39,41,
CCW-MDP-FS-CCPIB or atlOhrs. LPI successful; bus H M i 42,44,48,5a
RHR-MDP-FS-RHR1B) redrc spray. 72,76
AFW-MDP-MA-FW3B
{HPI-MDP-MA-CHlBor
CPC-MDP-MA-SW10B)
R-G4W2DR5-XHE-C G4W2DR6A FREtWKV RHR pump fails due to failure of CCW . feed reactor via U2RWST and 1J00E44 9,10,46,47
H-4KV-REC-W2 (assumed to fail RHR due to Ion of seal charging pump
<CCW.LF-RHE3Bor cooling). Reflux cooling falls, SGdiyout
CCW-MDP-FS-CCPIB or atlOhrs. LPI successful; bus H falls
RHR-MDP-FS-RHR1B) redrc spray.
AFW-MDP-MA-FW3B
{HPI-MDP-MA-CH1B or
CPC-MDP-MA-SW10B)
LOOPISOLATED2R6
R-G5W2DR6-XHE-C G5W2DR6A FREQ4KV Failure to recover RHR; reflux cooling 1. feed SG via U2AFW orfirepump; 1D0E-04 4a 43
H-4KV-REC-W2 falls; LPI successful; failure of bus H fails or, 2. feed reactor via U2RWST and
A-4KW2-XHE-R-12 redrc spray charging pump
AFW-MDP-MA-FW3B
{HPI-MDP-MA-CH1B or
CPC-MDP-MA-SW10B)
R-G6W1DR6-XHE-C G6W1DR6A FREQ-tKV RHR pump fails due to runout (loss of 1. feed SG via U2AFW orfirepump; U00RO4 52,56
H-4KV-REC-W1 bus UPSA2 results In RHR discharge valve or, 2. feed reactor via U2RWST and
{ACP-INV-NO-UPSA2 or toFO). Reflux cooling falls, SG dryout at charging pump
DCP-BAT-LP-BATIA) 10 hrs. LPI successful; bus H fails redrc
AFW-MDP-MA-FW3B spray.
{HPI-MDP-MA-CH1B or
CPC-MDP-MA-SW10B)
Table 8-13 (Page 1 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-RAW1-XHE-M-12 Calculated 1.10E-04 Same as R6 N/A Fail To Makeup Given Inventory Loss
A-RAW1-XHE-R-4 Calculated 1.20E-03 Same as R6 N/A Failure To Restore RHR Given Successful
A-RAW1-XHE-SF-9 Calculated 1.00E-03 N/A N/A REFLUX: Fail To Feed SGs Given Fail To Restore
A-RAW2-XHE-SF-9 Calculated 1.00E-03 Same as R6 N/A RHR but Successful Level Control
A-RAW1-XHE-S1-9 Calculated 4.00E-02 N/A N/A REFLUX: Fail To Bleed SGs Given Fail To Restore
A-RAW2-XHE-S1-9 Calculated 2.60E-03 Same as R6 N/A RHR but Successful Level Control
A-RAW1-XHE-S2-8 Conserv Assumption 1 N/A N/A REFLUX: Fail To Establish Reflux after PRT
A-RAW2-XHE-S2-8 Conserv Assumption 1 Same as R6 N/A Rupture Given Fail To Restore RHR but Successful
A-RAW1-XHE-FL-5 Calculated 5.00E-03 Same as R6 N/A B&F, SV Removed: Fail To Use LHSI in Feed and
A-RAW2-XHE-FL-5 Calculated 1.20E-03 Same as R6 N/A Spill Mode Given Fail To Restore RHR but
A-RAW1-XHE-FH-5, Calculated 5.00E-05 Same as R6 N/A B&F: Fail HHSI in Feed and Spill Mode Given Fail
A-RAW2-XHE-FH-5 Calculated 2.00E-05 Same as R6 N/A To Restore RHR but Successful Level Control
Table 8-13 (Page 3 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-RAW1-XHE-FH-10 Calculated 5.00E-05 Same as R6 N/A B&F SV Not Removed: Fail HHSI in Feed and
A-RAW2-XHE-FH-10 Calculated 2.00E-05 Same as R6 N/A Spill Given Fail To Restore RHR but Successful
A-RAW3-XHE-FH-10 A-RAW2-XHE-FH-10 2.00E-05 Same as R6 Same as R6 Level Control; Failure of Reflux Cooling
A-RAW1-XHE-FL-10 Calculated 1 .OOE-02 Same as R6 N/A B&F: Fail LHSI in Feed and Spill Given Fail To
A-RAW2-XHE-FL-10 Calculated 1.20E-03 Same as R6 N/A Restore RHR but Successful Level Control;
A-RAW1-XHE-C-9 Calculated 1.00E-03 Same as R6 N/A RECIRC: Fail HP Recirc with SV Not Removed
A-RAW1-XHE-C-4 Calculated 1.00E-03 Same as R6 N/A RECIRC: Fail HP Recirc with SV Removed Given
A-RAW1-XHE-P-4 Calculated 1.00E-03 Same as R6 N/A RECIRC: Fail To Establish Recirc Spray
A-RAW1-XHE-G-6 Conserv Assumption 1 N/A Same as R6 GRAVITY: Fail To Establish Gravity Feed Given
A-RAW2-XHE-Q-6 Conserv Assumption 1 N/A Same as R6 Successful Level Control but Fail To Restore RHR
D-RBW1-XHE Calculated 1.50E-05 Same as R6 N/A Failure To Diagnose Failure To Maintain Level
A-RBW1-XHE-M-12 A-RAW1-XHE-M-12 1.10E-04 Same as R6 N/A Fail To Makeup Given Inventory Loss
A-RBW1-XHE-R-4 A-RAW1-XHE-R-4 1.20E-03 Same as R6 N/A Failure To Restore RHR Given Successful
A-RBW1-XHE-SF-9 A-RAW1-XHE-SF-9 1.00E-03 N/A N/A REFLUX: Fail To Feed SGs Given Fail To Restore
A-RBW2-XHE-SF-9 A-RAW2-XHE-SF-9 1.00E-03 N/A N/A RHR but Successful Level Control
A-RBW1-XHE-S1-9 A-RAW1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SGs Given Fail To Restore
A-RBW2-XHE-S1-9 A-RAW2-XHE-S1-9 2.60E-03 N/A N/A RHR but Successful Level Control
.
A-RBW1-XHE-S2-8 Conserv Assumption 1 Same as R6 N/A REFLUX: Fail To Establish Reflux after PRT
A-RBW2-XHE-S2-8 Conserv Assumption 1 Same as R6 N/A Rupture Given Fail To Restore RHR but Successful
A-RBW1-XHE-FL-5 A-RAW1-XHE-FL-5 5.00E-03 Same as R6 N/A B&F, SV Removed: Fail To Use LHSI in Feed and
A-RBW2-XHE-FL-5 A-RAW2-XHE-FL-5 1.20E-03 Same as R6 N/A Spill Mode Given Fail To Restore RHR but
A-RBW1-XHE-FH-5 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A B&F: Fail HHSI in Feed and Spill Mode Given Fail
A-RBW2-XHE-FH-5 A-RAW2-XHE-FH-5 2.00E-05 Same as R6 N/A To Restore RHR but Successful Level Control
A-RBW1-XHE-FH-10 A-RAW1-XHE-FH-10 5.00E-05 Same as R6 N/A B&F SV Not Removed: Fail HHSI in Feed and
A-RBW2-XHE-FH-10 A-RAW2-XHE-FH-10 2.00E-05 _Same as R6 N/A Spill Given Fail To Restore RHR But Successful
A-RBW3-XHE-FH-10 A-RAW3-XHE-FH-10 2.00E-05 Same as R6 Same as R6 Level Control; Failure of Reflux Cooling
A-RBW1-XHE-FL-10 A-RAW1-XHE-FL-10 1.00E-02 Same as R6 N/A B&F: Fail LHSI in Feed and Spill Given Fail To
A-RBW2-XHE-FL-10 A-RAW2-XHE-FL-10 1.20E-03 Same as R6 N/A Restore RHR But Successful Level Control;
A-RBW1-XHE-C-9 A-RAW1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail HP Recirc with SV Not Removed
A-RBW1-XHE-C-4 A-RAW1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail HP Recirc with SV Removed Given
A-RBW1-XHE-P-4 Calculated 1.00E-04 Same as R6 N/A RECIRC: Fail To Establish Recirc Spray
A-RBW1-XHE-G-6 Conserv Assumption 1 Same as R6 N/A GRAVITY: Fail To Establish Gravity Feed Given
A-RBW2-XHE-G-6 Conserv Assumption 1 Same as R6 N/A Successful Level Control but Fail To Restore RHR
A-R3W1-XHE-S1-8 Calculated 4.10E-02 N/A N/A REFLUX: Fail To Bleed SQ via ADV -Operator
A-R3W1-XHE-S2-8 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-R3W2-XHE-S2-8 Conserv Assumption 1 Same as R6 N/A Bleed SQ via ADV; Late Action in Response to
A-R3W3-XHE-S2-7 Conserv Assumption 1 Same as R6 Same as R6 PRT Rupture-Only Reasonable Scenario is that
AP-27
SSHR-AOV-XHE-105 Calculated 1.30E-02 Same as R6 Same as R6 REFLUX: Fail To Est. B/P Path to cond-
PORV FTC)
Table 8-13 (Page 10 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-R3W2-XHE-FL-4 A-RAW2-XHE-FL-5 1.20E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-R3W1-XHE-FH-4 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-R3W2-XHE-FH-4 A-RAW2-XHE-FH-5 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-R3W2-XHE-FL-9 A-RAW2-XHE-FL-10 1.20E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-R3W3-XHE-FL-7 A-RAW3-XHE-FL-10 1.20E-03 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-R3W4-XHE-FL-7 A-RAW4-XHE-FL-10 1.20E-03 Same as R6 Same as R6 Diagnosis). Timing and Cues Worse than FL-4
A-R3W1-XHE-FH-9 A-RAW1-XHE-FH-10 5.00E-05 Same as R6 N/A B&FifiFail To Use HHSI | LHSI Failed - -Operator
A-R3W2-XHE-FH-9 A-RAW2-XHE-FH-10 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
Table 8-13 (Page 11 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-R3W1-XHE-G-5 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-R3W2-XHE-G-5 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-R3W3-XHE-Q-4 Conserv Assumption 1 N/A N/A FR3W1 Failed due to HW. Use Guaranteed
A-R3W4-XHE-G-4 Conserv Assumption 1 N/A N/A Failure. Edit to Old Gravity Feed Event Only for
A-R3W1-XHE-C-3 A-RAW1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est HP Recirc (B&F Successful
A-R3W2-XHE-C-3 A-RBW2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, ==>Recognition
A-R3W1-XHE-C-8 A-RAW1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (B&F Successful
A-R3W2-XHE-C-8 A-RBW2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
A-R3W3-XHE-C-8 N/A N/A N/A N/A Recognition of Low RWST Level Req'd
A-R3W1-XHE-P-3 A-RBW1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray
A-R4W1-XHE-SF-9 A-RAW1-XHE-SF-9 1.00E-03 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
Table 8-13 (Page 13 of 84). Quantitative Results of BNL/Suiry Human Action Evaluations
A-R4W1-XHE-S1-9 A-RAW1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-R4W1-XHE-S2-9 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P. FTC PORVs & Fail To
A-R4W2-XHE-S2-9 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-R4W3-XHE-S2-4 Conserv Assumption 1 Same as R6 Same as R6 PRT Rupture—Only Reasonable Scenario Is that
AP-27
A-R4W1-XHE-FL-5 A-RAW1-XHE-FL-5 5.00E-03 Same as R6 N/A Fail LHSI in Feed and Spill Mode Given Fail To
Restore RHR but Successful Level Control
A-R4W1-XHE-FH-5 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail HHSI In Feed and Spill Mode Given Fail To
Restore RHR but Successful Level Control
A-R4W1-XHE-FL-10 A-RAW1-XHE-FL-10 5.00E-05 Same as R6 N/A Fail LHSI in Feed and Spill Given Fail To Restore
RHR but Successful Level Control; Failure of Reflux
Cooling
A-R4W1-XHE-FH-10 Calculated 1.00E-02 Same as R6 N/A Fail HHSI in Feed and Spill Given Fail To Restore
RHR but Successful Level Control; Failure of Reflux
Cooling
A-R4W2-XHE-FH-10 Calculated 1.20E-03 Same as R6 N/A
Table 8-13 (Page 15 of 84). Quantitative Results of BNIVSurry Human Action Evaluations
A-R4W1-XHE-G-6 Consetv Assumption 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-R4W2-XHE-Q-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-R4W3-XHE-G-5 Conserv Assumption 1 N/A Same as R6 F&S Failed due to HW. Use Guaranteed
A-R4W4-XHE-G-5 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-R4W1-XHE-C-4 A-RAW1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (B&F Successful
A-R4W2-XHE-C-4 A-RAW2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = > Recognition
A-R4W1-XHE-C-9 A-RAW1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (B&F Successful
A-R4W2-XHE-C-9 A-RAW2-XHE-C-9 1.20E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
A-R4W3-XHE-C-9 N/A N/A N/A N/A Recognition of Low RWST Level Req'd
A-R4W1-XHE-P-4 A-RBW1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray
A-R4W1-XHE-P-9 A-RBW1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray
A-R5W1-XHE-SF-9 A-RAW1-XHE-SF-9 1.00E-03 N/A N/A REFLUX: Fail To Feed SQs Given Fail To Restore
RHR but Successful Level Control
A-R5W1-XHE-S1-9 A-RAW1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-R5W1-XHE-S2-9 Conserv Assumption 1 N/A N/A Fair To Establish Reflux after PRT Rupture Given Fail
To Restore RHR but Successful Level Control
A-R5W1-XHE-FH-5 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail HHSI in Feed and Spill Mode Given Fail To
Restore RHR but Successful Level Control
A-R5W1-XHE-FL-5 A-RAW1-XHE-FL-5 5.00E-03 Same as R6 N/A Fail LHSI in Feed and Spill Mode Given Fail To
Restore RHR but Successful Level Control
A-R5W1-XHE-FH-10 A-R4W1-XHE-FH-10 1.00E-02 N/A N/A Fail HHSI in Feed and Spill Given Fail To Restore
RHR but Successful Level Control; Failure of Reflux
Cooling
A-R5W1-XHE-FL-10 A-RAW1-XHE-FL-10 5.00E-05 N/A N/A Fail LHSI in Feed and Spill Given Fail To Restore
RHR but Successful Level Control; Failure of Reflux
Cooling
A-R5W1-XHE-G-6 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-R5W2-XHE-G-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-R5W3-XHE-G-5 Conserv Assumption 1 N/A Same as R6 F&S Failed due to HW. Use Guaranteed
A-R5W4-XHE-G-5 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-R5W1-XHE-C-4 A-RAW1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (B&F Successful
A-R5W2-XHE-C-4 A-RAW2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = > Recognition
A-R5W1-XHE-C-9 A-RAW1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail To Est HP Recirc (B&F Successful
A-R5W2-XHE-C-9 A-RAW2-XHE-C-9 1.20E-03 Same as R6 N/JV and SVs Not Removed)-© 8 - 20 Hr, = = >
A-R5W3-XHE-C-9 N/A N/A N/A N/^ Recognition of Low RWST Level Req'd
A-R5W1-XHE-P-4 A-RBW1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray
i
!
A-R5W1-XHE-P-9 A-RBW1-XHE-P-4 | 1.00E-04 Same as R6 N/A REFLUX: Fail To Feed SGs Given Fail To Restore
I
I
RHR but Successful Level Control
, I
D-SIW1-XHE Calculated i 0.00002 Same as R6 N/A Failure To Diagnose Inadvertent Safety Injection in
POS6
Table 8-13 (Page 21 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-SIW1-XHE-R-4 A-R5W1-XHW-R-4 0.0012 Same as 06 N/A Fail To Restore RHR Given Inadvertent SI in POS 6
A-SIW1-XHE-R-13 Calculated 0.0085 Same as D6 N/A Fail To Restore RHR Given Inadvertent SI in POS 6
and Failure To Restore Power to Bus H
A-SIW1-XHE-S2-9 A-R5W1-XHE-S1-9 0.04 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-SIW1-XHE-S3-9 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-SIW2-XHE-S3-9 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-SIW3-XHE-S3-4 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-SIW1-XHE-S1-18 A-R5W1-XHE-SF-9 0.001 N/A N/A REFLUX: Given Failure To Restore RHR Fail To Feed
SG @ ~ 10 Hr = = >
A-SIW1-XHE-S2-18 Calculated 0.08 N/A N/A REFLUX: Given Failure To Restore RHR,Fail To Bleed
SG via ADV -Operator
A-SIW1-XHE-S3-18 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P Given Failure To Restore
RHR, FTC PORVs & Fail To
A-SIW2-XHE-S3-18 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-SIW3-XHE-S3-18 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-SIW1-XHE-FL-5 Calculated 0.01 Same as R6 N/A Fail F&B: SI System Recovered (Secured); RHR Not
Restored; SVs Removed
A-SIW1-XHE-FL-10 Calculated 0.066 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs Not
Removed
A-SIW1-XHE-FL-14 Calculated 0.061 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs
Removed
A-SIW1-XHE-FL-19 A-SIW1-XHE-FL-14 0.061 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs Not
Removed
A-SIW1-XHE-FH-5 A-R5W1-XHE-FH-5 0.00005 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs
Removed
A-SIW1-XHE-FH-10 A-R5W1-XHE-FH-5 0.00005 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs Not
Removed
A-SIW1-XHE-FH-14 A-R5W1-XHE-FH-5 0.00005 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs
Removed
A-SIW1-XHE-FH-19 A-R5W1-XHE-FH-5 0.00005 Same as R6 N/A Fail F&B: SI Secured; RHR Not Restored; SVs Not
Removed
Table 8-13 (Page 26 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-SIW1-XHE-G6 Conserv Assumption N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-SIW2-XHE-G6 Conserv Assumption N/A N/A Failure of Fill and Spill. SI Secured
A-SIW1-XHE-G15 Conserv Assumption N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-SIW2-XHE-G15 Conserv Assumption N/A N/A Failure of Fill and Spill. SI Continues
A-SIW1-XHE-C-4 A-R5W1-XHE-C-4 0.001 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (SI Secured, B&F
Successful)
A-SIW2-XHE-C-4 A-R5W2-XHE-C-4 0.001 Same as R6 N/A and^BVs Removed)-® 8 - 20 Hr, = = > Recognition
A-SIW1-XHE-C-13 A-R5W1-XHE-C-4 0.001 Same as R6 N/A RECIRC: Fail To Est HP Recirc (SI Continues, B&F
Successful
A-SIW2-XHE-C-13 A-R5W2-XHE-C-4 0.001 Same as R6 N/A and SVs Removed)-® 8 -20 Hr, = = > Recognition
A-SIW1-XHE-C-9 A-R5W1-XHE-C-4 0.001 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (SI Secured, B&F
Successful
A-SIW2-XHE-C-9 A-R5W2-XHE-C-4 0.001 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
Recognition
A-SIW1-XHE-C-18 A-R5W1-XHE-C-4 0.001 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (SI Continues, B&F
Successful and SVs Not Removed
A-SIW1-XHE-P-4 A-R5W1-XHE-P-4 0.0001 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray (SI Secured, B&F
Successful and SVs Not Removed)
A-SIW1-XHE-P-13 A-R5W1-XHE-P-4 0.0001 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray (SI Continues,
B&F Successful and SVs Not Removed)
A-SIW1-XHE-P-9 A-R5W1-XHE-P-4 0.0001 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray (SI Secured, B&F
Successful and SVs Not Removed)
A-SIW1-XHE-P-18 A-R5W1-XHE-P-4 0.0001 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray (SI Continues,
B&F Successful and SVs Not RemovedO
D-CCW1-XHE Calculated 2.30E-05 Same as R6 N/A Fail To Diagnose Loss of Component Cooling Water
A-CCW1-XHE-HCC Not HRA based N/A Fail To locally Recover Air to HX Valves
A-CCW2-XHE-HCC Not HRA based N/A NOTE: Based on Review of Data Presented
Elsewhere in this Report
A-CCW1-XHE-S1-8 Calculated 4.10E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-CCW1-XHE-S2-8 Conserv Assumptfon 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-CCW2-XHE-S2-8 Conserv Assumption 1 1 N/A Bleed SG via ADV; Late Action in Response to
A-CCW3-XHE-S2-7 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-CCW1-XHE-FL-10 A-R5W1-XHE-FL-10 1.00E-02 Same as R6 N/A Fail Low Pressure F&B Given SVs in Place
A-CCW1-XHE-FH-10 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail High Pressure F&B Given SVs in Place
A-CCW1-XHE-G-6 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-CCW1-XHE-C-9 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (B&F Successful
A-CCW2-XHE-C-9 A-R5W2-XHE-C-9 1.00E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
A-CCW3-XHE-C-9 N/A N/A N/A N/A Recognition of Low RWST Level Req'd
A-CCW1-XHE-P-4 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est. Recirc Spray
Table 8-13 (Page 33 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
D-4KD6-XHE Calculated N/A N/A N/A Failure To Diagnose Loss of 4kV Bus for D6
D-4KW1-XHE Calculated 2.30E-05 Same as R6 N/A Failure To Diagnose Loss of 4kV Bus in POS 6
A-4KW1-XHE-HCC Not HRA based. N/A Operator Action Fails To Restore 4kV Bus H
A-4KW2-XHE-HCC Not HRA based. N/A NOTE: Based on a Review of Data Presented
Elsewhere in this Report
A-4KD6-XHE-R-4 Not quantified. N/A N/A N/A Fail To Restore RHR Given Loss of 4kV in D6
Table 8 4 3 (Page 34 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-4KW1-XHE-R-3 A-R5W1-XHE-R-4 1.20E-03 Same as D6 N/A Fail To Restore RHR Given Loss of 4kV In POS 6
A-4KW1-XHE-R-12 Calculated 8.50E-03 Same as D6 N/A Fail To Restore RHR Given Loss of 4kV in POS 6 and
Failure To Restore Power to Bus H
A-4KW1-XHE-S2-8 A-RAW1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-4KW1-XHE-S3-8 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-4KW2-XHE-S3-8 Conserv Assumption" 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response To
A-4KW3-XHE-S3-8 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-4KW1-XHE-S1-17 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A REFLUX: Given Failure To Restore RHR Fail To Feed
SG @ ~ 10 Hr = = >
A-4KW1-XHE-S2-17 A-SIW1-XHE-S2-18 8.00E-02 N/A N/A REFLUX: Given Failure To Restore RHR, Fail To
Bleed SG via ADV -Operator
A-4KW1-XHE-S3-17 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P Given Failure To Restore
RHR, FTC PORVs & Fail To
-Ar4KW2-XHE-S3-17 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-4KW3-XHE-S3-17 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-4KW1-XHE-FL-5 A-S1W1-XHE-FL-5 1.00E-02 Same as R6 N/A Fail F&B: Power Recovered at 4kV Bus H; RHR Not
Restored; SVs Removed
A-4KW1-XHE-FL-10 A-SIW1-XHE-FL-10 6.60E-02 Same as R6 N/A Fail F&B: Power Recovered at 4kV BBs H; RHR Not
Restored; SVs Not Removed
A-4KW1-XHE-FL-14 A-SIW1-XHE-FL-14 6.10E-02 Same as R6 N/A Fail F&B: Power Not Restored to 4kV Bus H; RHR
Not Restored; SVs Removed
A-4KW1-XHE-FL-19 A-SIW1-XHE-FL-19 6.10E-02 Same as R6 N/A Fail F&B: Power Not Restored to 4kV Bus H; RHR
Not Restored; SVs Not Removed
A-4KW1-XHE-FH-5 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Power Recovered at 4kV Bus H; RHR Not
Restored; SVs Removed
A-4KW1-XHE-FH-10 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Power Recovered at 4kV Bus H; RHR Not
Restored; SVs Not Removed
A-4KW1-XHE-FH-14 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Power Not Restored to 4kV Bus H; RHR
Not Restored; SVs Removed
A-4KW1-XHE-FH-19 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Power Not Restored to 4kV Bus H; RHR
Not Restored; SVs Not Removed
A-4KW1-XHE-G6 Conserv Assumption N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-4KW2-XHE-G6 Conserv Assumption N/A N/A Failure of Fill and Spill. Power Restored to 4 kV
BusH
A-4KW1-XHE-G15 Conserv Assumption N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-4KW2-XHE-G15 Conserv Assumption N/A N/A Failure of Fill and Spill. Power Not Restored to 4 kV
BusH
A-4KW1-XHE-C-4 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (Power Restored to
4kV Bus, B&F Successful
A-4KW2-XHE-C-4 A-R5W2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = >
A-4KW3-XHE-C-4 N/A N/A N/A N/A Recognition of Low RWST Level Req'd
A-4KW1-XHE-C-13 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fall To Est HP Recirc (Power Not Restored
to 4kV Bus, B&F Successful
A-4KW2-XHE-C-13 A-R5W2-XHE-C-9 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = >
A-4KW3-XHE-C-13 N/A N/A N/A N/A Recognition of Low RWST Level Req'd.
A-4KW1-XHE-C-9 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (Power Restored to
4kV Bus, B&F Successful
A-4KW2-XHE-C-9 A-R5W2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
Recognition
A-4KW1-XHE-C-18 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (Power Not Restored
to 4kV Bus, B&F Successful
A-4KW2-XHE-C-18 A-R5W2-XHE-C-9 1.00E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
Recognition
A-4KW1-XHE-P-4 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Power Restored
to 4kV Bus, B&F Successful
A-4KW1-XHE-P-13 A-R5W1-XHE-P-4 1 .OOE-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Power Not
Restored to 4kV Bus B&F Successful
A-4KW1-XHE-P-9 A-R5W1-XHE-P-4 1 .OOE-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Power Restored to
4kV Bus, B&F Successful
A-4KW1-XHE-P-18 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Power Not
Restored to 4kV Bus B&F Successful
A-L1W1-XHE-SF-13 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs Given Fail To Restore RHR but
Successful Level Control
Table 8-13 (Page 43 of 84). Quantitative Results of BNIVSurry Human Action Evaluations
A-L1W1-XHE-S1-13 A-R5W1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SQ via ADV -Operator
A-L1W1-XHE-S2-13 Conserv Assumption 1 N/A N/A Fail To Establish Reflux after PRT Rupture Given F?.il
To Restore RHR but Successful Level Control
A-L1W1-XHE-SF-17 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs Given Fail To Restore RHR but
Successful Level Control;SVs Not Removed
A-L1W1-XHE-S1-17 A-SIW1-XHE-S2-18 8.00E-02 N/A N/A REFLUX: Fail To Bleed SQ via ADV -Operator
A-L1W1-XHE-S2-17 Conserv Assumption 1 N/A N/A Fail To Establish Reflux after PRT Rupture Given Fail
To Restore RHR but Successful Level Control;,SVs
Not Removed
A-L1W2-XHE-FL-5 A-SIW2-XHE-FL-5 7.60E-04 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L1W1-XHE-FH-5 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L1W2-XHE-FH-5 A-R5W2-XHE-F.H-5 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-L1W3-XHE-FH-4 A-R5W3-XHE-FH-4 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER RESTORED
A-L1W2-XHE-FL-9 A-SIW2-XHE-FL-10 2.00E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L1W3-XHE-FL-7 A-SIW3-XHE-FL-13 2.00E-03 Same as R6 Same as R6 (Successful Diagnosis) ;POWER NOT RESTORED
A-L1W1-XHE-FH-9 A-R5W1-XHE-FH-10 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L1W2-XHE-FH-9 A-R5W2-XHE-FH-10 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-L1W3-XHE-FH-7 A-R5W3-XHE-FH-13 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER NOT RESTORED
A-L1W1-XHE-FL-14 A-SIW1-XHE-FL-14 6.10E-02 Same as R6 N/A B&F, SV Not Removed==> Reflux Failed.
A-L1W2-XHE-FL-14 A-SIW2-XHE-FL-14 8.00E-03 Same as R6 N/A Faikfo Use LHSI F&S - -Operator will Attempt
A-L1W3-XHE-FL-14 A-SIW3-XHE-FL-10 8.00E-03 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
Table 8-13 (Page 46 of 84). Quantitative Results of BNIySurry Human Action Evaluations
A-L1W4-XHE-FL-14 A-SIW4-XHE-FL-10 1.10E-03 Same as R6 Same as R6 Diagnosis). Timing and Cues Worse than FL-5
POWER RESTORED
A-L1W1-XHE-FH-14 A-R5W1-XHE-FH-14 5.00E-05 Same as R6 N/A BaF: Fail To Use HHSI | LHSI Failed - -Operator
A-L1W2-XHE-FH-14 A-R5W2-XHE-FH-14 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
POWER RESTORED
A-L1W2-XHE-FL-18 A-SIW2-XHE-FL-19 1.30E-02 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L1W3-XHE-FL-10 A-SIW3-XHE-FL-7 1.30E-02 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-L1W4-XHE-FL-10 A-SIW4-XHE-FL-7 1.10E-03 Same as R6 Same as R6 Diagnosis). Timing and Cues Worse than FL-5
POWER NOT RESTORED
A-L1W1-XHE-FH-18 A-R5W1-XHE-FH-19 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L1W2-XHE-FH-18 A-R5W2-XHE-FH-19 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
POWER NOT RESTORED
A-L1W1-XHE-G-6 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-L1W2-XHE-G-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-L1W3-XHE-Q-5 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed due to HW. Use Guaranteed
A-L1W4-XHE-G-5 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-L1W1-XHE-G-10 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-L1W2-XHE-G-10 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-L1W3-XHE-G-7 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed due to HW. Use Guaranteed
A-L1W4-XHE-G-7 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event only for
A-L1W1-XHE-C-4 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR POWER RESTORED
A-L1W1-XHE-C-8 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR POWER NOT RESTORED
A-L1W1-XHE-C-13 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER RESTORED
A-L1W1-XHE-C-17 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER NOT RESTORED
A-L1W1-XHE-P-4 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Removed, POWER
RESTORED
A-L1W1-XHE-P-8 A-R5W1-XHE-P-9 1 .OOE-04 Same as R6 N/A Fail Recirc Spray: SVs Removed. POWER NOT
RESTORED
A-L1W1-XHE-P-13 A-R5W1-XHE-P-4 1 .OOE-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER
RESTORED
A-L1W1-XHE-P-17 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER NOT
RESTORED
A-L2W1-XHE-SF-13 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs given Fail To Restore RHR but
Successful Level Control
A-L2W1-XHE-S1-13 A-R5W1-XHE-S1-9 4.00E-02 N/A N/A. REFLUX: Fail To Bleed SG via ADV -Operator
A-L2W1-XHE-S2-13 Conserv Assumption 1 N/A N/A Fail To Establish Reflux after PRT Rupture Given Fail
To Restore RHR but Successful Level Control
A-L2W1-XHE-SF-17 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs Given Fail To Restore RHR but
Successful Level Control;SVs Not Removed
A-L2W1-XHE-S1-17 A-SIW1-XHE-S2-18 8.00E-02 N/A N/A REFLUX: Fail To Bleed SQ via ADV -Operator
A-L2W1-XHE-S2-17 Conserv Assumption 1 N/A N/A Fail To Establish Reflux after PRT Rupture Given Fail
To Restore RHR but Successful Level Control; SVs
Not Removed
A-L2W2-XHE-FL-5 A-SIW2-XHE-FL-5 7.60E-04 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L2W1-XHE-FH-5 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
Table 8-13 (Page 53 of 84). Quantitative Results of BNIVSurry Human Action Evaluations
A-L2W2-XHE-FH-5 A-R5W2-XHE-FH-5 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-L2W3-XHE-FH-4 A-R5W3-XHE-FH-4 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER RESTORED
-
A-L2W1-XHE-FL-9 A-SIW1-XHE-FL-10 6.60E-02 Same as R6 N/A B&F, SV Removed==>First Action.
A-L2W2-XHE-FL-9 A-SIW2-XHE-FL-10 2.00E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L2W3-XHE-FL-7 A-SIW3-XHE-FL-13 2.00E-03 Same as R6 Same as R6 (Successful Diagnosis) ;POWER NOT RESTORED
A-L2W1-XHE-FH-9 A-R5W1-XHE-FH-10 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L2W2-XHE-FH-9 A-R5W2-XHE-FH-10 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-L2W3-XHE-FH-7 A-R5W3-XHE-FH-13 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER NOT RESTORED
A-L2W2-XHE-FL-14 A-SIW2-XHE-FL-14 8.00E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L2W3-XHE-FL-14 A-SIW3-XHE-FL-10 8.00E-03 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-L2W4-XHE-FL-14 A-SIW4-XHE-FL-10 1.10E-03 Same as R6 Same as R6 diagnosis). Timing and Cues Worse than FL-5
POWER RESTORED
Table 8-13 (Page 54 of 84). Quantitative Results of BNIVSurry Human Action Evaluations
A-L2W1-XHE-FH-14 A-R5W1-XHE-FH-14 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L2W2-XHE-FH-14 A-R5W2-XHE-FH-14 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
POWER RESTORED
A-L2W2-XHE-FL-18 A-SIW2-XHE-FL-19 1.30E-02 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L2W3-XHE-FL-10 A-SIW3-XHE-FL-7 1.30E-02 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-L2W4-XHE-FL-10 A-SIW4-XHE-FL-7 1.10E-03 Same as R6 Same as R6 Diagnosis). Timing and Cues Worse than FL-5
POWER NOT RESTORED
A-L2W1-XHE-FH-18 A-R5W1-XHE-FH-19 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L2W2-XHE-FH-18 A-R5W2-XHE-FH-19 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
POWER NOT RESTORED
A-L2W1-XHE-Q-6 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-L2W2-XHE-G-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-L2W3-XHE-G-5 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed due to HW. Use Guaranteed
A-L2W4-XHE-G-5 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-L2W1-XHE-Q-10 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-L2W2-XHE-G-10 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-L2W3-XHE-G-7 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed due to HW. Use Guaranteed
A-L2W4-XHE-G-7 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-L2W1-XHE-C-4 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR POWER RESTORED
A-l ?W1-XHF.r.-B
A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR POWER NOT RESTORED
A-L2W1-XHE-C-13 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER RESTORED
A-L2W1-XHE-C-17 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER NOT RESTORED
A-L2W1-XHE-P-4 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Removed, POWER
RESTORED
A-L2W1-XHE-P-8 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Removed, POWER NOT
RESTORED
A-L2W1-XHE-P-13 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER
RESTORED
A-L2W1-XHE-P-17 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER NOT
RESTORED
Table 8-13 (Page 58 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-L3W1-XHE-SF-13 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs Given Fail To Restore RHR but
Successful Level Control
A-L3W1-XHE-S1-13 A-R5W1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-L3W1-XHE-S2-13 Conserv Assumption 1 N/A N/A Fail To Establish Reflux after PRT Rupture given Fail
To Restore RHR but Successful Level Control
A-L3W1-XHE-SF-17 A-R5W1-XHE-SF-9 1.00E-03 N/A N/A Fail To Feed SGs Given fail To Restore RHR but
Successful Level Control;SVs Not Removed
A-L3W1-XHE-S1-17 A-SIW1-XHE-S2-18 8.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
Table 8-13 (Page 60 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-L3W1-XHE-S2-17 Conserv Assumption 1 N/A N/A Fail To Extablish Reflux after PRT Rupture Given Fail
To Restore RHR but Successful Level Control;,SVs
Not Removed
A-L3W2-XHE-FL-5 A-SIW2-XHE-FL-5 7.60E-04 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L3W1-XHE-FH-5 A-R5W1-XHE-FH-5 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSi Failed - -Operator
A-L3W2-XHE-FH-5 A-R5W2-XHE-FH-5 2.00E-05 Same as R6 N/A wilt Attempt (Successful Diagnosis & LHSI
A-L3W3-XHE-FH-4 A-R5W3-XHE-FH-4 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER RESTORED
Table 8-13 (Page 61 of 84). Quantitative Results of BNIVSurry Human Action Evalnatfons
A-L3W2-XHE-FL-9 A-SIW2-XHE-FL-10 2.00E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L3W1-XHE-FH-9 A-R5W1-XHE-FH-10 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L3W2-XHE-FH-9 A-R5W2-XHE-FH-10 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI
A-L3W3-XHE-FH-7 A-R5W3-XHE-FH-13 2.00E-05 Same as R6 Same as R6 Attempted and Failed) POWER NOT RESTORED
A-L3W2-XHE-FL-14 A-SIW2-XHE-FL-14 8.00E-03 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L3W3-XHE-FL-14 A-SIW3-XHE-FL-10 8.00E-03 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-L3W4-XHE-FL-14 A-SIW4-XHE-FL-10 1.10E-03 Same as R6 Same as R6 Diagnosis). Timing and Cues Worse than FL-5
POWER RESTORED
A-L3W1-XHE-FH-14 A-R5W1-XHE-FH-14 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
Table 8-13 (Page 62 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-L3W2-XHE-FH-14 A-R5W2-XHE-FH-14 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI failed)
POWER RESTORED
A-L3W2-XHE-FL-18 A-SIW2-XHE-FL-19 1.30E-02 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-L3W3-XHE-FL-10 A-SIW3-XHE-FL-7 1.30E-02 Same as R6 Same as R6 when Reflux Fails To Provide Cooling (Successful
A-L3W4-XHE-FL-10 A-SIW4-XHE-FL-7 1.10E-03 Same as R6 Same as R6 diagnosis). Timing and Cues Worse than FL-5
POWER NOT RESTORED
A-L3W1-XHE-FH-18 A-R5W1-XHE-FH-19 5.00E-05 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-L3W2-XHE-FH-18 A-R5W2-XHE-FH-19 2.00E-05 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
POWER NOT RESTORED
A-L3W1-XHE-G-6 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-L3W2-XHE-G-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
Table 8-13 (Page 63 of 84). Quantitative Results of BNL/Surrv Human Action Evaluations
A-L3W3-XHE-G-5 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed Due to HW. Use Guaranteed
A-L3W4-XHE-Q-5 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-L3W1-XHE-G-10 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Est. Gravity Feed Following
A-L3W2-XHE-G-10 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-L3W3-XHE-Q-7 Conserv Assumption 1 N/A Same as R6 FR3W1 Failed due to HW. Use Guaranteed
A-L3W4-XHE-G-7 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-L3W1-XHE-C-4 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR POWER RESTORED
A-L3W1-XHE-C-8 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Removed Given Fail To
Restore RHR. POWER NOT RESTORED
Table 8*13 (Page 64 of 84). Quantitative Remits of BNI/Suny Human Action Evaluations
A-L3W1-XHE-C-13 A-R5W1-XHE-C-4 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER RESTORED
A-L3W1-XHE-C-17 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A Fail HP Recirc with SV Not Removed Given Fail To
Restore RHR POWER NOT RESTORED
A-L3W1-XHE-P-4 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Removed, POWER
RESTORED
A-L3W1-XHE-P-8 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Removed, POWER NOT
RESTORED
A-L3W1-XHE-P-13 A-R5W1-XHE-P-4 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER
RESTORED
A-L3W1-XHE-P-17 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A Fail Recirc Spray: SVs Not Removed, POWER NOT
RESTORED
A-B1W1-XHE-CW-4 Calculated 1.50E-01 Same as R6 N/A Fait To Isolate CW Valves In SBO Event
A-B1W1-XHE-CW-7 A-B1W1-XHE-CW-4 1.50E-01 Same as R6 N/A Fail To Isolate CW Valves in SBO Event; SVs Not
Removed
A-B1W1-XHE-2CH-4 Calculated 3.30E-01 Same as R6 N/A Fail to x-tie CHQ Row from U2 to U1
Table 8-13 (Page 67 of 84). Quantitative Results of BNL/Surry Human Action Evaluations
A-B1W1-XHE-2CH-7 Calculated 3.30E-01 Same as R6 N/A Fail to x-tie CHG Flow from U2 to U1; SVs Not
Removed
A-B1W1-XHE-G-6 Conserv Assumptbn 1 N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-B1W2-XHE-G-6 Conserv Assumption 1 N/A N/A Failure of Fill and Spill. Only Reasonable Case is if
A-B1W3-XHE-G-6 Conserv Assumptbn 1 N/A FR3W1 Failed Due to HW. Use Guaranteed
A-B1W4-XHE-G-6 Conserv Assumption 1 N/A Failure. Edit to Old Gravity Feed Event only for
Table 8-13 (Page 68 of 84). Quantitative Results of BNL/Suny Human Action Evaluations
Proper Cutsets
A-B2W1-XHE-G-3 Calculated 6.00E-03 Same as R6 N/A GRAVITY: Fail To Est Gravity Feed Following
A-B2W2-XHE-G-3 Calculated 6.20E-04 Same as R6 N/A Failure of Rll and Spill. Only Reasonable Case is if
A-B2W3-XHE-G-3 D-B2W2-XHE 6.20E-04 Same as R6 Same as R6 FR3W1 Failed Due to HW. Use Guaranteed
A-B2W4-XHE-Q-3 Calculated 1.70E-04 Same as R6 Same as R6 Failure. Edit to Old Gravity Feed Event only for
Proper Cutsets
D-VBW1-XHE Calculated 8.00E-05 Same as R6 N/A Failure To Diagnose Loss of Vital Bus in POS 6
A-VBW1-XHE-R-4 A-R4W1-XHE-R-4 1.20E-03 Same as D6 N/A Fail To Restore RHR Given Loss of Vital Bus in POS
6
A-VBW1-XHE-R-13 Calculated 3.30E-02 Same as D6 N/A Fail To Restore RHR Given Loss of Vital Bus in
POS 6 and Failure To Restore Power
A-VBW1-XHE-S2-9 A-R4W1-XHE-S1-9 4.00E-02 N/A N/A REFLUX: Fail To Bleed SG via ADY -Operator
A-VBW1-XHE-S3-9 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-VBW2-XHE-S3-9 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-VBW3-XHE-S3-4 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-VBW1-XHE-S1-18 A-SIW1-XHE-S1-9 1.00E-03 N/A N/A REFLUX: Given Failure To Restore RHR Fail To Feed
SG @ ~ 10 Hr = = >
A-VBW1-XHE-S2-18 Calculated 4.00E-01 N/A N/A REFLUX: Given failure to restore RHR,Fail to bleed
SG via ADV -Operator
A-VBW1-XHE-S3-18 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P Given Failure To Restore
RHR, FTC PORVs & Fail To
A-VBW2-XHE-S3-18 Conserv Assumption 1 Same as R6 N/A Bleed SG via ADV; Late Action in Response to
A-VBW3-XHE-S3-18 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-VBW1-XHE-FL-5 A-SIW1-XHE-FL-5 1.00E-02 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Removed
A-VBW1-XHE-FL-10 A-SIW1-XHE-FL-10 6.60E-02 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Not Removed
Table 8-13 (Page 72 of 84). Quantitative Results of BNIVSurry Human Action Evaluations
A-VBW1-XHE-FL-14 Calculated 2.50E-01 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Removed
A-VBW1-XHE-FL-19 A-VBW1-XHE-FL-14 2.50E-01 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Not Removed
A-VBW1-XHE-FH-5 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Removed
A-VBW1-XHE-FH-10 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Not Removed
A-VBW1-XHE-FH-14 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Removed
A-VBW1-XHE-FH-19 A-RAW1-XHE-FH-5 5.00E-05 Same as R6 N/A Fail F&B: Vital Bus Recovered; RHR Not Restored;
SVs Not Removed
A-VBW1-XHE-G6 Conserv Assumption N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-VBW2-XHE-G6 Conserv Assumption N/A N/A Failure of Fill and Spill. Vital Bus Recovered.
A-VBW1-XHE-G15 Conserv Assumption N/A N/A GRAVITY: Fail To Est Gravity Feed Following
A-VBW2-XHE-G15 Conserv Assumption N/A N/A Failure of Fill and Spill. Vital Bus Not Recovered
i
A-VBW3-XHE-G11 Conseh/ Assumption N/A Same as R6
i
! •
A^VBW1-XHE-C-4 A-R4W1-XHE-C-4 1.00E-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (Vital Bus Recovered,
i B&F Successful)
A-VBW2-XHE-C-4 A-R4W2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Removed)-© 8 - 20 Hr, = = > Recognition
A-VBW1-XHE-C-13 A-R5W1-XHE-C-9 1.00E-03 Same as R6 N/A RECIRC: Fail To Est HP Recirc (Vital Bus Not
Recovered, B&F Successful
A-VBW2-XHE-C-13 A-R5W2-XHE-C-9 1.00E-03 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = > Recognition
'
A-VBW1-XHE-C-9 A-R4W1-XHE-C-4 1 .OOE-03 Same as R6 N/A RECIRC: Fail To Est. HP Recirc (Vital Bus Recovered
B&F Successful
A-VBW2-XHE-C-9 A-R4W2-XHE-C-4 1.00E-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
Recognition
A-VBW1-XHE-C-18 A-R5W1-XHE-C-9 1.OOE-03 Same as R6 N/A RECIRC: Fail To Est HP Recirc (Vital Bus Not
Recovered, B&F Successful
A-VBW2-XHE-C-18 A-R5W2-XHE-C-9 1 .OOE-03 Same as R6 N/A and SVs Not Removed)-® 8 - 20 Hr, = = >
Recognition
A-VBW1-XHE-P-4 A-R4W1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Vital Bus
Recovered, B&F Successful
A-VBW1-XHE-P-13 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Vital Bus Not
Recovered, B&F Successful
A-VBW1-XHE-P-9 A-R4W1-XHE-P-4 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Recirc Spray (Vital Bus
Recovered, B&F Successful
A-VBW1-XHE-P-18 A-R5W1-XHE-P-9 1.00E-04 Same as R6 N/A RECIRC: Fail To Est Reclrc Spray (Vital Bus Not
Recovered; B&F Successful
-
D-ARW1-XHE Calculated 2.30E-05 N/A Diagnose Loss of Air
A-ARW1-XHE-R-5 A-SIW1-XHE-R-13 0.0085 N/A Fail To Restore RHR Given Loss of Air
A-ARW1-XHE-S1-10 A-SIW1-XHE-S2-18 0.08 N/A N/A REFLUX: Fail To Bleed SG via ADV -Operator
A-ARW1-XHE-S2-10 Conserv Assumption 1 N/A N/A REFLUX: After PRT O/P, FTC PORVs & Fail To
A-ARW2-XHE-S2-10 Conserv Assumptfon 1 N/A N/A Bleed SG via ADV; Late Action in Response to
A-ARW3-XHE-S2-10 Conserv Assumption N/A 1 N/A PRT Rupture-Only Reasonable Scenario is that
AP-27
A-ARW2-XHE-FL-6 A-SIW2-XHE-FL-14 0.008 Same as R6 N/A Fail To Use LHSI F&S - -Operator will Attempt
A-ARW1-XHE-FH-6 A-R5W1-XHE-FH-5 0.00005 Same as R6 N/A B&F: Fail To Use HHSI | LHSI Failed - -Operator
A-ARW2-XHE-FH-6 A-R5W2-XHE-FH-5 0.00002 Same as R6 N/A will Attempt (Successful Diagnosis & LHSI Failed)
A-ARW2-XHE-FL-11 A-SIW2-XHE-FL-14 0.013 N/A N/A Fail To Use LHSI F&S - -Operator will Attempt
A-ARW3-XHE-FL-8 A-SIW3-XHE-FL-10 0.013 N/A Same as R6 when Reflux Fails To Provide Cooling (Successful
A-ARW4-XHE-FL-8 A-SIW4-XHE-FL-10 0.0011 N/A Same as R6 Diagnosis). Timing and Cues Worse than FL-6
A-ARW1-XHE-FH-11 A-R5W1-XHE-FH-5 0.00005 N/A N/A B&F: Fail To Use HHSI | LHSI Failed - Operator
A-ARW2-XHE-FH-11 A-R5W2-XHE-FH-5 0.00002 N/A N/A will Attempt (Successful Diagnosis & LHSI Failed)
A-ARW1-XHE-Q-7 Conserv Assumption 1 N/A N/A GRAVITY: Fail To Eat Gravity Feed Following
Table 8-13 (Page 80 of 84). Quantitative Results of BNL/Suny Human Action Evaluations
A-ARW2-XHE-Q-7 Conserv Assumption 1 N/A N/A Failure of Rll and Spill. Only Reasonable Case is if
A-ARW3-XHE-G-6 Conserv Assumption 1 N/A Same as R6 F&S Failed Due to HW. Use Guaranteed
A-ARW4-XHE-G-6 Conserv Assumption 1 N/A Same as R6 Failure. Edit to Old Gravity Feed Event Only for
A-ARW1-XHE-C-5 A-R5W1-XHE-C-4 0.001 Same as R6 N/A RECIRC: Fail T Est HP Rcirc (B&F Successful
A-ARW2-XHE-C-5 A-R5W2-XHE-C-4 0.001 Same as R6 N/A and SVs Removed)-® 8 - 20 Hr, = = > Recognition
A-ARW1-XHE-C-10 A-R5W1-XHE-C-9 0.001 N/A N/A RECIRC: Fail To Est HP Recirc (B&F Successful
A-ARW2-XHE-C-10 A-R5W2-XHE-C-9 0.001 N/A N/A and SVs-Not Removed)-® 8 - 20 Hr, = = >
A-ARW3-XHE-C-10 A-R5W3-XHE-C-9 N/A N/A N/A Recognition of Low RWST Level Req'd
A-ARW1-XHE-P-5 A-R4W1-XHE-P-4 0.0001 Same as R6 N/A RECIRC: Fail To Est Recirc Spray
A-ARW1-XHE-P-10 A-R5W1-XHE-P-9 0.0001 Same as R6 N/A RECIRC: Fail To Est Recirc Spray Given SVs Not
Removed; Failure of Reflux but Succcess of F&B
A-SRW1-XHE-CW-3 A-B1W1-XHE-CW-4 1.50E-01 Same as R6 N/A Fail To Isolate CW Valves in Loss of ESQ Room
Cooling Event
9°
w
00
9 DATA BASE DEVELOPMENT
Minimum equipment lists for these three refueling outages also were obtained from Virginia Power. During
an outage, these lists are filled out once every shift for components that are subject to requirements as
stipulated in plant technical specifications for a given operational mode. Surry Station uses two types of
minimum equipment lists: one for cold shutdown conditions, and the other for non-cold shutdown conditions.
In this study, these minimum equipment lists were used to supplement information obtained from the log
books. Figure 9.1-1 is an example of the information collected from the log books and minimum equipment
lists.
In collecting maintenance data, the times at which a component was taken out of service (OOS) and later
returned to service (RTS) were identified. However, some data in the log books or the minimum equipment
lists were ambiguous. Sometimes an entry in the log book indicated that a particular component was tagged
out, but the record of the tag-in of the same component could not be found. In contrast, a component might
be mentioned several times as being taken out of service but without any entry in-between about its return-to-
service. In these situations, the relevant OOS and RTS times were estimated based on judgment, and these
times then were used to derive the duration that the specific component was available in each POS. The
maintenance unavailabilities were estimated by taking the average over all three refueling outages. For
example, the maintenance unavailability of a particular component during POS-6 is the sum of its downtime
during POS-6 of each outage divided by the total duration of POS-6 for all three outages. Table 9.1-1 lists
the estimated maintenance unavailabilities for each POS.
Since POS-6 and POS-10 were of most interest, Figures 9.1-2 to 9.1-4 illustrate the time lines for components
whose downtimes covered the midloop operations. These time lines are based on data collected specifically
at BNL for quantitatively assessing the risks associated with mid-loop operations. The same sets of data are
listed in Tables 9.1-2 to 9.1-4.
To supplement the maintenance unavailabilities listed in Table 9.1-1, the NUREG/CR-4550, Vol. 3 estimates
for full-power operations are used in accordance with the following rules:
9-1 NUREG/CR-6144
9 Database Development
(a) If no shutdown data is available for a maintenance event modeled in NUREG/CR-4550, the full power
data is used.
(b) If shutdown data is available for a maintenance event modeled in NUREG/CR-4550, the shutdown data
is used.
(c) If shutdown data is collected for a maintenance event that was not modeled in NUREG/CR-4550, it is
added by modifying the NUREG/CR-4550 fault trees.
We further assumed that the maintenance unavailabilities estimated using refueling outage data are
applicable to "like" POSs of other types of outage.
Recently, the Surry Station implemented a change to the operating procedures that involve reduced (reactor
vessel) inventory conditions during an outage. Before entering a reduced inventory condition, such as mid-
loop, a check list must be completed for certain pieces of equipment that are not allowed for maintenance.
Therefore, the maintenance unavailabilities in Table 9.1-1 were modified by eliminating from the database
the maintenance and/or periodic test activities that are not allowed for in the check list. The results are given
in Table 9.1-5, which is used as the basis for the quantifying of risk in this study.
NUREG/CR-6144 9-2
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SW-P-10A
Figure 9.1-2 Time-Line Diagram for Safety-Related Component Down Time that Covered Mid-loop Operations (POS 6) during Surry 1, 1986
Refueling OutageFig.
10/04/86 10/08/86 10/10/86 11/11/86 11/14/86 12/01/86.
0221 0123
123 0015
001 0915 0415 0646
I POS| POS
10
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I
Figure 9.1-3 Time-Line Diagram for Safety-Related Component Downtime that Covered Midloop Operations (POS6/POS 10) during Sorry 2,1986
Refueling Outage
10/6/90 10/15/90 10/15/90 11/23/90 11/25/90 12/20/90
0625 0523 1353 0550 1203 0416
POI POS
1 1 0
CC-E-1A • * — j
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SW-P-1C ~*—K -
SW-P-10A •^i
FW-M0V-151A/C/B • ^ — 1 — — •
FW-MOV-260A -« r——— fc
State 1 State 2 State 3 State 4 State 5 State 6 State 7 State 8 State 9 State 10 State 11 State 12 State 13 State 14 State 15
ACP-BAC-MA-1A+ 0.0124
ACP-BAC-MA-1C+ 0.0316
ACP-BAC-HA-1H+ 0.0193
ACP-BAC-MA-1J+ 0.0158
ACP-BAC-MA-VB1II 0.2412
ACP-BCH-MA-UPSB2* 0.4003
AFW-MDP-MA-FW38 0.1097 0.2784 0.0869 0.5272 0.1297 0.2564 0.5110 0.0154 0.2694
AFW-TDP-HA-FW2+ 0.2341 0.2175 0.2695 0.1381 0.3719 0.3154 0.3185 0.3998 0.4907 0.1094 0.4584 0.7414. 0.5404 0.41.28
CCW-HTX-MA-E1B 0.0614 0.8152 0.1452 1.0000 0.5947 0.8946 0.8946 0.0308 0.6533
State 1 State 2 State 3 State 4 State 5 State 6 State 7 State 8 State 9 State 10 State 11 State 12 State 13 State 14 State 15
CPC-H0P-HA-SW108 0.3816 0.2175 0.2695 0.1381 0.9274 0.5013 0.4540 0.7384 0.4473 0.1094 0.1832
CSS-HDP-MA-CS1B 0.0198
DCP-CGR-HA-1A1+ 0.0018
HPI-MDP-MA-CH1A* 0.3864
HPI-MDP-MA-CH1B 0.2470 0.2175 0.2695 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 0.1445 0.3184 0.3776 0.3096
HPI-MDP-MA-CH1C 0.0319 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 0.1094 0.1964
VO
LPI-H0P-HA-S11B 0.4339 0.2591 0.6002 0.5093 0.8904 0.6158 0.3184 0.2887 0.1989
OEP-DGN-MA-DG01 0.1627 0.0869 0.5272 0.1359 0.2990 0.1289 0.5527 0.0650 0.2531
RCS-HDP-HA-RCP1B+ 0.0706
RCS-MDP-MA-RCP1C 0.0951
TabU 9.1-1 (continued)
State 1 State 2 State 3 State 4 State 5 State 6 State 7 State 8 State 9 State 10 State 11 State 12 State 13 State 14 State 15
RHR-MOV-MA-1720A 0.1887
SWS-MOV-MA-1040 0.0255
+ These basic events are not modelled for State 6 and State 10.
* These events were added July 1992.
table911.wq1
Table 9.1-2 Component Downtime (that covered POS-6/POS-10) for Surry 1, May 1986
[*]: Valve blocked open, thus deemed available, during marked state.
I
\o i
i
i
Table 9.1-4 Component Downtime (that covered POS-6/POS-10)
for Surry 1, October 1990
HPI-MDP-MA-CHIA 0. 0.
NUREG/CR-6144 9-16
9 Database Developement
In the phase 1 study, the mean durations of the POSs, (Tables 9.2-1 to 9.2-4), were used to calculate the
frequency of initiating events. For the thermal hydraulic calculations, a more conservative approach was used.
In reviewing the data in Tables 9.2-1 to 9.2-4, as well as the operating procedures for cooling down and
draining to mid-loop, the earliest time at which a POS can be reached was estimated. These times are listed
in Table 9.2-5 and were used to determine the representative decay heat for each of the POSs due to their
conservative nature, these times were not used in the PRA for mid-loop operation. In the time window
approach, the time when the accident occurs is modeled by a probability distribution which is estimated in
Section 9.3. Table 9.2-6 lists the elapsed periods, determined from the log books and the gray books; the
shortest elapsed time to mid-loop was approximately 1 day after reactor shutdown. The times to mid-loop
of Table 9.2-6 were used in the statistical analysis.
In searching for data on the duration of each outage and of each POS, the NRC graybook data-base, in the
form of a magnetic tape, was used. The tape was converted into a DBASE file at BNL. The graybook data-
base compiles records of every nuclear power plant shutdown in the United States. It can be used to estimate
the frequency and duration of different types of outages. Unfortunately, the information in the graybook was
not sufficient for estimating the duration of each POS. Table 9.2-7 lists a summary of some statistics that were
obtained from the graybook data base. In Chapter 4, the graybook data base was used to estimate the number
of hours that a plant was on RHR during 1979 to 1989. Such information is important for estimating the
frequency of loss of RHR.
9-17 NUREG/CR-6144
Table 9.2-1 Duration of Plant Operational States -Non-Drained Maintenance w.RHR(Nl)
POS 1 POS 2 POS 3 POS 4 POS 5 POS 6 POS 7 POS 8 POS 9 POS 10 POS 11 POS 12 POS 13 POS 14 POS 15
Date Unit hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in
02/16/86 Surry 2 0 2 13 41 14 3 143 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 1 15 54
07/23/86 Surry 2 0 17 6 28 7 49 44 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0i 0 0 0 20 7 2 46
09/19/86 Surry 1 0 0 12 5 9 19 66 63 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 !l7 33 i 70 9
06/08/87 Surry 1 0 11 13 3 55! 7 253 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 2 i 4 55
{
POS 1 _POS 2 POS 3 POS 4 POS 5 POS 6 POS 7 POS 8 POS 9 POS 10 POS 11 POS 12 POS 13 POS 14 POS 15 I
Date Unit hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in |
01/13/85 Surry 1 0 12 19 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 1H
01/13/85 Surry 1 0 0 2 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 21
01/26/85 Surry 1 0 0 17 11 0 0 0 0 0 0 0 0 0 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 5 6
01/27/85 Surry 1 0 0 11 53 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 47
01/28/85 Surry 1 0 0 5 8 0 0 0 0 0 0 0 0 0 0 0 "o 0 0 0 0 0 0 0 0 0 0 0 0 2 22
06/ /85 Surry 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2
07/ /85 Surry 2 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09/11/85 Surry 1 0 0 12 39 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 59
09/27/85 Surry 1 0 49 32 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 56
11/06/85 Surry 2 0 0 3 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 23
01/07/86 Surry 1 0 0 8 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 6
01/19/86 Surry 1 0 0 9 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 35
02/07/86 Surry 1 0 0 5 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 19
05/11/86 Surry 2 0 0 19 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 15
12/01/86 Surry 2 0 0 0 59 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 48
04/04/87 Surry 2 0 0 7 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 49
08/07/87 Surry 1 0 0 20 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 57
02/16/88 Surry 1 0 0 16 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 34
03/11/88 Surry 1 0 35 48 ' 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 4
08/15/88 Surry 1 0 0 35 22 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 44
07/09/89 Surry 1 0 0 17 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 10
09/19/89 Surry 2 0 0 6 71 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 4
09/22/89 Surry 2 0 0 19 49 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
09/28/89 Surry 2 0 0 40 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 54
Total 12 96 350 670 226 597
Mean Duration of POS 0.56 15.0 9.8
Table 9.2-3 Duration of Plant Operational; States - Drained Maintenance (D)
Date Unit POS 1 POS 2 POS 3 POS 4 POS 5 POS 6 POS 7l POS 8 POS 9 POS 10 POS. 11 POS 12 POS 13 POS 14 POS 15
hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in hr •in
04/29/85 Surry 1 0 0 8 7 14 45 40 40 31 10 153 25 0 0 i 0 0 0 0 0 0 47 39 26 11 10 0 27 3 15 56
08/06/85 Surry 1 0 0 16 29 10 15 60 47 17 53 42 30 0 o ; 0 0 0 0 0 0 99 25 69 18 11 12 27 9 30 19
10/29/85 Surry 2 0 23 12 19 12 31 3 43 32 34 79 23 0 o ; 0 0 0 0 0 0 61 50 165 131 7 52 72 130 3 34
01/24/86 Surry 1 0 0 11 10 12 30 38 20 12 50 180 101 0 0 0 0 0 0 0 0 20 24 29 53 6 4 32 45 5 31
06/17/86 Surry 2 0 0 9 12 16 41 16 49 10 38 190 55 0 o ,0 0 0 0 0 0 34 17 3? 19 12 31 35 59 5 1
12/11/86 Surry 1 7 20 9 0 11 33 228 92 17 50 1071 60 0 oi 0 0 0 0 0 0 43 0 358 90 11 5 36 37 5 28
12/09/86 Surry 2 0 0 9 53 6 50 1264 57 0 0 59 56 0 0 0 0 0 0 0 0 21 46 845 62 14 16 53 31 24 4
05/16/87 Surry 1 0 0 21 36 14 17 17 23 21 37 144 13 0 o ! 0 0 0 0 0 0 33 0 30 -21 25 45 19 7 7 58
06/23/87 Surry 1 0 18 13 7 7 25 22 2 10 52 10 56 0 o !0 0 0 0 0 0 10 27 17 -8 4 34 24 59 0 50
12/09/87 Surry 2 0 17 8 37 18 33 120 32 35 50 28 19 0 o !0 0 0 0 0 0 24 34 74 -44 6 52 20 59 42 30
05/16/88 Surry 2 0 0 33 31 17 79 215 65 22 41 206 28 0 0 ' 0 0 0 0 0 0 100 63 244 245 5 15 23 49 5 40
10/12/89 Surry 2 0 13 28 73 19 49 325
13 28
73 265 44 0 '' 0 0 0 0 0 0 0 31 78 178 43 8 50 108 70 5 55
Total 7 91 177 314 156 448 2348 483 235 488 2427 510 0 0 ' 0 0 0 0 0 0 523 403 2073 599 119 316 476 558 146 406
Mean Duration of 0.70 15.1 13.6 196.3 20.2 202. 0 ' 0 0 0 44.1 173. 10.3 40.4 12.
POSs
Table 9.2-4 Duration of Plant Operational States - Refueling (R)
DATE Unit P081 POS2 POSS POS4 POSS PO86 POS7 PO88 P08 9 PO810 P0811 POS12 P0813 P0814 POSI
1 5
[
hrs mln hrs mln hr* mln hrs mln hrs mln hr mln hr mln hr mln hr mln hr mln hr mln hr ml" hr ml hr ml hr mI
n n n • In |
•
03/20/85 Surry 2 0 42 13 47 15 10 29 4 179 45 134 11 130 39 736 45 667 70 141 8 210 24 48 18 12 5 54 58 2
72 3
05/10/86 Surry 1 0 55 20 19 10 18 48 18 12 2 61 44 103 0 593 57 0 0 0 0 395 3 230 -20 13 50 96 15 76 2
4
10/04/86 Surry 2 0 18 27 18 6 48 46 45 19 7 41 38 234 27 437 28 119 50 52 15 49 23 274 -10 11 44 52 43 22 5
1
04/09/88 Surry 1 0 50 33 111 14 95 376 65 24 13 79 21 479 17 537 50 442 30 0 0 37 0 453 31 12 17 63 99 84 4
6
09/14/88 Surry 1 0 34 16 44 6 8 270 18 21 50 100 0 43 2 1801 75 0 0 0 0 0 0 462 83 87 30 56 27 46 1
6 8
09/10/88 Surry 2 0 4 21 21 10 25 155 28 16 8 680 78 125 51 756 68 9 452 452 4 18 51 540 175 69 3 71 32 47 5
3 6 6
10/ /90 Surry 0.85 14.2 14.1 78.4 107 8.5 405. 342.1 179 54.2 6.95 463. 8.8 60 52.
5 7 3 .4
TOTAL 0 203 130 260 61 204 924 178 271 125 109 192 224 136 4860 323 123 202 645 27 709 101 115 287 20 14 41 27 33 2
5 2 7 00 4 S 0 0 3 1
8
Msan Duration of 0.56 0 22.3 0 10.7 0 154. 0 45. 0 183 0 374. 0 810.8 0 206 0 107. 0 118. 0 184 0 34. 0 69 0 56 0
POSs 4 5 0 4 .0
Oct. 90 Unit 1 outage was not ussd in calculating ths msan durations
9 Database Developement
NUREG/CR-6144 9-22
9 Database Development
9-23 NUREG/CR-6144
9 Database Developement
Table 9.2-6 (Continued)
r—^— "
Date of Outage
" Time to Mid-Loop Cause of Shutdown
February 1984 88 Hours 4 minutes Snubber outage with head evacuation.
Refuel
December 1983 Drained 27 hours 53 minutes Repair " C RCP # 1 seaL
Maintenance
December 1983 42 hours 5 minutes Repair 2-SI-88.238
Drained Maintenance
September 1983 105 hours 50 minutes Snubber Outage
Drained Maintenance
June 1983 292 hours 5 minutes Scheduled refueling outage.
Refueling
June 1983 23 hours 58 minutes Repair l-SI-82 bonnet leak. Shutdown
Drained Maintenance to balance turbine Unit was delayed in
Startup to repack MOV-1587.
Does not begin with 11 hours 47 minutes Repair 1-RCP-1B seals.
reactor shutdown.
February 1983 183 hours 30 minutes " C S/G low level with a steam/feed flow
Refueling mismatch.
Scheduled refueling outage.
December 1982 44 hours 3 minutes Scheduled maintenance outage.
Drained Maintenance Repair " C RCP flange leak.
October 1982 120 hours 40 minutes
._ . - - . -
Drained Maintenance
NUREG/CR-6144 9-24
9 Database Development
1. Covers 1979-1989
3.15587 Outages
WCEB&WSurrv GE
WestinghouseSurrv
Mean 22902860
Std. 12901910
9-25 NUREG/CR-6144
9 Database Developement
The mean values of the durations of the POSs were used to calculate the frequency of initiating events and
the point-estimate quantification of the core-damage cutsets. The distribution for the time after shutdown
when an initiating event is assumed to occur, is used to determine the conditional probability that the
initiating event occurs in each of the time windows. Table 9.3-3 lists the probability as a function of the time
windows and POSs. The values in parenthesis are the probabilities for the over-draining event.
NUREG/CR-6144 9-26
9 Database Development
9-27 NUREG/CR-6144
-9_Database.D.ev.elopement
Table 9.3-2
NUREG/CR-6144 9-28
9 Database Development
Table 93-3
9-29 NUREG/CR-6144
9 Database Developement
At Surry, the RCS loops are routinely isolated for an extended period during a refueling outage. This is
necessary for the tests and maintenance that are performed on components in the RCS loops, e.g., the steam-
generator eddy current test. To ensure that primary coolant in the steam generator tubes is drained, the RCS
loops will not be isolated until the reactor vessel level is low enough (close to mid-loop). The individual RCS
loops, LAW OP S.12, are drained after they are isolated.
When refueling operations are completed LAW OP 4.1, preparation is made for startup from ambient to
195oF LAW OP 1.1, where OP 5.1.1, (fffling^the RCS), is referenced. In OP 5.1.1, the loop stop valves are
to be verified open. However, the loops remain isolated until a level in the pressurizer is established.
It is recognized that a temporary operating procedure (TOP 3061) allows un-isolation of one loop when the
RCS level is above 18 feet; this was implemented during the 1990 outage of Unit 1, after refueling operations
were completed and the vessel head was tensioned.
The impact of isolated RCS loops on shutdown safety lies in loss of secondary heat-removal capability when
it could be needed. This is included in the fault tree for the function of secondary heat removal.
The fraction of time that the RCS loops were isolated is estimated for both refueling outages and drained
maintenance outages and as discussed in the following sections:
Refueling
At the beginning of mid-loop operation, the RCS loops may remain un-isolated as was the case in the Unit
2 outage during October 1986, and the Unit 1 outage during October 1990. In the Unit one refueling outage
in October 1986, the loops were isolated just before the level reached mid-loop. Past plant experience shows
that the 3 loops are isolated and un-isolated at about the same time. Hence, the probability that the loops
are isolated could be estimated for each of the time windows of a refueling outage. Table 9.4-1 lists the
resulting probabilities.
Drained Maintenance
In a drained maintenance, only one loop would be possibly isolated. In this study, we assumed that only one
loop is isolated during D6. In window 1, this means that the success criteria for reflux cooling can not be met,
but in other time windows, reflux cooling is possible.
If an outage is scheduled for longer than 5 days, the steam generators are placed in wet layup (LAW GOP 2.6)
Judging from the mean duration of the outage types, it is assumed that in all cold shutdown outages, the steam
generators are placed in wet layup in POS 3. In wet layup, the steam generator recirculation and transfer
system is placed in service to ensure homogeneity of the SG water chemistry.
NUREG/CR-6144 9-30
9 Database Development
Based on discussion with Virginia Power staff, we ascertained that the secondary side of the steam generators
is almost always filled with a large quantity of water. There are two commonly known situations that require
draining of the secondary side of the steam generators, i.e., before placing the SGs in wet layup, and during
sludge-lancing of the steam generators. From a review of the log books, we judged that before placing the
SGs in wet layup, they stay in a drained condition only for a short period. Furthermore, the SGs are drained
one at a time. Therefore, the unavailability of the SGs before wet layup is small. For each steam generator,
a probability of 2.3E-02 is used to model the individual draining.
Refueling
Through discussions with on-site Westinghouse personnel familiar with sludge lancing, it was estimated that
three steam generators may be in a drained condition for S-days during a refueling outage. Among other
things, sludge-lancing is done on a SG when the plant is in cold shutdown condition with the SG drained. No
other constraint is imposed on planning sludge-lancing operations, except that operation of the reactor's
coolant pump requires the secondary side to be filled. Therefore, we assumed that sludge lancing is equally
likely to take place any time when the plant is in cold shutdown with no RCP running, i.e., in POSs 5 to 11.
Using the log book data on the time the plant is in such a condition during a refueling, an unavailability of
8.3E-03(SGS-DRAINED-R) was estimated for the SGs to be drained in these POSs.
Others^
In the March 27,1988 Unit 1 outage, all three steam generators were drained for less than one day, with the
plant in cold shutdown. Therefore, an unavailability of 1.0E-03(SGS-DRAINED-CSD) is used for all CSD
POSs of outages other than refueling.
Due to insufficient information on the time ,when the activities requiring draining the SGs take place, these
probabilities are assumed to be the same for all time windows.
Based on the log books of the 3 refueling outages, and the outage plan of the 1992 Unit 1 refueling outage,
the safety valves are removed approximately 2 weeks into the refueling outage, and re-installed after refueling
is completed. Table 9.4-2 lists the estimated probability that the safety valves are removed in each of the time
windows. We assumed that the pressurized safety valves are not removed during drained maintenance.
9.4.4 Time Period in Which the RCS Is Closed and The Temporary Seals at the Seal
Table Were Installed
At step 5.8 of OP 4.1, refueling operations, the flux mapping detectors and thimbles are verified retracted.
Therefore, the high pressure seals at the seal table are removed. At step 5.9, the vessel level is raised to 20
feet to check the temporary seals for leakage. At step 5.26, the vessel head is lifted. Between step 5.8 and
step 5.26, the RCS should be closed. The vessel head vent hose is removed at step 5.24 and the head vent
valve l-RC-36 is left open. The head vent is a 3/4 inch line.
9-31 NUREG/CR-6144
9 Database Developement
These activities occur in POS 7. The RCS is vented through the open PORVs and pressurizer relief tank to
the process vent. The vessel level is changed by adjusting the charging and letdown flow rates. A similar
configuration may exist in POS 9, after refueling is completed, and the vessel head is set. The concern is that
a pressurization of the RCS may open the temporary seals, and further pressurization may expel coolant
through the opening. Pressurization could result from RCS heatup and boiling caused by, e.g., a loss of RHR.
In POS 7 of a refueling outage, the RCS loops are isolated and secondary heat removal is not available. The
head vent, if opened, or the PORVs should be capable of relieving nitrogen during heatup. POS 7 can be
reached as early as 4 days into a shutdown, and the level of decay heat could be as high as 8.7 MW. When
boiling occurs in the vessel, the relief paths cannot keep the RCS pressure below 40 psia, that the temporary
seals can withstand. Then the core is expected to uncover relatively rapidly.
From the log books, and through discussions with on-site Westinghouse personnel who are familiar with the
use of the seals, we concluded that the plant may be in a closed condition with the temporary seal in place
for 5 to 7 days during a refueling outage. There is little information about the time span that the RCS would
possibly be in such a configuration when the vessel head is set after the refueling is done. Based on the Unit
1 refueling outage plan, there are approximately 3 days between the time the vessel is set and the high
pressure seals are installed. We estimated that, for approximatery 10 days per refueling, the RCS is in such
a configuration.
NUREG/CR-6144 9-32
9 Database Development
Table 9.4-1
Probability that the RCS Loops Are Isolated
Such that Reflux Cooling Is Unavailable or Ineffective
R6 RIO D6
Wl 0.3 - True
W2 0.7 - False
W3 True' True False
W4 True True False
9-33 NUREG/CR-6144
9 Database Developement
Table 9.4-2
Probability that the Safety Valves on the Pressurizer Are Removed
R6 RIO D6
Wl 0.01 - False
W2 0.05 - False
W3 0.9 0.9 False
W4 0.3 0.3 False
NUREG/CR-6144 9-34
10 ACCIDENT SEQUENCE QUANTIFICATION
The core-damage sequences were quantified using the IRRAS code. A truncation limit of 1.00E-10 per year
was used to generate the system cutsets and sequence cutsets. Tables 10-1 to 10-48 list the results of the event
tree quantifications,which show the frequency of each core-damage sequence before and after recovery actions
are modeled. Recovery actions are operator actions that are not included in the fault-tree model and are
added to the applicable cutsets after they are generated. A hyphen in the table indicates that there is no
cutset above the truncation limit. Table 10-49 lists the dominant core-damage cutsets before core uncovery.
Table 10-50 lists the dominant cutsets after the recovery actions are applied. Appendix F lists the complete
sets of core damage cutsets before and after recovery actions are applied. The important measures of the
basic events are also listed.
Uncertainty in the Success Criteria of Reflux Cooling in window 1 of Drained Maintenance- In the window
1 event trees for POS 6 of drained maintenance (D6), no credit was taken for reflux cooling because we
assumed only 2 steam generators are available, while 3 are needed for reflux cooling. It was assumed that one
reactor coolant loop is isolated due to maintenance in POS 6 of a drained maintenance outage. The decay
heat of this time window corresponds to that of 2 days after shutdown. The conservative thermal hydraulic
considerations of Virginia Power technical report 865' ', rev. 1, led to the requirement of 3 steam generators
1
during the first 75 hours after shutdown, which is specifically written into the procedure for loss
of RHR, AP 27.00P1, rev. 4.
INEL' * and Westinghouse' ' performed more realistic thermal hydraulic analyses of reflux cooling. Their
3 51 6
studies show that reflux cooling with only one steam generator is sufficient to remove decay heat as early as
one day after shutdown. To eliminate the conservatism in the loss of RHR procedure, it was decided that
when everything else failed, the operators will use the 2 steam generators to establish reflux cooling. A failure
probability of 0.1 was used.
Local Manual Operation of MOVs- In some cutsets, recirculation failure occurs when the MOVs in the low
head injection/recirculation suction fail. Based on the data on MOV failure, we estimated that only 10%
171
of the MOV failures cannot be manually corrected locally. This is used as a recovery factor for those cutsets
that involve failure of the low pressure injection/recirculation suction valves. Figure 10-1 is a simple event
tree that is used to calculate the non-recovery probability for a cutset that contains such failure and is in time
window 1 of a drained maintenance outage; this example involves the above 2 recovery actions.
Use of Unit 2 Charging Pump in Time Window 2- In time window 2, recirculation from the containment
sump is needed in a feed-and-spill operation. Use of the unit 2 RWST by cross-connection of the 2 RWSTs
is modeled in the fault trees for recirculation, by using the unit 1-charging pump taking suction from the unit
2 RWST. In some core damage cutsets, no unit 1 charging pump is available so causing this method of
10-1 NUREG/CR-6144
10 Accident Sequence Quantification
operation to fail. For these cutsets, the recovery action would be use of the unit 2 charging pump as well as
the unit 2 RWST to support the feed and spill operation. A simplified fault tree model for the unit 2 charging
pump was used to quantify the hardware contribution, 1.91E-02, to the failure of this recovery action.
Use of Unit 2 AFW to Support Reflux Cooling- In some cutsets, reflux cooling is failed due to failure of the
auxiliary feedwater system. The use of unit 2 auxiliary feedwater pump to support reflux cooling is treated
as a recovery action. Typically, this action is not needed until after 10 hours of successful reflux cooling. The
hardware failure contribution of 7.33E-03 is calculated using the fault tree for the unit 1 auxiliary feedwater
system.
Use of RWST to Provide Initial Makeup to Restore RHR- In the fault tree analysis, a basic event RWT-
TNK-LF-RWST representing insufficient inventory in the RWST would cause failures of RCS makeup, and
feed-and-spill operation. Failure of RCS makeup in an over-draining or loss of inventory event would cause
failure to restore RHR. In reality, for either event, only a small amount of makeup is needed, and a low
RWST inventory should not be a cause of failure. Therefore, in those cutsets containing this event, a recovery
was used to model recovery of RHR.
Recovery actions in loss of offsite power sequences have several possibilities: cross-connect from Unit 2
(charging, AFW or RWST), gravity feed, reflux cooling (bleed path) recovery actions and cross-tying of
emergency electrical buses, either within the Unit or between the Units. These are arranged in three steps
for every cutset, but some steps may not apply to certain cutsets.
The first step that might be tried by the operators is a simple action such as cross-connecting the Unit 2
charging, or the gravity feed. These actions were not credited in quantifying most unrecovered sequences, as
it was a screening evaluation (charging cross-connect was only credited in Bl sequences, and gravity feed was
only credited in B2 sequences). These actions will extend the time available for recovery of offsite power (or,
depending on the window, will lead to success in the 24 hr mission time).
The second step is more complicated, such as establishing the bleed path for reflux cooling. When a LOSP
event occurs, instrument air will be lost due to failure of bearing cooling water system, which depends on
normal power. This, in turn, will lead to a loss of steam generator PORVs, i.e. the normal bleed path in
reflux cooling. The model gives credit to the operators for a quick recovery of compressed air (by connecting
the standby diesel compressor, or using fire-water for cooling of instrument compressor bearings, both
proceduralized actions). Then, the operators may need to switch the semi-vital bus (controlling the PORVs)
to a live source of power, depending on which emergency bus is up. Therefore, in LI, L2 and L3, the reflux
cooling bleed path will be established (except for operator failure to follow procedure, or hardware failures),
and Step 2 will be automatically accomplished, i.e. no recovery action is needed.
In Bl and B2, no power will be available to the semi-vital bus, and the PORV bleed path will fail. Another
option then would be for the operators to open the steam dump path to the condensers (into the turbine
building), which will involve manually opening the main steam non-return valve. This action is not simple and
may take a lot of time, so the HEPs, given this recovery action in Bl and B2, are relatively high. Fig. 10-2 |8J
shows the construction of this valve. The valve disc is supported by steam pressure drop against gravity when
the valve is open and the shaft is unscrewed. To open the valve, steam pressure is needed on the "in" side
and the shaft has to be unscrewed (normally done with electric power). The shaft screw has a very low pitch
NUREG/CR-6144 10-2
10 Accident Sequence Quantification
(as it is a big valve) and it would take a couple of operators 15-20 minutes to open it (per discussion with the
plant). The valve needs to be only partially open to relieve steam pressure. Once open, the steam pressure
may burst the condenser rupture discs (depending on conditions), thus relieving the steam inside the turbine
building.
The second step will further extend the time available for recovery of offsite power. Depending on the
window, the combination of the first two steps could extend the allowable time past the 24 hour success
criterion.
As discussed in Section 7.4, recovery of offsite power will open up many possibilities for recovery, so the
residual core-damage frequency will be small compared to the situation where offsite power is not recovered.
The third step would involve cross-tying the emergency buses. There are hardware provisions for this (see
Fig. 10-3) , and it is assumed to successfully conclude the sequence.
[9)
The LOSP recovery action will be calculated using the following equation:
= * Vl + {i-PiYTiS-nSpi
P2 (io.i)
where ijs refer to adjustments in probability of non-recovery of offsite power due to extension of time to core
uncovery as a result of recovery actions (simple recovery actions in Step 1, or more complex actions in Step
2); ps refer to human error probabilities assigned to recovery actions in Steps 2 and 3. Furthermore,
where NRAC(t) is the probabiUty of non-recovery of a.c. power at time t (taken from Table 4.3-5); DG(t) is
the probability of non-recovery of the diesel generator at time t (see Table 10-53);' ' t is the original time
10
0
given for recovery of offsite power (i.e. time to core uncovery, see Section 7.4); t, is the new (i.e. extended)
time given for recovery of offsite power or the diesel generator, due to simple recovery actions taken in Step
1 (Unit 2 charging cross-connect, gravity feed); t is the new (i.e. extended) time given for recovery from
2
combination of Steps 1 and 2. Step 2 is recovery by reflux cooling bleed path, and further extends the time
available for recovery of offsite power or the diesel generator.
Hardware failures are not included in equation 10.1, because they are included in the rules for recovery action;
otherwise they are small compared to the NRACs andps.
If step 1 does not apply to a cutset (e.g. Unit 2 is having a blackout, and gravity feed does not work in drained
maintenance) then 77 = 1; if step 2 does not apply (e.g. steam generator PORVs fail to open), then r] = 1
x 2
andp = 0; if step 3 does not apply (e.g. in a two Unit blackout), thenp = 1.
2 3
The names of the recovery action basic event have the following form:
R-IEWK-LMN-S1-S3-F
where IE refers to the LOSP initiating event category (e.g. IE = LI or IE = B2); WK refers to the window
(e.g. W2 would be window 2); LMN is a string of 1-3 digits, depending on which steps in the recovery action,
discussed above, are applicable (e.g. 123 means all three steps are applicable, 13 means steps 1 and 3 are
10-3 NUREG/CR-6144
10 Accident Sequence Quantification
applicable, and 2 means only step 2 is applicable); SI refers to the type of system used in step 1 (C stands for
charging from Unit 2, G stands for gravity feed); S3 refers to the systems that will be enabled by step 3 in
recovery (A refers to AFW, C refers to forced circulation and recirculation); the last character in the string,
F, appears only in recovery actions that apply to sequences where forced feed and bleed has failed (however,
the recovery action was quantified the same as for other sequences, if everything else was the same).
Tables 10-54 and 10-57 show different steps in the quantification of LOSP recovery actions.
Table 10-54 shows calculation of the 77 parameters in the 4 windows, including the time available for recovery
of offsite power or diesel generators, if various combinations of steps 1 and 2 are successful. The offsite power
non-recovery probability is shown, as well as the diesel generator non-recovery probabilities; these are
combined to show the 77 values as per equations 10.2 and 10.3. If steps 1 and/or 2 do not apply in a certain
situation, the corresponding 77 will be calculated using the procedure above for non-applicability of that step
(i.e. that procedure has precedence over Table 10-54)
Table 10-55 shows the HEP parameter p for recovery action in step 2, for the five LOSP categories, and the
2
4 windows. This action (reflux bleed path) is included in the model for LI, L2 and L3, so p = 0 for these
2
categories. If step 2 does not apply for a certain recovery, the non-applicability procedure above has priority.
Table 10-56 shows the HEP parameter p . The same caveat as above applies if step 3 does not apply.
3
Table 10-57 shows the summary of calculation for each recovery action that is used in the LOSP analysis.
The rules for applying recovery actions are shown in Table 10-58.
10.2 Results
Table 10-59 summarizes the results of the event tree quantification, showing the core damage frequency as
a function of the initiating events and POSs taken from Tables 10-1 to 10-48. The frequencies in this table
include the fraction of a year that the plant is in each of the POS. This makes the frequencies additive, i.e.,
the sum of a row or a column is meaningful. POS 6 of a drained maintenance outage (D6) and POS 6 of a
refueling outage are the most dominant POSs. The characteristics of these POSs are high level of decay heat
and a relatively short time available for operator action. In contrast, POS 10 of a refueling outage has a very
low decay heat, and its core-damage frequency is approximately 1 order of magnitude lower.
Table 10-60 shows the core damage frequency as a function of the time windows and POSs. The frequencies
were estimated using the basic event importance measures with respect to the total core damage frequency.
Note that the totals for POSs R10 and D6 differ from those of Table 10-59. This is due to the different
methods used in estimating them. The frequencies in parenthesis are the contribution of over-draining events
whose occurrence is modeled by a demand failure probability, while other initiating events are modeled by
failure rates. Table 10-61 lists the estimated fraction of a year that the plant is in each of the time windows
and POSs. It is obtained by multiplying the fraction of a year that the plant is in a POS by the conditional
probability (Table 9.3-3) that the initiating event occurs in the time window given it occurred in the POS. The
fraction of a year that the plant spent in a given POS is the frequency of the POS times its mean duration.
Table 10-62 lists the conditional core damage frequency as a function of the time windows and POSs.
NUREG/CR-6144 10-4
10 Accident Sequence Quantification
Conditional core damage frequency is the rate at which core damage occurs given that the plant is in the time
window of the POS. It is obtained by dividing the core damage frequency (minus the contribution of over-
draining events) of Table 10-60 by the fraction of Table 10-61. The numbers in parenthesis are the conditional
probability of core damage due to over-draining, given that the plant reaches mid-loop in the time window
of the given POS. This probability is the ratio of the frequency of core damage due to over draining listed
in Table 10-60 and the frequency that the plant reaches mid-loop in the time window of the given POS. The
latter is the frequency of the POS times the conditional probability of the time window for the given POS.
The conditional core damage frequency/probability is a measure that can be used to compare the vulnerability
of the time windows and POSs with respect to core damage. It can be seen, from Table 10-62, that for each
POS the conditional core damage frequency decreases with time window. This is due to the relaxed success
criteria and more time available for operator actions. The same is true with the conditional probability of core
damage due to over-draining(with the exception for R10 discussed in the next paragraph). The conditional
core damage frequency/probability for R6 or R10 is higher than that of D6 mainly due to that the RCS loops
have a high probability of being isolated in a refueling outage; that makes reflux cooling impossible. For
example, in window 1, the probability that the loops are isolated in a refueling outage is 0.3, and the
probability that reflux cooling fails in a drained maintenance outage is 0.1 (modeled as a recovery action). The
difference between R6 and R10 in windows 3 and 4 is due to the difference in maintenance unavailabilities.
Two reversals of the expected trend occur in Table 10-62. First, the conditional core damage probability for
window 4 of R6 is zero, while that for D6 is not. It is zero because the core damage frequency due to over-
draining, listed in Table 10-60, is zero. The core damage frequency due to over-draining is zero because no
cutsets survived truncation(at 1.00E-10 per year). If a lower truncation limit is used, then the core damage
frequency due to over draining would not be zero. As a result, the conditional probability of core damage
would be non-zero and is expected to be higher than that of D6. The second reversal is in the conditional
probability of core damage for windows 3 and 4 of R10. This is also caused by the error introduced by the
truncation limit used. A lower truncation limit shows that the conditional probability of core damage for
window 3 is, as expected, higher than that for window 4.
The total and sub-totals in Table 10-62 represent the averaged conditional core damage frequency/probability.
For example, the averaged conditional core damage frequency for R6 is 8.09E-05 per year, while that for D6
is 8.55E-05 per year. This means that the plant is better off if in R6, given it is at mid-loop. This does not
contradict the comparison made earlier for a given time window of the POSs, because given that plant is in
D6 the plant is more likely to be in the earlier time windows that have higher conditional core damage
frequency. The averaged conditional core damage frequency over the POSs, shown in the right most column
of Table 10-62, does show the trend of decreasing with decay heat. The reversed trend for the averaged
conditional core damage probability for windows 3 and 4 is caused by the same error introduced by truncation
that made the trend reversed for the conditional core damage probability of R10 in windows 3 and 4.
Human Errors-We found that operator failure is the dominant cause of core damage. In particular, failure
to diagnose, such that the correct actions are not taken to prevent core damage, is the most important
operator error. It occurs in many different initiating events, time windows, and POSs, and contributes to
approximately 56% the total core-damage frequency. Failure to diagnose is assumed to lead directly to core
damage. It represents the inability of the operator to use the information available and determine the proper
10-5 NUREG/CR-6144
10 Accident Sequence Quantification
corrective actions. It is recognized that the quantification of such human errors has a very large uncertainty;
an error factor of 20 was used in the uncertainty analysis.
Isolation of Reactor Coolant Loops- Review of the plant shutdown experience indicated that the reactor
coolant loops are isolated for an extended period in a refueling outage. This practice makes the steam
generators unavailable for removing decay heat upon loss of RHR. In a cold shutdown condition, the steam
generators are usually maintained in the wet lay-up condition with the secondary side filled with water. During
mid-loop operation, the availability of the SGs makes reflux cooling a possible way to mitigate a loss of RHR;
it might be the only mitigation function available in a station blackout. In this study, we found that isolation
of the RCS loops is an important contributor to core damage frequency, being responsible for approximately
22% of the total core-damage frequency.
Plugging the Containment Sump When Recirculation Is Needed- Due to the activitiesinside the containment,
transient material and equipment are brought in. For example, large plastic Herculite sheets are often used
to separate work areas from the rest of the containment. When an accident requiring recirculation from the
containment sump occurs, as is the case in time windows 1 and 2, this material would increase the chance that
the containment sump would be blocked. In this study, the probability of the sump plugging was assumed to
be 0.01 and 0.1 for time windows 1 and 2, respectively. It contributed to approximately 11% of the total core-
damage frequency.
In this cutset, the operators fail to diagnose(D-LlW2-XHE) the accident scenario correctly, and fail to decide
on the proper corrective actions to mitigate the accident. As a result, core damage occurs even if the offsite
power is recovered(/NRAC262).
NUREG/CR-6144 10-6
10 Accident Sequence Quantification
In this cutset, a spurious safety-injection signal(FREQ-SI) occurs in time window 2(PROB-W2D6) of a drained
maintenance outage(DR-MT). As a result, the CCW 109A and B valves close automatically and shut off the
CCWflowto the RHR heat exchangers and RHR pumps. The operators fail to diagnose(D-SIW2-XHE) the
scenario correctly, and fail to decide on the proper corrective actions. As a result, the core is damaged.
10-7 NUREG/CR-6144
10 Accident Sequence Quantification
10.4 References:
1. "Background and Guidance For Ensuring Adequate Decay Heat Removal when RCS Loop stop valves are
closed, Surry and North Anna Power Stations, "NE technical Report No. 865, Rev. 1, Virginia Power, June
1992.
2. "Loss of Decay Heat Removal Capability," Virginia Power Surry Power Station, Abnormal Procedure 1-AP-
27.00, Revision 4, February 15, 1993.
3. Naff, S.A., et. al., "Thermal Hydraulic Processes During Reduced inventory Operation with Loss of
Residual Heat Removal," Idaho National Engineering Laboratory, NUREG/CR-5855, April 1992.
4. Fletcher, CD., et. al., "Thermal-Hydraulic Processes Involved in Loss of Residual Heat Removal During
Mid-Loop Operation, EGG-East-9337, Idaho National Engineering Laboratory, October 1990.
5. Wald, L.W., et. al., "Consequence of the Loss of Residual Heat Removal Systems in Pressurized Water
Reactors," Idaho National Engineering Laboratory, NUREG/CR-5820, May 1992.
6. T.S. Audreycheck, et. al., "Loss of RHRs Cooling while the RCS is partially filled," WCAP - 11916,
Westinghouse Electric Corporation, Jury 1988.
7. "FERMI 2 - Level 1 Probabilistic Risk Assessment," Pickard, Lowe, and Garrick, Inc., PLG-0676, January
1989.
8. Virginia Power Company, "Main Steam Suppty System", Nuclear Control Room Operator Development
Program, Surry Power Station, module NCRODP-23.
9. Virginia Power Company, "Vital and Emergency Electrical Distribution System", Nuclear Control Room
Operator Development Program, Surry Power Station, module NCRODP-35, May 1990.
10. Consolidated Edison Company of New York, Inc. & Power Authority of the State of New York, "Indian
Point Probabilistic Safety Study", Volume 1, Section 1.3,1982.
NUREG/CR-6144 10-8
MOV1862B OPEN-MOV HEP REFLUX SEQ E^D-STATE
0.9 s
4.3E-03
0.1 3F
\o 0.1
0.1
BODY
OUT
15A2 QNC
IA BUS.
15B2QNC 15C2 Q t
5
ISDILJNC
D BUS
ISEUJNC
E BUS
Si
15F1[JNC
F BUS
25A2L1NC
2A BUS
25B2[JNC 25C2LJ HC
NO NO
-o -o-
IB BUS 15A1 25A1 2B BUS
NO NO
-o- -O-
25B1
15BI
1C BUS .2C BUS
NO NO
-Ch-
isel -Ch-
25C1
£
NCM 15H8 lSJerjNC N C D 25J8 NCD25H8
LfiJ NO
L-Ch
15H1
NO
-O-
NO
-O-
NO
-Ch
NO
25H3
15H3 15J3 25J3 25H1
Table 10-1
5 - -
6 - -
9 4.070E-08 2.998E-08
10 - -
12 - -
13 - -
14 - -
17 1.848E-10 1.848E-10
18 1.189E-08 8.722E-09
RAW2R6 4 4.746E-10 -
5 - -
i 6 - -
9 1.307E-07 1.270E-08
10 - -
12 - -
13 - -
14 8.576E-09 3.629E-09
17 - -
18 1.537E-07 8.591E-08
RAW3R6 4 - -
5 - -
7 - -
9 - -
10 6.305E-08 3.223E-08
NUREG/CR-6144 10-12
10 Accident Sequence Quantification
8 - -
11 - -
14 1.075E-10 -
10-13 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-2
5 - -
6 - -
9 7.127E-10 6.050E-10
10 - -
12 - -
13 - -
14 - -
17 - -
18 4.398E-10 4.398E-10
RBW2R6 4 - -
5 - -
6 - -
9 1.608E-08 1.289E-09
10 - -
12 - -
13 -
14 8.742E-10 2.412E-10
1
17 - -
18 1.898E-08 9.728E-09
RBW3R6 4 - -
5 - -
7 - -
9 - -
NUREG/CR-6144 10-14
10 Accident Sequence Quantification
7 - -
10 1.898E-10 -
12 5.549E-10 -
10-15 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-3
5 - -
8 1.125E-07 7.709E-08
9 3.311E-10 3.311E-10
R3W2R6 3 9.696E-09 3.305E-09
4 - -
.5 2.915E-10 2.915E-10
8 2.980E-07 5.575E-08
9 8.797E-09 8.797E-09
R3W3R6 3 - -
4 6.330E-09 6.330E-09
6 5.425E-10 5.425E-10
R3W4R6 4 - -
6 1.485E-10 1.485E-10
TOTAL 4.388E-07 1.540E-07
NUREG/CR-6144 10-16
10 Accident Sequence Quantification
Table 10-4
10-17 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-5
5 - -
6 - -
9 1.442E-09 1.051E-09
10 1.171E-09 1.171E-09
R5W2R6 4 - -
5 - -
6 9.863E-10 9.863E-10
9 2.897E-08 2.240E-09
10 1.938E-08 1.906E-08
R5W3R6 4 - -
5 1.370E-08 1.356E-08
7 1.489E-09 1.489E-09
R5W4R6 5 - -
7 - -
NUREG/CR-6144 10-18
10 Accident Sequence Quantification
Table 10-6
7 1.646E-08 8.617E-10
8 2.472E-07 9.536E-08
RAW2D6 5 8.806E-08 1.522E-08
6 - -
8 - -
10 6.149E-08 5.103E-08
RAW3D6 5 - -
8 2.744E-08 2.316E-08
RAW4D6 5 - -
8 5.559E-10 5.559E-10
TOTAL 1.443E-06 2.570E-07
10-19 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-7
7 1.018E-09 -
8 1.613E-08 6.746E-09
RBW2D6 5 1.39SE-08 2.335E-09
6 - -
9 - -
10 1.070E-08 9.101E-09
RBW3D6 5 - -
8 8.935E-09 7.734E-09
RBW4D6 5 - -
8 2.956E-10 2.956E-10
TOTAL 1.141E-07 2.905E-08
NUREG/CR-6144 10-20
10 Accident Sequence Quantification
Table 10-8
10-21 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-9
NUREG/CR-6144 10-22
10 Accident Sequence Quantification
Table 10-10
10-23 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-11
7 - -
9 - -
10 1.355E-09 1.095E-09
12 - -
RAW4R10 5 - -
8 - -
11 2.344E-08 1.928E-08
14 5.841E-08 3.226E-08
TOTAL 8.320E-08 5.263E-08
NUREG/CR-6144 10-24
10 Accident Sequence Quantification
Table 10-12
5 - -
7 - -
i
9 - -
10 2.399E-10 2.399E-10
12 - -
RBW4R10 5 - -
7 - -
10 6.671E-09 5.376E-09
12 1.799E-08 1.483E-08
TOTAL 2.490E-08 2.044E-08
10-25 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-13
4 - -
6 - -
NUREG/CR-6144 10-26
10 Accident Sequence Quantification
Table 10-14
i
Core Damage Frequencies of Loss RHR Event Tree R4W#R10
Non-Recoverable Loss of Operating Train of RHR in POS 10 of Refueling
5 - -
7 - -
10-27 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-15
5 4.879E-10 4.879E-10
7 - -
NUREG/CR-6144 10-28
10 Accident Sequence Quantification
Table 10-16
10-29 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-17
5 - -
6 1.233E-10 -
8 - -
9 - -
10 - -
13 1.515E-09 1.030E-09
14 1.221E-08 8.304E-09
17 6.908E-10 6.908E-10
18 3.908E-09 3.908E-09
L1W2R6 4 - -
5 - -
6 8.649E-09 6.400E-09
8 - -
9 - -
, 10 2.248E-09 2.248E-09
13 9.092E-09 5.468E-09
14 1.643E-07 1.216E-07
17 6.867E-10 6.867E-10
18 4.272E-08 4.272E-08
L1W3R6 4 - -
5 1.175E-07 9.521E-08
7 - -
8 2.233E-08 2.233E-08
NUREG/CR-6144 10-30
10 Accident Sequence Quantification
10-31 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-18
5 4.279E-09 3.466E-09
7 - -
8 8.130E-10 8.130E-10
10 4.754E-10 3.851E-10
12 - -
NUREG/CR-6144 10-32
10 Accident Sequence Quantification
Table 10-19
10-33 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-20
5 - -
6 - -
8 1.536E-10 1.536E-10
9 - -
10 - -
13 i - -
14 1.770E-09 1.204E-09
• 17 5.767E-08 -
18 5.840E-09 5.840E-09
L2W2R6 4 - -
5 - -
6 2.113E-09 1.564E-09
8 1.771E-09 1.771E-09
9 - -
10 7.062E-09 7.062E-09
13 5.660E-10 1.012E-10
14 4.016E-08 2.972E-08
17 5.213E-07 2.469E-09
18 1.379E-07 1.094E-08
L2W3R6 4 - -
5 2.873E-08 2.327E-08
7 - -
8 7.877E-08 5.458E-09
NUREG/CR-6144 10-34
10 Accident Sequence Quantification
10-35 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-21
5 1.045E-09 8.471E-10
7 - -
8 2.302E-09 2.302E-09
10 1.162E-10 -
12 1.449E-10 1.449E-10
L2W4R10 5 2.897E-09 2.491E-09
8 3.795E-08 4.056E-10
10 6.760E-09 5.813E-09
12 9.066E-08 9.464E-10
TOTAL 1.418E-07 1.295E-08
NUREG/CR-6144 10-36
10 Accident Sequence Quantification
Table 10-22
6 9.658E-09 7.146E-09
9 6.827E-08 1.268E-08
10 3.237E-08 8.806E-09
L3W3D6 5 8.306E-09 6.728E-09
8 1.994E-08 5.535E-09
L3W4D6 5 3.441E-10 2.959E-10
8 - -
10-37 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-23
5 - -
6 - -
8 - -
9 - -
10 - -
13 - -
14 2.677E-10 2.677E-10
17 3.455E-09 3.455E-09
18 1.147E-09 1.147E-09
L3W2R6 4 - -
5 - -
6 2.806E-10 2.806E-10
8 - -
9 - -
10 1.638E-09 1.638E-09
13 - -
14 5.332E-09 5.332E-09
17 5.305E-08 1.248E-08
18 3.051E-08 7.396E-09
L3W3R6 4 - -
5 3.814E-09 3.089E-09
7 - -
8 1.892E-08 4.428E-09
NUREG/CR-6144 10-38
10 Accident Sequence Quantiflcation
8 1.588E-10 1.588E-10
10 - -
12 5.428E-10 5.428E-10
TOTAL 1.213E-07 4.236E-08
10-39 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-24
5 1.388E-10 1.124E-10
7 - -
8 5.505E-10 5.505E-10
10 - -
12 - -
NUREG/CR-6144 10-40
10 Accident Sequence Quantification
Table 10-25
3 2.236E-07 4.405E-10
4 9.950E-08 9.611E-08
B1W2D6 2-4 1.235E-10 -
2-5 - -
4 6.771E-07 2.906E-09
5 7.981E-08 4.719E-08
B1W3D6 2-4 - -
5 4.993E-08 2.168E-08
B1W4D6 2-4 - -
5 1.354E-09 1.354E-09
TOTAL 1.148E-06 1.703E-07
10-41 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-26
2-4 - -
2-5 - -
3 1.516E-10 1.516E-10
4 - -
5 - -
6-8 - -
6-9 - -
8 1.501E-08 1.621E-10
9 6.530E-09 6.530E-09
B1W2R6 2-3 - -
2-4 - -
2-5 - -
3 ' 1.967E-08 -
4 - -
5 2.105E-09 2.105E-09
6-8 - -
6-9 - -
8 3.738E-07 1.604E-09
9 4.386E-08 2.605E-08
B1W3R6 2-3 - -
2-4 - -
4 - -
5 2.285E-08 8.530E-09
NUREG/CR-6144 10-42
10 Accident Sequence Quantification
8 2.323E-09 2.323E-09
B1W4R6 2-4 - -
5 - -
6-6 - -
8 - -
10-43 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-27
2-4 - -
4 1 - -
5 7.042E-10 7.042E-10
6-6 - -
8 - -
B1W4R10 2-4 - -
5 3.015E-09 3.015E-09
6-6 - -
8 7.035E-09 7.035E-09
TOTAL 1.075E-08 1.075E-08
NUREG/CR-6144 10-44
10 Accident Sequence Quantification
Table 10-28
3 3.628E-08 3.628E-08
B2W2D6 2-4 - -
2-5 - -
3 1.098E-07 4.745E-08
B2W3D6 2-4 - -
3 6.904E-08 2.126E-08
B2W4D6 2-4 - -
3 9.768E-09 2.041E-09
TOTAL 2.275E-07 1.086E-07
10-45 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-29
2-4 - -
2-5 - -
3 - -
4 - -
5-8 - -
5-9 - -
6 2.435E-09 2.435E-09
B2W2R6 2-3 - -
2-4 - -
2-5 - -
3 3.192E-09 3.192E-09
4 - -
5-8 - -
5-9 - -
6 6.065E-08 2.620E-08
B2W3R6 2-3 - -
2-4 - -
3 5.548E-08 5.548E-10
4 2.346E-10 2.346E-10
5-6 - -
6 3.523E-09 3.523E-09
B2W4R6 2-4 - -
4 - -
5-6 - -
NUREG/CR-6144 10-46
10 Accident Sequence Quantification
Table 10-29 (continued)
10-47 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-30
2-4 - -
3 1.154E-09 1.154E-09
4 - -
5-6 - -
6 1.282E-10 1.282E-10
B2W4R10 2-4 - -
. 4 - -
5-6 - -
6 4.067E-08 4.067E-08
TOTAL 4.195E-08 4.195E-08
NUREG/CR-6144 10-48
10 Accident Sequence Quantification
Table 10-31
10-49 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-32
5 - -
6 - -
9 1.428E-09 1.041E-09
10 1.160E-09 1.160E-09
13 - -
14 - -
15 - -
18 7.201E-08 3.438E-08
19 3.358E-09 1.397E-09
4KW2R6 4 - -
5 - -
6 9.770E-10 9.770E-10
9 2.869E-08 -
10 1.920E-08 1.888E-08
13 9.056E-09 -
14 - -
15 8.723E-10 8.723E-10
18 1.907E-06 2.926E-08
19 4.421E-08 2.855E-08
4KW3R6 4 - -
5 1.357E-08 1.343E-08
7 1.475E-09 1.475E-09
10 - -
11 8.397E-09 8.397E-09
NUREG/CR-6144 10-50
10 Accident Sequence Quantification
Table 10-32 (continued)
7 -
11 - -
13 - -
10-51 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-33
5 4.833E-10 4.833E-10
7 - -
10 - -
11 - -
13 - -
NUREG/CR-6144 10-52
10 Accident Sequence Quantification
Table 10-34
11 3.876E-08 3.798E-08
SIW3D6 5 1.545E-07 1.509E-07
9 2.415E-08 2.375E-08
SIW4D6 5 3.533E-09 3.052E-09
9 3.339E-10 3.339E-10
TOTAL 2.985E-06 6.757E-07
10-53 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-35
5 - -
6 - -
9 1.604E-08 1.127E-08
10 5.859E-09 5.859E-09
13 2.714E-10 2.714E-10
14 - -
i 15 - -
18 4.366E-08 3.355E-08
19 2.158E-09 2.158E-09
SIW2R6 4 1.553E-09 -
5 - -
6 4.931E-09 4.931E-09
9 1.606E-07 1.615E-09
10 9.760E-08 9.611E-08
13 2.823E-09 -
14 - -
15 1.084E-09 1.084E-09
18 6.419E-08 2.899E-10
19 2.514E-08 2.479E-08
SIW3R6 4 - -
5 6.945E-08 6.830E-08
7 7.447E-09 7.447E-09
10 - -
11 1.305E-08 1.294E-08
NUREG/CR-6144 10-54
10 Accident Sequence Quantification
Table 10-35 (continued)
13 - -
10-55 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-36
5 2.439E-09 2.439E-09
7 2.710E-10 2.710E-10
10 - -
11 3.903E-10 3.903E-10
13 - -
NUREG/CR-6144 10-56
10 Accident Sequence Quantification
Table 10-37
6 2.020E-08 2.020E-08
10 9.611E-10 -
11 4.020E-09 4.020E-09
VBW3D6 5 1.741E-08 1.728E-08
9 2.593E-09 2.593E-09
VBW4D6 5 7.253E-10 7.253E-10
9 - -
10-57 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-38
5 ' - -
6 - -
9 - -
10 1.072E-09 1.072E-09
13 - -
14 - -
15 - -
18 3.598E-09 2.563E-09
19 3.218E-10 3.218E-10
VBW2R6 4 - -
5 - -
6 5.841E-10 5.841E-10
9 6.529E-09 -
10 1.109E-08 1.109E-08
13 - -
14 - -
15 1.168E-10 1.168E-10
18 2.016E-09 -
19 2.569E-09 2.569E-09
VBW3R6 4 - -
5 7.938E-09 7.938E-09
7 8.820E-10 8.820E-10
10 - "
NUREG/CR-6144 10-58
10 Accident Sequence Quantification
Table 10-38 (continued)
7 1.118E-10 1.118E-10
• 11 - -
13 - -
10-59 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-39
5 2.889E-10 2.889E-10
7 - -
10 - -
11 - -
13 - -
NUREG/CR-6144 10-60
10 Accident Sequence Quantification
Table 10-40
10-61 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-41
7 1.187E-09 1.187E-09
ARW3D6 6 2.919E-10 2.919E-10
ARW4D6 6 - -
NUREG/CR-6144 10-62
10 Accident Sequence Quantification
Table 10-42
6 - -
8 - -
ARW4R10 6 - -
8 - -
TOTAL - -
10-63 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-43
6 1.839E-09 1.839E-09
CCW3D6 5 8.305E-10 8.305E-10
CCW4D6 5 - -
TOTAL i
2.909E-06 2.061E-07
NUREG/CR-6144 10-64
10 Accident Sequence Quantification
Table 10-44
9 8.155E-08 5.560E-08
10 1.662E-10 1.662E-10
CCW2R6 4 3.641E-09 -
5 - -
6 - -
9 • 1.205E-07 1.665E-09
i
10 3.261E-09 3.261E-09
CCW3R6 4 - -
5 1.256E-09 1.256E-09
7 - -
CCW4R6 5 - -
7 - -
10-65 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-45
5 - -
7 - -
NUREG/CR-6144 10-66
10 Accident Sequence Quantification
Table 10-46
5 3.380E-08 3.380E-08
SRW3D6 5 2.907E-08 2.907E-08
SRW4D6 5 1.914E-09 1.914E-09
TOTAL 7.404E-08 7.404E-08
10-67 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-47
5 - -
7 - -
8 6.090E-10 6.090E-10
SRW2R6 ' 3 1.981E-08 1.684E-10
4 - -
5 9.824E-10 9.824E-10
7 1.120E-10 1.120E-10
8 1.866E-08 1.866E-08
SRW3R6 4 - -
5 1.335E-08 1.335E-08
7 1.483E-09 1.483E-09
SRW4R6 5 1.265E-10 1.265E-10
7 2.952E-10 2.952E-10
TOTAL 5.604E-08 3.578E-08
NUREG/CR-6144 10-68
10 Accident Sequence Quantification
Table 10-48
5 4.860E-10 4.860E-10
7 - -
10-69 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-49
Dominant Core Damage Cutsets
Before Recovery Actions
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-70
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
D-L1W3-XHE
19 50.5 1.2 2517E-007 UNITY, CCW-LF-RHE2B, PROB-W1D6, DR-MT,
DURATION-D6, H-4KV-REC-W1, FREQ-4KV
20 51.7 1.2 2.471E-007 UNITY, CCW-LF-RHE2B, PROB-W1D6,
LPR-CCF-PG-SUMP1, DR-MT, DURATION-D6,
H-SI-REC-W1, FREQ-SI
21 52.8 1.1 2.266E-007 UNITY, ACP-INV-NO-UPSB1, PROB-W1D6, DR-MT,
DURATION-D6, FREQ-L2, NRAC200, /PROB-1HFAILEDL2
22 53.9 1.1 2.236E-007 UNITY, PROB-W1D6, DR-MT, DURATION-D6, FREQ-B1,
NRAC200
23 54.9 0.9 1.972E-007 UNITY, AFW-MDP-MA-FW3B, REFUEL, DURATION-R6,
CCW-LF-RHE2B, /PZR-SV-REMOVEDW2, PROB-W2R6,
H-4KV-REC-W2, FREQ-4KV
24 55.8 0.9 1.830E-007 UNITY, CON-VFC-RP-COREM, OSR-TRA-MA, ISR-TRA-MA,
FREQ-RHR3, PROB-W1D6, DR-MT, DURATION-D6
25 56.7 0.9 1.819E-007 UNITY, PROB-W1D6, DR-MT, DURATION-D6, FREQ-L1,
D-L1W1-XHE
26 57.6 0.8 1.773E-007 UNITY, ACP-INV-NO-UPSA2, AFW-MDP-MA-FW3B,
PROB-W2D6, DR-MT, DURATION-D6, FREQ-L2, NRAC262,
PROB-1HFAILEDL2
27 58.5 0.8 1.697E-007 UNITY, PROB-W2D6, DR-MT, DURATION-D6,
D-SIW2-XHE, FREQ-SI
28 59.3 0.8 1.643E-007 UNITY, REFUEL, DURATION-R6,/PZR-SV-REMOVEDW2,
PROB-W2R6, FREQ-L1, D-L1W2-XHE
29 60.0 0.7 1.532E-007 UNITY, DCP-BAT-LP-BAT1B, ACP-BCH-MA-UPSB1,
ACP-BCH-MA-UPSB2, PROB-W1D6, DR-MT, DURATION-D6,
H-SI-REC-W1, FREQ-SI
30 60.8 0.7 1.464E-007 UNITY, FREQ-RHR3, PROB-W1D6, A-R3W1-XHE-C-8,
DR-MT, DURATION-D6
31 61.5 0.7 1.460E-007 UNITY, PROB-W3D6, DR-MT, DURATION-D6,
D-SIW3-XHE, FREQ-SI
32 62.2 0.6 1.346E-007 UNITY, CON-VFC-RP-COREM, FREQ-CCW, OSR-TRA-MA,
ISR-TRA-MA, H-CCW-REC-W1, PROB-W1D6, DR-MT,
DURATION-D6
33 62.8 0.6 1300E-007 UNITY, ACP-INV-NO-UPSA2, LOOPISOLATED2R6,
REFUEL, DURATION-R6, /PZR-SV-REMOVEDW2,
PROB-W2R6, FREQ-L2, NRAC262, PROB-1HFAILEDL2
10-71 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-72
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-73 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-74
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-75 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-76
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-77 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-78
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-79 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-80
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-81 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-82
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-83 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-84
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-85 NUREG/CR-6144
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-86
10 Accident Sequence Quantification
Cut % % Cut
No. Total Set Frequency Cut Sets
10-87 NUREG/CR-6144
Table 10-50
Cut % % Cut
No. Total Set Frequency Cut Sets
NUREG/CR-6144 10-88
10 Accident Sequence Quantification
Table 10-50 (continued)
10-89 NUREG/CR-6144
10 Accident Sequence Quantification
Table 10-50 (continued)
NUREG/CR-6144 10-90
10 Accident Sequence Quantification
Table 10-50 (continued)
10-91 NUREG/CR-6144
Table 10-51
a;
C Recovery Actions and Their Applicability to the Event Tree Sequences(Loss of RHR and Loss of Instrument Air)
Basic Event Name Recovery Rules Calculation of Basic Applicable Sequences Notes
Event Probability
R-A1W1D6-XHB-C LPR-MOV-FT-1862B + LPR-(XF-FT-862AB 0.9 * 4.3&03 • 0.1 RAW1D6 #4,#7 Manually close the MOV or wae
+0.1 • 0.1 RBW1D6 #4 #7 reflux cooling with 2 SGs
=1.04E-02 R3W1D6 #3
R4W1D6 #4 1.A11 W1D6 sequences with failure
R5W1D6#4 of recirculation(Those sequences
ARW1D6 #5 without failure of recirc will not
meet the rule)
R-A2W1D6-XHE-C LPR-MOV-FT-1860B + LPR-CCF-FT-860AB SAME RAW1D6 #4,#7 Manually Open the MOV or use
RBW1D6 #4 #7 reflux cooling with 2 SGs
R3W1D6 #3
R4W1D6 #4 1.A11 W1D6 sequences with failure
R5W1D6 #4 of recirculation(Those sequences
ARW1D6 #5 without failure of recirc will not
meet the rule)
R-A3W1D6-XHE-C All W1D6 cutsets except those meeting Al or 0.1 RAW1D6 #4,#7 Use reflux cooling with 2 SGs
A2. RBW1D6 #4 #7
R3W1D6 #3 1.A11 W1D6 cutsets that do not meet
R4W1D6 #4 AlorA2.
R5W1D6#4
ARW1D6 #5
R-A4W1D6-XHE-C Covered by A3 0.1 RAW1D6 #4,#7 Use reflux cooling with 2 SG§
RBW1D6 #4 #7
R3W1D6 #3 1.A11 W1D6 sequences with failure
R4W1D6 #4 of recirculation.
R5W1D6#4
ARW1D6 #5 2. Covered by A3.
R-A5W1D6-XHE-C Covered by A3 0.1 RAW1D6 #4,#7 Use reflux cooling with 2 SGs
RBW1D6 #4 #7
R3W1D6 #3 1.A1I W1D6 sequences with failure
R4W1D6 #4 of recirculation.
R5W1D6#4
ARW1D6 #5 2. Covered by A3.
R-A6W1D6-XHE- Covered by A3 0.1 RAW1D6 #4,#7 Use reflux cooling with 2 SGs
C RBW1D6 # 4 #7
R3W1D6#3 1.A11 W1D6 sequences with
R4W1D6 # 4 failure of recirculation.
R5W1D6#4
ARW1D6#5 2. Covered by A3.
Table 10-51 (continued)
Basic Event Name Recovery Rules Calculation of Basic Applicable Sequences Notes
Event Probability
2
C
JO
m
p
n
i
Table 10-51 (continued)
Basic Event Name Recovery Rules Calculation of Basic Applicable Sequences Notes
Event Probability
R-A8W1R6-XHE-C LPR-MOV-FT-1862B + LPR-MOV-FT-1850B 4.4E-03 + 0.1 RAW1R6 #4 #9 Manually open or close MOV.
+ LPR-MOV-CCF-862AB + LPR-CCF-FT- =1.00E-01 #12 #17
860AB RBW1R6 #4 #9 #12 1.A11 W1R6.W2R6, W2D6 sequences
#17 with failure of recirculation.
R3W1R6 #3 #8
R4W1R6 #4 #9
R5W1R6 #4 #9
ARW1R6 #5
#10RAW2R6 #4 #9
#12 #17
RAW2D6 #5 #9
RBW2R6 #4 #9 #12
#17
RBW2D6 #5 #9
R3W2R6 #3 #8
R3W2D6 #4
R4W2R6 #4 #9
R4W2D6 #5
R5W2R6 #4 #9
R5W2D6 #5
ARW2R6 #5 #10
ARW2D6 #6
R-C1W1D6A-XHE- CPC-MDP-FR-SW10A • l/24=4.17E-2 RAW1R6 #14 #18 Use more realistic mission time for
R CPC-MDP-MA-SW10B • LPI-MDP-FS-SI1B RAW1D6 #8 SW10A in providing makeup
RAW2R6 #14 #18
RAW2D6 #10 1.A11 RHR2A and RHR 2B
RAW3R6 #10 #12 sequences with failure to makeup
RAW3D6 #8 and failure to feed and spill.
RAW3R10 #10 #12
RAW4R6 #11 #14
RAW4D6 #8
RAW4R10 #11 #14
RBW1R6 #14 #18
RBW1D6 #8
RBW2R6 #14 #18
RBW2D6 #10
RBW3R6 #10 #12
RBW3D6 #8
RBW3R10 #10 #12
RBW4R6 #10 #12
RBW4D6 #8
RBW4R10 #10 #12
Table 10-51 (continued)
Basic Event Name Recovery Rules Calculation of Basic Applicable Sequences Notes
Event Probability
Basic Event Name Recovery Rules Calculation of Basic Applicable Sequences Notes
Event Probability
R-E1W2D6-XHE-C AFW-MDP-MA-FW3B 1E-04 + 7.33E-03(LSW1) RAW1R6 #4 #9 Use of 172 AFW to rapport reflux
= 7.43E-03 #12 #17 cooling (use of U2 charging and
RBW1R6 #4 #9 #12 RWST also possible)
#17
R3W1R6 #3 #8 1.A11 W1R6, W2R6 and W2D6
R4W1R6 #4 #9 sequences with recir failed and MA-
R5W1R6 #4 #9 FW3B.
ARW1R6 #5
#10RAW2R6 #4 #9
#12 #17
RAW2D6 #5 #9
RBW2R6 #4 #9 #12
#17
RBW2D6 #5 #9
R3W2R6 # 3 #8
R3W2D6 #4
R4W2R6 #4 #9
R4W2D6 #5
R5W2R6 #4 #9
R5W2D6 #5
ARW2R6 #5 #10
ARW2D6 #6
R-F1W1D6-XHE-C cover by A3 0.1 RAW1D6 #4, #7 Use reflux cooling with 2 SGs
RBW1D6 #4 #7
R3W1D6 # 3 1. All W1D6 sequences with failure
R4W1D6 #4 #9 to retire.
R5W1D6 #4
RBW1D6 #4 #7 2. This is covered by A3.
ARW1D6 #5
R-G1W2DR6-XHE- covered by El 1E-04 + 7.33E-03(LSW1) Practically the same Use of U2 AFW to support reflux
C = 7.43E-03 as El. cooling (use of U2 charging and
RWST also possible)
Basic Event Name Recoveiy Rules Calculation of Basic Applicable Sequences Notes
Event Probability
R-H1W1DR6-XHE- RWT-TNK-LF-RWST 1.2E-03(HEP for A- RAW1R6 #14 #18 UM ofKWST to provide short ten*
R RAWl-Xhe-R) RAW1D6 #8 •akcnp in order torestoreRHR
RAW2R6 #14 #18
RAW2D6 #10 1.AU RHR2A and RHR2B
RAW3R6 #10 #12 sequences.
RAW3D6 #8
RAW3RJ0 #10 #12 2. The HEP is based on restoring
RAW4R6 #11 #14 RHR.(A-RAW1D6-XHE-R)
RAW4D6 #8
RAW4R10 #11 #14
RBW1R6 #14 #18
RBW1D6 #8
RBW2R6 #14 #18
RBW2D6 #10
RBW3R6 #10 #12
RBW3D6 #8
RBW3R10 #10 #12
RBW4R6 #10 #12
RBW4D6 #8
RBW4R10 #10 #12
•z
c
m
o
o
^
£ Table 10-52
9
^ Recovery Actions and Their Applicability to the Loss of Support System Event Trees
I
ON
Basic Event Name Recoveiy Rules Calculation of Basic Event Applicable Sequences Notes
Probability
R-W1D6-XHE-C-A1 LPR-MOV-FT-1862B + LPR- 0.9 * 4.3E-03 * 0.1 4KWlD6-#4,#8 Manually close the MOV or use reflux
CCF-FT-862AB +0.1 * 0.1 VBWlD6-#4,#8 cooling with 2 SGs
=1.04E-02 SIWlD6-#4,#8 1. All W1D6 sequences with failure of
CCWlD6-#4 recirculation.
R-W1D6-XHE-C-A2 LPR-MOV-FT-1860B + same 4KWlD6-#4,#8 Manually open the MOV or use reflux
LPR-CCF-FT-860AB VBWlD6-#4,#8 cooling with 2 SGs
SIWlD6-#4,#8 - 1. All W1D6 sequences with failure of
CCWlD6-#4 recirculation.
R-W1D6-XHE-C-A3 1. All W1D6 cutsets that do not .1 4KWlD6-#4,#5,#8,#9 Use reflux cooling with 2 SGs
meet Al, A2 and A10 and not VBWlD6-#4,#5,#8,#9 1. All W1D6 cutsets that do not meet Al
due to failure to diagnose. SIWlD6-#4,#5,#8,#9 or A2 and not due to failure to diagnose.
CCWlD6-#4,#5
2. SGA-DRAINED-R + 2. All W1R6, W2D6, and W2R6
SGB-DRAINED-R + 4KW1R6-#10,#19 sequences with "S" top event Failed and
SGC-DRAINED-R VBW1R5-#10,#19 "SG*-DRAINED-R" that are not
SIW1R6-#10,#19 otherwise recoverable.
CCW1R6-#10
4KW2D6-#6,#11
VBW2D6-#6,#11
SIW2D6-#6,#11
CCW2D6-#6
4KW2R6-#10,#19
VBW2R6-#10,#19
SIW2R6-#10,#19
CCW2R6-#10
R-W1D6-XHE-C-A4 Covered by A3 .1 Covered by A3 Use reflux cooling with 2 SGs
1. Covered by A3
R-W1D6-XHE-C-A5 Covered by A3 .1 Covered by A3 Use reflux cooling with 2 SGs
1. Covered by A3
Table 10-52 (continued)
Basic Event Name Recovery Rules Calculation of Basic Event Applicable Sequences Notes
Probability
R-W2D6-XHE-C-A9 All except those meeting 3.2E-03 + 1.91E-02 4KW2D6-#05,#10,#11? Use of Unit 2 charging pump and RWST
E1(AFW-MDP-MA-FW3B) = 2.23E-02 VBW2D6-#05,#10 1. All W2D6 and W2R6 sequences with
SIW2D6-#O5,#10 failure to recirculate except those
CCW2D6-#5 covered by El (AFW-MDP-MA-3B)
4KW2R6-#04,#09,#13,#18
VBW2R6-#04,#09,#13,#18
SIW2R6-#04,#08,#13,#18
CCW2R6-#4,#9
R-W1D6-XHE-C-A10 A-CCW1-XHE-C-9 1. CCW1D6 - 4 Not recoverable
R-W1R6-XHE-C-A11 (LPR-MOV-FT-1862B + LPR- 4.31E-03 + 0.1 4KW1R6-#04,#09,#13,#18 Manually open or close the MOV
CCF-FT-862AB + = 1.04E-01 VBW1R6-#04,#09,#13,#18 1. All W1R6 sequences with failure to
LPR-MOV-FT-1860B + SIW1R6-#04,#09,#13,#18 recirculate and not covered by El.
LPR-CCF-FT-860AB) * /AFW- CCWlR6-#04,#09
MDP-MA-FW3B
R-W1R6-XHE-C-A12 ACP-INV-NO-UPSA2 * 1.0 4KW1R6 - 18,19 Not recoverable(in my judgment)
LOOPISOLATED1R6
R-B1W2/W3/D6/R6- D-4KW2-XHE 1.0 4KW2D6VR6 Not recoverable
XHE-D D-4KW3-XHE 4KW3D6/R6
R-W2D6-XHE-C-D2 Covered by A9. 3.2E-03 + 1.91E-02 Covered by A9. Use of Unit 2 charging pump and
= 2.23E-02 RWST(same as A9)
1. All W2D6 and W2R6 sequences with
failure to recirculate except those
covered by El (AFW-MDP-MA-3B)
R-D3W2R6-XHE-C Covered by A9. 3.2E-03 + 1.91E-02 Covered by A9. Use of Unit 2 charging pump and
= 2.23E-02 RWST(same as A9)
1. All W2D6 and W2R6 sequences with
failure to recirculate except those
covered by El (AFW-MDP-MA-3B)
fc
Table 10-52 (continued)
Basic Event Name Recovery Rules Calculation of Basic Event Applicable Sequences Notes
Probability
R-W2D6-XHE-C-E1 AFW-MDP-MA-FW3B 1.20E-04 + 7.33E-03 4KW1R6-#04,#09,#13,#18 Use of U2 AFW to support reflux
= 7.45E-03 VBW1R6-#04,#09,#13,#18 cooling(use of U2 charging and RWST
SIW1R6-#04,#09,#13,#18 also possible)
CCWlR6-#04,#09 1. All WlR6(charging not sufficient),
4KW2D6-#05,#10 W2R6 and W2D6 sequences with
VBW2D6-#05,#10 recirculation failed.
SIW2D6-#05,#10
CCW2D6-#5
4KW2R6-#04,#09,#13,#18
VBW2R6-#04,#09,#13,#18
SIW2R6-#04,#08,#13,#18
CCW2R6-#4,#9 2. All sequences not otherwise
recoverable.
4KW3D6-#5
4KW4D6-#9
SIW3D6-#5
4KW1R6-#10,#19
VBW1R6-#10,#19
SIW1R6-#10,#19
CCW1R6-#10
4KW2D6-#6,#11
VBW2D6-#6,#11
SIW2D6-#6,#11
CCW2D6-#6
4KW2R6-#10,#19
VBW2R6-#10,#19
SIW2R6-#10,#19
CCW2R6-#10
R-W2D6-XHE-C-E2 Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux
= 7.45E-03 coollng(use of U2 charging and RWST
also possible)
1. Covered by El.
2R-W2D6-XHE-C-G1 Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux
= 7.45E-03 cooling(use of U2 charging and RWST
also possible)
1. Covered by El.
Table 10-52 (continued)
Basic Event Name Recovery Rules Calculation of Basic Event Applicable Sequences Notes 1
Probability
R-W2R6-XHE-C-G2 Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux 1
= 7.45E-03 cooling(use of U2 charging and RWST 1
also possible)
1. Covered by El.
R-W2D6-XHE-C-G3 Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux
= 7.45E-03 cooling(use of U2 charging and RWST
also possible)
1. Covered by El.
R-W2R6-XHE-C-G4 Covered by A9. 3.2E-03 + 1.91E-02 Covered by A9. Use of Unit 2 charging pump and
= 2.23E-02 RWST(same as A9)
1. All W2D6 and W2R6 sequences with
failure to recirculate except those
covered by El (AFW-MDP-MA-3B)
R-W2D6/R6-XHE-C- Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux
G5 = 7.45E-03 cooIing(use of U2 charging and RWST
also possible)
1. Covered by El.
R-W1D6/R6-XHE-C- Covered by El. 1.20E-04 + 7.33E-03 Covered by El. Use of U2 AFW to support reflux
G6 = 7.45E-03 cooling(use of U2 charging and RWST
also possible)
1. Covered by El.
C Table 10-53
S
P Time To Recovery of Failed Diesel Generator
O
l
ON
Wl W2
Time(hr) NRAC DG v Time(hr) NRAC DG
1 2 3
V
Original 2.0 0.32 N/A N/A 2.62 0.26 N/A N/A
Evaluation
Action 1 12 0.034 0.175 0.0186 16.1 0.02 0.15 0.0115
only, 7j
Action 1&2, 22 0.012 0.113 0.0042 26.1 N/A N/A N/A
• Action 1 only, 6.3 0.09 0.325 0.91 9.1 0.05 0.194 0.0373
but with gravity
feed, i) 1 /
1
NRAC = Probability of non-recovery of offsite power in designed time
2
DG = Probability of non-recovery of emergency diesel generator in designated time
3
V — V2 o r
'"liHi f° r t n e
designated combination of recovery actions
Table 10-54 (continued)
W3 W4
Time(hr) NRAC 4
DG 5
V Time(hr) NRAC DG 17
Action 2 only, 13.5 0.03 0.1625 0.0257 14.6 0.02 0.16 0.0229
4
NRAC = Probability of non-recovery of offsite power in designated time
5
DG = Probability of non-recovery of emergency diesel generator in designated time
6
77 = 771 or 77i77 for the designated combination of recovery actions
2
Table 10-55
p for LOSP Categories and Windows 1-4
2
Wl W2 W3 W4
LI 0 0 0 0
L2 0 0 0 0
L3 0 0 0 0
Bl .55 .36 .11 .11
B2 N/A .42 .29 .19
10-105 NUREG/CR-6144
10 Accident Sequence QuantiJScation
Table 10-56
p for LOSP Categories
3
P 3
LI 1.0
L2 0.1
L3 0.1
Bl 0.1
B2 1.0
NUREG/CR-6144 10-106
Table 10-57
Total Probabilities
Vi V1V1 P 2 P, TOTAL
1l liti r* p 3 TOTAL
R-L2W4-13-C-C-F 0 0 0 0.1 0
1i 1ll2 P p 3 TOTAL
2
R-L3W4-13-C-C-F 0 0 0 0.1 0
<
10 Accident Sequence Quantification
Table 10-58
RHRMODEL, B1W1D6,2-3=
DES Al LPR-MOV-FT-1862B
IF LPR-MOV-FT-1862B
THEN R-A1W1D6-XHE-C.
DES A2 LPR-MOV-FT-1860B
IF LPR-MOV-FT-1860B
THEN R-A2W1D6-XHE-C.
DES Al LPR-CCF-FT-862AB
IF LPR-CCF-FT-862AB
THEN R-A1W1D6-XHE-C.
DES A2 LPR-CCF-FT-860AB
IF LPR-CCF-FT-860AB
THEN R-A2W1D6-XHE-C.
DES A3 CREDIT REFLUX IN W1D6 (INCLUDE A4-A6)
IF NOT LPR-MOV-FT-1862B * NOT LPR-MOV-FT-1860B * NOT LPR-CCF-FT-862AB *
NOT LPR-CCF-FT-860AB * NOT D-R3W1-XHE
THEN R-A3W1D6-XHE-C.
DES /NRAC200
IF DURATION-D6
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, B1W1D6,3=
DES/XXX
IF NOT XXX
THEN R-B1W1-13-C-C.
~EOS
RHRMODEL, B1W1D6,4=
DES /D-B1W1-XHENOT A-B1W1-XHE-2CH-8NOT A-BlWl-XHE-CW-8 *
IF NOT D-B1W1-XHE * NOT A-B1W1-XHE-2CH-8 * NOT A-BlWl-XHE-CW-8 *
NOT HPI-CKV-00-267U2 * NOT HPI-CKV-00-276U2
THEN R-B1W1-3-C.
~EOS
RHRMODEL, B1W1R6, 8=
DES/XXX
IF NOT XXX
THEN R-B1W1-123-C-C.
~EOS
RHRMODEL, B1W2D6,2-4=
DES Use U2 AFW to Support Reflux Cooling
IF ACP-BAC-ST-4KV1H = AFW-MDP-MA-FW3B = PROB-W2D6 = DR-MT = DURATION-D6 =
FREQ-B1
THEN R-E1W2D6-XHE-C.
DES /NRAC262
IF DURATION-D6
THEN A-CCW3-XHE-S1-7.
'"EOS
RHRMODEL, B1W2D6,4=
NUREG/CR-6144 10-110
DES/XXX
IF NOT XXX
THEN R-B1W2-123-C-A.
~EOS
RHRMODEL, B1W2D6,5=
DES /D-B1W2-XHENOT A-B1W2-XHE-2CH-8NOT A-B1W2-XHE-CW-8 *
IF NOT D-B1W2-XHE * NOT A-B1W2-XHE-2CH-8 * NOT A-B1W2-XHE-CW-8 *
NOT HPI-CKV-00-267U2 * NOT HPI-CKV-00-276U2
THEN R-B1W2-23-AC
DES /D-B1W2-XHE * NOT R-B1W2-23-AC
IF NOT D-B1W2-XHE * NOT R-B1W2-23-AC
THEN R-B1W2-23-A.
~EOS
RHRMODEL, B1W2R6, 3=
DES/XXX
IF NOT XXX
THEN R-B1W2-13-C-C
'"EOS
RHRMODEL, B1W2R6, 8=
DES/XXX
IF NOT XXX
THEN R-B1W2-123-C-A.
~EOS
RHRMODEL, B1W2R6, 9=
DES /D-B1W2-XHENOT A-B1W2-XHE-2CH-8NOT A-B1W2-XHE-CW-8 *
IF NOT D-B1W2-XHE * NOT A-B1W2-XHE-2CH-8 * NOT A-B1W2-XHE-CW-8 *
' NOT HPI-CKV-00-267U2 * NOT HPI-CKV-00-276U2
THEN R-B1W2-23-AC.
DES /D-B1W2-XHE * NOT R-B1W2-23-AC
IF NOT D-B1W2-XHE * NOT R-Bl\V2-23-AC
THEN R-B1W2-23-A.
^EOS
RHRMODEL, B1W3D6,5=
DES /D-B1W3-XHENOT A-B1W3-XHE-CW-8NOT A-B1W3-XHE-2CH-8 *
IF NOT D-B1W3-XHE * NOT A-B1W3-XHE-CW-8 * NOT A-B1W3-XHE-2CH-8 *
NOT HPI-CKV-00-267U2 * NOT HPI-CKV-00-276U2
THEN R-B1W3-23-AC
DES /D-B1W3-XHE * NOT R-B1W3-23-AC
IF NOT D-B1W3-XHE * NOT R-B1W3-23-AC
THEN R-B1W3-23-A.
~EOS
RHRMODEL, B1W3R6, 5=
DES /D-B1W3-XHENOT A-B1W3-XHE-2CH-4NOT A-B1W3-XHE-CW-4 *
IF NOT D-B1W3-XHE * NOT A-B1W3-XHE-2CH-4 * NOT A-B1W3-XHE-CW-4 *
NOT HPI-CKV-00-267U2 * NOT HPI-CKV-00-276U2
THEN R-B1W3-13-G-C.
DES /D-B1W3-XHE * NOT R-B1W3-13-G-C
IF NOT D-B1W3-XHE * NOT R-B1W3-13-G-C
THEN R-B1W3-1-G.
~EOS
RHRMODEL, B2W1D6,2-3=
DES /nrac200
10-111 NUREG/CR-6144
10 Accident Sequence Quantification
IF FREQ-B2
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, B2W2D6,3=
DES/XXX
IF NOT XXX
THEN R-B2W2-2.
~EOS
RHRMODEL, B2W2R6, 6=
DES/XXX
IF NOT XXX
THEN R-B2W2-2.
~EOS
RHRMODEL, B2W3D6,3=
DES/XXX
IF, NOT XXX
THEN R-B2W3-2.
~EOS
RHRMODEL, B2W3R6, 3=
DES/XXX
IF NOT XXX
THEN R-B2W3-1-G.
~EOS
RHRMODEL, B2W4D6,3=
DES/XXX
IF NOT XXX
THEN R-B2W4-2.
~EOS
RHRMODEL, L1W1D6, 4=
DES Al LPR-MOV-FT-1862B
IF LPR-MOV-FT-1862B
THEN R-A1W1D6-XHE-C.
DES A2 LPR-MOV-FT-1860B
IF LPR-MOV-FT-1860B
THEN R-A2W1D6-XHE-C.
DES Al LPR-CCF-FT-862AB
IF LPR-CCF-FT-862AB
THEN R-A1W1D6-XHE-C.
DES A2 LPR-CCF-FT-860AB
IF LPR-CCF-FT-860AB
THEN R-A2W1D6-XHE-C
DES A3 CREDIT REFLUX IN W1D6 (INCLUDE A4-A6)
IF NOT LPR-MOV-FT-1862B * NOT LPR-MOV-FT-1860B * NOT LPR-CCF-FT-862AB *
NOT LPR-CCF-FT-860AB * NOT D-R3W1-XHE
THEN R-A3W1D6-XHE-C.
DES/NRAC200 L1W1D6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
NUREG/CR-6144 10-112
10 Accident Sequence Quantification
~EOS
RHRMODEL, L1W1D6, 5=
DES/NRAC200 L1W1D6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W1D6, 7=
DES /A-LlWl-XHE-C-17 * NOT D-LIWI-XHE
IF NOT A-LlWl-XHE-C-17 * NOT D-LIWI-XHE
THEN R-L1W1-1-C.
~EOS
RHRMODEL, L1W1R6, 06=
DES /NRAC200 L1W1R6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W1R6, 13=
DES /NRAC200 L1W1R6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W1R6, 14=
DES /NRAC200 L1W1R6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W2D6, 05=
DES/NRAC262 L1W2D6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W2D6, 06=
DES/NRAC262 L1W2D6
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W2R6, 06=
DES /nrac262
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W2R6, 13=
DES /NRAC262 L1W2R6
IF FREQ-L1
THEN A-CCW3-XHE.S1-7.
~EOS
RHRMODEL, L1W2R6, 14=
DES /NRAC262
10-113 NUREG/CR-6144
10 Accident Sequence Quantification
IF FREQ-L1
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L1W3D6,5=
DES/NRAC346 L1W3D6
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L1W3R10, 05=
DES/NRAC346 L1W3R10
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
'"EOS
RHRMODEL, L1W3R10,10=
DES/NRAC346 L1W3R10
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L1W3R6, 05=
DES /NRAC346 L1W3R6
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L1W3R6,10=
DES /NRAC346 L1W3R6
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
'"EOS
RHRMODEL, L1W4D6, 5=
DES/NRAC455 L1W4D6
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L1W4R10, 05=
DES/NRAC455 L1W4R10
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
'"EOS
RHRMODEL, L1W4R10, 10=
DES/NRAC455 L1W4R10
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L1W4R6, 05=
DES /NRAC455 L1W4R6
IF FREQ-L1
THEN A-CCW3-XHE-S2-7.
'"EOS
NUREG/CR-6144 10-114
10 Accident Sequence Quantification
10-115 NUREG/CR-6144
10 Accident Sequence Quantification
NOT IAS-CPS-FR-IAC-1
THEN R-L2W1-123-C-C.
DES /R-L2W1-123-C-A * NOT D-L2W1-XHE * NOT R-L2W1-123-C-C
IF NOT R-L2W1-123-C-A * NOT D-L2W1-XHE * NOT R-L2W1-123-C-C
THEN R-L2W1-13-C-C.
~EOS
RHRMODEL, L2W2D6,05=
DES/NRAC262 L2W2D6
IF FREQ-L2
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L2W2D6, 06=
DES/NRAC262 L2W2D6
IF FREQ-L2
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L2W2D6, 09=
DES AFW-MDP-MA-FW3B + AFW-MDP-MA-FW3A + AFW-MDP-FS-FW3A +
IF AFW-MDP-MA-FW3B + AFW-MDP-MA-FW3A + AFW-MDP-FS-FW3A + AFW-MDP-FS-FW3B +
AFW-MOV-MA-151A + AFW-MOV-MA-151B + AFW-MOV-MA-151C + AFW-MOV-MA-151D +
AFW-MOV-MA-151E + AFW-MOV-MA-151F + AFW-MOV-FT-151A + AFW-MOV-FT-151B +
AFW-MOV-FT-151C + AFW-MOV-FT-151D + AFW-MOV-FT-151E + AFW-MOV-FT-151F
NUREG/CR-6144 10-116
10 Accident Sequence Quantification
THEN R-L2W2-123-C-A.
DES /R-L2W2-123-C-A * NOT D-L2W2-XHENOT MSS-AOV-FC-101A *
IF NOT R-L2W2-123-C-A * NOT D-L2W2-XHE * NOT MSS-AOV-FC-101A *
NOT MSS-AOV-FC-101B * NOT MSS-AOV-FC-101C * NOT MSS-AOV-MA-101A *
NOT MSS-AOV-MA-101B * NOT MSS-AOV-MA-101C * NOT LOOPISOLATED2D6 *
NOT SGA-DRAINED-R * NOT SGB-DRAINED-R * NOT SGC-DRAINED-R *
NOT A-L2W2-XHE-S1-17 * NOT SOLAIR-COMP * NOT FIRE-PUMP *
NOT SAS-CPS-FR-1SAC1 * NOT SAS-CPS-FR-2SAC1 * NOT IAS-CPS-FS-IAC-1 *
NOT IAS-CPS-FR-IAC-1 * NOT SGS-DRAINED-CSD * NOT A-L2-XHE-S *
NOT MSS-AOV-FT-IOIA * NOT MSS-AOV-FT-101B * NOT MSS-AOV-FT-101C *
NOT ISR-TRA-MA * NOT OSR-TRA-MA * NOT LPR-CCF-PG-SUMP2 *
NOT IAS-CCF-LF-INAIR
THEN R-L2W2-123-C-C.
DES AFW-CCF-FS-FW3AB + AFW-CKV-00-CV142 + A-L2W2-XHE-SF-17
IF AFW-CCF-FS-FW3AB + AFW-CKV-00-CV142 + A-L2W2-XHE-SF-17
THEN R-L2W2-123-C-C.
DES A-L2W2-XHE-X
IF A-L2W2-XHE-X
THEN R-L2W2-3-C.
DES /R-L2W2-123-C-A * NOT D-L2W2-XHE * NOT R-L2W2-123-C-C *
IF NOT R-L2W2-123-C-A * NOT D-L2W2-XHE * NOT R-L2W2-123-C-C *
NOT ISR-TRA-MA * NOT OSR-TRA-MA * NOT LPR-CCF-PG-SUMP2 * NOT R-L2W2-3-C
THEN R-L2W2-13-C-C
~EOS
RHRMODEL, L2W2D6,10=
DES AFW-MDP-MA-FW3B + AFW-MDP-MA-FW3A + AFW-MDP-FS-FW3A +
IF AFW-MDP-MA-FW3B + AFW-MDP-MA-FW3A + AFW-MDP-FS-FW3A + AFW-MDP-FS-FW3B +
AFW-MOV-MA-151A + AFW-MOV-MA-151B + AFW-MOV-MA-151C + AFW-MOV-MA-151D +
AFW-MOV-MA-151E + AFW-MOV-MA-151F + AFW-MOV-FT-151A + AFW-MOV-FT-151B +
AFW-MOV-FT-151C + AFW-MOV-FT-151D + AFW-MOV-FT-151E + AFW-MOV-FT-151F
THEN R-L2W2-123-C-A-F.
DES DCP-BDC-ST-BUS1B
IF DCP-BDC-ST-BUS1B
THEN R-L2W2-123-C-A-F.
DES LPI-MDP-FS-SI1B * AFW-MDP-MA-FW3B
IF LPI-MDP-FS-SI1B * AFW-MDP-MA-FW3B
THEN R-L2W2-123-C-A-F.
DES A-L2W2-XHE-FL-18 * AFW-MDP-MA-FW3B
IF A-L2W2-XHE-FL-18 * AFW-MDP-MA-FW3B
THEN R-L2W2-123-C-A-F.
DES LPI-MDP-FS-SI1B * AFW-MDP-FS-FW3B
IF LPI-MDP-FS-SI1B * AFW-MDP-FS-FW3B
THEN R-L2W2-123-C-A-F.
DES A-L2W2-XHE-FL-18 * AFW-MDP-FS-FW3B
IF A-L2W2-XHE-FL-18 * AFW-MDP-FS-FW3B
THEN R-L2W2-123-C-A-F.
DES /R-L2W2-123-C-A-F * NOT D-L2W2-XHENOT MSS-AOV-FC-101A *
IF NOT R-L2W2-123-C-A-F * NOT D-L2W2-XHE * NOT MSS-AOV-FC-101A *
10-117 NUREG/CR-6144
10 Accident Sequence Quantification
NUREG/CR-6144 10-118
10 Accident Sequence Quantification
10-119 NUREG/CR-6144
10 Accident Sequence Quantification
NUREG/CR-6144 10-120
10 Accident Sequence Quantification
IF LPI-MDP-FS-SI1B * AFW-MDP-FS-FW3B
THEN R-L2W3-123-C-A-F.
DES A-L2W3-XHE-FL-12 * AFW-MDP-FS-FW3B
IF A-L2W3-XHE-FL-12 * AFW-MDP-FS-FW3B
THEN R-L2W3-123-C-A-F.
DES /R-L2W3-123-C-A-F * NOT D-L2W3-XHENOT MSS-AOV-FC-101A *
IF NOT R-L2W3-123-C-A-F * NOT D-L2W3-XHE * NOT MSS-AOV-FC-101A *
NOT MSS-AOV-FC-IOIB * NOT MSS-AOV-FC-IOIC * NOT MSS-AOV-MA-IOIA *
NOT MSS-AOV-MA-IOIB * NOT MSS-AOV-MA-IOIC * NOT LOOPISOLATED3D6 *
NOT SGA-DRAINED-R * NOT SGB-DRAINED-R * NOT SGC-DRAINED-R *
NOT A-L2W3-XHE-S1-8 * NOT SOLAIR-COMP * NOT FIRE-PUMP *
NOT SAS-CPS-FR-1SAC1 * NOT SAS-CPS-FR-2SAC1 * NOT IAS-CPS-FS-IAC-1 *
NOT IAS-CPS-FR-IAC-1 * NOT SGS-DRAINED-CSD * NOT A-L2-XHE-S *
NOT MSS-AOV-FT-101A * NOT MSS-AOV-FT-101B * NOT MSS-AOV-FT-101C *
NOT IAS-CCF-LF-INAIR * NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB *
NOT LPI-MDP-FS-SI1B * NOT A-L2W3-XHE-FL-12
THEN R-L2W3-123-C-C-F.
DES AFW-CCF-FS-FW3AB + AFW-CKV-00-CV142 + A-L2W3-XHE-SF-8
IF AFW-CCF-FS-FW3AB + AFW-CKV-00-CV142 + A-L2W3-XHE-SF-8
THEN R-L2W3-123-C-C-F.
DES /R-L2W3-123-C-A-F * NOT D-L2W3-XHE * NOT R-L2W3-123-C-C-F *
IF NOT R-L2W3-123-C-A-F * NOT D-L2W3-XHE * NOT R-L2W3-123-C-C-F *
NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB* NOT LPI-MDP-FS-SI1B *
NOT A-L2W3-XHE-FL-12
THEN R-L2W3-13-C-C-F.
DES LPI-MDP-FS-SI1BNOT R-L2W3-123-C-A-F
IF LPI-MDP-FS-SI1B * NOT R-L2W3-123-C-A-F
THEN R-L2W3-13-C-C-F.
DES A-L2W3-XHE-FL-12NOT R-L2W3-123-C-A-F
IF A-L2W3-XHE-FL-12 * NOT R-L2W3-123-C-A-F
THEN R-L2W3-13-C-C-F.
~EOS
RHRMODEL, L2W3R10, 05=
DES/NRAC346 L2W3R10
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W3R10, 10=
DES/NRAC346 L2W3R10
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W3R6, 05=
DES/NRAC346 L2W3R6
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W3R6, 08=
10-121 NUREG/CR-6144
10 Accident Sequence Quantification
DES /D-L2W3-XHE
IF NOT D-L2W3-XHE
THEN R-L2W3-13-C-C-F.
~EOS
RHRMODEL, L2W3R6, 10=
DES/NRAC346 L2W3R6
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W4D6, 5=
DES/NRAC455 L2W4D6
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W4R10, 05=
DES/NRAC455 L2W4R10
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W4R10, 08=
DES /D-L2W4-XHE
IF NOTD-L2W4-XHE
THEN R-L2W4-13-C-C-F.
~EOS
RHRMODEL, L2W4R10, 10=
DES/NRAC455 L2W4R10
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W4R10, 12=
DES/D-L2W4-XHE
IF NOTD-L2W4-XHE
THEN R-L2W4-13-C-C-F.
~EOS
RHRMODEL, L2W4R6, 05=
DES/NRAC455 L2W4R6
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L2W4R6, 10=
DES/NRAC455 L2W4R6
IF FREQ-L2
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L3W1D6, 4=
DES/NRAC200 L3W1D6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
NUREG/CR-6144 10-122
10 Accident Sequence Quantification
~EOS
RHRMODEL, L3W1D6, 5=
DES/NRAC200 L3W1D6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L3W1D6, 7=
DES /LPR-CCF-PG-SUMP1NOTLPI-MDP-FS-SI1BNOTA-L3W1-XHE-C-17 *
IF NOT LPR-CCF-PG-SUMPl * NOT LPI-MDP-FS-SIIB * NOT A-L3W1-XHE-C-17 *
NOT CON-VFC-RP-COREM * NOT 2EH1L3 * NOT SWS-XHE-AP12 *
NOT A-L3W1-XHE-FH-18 * NOT A-L3W1-XHE-FL-18 * NOT D-L3W1-XHE *
NOT ISR-TRA-MA * NOT OSR-TRA-MA * NOT A-L3W1-XHE-CW-4
THEN R-L3W1-13-C-C.
DES /D-L3W1-XHE * NOT R-L3W1-13-C-C * NOT A-L3W1-XHE-CW-4
IF NOT D-L3W1-XHE * NOT R-L3W1-13-C-C * NOT A-L3W1-XHE-CW-4
THEN R-L3W1-1-C.
~EOS
RHRMODEL, L3W1D6, 8=
DES /D-L3W1-XHE * NOT PORV-PATH-CLSD *
IF NOT D-L3W1-XHE * NOT PORV-PATH-CLSD * NOT A-L3W1-XHE-CW-4 *
A-L3W1-XHE-FL-18
THEN R-L3W1-1-C-F.
DES /D-L3W1-XHE * NOT PORV-PATH-CLSD *
IF NOT D-L3W1-XHE * NOT PORV-PATH-CLSD * NOT A-L3W1-XHE-CW-4 * LPI-MDP-FS-SIIB
THEN R-L3W1-1-C-F.
DES /D-L3W1-XHE * NOT PORV-PATH-CLSD *
IF, NOT D-L3W1-XHE * NOT PORV-PATH-CLSD * NOT A-L3W1-XHE-CW-4 *
DCP-BDC-ST-BUS1B
THEN R-L3W1-1-C-F.
DES /D-L3W1-XHE * NOT PORV-PATH-CLSD * NOT R-L3W1-1-C-F
IF NOT D-L3W1-XHE * NOT PORy-PATH-CLSD * NOT R-L3W1-1-C-F *
NOT A-L3W1-XHE-CW-4
THEN R-L3W1-13-C-C-F.
~EOS
RHRMODEL, L3W1R6, 14=
DES/NRAC200 L3W1R6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L3W2D6, 06=
DES/NRAC262 L3W2D6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L3W2D6, 09=
DES AFW-MDP-MA-FW3B * A-L3W2-XHE-CW-4
IF AFW-MDP-MA-FW3B * A-L3W2-XHE-CW-4
THEN R-L3W2-23-A.
10-123 NUREG/CR-6144
10 Accident Sequence Quantification
NUREG/CR-6144 10-124
10 Accident Sequence Quantification
THEN R-L3W2-123-C-A-R
DES /R-L3W2-123-C-A-F * NOT D-L3W2-XHENOT MSS-AOV-FC-101A *
IF NOT R-L3W2-123-C-A-F * NOT D-L3W2-XHE * NOT MSS-AOV-FC-101A *
NOT MSS-AOV-FC-101B * NOT MSS-AOV-FC-101C * NOT MSS-AOV-MA-101A *
NOT MSS-AOV-MA-IOIB * NOT MSS-AOV-MA-IOIC * NOT LOOPISOLATED2D6 *
NOT SGA-DRAINED-R * NOT SGB-DRAINED-R * NOT SGC-DRAINED-R *
NOT A-L3W2-XHE-S1-17 * NOT SOLAIR-COMP * NOT FIRE-PUMP *
NOT SAS-CPS-FR-1SAC1 * NOT SAS-CPS-FR-2SAC1 * NOT IAS-CPS-FS-IAC-1 *
NOT IAS-CPS-FR-IAC-1 * NOT SGS-DRAINED-CSD * NOT A-L3-XHE-S *
NOT MSS-AOV-FT-101A * NOT MSS-AOV-FT-101B * NOT MSS-AOV-FT-101C *
NOT IAS-CCF-LF-INAIR * NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB *
NOT LPI-MDP-FS-SI1B * NOT A-L3W2-XHE-FL-18 * NOT A-L3W2-XHE-CW-4
THEN R-L3W2-123-C-C-F.
DES /R-L3W2-123-C-A-F * NOT D-L3W2-XHE * NOT R-L3W2-123-C-C-F *
IF, NOT R-L3W2-123-C-A-F * NOT D-L3W2-XHE * NOT R-L3W2-123-C-C-F *
' NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB* NOT LPI-MDP-FS-SI1B *
NOT A-L3W2-XHE-FL-18 * NOT A-L3W2-XHE-CW-4
THEN R-L3W2-13-C-C-F.
'"EOS
RHRMODEL, L3W2R6, 06=
DES/NRAC262 L3W2R6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L3W2R6, 14=
DES/NRAC262 L3W2R6
IF FREQ-L3
THEN A-CCW3-XHE-S1-7.
~EOS
RHRMODEL, L3W2R6, 17=
DES AFW-MDP-MA-FW3B * A-L3W2-XHE-CW-4
IF AFW-MDP-MA-FW3B * A-L3W2-XHE-CW-4
THEN R-L3W2-23-A
DES AFW-MDP-FS-FW3B * A-L3W2-XHE-CW-4
IF AFW-MDP-FS-FW3B * A-L3W2-XHE-CW-4
THEN R-L3W2-23-A
DES AFW-MDP-MA-FW3B * NOT A-L3 W2-XHE-CW-4
l
10-125 NUREG/CR-6144
10 Accident Sequence Quantification
NUREG/CR-6144 10-126
10 Accident Sequence Quantification
IF FREQ-L3
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L3W3D6, 8=
DES AFW-MDP-MA-FW3B * A-L3W3-XHE-CW-4
IF AFW-MDP-MA-FW3B * A-L3W3-XHE-CW-4
THEN R-L3W3-23-A-F.
DES AFW-MDP-FS-FW3B * A-L3W3-£HE-CW-4
IF AFW-MDP-FS-FW3B * A-L3W3-XHE-CW-4
THEN R-L3W3-23-A-F.
DES AFW-MDP-MA-FW3B * NOT A-L3W3-XHE-CW-4
IF AFW-MDP-MA-FW3B * NOT A-L3W3-XHE-CW-4
THEN R-L3W3-123-C-A-F.
DES AFW-MDP-FS-FW3B * NOT A-L3W3-XHE-CW-4
IF AFW-MDP-FS-FW3B * NOT A-L3W3-XHE-CW-4
THEN R-L3W3-123-C-A-F.
DES A-L3W3-XHE-FL-12 * AFW-MDP-MA-FW3B
IF A-L3W3-XHE-FL-12 * AFW-MDP-MA-FW3B
THEN R-L3W3-123-C-A-F.
DES /R-L3W3-123-C-A-F * NOT D-L3W3-XHENOT MSS-AOV-FC-101A *
IF NOT R-L3W3-123-C-A-F * NOT D-L3W3-XHE * NOT MSS-AOV-FC-101A *
NOT MSS-AOV-FC-IOIB * NOT MSS-AOV-FC-IOIC * NOT MSS-AOV-MA-IOIA *
NOT MSS-AOV-MA-IOIB * NOT MSS-AOV-MA-IOIC * NOT LOOPISOLATED3D6 *
NOT SGA-DRAINED-R * NOT SGB.-DRAINED-R * NOT SGC-DRAINED-R *
NOT A-L3W3-XHE-S1-12 * NOT SOLAIR-COMP * NOT FIRE-PUMP *
NOT SAS-CPS-FR-1SAC1 * NOT SAS-CPS-FR-2SAC1 * NOT IAS-CPS-FS-IAC-1 *
NOT IAS-CPS-FR-IAC-1 * NOT SGS-DRAINED-CSD * NOT A-L3-XHE-S *
NOT MSS-AOV-FT-101A * NOT MSS-AOV-FT-101B * NOT MSS-AOV-FT-101C *
NOT lAS-CCF-LF-INAIR * NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB *
NOT LPI-MDP-FS-SI1B * NOT A-L3W3-XHE-FL-12 * NOT A-L3W3-XHE-CW-4
THEN R-L3W3-123-C-C-F.
DES /R-L3W3-123-C-A-F * NOT D-L3W3-XHE * NOT R-L3W3-123-C-C-F *
IF NOT R-L3W3-123-C-A-F * NOT D-L3W3-XHE * NOT R-L3W3-123-C-C-F *
NOT PORV-PATH-CLSD * NOT DCP-BDC-ST-BUSIB * NOT LPI-MDP-FS-SI1B *
NOT A-L3W3-XHE-FL-12 * NOT A-L3W3-XHE-CW-4
THEN R-L3W3-13-C-C-F.
~EOS
RHRMODEL, L3W3R10, 05=
DES/NRAC346 L3W3R10
IF FREQ-L3
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L3W3R6, 05=
DES/NRAC346 L3W3R6
IF FREQ-L3
THEN A-CCW3-XHE-S2-7.
~EOS
RHRMODEL, L3W3R6, 08=
10-127 NUREG/CR-6144
10 Accident Sequence Quantification
NUREG/CR-6144 10-128
Table 10-59
Summary of Results-Core Damage Frequency by Initiating Event and Plant Operational States
RHR4-Non-Recoverable Loss of Operating Train of RHR 4.09E-06/hr 7.57E-9 1.19E-9 232E-8 3.19E-8
RHR5-Recoverable Loss of RHR 2.12E-05/hr 3.96E-8 4.06E-09 9.25E-8 136E-7
7. SWGR-Loss of Emergency Switchgear Room Cooling 1.81E-08/hr 3.58E-8 1.19E-8 7.40E-8 1.22E-7
8. ESFAS-Inadvertent Safety Feature Actuation 1.06E-04/hr 2.72E-7 2.73E-8 6.76E-7 9.75E-7
NUREG/CR-6144 10-130
Table 10-61
Fraction of a Year That the Plant is in a Time Window of a POS
R6 RIO D6 Total
Window 1 (13hr-75hr) 2.77E-02% - 0.41% 0.44%
Window 2 (75hr-240hr) 0.88% ' - 1.52% 2.4%
Window 3 (240-768hr) 0.67% 2.43E-02% 1.31% 2.00%
Window 4 (> 768hr) 5.50E-02% 1.50% 0.25% 1.81%
10-131 NUREG/CR-6144
Table 10-62
Conditional Core Damage Frequency As a Function of the Time Windows and POSs (per year)
R6 RIO D6 Total
Window 1 9.96E-04(1.16E-06)* - 3.37E-04(4.68E-07)* 3.77E-
(13hr-75hr) 04(5.27E-07)*
Window 2 7.55E-05(2.52E-07)* - 5.90E-05(1.26E-07)* 7.25E-
(75hr- 05(1.81E-07)*
240hr)
Window 3 5.49E-05(2.46E-07)* 6.54E-05(1.73E-7)* 5.18E-05(9.56E-08)* 5.60E-
(240-768hr) 05(1.51E-07)*
Window 4 1.87E-05( - )* 1.57E-05(1.82E-7)* 1.05E-05(1.85E-08)* 1.80E-
(> 768hr) 05(1.66E-07)*
TOTAL 8.09E-05(3.03E-07)* 1.65E-05(1.82E-07)* 8.55E-05(2.23E-07)* 7.62E-
05(2.40E-07)*
* Conditional core damage probability due to an over-draining event, given that mid-loop is reached in the
time window.
NUREG/CR-6144 10-132
11 PLANT DAMAGE STATE ANALYSIS
Plant damage state analysis was performed using the following approach:
Discussion with level-2/3 staffAfter a total of 2186 core damage cutsets above the 1.00E-10 per truncation limit
were generated, the scenarios depicted by the dominant cutsets were discussed with level-2/3 staff. This allows
a common understanding of the level-1 scenarios and permit the level-2/3 effort to proceed accordingly. It
was found that 82 cutsets above the frequency of l.OOE-08 per year, listed in Tables 10-50, constitutes only
71% of the total core damage frequency and 409 cutsets above 1.00E-09 per year constitutes 89% of the total.
It was decided to include all cutsets above 1.00E-10 per year in the plant damage state analysis.
Development of 7 letter designator for plant damage statesBy a joined effort of the level 1, 2, and 3 staff, a
list of 7 questions were developed. Those 82 cutsets above l.OOE-08 per year were evaluated based on the
questions. Depending on the answer to each of the questions, a letter is assigned to the cutset. Table 11-1
lists the questions and the associated letters. An important consideration of the level-2 analysis is the
possibility of preventing vessel breach given that core damage had occurred. This corresponds to what
happened at Three Mile island accident in which the release to the environment is very limited. Table 11-2
shows the assignment of the plant damage states to the first 82 cutsets.
The following discusses the assignment of answers to the questions listed in Table 11-1.
1. Time Window-The time window in which the accident represented by the core damage cutset occurs can
be easily determined by the basic event names used.
2. AC Power- This question determines whether or not recovery of offsite power after core damage can
prevent further degradation of the condition. If core damage is caused by loss of offsite power, then it may
be possible to re-establish injection after offsite power is recovered.
Y: If AC power is available in the cutset, then recovery of offsite power would not be beneficial.
U: This answer is used when the initiating event is a loss of emergency switchgear room cooling and cooling
is not recovered. For such cutsets, the loss of power is not recoverable and vessel breach is unavoidable.
B: If the cutset represents a station blackout, then recovery of offsite power should restore power to the
equipment that can be used to prevent vessel breach. Recovery of offsite power is characterized by the
recovery curve given in chapter 4.
F: If the cutset involves a loss of the 4KV Bus, then restoring power to the bus should restore power to the
equipment needed to prevent vessel breach. The recovery of 4KV bus is characterized by a different recovery
curve than that of offsite power.
3. Human Error-If the core damage is the result of human error, then with more time available after core
damage and additional alarms as a result of core damage, it is possible that the operators could recover from
the error and initiate safety injection to prevent vessel breach. The type of human errors can be easily
identified by the names of the human error events used.
4. RCS Status at onset of Core Damage-Based on the thermal hydraulic analysis of chapter 5, the RCS
pressure could reach 600 psi if core damage occurs in time window 1 with only 1 PORV open to relieve system
pressure. This is a condition for potential direct containment heating(DCH) to take place. Therefore, for
those window 1 cutsets in which the pressurizer safety valves are not removed, a letter "G" is assigned. For
these cutsets, only 2 PORVs are potentially available to relieve the pressure. By, judgment, we estimated that
11-1 NUREG/CR-6144
11 Plant Damage State Analysis
during mid-loop operation there is a probability of 0.05 that one of the PORVs is closed. This is the
probability that the condition for DCH exists for the cutsets.
5. ECCS Status-This question determines the cause of failure of the ECCS, which in turn determines the
possibility to restore safety injection to prevent vessel breach.
i
U: This represents that hardware failure is the reason that ECCS is not available. Therefore, it is
impossible to establish safety injection.
R: It the cause is due to either human error, loss of offsite power, or loss of 4KV bus, the recovery from
these would permit safety injection to prevent vessel breach.
C: This letter is never used.
6. Recirculation Spray Status-The operation of recirculation spray systems can reduce the release inside the
containment. Therefore, its operability is questioned. Unavailability of recirculation spray is determined by
a set of basic events that were identified by reviewing the cutsets involving loss of recirculation spray. The
set is used in the rules to assign the "U" letter to this question.
7. RWST Status-The availability of RWST inventory determines the possibility of safety injection to prevent
vessel breach. The RWST is injected in those event tree sequences in which failure occurs in the recirculation
phase, gravity feed is successful, or use of unit 2 charging pump is successful. Otherwise, RWST inventory
is available.
Development of Rules of PDS Assignmentln manually assigning PDS to the first 82 cutsets, the patterns or
rules for the assignment were identified. The rules were implemented using a database software, REFLEX,
to automatically assign the PDSs to all the cutsets. An ASCII file containing all the core damage cutsets was
created using the IRRAS code and imported into the REFLEX database. The results of the assignment were
verified to ensure that the assignments for the first 82 cutsets agree with the results of manual assignment.
A total of 48 different PDS were obtained. The are listed in Table 11-3.
Performance of uncertainty analysis of the PDSsUncertainty analyses of the PDSs were performed in two
ways. First, uncertainty analysis of each PDS was performed using the IRRAS code with 10,000 Latin
Hyper-cube Sampling (LHS) samples. The results of the analysis are shown in Table 11-3. Then, a "group"
analyses of all 48 PDSs was performed using 1,000 LHS samples. In the "group" analysis, the same samples
for a basic event that appears in many PDSs were used in those PDSs. This allows the uncertainty analysis
to account for the fact that the PDSs share many basic events. An ASCII file containing the values of the
samples of the basic events and the calculated values of the PDSs using these basic event values was created.
This file is used in the uncertainty analysis of the overall risks.
NUREG/CR-6144 11-2
11 Plant Damage State Analysis
2. AC Power
Y: Available
U: Non-recoverable blackout(FREQ-SR)
B: Blackout(recoverable by recovery of offsite power)
F: Loss of 4KV Bus(its own recovery curve)
3. Human Error
N: No human error or non-recoverable human error
D: Diagnosis error
A: Action error
5. ECCS Status
U: Hardware failure
R: Recoverable if human error, LOSP, or 4KV is recovered
C: Failure of recirculation
7. RWST Status
Y: Injected
R: Not injected but recoverable
N: Not injected and not recoverable
11-3 NUREG/CR-6144
• •?,'!'
11 Plant Damage State Analysis
Table 11-2
Plant Damage State Assignment of the Dominant Cutsets
1 2YDLRRR 2.20E-07
2 3YDLRRR 2.07E-07
3 2YDLRRR 1.70E-07
4 1YNGCUY 1.46E-07
5 3YDLRRR 1.46E-07
6 1YDGRRR 1.24E-07
7 2YDLRRR 1.22E-07
8 1YNGCUY 1.08E-07
9 3YDLRRR 9.52E-08
10 2YDLRRR 9.37E-08
11 1YDGRRR 9.04E-08
12 1YDGRRR 8.73E-08
13 2YDLRRR 7.74E-08
14 1BNGRRR 7.38E-08
15 3YDLRRR 6.70E-08
16 1YDGRRR 5.82E-08
17 1FNGRRY 5.41E-08
18 2YDLRRR 5.38E-08
19 3YDLRRR 5.29E-08
20 3YDLRRR 5.07E-08
21 3YDLRRR 4.86E-08
22 2BNLRRR 4.75E-08
23 1YNGCYY 4.39E-08
24 2YDLRRR 4.27E-08
25 4BNLRRR 4.07E-08
26 4YDLRRR 3.91E-08
27 1BNGRRR 3.63E-08
28 2YDLRRR 3.39E-08
NUREG/CR-6144 11-4
11 Plant Damage State Analysis
Table 11-2 (continued)
29 2UDLRUR 3.38E-08
30 2YDLRRR 3.36E-08
31 2YDLRRR 3.30E-08
32 1BNGRRR 3.27E-08
33 1YNGCYY 3.23E-08
34 2YDLRRR 2.97E-08
35 1YNGCUY 2.95E-08
36 3YDLRRR 2.92E-08
37 2YDLRRR 2.91E-08
38 3UDLRUR 2.91E-08
39 3YDLRRR 2.89E-08
40 2BNLRRR 2.62E-08
41 1FNGRRY 2.52E-08
42 1YNGCUY 2.47E-08
43 3YDLRRR 2.33E-08
44 3YDLRRR 2.23E-08
45 1YNGCUY 2.17E-08
46 3BNLRRR 2.13E-08
47 2YALRUY 2.11E-08
48 2YDLRRR 2.01E-08
49 2YDLRRR 1.89E-08
50 2YDLRRR 1.87E-08
51 2UDLRUR 1.87E-08
52 2YDLRRR 1.86E-08
53 1YNGCUY 1.83E-08
54 3YDLRRR 1.83E-08
55 1YDGRRR 1.79E-08
56 1YDGRRR 1.75E-08
11-5 NUREG/CR-6144
11 Plant Damage State Analysis
Table 11-2 (continued)
57 1YDGRRR 1.73E-08
58 3YDLRRR 1.73E-08
59 1BNGRRR 1.68E-08
60 4YDLRRR 1.68E-08
61 2YDLRRR 1.61E-08
62 1YDGRRR 1.60E-08
63 1YNGCYY 1.53E-08
64 1YAGCRY 1.46E-08
65 1YNGCUY 1.35E-08
66 3YDLRRR 1.34E-08
67 3UDLRUR 1.34E-08
68 3YDLRRR 1.33E-08
69 2YDLRRR 1.29E-08
70 2FALRRY 1.26E-08
71 1YNGCYY 1.19E-08
72 1YNGCYY 1.19E-08
73 3YDLRRR 1.19E-08
74 1FNGRRY 1.15E-08
75 1YNGCUY 1.13E-08
76 2YDLRRR 1.11E-08
77 1FNGRRY 1.09E-08
78 1YAGCRY 1.08E-08
79 3YDLRRR 1.07E-08
80 4YDLRRR 1.07E-08
81 3YDLRRR 1.06E-08
82 2YDLRRR 1.04E-08
NUREG/CR-6144 11-6
11 Plant Damage State Analysis
Table 11-3
11-7 NUREG/CR-6144
11 Plant Damage State Analysis
Table 11-3 (continued)
NUREG/CR-6144 11-8
12 UNCERTAINTY AND SENSITIVITY ANALYSIS
This chapter discusses the sources of uncertainty in this study and briefly summarizes how they are treated
(Table 12-1). The discussions address the uncertainty analysis of mid-loop operation only. Chapters 4 and
6 contain analyses of initiating events and fault trees that cover the 15 POSs defined for low power and
shutdown conditions. Section 12.1 discusses the sources of uncertainty, in particular, the modeling uncertainty,
i.e., due to the assumptions made in the model. Section 12.2 discusses the uncertainty in the parameters used
in the analysis. Section 12.3 discusses the propagation of uncertainty. The results of the uncertainty analysis
are described in Section 12.4.
Success Criteria - Success criteria were determined by reviewing various existing studies,^" ' and making a
7
supporting thermal hydraulic analysis based on the Surry-specific design. Chapter 5 gives details of this effort.
The determination of success criteria for shutdown conditions is complicated by the changing levels of decay
heat. This was accounted for by defining 4 time windows after shutdown, each with its own set of success
criteria. In general, whenever the success criteria for one system or mitigating function changes, a new time
window must be defined and significantly more than 4 time windows are needed. The use of 4 time windows
is a trade off between the accuracy of the model and the level of effort involed. We believe that 4 time
windows adequately represent a much larger set of time windows.
In developing the time window approach, we recognized that the procedure for loss of RHR, AP-27.00,' ' is 8
conservative in the success criteria for reflux cooling and feed-and-spill, and does not include all possible
methods of establishing recirculation; these are the areas in which the model of this study deviated from the
abnormal procedure. The following describes how these issues were treated.
Reflux cooling - In AP 27.00, the number of steam generators needed for reflux cooling is given as a function
of the decay heat, e.g, 3 SGs are needed for the first 75 hours after shutdown. The number is based on the
thermal hydraulic considerations of Virginia Power NE technical report 865 J ' From our review of studies^ " '
7 1 4
on reflux cooling, and unpublished BNL calculations, one steam generator should be sufficient although the
abnormal procedure states 3 would be needed. The issue is how much credit should be given to reflux cooling
when insufficient SGs are available, based on the procedure. In this study, the conservative success criteria
of the procedure is used in the logic model, and whenever reflux cooling is failed due to insufficient SGs, a
recovery action is entered with a failure probability of 0.1.
Feed-and-spill - In AP27.00' ' and its supporting study,t ' the number of pumps and PORVs needed for this
8 7
operation was determined from the flow from RWST needed to maintain the sub-cooling capacity and shut-off
head of the pumps, and the relieving capability of the PORVs. For example, during the first 129 hours after
shutdown, 2 charging pumps and 2 PORVs would be needed. Such success criteria were derived from the
requirement of maintaining sub-cooling. This requirement is more stringent than what is needed for feed-and-
12-1 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
shutdown, 2 charging pumps and 2 PORVs would be needed. Such success criteria were derived from the
requirement of maintainingsub-cooling. This requirement is more stringent than what is needed for feed-and-
bleed in an accident that occurs during full power operations. An alternative to feed-and-spill, namely feed-
and-steam, (discussed in reference [7]), is much less demanding in terms of the needed flow. However, it is
not the recommended method because of the difficulty in maintaining level, and potential for
overpressurization. In this study, a success criterion of 1 charging pump and 1 PORV is used, based on the
understanding that this is sufficient to prevent core damage.
Recirculation - AP 27.00^ instructs the operators to establish high-pressure recirculation by using the low
pressure injection pump to take suction from the containment sump, and discharge to the suction of high
pressure injection system. This requires a low head injection pump and a charging pump be available. In the
fault-tree model for recirculation, two alternative methods are also modeled; the low-pressure feed-and-steam
by .taking suction from the containment sump, and low-pressure feed-and-spill by taking suction from the sump
and using spray recirculation. For both, only low head injection is needed. The feed-and-steammode requires
that the safety valves are removed to give an adequate vent path, and does not require cooling of the sump
water. The feed-and-spill operation requires operation of the spray recirculation systems to cool the water
in the sump, so establishing sub-cooling in the reactor vessel.
Changing Plant Configuration - Due to the activities taking place during shutdown, the plant's configuration
changes in time, which, in turn, affects the likelihood of accident initiating events and the plant's ability to
mitigate the accidents. In general, at any time, the plant could be in a different configuration. In this study,
the constantly changing plant configuration is approximated by a few discrete configurations, by introducing
different outage types, POSs, and time windows. Chapter 3 discusses the differences among the outage types,
POSs and time windows that are reflected in the different basic events and different event trees. Chapter 9
discusses the estimation of some of the basic event probabilities that vary with outage types, POSs, and time
windows. The following is a description of the basic events and how they are varied.
1. Initiating event frequency - The initiating events are assumed to occur with constant rates independent of
the outage type or POS. The conditional probability that an IE occurs in a POS is the product of the rate
and the duration of the POS. The initiating event frequency is the frequency of the POS times this conditional
probability. The frequency that it occurs in a given time window of a given POS of a given outage type is the
frequency that the initiating event occurs in the POS times the conditional probability of the time window of
the given POS.
2. Loop isolation probability - Isolation of the loops makes it impossible to establish reflux cooling. Its
probability was estimated by judgment, using information gathered by reviewing the log books for outages, and
an outage plan for a refueling outage. It was estimated as a function of the outage types, and time windows.
3. Removal of pressurizer safety valves - The fraction of time that the safety valves are removed in a given
time window of a given POS in a given outage type was estimated by judgment using information gathered
by reviewing log books for outages, and an outage plan for a refueling outage. With the safety valves
removed, it is possible to use gravity feed from the RWST, and impossible to use reflux cooling due to loss,
through the opening.
NUREG/CR-6144 12-2
12 Uncertainty and Sensitivity Analysis
to be independent of the time windows. It also is assumed that the data collected for a refueling outage is
applicable to a drained maintenance outage.
Changing plant practices and information - It has been BNL's observation that the plant is aware of the
potential safety concerns of reduced inventory operations and is constantly improving its practice regarding
such operations. This concern is reflected in the improvement in the operating procedures and abnormal
procedures used during shutdown as well as changes in plant practice. The most significant practice started
in the refueling outage of unit one in 1992, during which mid-loop operation was totally avoided; this appears
to be the new plant policy. Another way of reducing the risk due to reduced inventory operation is to perform
it while the fuel in the core is removed refueling.
To limit the changes in the model developed in this study to account for the changes in plant practice and
information, it was decided that the study would use the procedures and other plant information available as
of April 30,1993. Regarding the plant's policy of avoiding mid-loop operation, it was decided that this study
would use the data collected from past outages prior to the unit 1 refueling outage of 1992 when mid-loop
operation was avoided. As a result, the estimated core-damage frequency of this study is expected to be an
over estimation of that of the current plant.
Operator Response - The operator's actions modeled in this study were identified while developing the event
trees that involved reviewing the relevant abnormal and emergency procedures, talking through the accident
scenarios, and discussing them with plant personnel. Chapter 7 gives details of the scenario development.
The operator's response to various accidents are in most cases, identified in the applicable procedures. For
example, abnormal procedures for loss of RHRj ^ loss of instrument air^ ', and loss of offsite power^ J provide
8 9 10
guidance on what to do in case of these losses during shutdown. The latter two procedures are not written
specifically for shutdown conditions. In case of a station blackout, the procedure, 1-ECA-0.0,' ! written with
11
power operation in mind, does not address shutdown conditions. Therefore, only the relevant steps in the
procedure are applicable. Similarly, for other initiating events, such as loss of component cooling, spurious
safety injection, and loss of a vital bus, there is no specific procedure for shutdown, and the knowledge of the
operators about the relevant steps of the procedures for power operations becomes very important. As
discussed under success criteria, some of the operator's action modeled in this study are not explicitly spelled
out in the existing plant procedures, and some recovery actions modeled are extension of the existings
procedures.
The operator actions needed to mitigate an accident are included in the high-level fault trees that model
different methods of mitigating the accident, e.g., feed-and-spill operation. The model typically contains two
human error events and one transfer to the fault tree for hardware failures. One human error event
represents failure of the operator to diagnose, so that the correct actions can not be decided upon; the other
represents failure to carry out the action after successful diagnosis. Human error probabilitieswere quantified
using the failure likelihood index method that involves assessing weights and scores on various performance-
shaping factors, and calibration using the HEPs from existing studies.
12-3 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
Initiating Event Frequency - The initiating event frequency was estimated by using the two-stage Bayesian
analysis. In the first stage, data from the population of reactors was collected and used to derive a population
variability curve. This curve, then was used as the prior distribution of the second stage in which the Surry-
specific data was used as the evidence. The only exception is the initiating event of loss of emergency
switch-gear room cooling, for which a fault tree was used to derive a point estimate of the initiating event
frequency, and an error factor of 4 was estimated by propagating the uncertainty of parameters used in the
fault tree.
Hardware Failure Data - The hardware failure data was taken from the NUREG-1150 study for Surry. In
some cases, new failure events were added to the system models using information and data from the IPE of
Surry. To account for the state of knowledge uncertainty, similar events were assigned the same "correlation
class" as defined in the IRRAS computer code J l In propagating uncertainty, a single sample is taken from
12
one correlation class and used for all events in the same class. Table 12-2 lists the failure data associated with
each correlation class.
The uncertainty of the maintenance unavailabilitieswas derived by judgement using the following rules:
Human Error Probability - The quantification of HEPs is documented in chapter 8. Chapter 10 documents
the quantification of the recovery actions that consist of hardware failures and human errors. Similar to the
failure events for hardware failures, the human error events, that represent similar operator actions and were
estimated to have the same HEPs, were assigned the same correlation class. The following guidelines were
used in assigning the error factors for the HEPs:
2) Diagnosis(D) events:
Error factor = 20.
Recovery from Initiating Events - All the experienced loss of RHR events throughout the population
terminated successfully before core damage occurs. To account for this fact, in some of the event trees, a top
event is used representing recovery from the initiating event. The probability that the initiating event is
NUREG/CR-6144 12-4
12 Uncertainty and Sensitivity Analysis
recovered before bulk boiling takes place in the RCS is estimated from the respective "recovery curves",
derived by using the experienced recovery times in a Bayesian analysis. Appendix D provides more detail of
the recovery curves. The error factor of the non-recovery probability was assumed to be 3.
LHS samples. The basic event uncertainty data is given in appendix G. Table 12-3 lists the results of the
uncertainty analysis.
12-5 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
12.4 References:
1. Naff, S.A., et. al., "Thermal Hydraulic Processes During Reduced inventory Operation with Loss of
Residual Heat Removal," Idaho National Engineering Laboratory, NUREG/CR-5855, April 1992.
2. Fletcher, CD., et. al., "Thermal-HydraulicProcesses Involved in Loss of Residual Heat Removal During
Mid-Loop Operation, EGG-East-9337, Idaho National Engineering Laboratory, October 1990.
3. Wald, L.W. and W.C Arcieri, "Evaluation of the Loss of Residual Heat Removal Systems in pressurized
water Reactors," Idaho National Engineering Laboratory, NUREG/CR-5820, May 1992.
4. Audreycheck, T.S., et. al., "Loss of RHRs Cooling while the RCS is partially filled," WCAP - 11916,
Westinghouse Electric Corporation, July 1988.
5. "Loss of Residual Heat Removal System," NUREG-1269, U.S. Nuclear Regulatory Commission, June
1987.
6. Loss of Vital AC Power and the Residual Heat Removal System During Mid-Loop Operations at Vogtle
Unit 1 on March 20, 1990," NUREG-1410, U. S. Nuclear Regulatory Commission, June, 1990.
7. "Background and Guidance for Ensuring Adequate Backup Decay Heat Removal Following Loss of
RHR Surry and North Anna Power Stations,", Nuclear Analysis and Fuel Nuclear Engineering Services,
Virginia Power, NE Technical Report No. 865, Revision 1, June 1992.
8. "Loss of Decay Heat Removal Capability," Virginia Power Surry Power Station, Abnormal Procedure
l-AP-27.00, Revision 4, February 15, 1993.
9. "Non-Recoverable Loss of Instrument Air," Virginia Power Surry Power Station, Abnormal Procedure
AP 1-40.00, Revision 3, December 19,1991.
10. "Station Blackout," Virginia Power Surry Power Station, Abnormal Procedure 1-AP 10.00, Revision 7,
July 2, 1992.
11. "Loss of All AC Power," Virginia Power Surry Power Station, Emergency Contingency Action, Rev. 6,
April 27, 1992.
12. Russell, K., et. al., "Integrated Reliability and Risk Analysis System," Version NEWS, (a test
version)Developedby Idaho National Engineering Laboratory.
NUREG/CR-6144 12-6
12 Uncertainty and Sensitivity Analysis
Table 12-1
12-7 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
NUREG/CR-6144 12-8
12 Uncertainty and Sensitivity Analysis
Table 12-2
12-9 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
NUREG/CR-6144 12-10
12 Uncertainty and Sensitivity Analysis
12-11 NUREG/CR-6144
12 Uncertainty and Sensitivity Analysis
NUREG/CR-6144 12-12
Table 12-3
Result of the Uncertainty Analysis for Total Core Damage Frequency (per year)
12-13 NUREG/CR-6144
Kiyoharu Abe Ephraim Asculai
Dept. of Reactor Safety Research Division of Nuclear Safety
Nuclear Safety Research Center Wagramestrasse, 5
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NUREG/CR-6144
2. TITLE AND SUBTITLE BNL-NUREG-52399
Evaluation of Potential S e v e r e Accidents During Low Vol.2, P a r t IB
Power a n d S h u t d o w n O p e r a t i o n s a t S u r r y , Unit 1: 3. DATE REPORT PUBLISHED
Analysis of Core Damage F r e q u e n c y from I n t e r n a l MONTH I YEAR
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