EPA-520/3-75-012
  REACTOR SAFETY STUDY (WASH-1400):
   A REVIEW OF THE DRAFT REPORT

J.S. ENVIRONMENTAL PROTECTION AGENCY
      Office of Radiation Programs

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REACTOR SAFETY STUDY (WASH-1400) :  A REVIEW OF THE DRAFT REPORT
                          August 1975
             U.S. ENVIRONMEOTAL PROTECTION AGENCY
                 OFFICE OF RADIATION PROGRAMS
                     WASHINGTON, D.C.  20460

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                       FOREWORD

    The Environmental Protection Agency has reviewed
environmental impact statements for light-water reactors (LWR)
since 1971.  During the course of our reviews, we have emphasized
the need for a thorough evaluation of the environmental risks,
including risks from accidents, associated with IWR technology.
In August 1974, the Atomic Energy Oonroission  (ABC) published for
uaaroant a draft report entitled "Reactor Safety Study: An
Assessment of Accident Risks in U.S. Oonroercial Nuclear Power
Plants" (WASH-1400), which was the product of a major effort by
the ABC spanning two years and pouting 3 million dollars.  The
Reactor Safely Study is a comprehensive study of reactor safety
and is the first such study to utilize a systems analysis
approach in order to quantify the risks of reactor accidents in
terms of probabilities and consequences, where historical and
enpirical data are inadequate.  Since there are presently 53 LWRs
licensed to operate and 188 more under construction, proposed or
planned, it is inoperative that the Reactor Safety Study be
reviewed in depth and as impartially as possible so that the
validity of the study's methodology and results- can be
determined*

    The Environmental Protection Agency (EPA) initiated its
review of the Reactor Safety Study in August 1974, including an
$88,000 contract to Intemountain Technologies, Inc. (ITI)  of
Idaho Falls, Idaho.  The Office of Radiation Programs of EPA
initially conducted a comprehensive review of the environmental
consequence models, the general study methodologies and the
conclusions, and issued formal comments to the Atomic Energy
Ocnmission on November 27, 1974.  The ITI effort was directed at
examining .the study's evaluations of accidents and their event
sequences to determine whether any significant failures of
systems or equipment had been omitted or any major error or
system biases of data analysis had been incorporated.  For any
areas identified with possibly significant errors or omissions,
the impacts on the risks of the necessary adjustments in the
variables or sequences of events were evaluated and estimated by
ITI.

    rflie final ITI report entitled "A Review of the Draft Report
Reactor Safety Study (WASH-1400) ° was submitted to EPA in July
1975.  This report served as a partial basis for the preparation
of the final Agency comments on draft WASH-1400,  which ware
publicly issued on August 15, 1975.

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    This report is now being published in its entirety so that it
will be available as a resource to the scientific comunity and
the general public.  All Agency comments presented during the
review are intended to provide constructive criticism which may
be helpful to the Nuclear Ragulatory Contiission  (NRC) as it
prepares the final Reactor Safety Study report.  (Upon the
reorganization of the ABC to form the NRC and some portions of
the Energy Research and Development Administration on January 19,
1975, the NRC assumed responsibility for completing the Reactor
Safety Study.) This EPA report include** the two sets of formal
Agency comments and the complete ITI report.  When the final
Reactor Safety Study is published by the NRC, EPA, with the
assistance of ITI, will undertake a comprehensive review of that
report and will publicly comment to the NRC.

    We welcome content on this report and would appreciate
receiving any corrections or critical comments on the ijiformation
and conclusions presented.  Please send any such contents to the
Environmental Protection Agency, Office of Radiation Programs
(AW-559), Washington, D.C. 20460.
                                       W. D. Rowe, Ph.D.
                                       Deputy Assistant Administrator
                                       for Radiation Programs

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                             TAHUT. OF CONTENTS



Part 1:  November 27, 1974 Oontnents to the ABC

Part 2:  August 15, 1975 Cement letter to the MFC

Part 3:  Final Report by ITI Qititled "A Review of the Draft Report
          Reactor Safety Study (WASH-1400)"

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              PART 1






NOVEMBER 27,  1974 COMMENTS TO THE ABC

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•«,,., ,„,>''"
      *    I INI TT-D STATES KNVIRONMHN VAL PROTECTION AGENCY
*•    ''"                      WASHINGTON. D C
                                                      27NOV1974
    Mr.  S;nil  Lovinc
    Project  Staff Director
    Reactor  Safety Study
    U.S.  Atomic I'inergy Commission
    Washington, D.C.  20545

    Dear Mr.  I.evine:

         The  Environmental Protection Agency's  comments  from the initial
    phase of its review of WASH-1400 ("An .Assessment  of  Accident Risks  in
    U.S.  Commercial Nuclear Power  Plants")  arc  transmitted  with  tins  letter.

         liccause the  assessment  reported  in WASH-1400 is expected to  be
    a principal step  toward establishing  the accident risk  associated with
    nuclear  power plants,  we are reviewing  it in  two  phases.   The first phase
    is represented by the  enclosed preliminary  comments  based on a two-month
    review effort.  The second  phase will include an  in-depth review  of
    selected  aspects  of the study  with technical  assistance being provided
    to P.PA through a  contract with Intermountain  Technologies, Inc.   This
    second phase should be concluded by May 1975, at  which  time  our intent
    is to issue a final report  detailing  all of our comments.  During this
    period of continuing review we hope to  maintain a close liaison with the
    Atomic F.ncrgy Commission so that our  final  report will  reflect an up-to-
    date awareness of any  resolution attained regarding  comments by EPA or
    others on the draft report.

         We  have reviewed  the work plan for our continuing  effort with  members
    of your  staff as  well  as others in the  technical  community.   We are also
    including it as a part of our  review  comments so  that others may  be
    cognizant of our planned efforts.

         Our initial  review indicates that  the  Reactor Safety Study provides
    an innovative forward  step  in  risk assessment of  nuclear power reactors.
    The general methodology and approach  utilized in  determining risk levels
    developed in the  Reactor Safety Study appear  to provide a meaningful
    basis for obtaining useful  assessments  of accident risks at  nuclear power
    plants.   Certainly, significant improvements  in obtaining and utilizing
    nuclear  plant operating data could considerably narrow  the uncertainty
    range of risk estimates.  We do,  however,  believe that  certain aspects of

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the report require modification and information additions.  In particular,
the consequence modeling assumptions appear to underestimate the health
effects resulting from the accident sequences associated with the larger
releases of radioactivity.  It is uncertain what the impact of this
apparent underestimation may be on the resultant risk assessment.

     Although the report does not make an absolute judgment on nuclear
power plant accident risk acceptability, the comparative risk approach
highlighted in the summary and the main volume of the study will certainly
imply an acceptability judgment to the average reader.  EPA recognizes
that the comparative risk approach is a first step in addressing this
question, but by itself is misleading.  However, studies in progress by
EPA and others indicate that judgments on "risk acceptability" are
extremely complex, with comparative risk evaluations representing only
one of numerous inputs which must be considered.

     We are interested in the plans for application of this methodology
to other reactor systems and other components of the nuclear fuel cycle.
Certainly, we would recommend that studies of this type should be con-
sidered by the applicable AEC successor and that their intent in these
areas be publicly stated.

     We would be pleased to discuss our comments with you if they require
any clarification.

                                   Sincerely yours.
                                   W. D. Rowe, Ph.D.
                            Deputy Assistant Administrator
                            for Radiation Programs  (AW-558)
Enclosure

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         ENVIRONMENTAL PROTECTION AGENCY
                       ,  0.  C.  20460



                  November 1974







 Garments by the Environaental  Protection Agency



                       on



               Reactor Safety Study



AN ASSESSMENT CF AXH3ENT RISKS IN U.S. COHEICIRL



               NUO£AR POGR PUNTS

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                            Table of Contents


                                                      Page

Introduction and Conclusions                           1

Assessment of Accident Risks. 0.                        5

Calculation of Reactor Accident Consequences           6
                                                •

Accident Sequences, Reactor Meltdown
    Processes and Radioactivity Releases               11

Definition of Failure Data and Pathways                16

Design Adequacy                                        19

Sunmary Report, General Contents                       20

Additional Contents                                    21

Attachment - Contract with Interraountain Technologies,
Inc. - Continuing VASH-1400 Rewlaw Tasks

    A.  Failure Mode Paths Selected for Review         34

    B.  Critical Radiological Source Term Parameters
        Selected for Review                            34

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INTROnUCTION AND CONCLUSIONS

Review Perspective

    The Environmental Protection Agency has completed a preliminary
review of the draft report "Raactor Safety Study - An Assessment of
Accident Risks in U.S. Commercial Nuclear Power Plants," WASH-1400,
prepared by the Atomic Energy Commission.  Our review process will
continue through April 1975 at which time we will issue a final set of
carmants.  During this period of continuing review, we hope to maintain a
close liaison with those responsible for the Study so our final commants
will reflect an up-to-date awareness of any resolution attained regarding
comments by EPA or others on the draft report.

    EPA* s review of the Study cannot be considered as exhaustive in that
many of the calculations! details and data base have not been checked.
Our focus has rather been one of emphasizing a review of major
assumptions, concepts, methodology and approach.  Although EPA's
resources are limited when compared with those utilized in the
development of the Study, it was deemed necessary to do as comprehensive
a review as possible due to the many significant implications the Study
has with regard to areas of EPA responsibility.  EPA's primary concerns
deal with the health and safety of the public and the protection of the
environment from the consequences of accident releases.  In this respect,
we are involved in the planning for mitigation of these potential
consequences, including the development of appropriate Federal guidance,
and in assuring that the public risks incurred are societally acceptable.
Within this context we attempt to maintain cognizance of accident
analysis activities so that wa can be continually aware of both the
probability of accidents and the consequences for such accidental
releases.  Due to the importance we attach to this subject and the broad
range of subject matter considered in the Study, we believe it is
imperative that it receive a thorough and critical review by the general
technical ccmnunity and the public.  We realize that much of this review
that we suggest IB already underway or planned.  However, we feel that
continents developed on the Study should be referenced in the final version
of the Study and copies of these reviews should ba publicly available.

    In continuing its review, EPA has contracted with Intermountain
Technologies, Inc. to assist us in the evaluation of the range of
applicability of the various analytical models and assumptions utilized
in the assessment.  The preliminary work plan for this effort is
presented in an attachment to our comments.  If, in the initial stages
this detailed review of the selected failure mode paths or critical
source term parameters indicates a general agreement with the Study1 s
evaluation, that portion of the investigation will be terminated and
other failure nods paths or source term parameters may be substituted in
this work plan.

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Review Format

    Pol lowing this Introduction and Conclusions section, our review takes
up individual groups of volumes of the WASH-1400 document by first
presenting general comments and then specific comments.  This sequence
begins with the main volume of the Study and continues with Appendix VI
(environmental consequences); Appendices V, VII, and VTII (accident
sequence, meltdown processes, and radioactivity releases); Appendices I,
II, ill, and 2V, (definitions of failure pathways), Appendix X (design
adequacy) and the summary volume, in that order.  The last section of our
review presents Additional Ccrarents in order of the Study volumes
themselves.  These latter cements were not felt to be of the same level
of significance as those referred to in the previous sections of our
review.

Main Gonrnents and Conclusions

    EPA has made a broad spectrum of specific comments on the Study,
realizing that they have varying degrees of, impact on final results.
However, as the document is bound to be used as a reference for many
follow-on studies and analyses, we feel it is desirable to make it as
complete and accurate as possible in all its facets.  EPA's rnain oontnents
and conclusions, although of a preliminary nature, are as followss

    1.   The Study is innovative in both its concept and methodology and
    provides an innovative forward step in risk assessment of nuclear
    power reactors.  In this respect, the ABC is to be oonrosndad.  The
    general methodologies and rationale developed in the Study to
    determine risk levels appear to provide a meaningful basis for
    obtaining useful assessments of accident risks of nuclear power
    plants.

    2,   Appendix VI (environmental consequences) received particular
    attention in our review due to its pertinence to EPA concerns.  TMs
    appendix was found to be quite weak in a number of respects and not
    up to the general thoroughness that appears to permeate many other
    sections.  Our prelJUninary review indicates, for example, that if the
    recommendations of the HEIR Report are followed, the consequences
    estimated in the Study may be low, in certain cases, by factors of 2
    to 5.  In addition, the evacuation model assumed for tha reference
    case consequence calculation also appears somewhat overly optimistic.
    leased on the information presented in the Study, this could increase
    consequences by at most a factor of 2 to 4 (i.e., no evacuation}.
    Therefore, the combination of these factors could result in an
    underestimate, by about an order of magnitude, of the consequences
    associated with the "high" release accident sequences.  Since the
    liigh release accident sequences are significant, but not dominating,
    contributors to the overall risk assessment, the resultant assessed

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risk magnitude would be increased but by a lesser factor.  It is
suggested that appropriate modifications should be made or the
rationale for utilizing other assumptions should be provided.

Furthermore, the description of certain critical portions of the
overall calculational process should be significantly expanded to
permit a clear understanding of the relationships between the
radioactive material releases, its dispersion, population
distributions, and the resulting health effects.

3.   Although the Study indicates that no absolute judgment on
nuclear power plant acceptability is intended, the comparative risk
approach highlighted in the summary nay well imply an acceptability
judgment to the average reader.  It should be further pointed out in
the report that the comparative risk approach is only a first step in
addressing this question and by itself can be misleading.  It can be
noted that studies in progress by EPA, National Science Foundation,
and others, indicate that judgments on "risk acceptability0 are
extremely complex, with comparative risk evaluations representing
only one of numerous inputs which must be considered.

4.   As can be expected with such a voluminous report, a number of
apparent inconsistencies, format difficulties, and cases of
insufficient supporting information were encountered.  Particularly
in Appendix II there were inconsistencies in identification of
components and levels of detail in the various fault trees and system
descriptions.  There were also problems with the lack of a readily
accessible glossary of abbreviations and with inadequate cross-
referencing among appendices.  It is suggested that the Study be
subjected to the necessary editing to eliminate abbreviations
wherever possible, glossaries be added for those abbreviations used
(e.g., foldout in Appendix I) and the cross-referencing between
appendices be improved.  The formats employed in Appendices III and
VII are worthy of consideration for use in all appendices.

5.   There is some concern relative to a lack of certainty as to what
tie follow-on actions in this program area will be.  This is
intensified by the recent reorganization of the ABC and its functions
and lack of definition as to where this effort will be picked up and
continued.  We would expect that some follow-on effort should be
directed toward additional verification that the design, operational,
or other variations among the 100 nuclear plants to which the Study
is applied, do not significantly affect the overall risk calculated
by the Study.  Of major interest would be consideration of other
plant designs such as Westinghouse 2 and 4 loop reactor coolant
systems, and BWR Mark II and III containment designs. Other items
such as the use of hydrogen recombiners and differing modes of
containment spray injection should also be considered for

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examination.  It is realized that in many of these cases what may
appear as a significant difference on the system or component leval
may not significantly change the overall risks but some docunentation
of this should be presented in order to show that to be the case.  A
further concern relative to continuing effort in this area but not
related to this specific Study is the application of this methodology
to other reactor systems and other components of the nuclear fuel
cycle.  Certainly we would recommend that these studies slftould be
considered by the applicable ABC successor and that their intent in
these areas be publicly stated.

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ASSESSMENT OF ACCIDENT RISKS IN U.S. QOMMEgCIAL NUCLEAR POMER PLANTS

MAIM VOLUME

General Cpmmantg

    The main volume presents a well written introduction to and summary of
various analyses presented in the supporting appendices; therefore,
comments on the material within this volume are generally covered
elsewhere in this review.  The discussion in Section 5.3 pertaining to the
process of assessing release category probabilities was especially
informative.  The assignment to a category release probability of a 10%
contribution from adjacent categories certainly adds a significant element
of conservatism to the resulting probability values.  The Study also
attributes additional conservatism to the Monte Carlo process used to
assess failure rate median values.  However, the degree of conservatism
attached to the Monte Carlo process throughout the Study, relative to its
ability to compansate for wide ranges in available input data, may be
somewhat misleading, especially if the log normalized data are "processed"
through a series of "and" or "or" gates.  It would appear that, in such
cases, the Monte Carlo process would be expected to yield a point estimate
similar to that attained through a straight additive or multiplicative
process of input value median value failure rates, with an associated
error factor.  Although the Monte Carlo process is statistically correct,
a further explanation of this process indicating the differences batwaen
it and the point estimate approach should be presented with regard to the
evaluation of associated error factors,  however, it should be noted that
statistical techniques such as this, although appropriate analytical
methodology, can never conclusively show that all critical pathways to an
accident occurrence have been ccnoidered.

    Chapter 6 of the main document  presents a comparison of the nuclear
accident riflks to other societal risks.  Although the Study does not make
an absolute judgment on nuclear power plant accident risk acceptability,
the comparative risk approach oortainly implies an acceptability judgment
to the average reader.  EPA recognizes that the comparative risk approach
is a first step in addressing this quastion; however, studies in progress
by the H>A and others indicate that judgments on "risk acceptability" are
extremely complex, with comparative risk evaluations representing only one
of numerous inputs which must ba considered.

Specific Conroants

    The question of applicability of the Study results to all current
commercial water reactors is very pertinent.  The discussion on page 27
appears to be the only place in the entire report that the question is
considered, and only a brief general assessment is attempted.  It is
generally recognized that there are certain design differences in Babcock
& Wilcox and Combustion Engineering plants as well as the Westinghouse
plants of four-loop design (more common than the three-loop system
selected)»  Similarly, the BWR containment design, in particular, has

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undergone two major changes (the Mark II and Mark III containments) since
the reference design Peach Bottom plant, which would be expected to at
least change the details of the containment response analyses.  It would
appear that tlie Study could benefit significantly by recognizing these
design differences and presenting the necessary arguments which support
the thesis that these design and response differences at the system design
level do not have a major effect on the overall risk assessment.  Further
discussion appears warranted and any continuing analyses by the ABC to
furtjier verify this conclusion should be inducted.

    On page 45, the safety inprovement analogy with the aircraft and
automobile industries regarding increasing safety with development is
questionable.  In both of these cases, safety iflprovemants were
accomplished by utilizing accident experience data.  Although  there has
been significant variance in safety between particular designs in tJiese
industries, hopefully, similar significant differences will not be the
case in nuclear plant safety designs.  Furthermore, these industries have
received increasing governmsnt control with the rise in concern over
inadequacies.

    On page 104, the argument for overproduction of fission product
release from molten fuel appears to be partially contradicted by the
discussion in the second paragraph under Meltdown Release Qcmppnent on
page 8 of Appendix VII.  Similarly, the large surface area to volume ratio
of the molten fual described on page 119 should enhance the release of
isotopes rather than "limit" it, as indicated.  The discussion on page 109
of reduced doaas associated with wind direction change conditions may be
offset by increased evacuation difficulties.  It is not clear if tliis has
been considered.

CAICULATICM OF REACTOR
Appendix VI

General Comments

    Appendix -VI appears to need substantial modification and information
additions, especially with regard to the health effect calculations.  The
approach and methodology, although possibly adequate for the purposes of
die Reactor Safety Study, should not ba precented as the approach and
methodology which calculates the consequences of accidents "as
realistically as is now possible," as indicated in the USAEC's Interim
General Statement of Policy  on VBVSH-1400, dated August 28, 1974.

    Although some of the factors affecting consequences are adequately
discussed for the purposes of this report, there is no description of the
overall calculational process which would permit a clear understanding of
the relationships between the radioactive material releases, the

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dispersion, the population distributions, and the resulting health
effects.  Obviously, many refinements to the various calculation models
are available.  Those which were assessed and found negligible in effect
for the purposes of this report should be discuceed to give a better
appreciation of the range of applicability of ths calculation model used.

Specific Ccranants

    The reasons given in Section 6.2 of Appendix VI for selection of
critical radioifiotopas do not support the omission of plutonium-241.  Data
presented by the UBAEC in the draft WftSH-1327, "Generic Environmental
Statement on ths Dae of Recycle Plutonium in Mbted Oxide Fuel in LWR," on
pages 1*13, I  (A)-2, and 11-20, indicate that for exposure by inhalation
of plutaniia within a few years after its production in the LWR uranium
fuel cycle, Pu-241 contributes nnre to the dose than Pu-239.  Similarly,
the data referenced by the Study  (ICKP-II) and the plutonivxn isotopic mix
of WASH-1327 indicate that Pu-241 contributes more to the dose tlian Pu-239
in the majority of the organ doses considered in Table VI-16 of Appendix
VI, the proportion of their contributions depending upon the solubility of
the plutonium cscosol.

    The discusoion of meteorological models and assumptions should be
expanded to diecuse the expected calculational differences incurred with
the Study's uea of a simplified model as opposed to the more conventional
but complex models in general use.  For example, it is inferred from the
discussion on page 16 of Appendix VI that much of the meteorological
frequency information is taken from greater heights than the release
heights predicted in this Study.  Since wind velocity generally increases
with altitude, using such information will tend to decrease the estimated
downwind dose levels.  The acute health effects, therefore, could be
underestimated.  Furthermore, the uniform distribution in the crosswind
direction used in the atmospheric model, as described in Section 6.4 of
Appendix VI, is also likely to produce an underestimate of acute health
effects, since the sector averaged dose estimates should be lovsar than
actual peak doses.  Finally, without consideration for wind maander, the
constant angular widths chosen appear to broaden the plume more than would
be expected (Raf. Figure A.2, page 408, of "Meteorology and Atomic Energy
- 1968"), again contributing to lower peak doses and thus fewer acute
health effects.  It is judged unlikely, however, that any underestimate of
acute health effects resulting from the treatment of meteorological
information and the dispersion model is greater than a factor of two.

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    Tire model selected to account for the effect of evacuation on the
calculation of medical consequences is described on page 31 of this
appeixlix.  An EPA report, "livacuation Risks - An Evaluation/1 EPA-520/6-
74-002, is referenced in support of certain assumptions used in the
evacuation model.  Mthough a number of parametric calculations relating
to the evacuation model assumptions are presented in Table VI-21
(including a no evacuation case study) , we believe the base case
evacuation rncdel to be overly optimistic.
    The fPA report on evacuation risks was primarily directed at an
assessment of the risk of death and injury, and the costs associated with
past evacuations of population groups.  The data and information utilized
in tliis study v/ere obtained by contacting persons and organizations
involved with previous evacuations precipitated by natural or man-made
causes.  Factors which were hypothesized to influence the time required
for the historic data base evacuations included:  (1)  tune lapse before
onset of inciden£, (2) availability of evacuation plans,  (3) time of day,
(4) weather conditions,  (5) population size,  (6) area size, (7)
dvaracteristics of the area,  (8) conditions of roads,  (9) nature of
incident, (10) warning time, and  (11) population density.  No correlation
with evacuation times could be determined for parameters  (1) through  (9) .
Similarly, since warning time was generally not separable f ran the ,tiwe
associated with acocrnplishment of the evacuation, no quantitative
evaluation of this parameter was made.  A correlation of evacuation times
with population density, however, was performed assuming independence from
other parameters.  A trend showing an increase in time required for
evacuation was indicated as population density decreased*  In applying
tliis conclusion to evacuations which may result from potential nuclear
accidents, an element of caution needs to be exercised.  It should be
remembered that the data on historic evacuations generally include
situations applying to small areas or in the case of larger areas, when
there is a lengthy forewarning time.  More significant is the fact that
evacuation travel distances were almost always short and safe destination
points were generally obvious.

    Since the evacuations called for in the larger consequence accidents
appear to involve evacuation areas of a few hundred square miles, the
application of evacuation tima requirements from the EPA evacuation study
to areas of this size is questionable.

    Mthough the Appendix VI discussion states that an outermost liiiut for
evacuation of 20 miles was assumed, it is not clear how this evacuated
population segment is treated in terms of actual dose received.
Siioilurly, in the assessment of property damage on page 63, the
of fectivoness of the 10 ren calculated yearly dose as a basis for
temporary evacuation is unclear since the expected dose rate as a function
of time is not indicated.

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    The assumption  stated on page G3  regarding a first year projected dose
of 10 rem as the criteria for determining the decision to evacuate nay he
unwarranted,,  A suggested value of 10 to 20 rern is cited, but tlte
reference, although relevant,,  does not contain such a suggestion,,  In it,
the reccsmmsndation  is made that for snail population groups, the use of  .
evacuation as a protective action be  oonsideml if the anticipated
exposure during 30  days might esccead  a whol® body dose of 2 rad or a
thyroid dose of 10  rado   The reference suggests that undor Icjss favorable
ciEcvs^stances evacuation  might net, be considered as a protective action   c
unless larger eKpoeores were anticipated0  The reference '.Ices not support
the implication that 5 rem per year or less is acceptable becausa it is
baldtf the oocupatia?ial dose  limit?  nor dcas it suggest 10 rein or any other
projected dose  as a criterion far dsoositsmimtiosio

    The evaluation  of health effects  appears to require signifleant
modification and information additions 0  Our preliminary indications are
that if the HEIR Report  (The Effects  on Populations of Exposure to I
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                                    10
diseases ;.ind 1-100 congenital anomalies in the first generation after
cxjjosure.  However, this is 1/5 of tlia total Iirpact expected.   An
additional 40-400 dominant diseases and 4-400 congenital anomalies should
be attributed to future generations  (page 53 P23IR).

    The reference for the numbers in rads used as  criteria for estimating
acute effects is not presented.  The average dose  which will cause
fatalities to 50% of the people so exposed in 60 days  is given by
Luahbaugh, Comas, Edwards, and Andrews  (Sect 17 in ADC CQJF G00410,  1964)
as about 235 rads.  These autliors estimates for the dose wliich will cause
fatalities to 10% of the people so exposed, I&LQ,  ^ of the ortlfir of .75-80
rads with a range of about 40-120 rads.  This estimate is  of the  same
order of magnitude as the estimate of less than 5% mortality in the dose
range of 40-140 rads given in NCRP Report #29.  Therefore,  the states .lent
on page 37 that there is little chance of death from doses below  100 rads
appears sarewhat optimistic for estimating the possible effects on a large
[opulation.  A more accurate estimation of effects would be made  using an
cippropriately justified probit analysis with perhaps a cutoff  at  40-50
rads.

    On page 50, a statement regarding the deleterious  genetic  changes
exiected per ltf> man-rem of exposure is presented, wliich also  appears to
) e a misinterpretation of the HEIR Report.  The HEIR Connittee estimated
ijiat tte average mutant persisted in the population for five generations
riot "...in the first and also in all generations..." Therefore, the total
increments shown in Table VI-14 should be five tines greater.

    Similarly, the quotation from the HJIR Report  (page 91) appearing on
pages 52-53 is truncated to an extent that, in our opinion, a
iid:{interpretation of the BEIR Report results.  The paragraph quoted
continues:  "By extrapolation, it can be estijnated that the number of
deutlis per 0.17 rem per year in the entire U.S. population may range
rouglily from 3,000 to 15,000 with the most likely  value falling in the
r-.uige of 5000 to 7000  (or 3500 per 0.1 rem per year)." Utilizing  this last
estimate, tine excess mortality from all forms of cancer calculated in WRSJI
MOO would be almost doubled,-^

    Possible clinical effects from acute radiation exposure other tlian
(.loath and radiation sichness are discussed only briefly on ]»ge 46.   For
cixorople, temporary aspermia in the male has been observed  following
*ixposures as low as 12.5 R.  The personal trauma of being  unable  to
reproduce or of it being recamended that no attempt be made to conceive a
diild for some extended period after exposure is not negligible,  at least
J:or normal "peacetime" operations.  Furthermore, tte disruption of the
liomeostasis of the finely tuned endocrine system,  while possibly  amenable
to Jionnone replacement therapy, does not necessarily represent
insignificant individual trauma or financial burden.   Therefore,  a
significant expansion of this presented discussion appears warranted.

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                                   11
AcciniNr SKQUENass, REACTOR MELTDOWN PROCESSES AND

RADIO/O'IVITY. RKIEASCS Appendices V, VII and VIII

General Garments

    Tlmse appendices, which follow various accident sequences through the
meltdown process and associated releases of radioactivity, represent a
significant effort to quantify the consequences of reactor meltdown
accidents.  It is recognized that to present a meaningful di55cussion of
the r:any accident sequences evaluated, to relate these sequences to the
timing and physical processes associated with a reactor meltdown, and to
predict the resulting radioactivity releases via several containment
failure mechanisms is a formidable task both technically and
documentarily.

    Of these three appendices, Appendix V  (possibly because it pulls
together much of the information presented in Appendices VII and VIII)
appears to require some additional effort to resolve apparent
inconsistencies and to supply additional information on accident sequences
other than the large LOCA.  Furthermore, the Study should higMight and
expand the sensitivity analyses on BOGS functionability and the evaluation
and significance of the various containment failure mode probabilities.

    Our comments on both Appendices VII and VIII are dealt with in the
specific ccnroant section which follows.

Specific Comments

Appendix V

    One problem in reviewing Appendix V involves apparent inconsistencies
between tlie various tables which relate accident sequences to release
categories.  For example, on pages 21 and 24  (Tables V-3 and V-4), it is
not clear how these lists were compiled.  Doth tables do not include some
of the daninant large LOCA sequences from Table V-6 (e.g. AF--$»> and ACD-& •
in category 1, and AF-<5 in category 3) but do include sequences which are
not considered dominant (e.g., ACDGI- a *).  Based on the diEJcussion  (page
140), it is alao not obvious why sequence ACDGI—a is classified as
release category 1 instead of category 3.  Furthermore, in comparing the
probabilities given in Table V-6 with the relative containment failure
irtxie pro) abilities listed in table 2 page 124 of the attachment, certain
sequences listed as "other large LOCA accident sequences" appear to be
significant contributors to a release category probability (e.g., category
2, MIF - °, 3xl(T*fc AD-6 , 4 x 10~U).  If these contributions are
numerically correct, tlic sum appearing at the bottom of the table must
only represent the sum of the listed dominant sequence probabilities.
Since the large DXA's do not dominate the probabilities of Table V-16,

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                                  12
information similar to that presented in Table 2 of the attachment, page
124, applicable to small IDCAs and transients would appear pertinent for
inclusion in this appendix.

    We would like to emphasize at this point that inclusion in a release
category probability estimate of a 10% contribution from adjacent release
categories adds considerable conservatism to certain sunned release  •
category probabilities; however, an attempt should be made to correct and
clarify the interpretation of these suntnary tables.

    In the discussion of the smoothing of release category probabilities,
p. 50, it is not clear hew the smoothing technique necessarily swamps any
common mode failure contribution.  The presentation would also be
clarified if even just an illustration were included which would shew the
bar chart in Figure V-l reversed in relation to the severity categories.

    Considering the interest attached to the ECCS functionability, the
discussion on pages 52-55 is especially pertinent.  This sensitivity
analysis discussion might be considerably improved by not only relating
the BCF contributions to overall release category probabilities but also
to the "large HXA" contribution.  This latter tBateaJmiship would otsKf  D
larger percentage contribution.  For example, given a large I0CA (AJ
Followed by BCF (E), one accident sequence would be AE- e with the asms
consequences as AIH-e  (category 7).  The probability would be AE~ e •» (1 x
10-4) (10~2) (•» 1) « 10-6 assuming the high end of the BCF failure rate.
Although this and other sequences would have a moderate influence on large
DDCA release categories, the limited impact on the overall release
category probability would be highlighted.  Since the BCF failure
probabilities are of general interest, it would appear appropriate to
identify the rationale for assuming the failure occurrence range utilized
(10-2-. 10*"5).  Considerable confusion is also caused by not including BCF
sequences in Table V-16 while including such sequences in Table V-6.

    With regard to the BWR transient tree quantification on page 68, it is
not clear from this discussion, in conjunction with Table V-19, which
transients were slow enough such that credit for reserve shutdown can be
taken .

    In attachment 1, Table 2, certain sequences are shown with
"containment rupture - vessel steam explosion" failure mode probabilities
of zero which are nevertheless estimated as 0.01 in Table V-6.  Since
similar tables are not included for St and 82 initiating events, the
relationship between the various containment failure mode probabilities
shown in Table V-7 and V-8 cannot be determined (e.g., the relationship
between S2 C-4 and S2 Oa ).       ,

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                                   13
Appendix VII

    The information contained in Appendix VII is well presented,
sufficiently documented, and based on our preliminary review, presents a
reasonable appraisal of the extent of radioactivity releases.

    In discussing the meltdown release component for alkaline eartlis and
noble metals  (p.p. 11; 13), the probable values selector! appear somewliat
low if consistency with the selection basis of other released components
(e.g., halogen, alkali metals) is to be maintained.  In fact, the text, in
discussing the alkaline earths, indicates a release range of 2-20% and
suggests that the probable value should lie in the upper portion of this
range, yet selects 10% as a most probable value.

    On page C-l, last sentence, it is not clear what is referred to by
"...the LPCA's postulated; i.e., successful BOC and recovery,"1 since the
Study is concerned with many LOCAs in which successful BCC and recovery
are not assumed.

    In outlining the accident sequence and core response on page C-2, tl>e
basis for the 100% rod failure at a maximum clad temperature of 2200 °F
should be stated since this failure value appears to be quite conservative
in view of vendor calculations  (eg.  Suw?y, Final Safety Analysis Report).
Also, in the discussion of six critical points involved with the
evaluation of the LOCA prompt release fission product source-term, the
term "release coefficient"  (escape fraction) should be made consistent
with nomenclature used elsewhere in the report.

    In Appendix K, p. K-19, it is not clear if the text is implying that a
potential important pathway for release of fission products, between the
containment shell and cofferdam, was not considered in f.he Study.

Appendix VIII

    The discussion under "Limitations" on page 3 of Appendix VIII contains
a disclaimer regarding the potential non-applicability of "these studies"
(presumably core meltdown studies) to other FWRs and BWRs.  As mentioned
previously under the specific ocronents on the main volume of the Study,
the discussion on this topic should be expanded.

    In discussing the basic assumptions for the analysis of degraded
accident behavior (p. 7), the basis for assuming that "core melting would
take place without significant metal-water reaction and that there would
be no possibility of steam explosions in tiie reactor vessel" under
conditions of accumulator and pumped ECI failure needs further explanation
to account for the possibility of residual water being left in the vessel
from the blowdown process.  With regard to the accident time scale, the
10- 11 second time quoted for essentially complete primary system

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                                    14

depre.'jsurization and tlie time of accumulator discharge appear a factor of
2-3 too short compared to the results in the paper, "Comparison of
Ttermal-llydraulic Response of LOFT and a Large PVJR to LOCA Conditions,"
authored by P. Davis and J. Ductone, presented at the topical meeting on
water reactor safety.  CONF-730304, March 1973.

    On page 12, the dismissal of the potential for a large energy release
from a steam explosion between tte molten core and water laden'gravel
seems to be contradicted by tlie Armco Incident describe^ on page B-2.

    In describing containment response  (p-13), the assvniTtion of LPRS
cavitation at the time of containment failure seems pessimistic, if
Regulatory Guide 1 is followed.  The guide states, "Emergency core cooling
and containment heat removal systems should be designed so that; adequate
net i»sitive suction head  (NPSH) is provided to system pumps assuming
maximum expected temperatures of pumped fluids and no increase in
containment pressure from that present prior to postulated LOCA."

    The meltdown- sequence discussion, which includes QIRS and IPRS
failures  (p. 17), describes the molten core vessel penetration and
interaction with the water in the reactor cavity and the GSRS water.  Our
understanding is that the CSRS water should not be expected in the reactor
cavity except for possibly a small amount of leakage.  If this
interpretation is correct, all sources for reactor cavity water need
further clarification.  Similarly, on page 21 it appears that CSIS is
assumed not to deliver water to the reactor cavity while the opposite is
true for CSRS.

    The assessment of containment failure mode probabilities includes the
probability of containment failure resulting from a steam explosion
estimated as P « 10-2 ( + i,-2).  Since we are not aware of any discussion
which indicates that this probability is sequence dependent, the
probabilities associated with certain sequences in Table V-1G are not
understood  (e.g., Sp-o, J x 10-* while SjD -£/ b x 10"$and naS2 C-a
which should be at least 2 x 10-* based on 82^-0   of 2 x 10"*).  The
lattcir example may be eliminated because containment overpressure failure
occurs before initiation of core meltdown.  If this or other sequences are
logical exceptions to the containment failure probability associated with
vessel steam explosion, the exceptions should be discussed.

    Tte assessments of containment failure probabilities from hydrogen
combustion or overpressurization both are strongly dependent on the
assumed normal distribution of containment failure pressures of about 100
psia with a 15 psi standard deviation and containment melt-through time
 (for which the meaning of the skewed distribution, 18(+10,-5) hours, is
not clear).  Given tlie information in figures 4 through 9, general
correlation with containment failure mode probabilities listed In table 2,
attachment 1, Appendix V could be observed.  However, such was not the

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                                   15
case for sequences AHF-6   and AB-6  .  It would be helpful if the text
provided an example of such a calculation, which would define the various
probabilities listed in the text.

    Additional clarifying remarks would seem appropriate at several points
within Appendix A, which discusses the thermal evaluation model.  On page
A-16, the assumptions used for the core temperature distribution and
vessel water inventory following blowdown should be stated and justified.

    Regarding the fission product release fraction equation, the basis
referred to should be specifically referenced.  Similarly, the reasoning
for assuming no change in steaia properties due to hydrogen mixing should
be presented.  Under the heading "Ccnvective Heat Transfer" the values
chosen for Tw and hg  should be discussed since it would appear that h«
should vary with Qflt and pressure,,
    On page A-33, a question arises as to whether vessel failure can occur
by fracture due to thermal stress occurring when the molten core contacts
the lower vessel head.

    It is not clear on Page A-J6 if the continued addition of water on top
of the core melt could cause a steam explosion similar to the East German
incident described on page &-3.

    The containment failure mode evaluation presented in Appendix E
considers several factors which could affect the ultimate containment
strength.  Further discussion or clarification of the potential
significance of these factors on the assumed 100 ± 15 psia failure
pressure appears warranted.  Since the assumed failure pressure could
alter the containment failure mode probabilities for several accident
sequences, an indication of the sensitivity of the release category
probabilities to a change in the assumed containment failure pressure
should be provided.

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                                16
nEFINITICN OF FAILURE DftTA HID PAIHUPVYS

(Appendices If II, III, AND IV)

General Cormsnts

    Our review of Appendices I and II has, for the most part, been limited
to questions regarding the treatment of  (1) specific failure pathways
which ore not acknowledged in these appendices or  (2) the rationale for
dismissal of other failure pathways or their relationsldp to assigned
containment failure mode probabilities.  Review of certain sections of
Appendix II is presently anticipated in our continuing review of the
Study.

    In our liinited review of Appendix IV, the role of the "common node
failure" in the overall risk assessment process is difficult to assess.
Sane methods, quantification techniques, causes and results are discussed
in Appendix IV, but the material necessary to properly understand the
total role and significance of common mode failures and to determine that
a reasonable degree of completeness has been developed appears to be
spread through Appendices I, II, III and V.  Many summary statements in
the earlier and later sections of the report assert the significance of
oonmon mode failures without quantification or reference when, in fact,
the needed material is in other appendices.  Further cxos£>-referencing to
such analyses and quantifications which support the assertions of tills
appendix could resolve these concerns.

Specific cornnents

Appendix 1^

    In the DGCA functional event tree development  (p. 13 footnote), it
appears that the containment building purge system has a probability of
failure which is not acknowledged.  Sin4.1arly, the possibility of
containment overpressure failure prior to core melt which is treated in
subsequent appendices, is not included in the discussion on page 31.

    In tho development of the PWR small LOCA event tree, Sj, p-132, it
would seem possible that vessel melt-through could occur while the primary
system pressure is above the accumulator injection pressure.  After vessel
melt-through, the primary system pressure would be rapidly reduced,
allowing possible accumulator water injection onto the molten core,
potentially causing containment rupture from a steam explosion.  It could
not be determined if the containment failure mode probabilities for So.
DOCA's considered this possibility.

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                                  17
    With regard to PWR reactor vessel rupture, p. 141,. it is not clear how
the polar crane presents an effective missile barrier  for the entire upper
portion of the containment.

    On page 145, the reason for not considering rupture of steam generator
tubes and subsequent overpressurization of the secondary system with
potential for rupture outside the containment, should  be stated.
SJjnilarly, on page 159 it is not obvious why the situation of automatic
trip failure occurring with loss of electric power sequence was eliminated
fron consideration.

Appendix II, Vol. 2

    The discussion of tte electrical power system, offsite cannon mode
failures (p. 33), does not specifically indicate whether eartliquakes have
been considered in assessing common mode failures, especially for power
subsystems which are not specifically designed for earthquake response
(diesel fuel system).  Similarly, in the text on page  35, a discussion of
how tlie failure analysis of the diesel generator system accounts for the
failure modes discussed would be an iiqportant addition to tMs section.

    The evaluation of the reactor protection system  (RPS) dismisses the
impact of a pressurizer vapor space rupture on the RPS (signal initiation)
failure probability.  Since it is possible for the low pressurlzar level
signal not to function due to frothing, the effect of  such a failure
should be addressed.  On page 155, under CSIS failure  modes, it appears
that the Refueling Mater Storage Tank  (RMET), "suction line plugged,11
should also be listed under single failure resulting in luiavailability of
BWST water.

    The Consequence Limiting Control System (CLCS) description on page 174
is confusing since it appears from this discussion that tlie operator may
not be able to switch from CSIS to CSRS until the containment pressure
falls to -0.5 psig  (such a pressure may not occur in time to permit
successful switch of these systems).

    The results of analysis of system interfaces under Low Pressure
Injection System (LPIS) indicates, on page 280, that momentary
unavailability of water at the start of LPIS pump operation is not
considered a failure, while unavailability of water to the CSKS is
considered a failure for the same reason (Appendix I,  p. 102).  A
clarification of this situation appears warranted.  Also, in listing the
single failure-failure modes for LPIS  (p. 284), consideration should be
given to pipe ruptures between J3 and either V4 and V5 (figure 11-53) and
to HWST pump suction drain plug.

    In tire examination of potential faults for the Low Pressure
Recirculation System (LPRS) on page 498, it is not clear that pipe

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                                 18
ruptures between PI, P2 and J8 will not cause system failure.  The flow
would split between the path to the oold leg and the rupture and,
depending on relative flow resistances, the delivery of water to the oold
leg may not achieve the necessary 300 gptn.

Appendix !!_ - Volume .3

    In the evaluation of the BWR electric power system, an assumption is
made on page 27 that all emergency buses are available immediately prior
to a LOCA based on the Technical Specification requirement that the
reactor be shutdown if an emergency bus is not available.  However, it
appears there should be a finite probability that all emergency buses are
not available^which should be dependent on the failure probability of the
failure detection system.  Also in discussing off site power cannon node
failures, the emission of earthquake as an initiating event should be
addressed.

    Discussion on page 134 relates failure of vacuum breaker valves in the
open position to the defeat of the vapor suppression function.  It would
aeern appropriate that the assvmptions regarding the two or wore valve
failures required should be justified with calculations or referenced to
pertinent information.  Similarly, the assumption on page 243 that rupture
of branch piping of 2-inch diameter or less will not significantly affect
core spray injection system operation at the time of a LOCA or during
injection requires justification.

Appendix III

    This appendix on failure data is well written, well organized and
appears to be appropriately integrated into the Study. In our continuing
review, reflected in the attached work plan, EPA does intend to perform a
selective review of the failure rate data base.

Appendix TV

    Our review of Appendix IV, to date, has been limited, especially with
respect to the analysis and quantifications applied in the Study;
therefore, our comments at this time are very general in nature.  The
concept and influence of the "common mode failure01 appear to need
additional development.  A distinction should be provided between the
causative effects of certain common mode failures in initiating accident
situations vs the influence effect of cannon mode failures resulting
during an established accident sequence (e.g., the influence of a check
valve slam and subsequent water hammer damage as a common mode* initiator
vs the consequence of such an event occurring during an accident in
progress).

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                                  19
    The completeness of the consideration given to potential sources of
cannon mode failures also appears to require some expansion.  Although?
through searching in other appendices, it is evident that particular types
and areas of cannon mode failures are considered, sources,, such as the
requirement for pump inlet subcooling for emergency coolant recirculattng
systems, pump bearing lubrication systems, instrument and component
service water and air, heat tracing for plateout prevention, control roan
and cable tray fires, drain plugging of storage voter systems, etc, ought
to be discussed and treated in Appendix IV to support the claims and
assertions developed.

    Finally, the treatment of the method of screening for relevant comon
mode sources discussed on pages 18 through 39 appears credible but is
unsupported and in need of tabular listing of  (or reference to) the
"numerous" types of sources considered in order to demonstrate that the
method is indeed comprehensive in identifying all conceivable component,
system, and operation vulnerabilities to caiman mode failures.  The
examples cited are useful but create questions of "vihat else," "how many,"
and what does a complete list look like.

DESIGN ADEQUACY

(Appendix X)

General Garments

    This appendix does not appear to be tied in with the rest of the
Study-  There is no mention of how the results of this Study were utilized
in the risk assessments.  Since Appendix X indicates that a significant
number of the systems examined were either not properly qualified, not
properly analyzed, or didn't meet current standards, it would seem very
important that these deficiencies be readily traceable to tlie quantitative
risks, or that they be shown to be peculiar to the plant analyzed.

Specific Garments

The section on seismic loads (p. 47) appears incomplete in that current
design response spectra were not evaluated for the structures and
equipment.  On pages 52 and 57, it is stated that the current spectra
would increase seismic loads (by as much as a factor of 2).  It is not
clear what these increases moan relative to the general seismic
vulnerability of the 100 plants and what risks are associated with the
increases.

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SUWAJY REPORT

General Garments

    The summary document is a relatively well written volume, which
satisfies its intent through a question and answer format.  Our comments
on certain quantifications of assessed iirpact are incorporated into our
review of the Appendix VI volume.  Of particular interest was the
discussion comparing the Study predicted consequences with the earlier
WASH-740 evaluation.  It would appear that the significance of the four
factors leading to differences in the two studies is substantial.  Plume
rise and evacuation and possibly population, as treated in WAS13-1400, have
relatively little inpact on consequence when compared to the effect of the
differences in assumed release of radioactivity to the environment.  The
Study indicates that given a PWR core meltdown event, a chance of only
about one in one hundred exists that the resultant containment failure
mode will be other than melt-through with its relatively insignificant
radioactivity release.  A somewhat similar case exists for the BWR
meltdown event where a chance of only one in ten exists that the
containment failure mode will be other than containment isolation failure
in the drywell with, again, a relatively insignificant release of
radioactivity.  It would appear appropriate that the discussion of this
variable in the summary document should be

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                                 21
Additional Odctnants

Main Volume

Clarifications

    1.   Page 122, Table 5.2 - It is not clear why AB, ACHF, SjB and SjB do
not lead to containment failure by overpressure since loss of containment
heat removal should lead to overpressure failure.

    2.   Page 126, Section 5.3.2.1 - The definition of a large IOCA being
a rupture equivalent to a hole greater than 6 inches in diameter is not
consistent with the definition used by vendors, AEORegulatory, etc.,
which is a 0.5 ft2 (9N hole).  It is not clear why a different definition
was chosen her*.

    3.   Page 154, item (1) - The SL-1 accident was a military power
reactor nuclear accident which resulted in 3 fatalities.  It appears that
the statement ignores the SL-1 accident.

    4.   Page 216, last sentence in Section 6.4.7 and Figure 6-10 - The
statement that the calculated probability of a dam failure resulting in
10,000 fatalities "...agrees with the extrapolation of the data..," does
not appear justified.  A straight line can be drawn through the three
data points (as was done in Figure 6.9), and, if anything, an upward
inflection of the curve IB indicated by the data, rather' than downward as
drawn, to include the calculated point.

Editorial

    1.   Page 146, Section 5.4.4 - The source for the probability of
aircraft iapaot accidents should be referenced.

    2.   Page 150, Section 5.4.6 - Near site explosions, which must be
considered for reactor sites, are not mentioned.

    3.   Page 200, Section 6.4.1, 1st sentence - The reference does not
agree with the reference at the end of Table 6.8.

    4.   Page 204, reference 1 - This reference appears incorrect,
"...North Atlantic Hurricanes...11 since the Galveston hurricane is
apparently included (II, described on page 200).

    5.   Page 205 - The average number of tornado fatalities is stated as
118 while the dte&aien indicated vields a value of 46.

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                                 22
Appendix 1^

Clarifications

    1.   Page 83, Figure 1-13 - It is not clear why the  success path  for
containment leakage is chosen as the drywell and the  failure path,  the
wet well.  Wet wall leakage should produce the lesser consequences  due  to
fission product scrubbing in the torus  (see Appendix  I,  page 37).

    2.   Page 102, 3rd sentence, and page 134, item F. - The basis  for
the CSRS failure assurrption is not clear since CSRS should eventually
operate.

    3.   Page 199 - Further justifications of the unanticipated transient
probability of 10"5 per year should be  presented.

    4.   Page 205, Figure 1-28  (also Footnote 1, page 207) - The RPS
failure probability for unanticipated transients  (Part C)  has been
increased from 4 x 10"7 to 4 x 10"6 to  account for the fact that only the
scram system may be effective for reactor shutdown.   This  reduction does
not agree with the fault tree at the bottom of page 68,  Appendix V, which
assigns the failure of RPS to scram a value of 1.3 x  10"5.

Editorial

    1.   Page 45, 3rd paragraph, 1st sentence - It appears that CR-VSE
should be CR-CSE.

    2.   Page 77, Figure 1-10 - The IJPIS is missing from the BCI segment
of this figure.

    3.   Page 198, 1st paragraph - The  apparent distinction between a
transient which causes a IOCA and a transient which causes a ruptured
reactor coolant system is not clear.

    4.   Page 222, 4th sentence under KHK3 - This sentence isMt
complete,

    5.   Page 233 - These footnotes appear to be used in Table 1-13,  but
the heading does not match the heading  for Table 1-13.

    6.   Page 259, item 5 - This item appears out of  place in that  it is
not a "...design feature provided to keep the likelihood of loss of pool
water small..."

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                                   23
Appendix II, Vol. 1
    1.   Page 11, last paragraph - This disclaimer paragraph seems to
indicate that if data did not exist for a particular system failure
contribution, it was not considered.

Appendix II, Vbl 2

Clarifications

    1.   Page 253, item 3 at top of page - There does not appear to be any
basis for the assumption that pipe ruptures of 2 inch diameter or less
will not cause failure of accumulator injection,

    2.   Page 385, Introduction - It is not clear if the SZCS analysis
also applies to the snail break case.

    3.   Page 490, top of page, and page 529, 1st paragraph - It is not
clear how realignment of the 1PR system to the hot legs will prevent an
"undesirably high boron concentration or accarulation of residue and
debris in the core that cou.lrt result from continuous boiling. " LPR system
water injected in the hot legs will enter the upper plenum, run down the
outer  (cold) core and core structure region into the lower plenum, and be
available for boiling in the hot central core region.

    4.   Page 490, top of page - It appears that closure of Vj£ is also
required to effect the realignment.

    5.   Page 501, 2nd paragraph - It is not clear why air suction from
the BW9T occur* for this failure in view of the 
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                                  24
Appendix III

Editorial

    1.   Page 187, first line - The bibliography section mentioned here
appears to be missing.

Appendix IV

Clarifications

    1.   Page 43 - Results of the susceptibility analysis are presented
but no specific reference is given to vjhere the analysis is presented and
the specific fault and event trees to which it was applied.

Editorial

    1.   Glossaries and definitions are sorely needed for this appendix,
not only to track the latter sections in relation to Appendix II, but to
understand the distinctions between the PWR and BWR treatments.

    2.   Page 8 - The treatment of ideas at this early stages in the
appendix requires the reference to other unspecified appendices in order
to understand the terms used and messages developed.  An introductory
tutorial treatment with a description of the other appendices which
intimately interface with Appendix IV is needed.

    3.   Page 8-15 - This section could benefit by specific cross
references, examples and limited numerical results to give significance
and meaning to this important portion of the report.

    4.   Pages 40-41 - The list of "classes of potential common raode
mechanisms" could benefit by a sub-category of items under each major
topic to provide an index of completeness, e.g., where would failure
causes fall for wearout due to exercising a given component; or for
partial or delayed performance due to degradation from lack of service,
or for transient behavior of a component (check valve water hammer).

    5.   Pages 40-63 - Although Sections 3.3 through 4.0 portray a
reasonable description of the methods applied to the ""quantif ieations6' in
the study, the interpretation could be considerably aided by examples
with numerical results or tabulations, such as that of Tablet IV-4 on
coupling probability.

    6.   Pages 65 and 87 - These two sections are intended to treat PWRs
and BWRs separately and this should be stated in the introductory
paragraphs.

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    7.   Pages 65-98 - This Section, "Siatmary of Results," acknowledges
the performance of the "fault analysis" in Appendix II and fron those
results identifies selected "sequences in the event tree...chosen
because...(of) some potential susceptibility for common modes" and
develops "impact" conclusions as "insignificant," "minor impact," etc.
The support for and meaning of these conclusions should be identified.

    The event sequences selected for the follow-on discussions appear
without comparative discussion to other cases which have been dismissed.
Although these discussions improve one's insight to the "controlling"
common mode sequences, tabulations or some form of overall results
presentation should be developed to enable the reader to gadn a "feel"
for the relative influence or "impact" of other sequences which could be
important to plants of newer design than those chosen for analysis.  The
companion treatment given to the BWRs  (page 87), although different in
style, is equally obscure in portraying understanding and confidence that
the treatment of common mode failures is comprehensive and complete.

APPENDIX VI

Clarifications

    1.   The description of the release and dispersion calculation in
Appendix VI appears sketchy in that there is not a clear description of
the radioactive material release magnitudes as a function of time over
the release durations presented.  Thus, any interaction of the airborne
release with the population being evacuated cannot be evaluated.  The
description suggests that the fraction of core inventory released is
modeled as a uniform release over the indicated duration of release.  An
alternative model could be a distribution of discrete releases as shown
in Figure J-8 of Appendix VII.  A clarification of this subject is in
order.

    2.   The discussion, of the consequence calculation and population
distribution patterns of Appendix VI does not describe the model of the
population distributions used for calculation of consequences within 70
miles; i.e., it is not discernible from the information presented whether
the sector population, originally obtained as a function of distance from
the reactor,  was averaged over the first 70 miles or averaged over
segments of sectors using differences in the cumulative populations from
Table VT-6, or whether some other distribution model was used.

    3.   A more careful explanation of the population averaging method on
page 24 would be helpful.  In particular, the top 1% sector's are
reflected in the peak case consequence results.  The range of populations
averaged into the top 1% would clarify the nature of the top population
category.

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                                26
    4.   'Hie application of the plume broadening for meander over
extended periods of time, described in Section 6.43 of Appendix VI, needs
to be specified more clearly.  Table VI-2 shows categories PWR 6 and PWR
7 having a duration of release of 10 hours and all other categories
having shorter releases; it is not clear whether categories PWR 6 and PWR
7 are the only categories having "releases that last for many hours,"
i.e. categories to which the broadening was applied, or whether the
broadening was applied to shorter releases as well.

    5.   Because this appendix does not present the necessary information
regarding individual organ or whole body doses as a function of release
category and downwind distance, several questions arise as to the
significance of certain omissions from Table VI-16; namely, (1)  lung dose
contribution from noble gas inhalation, (2) consideration of Pu-241, Am,
cm, and u releases, (3) releases of longer lived isotopes, such as 1-129
and H-3, and (4) any possible significant release of activation products.

    6.   With regard to the evacuation model, clarification is needed of
the manner in which the warning time for evacuation TJ  (tine between
awarfsness of impending core melt and leakage for accioent type j) was
determined.  It is observed that, in Table VI-2, this tine is constant
for each reactor type and independent of the containment failure mode,
and also that for release category PWR I, awareness of intending core
melt is immediate at the outset of the accident.

    7.   Page 36, Section 6.6.3. - This section is based on available
data and is apparently extended for standard man only.  The uncertainties
in thn estimates, particularly as they apply to differences in age and
state of health, should be at least underscored and, if possible,
explored further.

    8.   Page 37 - The listing of peripheral blood element response
should be compared to data given by Wald (Chapter 23, Haeraatological
Parameters after Acute Radiation Injury, pp. 253-264 in Manual on
Radiation Haematology, IAEA Technical Report Series No. 123, 1971).

    9.   Page 47, Section 6.6.4.4. - Reference and justify assumptions,
particularly the "...slightly increased number of induced mutations." If
a value judgment is to be made, a frame of reference must be established.

    10.  Although reference is made to the BEIR Report, the discussion
regarding Table VI-13 is misleading.  This table, taken from p.  171 of
the BEIR Report, refers to the "...absolute risk for those aged 10 or
more at the time of irradiation..." This is neither the complete estimate
of the BEIR Committee nor the only population considered.

    11.  Page 49, Section 6.6.4.3 - This section does not mention the
rather generalized "increased ill-health" considered in the BEIR Report.

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                                 27
    .12.  The discussion of thyroid illness on pages 53 and 54 appears to
need considerable clarification.  In particular, the apparent treatment
of production of nodules as an illness requiring a surgical process is
not understood.  For an estimate of nonfatal malignancies, reference to
the HtfIR Report would seem appropriate.

    ]3.  Page 54, first paragraph - The assumptions on incidence of
nodule formation following thyroid exposure discussed on page 54 should
be justified.  For example, data in Reference 42 of the subject draft
report suggest that, in a mixture of external and internal radiations,
yarnra and beta exposures are equivalent.  The HEIR Committee points out
studies evidently showing a species difference in response to beta
irradiation of the thyroid and also points out the problems in some
available human and 1-131 data  (a thyroid ablating dose is used).

    While Reference 42 does mention thyroid nodularity incidences ranging
from 0.47% to 1.6%, it should be pointed out that the 1.6% incidence was
in a population of 30 to 59 years of age and 0.47% was in a general
population.  The 0.36% to 1.7% values in controls in various studies
reflect small numbers in the populations and, perhaps, the regions of the
country from which the populations were derived.

    Lilien, et al (AM Lilienfeld, M. L. Levin and 1. I. Kessler, Cancer
in the United States, Harvard University Press, 1972), suggest a thyroid
cancer incidence rate of 40/106 persons based on state tumor registry
data.  Even if the ratio of fatal to occult cancers of 1 to 100 (ABOC
Tech Report 25-68) is used and the incidence of 40/106 thyroid cancers is
considered fatal, the total incidence of thyroid cancer would be 4000/106
persons.  The relationship between these occult carcinomas and the total
number of nodules has not been established yet, but some nodules are
occult thyroid carcinomas.  The nodules, as pointed out in Reference 42,
represent malignant and benign tumors, but also nodular goiter,
Hashimoto's thyroiditis, colloid diseases, local hyperplasia, local
lymphnodes, etc.

    14.  Table VI-15 is somewhat misleading in that it apparently refers
only to acute or subacute fatality and to "illness"1 in which thyroid
should not be included since nodularity is not an '"illness." The table
does not include all effects, e.g. effects of pituitary injury or
carcinogenesis, aspermia, etc.

    15.  References pertaining to in utero acute fatality and acute
somatic injury are as follows: Evaluation for the Protection of the
Public iii Radiation Accidents; IAEA Safety Series # 21, IAEA Geneva
(1967); Nokkentvod, K^Effect of Diagnostic Radiation on the Human
Fetus; Munksgaard, Copehagen (1968); Griem, M. L.  The Ef*fects"o?
Radiation on the Fetus; Lying iji;  Journal of Reproductive Medicine
1:367-372 TT968)» Hanintir-Jaoobsen, E. Therapeutic Abortion on Account of

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X-ray Examination During Pregnancy; Danish nodical Bulletin. 6:113-122
71959); Brent, R.L. and Gorson, R.O.  Radiation Exposure in Pregnancy
Current Problems in Radiology Vol. 215 (1972); Graham, 8., Levin, M. L.,
Lilienfeld, A.M., Schuman, L.M, Gibson, R., Dowd, J.D., and Hempelmann,
L.  Preconception, Intrauterine, and Postnatal Irradiation as Related to
Leukemia,  pp. 347-371 in Epidemological Approaches to the Study of
Cancer and Other Chronic DJaeases National Cancer Institute Monograph 19,
NCI (19367.

    16.  There is also no indication that individual organ doses have
been aggregated as "organ-ran" for sumnation in the estimate of "latent"
cancers and genetic effects.  Estimates of some isotopes and the
distribution of organ doses and variations with age can be obtained from
such publications as ICRP-17  (ICRP Publication #17, Protection of the
Patirait in Radionuclide Investigations, Pergamon Press. 1971).

    17.  Page 55, Section 6.7.3 - The use of ICRP-2 dose models, while
defining what was done, does not seem adequate in light of advances in
the field of physiology and dosimetry.  As pointed out by Eve  (I.S. Eve.,
"A Review of the Physiology of the Gastrointestinal Tract in Relation to
Radiation Doses from Radioactive Materials," Health Physics 12:131-161,
1966) residence times and mass of contents for the GI tract used in ICHP-
2 may be in error by factors of 2 or 3 an various segments and the values
used for the stomach may be in error by a factor of 24 vrtian residency
time for inhaled material is being evaluated.

    Dolphin and Ev« (G.W. Dolphin and I.S. Eve, "Dosimetry of the Gastro-
intestinal Tract", Health Physics, 12:163-172, 1966) suggest that
differences of the order of a factor of 2 result, when a more
sopMsticated GI tract model is used rather than the ICJ3P-2 model.

    Eve also made pertinent comments on the dose to the ovary from GI
tract contents and the insensitivity of mucosal cells to radiation
exposure at a depth of less than 140 microns.

    The lack of information on particulate aerosol characteristics of the
expected releases used in this section precludes applying the more
accurate Task Group Lung Model or determining the extent of departure
from the simple ICRP-2 model which would be expected.  However, the
current biological half-times for the various isotopes could be employed.

    18.  In the evaluation of damage from an accident, 1:he health effects
and dollar costs appear to be considered as mutually exclusive.  This
fails to consider the dollar coats of health effects.  There is of
course, the obvious cost of lost productivity but it is also noted, for
instance, that thyroid nodules are passed off as being surgically
treatable with no consideration as to the dollar cost of that treatment.

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                                 29
    19.  In Section 6.8.4, Nan Oare Accidents, Table VI-23 appears to
over estimate the consequences by up to three orders of magnitude.

Editorial

    1.   In Section 6.4<,4, for the phrase in parentheses, "vertical
velocity toward the ground," substitute "ratio of the ground
concentration to the integral over time of the adjacent air
concentrations." This substitution will avoid furthering the false
impression that the deposition velocity is indeed the vertical velocity
toward the ground.

    2.   The PWR 7 category description on page II of Appendix VI needs a
few more words of clarification, since the sprays do not act on the
leakage occurring upward around the containment.

    3.   In the second paragraph on page 14 of Appendix VI, insert the
word "acute" before the word "illness."

    4.   On page 14, the sentence "It was fcwd, in particular, that the
wind blew 0.1% of the time toward the 0.1% highest population density
sector" needs clarification. The explanation On page 110 of tha main
volume is much clearer.

    5.   In Section 6.5.1, the reference to the isolated Idaho Falls site
is of questionable interest, since Idaho Falls is not the site of any
oorrmercial nuclear power plant.

    6.   Table VI-6, on page 28 of Appendix VI, needs correction in that
it shows, for categories 11 and 12, that the cumulative population
decreases as the distance increases from 2 mile® to 5 miles 0

    7.   Page 32 - Experience with human radiation effects is not small
and includes much more than Japanese data.  The experience with acute
effects is much less.

    0.   Page 35, Section 6.6.2 - The question of prophylaxis and adverse
affects thereof is an open question.  The fact that the treatment may be
worse than the disease in some cases should also be considered.

    9.   Table VI-II, page 40 indicates up to 5% mortality at 165 rad
(250 R) and a cutoff around 100 rad (150 R).  Uncertainties in population
response suggest that there must be a range around these values and that
effects at lower exposure levels are possible.

    10.  Page 47, Section 6.6.4.2 - There is scrae confusion about the
data studied by the HEIR Committee.  Probably most of the data is on

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                                 30
relatively acute exposure to lew IE? radiation, the type most applicable
to the emergency situation studied in the subject report:.
    11.  In Section 6.8 of Appendix VI, the last sentence on page 67
implies that a Monte-Carlo type of determination was employed, as
contrasted to the assertion in the second paragraph on page 3.

    12.  The title to figure VI-8 on page 76 should be changed since the
thyroid nodules do not Include all thyroid consequences to be expected.

Appendix VII

Editorial

    1.   Page C-2, item 2 - Hie core, taken as a whole, cannot "heatup"
from sensible heat as stated here.

    2.   Page C-9 - The "Little Mamu" program should be referenced to
supporting documentation.

    3.   Page 1-2, equation (3) - Since this equation involves an
integration over time, a distinction in the various time parameters is
required since C  is a function of "t".

Appendix VIII

Clari fications

    1.   Page A-3, 1st paragraph under Fission-Product Release - It
appears that the pin rupture temperature was assumed to"be l500°F in the
BOIL code calculations.  This does not correspond to either of the two
temperatures cited in Appendix VII.
    2.   Page A-12, last sentence  under Bottom Flooding - The meaning of
this sentence is not clear, particularly the reference to "these"
flooding rates, and the reasoning that heatup of cores at elevated
temperatures is not prevented.

Editorial

    1.   Page 6, top of page - Nomenclature problem:  The ECR system
described here appears to be the same as the LPRS system used in most of
the rest of the Study documentation.

    2.   Page 7, last sentience - The starting time for CSIS is important.
The fact that it must operate for a considerable length of time has
nothing to do with start time considerations.

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                                31
    3.   Page 8, 1st paragraph under Core Meltdown - It is not clear what
is included in SIS failure (not previously defined) .

    4.   Page 34, Accident Time Scale - A discussion similar to this for
the PWR case would clarify the PWR containment discussion.

    5.   Page A-l, 1st paragraph under Pore Heatup Calculations - In view
of the application of the core heatup results to other PWRs and BWRs, the
statement that some of the results apply only to the specific designs
considered needs elaboration.

    6.   Page A-6, equation  (A-9) -  Q     apparently should be
    7.   Page E-9 - The pressures in this assessment should be labelled
psig or psia, whichever is appropriate.

Appendix X

Clarifications

    1.   Page 6, first paragraph - Although the site geology is
         described, a description of what the plant is actually built on
         is not mentioned, as was done for the BWR on page 7.

    2.   Page 45, Note (4) - The Bijlaard formulae have not been defined
         in the text.

    3.   Page 94, first paragraph - It is indicated that the IHSIS (LPIS
         elsewhere) injects into the RCS hot legs.  Figure 11-53 of
         Appendix II, Vol. 2, shows injection into the cold legs and the
         text associated with the figure also indicates cold leg
         injection.

    4.   Page 94, third paragraph - The discharge pressure of 300 psig
         does not appear compatible with the 225-foot head stated on page
         275 of Appendix II, Vol. 2.

    5.   Page 168, item 2 at bottom of page - This item states that the
         assumption of a 40* tilt of the MSIV actuator axis is a
         conservative assumption since "one expects vertical installation
         to be the usual practice." It is not clear why the actual
         orientation for the Surry plant was not determined in order to
         establish the validity of this conservation.  (Figure 28 shows
         an MSIV with about a 40° tilt to the actuator) .

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                                32
Editorial
    1.   The nomenclature used for the various reactor systems is not
         consistent with the rest of the Study.    Examples are:

    App A, Page IB - Low Head Safety Injection System vs Low Pressure
              Injection Systems

                   High Head Safety Injection System vs High Pressure
              Injection Systems plus Accumulator Systems

                   Containment Racirculation Spray Systems vs Containment
              Spray Recirculation Systems

                   Core Spray Systems vs Core Spray  Injection System

                   Residual Heat Removal Systems vs  Post Accident Heat
              Removal.

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                                   33
Sunroary Report

Editorial

1.  Page 2, 1st sentence - The sources for the results in Figures 1, 2, &
3 should be identified, and the figures explained in more detail (ie. time
period covered, population covered, etc).

2.  Page 8, 1st paragraph, last sentence - Depending on schedules and
definitions, this statement may be incorrect.  Port St. Vrain (330 Mte-
ifKSR) should start up this year, and Fulton 1 (1140 MWe-HTGR)  is scheduled
for startup in 1979.


3.  Page 26, Section 2.21, 1st paragraph - A more effective qualification
of the WASH-740 results would be to quote the cover letter transmitting
the Study to the JCAE in March 1959.  This letter, presunably written by
the authors of the report, says, in part:

"Pessimistic valuest leading to great hazards, were chosen for the
nunerical values of many uncertain factors which influence the final
nagnitude of the resulting damage.  It can therefore be concluded that
these theoretical estimates are greater than the damages which would
actually result in the unlikely event of such an aocMent."

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                                   34


              OOtrrRACT WITH INTEPMOUNTAIN TKCJINOLOGIFS, INC.

                    CONTINUING WASH-1400 REVIEW TASKS

A.  Failure Mode Paths Selected for Review

    ].    HWR-Reactor Protection System-Review to determine credit taken
    2.    HWR-Transient #1                for backup Boron injection undrr
    '.\.    WR-Transicnt #2                BWR transients selected fo]].ovinq
    4.    W/R-Transient #3                investigation of H'/R Reactor
                                         Protection Syster..

    5,    PWR-Electric Power Systems -  Independent evaluation of Electric
                                         Power System Availability-

    fi.    PWR-lligh Pressure Injection   Review to determine the extent that
           System                        possible troublesome break  1 ocations
    7.    PWR-Small Break #1              have been accounted for.
    8.    PWR-Small Break #2

    
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                PART 2
AUGUST 15,  1975 COMMENT IETTER TO THE NBC

-------
  UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

                   WASHINGTON. D.C. 20460
                    15AUG1375
Mr. Saul Levine
Oeputy Director
Office of Nuclear Regulatory itesearch
U.S. Nuclear Ifcgulatory Ccr.mission
Washington, U.C.   20555

Dear I-lr. Levine:

    Hie Environnental Protection Agency's convents  from the
second phase of its review of draft vasn-1400  ("Reactor Safety
Study/Vn Assessment of Accident Risks in U.S. Commercial Nuclear
Power Plants") are transmitted in this letter.

    Because of the significance of the Reactor  Safety Study
boward establishing the accident risk associated with nuclear
powar plants, ve chose to review the draft report of the study in
two phases.  The comments from our first phase  review,  an overall
review of the draft WASH-1400, were transmitted, to  you  by our
letter of November 27, 1974.  The second phase  review was an
intensive examination of selected areas of draft W&SH-1400 to
determine if there vrere deficiencies in their evaluations and to
estimate the significance of the deficiencies with  respect to tie
related risk calculations in draft VBSLI-1400.   This effort
provided a deeper appreciation of the degree of thoroughness with
which the Heactor Safety Study staff has applied the study
iiGthodology and of the sensitivity of the study results to
changes in individual parameters or in single event
probabilities.

    We have endeavored to keep your staff informed  of the
preliminary findings of our second phase review as  they became
available.  It is hoped that the Keactor Safety Study staff finds
the comments we are now transmitting, as well as our previous
comnents, to be useful in their preparation of  the  final study
report and in their refinement of the study methodology.

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                         -2-
    LPA obtained additional technical support for the review
effort through a contract with Intermountain Technologies, Inc.
(ITI) of Idaho Falls, Idaho.  ITl's report titled "A Review of
the Draft Import Heactor Safety Study (WASH-1400)" is transmitted
with this letter.  This report details ITI's findings from its
in-depth examination of selected aspects of the work presented in
draft WASH-1400 in support of our second phase review and it
serves as documentation supporting sane of our Garments.  At
present, only a limited number of copies of the TH review are
available; the report will be issued for general distribution
within a few weeks as an EPA report.

    Wliile EPA endorses specifically the recanrivjndations of ITI's
report and tlie report's conclusions and observations in general,
the following contents enphasize EPA's position, which is based
in part on ITI's reconnendations as well as on other EPA
findings.

    The second phase review findings indicate that although
errors, omissions and other deficiencies were found in areas of
draft NASH-1400, the vast majority of these were found not to
have a significant effect on the overall risk estimates.  More
than a dozen areas were investigated in this phase but the only
one which was found to have a significant potential for
increasing the estimate of overall risks was the assessment of
transient-without-scram accidents for boiling water reactors.
The results of our second phase review have not: altered our
opinion that the Reactor Safety Study provides a forward step in
risk assessment of nuclear power reactors, and that the study's
general methodology appears to provide a systematized basis for
obtaining useful assessments of the accident risks where
empirical or historical data are presently unavailable.  There
are a number of areas of nuclear power tecl\nology which should be
considered as candidate areas for future application of a refined
form of the Reactor Safety Study methodology, .including different
versions of contemporary light water reactors, high temperature
gas cooled reactors, liquid metal fast breeder reactors, and
variations such as barge mounted power plants.

    The Reactor Safety Study has also served to provide a picture
of the state of knowledge of the physical processes and the event
sequences that might occur in a nuclear power plant under severe
accident conditions and of the consequences of such accidents.
It is certain to help in the development of the reactor safety
research program, and it may provide insight leading to

-------
                         -3-
innovations in reactor protection systems and encdneered safety
systems.

    Although the draft Reactor Safety Study report does not mate
an absolute judgment on nuclear power plant accident risk
acceptability, the comparative risk approach presented in the
sumnary and in the main voluma of the draft report is likely to
imply an acceptability judgment to the average reader.  EPA
recognizes that the comparative risk approach is a first step in
addressing this question, but by itself is Misleading.  The
summary presentations in draft WASH-1400 serve: to illustrate sane
of the problems with the comparative risk approach, as do sons of
the observations on the subject in ITI's report.  It is not an
accurate comparison to conpare risks estinated from calculations
to risks estinated from experience, to omit latent deaths from
comparisons of fatalities nor to compare acute fatalities to
latent.  A better appreciation of the risk estimates could be
gained if their uncertainties were added to the graphs.  It
should also be acknowledged that the risk from nuclear power is
not only the risk from severe accidents, but it also includes the
risks from normal operation of nuclear power plants, from
associated transportation and storage of radioactive material,
from other fuel cycle facilities, and from such potential
activities as sabotage and terrorist diversion of materials.  It
should be made clear in the final WASH-1400 that the study
attempts to quantify the risk of accidents from contemporary
light-water reactors and does not, by itself, make judgments on
the acceptability of quantifications made, althoi^h-sttch
quantifications may be put into perspective through appropriate
conparison with otter risks.

    Draft WASH-1400 shews that the transient-^athout-scram
accident sequences for boiling water reactors (BWRs) make a major
contribution to the overall accident risk.  The treatment of
several aspects of transient-without-scram accidents should be
carried out in more detail to avoid unrealistically high risk
estimates; an example is the determination of the combinations of
control rods whose failure results in failure to scram.  Other
aspects of transient-without-scram accidents need better
justification of the failure probability values chosen; tlie
assessments of the single control rod insertion failure rate, of
the multiple and common mode control rod insertion failure rate,
and of the protection provided by the liquid poison injection
system are such that liigher failure probability values could have

-------
                          -4-
boen selected from the information given, with a potential for
increasing overall risks by as inuch as a factor1 of 2.

    Some areas were found which appear to be improperly or
incompletely considered but for which insufficient information is
available to determine quantitatively their risk inpact.  These
areas include human reliability, conmon mode failure
quantification, some aspects of design adequacy, and the
techniques for calculating the results of small pipe breaks in
pressurized water reactors.

    The area of common mode failure, in particular, needs further
elaboration, especially because the concept employed in the
Reactor Safety Study seems to be broader and inclusive of a
greater variety of failures than the usual interpretation of the
term.  The assertion that common mode failures do not contribute
much to the overall risk needs extensive and substantial
additional support in the form of comprehensive, logical, and
well-connected coverage of the subject.  The recent fire at the
Browns Ferry plant, an example of a common mode failure which
disabled a number of systems of two power reactors
simultaneously, emphasizes the need for thorough examination of
comnon mode failure.

    The discussion of design adequacy needs to be expanded to
include explicit description of the manner in which possible
design inadequacies in components, structures, and systems are
accounted for in the study methodology.

    The core meltdown and containment response analyses in the
draft VJASH-1400 were found to contain many oversimplifying
assumptions.  Even though these assumptions may not have a
significant effect on the overall risk analysis, better
justification for their selection should be provided.  These
oversimplifying assumptions appear to fall into t>ro classes;
assumptions made only for calculational convenience which should
be justified by suitable explanation, and assumptions made to
bridge over inadequacies in tiie state of loiowledge of physical
processes, which should be identified as such to emphasize the
need for further research.  It appears that there are especially
large uncertainties in knowledge of the behavior of the core and
its surroundings once the core malting begins.  The significance
of the oversimplifying assumptions appears to be due to their
influence on the probable sequence of events, i.e., whether tlie
lieating of the core is so rapid that it melts before effective

-------
                          -5-
cooling is restored, and, if effective cooling is not restored,
whether the containnent fails by excessive internal pressure or
by soma other mode.  For example, in part of the? containment
failure analysis in draft WASII-1400, it is assumed that a molten
core will generate considerable carbon dioxide gas by
decomposition of foundation concrete containing limestone
aggregate.  The analysis of save possible accident sequences
shows this gas providing sufficient additional internal pressure
to fail the containment before the pressure is relieved into the
ground by the molten core penetrating the foundation.  The
assumption that all foundations contain gas-generating aggregate
appears to lead unrealistically to higher risk estimates.

    It would seem reasonable from the explanation in draft WftSll-
1400 of the basis for selection of the pressure at which the
containnent of the example pressurized water reactor is assumed
to fail under accident-created conditions to haive selected a
lower pressure.  This explanation should be expanded to provide
more justification for the high pressure selected, because in a
number of possible accident sequences the failure pressure
appears to be a determining factor relative to release of
radioactivity to the atmosphere through the failed containment
wall or release into the ground by the core melting through the
foundation.

    The draft WASH-1400 has also served to call attention to
problems associated with the- response to an accident to mitigate
the consequences to the public.  In dealing with an accidental
release, the evacuation model of draft WASH-1400 includes a
warning time for evacuation which apparently begins at the time
of awareness of impending core melt.  In order to show that the
warning tine for evacuation is determined on a practical basis,
the final report should give examples of the limiting conditions
in the plant which are postulated as bases for the decision to
warn the neighboring population to evacuate, and the plant
instrumentation indications that will tell the operator that the
limiting conditions have been reached.

    Examination of design differences between the example
pressurized water reactor (PWR) of the Reactor Safety Study and a
PWR more representative of the expected 1980 population of PWRs
indicates that some results from the example PWR are not
applicable to the whole 1980 PWR population.  However, the
differences in overall risks between contemporary types of PWRs
or between contemporary types of boiling water reactors (BWRs)

-------
                           -6-
are thought likely to be smaller than those  found  in  the  study
between the exanple PWR and tlie exajiple BV7R.
    Tlie enclosed ITI report contains figures showing  revisions  of
heal tli effects data of draft VJASH-1400.  Each of these  figures
shows the health effects of draft WAS1I-1400 adjusted  for one
suggested change only,  These figures do not represent  EPA's
estimates of consecfuences because the figures do not  include  all
the necessary corrections to the data of draft WASii-1400.
Similarly, the estimates in the discussion of tritium release
considerations in ITI's report are sufficient to show that the
potential effects of tritium releases are small compared to those
from some other types of radionuclides ; they should not, however,
be construed as presenting an EPA dose model or health  effects
calculational procedure .
        U.S. Atomic Energy Commission published an  "Interim
General Statement of Policy" dated August 21,  1974, with  respect
to the Iteactor Safety Study, that states '"The  study wlien
conplcted will be tlie subject of thorough evaluation by the
Canmission, tlie independent Advisory Committee on Reactor
Safeguards, and the Commission's staff with respect to both the
basic question whether the risks portrayed by  the study are
acceptable from the standpoint of the Contnission's  statutory
responsibility to protect the health and safety of  the public,
and the related question whether any changes in the Commission's
safety or environmental regulations are warranted,/' A basic
conclusion to such an evaluation is whether or not  the risks have
been portrayed by the study with adequate accuracy  and precision.
It is recommended that additional care be given to  assuring that
the results of the study are realistic and to  reducing the
uncertainties .

    Our major reservation with res[.>ect to tJiis study is the
implied acceptability of the estimated risks to society .
Although the study has made major inroads into quantification of
accidental risks from nuclear reactors, the acceptability to
society of such accidental risks lias not been  analyzed.   It
appears that WASH- 14 00 cannot, nor should it,  address the
acceptability to society of the risk estimates derived.   It is
important, however, that WASIi-1400 not be susceptible to  the
interpretation that it presumes such acceptability.  Thus,  tlie
quantification of risk determined by this study and implications
of their acceptability should be clearly differentiated to
eliminate any potential confusion.  The Pcactor Safety Study's
sunirary presentation should be modified to qualify  the risk
comparisons with irore emphasis that tJiey are only a first step

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                             -7-
toward tlie evaluation of risk acceptability £ind that conclusions
with regard  to tlie acceptability of  tlie  risks can only be drawn
     otlicr factors arc considered.
    vfc are  looking forward to the  final rc[»rt WASJl-1400, and \-ie
are interested in the plans of the Nuclear Jixjxilatory Ccwninsion
for L'ux^tJicr application of the inethodolajy cbvelopnd in Uie
li.^\cbor .Safety Study.  In tliis respect, we urye tJiat a continuouis
effort be maintained -to refine, iiq;jrove and extend tiie
methodology.
    We v«uld be pleased to discuss our ccmncnts widi you if they
require ^iny  clarification.
                                Sincerely yours,
                                VJ0 U.  Po-je,  Ph.D.
                          IJeputy Assistant Aur:iinistrator
                            for l^adiation  Proc/rai.is (AiJ-553)
; ;nc].osure

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           PART 3

     FINAL REPORT BY ITI

A REVIEW OF THE DRAFT REPORT
    REACTOR SAFETY STUDY
          WASH-1400

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     The contract report reproduced as Part 3 of this report was
prepared as an account of work sponsored by the Environmental
Protection Agency.  The contract report is being published so that
it will be available as a resource to the scientific ccnmunity and
the general public.  It does not necessarily represent the views or
policies of the Environmental Protection Agency.  In particular,
the doses and health effects indicated in the contractor report do
not represent EPA's estimates of consequences because the figures do
not jjnclude all the necessary corrections to the data of WASH-1400.

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    A REVIEW OF THE DRAFT REPORT

   REACTOR SAFETY STUDY  (WASH-1400)
                  By

              P. R. Davis
        Contract No. 68-01-2244
            Project Officer

            Dr. Jerry Swift
     Office of Radiation Programs
             Prepared For
     Office of Radiation Programs
U. S. Environmental Protection Agency
        Washington, D.C. 20460

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This report was prepared by Intermountain Technologies, Inc. (ITI)

as an account of work sponsored by the Environmental Protection

Agency (EPA).  Neither ITI, nor any person acting on behalf of ITI:
     a.  Makes any warranty or representation, express or
         implied, with respect to the accuracy, completeness,
         or usefulness of the information contained in this
         report, or that the use of any information, appa-
         ratus, method or process disclosed in this report
         may not infringe privately owned rights; or

     b.  Assumes any liabilities with respect to the use of,
         or for damage resulting from the use of, any infor-
         mation, apparatus, method or process disclosed in
         this report.

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                               ABSTRACT

This report presents the results of a review of  the draft document,
"Reactor Safety Study - An Assessment of Accident Risks in U.S. Com-
mercial Nuclear Power Plants"  (WASH-1400), prepared by the United
Slates Atomic Energy Commission and issued August 1974.  The purpose
of the review was to provide the Environmental Protection Agency with
technical support for assessing the range of applicability of the
    *
methods, techniques, and data  utilized in WASH-1AOO.  The review con-
sisted of:  (1) a selection, based on a preliminary review, of areas
in WASH-1400 which appeared to contain errors which could have a sig-
nificant effect on the results, and (2) an in-depth technical review
of each area selected to determine the applicability of the results to
the. assessment of nuclear power plant risks.

In the sections of WASH-1400 reviewed, certain errors, omissions, and
inconsistencies were found.  Most of these deficiencies were found not
to have a significant effect on the overall results and conclusions of
the- study, although most tended to increase the  calculated risks.  In
some cases, the effects of an apparent deficiency could not be deter-
mined due to lack of information or resources.   In these cases, sensi-
tivity studies would be necessary to determine if the deficiencies are
significant.  One area, the risk contribution from boiling water reac-
tor anticipated transients, was judged to present a potential for sig-
nificant] y increased risks.

WASH-J400 provides a major contribution to risk  assessment related to
nuclear power plants.  The methods,  data base, and analysis used in
WASH-1400 form an important foundation for a systematic approach
                                  ii

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to help identify technical areas needing additionaj. research and develop-



ment to further reduce risks from nuclear power.
                           %






This report was submitted in fulfillment of Contract Number 68-01-2244



by Intermountain Technologies, Inc., under sponsorship of the Environ-



mental Protection Agency.  Work was completed as of May 1975.
                                 iii

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                               CONTENTS
ABSTRACT                                                   ii
LIST OF FIGURES                                            vi
LIST OF TABLES                                             ix
ACKNOWLEDGEMENTS                                           xi
SECTIONS:
     I.   CONCLUSIONS                                       1
    II.   RECOMMENDATIONS                                   A
   III.   INTRODUCTION                                      8
    IV.   GENERAL RESULTS                                  17
     V.   ANALYSIS                                         21
          A.   Failure Mode Paths                          2l
               1.  BWR Reactor Protection System Failure   22
               2.  BWR Transient Accidents                 33
               3.  BWR Electric Power System Failure       34
               4.  PWR Electric Power System Failure       37
               5.  PWR High Pressure Injection System      46
                   Failure
               6.  PWR Small Break Loss of Coolant         63
                   Accident Analyses
               7.  PWR Loss of Power Transient             75
                   Accident Sequence
               8.  BWR-PWR Component Failure Modes         86
                   and Rates
               9.  PWR Low Pressure Injection System       108
                   Failure
              10.  PWR Low Pressure Recirculation          113
                   System Failure
                                   iv

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                                                       Page
        B.   Consequence Areas                          119
             1.  Parametric Studies of Core Meltdown    120
                 (PWR)
             2.  Containment Response - Failure         128
                 Pressure (PWR)
             3.  Containment Response - Pressure        137
                 History (PWR)
             4.  Tritium Release Considerations         151
                 (BWR-PWR)
  VI.   GENERAL OBSERVATIONS                            156
 VII.   REFERENCES                                      175
VIII.   GLOSSARY                                        180
        APPENDIX A                                      181

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                            LIST OF FIGURES

No.

 1        Effect of Changes in BWR Reactor Protection      28
          System Analysis

 2        Effect of Reducing Frequency of BWR Transient    35
          Accidents by 1/3

 3        Revised Quantitative Pictorial Summary for       50
          One of Three HPIS Pumps with Point Failure
          Estimates

 4        Quantitative Pictorial Summary of HPIS Failure   51
          with Point Estimates Showing Effect of Q f
          Increase

 5        Revised Quantitative Pictorial Summary for       52
          Two of Three HPIS Pumps with Point Failure
          Estimates

 6        HPIS-LPIS Piping Intersection Diagram            55

 7        Quantitative Pictorial Summary of HPIS Failure   56
          with Point Estimates Showing Effect of Q
          (Single Failure) Increase

 8        HPIS Modified Double Failure Contribution        58
          Summary

 9        Time Top of Core Uncovered vs Break Size -       68
          Pump Discharge Break
                                                  2
10        Two Phase Fluid Level vs Time for 0.2 ft         69
          Pump Discharge Break

11        Core Fluid Level vs Time for 0.087 ft2 Pump      70
          Discharge Break

12        Fluid Pressure in Core Region vs Time for        71
          Various Break Sizes - Pump Discharge Break

                                  vi

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No.                                                       Page

13        Peak Clad Temperatures vs Break Size at           73
          Pump Discharge  Break

14        Pipe Rupture Failure Data (Pipes >3-inch          88
          Diameter)

15        Pipe Rupture Failure Data (Pipes <3-inch          91
          Diameter)

16        Pump Failure to Run Data                          93

17        Diesel Generator Failure to Start Data            95

18        Revised Diesel Generator Failure to Start         98
          Data

19        Low Pressure Injection System Unavailability    110
          Contributions with Revised Numbers in
          Parentheses

20        Comparison of Trojan and Surry Low Pressure     112
          Injection Systems

21        Revised LPRS Contribution Pictorial Summary     116

22        RELAP4 Nodalization                             122

23        Core Liquid Level and Core Reflood Rate as      125
          Function of Time after Slowdown

24        Surry Containment Pressure During LOCA with     140
          CS1S and CSRS Failure

25        Surry Containment Pressure During LOCA with     142
          EPS Failure and No H? Combustion

26        Surry Containment Pressure During LOCA with     143
          EPS Failure and H- Combustion

27        Evacuation Effectiveness vs Containment         146
          Failure Time (T )

28        Trojan Containment Pressure During LOCA with    149
          Assumed Containment Safeguards Failures

                                  vii

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No.                                                      Page

29        Comparative Risk Curve from WASH-1400           157

30        Acute Fatality Curve from WASH-1400             160

31        Comparative Risk Curve with Uncertainties       161
          Shown as Quoted on Pg. 153 of Main Document
          (WASH-1400)

32        Whole Body Man-Rem Curve from WASH-1400         163

33        Acute vs Total Fatalities                       164

34        Total Fatalities with Uncertainties, Using   '   165
          Figure VI-7 of Appendix VI, WASH-1400

35        Acute Fatalities Showing the Effect of More     168
          PWRs than BWRs

36        Effect of Reducing Average Power of BWRs        170
          from 3200 MWt to 2400 MWt and PWRs from
          3200 MWt to 2650 MWt
                                 viii

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                            LIST OF TABLES

No.                                                       Page

 1        Initial Failure Mode Path Review Areas           10

 2        Final Failure Mode Path Review Areas             12

 3        Initial Consequence Areas Selected for           15
          Review

 4        Final Consequence Areas Selected for             16
          Review

 5        Results of Review of Engineered Safety           18
          Systems Failure

 6        Results of Review of Accident Sequences          19

 7        Results of Review of Component Failures          19

 8        Results of Review of Accident Consequence        20
          Areas

 9        Sensitivity of BWR Release Probability           24
          to Control Rod Failure Probability

10        Increase in Average Acute Fatalities Per        ..25
          Year from Increase in Control Rod Failure
          Probability

11        Error Rate:  Service Water Valves to Lube        48
          Oil Cooler not Opened by Operator when
          Pump Starts (FXVPASWX)

12        HPIS Comparison - Surry vs Trojan                60
                                  ix

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                                                          Page
Nk>.
13        HP1S Pump Success - Failure Combinations         61
          for Trojan and Surry

14        Small Break LOCA Computer Codes Used by          66
          PWR Vendors

15        Revised Probability Values for PWR Loss          81
          of Power Transient with Containment Failure

16        Comparison Between WASH-1400 and Revised         82
          Release Category 1 & 2 Probabilities

 17        Comparison Between WASH-1400 and Revised         84
          Average Acute Fatalities per Year from PWR
          Loss of Power Transient Accident

 18        Diesel Generator Failure-to-Start Data           97

 .19        Distribution  of  PWRs Expected  to be              171
          Operating by  1980

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                          ACKNOWLEDGEMENTS

The valuable assistance of the following individuals is hereby
acknowledged:
.1.   Dr. A. P. Moser, Utah State University, for assistance in the
    area of determining containment failure pressure.
2,   Dr. R. T. Jensen, Intermountain Technologies, Inc., for assist-
    ance in calculating core heatup and containment pressurization
    following a LOCA.
'i.   Mr. Ronald M. Wells, STAFCO Associates, for assistance in ana-
    lyzing the PWR and BWR Electric Power Systems.
A.   Mr. Frank Petree, Consulting Engineer, for assistance in analyzing
    BWR transient events and scram failures.
!>.   Mr. W. C. Gekler, Holmes and Narver, Inc., for assistance in re-
    viewing the failure rate data base and other areas pertaining to
    component failures.
f).   Mr. S. 0. Johnson and Mr. G. F. Brockett, Intermountain Technologies,
    Inc.,  for overall guidance during the effort.
7.   Mrs. Helen Brown, Intermountain Technologies, for typing and editing.
                                  XI

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                            I.   CONCLUSIONS

The purpose of  the  effort  described  in  this  report  was  to  review  a
draft of WASH-1AOO  (Reactor Safety Study)  in selected areas  to  deter-
mine the range  of applicability of the  methods,  techniques,  and data
used in determining the  risk of nuclear power.   The objective of  the
review was to probe selected areas of the  report to the extent  neces-
sary (1) to determine  if the particular area was correctly evaluated
and, if not,  (2) to estimate a  measure  of  the significance of any
errors, omissions,  etc,  found in the risk  calculations  in  WASH-1400.
This section presents  the  conclusions of the review.

WASH-1400 represents a comprehensive and much needed  assessment of the
risks of nuclear power in  the United States.  It is by  far the most
extensive such  assessment  ever  attempted,  and represents a significant
improvement over previous  assessments of reactor safety.   It will like-
ly become a principal  basis  for  many decisions regarding the safety of
nuclear power for generating electricity in  the  United  States and for
guiding future  reactor safety research  and development.

It should be recognized  that in  any first effort  of the magnitude'and
complexity of the Reactor  Safety Study, errors,  omissions, and other
deficiencies are certain to  occur.  The existence of  these deficien-
cies should not be  construed as  invalidating any  of the WASH-1400 results
unless such deficiencies can be  clearly demonstrated  to have a substan-
tial effect on  the results.  Nevertheless, because  of the potential
importance of WASH-1400  to future policy decisions, it would appear
appropriate to  correct to  the extent possible even the minor deficien-
cies which do not appear to have a significant effect on the results.

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Some of the conclusions presented in this section are based on numer-
ical revisions of a particular area with new risk values computed for
the purpose of establishing the significance of an apparent deficiency.
It should be emphasized that these revised risk values are, in most
cases, gross approximations provided only to establish some measure of
the potential significance and to.provide justification for a recom-
mendation that a particular area requires additional analysis.  The
specific conclusions from the review are as follows:

(1)  Although errors, omissions, inconsistencies, and questionable
     assumptions were found in many areas of WASH-1400, the vast
     majority of these deficiencies were found not to have a signifi-
     cant effect on the overall risk assessments.

(2)  The summary presentations in WASH-1400 for comparing the risks of
     nuclear power with other man-caused risks are sometimes mislead-
     ing and incomplete.  Factors such as obscuring latent deaths from
     nuclear power, not illustrating calculational uncertainties in
     nuclear power risks, and making comparisons of calculated nuclear
     risks with actual risks from other sources without emphasizing the
     distinction sufficiently, all tend to undermine the strength of
     the WASH-140Q conclusions, both expressed and implied.

(3)  The WASH-1400 risk assessment from transient without scram acci-
     dents for boiling water reactors appears to be the most signifi-
     cant analysis problem found in the report.  In this case, a
     preliminary sensitivity study indicates that re-evaluation of the
     consequences of this accident may increase the WASH-1400 calcu-
     lated risks from BWRs.

(A)  Several areas were found which appear to be improperly or incom-
     pletely considered but for which insufficient information is
     available to determine quantitatively their risk impact.   These
     areas include

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         human reliability
         PWR small break calculational techniques
         common mode failure quantification
         some aspects of design adequacy.

(5)   The validity of applying the results of the risk assessment using
     the Surry reactor, chosen to represent all PWRs in WASH-1400, to
     the 60 to 70 PWRs expected to be in operation by 1980 needs addi-
     tional consideration in WASH-1400.  In several areas, design dif-
     ferences between the Surry plant and a plant more representative
     of the 1980 plant population indicate that the Surry results may
     not apply.  Surry represents a PWR design similar to only about
     20 percent of the anticipated 1980 PWR population.

(6)   The core meltdown and containment response analyses were found to
     contain many oversimplifying assumptions.   Although these assump-
     tions may not have a significant effect on the overall risk
     analysis, very little justification was included in the analyses
     for selecting the assumptions.

(7)   The basis for selecting the PWR containment failure pressure was
     found to be deficient,  and the failure pressure, selected appears
     to be too high.

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                         II.  RECOMMENDATIONS

(1)  Although most of the deficiencies found in WASH-1400 did not
     appear to have a significant effect on the overall quantitative
     risk assessments, such deficiencies should be repaired, along
     with the major problems found, for the following reasons:  (a)
     the existence of errors, omissions, inconsistencies and question-
     able assumptions in the report tends to undermine the confidence
     gained by the reader in the results, especially since in many
     cases the significance of such deficiencies cannot be assessed
     without detailed analysis, (b) as the more significant deficien-
     cies in the report are repaired, the effect of some of the minor
     problems could be amplified.   Changes in reactor design, as well
     as operating and maintenance characteristics, could shift the
     emphasis and accentuate the significance of deficiencies which
     presently appear to be minor.

(2)  The final results of the Study, especially those portions pertain-
     ing to comparisons between nuclear and other man-made risks,should
     be revised to clearly and consistently indicate:

     (a)  That the nuclear risks are calculated while other risks
          are derived from actuarial data,

     (b)  The substantial uncertainty associated with the nuclear
          risk calculations,

     (c)  The latent  death risk from nuclear power plants.

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(3)   The areas of
          human reliability,
          commpn mode failures, and
          design adequacy
     are not quantified or explained to the extent nescessary to deter-
     mine if proper consideration has been given to them in computing
     overall risks.  Some of these areas appear to be improperly con-
     sidered.   It is recommended that additional information be pro-
     vided which will clearly indicate in a systematic and consistent
     manner how these areas were evaluated and how the results were
     included in the risk assessments.

     In addition, selected aspects of the use of the failure data
     considered in the report should  be improved, particularly the
     assessment of pipe rupture probability.  These are specifically
     identified in Section V of this report.

(A)   Additional analysis is recommended to justify and confirm the valid-
     ity of the  simplifying assumptions selected for the core melt-
     down and containment response analysis contained in Appendix VIII
     of WASH-1400.  A reassessment of the PWR containment failure
     pressure is also recommended as it appears that too high a value was
     used.  .A lower value would increase the risks from PWR accidents.

(5)   Efforts should commence immediately to extend the Study to cover:

     (a)  PWR designs other than that represented by the Surry plant
          selected for analysis in WASH-1400 - Of the 60 to 70 PWRs
          expected to be operating by 1980 (stated to be covered by
          the  WASH-1400 results),  only about 20 percent are of the
          Surry design.   Some of the plants differ in design consider-
          ably from the Surry plant, and no assurance is available

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          that the Surrv results apply to these plants as assumed t>v
          WASH--1/.DO.

     (h)  Plants which will commence operation beyond 1980 - The Study
          considers only the 100 reactors expected to be in operation
          by 1980.  This represents only slightly more than 40 percent
          of all reactors currently operating, under construction, or
          on order.  In view of the fact that the Study, by the time
          the final report is issued, will have taken something over
          three years to complete, it is not too soon to begin an ex-
          tension of the Study to encompass plants scheduled for oper-
          ation beyond 1980.  An analysis of risks from offshore plants
          should be considered in such an extension.

     (c)  Gas-cooled reactors - Although gas-cooled reactors at present
          represent a relatively small (one operating and six ordered)
          segment of the total reactor commitment in the United States,
          their risks need to be quantified to complete the reactor
          risk assessment.   It is possible that the gas-cooled reactor
          could become a significant part of the reactor population in
          the future.  Also, an early risk assessment could identify
          problem areas which could be eliminated before large scale
          operation of these plants commences.

(6)   The Study should be continuously maintained.   It is likely that
     the power plants covered by the Study will undergo design, opera-
     tional, and maintenance and testing changes,  some of which may be
     required by regulatory agencies.   These changes  should be factored
     into the Study in a timely manner to determine the effect of such
     changes on the risk evaluation.   As the number of operating re-
     actor-hours  increases,  the component failure  rate and accident
     frequencies  should be  monitored and periodically factored into
     the Studv.   This would  improve the  statistical basis  in  the Study,

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and could alter some of the results.  Continuous maintenance of
the Study would not only sharpen the focus of the quantitative
risk assessments, but would also have the potential of promptly
identifying problem areas, as well as proving the methods used
in the Study.

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                          HI.  INTRODUCTION

la August 1974, the United States Atomic Energy Commission  (AEC)  issued
a draft document, entitled "Reactor Safety Study - An Assessment  of
Accident Risks in U.S. Commercial Nuclear Power Plants"  (WASH-1AOO).
Tlio document concludes that risks to the general public  from power
reactor accidents are substantially less than from other man-made
risks and most natural disasters.

It; is expected that both  the methodology and the conclusions of WASH-
1400 will have a major impact on the assessment of the risks to the
public from the operation of nuclear power plants.  It is thus extreme-
ly important that the final version of WASH-1400 be as correct as pos-
sible, in its completeness, technical analysis, data base, and conclu-
sions.  It is recognized  that in any new effort of the nature and
magnitude of the "Reactor Safety Study," errors, omissions, misin-
terpretation of data, etc, are certain to occur in spite of the best
efforts of the authors.  However, it is important that such deficien-
c.ies be minimized.

The purpose of the effort described in this report was to review WASH-
1400 in selected areas to determine the range of applicability of the
methods, techniques and data used in determining the risk of nuclear
p.ower.  The objective of the review was to probe selected areas of the
report to the extent necessary in an attempt (1) to establish if  the
particular area was correctly evaluated and, if not, (2) to establish
.1 measure of the significance of any errors, omissions, etc, found in
the risk calculations in WASH-1400.

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In many cases  the stated risks were numerically  revised  to assess  the
impact of  the  particular discrepancy  found  in  the WASH-1400 analysis.
It should  be emphasized that  these revisions are, in most cases, gross
approximations provided only  to establish a measure of the potential
significance and to provide justification for  a  recommendation that a
particular area be re-analyzed.   In most instances, a rigorous and
detailed analysis, beyond  the scope of  the  effort described herein, is
required to arrive at a definitive numerical revision of the  risk.

The effort proceeded in three subtasks, as  follows:

Subtask I  - This, phase consisted  of a general  review of  the entire
document to select those areas requiring an in-depth assessment.  This
phase culminated in the preparation of  a work  plan which described
these areas and the basis  for their selection.   This work plan is
included in this report as Appendix A.  Each area was selected based
on (1) a determination that it may have a significant impact  on the
overall risk and (2) a determination  that errors may exist in the
analysis of the area as presented in  WASH-1400.  The areas selected
were grouped into two categories.  The  first category included those
areas related  to failure mode paths identified in WASH-1400.  These
failure mode paths included the accident event sequence as well as the
failure modes  of the safety system designed to control the accident.
A total of 12  areas were initially selected for  an in-depth assessment.
This number was later reduced to  10 as a result  of combining  and
slightly altering two areas.  The second category consisted of those
areas related  to establishing the consequences of each accident se-
quence.   The areas were selected  based on:  (1)  the area should sig-
nificantly influence either the magnitude or the time of release of
the radioactive material from the containment, and (2) the area, based
on the Subtask I review, was suspected to be incorrectly quantified,
improperly applied,or significant but not considered.  A total of six
areas were initially selected for analysis.   This number was  later

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reduced to four when it was  found expedient and  logical  to  combine
some of the areas.

Subtask II - This phase consisted of  an  in-depth assessment of  the
failure mode paths selected  in Subtask I of the  WASH-1AOO review.  The
paths initially selected consisted of the  following:

           Table 1 - INITIAL FAILURE MODE  PATH REVIEW AREAS

     1.   BWR reactor protection system  failure
     2.   BWR anticipated transient accident sequence (#1)
     3.   BWR anticipated transient accident sequence (//2)
     4.   BWR anticipated transient accident sequence (#3)
     5.   PWR electric power system failure
     6.   PWR high pressure  injection system failure
     7.   PWR small break loss of coolant  accident sequence //I
     8.   PWR small break loss of coolant  accident sequence #2
     9.   PWR loss of power  transient accident sequence
    10.   Component failure rates (BWR and PWR)
    11.   PWR low pressure injection system failure
    12.   PWR low pressure recirculation system  failure

After starting the review of each of the above areas, it became evident
that some modifications to the list were in order.  The first such
change was made to items 2, 3 and A (BWR anticipated transient accident
sequences).   It became clear that an in-depth analysis of these acci-
dent sequences would require resources beyond the limits provided in
the. contract.   Each analysis would require the use of complex computer
codes in which transient thermal-hydraulic and reactivity effects must
be accounted, for.   (An example of such a calculation may be found in
Reference 1).
                                  10

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Thus, items 2, 3 and 4 in Table 1 were replaced by a single item,
entitled "BWR Transient Accidents."

The second modification occurred after preliminary investigation into
items 7 and 8 (PWR small break accident sequences //I and //2) revealed
that, in order to properly investigate small break accidents, it would
be necessary to perform complex transient thermal-hydraulic calcula-
tions.  These calculations would require the use of computer codes not
available except in proprietary versions used by PWR vendors.  In re-
viewing the capability of such codes, it was found that substantial
differences in results existed in the calculations as published by the
vendors.  It was thus concluded that a useful task would be to perform,
a detailed review of.existing analytical techniques aimed at evaluat-
ing the credibility of the results.  Since WASH-1400 assumes, based on
vendor calculations as approved by AEC-Regulatory (now the Nuclear
Regulatory Commission), that adequate core cooling is provided for all
         i                                                   ' .
small break accidents (if emergency core cooling systems operate as
designed), it becomes important to examine the vendor calculations.
This effort takes on added significance based on the WASH-1AOO conclu-
sion that small break accidents are a dominant contributor to the
overall PWR risk assessment.  Thus, items 7 and 8 of Table 1 have been
replaced by a single item, entitled "PWR small break loss of coolant
accident analysis review."

The third, and final, modification was to add a review of the BWR loss
of power accident to the list.  This item was added when inconsisten-
cies and errors were found in the assumptions relative to operation of
the emergency diesel generators in the BWR fault tree of WASH-1400.

As a result of these modifications, the initial list of review areas
(Table 1) was changed to the following list:
                                  11

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              Table  2 - FINAL  FAILURE MODE  PATH' REVIEW AREAS

      1.   BWR reactor protection  system  failure
      2.   BWR transient accidents
      3.   BWR electric power system  failure
      4.   PWR electric power system  failure
      5.   PWR high pressure injection system  failure
      6.   PWR small  break  loss  of coolant accident  analyses
      7.   PWR loss of power transient accident sequence
      8.   BWR-PWR component failure  modes and rates
      9.   PWR low pressure injection system failure
    10.   PWR low pressure recirculation system  failure

The review procedure was identical for the areas in Table  2 which  con-
sist  of "systems."  Thus,  for  areas  1, 3, 4,  5,  9 and 10,  the review
consisted of three principal parts.  The first part involved' a detailed
review of the fault  trees  presented  in WASH-1400 (Appendix II, Vol. 2
and 3) to determine if the failure modes and  associated fault tree
logic were consistent and  correct.   In addition, failure rates were
traced through the trees to assure that  the final system unavailability
values were correctly computed.   The second part consisted of deter-
mining if significant potential failure  modes of each system could be
found which were overlooked.  The third  part  of  the procedure (appli-
cable only to PWR systems) consisted of  a comparison of the system as
analyzed in WASH-1400 for  the Surry  reactor to a plant more represen-
tative of contemporary PWR design.

                                                       (2)
The reactor selected for this comparison was  the Trojan    reactor
which is scheduled to come on line in 1975.   This third part was
included since the results in WASH-1400  are alleged to apply to ap-
proximately 100 reactors (Summary Report - WASH-1400)  which are ex-
pected to be in operation  by 1980, although the detailed fault tree
and consequences analyses  of WASH-1400 were specifically done for the
                                           (3)
Surry and Peach Bottom reactors.  The Surry    reactor is a 2441 MWt,
                                  12

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three-loop pressurized water reactor designed by Westinghouse Electric
Corp.  Of the approximately 67 pressurized water reactors scheduled to
be operating by 1980      , only 14  (21 percent) will be of the three-
loop Surry design.  Approximately 22 (33 percent) will be of the four-
loop design represented by Trojan.  (Beyond 1980, based on current
reactor orders, the number of four-loop plants is expected to exceed
50 percent of all:PWRs.)  It was thus concluded that the applicability
of the WASH-1400 analyses to all PWRs expected to be operating by 1980
could best be determined by ascertaining the applicability of the
results to a representative four-loop PWR.  It is also considered ap-
propriate that a similar comparison be made for other PWR designs (see
Section 11, Recommendations).

In order to accomplish the Surry-Trojan comparisons, a detailed com-
pilation was prepared of the design and operating 'features for the
Trojan systems selected in Table 2.  From this compilation, the Surry
fault trees from WASH-1400 were examined to determine if they were
applicable to the Trojan system.  Any differences were noted, and the
significance of the differences were evaluated where possible with
existing information.
With respect to BWRs, the Peach Bottom design analyzed in WASH-1400
represents 67 percent (22) of the 33 BWR plants scheduled to be operat-
ing in 1980-  Thus, Peach Bottom is representative of the majority of
BWRs to which the WASH-1400 results are stated to apply, and a compari-
son between Peach Bottom and a BWR of more contemporary design was not
deemed necessary as part of this review.  It should be noted, however,
that the basic Peach Bottom design, particularly the containment struc-
ture (designated Mark I) has been superseded by a sequence of two
designs called Mark II and Mark III^  .  Beyond 1980, the Mark I design
will represent an increasingly smaller number of BWR plant designs.
Summarizing, the review of each Table 2 system consisted of:  (1) a
review of the failure modes presented in WASH-1400 including the
                                  13

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application of failure  rate data;  (2)  an  investigation  to determine
ii any additional significant failure  modes  of  the  system could be
found, and (3) a comparison between the PWR  system  analyzed in WASH-
J400 and a PWR reactor  of more contemporary  design.

For the accident sequences listed  in Table 2  (areas  2 and 7), the
"event tree" sequence as contained in  Appendix  I was reviewed along
with supporting information contained  elsewhere in WASH-1400.  The
review consisted of determining if the accident event sequence and
time of events were properly considered.  Where appropriate, the prob-
ability of the accident was reviewed.  The effectiveness of systems
designed to mitigate the accident sequence was  explored in some cases,
and events considered likely to occur which were not discussed in
WASH-1400 were analyzed.

Area 6 of Table 2, "PWR small break loss  of coolant accident analyses,"
has been discussed previously in this section.  In summary, this re-
view consisted of determining if the small break loss of coolant acci-
dent analysis performed by the vendors is appropriate as used in
WASH-1400.

Area 8 of Table 2, "BWR-PWR component failure rates," consisted of re-
viewing Appendices III  (Failure Date), IV (Common Mode Failures), and
X (Design Adequacy) of WASH-1400.   The review was directed towards de-
termining that:

     (a)  the data sources utilized in WASH-1400 were applicable
          and properly applied,
     (b)  applicable data sources were considered,
     (c)  common mode failures were properly considered and
          accounted for,
     (d)  appropriate attention was given to considerations
          of  design adequacy,  and
                                  14

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      (t1)   component  failure rote vaiuas were properly  computed  from
           the,  data USC.d.
Jn all ol  the  areaH  lioted in Tab It* Zf miseel.1aneoun  errors,  I
tfncicH,  ftc,  which  were judged to have only minor  Impact  on  the re-
      , have  buc-n  included in « separata neetioii ol  ett«h  review.
                            cen»iit«id o£ flnalyaln^  uceldmit  consequence
      seltn-tt'd  during 8ubu«»k 1.  The aceaa Hdloctud  and  the  boslH  foi
welection  aru  discussed in Appundix A,  Thy aroaM  eonsisted ol  I HOHC
         find  parfltnetera affecting the magnitude and  timw sequence ol
         of  fission ptoduets to th« eontainmc'iit I rom Clio core  during  an
acc-idtin! .   Excluded from the analysis contained  heroin, with  the ex-
ception  of  tritium rtlease, was any eonslderation  of  factors  affe
the dJHtrlbut^on  and biological «£fect of fiwsion  produetfl  beyond the
containracntt  boundary.   A rc-vli^w of thiw aroa  (Appendix V] of  WASH-
wa« done .Independently by the Knviifonmtntal Protection Agency.

Tltf Initial  JJwt  of are MM we,U>c,ted is shown in Table  3.

                  TabJe t - 'INITIAL CONSEQUENCE AKKAH
                              SELECTED FOR RRVTBW

      I.    Cote  Parameters Prior to Meltdown Calculation
      ?.    Core  Meltdown CalculatlonH
      'I.    Contttinmt'nt  Response " Failure T'r^HHute  (PWR)
      ft.    Containment  ResponH^ - Preisure History  (PWR)
      f>.    AppllcabJ.Hty of Containment Respotme  to  Other  BWR-PWR
     fi.   TritJtim  Release  ConMlde.ratlonH

Thin (JHt wan modified  when  J t  became obvJouM tluu t'ontlnuley  could  be
Improved bv eombininR  1 with U  and 5 with 'I.  In utM-teral,  It wa«  ln\-  '
     b'le to quantitatively determine the effect ol different parametric

-------
assumptions regarding the state of the core prior to the meltdown
(area 1) transient without performing the meltdown calculation  (area 2).
Area 5 was combined with area 3 in order to provide a more direct com-
parison of containment response between the reactors selected in WASH-
1400 and those of more recent designs.  Thus, the consequence areas
selected became the following:
                 Table A - FINAL CONSEQUENCE AREAS
                             SELECTED FOR REVIEW
     1.   Parametric Studies of Core Meltdown  (PWR)
     2.   Containment Response - Failure Pressure  (PWR)
     3.   Containment Response - Pressure History  (PWR)
     4.   Tritium Release Considerations (BWR-PWR)
                                  16

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                         IV.  GENERAL  RESULTS

The results of the review of  the areas described  in  Section  III  and
Appendix A are presented in summary  form  in Tables 5,  6,  7 and 8.
Table 5 presents the results  of the  review of emergency systems  de-
signed to control the consequences of  the various accidents  considered
in WASH-1400.  Each system is considered, and the results of each part
of the review are presented.  The results are classified as  discrep-
ancies having an insignificant  (I),  significant  (S), or indeterminate
(M) effect on the overall risk.  The letter "N" is used to indicate
that "no discrepancy was found.  "Significant" is defined as  any  change
that appears to result in a factor of  two or greater change  in the
acute deaths computed in WASH-1400.  The symbol (+) means that the
risks would appear to be increased if  the discrepancy were resolved
and (-) means they would appear to be  decreased.

Table 6 is a similar comparison of the two accident sequences reviewed.
As in Table 5, the results of each accident sequence review  are  indi-
cated by symbols in the table.  The  legend below the table explains
the symbols, which are similar to those used in Table 5.

The results of the item 8 (BWR and PWR Component Failure Rates)  review
area are shown in Table 7.  Three areas were evaluated:  Component
Failure Data (Appendix III),  Common  Mode Failures (Appendix  IV), and
Design Adequacy (Appendix X).  The main general review categories are
shown.  "Quantified" refers to the extent to which the information in
each Appendix was numerically evaluated in a form suitable for appli-
cation to the main WASH-1400  risk assessments.  "Complete" refers to
the extent to which applicable data  sources were used and whether ap-
propriate aspects of the subject being evaluated in each Appendix were
                                 17

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                      Table 5 - RESULTS OF REVIEW OF ENGINEERED SAFETY  SYSTEMS  FAILURE

Errors
Omissions
Compari-
son-PWR
only
BWR Reactor
Protection
System
S (+)
N
—
BWR Electric
Power System
I (+)
N
—
PWR Electric
Power System
I (+)
I (+)
M (-)
PWR High Pres-
sure Injection
System
I (+)
I (+)
M (+)
PWR Low Pres-
sure Injection
System
I (+)
N
M (-)
PWR Low Pres-
sure Recircu-
lation System
I (+)
I (+) |
i
I (+)
     
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             Table 6 - RESULTS OF REVIEW OF ACCIDENT
                                SEQUENCES

Errors
Omissions
BWR Transient
Accident
I (-)
N
PWR Loss of Power
Transient Accident
N
I (+)
  N - no discrepancy found.

  I - discrepancy found, but assessed to result in an insignificant
      change in the overall risk.

  M - discrepancy found, but the risk impact could not be definitely
      determined due to limited resources or insufficient informa-
      tion.

(+) - correction of the discrepancy would result in an increase in
      the overall risk.

(-) - correction of the discrepancy would result in a decrease in
      the overall risk.
              Table 7 - RESULTS OF REVIEW OF COMPONENT
                                 FAILURES

Component Failure Data
Common Mode Failures
Design Adequacy
Quantified
Yes
Partially
No
Complete
Yes
Yes
No
Applied
Yes
Partial-
ly
Indeter-
minate
Errors
Yes
No
No
                               19

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considered.   "Applied" refers to the extent to which the results were
translated into the main stream of the WASH-1400 risk evaluations.
The "Errors" column is an assessment of whether errors of potential
significance were found in each Appendix reviewed.  In most cases, due
to incomplete information, it was not possible to establish the signi-
ficance of the shortcomings found in each Appendix.  The results shown
in Table 7 represent general assessments in the four rather broad cate-
gories.  Specific and detailed assessments can be found under Section
V, item 8.

The results of the consequences area review are shown in Table 8.  Ex-
cept in the case of Tritium Release, which was not discussed in WASH-
1400, no omissions were found.  There were, however, apparent errors
in the WASH-1400 analyses for the other three areas, as shown in
Table 8.  In none of the cases was an attempt made to quantify the
change because of limited resources or lack of sufficient information.
              Table 8 - RESULT OF REVIEW OF ACCIDENT
                             CONSEQUENCE AREAS

Errors
Omissions
Parametric Studies
of PWR Core Melt-
down
M (+)
N
PWR Containment
Response-Pressure
History
M (?)
N
PWR Containment
Response- Failure
Pressure
M (+)
N
BWR-PWR
Tritium
Release
(1)
I (+)
(1)  not considered in WASH-1400.
  I -discrepancy found but assessed to result in an insignificant
     change in the overall risk.
  M -discrepancy found, but the risk impact could not: be definitely
     determined due to limited resources or insufficient information.
  N -no discrepancy found.
(+) -correction of the discrepancy would result in an increase in
     the overall risk.
(?) -change in risk could not be determined.
                                  20

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                            V.  ANALYSIS

This section presents the detailed analysis of each of  the areas se-
lected in WASH-1400 for review as discussed in the Introduction and in
the work plan included as Appendix A.  The analysis is  divided into
two parts.  The first part includes  those areas which affect the fail-
ure mode paths considered in WASH-1400.  These ten areas are listed in
Table 2 of the Introduction, and include:  (a) six reactor systems,
(b) three accident sequences, and (c) an assessment of  component fail-
ure modes and rates.

The second part of the analysis includes the four consequence areas
selected for review as listed in Table 4 of the Introduction.  For
these four areas, a review was made  of the WASH-1400 analysis (if con-
sidered therein), and an independent analysis was conducted and com-
pared with WASH-1400 results.

A.   FAILURE MODE PATHS

The ten failure mode paths considered in this part of the analysis were
reviewed in the following manner:  For the six reactor  systems, the re-
view consisted of a general review of information contained in WASH-1400,
an assessment of any omissions found, and, for the PWR  systems, a de-
termination of the applicability of  the Surry reactor system analysis
to the corresponding Trojan reactor  system.  For the three accident
sequences, the review consisted generally of an assessment of the acci-
dent sequences considered and the validity of selected  assumptions.
The assessment of component failure modes and rates includes a review
of Appendices III (Failure Rate Data), IV (Common Mode  Failures), and
X (Design Adequacy) of WASH-1400.  The review proceeded as follows:
                                  21

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 1.   BWK Reactor Protection System Failure
 Cent-raj Review - An .in-depth review was performed of the BWR reactor
 protection system failure-to-scram analysis.   The analysis, presented
 in  Appendix II, Vol.  3,  Section 6.2 of WASH-1400, was found to be
 correct except for two areas in the analysis of three adjacent rods
 failing to insert upon scram demand, and the credit taken for liquid
 poison injection.

 The probability that  three adjacent rods will fail to scram from hard-
 ware failures is assessed in Section 6.2, page 106 of WASH-1400 to be
 !>.8xlO  .   This event is a major contributor to the failure-to-scram
 probability from all  sources (1.3xlO~ ) derived in WASH-1400.  It is
 assumed that the failure of any three adjacent rods to insert results
 in  failure to render  the core subcritical.   This assumption is describ-
 ed  as "extremely conservative," and it is not clear why a more realis-
 tic determination was not attempted, particularly in view of the fact
 that the charter for  the Reactor Safety Study specifically called for
 a  "realistic assessment" (page 15, main document).  As will be seen,
 this assumption can have a substantial influence on the calculated
 risks to the public from BWRs.

 The value of 5.8x10   was derived, through a series of calculations
 and manipulations, from the failure rate data derived from BWR operat-
 ing experience as described in Section 3.2 of Appendix III to WASH-
 1400.   According to Section 3.2, there have been two control rod fail-
 ures reported out of  16,200 individual rod insertions.   This yields a
 failure rate of 2/16,200 = 1.2x10   per demand, which was rounded to
 1.0x10  .   This means that, for a core with 185 control rods (repre-
 sentative  of current  BWRs), a rod insertion failure would be expected
 to  occur once in every 54 scrams.   This appears to be a low, but not
'necessarily unreasonable, number.   However, in view of  the potential
 critical importance of this value, it would be appropriate to substan-
 tiate its  validity.   In  particular, the data base should be probed to
 assure that:
                                   22

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 O)  All rod insertion failures were  indeed reported.  There is a
     tendency not  to report  failures  which are easily  correctable,
     not considered important, or are not reported due to misinter-
     pretation of  the AEC's  failure reporting criteria.

 (2)  All applicable data have been included.  The data base, two
     failures out  of 16,200  for the year 1972, provides only 90
     percent confidence that the failure rate is between 2x10
             _A
     and 3x10  , viewing the 16,200 scrams as a large  number of bi-
     nomial tests.  This uncertainty  was not considered in Appendix
     III.  More recent data  from 1973 to date, mentioned on page 31
     of Appendix III, and alleged to  support the 1972  data, should
     be included to statistically improve the failure  rate.  In ad-
     dition, Table III-5 shows a total of six BWR control rod failures
                                             -4
     (which would yield a failure rate of 3x10  ) not two as indicated
     on Table III-7 from which the failure rate was derived.  Table
     III-7 is said to be compiled from data in Table III-5, and the
     number of failures correspond in all cases except control rods.
     It is not clear why the difference exists.

An extensive fault tree analysis of a BWR control rod  insertion fail-
ure during scram was performed by Acero   .  He concludes, based par-
tially on data obtained from General  Electric Co., that the probability
of a control rod failing to insert upon a scram demand is about 3x10  ,
a factor of 30 higher than the value  used in WASH-1400.  While this
value seems unreasonably high and not supported by reported experience
(also,  some assumptions in Acero's work can be disputed), the differ-
ence needs to be resolved.

To determine the sensitivity of the calculated overall public risk
from BWRs to the failure probability of control rod insertion upon
scram demand, a sensitivity study was performed.   Table 9 gives the
increase in probability of a radioactive release in BWR release
                                  23

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Categories 1, 2 and 3 (Appendix V, page 38), assuming a value of
LxlO   for the control rod insertion
                                             pvob«l»t, I (\ v ,
The first column, "RPS Failure Probability," is the failure probability
of the reactor protection system from all causes, including failure to
insert three adjacent control rods.  "Total Scram Failure Probability"
Includes the RPS failure plus manual initiation of the liquid poison
injection system.

It is emphasized that technical justification does not exist for using
                           _3
a failure probability of 10   for a single control rod insertion fail-
ure.   It is simply a convenient value with which to establish sensi-
tivity, and it lies between the WASH-1400 number and Acero's result.
Categories 1, 2, and 3 are the only categories out of the six included
in WASH-1400 which are affected by the failure to scram.
                               Table 9
     SENSITIVITY OF BWR RELEASE PROBABILITY TO CONTROL ROD FAILURE
                            PROBABILITY


WASH-1400 evalua-
tion with single
control rod, fail-
ure - 1x10 Uj
Sensitivity study
evaluation with
single control
rod failure =
1x10" 3
IPS Failure
Probability


1.3xlO-5 (2)



3.9xlO~4
Total Scram
Fail. Prob.


4xlO-7 (2>



1.2xlO~5
Release Probability
Categ.l


9xlO-7(3>



7x!0"6
Cat eg. 2


2xlO-6(3)



2xlO~5
Categ.3


lxlO-5(3)



9.8xlO~5
     (1)  Appendix III, Pg. 39, WASH-1400
     (2)  Appendix V, Pg. 68, WASH-1400
     (3)  Appendix V, Pg. 38, WASH-1400
                                  24

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Table  10  gives  the  change  in  overall  risk  from  BWR accidents,  in  aver-
age  acute fatalities per year,  as  a result of changing  tnie  single
                                       -4       -3
control rod  failure probability from  10    to 10  .
                               Table  10
   INCREASE IN AVERAGE ACUTE FATALITIES PER YEAR FROM INCREASE  IN
                CONTROL ROD FAILURE PROBABILITY^)
Category

o
0
i-H
X
s

1
CO
H
M
M
H
1— 1
CO
s
CO
1
2
3
4
5

I
2
3
4
5
Probability Average Acute
Per Year Fatalities
9xlO~7
2xlO"6
IxlO"5
3xlO"5
lxlO~5

7xlO"6
2xlO~5
9.7xlO~5
3xlO"5
IxlO"5
1.7
48.0
3.0
3.9
1.1
WASH- 1400 TOTAL -
1.7
48.0
3.0
3.9
1.1
Average Acute
Fatalities/yr
1.5xlO~6
9.6xlO~5
3xlO~5
1.2xlO~A
IxlO"5
2.7xlO~A
l'.2xlO~5
9.6xlO~A
*' •• ft
"I" j *0 V 1O
IxlO"5
SENSITIVITY STUDY TOTAL « l;«XlO~3
       All WASH-1400 values from Table VI-20, Appendix VI, pg. 71.
                                                                 •"4
Thus, changing the single control rod failure probability from 10   to
  _3
10   results in an increase of about a factor of five in the calculated
average acute fatalities per year from all BWR accidents.
Since the BWR risks, based on the foregoing analysis, appear to be
quite sensitive to the probability of a single rod failing to scram
upon demand during a transient accident, it is important that the
                                  25

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single rod scram failure probability be accurately assessed.  In parti-
cular, additional, more extensive data  (which  is  apparently available)
should be included in the assessment; the reason  for  including only  two
of six reported failures needs to be analyzed  and explained; and
Acero's analysis should be considered.

A second area which appears somewhat questionable in  the WASH-1400
analysis of RPS failure occurs on page  105 of  Appendix  II  (Vol. 3).
In determining the probability of three adjacent  control rods failing
to insert on scram demand, consideration is  given to  common mode fail-
ures.  On page 105, the following assessment is present:

     "The probability of any three rods failing to enter the core
     was assessed on the basis that complete independence  is a
     nonconservative assumption, while  tight coupling of these
     failures is probably overly conservative.  Complete inde-
     pendence yields:
          (lxlO~A) (lxlO~S (lxlO~4) - lxlO~12
     A tight coupling assessment is based on observed common mode
     failures, which are approximately  10 percent of  observed
     failures.  However, the majority of these cause  only  degra-
     dation of the component, approximately  10 percent  result in
     failure.  Thus, the assumption of  tight coupling yields:
          (Ixl0~4)(lxl0~2) - lxlO~6
     The log-normal median between these values is:
          (Ixl0~12)(lxl0~6) - lxlO~9
     Using this value..."

                 -9
The value of 1x10   was subsequently used to compute  the RPS failure
probability.  The above discussion in WASH-1AOO seems to imply that
the common mode contribution is 0.01 times the single component fail-
ure rate.  Thus, the actual value to be used,  based on  this discussion,
would appear to be 1x10  , rather than some combination (In this case,
log-normal median) with the uncoupled failure  rate.

                                  26

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Obviously, the "tight coupling" assessment of 0.01 times the single rod
failure rate is not based on observed common mode failures of control
rods since too few have occurred.  However, the "observed failures"
from which the 0.01 was derived are not identified, nor is there any
Justification for applying this rate (and assuming it represents a
"tight coupling") to BWR control rod failures.  Both of these consid-
erations must be included in order to establish the validity of the
assessment.  In addition, the basis for combining a common mode fail-
ure contribution with a loose coupling failure contribution by use of
a log-normal median technique needs explanation and justification.

Based on the foregoing discussion, a computation was done assuming a
value of 1x10   for three adjacent rods failing to insert.  The net
result was to raise the calculated total BWR risks by a factor of 30
and the average risks correspondingly (see Figure 1.)

A third consideration relative to the probability of reactor shutdown
which appears to be incorrectly assessed in WASH-1400 is the credit
taken for operator action in .activating the liquid poison injection
system.  According to Appendix V (page 68) of WASH-1400, the failure
of "Reserve Shutdown," which includes automatic recirculation pump
trip plus manual actuation by the operator of the liquid poison injec-
tion system, is dominated by operator failure and is assessed to be
    _2
3x10  .  It does not appear reasonable to take credit for manual
actuation of the liquid poison injection system in the event of RPS
failure for the following reasons:

(1)  According to the description in Reference 8, in order to actuate
     the liquid poison injection system, the operator must locate a
     key, insert it in the proper console location and turn it.  This
     action fires explosive valves which allow the injection of sodium
     pentaborate solution into the primary system.  Since BWRs are de-
     signed to operate without any soluble poison in the primary sys-
     tem, the injection of sodium pentaborate solution is an undesirable
                                  27

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 IE
 O
 E
' EC
 ID
 O
         I — I  I  I Mill] - 1  'I  I I HIM - 1  I  | II
                      '
                         WR - Tight Coupling of Control Rods

                         verage (witA WASH-UOO Pwk curve)
                                        R - Elimination of Poison Injection
                                       verage (wit  WASH-1400 PWR curve)
                                                  I              ^
1
                                    	    \   » A.I v   ^^
                                            V -mv         I
                                                103

                                    ACUTE FATALITIES. X
                         Figure 1  ~ Effect of Changes in BWR
                          Reactor Protection System Analysis
                                          28

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     event, requiring extensive system cleanup.  The operator is un-
     doubtedly aware of these consequences from liquid poison injec-
     tion, and will be inhibited from using the system.  The use of a
     key to actuate the system imposes additional requirements on the
     operator over the use of a simple switch.  Such requirements,
     coming during a high stress condition caused by failure to scram
     during a reactor transient, should increase substantially the
     likelihood of operator error.  Table 111-13 in Appendix III of
     WASH-1400 assesses the error rate of an operator after the first
     30 minutes in an extreme stress situation as 10  , and even
     greater for shorter times.  In order for the liquid poison injec-
     tion to be effective, the operator must fire the explosive valves
     within 10 minutes of the transient event  '   .  In view of these
     considerations, it is not clear why an operator error rate of
     3xlO~2 was used in WASH-1400.
(2)  Recent studies of anticipated-transient-without-scram accidents
     have concluded that manual injection by the operator of liquid
     poison cannot be considered, in most cases, as a backup to the
     reactor protection (scram) system.  WASH-1270     concludes, on
     page 33, "Liquid poison injection systems (LPIS), as designed and
     used at present, have too slow a response to deal effectively
     with some possible failure-to-scram circumstances."  The report
     subsequently discards manual poison injection as a backup for
     scram failure during anticipated transients.  A report by General
             (12)
     Electric    , manufacturer of BWRs, concludes "This analysis (of
     anticipated transients) indicated that manual action (of the
     liquid poison injection system) would be too slow to be generally
     applied, and automatic initiation of the liquid control system is
     required."

(3)  Aside from the issue of operator reliability, there is some ques-
     tion regarding the ability of the liquid poison injection to ef-
     fectively reduce the core power level quickly enough to prevent
                                  29

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     core damage in  the event  of  an  anticipated  transient.  General
     Electric    , in  response to an AEC-Regulatory requirement
     that BWR reactor  protection  system  reliability during  anticipated
     transients be augmented,  has proposed,  in addition  to  automatic
     initiation of the poison  injection  system,  an increase in the
     "liquid (poison)  control  system capacity."  This proposal is
     currently under review by the Nuclear Regulatory Commission.  It
     thus appears, according to General  Electric, that even if the
     liquid poison is  injected automatically immediately after the
     anticipated transient, its capacity may presently be insufficient
     to control the  event as evaluated against NRC requirements.

in view of the foregoing considerations, it  does not appear reasonable
to consider manual actuation of the  liquid poison injection system as
a backup to the reactor protection system in the event of some severe
anticipated transients.  To assess the effect of eliminating the LPIS
from consideration, a  sensitivity computation, similar to that per-
formed for the reactor protection system, was completed.  A value of
1.3x10   (WASH-1400 evaluation of RPS failure) was used  for failure of
reactor shutdown instead of 4x10   (used in  WASH-1400 considering
liquid poison injection).  The results are shown in Figure  1, and are
about the same as for  the factor  of  10 increase  in control  rod inser-
tion failure probability analyzed earlier in this section.  The in-
crease in probability  results  in  about a factor  of 5 at  a given acute
fatality number.  The  average  risk curve would increase  by  about a
factor of 3 at low acute fatalities, and a negligible amount at  high
acute fatalities.  However, this  is  a conservative assessment since
it does not appear that all 10 of the anticipated transients assumed
r.o occur per year in WASH-1400 are severe enough to create  an offsite
risk in the event of scram failure.  As  discussed in item 2 of this
section (BWR Transient Accidents), only  about three severe  transients
per year might be anticipated.   This would nearly offset the increase
in risk associated with eliminating  credit taken for manual liquid
poison injection discussed previously.    Since a  wide variety of
                                  30

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 initiating events are  lumped  into  anticipated  transient  accidents,  it
would seem prudent  for the WASH--1400  analysis  to  consider  these  sepa-
 rately to determine under what  circumstances scram is  required,  how
quickly core shutdown  is needed to prevent  core melt,  and  under  what
conditions the liquid  poison  injection  system  can be considered  as  a
backup.  The WASH-1400 analysis presently  considers all.  anticipated
transients on the same bases.

It should he noted  that the changes proposed by General  Electric in
Reference 12 could, if accepted by the  AEC  and shown to  be effective,
reduce the probability of reactor  shutdown  failure in  the  event  of  an
anticipated transient.  Since WASH-1270 recommends an  increase in
reactor shutdown reliability, some modifications  to the  BWRs,  if not
GE'R current proposal,  will presumably  be made.   These modifications
will alter the WASH-1400 risk assessment.

Omissions - No omissions were found in  the  WASH-1400 analysis.

(1°_11° Lyj'A0.!1? ~ *ne effect of the revisions  to WASH-1400 considered in
this section would result in an increase in BWR risks.   The quantita-
tive increases presented serve  only to  illustrate the  sensitivity of
questionable analyses  in WASH-1400 and  the need  for additional  study.
Anticipated future changes in BWR  reactor shutdown reliability would
be expected to reduce  the BWR risks.  A  realistic assessment of  the
number and location of  control  rods required to shut down  the reactor
would also likely lead to reduced  risks, as indicated  at the beginning
of this section.

Miseellaneous Comments - The following  comments on WASH-1400 were
developed during the course of  the review of the  BWR Reactor Protection
Syst era:

(I)  Apjp_eruH x JLIj__Vo_!U_ 3,  Page  105-106 - The entire development  of  the
     hardware contribution to the  reactor protection system failure
                                  31

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     (Q )  needs substantially 'more description .uul oxplanation.  The
     tirst sent cure of page 105 should, it apprais, road " I'lu- piobtibi 1
     ity of any specific three rods..."  Also, i lie numerical value of
     l'(3A) -  3.0x10   cannot be obtained from tin1 pi frediuu equation.
     Also, it appears in the analysis that random (rather  than adjacent)
     rod failures sufficient to cause scram failure have not been con-
     sidered, nor have configurations of greater than  three adjacent
     rods.

(2)   Main  Document, Page 236 >- The statement that there have been 2000
     reactor  years of military and commercial power reactor experience
     with  no  nuclear accidents is not correct.  Depending  on the defi-
     nition of "nuclear accidents," numerous accidents have occurred
     and,  in  at least one case, a stationary, low power, military
     reactor  (SL-1) experienced a nuclear excursion which  killed three
     people.    (Due to differences in design, the initiating event for
     this  accident would not cause an excursion in commercial power
     reactors.)

(3)   Appendix II, Vol. 3, Section 87 - It is not clear why the values
     computed for RPS unavailability differ so much throughout this
     section.  The median unavailability computed by Monte Carlo simu-
     lation is quoted as 1.3x10 " ((X.™.) on page 92.  The  point esti-
                                    MtD       '    _,
     mates which contribute to Q.™., add up to 8x1.0  , and  the Contri-
                                MED
     bution Pictorial Summary (Fig. 11-131, page 123) lists a value
     of 2.47x10   as the total for RPS unavailability.  Also, the
     triple failure contribution in this figure (2.8x10  ) doesn't
     agree with the point estimate (5.8x10  ) on page 92.

(A)   Appendix V, Page 68 - The RPS failure value in the figure was ob-
     tained from the value calculated on page 92 of Appendix II, .Vol.3.
     However, this latter value was based on the occurrence of a LOCA,
     while the application on page 68, Appendix V, is for  transient
                                  32

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     events.  Although a difference in RPS failure probability may not
     be significant between a Loss-of-Coolant-Acident  (LOCA) and a
     transient, different sensors measuring different  quantities are
     used to initiate scram for the two accidents.

2.   BWR Transient Accidents

General Review - BWR transient accidents are described and analyzed in
Appendix I, Section 4.3.2 of WASH-1400.  The accidents appear to be
properly considered except for the assumptions made regarding the like-
lihood of the initiating event.

Likelihood of transient event - The assumed frequency  in WASH-1400 for
"anticipated" transients is 10 per year, as assessed on pages 56 and
57 of Appendix V, WASH-1400.  This frequency is based  on information
contained in Reference 13, which indicates about 10 BWR transients per
reactor year.  However, only about three of these shutdowns were severe
enough to require an immediate core shutdown to prevent core damage.
That is, only three would qualify as anticipated transients requiring
quick core shutdown.  During 1973, according to Reference 14, an
average of two such transients occurred per reactor.   Reference 12
develops a list of nine transients, based on operational experience,
which "have the potential of a frequency of occurrence of at least once
in four years of reactor operation at power conditions such that a sig-
nificant transient results and scram is called upon to shut down the
reactor."  Assuming, on the average, nine transients in four years per
reactor results in 2.25 transients per reactor year.   It thus appears
that a realistic estimate of anticipated transient frequency would be
three per year rather than 10  as used in WASH-1400.

A factor of three reduction (from 10 to 3) in the yearly frequency of
anticipated transients would, reduce the probability of  release by a
factor of three for BWR release categories 1 through 4, since each is
dominated by anticipated transient accidents.   This would, in turn,
                                  33

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    10J F
a:
o
nrm—n i mm—pi i  MINIi  i  i in
                                                j	r	
                                      PWR     I
                                      Average;  | WASH-.UOO
                                       WR
          BWR TransleJi
           Accidents  feeduced
                JJ I III    i  III I I 111	I	I. .1 I 1
                                               io3
                                   ACUTE FATALITIES. X
                        Figure  2   - Kffect of Reducing Frequency
                          of  BWR Transient Accidents by  1/3
                                       35

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required emergency  (diesel) power  for providing sufficient  low pressure
coolant injection  (LPCI) capacity  during  large losr,-of-coolant acci-
dents .

The discussion on pages 12, 34, and  35 of  Appendix  II,  Vol.  3, implies
that all four diesel generators must be lost  coincident with  loss of
net to cause insufficient power to  engineered safety features (ESFs).
A review of the Low Pressure Coolant Injection System  (Section 6. A. 2,
Appendix II, Vol. 3) reveals that  three of  four LPCI pumps  are required
in the event of a large LOCA.  Review of  the  Peach Bottom electrical
distribution (Table 8.5.2b of Reference 8)  indicates each LPCI pump
(RHK pump in that table) is powered from  a  separate 4  kV bus.  There-
fore, loss of two diesel generators, hence  two 4 kV buses,  results  in-
insufficient power  to the LPCI pumps.  Loss of off-site net plus two
diesel generators should then be the event which causes Insufficient
LPCI capacity rather than total loss of all a-c power  (including four
diesels).   The discussion of tripping diesels due  to starting surges
(page 35,  Appendix  II, Vol. 3) should, therefore, be modified.  Sec-
tion 5.3 of Appendix III states the probability of this event for two
diesel generators is 1x10  .  This will increase the overall probabil-
ity of insufficient power to ESFs by a factor of 10, to 1x10

A study was performed to determine  the effect of increasing the prob-
ability of sufficient emergency electrical power to the CPCI pumps  by
a factor of 10, from 10   to 10  .  According to Section 6. A. 2 of
Appendix II, Vol. 3, the median estimate  of LPCI unavailability is
      -2
.1.5x10  .   Thus, the contribution to unavailability from the emergency
power system is negligible, even if increased a factor of 10 from the
value used in WASH- 1400.
        js - No omissions in WASH-1400 were found during the review of
the BWR electric power system.
                                  36

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          s_-  Correcting the probability of BWR emergency power fail-
ure by increasing the WASH-1400 value by a factor of 10 will result in
an insignificant increase in calculated risks from BWR accidents.

Miscellaneous Comments - The following comments on WASH-1400 were
developed during the course of the review of the BWR electric power
system failure analysis:

(1)  Appendix II, Vol. 3, Section 6.1 - The common mode failure of all
     four diesels due to blockage of the cooling water return line
     may be a significant contributor.  It appears that this failure
     has not been considered in Appendix 11.

(2)  Appendix II. Vol. 3, Page 43 - It is not clear why Q'(EDG) (fail-
     ure of emergency diesel generator) is calculated by computing an
     average between a diesel being unavailable and a running diesel
     failing.  It seems that either failure mode results in the diesel
     being unavailable and the probabilities of the two modes should
     be added.

(3)  Appendix II1 Vol. 3^ Section 6.4.2 - it is not clear why the Q
                                                 _2                n&Li
     for total LPC1. system unavailability (1.5x10  ) is lower than one
                                                 -2
     of its contributors, Q^,             = 1.7x10
                           Test & Maint.

4•    PUR Electric Power System Failure

General Review - The failure modes and analysis presented in Appendi-
ces II (Vol. 2) and III of WASH-1400 were reviewed.  No errors leading
to a definitive, significant change in PWR risks due to electric power
'"allure were found.  However, a significant number of minor errors,
discrepancies, and questionable assumptions were found.  In some cases,
Lhe effect of the error could not be definitely assessed due to a lack
of information.  In all such cases, it was judged qualitatively that
the effect would not be significant; however, additional effort is
                                 37

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required to provide sufficient, credibility to such judgments.  The
errors, discrepancies and questionable assumptions are as follows:

(1)  Availability of Power at LOCA - The assumption in Appendix II,
     Vol.  "2, Section 5.1 that all emergency buses are available im-
     mediately prior to LOCA is questionable.  The basis for this
     assumption is that the Technical Specifications require reactor
     shutdown if an emergency bus becomes unavailable.  The following
     should be considered:

     (a)  There is a finite probability that Technical Specifications
          will be violated, either intentionally or unintentionally.
          A number of AEC-reported "abnormal occurrences" have involved
          violation of Technical Specifications.  Such violations
          would probably be grouped under the heading of "human reli-
          ability," with values of the same order of magnitude as
                                                      -2      -A
          discussed in Section 6.1 of Appendix III (10   to 10  ).
          Unavailability of a bus, coupled with violation of a Tech-
          nical Specification, may be an insignificant contributor to
          total unavailability, but until quantified, an assessment
          cannot be made.

     (b)  The indicators and annunciators designed to tell the operator
          he is without a bus have a finite probability of failure.
          Such a failure is considered for HPIS failure on the fault
          tree on Figure 11-70, Appendix II, Vol.  2, and assigned a
                                              -4
          point unavailability value of 1.1x10  .   This probability,
          although minor,  does not. appear to be considered for the PWR
          Electric Power System Failure.

(?.)  Detection of Bus Failures - The assumption (Appendix II, Vol. 2,
     Section 51) that faults do not exist on a bus at inception of
     LOCA  may he questionable.   The methods and frequencies of detect-
     ing failures (annunciators,  ground detectors, maintenance, etc)
     will  strongly influence the validity of this  assumption.   Another
                                  38

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     consideration should be the operator action required if a ground
     is detected on the bus.  The Technical Specifications do not
     specify any required action.  However, normal ground isolation
     procedures involve sequentially de-energizing selected buses
     until the ground is found.  There is also a finite probability
     that undetected faults exist on a bus.  Until these considera-
     tions are quantified, insufficient data exist to determine the
     impact that such bus faults would have.

(.'!)  Time Invariant Failure Rate - In the cumulative failure proba-
     bility discussion on page 30, Appendix II, Vol. 2, the assumption
     that effective failure rate (X) remains constant with time appears
     to be neither conservative nor realistic.  In particular, grounds
     and faults associated with grounds resulting from a harsh LOCA
     environment would be expected to increase with time.   An AEC
     evaluation     of eight LOCA incidents in BWRs showed that grounds
     occurred during two of the eight incidents.   During one of the
     Incidents, grounding of components resulted in loss of capability
     of control room annunciators to properly indicate the status of
     both the EGGS and plant radiation instruments.   The eight inci-
     dents involved primary coolant releases of relatively short dura-
     tion.   Extended exposure to a LOCA environment  might  be expected
     to cause long range degradation of electrical insulation and/or
     components.

d-\)  Operator Error, Breaker Opening - Appendix II,  Vol.  2,  Section 5.1
                                -4
     assigns a probability of 10   to the operator inadvertently open-
     ing breaker 15H3 or 15H8 under stress.   Such a value  does not
     appear  in Table 111-13, nor does corresponding discussion appear
     in the  "Human Reliability" section of Appendix III.   Furthermore,
     if the  operator is  required to take any specific actions during a
     LOCA which involves operating breakers  from the control room, a
                      -4
     probability of 10   for improper action seems to be quite low
                                  39

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     compared with thf probability of operator errors described  in
     Table JJ.J-J3.

('))  '*at-JLery Unavai labili ty - From the discussion of d-c bus unavail-
     ability on pages 26 and 39, Appendix 11, Vol. 2, it is not  clear
     what types of faults lead to the unavailability of station  bat-
     teries (assigned P. value of 10  ).  Since faults leading to bat-
     Lery unavailability preclude use of the" d-c bus, then mere  un-
     availability of the d-c bus will cause  insufficient power to ESF.
     Availability of net becomes insignificant because, even though
     net. power is supplied to the 4160-volt  and 480-volt emergency
     buses, d-c control power is not available to start the ESF  loads.
     Therefore, further discussion and clarification is needed to
     evaluate the major contributing factors to q (battery) since it
     can be a significant factor in determining the probability  of
     power to ESF.

Oraiss iojis - Severn] omissions were found in  the WASH-1400 analysis of
the PWR electric power system.  It is possible that some failure modes
discussed herein were considered but rejected due to low probability
of  occurrence or due to insignificant consequences.  It is also  pos-
sible that: the failure modes were considered but deleted when the
t.-in 11. trees were simplified.  A discussion should be provided in the
text  if failure modes fall into these categories to give some reason-
able assurance of completeness.  It does not appear that any of  the
omissions found would significantly contribute to the overall risk,
hut further analysis is required to substantiate this conclusion.  The
following omissions were found:

(I)  Operator Error, Opening of Breakers - Appendix II, Vol. 2,  Sec-
                                   -4
     t.ion S. I  assigns a value of 10   to the operator inadvertently
     opening breakers 15H3 or 15H8 under stress.   It seems logical to
     assume that an equal probability exists for him to open other
     breakers from the control room.   These include breakers 15E1,
                                  40

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     15C2, 15F1, 15H7, 14H1, 14H10, 14H6, etc, each o£ which may de-
     energize its respective emergency bus.  Addition of these events
     to the fault trees of Figure 11-23, Sheets 2 and 3, increases the
     probability of insufficient power to each bus by a factor of two
     to three.

(2)  Maintenance Caused Unavailability - Operator induced maintenance
     errors and unavailability due to maintenance do not appear on the
     fault trees.  It is possible that no maintenance is performed on
     the electrical system during operation.  However, maintenance.
     errors, such as improperly racking breakers in or miscalibration
     of relays in control circuits, could contribute to bus unavail-
     ability.

(3)  Diesel Generator Unavailability - Due to simplification of the
     fault tree in Figure 11-23, Sheet 8, it is impossible to tell if
     the considerations for diesel generator availability, discussed
     on pages  35-38, Appendix 11, Vol. 2, are included.   The importance
     of the diesel generator warrants inclusion of Its subtree as a
     separate  sheet in Figure 11-23.

(4)  Common Mode Failures - Some common-mode failures appear to have
     been overlooked or discarded in the analysis.  These include the
     following:

     (a)   It is  possible that an earthquake, equal to or greater than
          the  safe shutdown earthquake,  would cause a loss of both
          onsite and offsite power.   Appendix X states that neither
          the  a-c nor the d-c switchgear could be  assessed as to seis-
          mic  design adequacy.   On the basis of this statement,  it
          appears that common mode failure  due to  an earthquake  should
          be evaluated in the fault  tree.

-------
     (b)  A relay failure in the circuitry of breakers 15H8 and 15H3
          could result in placing the emergency diesel generator on
          the 4160v emergency bus while the bus is still enetgized by
          the preferred (offsite) source.  If the diesel is paralleled
          out of phase with the offsite source, excessive torque and
          current can result, tripping both sources.  This may be sig-
          nificant since failure of a relay to energize is assigned a
          value of lxlO~A/Demand in Table III-l.

     (c)  Physical location of various ESF load breakers should be
          evaluated.  If a short circuit exists across a load breaker,
          it may result in drawing excessive current across the break-
          er and creation of an electric fireball within the switch-
          gear.  This fireball, by virtue of its heat and high current,
          can cause the other breakers in the vicinity (within the
          same switchgear) to trip open.  It is not clear from the
          discussion that such an evaluation was made.

Trojan Comparison - Comparison of the Surr.y electric power system with
that of Trojan revealed several differences.  It appears that the dif-
ferences would result in a higher value of electric power system reli-
ability for the Trojan reactor than for Surry.  The amount of increase
Is probably small, but an in-depth assessment is required before the
difference can be quantified.  The differences are as follows:

(1)  A major contributor to loss of all electrical power was loss of
     net, due to challenging the system's transient stability limit.
                        _3
     The probability (10  ) that offsite power would be lost as a
     result of LOCA is based on "generalized information for plants
     east of the Rockies."  The applicability of such a data base to
     Trojan (or other plants west of the Rockies) may not be valid.

\2)  Surry uses three emergency diesels to supply two plants, while
     Trojan uses two diesels for a single plant.  A failure or main-
                                  42

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     tenance outage of the "shared"  Surry diesel results in two plants
     losing diesel redundancy, while at Trojan failure or maintenance
     on a diesel affects only one plant.  This results in a slight
     increase in diesel availability at Trojan.

(3)  The emergency loads that each diesel generator is required to
     supply at Surry.comprise a total of 2320 kW, or 85 percent of
     the diesel rating of 2750 kW.  The Trojan emergency loads com-
     prise 3364 kW or 76 percent of the AA16 kW ratings.  These num-
     bers indicate that there should be a slightly higher probability
     of overloading the Surry diesel when it picks up emergency loads
     than for the Trojan plant.  However, other considerations such
     as overloading which depends on the magnitude of the starting
     current surges for various components must be considered.  A re-
     lated factor, the diesel generator loading sequence, seems to be
     spread over a slightly longer time span for Trojan.  This should
     reduce the probability of overloading the diesel if required
     during an accident.

(A)  The d-c system of Trojan is slightly more redundant than Surry.
     Each of the two battery chargers supplying each battery is power-
     ed from a separate motor control center at Trojan, while at Surry
     the same motor control center supplies both chargers for each
     battery.

(5)  Two variations in the Technical Specifications between Surry and
     Trojan were found.   A primary offsite source can be unavailable
     for up to 7 days at Surry while only A8 hours is allowed at
     Trojan before shutting down.   Conversely, Trojan is allowed to
     operate without a power source to an emergency bus for up to A8
     hours, while Surry requires shutdown if any emergency bus is de-
     energized.   The first variation causes the Trojan electric power
     system to be more reliable, while the latter results in less
     reliability.  (It should be noted that the Trojan Technical
                                  A3

-------
     Specifications used in this review are those currently included
     in the Trojan FSAR.  They have not been approved for use during
     reactor operation.)

Conclusions - The following conclusions are derived from the .review of
the PWR electric power system:

(1)  Although numerous inconsistencies, minor errors, and questionable
     assumptions were found in the WASH-1400 failure analysis of the
     PWR electric power system failure, none appeared to have the po-
     tential for materially changing the overall PWR risk assessment.
     More detailed analysis is required, however, to quantitatively
     substantiate this conclusion.

(2)  Some minor omissions were found in the WASH-1400 PWR electric
     power system failure analysis.  None appeared to have the poten-
     tial for materially changing the results of the analysis.
           (
(3)  Due to several differences noted between the Surry and Trojan
     electric power systems, it is not possible to conclude that the
     results of the Surry analysis applies to the Trojan type reactor.
     It appears that the electric power system availability for the
     Trojan class of reactor may be slightly better than for Surry.

Miscellaneous Comments - The following comments on WASH-1400 were
developed during the course of the review of the PWR electric power
system:

(1)  General - Regulatory Guide 1.93     concerning the availability
     of electric power sources has recently been published.  The in-
     fluence that this Regulatory Guide would have on the availability
     of power sources should be evaluated.  For example,, the Regulatory
     Guide allows operation of a nuclear plant at reduced power levels
     for specified time periods following loss of an offsite or onsite
                                  44

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     power source, even though Technical Specifications might prohibit
     such operation.   Therefore, the initial assumption that ojffsite
     power is available at inception of LOCA may not be entirely valid.

(2)   Appendix II. Vol.. 2. Page 27 - It is not clear in the battery
     capability discussion whether some minimum battery specific grav-
     ity is assumed.   The Surry Technical Specifications do not specify
     a minimum allowable specific gravity.  Operating procedures may
     include such a requirement, but the text discussion should address
     this subject.

(3)   Appendix II. Vol. 2 - The legend provided in Tables II-5, II-6,
     II-7, and II-8,  and the discussion on page 36, Appendix II, Vol. 1
     do not correspond to the symbols shown on the fault trees.  As
     an example, the middle fault tree of Figure 11-23, Sheet 3, con-
     tains a symbol showing:
                              ZCB 3007S
                              ZCB 3008S
     The prefix "Z" is not shown as a system in Table II-5 while the
     suffix "S" indicates a short to ground in Table II-8 rather than
     failure by .opening.  Consistency with the rest of the study is
     needed in the use of failure mode symbols.

(4)   Appendix II. Vol. 2. Pages 9 & 10 - It is not clear why failures
     of the emergency power systems were not evaluated for the period
     between 24 hours and one month after LOCA.  It may be an error in
     the text.

(5)   Appendix II. Vol. 2. Pages 46 to 55 - Values of "X" and "q" were
     unavailable in many cases except in an abbreviated form on these
     pages.   The Loss of Power Transient did not have a table such as

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     11-12, to provide the values used in individutij fault trees.  In
     many cases, failure values used in the trees were modified ver-
     sions of data obtained from Table III-l.  Modifications were
     based on "engineering judgment," and although the engineering
     judgment may be sound, there is no supporting discussion in the
     text.

r>.   PWR High Pressure Injection System (HPIS) Failure

General Review - The failure modes and analysis of the PWR high pres-
sure injection system presented in Appendix II, Vol. 2, Section 5.6.4
of WASH-1400 were reviewed. The following discrepancies were found:

(.1.)  Operator Failure to Open Service Water Valves to Lube Oil Coolers -
     As pointed out on page 313 of Appendix II, Vol. 2, the operator
     must manually open a valve in the service water system to the
     standby pump lube oil coolers in the event that a standby pump is
     required.  Otherwise, the pump will fail from overheated lube oil.
     This operator action is required any time that either standby
     HPIS pump is needed to protect the core from overheating during
     a small break LOCA.  This can occur under the following circum-
     stances:  (1) when failure of the operating pump occurs after a
     small break in any part of the primary system except the "reactor
     vessel cavity," and (2) when a small break occurs in the reactor
     vessel cavity.  In the latter case, two pumps are required; there-
     fore, even if the operating pump does not fail, the operator must
     open at least one of the valves to allow service water flow to
     the lube oil coolers.  The probability that the operator fails to
     open the service water valves to the two standby pump lube oil
     heat exchangers is assigned a value of 1x10   in Appendix II.
     The value appears to be low based on information presented in
     Appendix III of WASH-1400.  The ability of an operator to cor-
     rectly respond to a given accident situation is dependent on many
     factors, as indicated in Appendix III.  Dominant among these

-------
factors are (1) the stress level as perceived by the operator when
the accident occurs, and (2) the time interval allowed for the
action following the onset of the stress condition.  The occur-
rence of a small break is likely to produce a high stress condi-
tion for the operator, especially if the break is large enough to
create a pressure transient in the system which significantly
alters instrument readings in the control room and trips several
annunciators.  The description of the operator action required
to open the valves, the failure of which is assumed to result in
failure of the pump, states "Service water valves to lube oil
cooler not opened by operator when pump starts" (Item FXVPASWO on
page 348 of Appendix II, Vol. 2).  The pump is started automatic-
ally by the safety injection control system upon receipt of sig-
nals of low pressure and low pressurizer level.  Thus, for all
but very small breaks, the pump will be started quickly.  In the
event of a small break, it is likely that a high stress condition
will be perceived by the operator, and he will be required to act
soon after the break if a standby HPIS pump is required.  Under
these conditions, if the operator is required to act within 60
seconds, his estimated error rate is approximately 1.0 according
to Appendix III (page 130) of WASH-1400.  However, despite the
failure statement for FXVPASWX, the pump will undoubtedly operate
for some time before its lube oil becomes hot enough to cause
failure.  If this time interval is longer than 30 minutes, the
error rate in an extreme stress condition is 10   (page 131).
However, a small break probably won't create an "extreme" stress
condition.  The error rate for a "high" stress condition for
                                         -2
action required after several hours is 10   according to Appen-
dix III (page 131).  It would appear then that the proper error
                                          '              _i
rate for the operator during a small break is between 10   and
  -2                                                     -2
10  .   For the purpose of this discussion, a rate of 5x10   will
be used.
                             47

-------
The operator failure probability to open the service water valve
to the lube oil heat exchanger for the second.standby pump given
that he fails to open the valve to,the first standby pump is
assumed to be also 10   in the Appendix 11 analysis for the HP1S.
In Appendix 111, page 130, an error rate of approximately 1.0 is
given:  "If an operator fails to operate correctly  one of two
closely coupled valves or switches in a procedural step, he also
fails to operate the other valve."  This description appears to
apply to the- situation under discussion.

Summarizing, the following table (Table 11) compares the failure
(or error) probability given in Appendix II, Vol. 2 for the fail-
ure of the operator to open the service water valves to the heat
exchanger in the HPIS with what is judged to be a more reasonable
assessment.

                         Table 11
   ERROR RATE:  SERVICE WATER VALVES TO LUBE OIL COOLER NOT
                OPENED BY OPERATOR WHEN PUMP STARTS (FXVPASWX)

   Event              WASH-1400 Error Rate   As Assessed Herein
                              -3                      -2
1. Operator fails           10                    5x10
   to open first
   valve
2. Operator fails           10~                     1
   to open second
   valve

To determine the significance of the differences in Table II-6A,
it is necessary to analyze appropriate fault trees in Appendix II,
Vol. 2.  The operator error being considered is included in a
failure group labeled Q  , a group which includes seven events of
the same type as the operator failure being analyzed.  The total
for failure group Q   (with FXVPASWX - lxlO~3) is 2.3xlO~2.
                     -2
Using a value of 5x10   for FXVPASWX increases Q.. to a value of

                             48

-------
      -2
7.2x10  .   Q-c appears explicitly in two fault trees, Figure II-
63, page 371 and Figure 11-64, page 372 of Appendix II, Vol. 2;
Figure 11-63 is reproduced with alterations as Figure 3.  The
fault tree top event failure probability has been recomputed
                               _2
using a value for Q_, of 7.2x10  .  Also, the subtree for the
event "3 charging pumps fail" has been replaced to reflect the
fact that operator failure to open both service water valves to
                                    -2
the lube oil heat exchangers is 5x10  .  This completely dominates
other failure combinations which could result in both standby
pump failures.  As seen in Figure 3, the top event probability is
                                           -6          -4
raised by a factor of about 50 (from 7.0x10   to 3.7x10  ) when
revisions are made.  (All revised numbers are shown in parenthe-
ses.)  However, when this change is factored into the overall
availability of the system (Figure 4), the change becomes insig-
nificant,  from 3.6x10   (when one of three charging pumps re-
                 _3
quired) to 4.0x10   (revised numbers shown in parentheses) since
other single and double failures dominate.
For the case when two of three pumps are required, the applicable
fault tree from Appendix II, Vol. 2, is Figure 11-64 (page 372)
which has been reproduced and revised as Figure 5.  As'before,
the numbers in parentheses are revised failure rates based on the
values In Table 11.  Starting from the left side of Figure 5, the
subtree under the event, "Failure of 2 Charging Pumps when 1 Out
for MAINT," has been revised to reflect the increase in Q5_ +
Q-, under "Standby Charging Pump Fails to Start or Run 24 Hrs."
 zo
On the right hand side of Figure II-6C, the value .2 (Qoc + Q»,)
                              _2          -1          25    26
has been increased from 4.8x10   to 1.5x10   to reflect the in-
creased value used for Q7r-  A new event has been added at the
extreme right of the figure, "Operator Fails to Open Valves to
Lube Oil Heat Exchanger."  This has been added to reflect the
unit probability used that if the operator fails to open the
first valve, he will also fail to open the second, thus disabling
both pumps.  Since this event is (incorrectly) included under the
                            49

-------
                                                             J_
                                                          F.Hurt 0(3
                                                         . Cuffing Pump«
                                                          No"* Out for
                                                          MAINT
                                                                  19 «lO-  _
                                                                  (3.6x 10   )
                                                                     Out
                                                                     For
                                                                     MAINT

No
CHP-i



3 Charging
Pumps Fail
                                    Oj4(OI
                                   7.J « 10'
2.< « ICC2
                                 (This  subtree  in WASH-1400  replaced by
                                  subtree on far  right.)
   2.Ja»0-3

  (7.2 X 10"2)
Figure    3  -     Revised Quantitative Pictorial Summary  for One of
            Three HPIS Purops with  Point Failure Estimates

-------
 Single
 Failures
   SF
1.1 x  Id'3
 Double
 Failures
                         DF
   UDF

2.5  x  10'3
                                            Failure Of HPIS
                                            To Deliver
                                            Sufficient Water
                                            To RCS When
                                            Cold Leg LOCA
                                                         Q - 3.6 x 10'  (1/3 Charging Pumpi Required) (4.0 .*  10
                                                         Q - 6.0 x 10"3 (2/3 Charging Pumps Required) (6.0 x  10" )
Charging
Pump
Failures
                                                                            CF
                                                                           °CF
                                                                    7.0 x lO^   (1/3 Required)  (3.7  x 10~)
                                                                    2.4 x 10'3  (2/3 Required>  (5.6 x 10~2)'
                 Figure A  - Quantitative Pictorial Summary of  HPIS Failure
                   With Point  Estimates Showing Effect  of Qcf Increase

-------
Ui
N>
                                                                            Eilter Of
                                                                            2Sl*mlby
                                                                            PurapiFul
                                                                                r^        2.4 n 10-2

                                                                         (1.5X10  )     (2.3x ID"2)


                       Figure  5  - Revised Quantitative Pictorial Suraaary  for Two of  Three HPIS Pumps
                                                  With Point  Failure Estimates

1 1
ThiOOc
Samaiy
f«*
Ftik
o»«o»
WoiarS
(2.3 sllT2)

Operator
falls to
open valves
to lube oil
beat is** '
changer

-------
     events "1 Standby Pump Fails" (Q   + Q  ) as well as "The Other
     Standby Pump Fails" (Q?c. + Q'>f.) > tne operator error rate contri-
     bution to these values (lxlO~3) must be subtracted out.  This
     yields the new values as shown  in the parentheses.  Recomputing
     the values "up" the fault tree  produces a probability for "Charg-
                                                   ~2
     ing Pump Failure 2/3 Pumps Required" of 5.6x10   versus a value
              _T
     of 2.4x10   calculated in WASH-1400.  This new value has been
     translated to Figure 6 (Figure  11-60 of Appendix II, Vol. 2) and
                                       —2
     ultimately a failure (Q) of 6.0x10   is computed for "Failure of
     HPIS to Deliver Sufficient Water to RCS when Cold Leg LOCA"  (2/3
     Charging Pumps Required).  This value is a factor of id higher
     than the WASH-1400 value.  The  significance of these changes on
     the ultimate risks to the public are difficult to determine  since
     the distinction between  a small break accident which requires one
     of three charging pumps  and one which requires two of three  does
     not appear to have been  separately considered in computing the
     risks.  The discussion of small break accidents in Appendix  I,
     pages 123-132 does not acknowledge the "reactor vessel cavity"
     break as one which requires two of three HPIS pumps.  In Appen-
     dix V, Table V-7, the failure probability of emergency coolant
     injection for PWR small  breaks  (denoted by the letter D) appears
               _2
     to be 1x10  .  It is not clear  how this number was computed, nor
     whether it included considerations of 2/3 charging pump failures.
     In any event, it does not appear that the changes discussed  here
     will have a significant  influence on the risks.  However, the
     corrections should be made and  new risks computed.

Omissions - This review discusses omissions found in the WASH-1400
analysis of the HPIS.

.(1)  Low Pressure Injection System (LPIS) Check Valve Failure - Con-
     nected to the three HPIS injection lines near the injection point
     to the reactor primary system are three (one in each line) lines
     from the LPIS.  These lines contain check valves near the
                                 53

-------
     connection point with the HP1S lines to prevent, in case of a
     small break accident, the HPIS from injecting high pressure water
     into the LP1S.   Figure 6 (a portion, simplified and enlarged, of
     Figure 11-65 from Appendix II, Vol.  2)  shows the piping and valve
     arrangement at  the intersection of the  HPIS and LPIS.   It appears
     that if any of  the three LPIS check valves are failed  open either
     before, at the  initiation of, or during HPIS injection, some HPIS
     flow will be diverted into the LPIS.  Since the LPIS is designed
     only Cor low pressure operation, it will probably rupture.  Be-
     cause the HPIS  flow to the three cold legs is connected by a
     common header,  and since the LPIS lines are large (6") relative
     to the HPIS injection line (3"), a significant portion of the
     HPIS flow could be diverted in the event of a LPIS check valve
     failure.  It thus appears that a single failure of either of the
     three LPIS check valves (CV120, CV220,  CV320 on Figure 6) will
     fail the HPIS.   The probability of a check valve .failure is given
     as 1.3x10   on  page 339 (dominant fault FCV02200).  Assuming that
     the failure of  the check valves are independent, the probability
                                                -3
     of any one of the three failing is 3x1.3x10   or approximately
     4x10  -  The effect of this single failure mode on the overall
     system failure  mode is shown on Figure  7, a revision of Figure
     11-60 in Appendix II, Vol. 2.  As can be seen, the effect is not
                                                                 -3
     very significant, increasing failure probability from 3.6x10
              -3
     to 7.6x10   for the case when one of three charging pumps are re-
                           -3          -3
     quired, and from 6.0x0   to 9.9x10   when two of three are
     required.
(2)   Additional Double Failures - Three HPIS double failures which may
     have some significance appear to be ignored in Appendix II,  Vol.2.
     These are:

     (a)   Failure of both valves in the drain line of the Volume
          Control Tank to close after a small break accident (desig-
          nated valves 1115C and 1115E in Appendix II).

-------
CV100
SI235
           6" Lines
:old Leg 1
CV200
-<]—
\J
To Cold
Leg 2
CV300
~<1 	
XJ
Id Leg 3
CV120
	 ^ — ^ 	
SI236
h /i


. CV220


CV320
V xl
SI-237
.. h /\
[) 	 l

                                                                                              From HPIS
         Froa LPIS




               Figure 6 - HPIS - LPIS Piping Intersection Diagram

-------
Un
              Single
              Failures
                 SF
             1.1  x  10'3

          (5.1 x 10~3)
 Double
 Failures
                                      OF
   UDF
2.5  x  10'3
                                                         Failure Of HPIS
                                                         To Deliver
                                                         Suffici«nt Water
                                                         To RCSWhen
                                                         Cold Leg LOCA
                                                                      Q •  3.6 x 10"3 (1/3 Charging Pumps Required) (7.6
                                                                      Q =  6.0 x 10'3 (2/3 Charging Pumps Required) <9'9 x  10
                                                                                   -:33>
     Charging
     Pump
     Failure*
                                                                                         CF
       QCF

7.0 x  10'6 (1/3 Required)
2.4 x  10'3 (2/3 Required^
                              Figure 7 - Quantitative  Pictorial Summary  of HPIS  Failure With
                                           Point Estimates Showing Effect of Q^. (Single
                                                      Failure)  Increase

-------
      (b)  Failure of both valves in the normal charging line to
          close after a small break accident  (designated valves
          MOV 1289A and 1289B in Appendix II).

      (c)  Failure of both valves in the boric acid recirculation
          system to close after a small break accident (designated
          valves 1884A and 1884B in Appendix II).

     The closing of the above three sets of valves is part of the auto-
     matic sequence to align the HPIS into the injection mode follow-
     ing a small break LOCA.  Presumably, the failure of any set of
     the valves fails the operation of the HPIS, although it is pos-
     sible that such failures will result in only partial degradation
     of the system.  However, partial degradation of a safety system
     is normally assigned failure in WASH-1400.  Therefore, these
     double valve failures should be considered  in the double failure
     category.

     Figure 8 shows all HPIS double failure contributions considered
     in Appendix II plus the three sets of double valve failures des-
     cribed previously.  The numbers in parentheses are the revised
     values considering these failures, and assuming a failure prob-
     ability of 2.0x10   per valve which seems to be close to the
     average value assumed for valves failing to open.  As can be
                                                                  -3
     seen, the increase in double failure probability (from 2.5x10
     to 3.7xlO~ ) is not significant.

Trojan Comparison - This review consists of a comparison between the
Surry reactor system, used in WASH-1400 as a basis to compute risks
for all PWRs, and the Trojan
Westinghouse 4-loop designs.
                                           (2)
for all PWRs, and the Trojan reactor system   , representative of
                                                   (3)
According to the Surry Final Safety Analysis Report   , protection
against small breaks up to 6 inches in diameter is afforded by a high

                                 57

-------
oo
Volume Control
Tank Drain Valvesj
1115C and 1115E
Fail to Close
                                                Normal Charging
                                                Line Valves MOV
                                                1289A & MOV 1289B
                                                Fail to Close
                           x Kf"4 )
(•» x
                         Boric Acid Re-
                         circulation Line
                         Valves TV 188AA
                         & 1884B Fail To
                         Close
                                                                               x  nr")
                       Fieure 8 - HPIS Modified Double Failure Contribution  Susssary

-------
pressure injection flow rate of 150 gpm, equivalent to  the design flow
rate of one (out of a total of three) charging pump.  The Trojan FSAR
indicates that a flow rate of 575 gpm (minimum engineered safety equip-
ment - one charging and one safety injection pump) affords protection
for the core for breaks up to 6 inches in diameter.  Since the Trojan
charging pumps (a total of two) are rated at 150 gpn, the total charg-
ing system capacity (300 gpm) is less than that assumed to protect the
system for all small breaks up to 6 inches.  To provide for such pro-
tection, the Trojan design includes a safety injection system (SIS),
considered part of the HP1S.  The SIS consists of two pumps, with
associated piping and hardware, each rated at 425 gpn.  It thus re-
quires the capacity of at least .one charging pump plus one SIS pump
to protect the Trojan core for breaks up to 6 Inches.  Table 12 sum-
marizes the differences in requirements as well as design for the
Surry and Trojan HPIS.

It should be noted that different break sizes (up to 6 inches) will
require different injection flow rates to protect the core.  In the
Trojan case, the 575 gpm requirement is based on a conservative analy-
sis of the most demanding (in terms of injection requirements) break
size.  Not all break sizes up to 6 inches will require a 575 gpm in-
jection flow rate.  (The same can be said of the 150 gpm flow rate
used for Surry.)  However, in the absence of information relative to
break size probabilities in the up-to-6-inch size range, as well as
incomplete information relative to flow rate requirements as a func-
tion of break size, a more detailed assessment for Trojan was not
possible, and an analysis similar to that done by WASH-1400 for Surry
was used Instead.
                                  59

-------
                      Table 12 - HPIS COMPARISON
                                 SURRY vs TROJAN
                         Surry	Trojan
Minimum flow (gpm)
System(s)
No. of Pumps
Pump Flow Rate
    150
Charging Only
      3
         575
Charging + Safety Injection
      2 (Charging)
      2 (Safety Injection)
    15C (Charging)
    425 (Safety Injection)
The basic design of the HPIS for the two plants is quite similar, and
excluding pump failures,'comparison of the failure modes for the hard-
ware in the two systems indicates no significant differences exist.
However, since the Trojan system requires at least two pumps out of a
total of four from two independent sets of two pumps, and Surry re-
quires only one from a single set of three pumps, the Surry HPIS pump
failure analysis does not apply to Trojan.  The significance of the
                                                        I           _  '
difference is difficult to assess without undertaking a detailed analy-
sis of the Trojan system.  However, an indication may be obtained by
considering Table 13 which lists all the pump operating-failure com-
                                                       .:''*•' A
binations for the two plants.  Six out of sixteen of the Trojan com-
binations result in HPIS failure, while only one of eight Sulrry
combinations fail the HPIS.  This may indicate that the Trojan HPIS
failure probability is higher than Surry.  However, until a complete
analysis of the Trojan (or any Westinghouse 4-loop) system is accom-
plished, including appropriate consideration of pump motor failure
rates, common mode failures, etc, no specific conclusions can be sup-
ported.  In view of the fact that small break accident sequence prob-
abilities are significant contributors to some of the release categor-
ies (particularly Categories 3, 4 and 7, this analysis has added
importance.

Conclusions - Based on. a review of the HPIS failure analysis contained
in Appendix II, Vol. 2 of WASH-1400, the following conclusions are de-
rived:
                                  60

-------
Table 13 - HPIS PUMP SUCCESS-FAILURE COMBINATIONS  FOR TROJAN & SURRY

NO.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
H.
15.
16.
TROJAN SURRY
Charging
Pumps
A
runs
runs
runs
runs
runs
fails
runs
runs
fails
fails
fails
fails
fails
.fails
runs
fails
B
runs
runs
runs
runs
fails
runs
fails
fails
runs
runs
fails
fails
fails
fails
fails
runs
SIS
Pumps
A
runs
runs
fails
fails
runs
runs
runs
fails
runs
fails
fails
fails
runs
runs
fails
fails
B
runs
fails
runs
fails
runs
runs
fails
runs
fails
runs
fails
runs
fails
runs
fails
fails
HPIS
System
Suc-
ceeds
X
X
X
X
X
X
X
X
X
X






Fails










X
X
X
X
X
X
Charging Pumps
A
runs
runs
runs
fails
fails
fails
runs
fails








n
runs
runs
fails
runs
fails
runs
fails
fails








C
runs
fails
runs
runs
runs
fails
failti
fails








HPIS System
Succeeds
X
X
X
X
X
X
X




•>
,__,



Fails







X








                             61

-------
(1)  There do not appe.it  11<  !•<•  .inv  s i^ul t I i';mt  nicn-*  \\\ I IIP 
-------
 (4)  Page 327, Section 4.5 - The list of significant single  failures
     in this section does not  correspond to  the single failures quan-
     tified on pages 334 and 335.  For example, RWST drain plugged and
     RWST vent plugged (item 13, page 329) do not appear  to  be con-
     sidered on pages 334 and  335.

                              I
 6.   PWR Small Break Loss of Coolant Accident Analysis

 This review involved the investigation of analytical methods used by
 PWR vendors to calculate the consequences of a small break LOCA.  Since
 WASH-1400 contains a small break LOCA description, and even more de-
                                         (17 18 19)
 tailed descriptions are readily available    '  '   , only a very brief
 discussion, necessary for understanding the  subsequent discussion of
 small break LOCA analysis techniques, will be provided here.  A small
 break is currently defined as  a rupture in the PWR primary system which
                          2
 produces an area of 0.5 ft  (9-inch diameter circular hole)  or  less.
 (This definition does not correspond to that used in WASH-1400; a hole
 6 inches in diameter or less,  but the difference is not significant.)

 Following a small break, the primary system begins to depressurize.
 When the pressurizer pressure  falls below a preset value, the reactor
 trips (scrams).  Other signals cause the HPIS pumps to be started.
 When the primary system pressure falls below the maximum HPIS injection
 pressure (around 1800 psi), check valves open and cold water is inject-
 ed into the primary system.  When the system pressure falls  to the ac-
 cumulator injection pressure (about 650 psi), water from the accumu-
 lator is injected.  At lower pressures, additional emergency cooling
water is injected from low pressure injection systems.

 For a small break LOCA, the critical time from the standpoint of re-
 storing and maintaining adequate core cooling occurs during the first
 1000 seconds or so.  During this time period, a complex dynamic inter-
 action is taking place in the  core involving energy production, energy
 redistribution and energy removal.  Energy is being produced by the
                                  63

-------
continued fissioning process which is slgnllicunt until the core is
shut down by insertion of control rods or by steam voids which even-
tually form in the core.  Decay heat also contributes to the energy
production in the core.  Significant energy redistribution occurs in
the core when the heat transfer from the fuel pin cladding to the pri-
mary coolant is reduced.  Energy then accumulates in the cladding and
a rise in cladding temperature occurs.  One of the most important
parameters during this process of energy removal and redistribution
is the heat transfer effectiveness from the clad to the coolant.  This
heat transfer process is governed by coolant properties of pressure,
temperature, flow and quality.  It is very difficult under the tran-
sient conditions existing during the small break LOCA to calculate
accurately all of these quantities.

Once the fluid properties have been calculated, heat transfer coeffi-
cients must be derived in order to calculate the amount of heat lost
from the core cladding.  Since there is at present no rigorous, direct
way to calculate heat transfer coefficients from basic physical prin-
ciples, correlations which are primarily based on steady-state experi-
mental results must be used.

The procedure for calculating the core temperature distribution fol-
lowing a small break LOCA is very uncertain.  Dynamic fluid property
calculations in the core region are very difficult; the application of
fluid-condition-dependent heat transfer correlations based on steady-
state conditions to the transient fluid conditions calculated to exist
in the core is somewhat uncertain, and the correlations themselves are
discontinuous and occasionally inaccurate when compared to steady-stat»
experimental heat transfer data other than that from which they were
derived.  These uncertainties are allegedly accounted for by conserva-
tism, in the calculations.

It should be noted that very little emphasis has been placed on the
development of small break LOCA analytical techniques in recent years.

                                  64

-------
The primary emphasis has been on achieving an adequate analysis for
describing the large break LOCA, since it was considered to be the major
risk to the health and safety of the general public.  WASH-1400, as
noted in Section III, concludes that the small break LOCA is a major
risk.

Each of the three PWR vendors (Westinghouse, Babcock & Wilcox, Combus-
tion Engineering) has developed an analytical method to calculate the
reactor system response following a small break LOCA.  Table 14 lists
the computer codes used by each vendor for the calculation.  One of
the basic features of each computational technique is the nodalization
scheme employed, as shown in the third column of Table 14.  This column
describes the number and general location of nodes, or volumetric
regions, selected by each vendor for his particular calculation.  When
the calculation is performed, the thermohydraulic processes are com-
puted separately within each node.  The fluid properties, heat trans-
fer from surfaces, fluid flow, etc, are thus Identical throughout each
node, and the calculated quantities for each node are actually average
quantities calculated to exist in the node.  As can be seen in Table
14, recent versions of each of the codes contain about the same number
of nodes.

A detailed description of each code is not available because many of
the basic features are proprietary.  Some features of the codes are
explained in References 17 through 20, and since these references ar^
                                                                    *
readily available, the information contained therein will not be,
included in this discussion.

One way to assess the capability of the codes in a relative sense is
to compare results obtained by the various codes for similar calcula-
tions.  Since the reactors sold by all three vendors are similar in
power level, operating conditions, fluid volume, configuration, etc,
it is expected that these calculations would yield generally similar
results.
                                 65

-------
                            Table 14 - SMALL BREAK LOCA COMPUTER CODES USED  BY PWR VENDORS
   VENDOR
CODE NAME(S)
                                                     NOD ALT 7. AT I ON SUMMARY
                                                     REMARKS
Wcstinghouse
 SLAP
                       WFLASH
                         3 nodes:  1 in steam generator, 1 in
                         pressurizer ,  1 in balance of primary
                         system

                         16 nodes in primary system, 2 In
                         secondary, 1  In pressurlzer
                                               The WFLASH code was intro-
                                               duced by' Westinghouse in
                                               Hay 1974; previously, small
                                               break analyses were per-
                                               formed by the SLAP code.
  Combustion
 Engineering
 CEFLASH-4
                       WALSOB
Greater than 15 nodes for primary
system*

1 node for primary system
 WALSOB used for hot leg
- breaks and very small cold
 leg breaks;  CEFLASH-4
 used for all other small
 breaks.
 Rabcock &
  Wllcox
 CRAFT,
 FOAM
14 nodes for primary ays tea, 1 node
for containment, 1 node for secon-
dary (CRAFT)
 The FOAM code computes
 liquid level in the core
 region based on Input ob-
 tained from a CRAFT calcu-
 lation.
      'Actual number of nodes proprietary

-------
As discussed previously, one of the critical parameters in the small
break LOCA, from the standpoint of assessing accident risks, is the
rate of heat transfer from the core.  This rate is strongly dependent
on the fluid conditions calculated to exist in the core region.  It
is important, therefore, to be able to accurately calculate fluid con-
ditions in the core, particularly the pressure history and the core
fluid level.

(1)  Core Uncovery Time - Figure 9 presents the calculated core uncov-
     ery time (i.e.?the time following the initiation of the break when
     the steam-water interface which develops in the vessel drops be-
     low the level of the top  of the core) for each of the vendors'
     PWRs.  For the three cases, the break location (pump discharge)
     is the same, the initial primary fluid conditions are very nearly
     the same, the core locations are similar and the upper plenum
                                                  3         3
     volumes are very nearly the same (all 2100 ft  ± 120 ft ).  Thus,
     it would be expected that, except for minor differences due to
     small design variations, the core uncovery times for the three
     plants should be comparable.  As Figure 9 indicates, the core
     uncovery times vary substantially from about 80 seconds to 520
                       2
     seconds for 0.1 ft  breaks.  For larger breaks, the agreement is
     somewhat better, but never closer than about a factor of two for
     the two larger break sizes for which comparative data is avail-
     able.  Figures 10 and 11 show comparisons of the two-phase core
     fluid level during the transient.  Figure 10 is a comparison be-
                                 2
     tween two vendors for 0.2 ft  pump discharge breaks.  Although
     the general shape of the curves is somewhat similar, they are
     displaced in time some 150 seconds, a substantial difference.
                                                  2
     Figure 11 is a similar comparison for 0.87 ft  pump discharge
     break.  Again, the shapes are vaguely similar, but displaced in
     time some 600 seconds, a very large difference.
 (2)  Pressure History - Figure  12 compares  the decompression pressure
     history as calculated by the three vendors  for various break
                                  67

-------
600
          SOO
00
    u
    •I
    u>
    u
    c


    V
    hi
    o
    u
     e.
     o
    j!

    H
          MOO
           300
           200
           100
                          A-



                         _L
                         0.1
                            1
1
1
I
                                                                                   Q- Westlnghouse '(Ref, U)




                                                                                   Q-  Westlnghouse  (Ref. V.)




                                                                                   &- Combustion  Engineer'.03




                                                                                   V- Babcock  & Wilcox  (R-t--.  19)
1
                                        O.I                     0.3                       0.%


                                                Break Site (ft2)


                            Figure 9 - Tl»e Top of Core uncovered vs Break Sis* - *u»p Discharge Break
 T



_L
                                                                                                                            o.s

-------
"S 2.0
M
o
V


oi J.S
LJ
o
CJ
o
  1.0
V


n
JC
a,
    .5
Weotinghouse

 (Ref. 21)
         •Top of Core
          Bottom of Core
                              100
                                                       200



                                                        Time (Sec")
            300
MOO
                     Figure 10 -  Two-Phase  Fluid  Level  vs  Time  for  0.2  Ft   Tump  Discharge Break

-------
   1 6
^  !>•
u
U.
a
o
O
CO

0
O
kl
U
~4
a
    12
    10
Q  -  Babcock & Ullcox
       (Ref.  19)

O  -  Westlnghouse
       (Ref.  22)
                                                          Time (Sec)

                    Figure 11 - Core Liquid Level vs Time for 0.087 Ft  Purap Plscharge Break

-------
130Q
A - Conbustlon  Engineering
          (Ref. 17)

V - Babcock  & Wilcox (Ref. .19)


D - Westinghbuse  (Ref. 2.1)


O ~ Wescinghouse  (Ref. 22)
 10Q
                                                                                                                      900
                   Figure 12 -  Fluid Pressure in Core Region vs Time for Various Break Sizes - Pump Discharge Break

-------
130Q
A - Cocbustion Enalneprlng
          (Ref. 17)

V - Babcock & Wllcox (R«f- 19)

Q - Westinghbuse  (Ref.  21)

O - Westlnghouae  (Ref.  22)
 100
                                                                                                087 ft2
                                                                                                        800          900

                   Figure  12 - Fluid Pressure In Core Region vs Time  for  Various  Break Sizes - Pump Discharge Break

-------
     .sixes.   Since  the  total  primary  system volumes are  similar for
     I he  three  plants  (12,000 ft   .»  550 f t ) ,  and initial fluid con-
     ditions  are  similar,  it  would be expected that system pressure
     declines would be  very  similar for the three plants during a LOCA.
     This should  be especially true for small  breaks since the minor
     differences  in pressure  drops that exist  in the primary system
     due  to different  design  details  would be  minimized  because of the
     very Low flow  rates.   However,  as illustrated in Figure 12, very
     substantial  differences  exist in the core pressure  history during
                                          2
     the  accident..   Considering the 0.1 ft  plots, along with the
                                                                 2
     0.087 and  0..11 (the nearest  published calculations  to 0.1 ft ),
     the  difference in  time  from the  fastest calculated  blowdown to
     the  slowest  ranges around 400 seconds, a  very large discrepancy.
     For  the  0.2  ft  break,  comparing the only two plots available, a
     difference of  nearly 120 seconds exists in the time to reach 900
     psia, wlt.fi the difference becoming larger (nearly 400 seconds at
     200  psla)  as the pressure decreases.
O)   CLadding Temperature - From these very large discrepancies illus-
     trated in Figures 9 through 12, it would be expected that the clad
     hot spot  temperature results would be quite different.

     Figure 13 shows these results and, as expected, there is consid-
     erable variation.  The temperatures plotted are the maximum cal-
     culated for the entire spectrum of small breaks by each vendor.
     They vary from 1075 to 1743°F.  The two values by Westinghouse
                     2
     for the 0.087 ft  break correspond to two different calculational
     techniques.  The higher temperature (1400°F) corresponds to a
     pre-May 1974 calculation utilizing the one-primary-system-volume
     SLAP code.   The more recent Westinghouse technique, using the
     WFLASH code with J6 nodes, shows the maximum at the same break
     size,  but predicts a lower value (1150°F).   The two Combustion
     Engineering points correspond to a similar change in nodalization,
     with the. important exception that the high value (1743°F)
                                 72

-------
     corresponds to a multi-node analysis (CEFLASH with more than 15
     nodes) used by Combustion Engineering since March 1973, while the
     lower temperature (1075°F) corresponds to a single node calcula-
     tion using WALSOB.  Thus, for the Combustion Engineering calcula-
     tions, not only does the maximum temperature occur at a different
                                    2
     break size (0.087 versus 0.3 ft.), the values are different (1150
     versus 1743°F for the most recent calculations), and 'the trend
     from multi-noding to single nodlng is reversed.  The B&W maximum
                        2
     occurs for a 0.5 ft  break with a predicted temperature of 1120°F.
     Under each temperature value the time after break initiation that
     the temperature was calculated to occur is indicated.  The trend,
     though not entirely consistent, is for the maximum temperature to
     occur earlier with increasing break size.  This is expected since
     larger break sizes result in faster depressurization and earlier
     water loss from the core.
The reasons for the large differences in results described in the pre-
ceding discussion cannot be definitely established since details of
the various analytical techniques are proprietary.  Portions of some
of the discrepancies may be attributed to variations in operating de-
sign parameters, assumed operating conditions, and variations in the
design and operational behavior of the ECC systems for the three plants.
However, these differences are quite small and do not appear to pro-
vide a reasonable explanation for the substantial variations.

Conclusions - Based on the large differences in results as calculated
by the PWR vendors for the small break LOCA, it is concluded that the
WASH-1400 assumption (based on these calculations as accepted by AEC-
Regulatory) of adequate core cooling for all small breaks if ECC sys-
tems work is not sufficiently justified.  The fact that in none of the
calculations do core temperatures become great enough to cause damage
which may lead to melting provides some confidence that adequate core
cooling may be achieved.  However, the large differences in results
indicate that the processes occurring during the accident are not well

-------
     corresponds to a multi-node analysis (CEFLASH with more than 15
     nodes) used by Combustion Engineering since March 1973, while the
     lower temperature (1075°F) corresponds to a single node calcula-
     tion using WALSOB.  Thus, for the Combustion Engineering calcula-
     tions, not only does the maximum temperature occur at a different
                                    2
     break size (0.087 versus 0.3 ft ), the values are different (1150
     versus 17A3°F for the most recent calculations), and 'the trend
     from multi-noding to single noding is reversed.  The B&W maximum
                        2
     occurs for a 0.5 ft  break with a predicted temperature of 1120°F.
     Under each temperature value the time after break initiation that
     the temperature was calculated to occur is indicated.  The trend,
     though not entirely consistent, is for the maximum temperature to
     occur earlier with increasing break size.  This is expected since
     larger break sizes result in faster depressurization and earlier
     water loss from the core.
The reasons for the large differences in results described in the pre-
ceding discussion cannot be definitely established since details of
the various analytical techniques are proprietary.  Portions of some
of the discrepancies may be attributed to variations in operating de-
sign parameters, assumed operating conditions, and variations in the
design and operational behavior of the ECC systems for the three plants.
However, these differences are quite small and do not appear to pro-
vide a reasonable explanation for the substantial variations.

Conclusions - Based on the large differences in results as calculated
by the PWR vendors for the small break LOCA, it is concluded that the
WASH-1400 assumption (based on these calculations as accepted by AEC-
Regulatory) of adequate core cooling for all small breaks if ECC sys-
tems work is not sufficiently justified.  The fact that in none of the
calculations do core temperatures become great enough to cause damage
which may lead to melting provides some confidence that adequate core
cooling may be achieved.  However, the large differences in results
indicate that the processes occurring during the accident are not well

-------
understood, and that significant effects may be overlooked or improper-
ly considered.  In view of the fact that the small break LOCA is a
dominating contributor to public risk from PWRs, it is imperative that
a substantial justification be provided to establish that ECC systems
are adequate for small break LOCAs.  In addition, a systematic analysis
to demonstrate that ECC protection exists for all small break locations
has apparently not been provided for the three PWRs.  It is essential.
that such an analysis be provided to assure that ECC protectidn is
afforded for all small break locations.  Such an analysis is mandatory
in order to provide independent assurance that the ECC protection for
small breaks does in fact exist and that the conservatism claimed for
the calculations can be substantiated.                •    •          « ;
                                                                    *j
7.  PWR Loss of Power Transient Accident Sequence

This accident sequence is described in general terms, applicable to
all PWR transients, in Appendix I (Section 4.3.1) of WASH-140Q.  A
more specific consideration of the PWR loss of power transient accident
is given on pages 64 through 67 of Appendix V.  In this latter descrip-
tion, the significance of this, accident on the PWR radioactive release
spectrum is stressed.  An examination of Table V-16 (Appendix V) re-
veals that this transient is the dominant contributor to the Category
2  release for PWRs.  From Table VI-20 of Appendix VI, it is evident
that PWR release Category 2  has one of the highest probabilities of
occurrence, and results in the highest number of acute fatalities of
any release category.  As will be seen, this category contributes to
over half of the calculated acute deaths per year for PWRs.  Thus, the
PWR loss of power transient accident is a significant contributor to
PWR accident risks as calculated in WASH-1400.

The accident is initiated by a loss of off-site electrical power.  If
offsite power is not restored within one-half hour, and the onsite
emergency power sources fail, heat removal from the primary system
essentiallv ceases after the steam generators boil dry.  Since core

                                   75

-------
decay heat (scram is assumed to occur when power is lost) continues to
be transferred to the primary system water, the primary system pressure
rises until relief valves open.  The water in the core region turns to
steam, heat transfer from the core decreases, and eventually the core
approaches melting.  Melting can occur, in which case the molten, core
is assumed to fall into the lower vessel plenum after sufficient melt-
ing has occurred.  Vessel melt-through then is anticipated, followed
by melt-through of the containment base material.  According to WASH-
1400 (Appendix I), containment failure can be caused by four' events
during this accident sequence:                                •_ '

(1)  Accumulation and explosion of hydrogen in the containment . from
     metal-water reaction in the core (designated y) •

(2)  A steam explosion in the lower vessel plenum which drives the
     vessel head into the containment causing failure (designated a).

(3)  Excessive pressure as a result of evolved gases produced by
     decomposition of the concrete base mat of the containment from
     heating by the molten core material (designated 6) .
     Melt-through of the concrete base mat (designated e).
The probability of the accident sequence described, independent of the
containment failure mode, is calculated in WASH-1400  (Appendix V,
page 66) by evaluating the symbols:
          TMLB1
where
                                                                — 1
     T    is the probability of loss of offsite a-c power - 2x10
     M    is the probability of nonrecovery of offsite power in
          1/2 hour (after which heat removal from the primary
          system ceases) «* 2x10
                                  76

-------
decay heat (scram is assumed to occur when power is lost) continues to
be transferred to the primary system water, the primary system pressure
rises until relief valves open.  The water in the core region turns to
steam, heat transfer from the core decreases, and eventually the core
approaches melting.  Melting can occur, in which case the molten core
is assumed to fall into the lower vessel plenum after sufficient melt-
ing has occurred   Vessel melt-through then is anticipated, followed
by melt-through of the containment base material.  According to WASH-
1400 (Appendix I), containment failure can be caused by four events
during this accident sequence:

(1)  Accumulation and explosion of hydrogen in the containment from
     metal-water reaction in the core  (designated y)•

(2)  A steam explosion in the lower vessel plenum which drives the
     vessel head into the containment causing failure (designated a).

(3)  Excessive pressure as a result of evolved gases, produced by
     decomposition of the concrete base mat of the containment from
     heating by the molten core material (designated 6).

(A)  Melt-through of the concrete base mat (designated e).

The probability of the accident sequence described, independent of the
containment failure mode, is calculated in WASH-1400 (Appendix V,
page 66) by evaluating the symbols:
          TMLB'
where
     T    is the probability of loss of offsite a-c power » 2xlO~ .
     M    is the probability of nonrecovery of offsite power in
          1/2 hour (after which heat removal from the primary
          system ceases) = 2x10
                                  76

-------
     L    is the probability of failure of the auxiliary feedwater
                         -A
          system - 1.5x10
     B'   is the probability of nonrecovery of offsite and onsite
          a-c power sources within 1/2 to 1-1/2 hours after the
          transient event = 5x10

The probability of the sequence TMLB' , then, is':
     (0.2)(0.2)(1.5xlO~4)(0.5) = 3xlO~6
In assessing the probability of the various modes of containment
failure, the following values are computed in Appendix VIII of WASH-
1400:
    Y  -  0.13                          6  =  3xlO"2
    a  =  10~2                          e  =  0.8

Thus, the probability of a PWR loss of power transient accident with
various containment failure modes are calculated to be
     TMLB' - a = 3x10
                     3
                     -7
TMLB1 - 6 = 1x10 ? (rounded from 9xlO~8)
     TMLB1 - Y = 4x10
     TMLB' - e = 3x10   (rounded up from 2.4x10  )

These values are listed in Table V-16, Appendix V of WASH-1400, and
assigned radioactive release categories depending on the calculated
release from each sequence as assessed in Attachment 1 to Appendix V.

There appears to be a potential mode of containment failure overlooked
in WASH-1400 during a loss of power accident.  During the accident,
the primary system pressure will remain at or near the set ppint of
the pressure relief valves (above the operating pressure of ^2200 pai).
The superheated steam generated in the core region will, maintain the
system pressure.  When the core eventually melts through the bottom of
the reactor vessel (assuming no steam explosion in the vessel), the
primary system pressure will be rapidly relieved (see also Comment No.l
under General Comments at the end of this section).  The molten material
                                  77

-------
will be spewed  into  the  reactor vessel cavity, and the steam  (and
water which flashes  to steam)  in  the primary system will rapidly (with-
in a lew seconds) exit the  reactor vessel into the containment causing
an abrupt pressure rise.  As  the  primary system pressure rapidly decays
to about 600 psi, the accumulators will begin discharging cold water
into the reactor vessel  downcomer.  This water will flow down the re-
ctor vesseJ and directly out  the hole created by the core melt-through.
The water will  impact the molten mass in the reactor vessel cavity.
Large amounts of energy, in the form of steam, will be generated and
released to the containment,  causing an additional loading just seconds
after the primary system blowdown.  Calculations have not been per-
formed, but it  is possible  that this second abrupt pressure loading
will fail the containment,  especially in the absence of the operation
of containment  heat  removal systems, which must be assumed to be dis-
abled due to the loss of electrical power.  In addition, a steam ex-
plosion may he  more  likely  under  these conditions, as discussed below,
than when the molten core contacts water in the lower plenum of the
reactor vessel.  Neither of these potential containment failure modes
is considered in WASH-1400.

Little is known about the thermodynamics of explosions when water comes
into contact with molten material.  Numerous examples of explosions
have occurred under  these conditions, some of which are described in
Appendix VIII (Appendix  B)  of WASH-1400.  Appendix VIII (pages 27-29)
also derives an expression  for the probability of a vessel steam ex-
plosion which causes containment failure by blowing the vessel head
against the containment.  The  formula used to compute the probability
is
                             P, = Pr  a    a ,
                               1    fw  sxs  cf
where
     I'    is the probability  that the fuel will come in contact with
          water.  This factor considers the possibility that the fuel
          will become vaporized (and not available to cause the explo-
          sion) or that there will be no water left in the lower plenum
          when  the molten core falls.
                                  78

-------
     a    is a terra which describes the likelihood that the explosion
      sxs
          will occur if the molten core comes into contact with the
          water.  This term includes the empirical observation that
          saturated water, which will exist in this case, does not
          appear to be nearly as effective in causing steam explosions
          as subcooled water.  The term also includes a consideration
          that the fuel may not: disperse in the water sufficiently to
          cause an explosion.  The value .of a    is largely a matter
                                             sxs
          of judgment based on observations from various sources of
          molten material-water interations.
                                                   •
     a    is the probability that the vessel head, following the steam
          explosion, will cause rupture of the containment.

These quantities are assigned the following values in WASH-1400, with
large uncertainty bounds,
               P..    = 0.89
                fw
               H     = 0.1
                SXS
               (x r   = 0. 1
                cf
which yields a (rounded) value for P.. of
               PI    = 0.01
This value is used for a, as described previously in WASH-1400.

To assess the probability of containment failure under the conditions
of rapid primary system blowdown at the time of vessel melt-through,
followed by impingement of accumulator water on the molten core mass
in the reactor vessel cavity, it is necessary to reconsider the terms
used to compute a.  In this case P,  is probably greater than the
                                  iw
WASH-J.400 value of 0.89 since water availability. is assured by the
accumulator discharge.  Thus, P,  = 1 appears a reasonable, if slightly
                               rw
conservative, value.  The value of oc    should be raised since:
                                    sxs
(J)  subcoolc'd water from the accumulators will come into contact with
     the molten core mass, whereas saturated water is appropriate for
                                  79

-------
     tin- i\»s<- assumed  in WASH 'I-»00.  Sivlu'ooltfil w<*t6l  \\\ ('(UUftt't \t\\\\
     molten material enhances the probability of an explosion.  Although
     some heating of the accumulator water will occur as It  flows  through
     the inlet pipes and the vessel downcomer, the short path  lengths
     involved and the high volumetric flow rate caused by the  high pres-
     sure drop between the accumulator tank and the primary  system will
     probably minimize this effect.  Appendix VIII (Page 49) states that
     the probability of a steam explosion when molten fuel drops into
     subcooled water is 0.5 versus 0.01 for the saturated water case.

(2)  Intimate contact between the accumulator water and the  molten mass
     in the reactor cavity will likely occur because of the  impingement
     of the accumulator water on the molten mass.  Also, some  dispersion
     of the molten material is likely due to the large area  of the re-
     actor vessel cavity floor.  Both of these effects will  enhance the
     probability of a steam explosion over the case considered in WASH-
     1400.  In view of these considerations, and in light of the uncer-
     tainty involved, it seems appropriate to assign a value of 1.0 to
     this quantity.

The term a f, which accounts for the likelihood of containment failure
from impingement of the reactor vessel head on the containment dome,
is probably the most uncertain of all the factors.  For the  case of
the reactor vessel cavity steam explosion, the pressure pulse  which
accompanies the explosion will be superimposed on the containment  pres-
sure already existing from the rapid primary system blowdown occurring
at the time of vessel melt-through..  This will tend to increase the
probability of containment failure from overpressure.
It is impossible, without further analysis beyond  the scope of  this
effort, to determine the extent to which a ,. should be increased for
                                          cr
the reactor vessel cavity steam explosion.  In order to maximize the
                                 80

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sensitivity  to  this parameter, and to  conservatively account  for the
uncertainty, a  value of 1.0 was assumed.

Table  15 summarizes the changes which  would occur  in the WASH-1400
analysis from the considerations of the preceding  discussion.

          Table 15 - REVISED PROBABILITY VALUES FOR PWR LOSS  OF
                     POWER TRANSIENT WITH CONTAINMENT FAILURE
Parameter

WASH-1400
Revised
Pfw

0.89
1.0
a
sxs

0.1
1.0
acf

0.1
1.0
a/a'*

0.01
1.0
TMLB'
-6
3x10
3x!0"6
TMLB'-a/a1
-8
3x10
3x!0"6
*  a is the WASH-1400 containment failure mode  consisting of  the re-
   actor vessel head impacting on the  containment  dome  as a result of
   a steam explosion in the lower reactor vessel plenum; a" is the
   containment failure mode consisting of the reactor vessel  head
   impacting on the containment dome or containment overpressure,
   either of which result from a steam explosion in the reactor vessel
   cavity.

Table 16 is a revision of a portion of Table V-16, Appendix V, WASH-
1400.  The table shows the contribution to release categories 1 and 2
of the PWR loss of power transient (TMLB1) as described previously.
The sequences show three modes of containment failure:  a (vessel
steam explosion), y (hydrogen explosion), and 6 (overpressure from
gases'evolved due to concrete base mat heating).  The additional mode
of containment failure described previously is  shown as TMLB'-a'.
This sequence has been somewhat arbitrarily placed in release category
2.  A precise determination of its proper release  category placement
would entail a rather complex analysis of the fission product release
associated with this new accident sequence.  However, it should fall
into Category 1 or 2 since it is similar to, and chronologically be-
tween sequences TMLB'-a and TMLB'-6.    Its placement in Category 2
will maximize its influence on the PWR risks.
                                  81

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          Table  16 - COMPARISON BETWEEN WASH-1400 and REVISED
                     PWR RELEASE CATEGORY  1 and 2 PROBABILITIES
                                      RELEASE CATEGORIES



Transient
Event - T







T-Probabilities



1
TMLB' -g
3xlO~8
(3xlO~8) *







9xlO~8
(9xlO~8)
2
TMLB' - o
4x10" 7
(4xlO~7)
TMLB1 - 6
-7
1x10
(0)
TMLB' - a'
o
(3xlO~6)
5xlO~7
(3.4xlO~6)

i
Summation of all accident sequences per release category

'
i i
Median

7xlO~7
. (7xlO~7)
5xlO~6
(7.9xlO~6)
*  Numbers in parentheses are revised values as described in the
   accompanying discussion.
                                  82

-------
The numbers in parentheses in Table 16 are revised figures resulting
from consideration of sequence TMLB'-a1.  Since the probability of a'
(containment failure from accumulator water impacting the core melt in
the reactor vessel cavity) has been assigned a probability of one, the
release contribution from TMLB'-6 must be eliminated (reduced to zero)
since it would occur after the a1 event.  As shown in the table, the
median value for the summation of all accident sequences per release
category for Category 2 is raised from 5x10   to 7.9x10  .  To deter-
mine the significance of this increase on the average acute fatalities
per year from PWR accidents, the appropriate parts, with revisions, of
Table VI-20 (Appendix VI) from WASH-1400, are shown In Table 17.  The
average acute fatalities per year are determined by the product of the
accident probability per year and the average acute fatalities for
each release category.  The increase in Category 2 as a result of the
                                                       .-A          -A
sequence TMLB'-a', as shown in Table 17, is from 3.1x10   to 5.0x10  .
This results in a total increase, from all accident sequences which
                                      -4          -4
cause acute fatalities, of from 5.4x10   to 7*3x10  , a 35 percent
increase.  (It should be noted that, using the WASH-1400 technique of
adding 10 percent from adjacent categories, Categories 1 and 3 will
be increased as a result of the increase in Category 2.  However, as
can be seen in Table 17, the increase in average acute fatalities per
year will not be significant.)

Conclusions - The possibility of containment rupture from either over-
pressurization or damage from vessel head impact as a result of a
steam explosion or generation when accumulator water impacts the molten
core mass in the reactor vessel cavity following a loss-of-power tran-
sient accident seems to have been overlooked by WASH-1400.  A somewhat
conservative evaluation of the effect of this accident indicates that
the average acute fatalities per year from all PWR accidents could
increase by as much as 35 percent.  Further analysis is required to
firmly establish the effect of this change.
                                  83

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Table 17 - COMPARISON BETWEEN WASH-1400 AND REVISED AVERAGE ACUTE
           FATALITIES PER YEAR FROM PWR LOSS OF POWER TRANSIENT ACCIDENT





c
c
2
1
ae
t/>
3


O
Id
CO
M
S

pvm
Release
Category
1
2
3
4

5


1
2
3

4
5

Accident
Probability
Per Year
7 x 10~7
5 x 10~6
5 x 10~6
5 x 10~7

1 x 10~6


7 x 10~7
8 x ID'6
5 x ID'6

5 x ID" 7
1 x 10~6

Average
Acute
Fatalities
34
62
39
2.7

.22

Average
Acute Fatalities
Per Year
2.4 x 10~5
3.1 x 10-4
2.0 x 10-4
1.4 x 10~6

2.2 x 10~7

WASH-1400 Total -5.4 X ' 10-4
34
62
3.9

2.7
.22
2. ,4 x 10-5
5.Q x 10~4
2.0 x 10~4

1.4 x 10~6
2.2 x 10~7
Revised Total - 7.3 x '10~4
                                  84

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Miscellaneous Comments - In reviewing the WASH-1400 analysis of the PWR
loss-of-power transient accident, the following comments were developed:

(1)  Appendix VIII, page A-32 to 34 - The analysis of reactor vessel
     melt-through by the molten core as described here appears to
     apply only to the LOCA case where essentially no pressure exists
     in the primary system at the time of melt-through.  For transient
     accidents, the primary system pressure can be as high as the
     pressure relief valve settings (in excess of 2200 psi) at the time
     that the molten core begins to heat up the lower reactor vessel
     head.  This pressure could accelerate reactor lower head failure
     and alter the chronology of the accident sequence from that pre-
     sented in WASH-1400 (Appendix V) which uses the Appendix VIII
     analysis.
                                        \
(2)  Appendix VIII, Table B-2, page B-10 - It is not clear what the
     column labelled "T,C" represents.

O)  Appendix V, page 62 - The assumption is made here that a transient
     accident which results in failure of reactor coolant system relief
     and safety valves to close becomes a small LOCA and the PWR small
     LOCA event trees were considered to be applicable.  It should be
     noted that assumptions in WASH-1400 relative to the small break
     LOCA sequence and requirements for core protection are based on
     vendor calculations of the accident.  These calculations are made
     assuming steady state conditions exist prior to the accident (see,
     for example, page 15.3-3 of Reference 2.2).  A transient accident
     creates off-normal core thermal and fluid hydraulic conditions
     (see Reference 23).  These differences could alter both the se-
     quence of the accident as well as requirements for core protection.
                                  85

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8.    bWH-l'WR Component Failure Modes and Rates

This Suction presents the results and con i:l us inns of the review of
Appendices III (Failure Data), IV (Common Mode Failures) and X  (De-
sign Adequacy) of WASH-1400.  In reviewing these appendices, the fol-
lowing questions were considered:

(1)  Are the data sources used in Appendix III applicable and
     properly applied?

(2)  Are there other applicable data sources which were not used
     by WASH-1400?

(3)  Have common mode failures been properly considered and accounted
     for in Appendix IV?

(4)  Has appropriate attention been given .to consideration of design
     adequacy, including environmental effects, aging, etc?

(5)  Are the component failure rate values properly computed from
     the data used by WASH-1400?

The findings related to the above questions for each Appendix are
as follows:

Assessment of Failure Data  (Appendix III) - The component failure rate
assessment of median, upper and lower bounds, and the error factor
based on data in Table III-l does not appear to be consistent.  The
credit taken for nuclear design and fabrication ia also not adequately
explained or consistently applied.  Examples of deficiencies in failure
rate assessment are:

Pipe rupture data, pipes >3 inches - The portions of Appendix III
pertinent to the derivation of large pipe rupture probabilities are
widely scattered, inconsistent and difficult to reconcile.  Units for
                                 86

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pipe failures are mixed, and not readily converted; it is not clear
which data values pertain to "LOCA sensitive piping"; it is difficult
to determine which failure rates apply to nuclear,  non-nuclear, nuc-
lear processing, etc, piping; the definitions of pipe "failyre", "rup-
ture", "complete rupture", "complete severance" are ndt given although
these terms are each used; and it is not apparent which data apply to
which pipe size, since several different pipe size categorizations ;are
used.

Table III-l presents the results of the data survey in which pipe rup-
tures are presented for "Hi Quality" (not defined) pipe greater thdh
3 inches in diameter.  The units used in Table III-l are ruptures per
section per hour.  The data in Table III-l are plotted as Figure 14
                                                     / f\»\            / o c ^
(log-normal paper) using a method suggested by Gumbel     and Ferrell
which merely adjusts the position of the data points slightly to ac-
count for the fact that other data may exist which fall near the ex-
tremes.  A best fit curve has been drawn through the data and the
WASH-1400 curve, using the upper, lower and median values given in
Table III-l, and is shown for comparison.  The circled values are ap-
parently derived from nuclear experience, as indicated by the headings
in Table III-l and the descriptive material provided for the Table
III-l references on pages 191-199.  As can be seen, the WASH-1400
assessed range is substantially lower (two orders of magnitude at the
median 'value) than the best fit curve.  The reasons for this disparity
are not apparent, even though section 2.1 (page 18) states that the
Table III-l values "...formed the bases for the assessed ranges."

Table III-3 (page 26) lists a comparison of WASH-1400 assessments with
industrial experience.  Under the "Active Mechanical Hardware" portion
of the table, pipe "Plug/Rupture" failures are listed.  While it is
not clear why "plug" (plugged pipe) failures were included in this
table and not in Table III-l, the assessed upper and lower bounds for
greater than 3-inch diameter pipe correspond to the values given in
                                  87

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10
  -6

                                                  iiiiO Table III-l Data Points
                                                             Figure 1«
                                                     Pipe Rupture Failure Data
                                                    !• (Pipes >3 inch Diameter)
                                    Cumulative Percentage
                                          88

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Table  III-l.  However,  the  lower bound  listed  for  industrial  experience
is  3x10    /hr and  there is  no  corresponding  value  from  any  source  in
the Table  1II-1  tabulation  even though  Section 2.2 (page  18)  states
that the Table 1II-2 values are "extractions"  from Table  III-l.
An examination of 1972 nuclear experience  is  presented  in Section 3,
page 29.  Table  III-6  (page 38) contains piping  failures based on 11
                                              -9
failures for 1972, and a failure rate of 1x10   per hour per foot is
derived.  Conversion of this rate to the units used  (ruptures/section/
hr) in Table III-l is difficult.  The rate would be 8.76xlO~  failures
per year per foot.  Page 184 states that the  amount of  pipe per plant
is "taken as roughly 170,000 feet."  The amount  of pipe per section
varies.  Page 101 states that a pipe section  is  "approximately 10 to
100 feet."  Thus, there are, very roughly, 1700  to 17,000 pipe sections
                                                            -2
per plant.  The  Table III-6 pipe failure rate becomes 1.5x10,  - to .
1.5x10   failures/section-year with a large uncertainty resulting -from
conversion uncertainties.  However, since  it  is  not clear -.(1) what Is
meant by a pipe  "failure" for the nuclear  experience data in Table
III-6, (2) what  pipe sizes the nuclear data represents, or (3) which
piping on the plants was considered in the data, a comparison between
the Table III-l  and III-6 values is probably  not valid.
Another problem appears to exist in Table III-6 which lists 280,000
feet as the total length of piping considered in the survey for eight
PWRs and 315,000 feet as the total length for nine BWRs.i  This pro-
duces a pipe length per plant of 35,000 for both types.  This does not
agree with the 170,000-foot value quoted on page 184 of Appendix III.

Section 6.3 (page 174) provides a discussion of how LOCA initiating
pipe rupture rates were derived for used in WASH-1400.  For pipes
                                    -4
larger than 6 inches, a rate of 1x10   per plant per year is listed.
Substantial discussion is included in support of this rate, and the
rate appears to be reasonably well justified in epite of the problems
discussed previously.  However, in the Nuclear and Nuclear-Related
                                 89

-------
Experience subsection (page 178), reference is made to the "1972
nuclear history examined for the general data base."  Ten failures are
listed, while the 1972 nuclear data in Tables II1-5 and III-6 each list
11 failures.  It is not clear why these numbers are different.

Pipe Rupture Data, Pipes <3 inches - Many of the deficiencies listed
previously for the Appendix III discussion of pipes greater than 3
inches exist for pipes less than 3 inches.  Figure 15 shows A compari-
son between the WASH-1400 assessment and a best fit of the data given
in Table III-l.  Again, the WASH-1400 assessed range falls below a
best fit to the data.  As before, the apparent reason is to account
for the improved failure rate for nuclear piping, yet the nuclear ex-
perience data points as indicated on Figure 15  do not substantiate the
assumed improvement.  According to Table III-l, the U.S. nuclear ex-
                               -9
perience  gives a value of 1x10  , which was assumed to be the median
value in the WASH-1400 assessment.  However, the nuclear experience
                                  _9
value given in Table III-2 is 2x10   for pipes less than 3 inches.  It
is not clear why these numbers are different.
                                 .!•
A further area of confusion is introduced in Tables III-2 and 3 where
pipe plugging data appear to be included for all pipe sizes.  In
Table 111-10 (Summary of Assessment for Mechanical Hardware), a plug
failure is said to apply only to pipes <3 inches.  A .plugged pipe
would usually result in an entirely different accidents (noli a LOCA)
than a ruptured pipe, and it is not clear why the twlij&are combined
since the results are used for LOCAs.  Also, the pipft failure mode for
the nuclear data compiled in Section 3.2 is not identified.if

A further area of confusion exists relative to pipe $lze.  Table III-l
classifies pipe as either greater or less than 3 inches; the .'pipe fail-
ure data discussion in Section 5.4 of Appendix III classifies pipe
failures as initiating events for LOCAS in three size categories -
1/2- to 2-inch, 2- to 6-inch and greater than 6 inch.  Page 175 of
Section 6.4 indicates that the pipe rupture data used in WASH-1400
could be broken into two classes, either greater than 4 inches or less
                                  90

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                                                       I  .>  ,-'  .1 .V,   .01

.>  l   t    j   10    M  jo  w  >•  la  TO
                    Cumulative  Percentage
                                                                     *.«•
                            91

-------
than 4 inches.  It is not clear how the data were used to obtain fail-
ure rates depending on pipe size.  Further confusion is generated in
Section 6.4 by citing numerous pipe failure data sources, some of
which are not apparently listed in Table II1-1, although part of the
problem may be due to typographical and reference number errors in
the source headings of Table III-l.

Check valve failures - The tabulated description of this failure mode
in Table III-l is "reverse leak", yet in Table 111-10, which summarizes
the WASH-1400 assessments, the failure is described as "internal leak
(severe)."  (The same failure value is used.)  It is not clear which
failure mode is being considered - any leak or only severe leaks.
(Presumably, reverse leak and internal leak for check valves is equiv-
alent.)  In view of the rather significant nature of severe reverse
leakage in check valves determined elsewhere in WASH-1400 (see Sec-
tion 4.4, Appendix V), a detailed discussion of what constitutes a
severe reverse leakage in check valves should be provided.

Relief valve failure-to-reseat - The relieve valve failure mode, "Fail-
ure-to-reseat", is not assigned a rate in Table III-l.  Yet, a value
      1       O
of 10~  to 10~  is cited ("estimated on an engineering basis") for
this mode on pages 62 and 69 of Appendix V.  This mode should be in-
cluded in Table III-l and its failure rate derivation should be dis-
cussed  in Appendix III.  Apparently, data are available for this fail-
ure mode since the valve malfunctions tabulated for 1972 on pages 54
to 59 of Appendix III show that 5 of 13 relief valve malfunctions were
of the failure-to-reseat mode.

Pumps failure-to-run - A log-normal plot of pump failure-to-run rates
from data sources given in Table III-l is shown in Figure 16..  As can
be seen, 13 of the 14 data points for failure-to-run in a normal en-
vironment fall below the WASH-1400 assessed median value of 3x10  hr~ ,
apparently indicating, in this case, nuclear experience indicated a
higher failure rate than non-nuclear experience.   However, the U.S.
                                  92

-------
 ill
r *
f!

ii
                  (!) Table III-l, Extreme Environment Data
                                     Points
                  O Table HI-1, Normal Environment Data
                                     Points
                   WASH-1400 Assessed Range
                     Extreme Environment v
                                                                  Best Fit Plot
                                                                 Extreme En.viron.r~
                                                            WASH-1^.00 Assesned Range
                                                                 Post Accident
•         Fit Plot
T: Normal Environ.
             WASH-1400 Assessed
               Normal Environment
                                                                   Figure  16
                                                           Pump  Failure to -Run  Data
       10 ". t±ii
       10
         -6  [-
                                          Cumulative Percentage

                                              93

-------
Nuclear Uperating Expi-r.i (.-no' column of Table 111-1 gives a value of
3x10  lir  .   (In many other cases in the Table,  the value in this column
was used for  the assessed median.)  It appears inconsistent to use a
higher value, particularly when the non-nuclear  data argue for a lower
assessment.
Three data points are given in Table HI-1 for failure-to-run under a
severe environment.  A best fit plot of these data, shown in Figure 16,
is essentially equivalent to the WASH-1400 assessed range for failure-
to-run after recovery of the post-accident environment and a factor of
two to five below the assessed range for severe environment before post-
accident recovery.  The reasons for these differences are not clear.

Diesel generator failure-to-start - The data points used in Figure
III-8 have been replotted on log-normal probability paper as shown in
Figure 17.  The values suggest a negative skew to the distribution of
failure rates, and indicate either that the sample selection was poor
or that log-normal distribution is inappropriate.

When reviewing the other data contained in Table III-l, it is found
that, the plotted points (Figure 111-18) represent three out of five
data points with the two omitted data points being much lower than the
plotted points.

It appears that the range of failure-to-start rates as assessed by
WASH-1400 for diesel generators is too narrow.  It also appears that
the range of rates tabulated and the resulting plot given in Figure
II1-18 indicate that the proper range cannot be established from the
available data.

An investigation was made of diesel generator failure rate sources.
He(erring to the failure rate tabulations for diesel generator failure
rates in Table III-l, particularly for failure to start, it was
found that important sources of data referenced in the AEG Report

-------
s
III
            SILO..'"n
                                    WASH-1400
                                  Assessed  Range

                                     n	t....rt>rr'*..,::.frTrtrT  ... —...
                                       rjriTrrrn-.rn::-   Best Fit to Fig.  ni-18 Points: "r
                                                       Data Point  from Fig.  III-18J-
                                                    Q Data Point  fron Table III-lp

                                             |.i  Diesel Generator Failure to  Start  i
           .01   , tO  TO  -^3
                                         Cumulative, Percentage
                                                 95

-------
UOE-OS-002     were not listed.  In addition, the data cited in Table
1II-1 for the UKAEA Systems Reliability Service (SRS) appear to be high
at least a factor of ten when compared with the SRS reference in
                                                            (27)
OOE-OS-002 and to the value given in the SRS Report SRD-R-16    .
Specific examples are:

(1)  UKAEA statistics referenced in Section 4.4 of OOE-OS-002 show a
                                         -2        -2
     failure-to-start probability of 1x10   to 2x10   per demand, not
     IxlO"1 as given in Table III-l, WASH-1400.
                          (2 7 y                        •'   •  •
(2)  UKAEA Report SRD-R-16 .  ', Table III, lists a failure-tO-start
                        -2                     -1         i         '
     probability of 2x10   per demand, not 1x10   per demand and a
                                                -5  -1          -3
     failure to run rate of 0.2 per year or 2x10  hr  , not 1x10   as
     given in Table III-l, WASH-1400.

(3)  A U.S. Army study referenced in Section 4.4 of OOE-OS-002 gives
     a computed probability of failure-to-start as 7x10   per demand.

(4)  A General Motors report referenced in Section 4.4 of OOE-OS-002
                                                 -2
     gives a failure-to-start probability of 1x10   per demand for GM
     units in service as peaking units from 1957 to 1969.

(5)  Statistics compiled from U.S. nuclear power plants and reported
     in Table VII of OOE-OS-002 establish a failure-to-start probabil-
                            -2          -2
     ity ranging from 1.5x10   to 3.4x10   per demand.  The range re-
     flects variations in manufacturer and capacity of the units.

                                                                (28)
In addition to the preceding data, the Edison Electric Institute
provides failure-to-start data for 203 diesel generator units repre-
senting 806 unit years of operation.  These data establish a failure
rate for starts of approxlm,
starts in 118,563 attempts.
                                     _2
rate for starts of approximately 9x10   based on 107,679 successful
The data listed in Table III-l for diesel generator failure-to-start
and failure-to-run (complete plant) should be revised to include the
preceding data.  A log-normal plot of failure-to-start data, including
                                  96

-------
 the  preceding data,  is  given in  Figure  18.   This  plot  is  based  on  the
 data points  from Table  18.

             Table 18 -  DIESEL GENERATOR FAILURE-TO-START  DATA
      Source
      UKAEA  (SRS)
      U.  S. Army
      General  Motors
      USAEC  (OEE-OS-002)
      LMEC  (Table  III-l)
      IEEE Trans  (Table  III-l,
      NRTS  (Table  III-l)
      EEI Pub  74-57
Failure-to-Start/Demand
       2x10
       7x10
       1x10
       3x10
     1.2x10
       1x10
       1x10
       9x10
-2
-3
-2
— 2
i
-3
-5
-8
-2
 The  tabulation  in  Table  18 omits  U.S.  and UKAEA data from Table  III-l
 which  are  probably covered by the data in the  tabulation.   The data
 are .plotted  using  the  method of Gumbel and Ferrell.

 It appears,  based  on Figure 18, that WASH-1400 has  used  a median value
 three  times  larger than  suggested by the  larger collection of data and
 that  the error  factor  associated  with  the revised data is 30, not 3  as
 shown  in WASH-1400.  The overall  conclusion is that  the  WASH-1400
 assessed data may  be unnecessarily conservative.

 Human  Reliability  Analysis (Appendix III)  - The final human reliability
 assessments  used in WASH-1400 are described as being values adjusted
 from  the basic  "General  Error Rate Estimates"  given  in Table 111-13.
 While  the  factors  considered in adjusting these basic rates appear
 appropriate, as qualitatively described following Table  111-13 (page
 131),  very little  in the way of quantitative assessments are presented.
 Referring  to these basic error rates as being  "lower", "higher",  or
'markedly reduced",  is  quite vague.
                                   97

-------
    ]0
      -1
      -2
    10
    w  g
    g  3
    .J  UJ
    •H  Q
    zs
    10
      -3
r..1
if

il
    10
   10
                               — Assessed  Rang
~n-"--l—nr-r-l-TT
: . . i -t :  :  I  : i . • f - -T.
                                   ;;;:|;  •  Not Considered
                                  >   to    »i»  JO  *9  X1 to  TO  IV

                                        Cumulative Percentage
                                              98

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          trrc/r  contribution  values  appear explicit ly in rhp t«»ilt
tree analyses in Append i.\  11  vVi-l^.  2  ouvt  .J0 .   ih^c  v -\j>  .  .
     This added probability  increases the  value e^t imatfcd ._^nHj$Jl^j' . ..  ;'.
     example by a factor of  three.                    ,           ', ''.
(2)  The conclusion  that all  three  people  in the control,, room would
     recognize that  the RWST  level  had  reached 14. .5. percent and that
     action is required seems highly optimistic (page 150).  Each
     operator would  likely be quite busy and would  not check the other
                                 99

-------
     two to see that  they are performing correctly.   In addition,  it
     is possible that only one operator would be reading the written
     instructions and the others would not necessarily be aware of the
     significance of  and action required by the various gauges and
                                                         i
     alarms.

                                                   -2
(3)   The rationale for assuming an error rate of 10   for selecting
     the wrong valve  control switches rather than the basic error  rate
     of 10   appears  arbitrary as presented in the last paragraph  on
     page 151.   Though the rate selected may be appropriate, it would
     appear that additional rationale is required, rather than simply
                   _2
     saying that 10   was picked because the previously selected "basic"
     value of 10   seemed too large in this situation.
(4)   The example does not clearly identify the failure being evaluated.
     From reading the discussion, it appears that the event of inter-
     est is failure-to-open MOV-860A and B.   Lack of a tightly developed
     statement of the problem,  approach, and results in this example
     seriously diminishes its value.  The example should be revised to
     identify clearly the event of interest.

(5)   The example discussion does not indicate how much time is avail-
     able after making a wrong decision to correct the error.  The
     greater the length of time available, the more chance ttlere is
     for error feedback to lead to error recovery.  Of course, with
     longer times required to recover the error, the magnitude of
     consequences may increase.  Hence, there must be a time limit for
     which error recovery has no real value  in consequence limitation.
     This point is not discussed.  The errors and questionable assump-
     tions in this example do not lend confidence that human reliabil-
     ity factors were handled appropriately  in the many other situa-
     tions which are  assigned values without supporting analysis or
     discussion.
                                 100

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Mi scellanejjU.s Conini<.'nLs (jAj>^>i.ind_i_x_ll_I_} - The  following commence w«r«
developed during the review of Appendix III:

(1)  It.would be helpful if the discussion of data treatment on pages
     15 to 18 were replaced with a discussion having content similar
     to that of Section 3.6.1 of Appendix II.  The methods of data
     treatment given in Section 3.6.1 of Appendix II are much more
     lucid and appropriate than the discussion now contained in
     Appendix III.  In particular, the reasoning associated with  use
     of the log-normal distribution for data range selection is much
     better developed in Appendix II and belongs also in Appendix III.

(2)  Both Appendix II and Appendix III should include a brief dis-
     cussion to indicate that the log-normal distribution is used to
     establish a range of failure rate values, while the exponential
     distribution is used to estimate the probability of failure.  It
     is only by carefully reading the text  (page 83 of Appendix II)
     that .it is clear that the exponential distribution has been  used
     for computing failure probabilities.
(3)  The failure rate data source given in Table  III-l  for Holmes  &
                                                                      (29)
     Narver is incorrect.  The report which should be cited  is HN-199
     for the four-month data collection activity  at Connecticut Yankee
     (Haddam Neck).  Also, no reference is made to a much larger body
     of reported nuclear experience data contained in HN-185
(4)  The quantity n  on page 33 should be nf.

(5)  The last two sentences of the second paragraph on page  33 seem
     inconsistent.  Specifically, if any task error rate  less than
     10   is viewed with skepticism, then any error rate  computed to
     be less than 10   should be rounded up  to  10   rather than being
     dropped as implied in the last sentence and as specifically il-
     lustrated in the example in paragraph one  on page 151, where an
                                 101

-------
     estimated error rate of 10   led to the decision to drop the
     rrror from further consideration.  It would seem more rea
     to assign a value of 10   to any critical human error which was
                                         — s
     iound bv estimate to he less than 10
(6)  In the equation at the top of cage 172, it appears that the
                                    T1 t  + 1
     second exponential term, exp 	  , should be
            T' t + 1                    T
     exp	
 (7)  The heading "Valves  (SOV)" in Table III-l appears to be misplaced
     and should be moved  down one row.

 (8)  In several instances, the WASH-1400 assessed ranges for component
     failure rates are significantly narrower than would be Indicated
     by the data listed in Table III-l.  Two notable examples are
     "Electrical Clutch Failure" and "Motor Operated Valves Failure-
     to-Operate."

 (9)  Page 26, Table III-3 - This table is labelled "Active Mechanical
     Hardware" and includes pipe failures.  Pipes should not be con-
     sidered "active mechanical hardware."

Common Mode Failures (Appendix IV) - The lack of a clear common mode
failure definition in WASH-1400 tends to confuse the treatment of these
failures.  Common mode failures are defined very broadly in Appendix
III, page 40, as "failures having a common cause."  Another definition
is given in the first paragraph, page 5 of Appendix IV, namely, "mul-
tiple failures which are  dependent."  This latter definition is con-
fusing because it introduces -the concept of "dependent" without identi-
fying whether they are dependent on a single external influence,
dependent on each other, or both.  All failures are dependent on some-
thing.   Therefore, dependency is not a concept peculiar to common mode
failure.  Elsewhere in Appendix IV the phrases "dependent and common
mode" and "common mode and dependency" are used.   Use of dependent or

                                 102

-------
dependency along with common mode clutters the concept since a special
case of dependency is implicit in "common mode."

Normally, common mode failure is defined as a single cause which fails
more than one redundant item or function.  Several investigators have
promulgated this definition of common mode failure.  For example,
W. C. Gangloff     uses it in the first paragraph of his introduction.
                           (32)
Similarly, Green and Bourne     define common mode failures in this
manner.  The American Nuclear Society also offers a similar concept in
                                           (33)
Paragraph 3.6.8 of the draft standard N18.8    .  In this document,
common mode failures are defined in context as follows:
     "The designer shall recognize that the redundant or diverse
     channels do not necessarily have independent failure modes.
     He shall seek to eliminate multiple channel failures origi-
     nating from a common cause.  The failure modes of redundant
     and diverse equipment, channels, and systems and the condi-
     tions or operations that are common to them shall be studied
     to determine that a predictable common failure mode does not
     exist."  .

Finally, the AEC (now Nuclear Regulatory Commission) in Regulatory
         (34)
Guide 1.6     has discussed common mode failures in tontext with the
use of redundancy in standby power systems.  Here, common mode fail-
ures are discussed in conjunction with loss of redundancy through a
common failure cause.

Insufficient information is contained in Appendix IV relative to quan-
tification of common mode failures for specific application to the
systems analyzed in Appendix II.  Although a reasonable qualitative
description of common mode failures is given, exactly how these con-
siderations were numerically applied to specific systems does not
appear adequate.  A related deficiency is that the Appendix does not
contain a clear presentation of a systematic approach used in
                                 103

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identifying and quantifying common mode failures.  A flow chart de-
scribing each step taken in such identification and quantification
would be very valuable.

Section 5.3, "PWR LOCA Sequence Common Mode Failure Evaluation,"
especially needs a quantitative evaluation.  Only one quantitative
value is given.  It would be useful if calculated probability were
presented for many of the common mode failures discussed.  This could
be done in tabular form by sequence.

Miscellaneous Comments (Appendix IV) -

(1)  General - Sections 5.5.1 and 5.2, as labelled in the table of
     contents and in the text, are identical to Sections 6, 6.1 and
     6.2.  The fact that Section 5 pertains to PWRs and Section 6 to
     BWRs should be identified in these titles.  Also, to be consis-
     tent, Sections 5.3 and 6.3 should be the same, and a Section 6.4,
     equivalent to 5.4, should be added.

(?.)  Page 7, Table IV-1, Item V-2 - While design adequacy is mentioned
     here and is addressed in Appendix X, neither Appendix X nor
     Appendix IV identifies the probabilities or frequencies associated
     with earthquakes or other external events which might give rise
     to common mode failures.  Appendix IV is deficient in this respect.
     Even if the probabilities of these external events are addressed
     in other parts of WASH-1400, Appendix IV is the proper place to
     discuss them quantitatively and qualitatively with respect to
     their contribution to common mode failure.       ) '':• ..-•  ,

(3)  Page 44, Last Paragraph - The choice of a log-normal,distribution
     for common mode failure probabilities is used, but no Justifica-
     tion is provided other than the previous arguments given for 00107
     ponent failure rates.  The use of log-normal distributions for
     common mode failures should be justified by indicating that:
                                 104

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     (a)  Experience with common mode failures demonstrates the
          acceptability of the log-normal distribution, or
     (b)  There is no major difference in results when using any
          other, possibly acceptable, distribution for the common
          mode failure distribution.

(4)  Section 5.2, Summary of Methods - This section should be titled
     "Summary of Evaluations."  Reference is made to subsections 4.1
     and 4.2 on page 70.  There are no such subsections.

Design Adequacy (Appendix X) - This Appendix describes the results of
an effort performed to determine whether external phenomena and ad-
verse environmental conditions from .accidents represent a common mode
failure potential.  However, the Appendix falls short in its evaluation
because there seems to be no conclusion or summary which clearly states
which conditions represent a problem, what the magnitude of the effect
is, and how such considerations were utilized in the system failure
evaluations elsewhere in WASH-1400.

What appears to be required in Appendix X is a systematic probabilis-
tic determination of the likelihood of common mode failures from ex-
ternal events and accident conditions.  Such a determination should
consider the probability of the external event exceeding the design
condition as well as the probability that the design and/or', fabrication
                                                            T,
is inadequate for events less severe than the design condition.  This
approach would result in a quantified evaluation amenable to incorpora-
tion into the general format of the WASH-1400 risk evaluations.

Appendix X indicates that in a significant number of cases insufficient
information was available to determine design adequacy.  It is not
clear how these cases were accounted for in the risk assessments.

The evaluation does not seem to be complete in that only a limited num-
ber of equipment and structure selections were made (a "sample"
                                 105

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according to page 1).  Section 3 does indicate that the selection was
biased towards selecting those components and systems which had safety
functions and were vulnerable to high stress.  However, the Appendix
does not indicate how large the sample is in relation to all systems
and components of interest.

Conclusions - As a result of the review of Appendices III, IV and X,
the following responses have been developed to the questions posed at
the beginning of this Section:

(1)  Are data sources used in WASH-1400 applicable and properly
     applied?

     The general answer is "yes."  There are, however, specific
     instances cited in the detailed review where application is
     questionable, such as the application of pipe rupture data by
     selecting an assessed range of failure rates below the composite
     nuclear/non-nuclear experience shown in Table III-l.  Nuclear
     piping may be less susceptible to failure, but justification for
     the improvement is not developed in Appendix III.  This example
     can be extended to any instance in which the WASH-1400 assessed
     ranges fall below best fit plots for composite nuclear/non-nuclear
     failure rate data.

     Some of the data sources listed in Appendix III may be marginally
     applicable to nuclear systems.  However, it is believed that the
     method of using this data in WASH-1400, a log-normal distribution
     with sampling from an assessed range, allows for use of this data.

     As a final conclusion on data application, it is noted that major
     orders-of-magnitude of errors in selection of assessed ranges
     were not found.  However, as noted in the detailed review, in-
     stances were identified where the assessed range was considered
     over-optimistic or over-conservative.  The impact of these arguable
                                 106

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     range selections on accident probabilities should be evaluated
     on a selective,  worst case,  basis.   While other applicable data'
     sources can be found for specific failures, no major applicable
     compilation appears to be omitted.   To obtain other data sources
     would be desirable but not necessary except in those instances
     where the data listed in Table III-l are scattered or of such
     small sample size as to make the log-normal/assessed range ap-
     proach technically weak.

(2)   Have common mode failures been properly considered and accounted
     for?

     This question cannot be conclusively answered from reviewing
     Appendix III and Appendix IV.  Much of the specific treatment
     of common mode failures is discussed in other appendices.  A
     major criticism of Appendix IV is the lack of a clearly defined,
     systematic approach to identifying and evaluating common mode
     failures.  While there is an extensive listing of common mode
     failures in Appendix IV discussions, no quantitative evaluation
     of all listed failures is given.

(3)   Has appropriate attention been given to consideration of design
     adequacy, including environmental effects, aging, etc?

     Appendix X provides extensive engineering review of selected
     equipment and structures in the BWR and PWR plants used as refer-
     ence designs for this study.  These reviews evaluate both design
     calculations and actual installation, pointing out deficiencies
     in engineering design and construction which may be a source of
     a single failure or common mode failure.  This information is
     then used in other appendices to modify basic failure rates and
     to assign frequencies to common mode failures.  Thus, design
     adequacy has been addressed in considerable detail with respect
     to the two plants involved.
                                 107

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     However, a generic treatment was not provided for design adequacy
     in typical BWRs and PWRs.  Appendix X does not contain a summary
     discussion of the probability that specific equipmofct will be
     designed properly.  At best, the summary tables in .Appendix X
     provide a qualitative indication of which selected systeflsd or
     equipment may be marginally adequate.  One must look, throughout
     the appendices to evaluate the question of appropriate attention
     to design adequacy.  It is recommended that the question of prob-
     ability of adequate design be addressed in Appendix X.

(4)  Are the component failure rate values properly computed from dat$
     used by WASH-1400?

     The log-normal distribution used in developing assessed ranges
     of failure rates appears reasonable.  It is doubtful that any
     other statistical treatment would change the results of the study
     significantly.  While the log-normal distribution appears suitable,
     the computation or selection of failure rate ranges from avail-
     able data is questionable in some instances.  Specific examples
     of this point may be found in the detailed review.

9.   PWR Low Pressure Injection System Failure

General Review - A review was performed of the PWR low pressure injec-
tion system  (LPIS) failure analysis as presented in Appendix II, Vol. 2
of WASH-1400.  The analysis was found to be correctly done except for
the consideration of operator error.

Figure 11-54, page 299 of Section 5.6.3 (Appendix II, Vol. 2) of WASH-
1400 illustrates the reduced fault tree for the LPIS system.  This tree
consists of single and double fault contributions.  Under the double
fault contribution, there is a subtree labelled "Failure in Pumps and
Control of Cause Failure" (see Comment 3 under Miscellaneous Comments).
This subtree consists of two identical branches for failures in "A"
                                 108

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train components causing loss of the "A" train and failures in "B"
train causing loss of the "B" train.  Each branch contains two operator
errors, each of which disables one train:  valve A01 (186AA) closed or
valve A03 closed for train "A", and valve B02 or valve B03 closed for
train "B".  This operator error probability is apparently assigned a
value of 1x10   in all cases, since using this value to compute the
double failure contribution produces the same value as the double
failure contribution used in WASH-1400 (Figure 11-57).  Since it is
expected that the controls of each set of valves (A01, B01 find A03,
B03) are identical and close to each other, it does not appear realis-
tic to assign the same operator error probability for closing the
second valve in each set unless the first valve is closed inadvertently
rather than deliberately.  If the operator is motivated to deliberately
close the first valve because he is confused, has incomplete or erron-
 v
ecus knowledge of the system, is following the wrong procedure, etc,
then it would appear likely that he would deliberately close the second,
since both valves in each set are identical and are installed in iden-
tical parallel lines and perform the same function.  Appendix III of
WASH-1400 states on page 130 that an error rate of 1.0 is assigned for
the event "If an operator fails to operate correctly one of two close-
ly coupled valves or switches in a procedural step, he also fails to
correctly operate the other valve."

Assigning a conservative value of 1.0 for an operator error of closing
the second valve in either set after he has closed the first (with a
                   -3
probability of 1x10   as was used in WASH-1400) increases the double
failure contribution from 9.2x10   to 9.7x10  .  Figure 19 is a repro-
duction of Figure 11-57 in Appendix II, Vol. 2 of WASH-1400, modified
to show the effect of this change.  The modified values are shown in
parentheses under the WASH-1400 values.  As can be seen, this change
in the double failure contribution increases the overall LPIS system
                          — 3          —2
unavailability from 4.2x10   to 1.4x10  , an increase of a factor of
three.  To assess the influence of this increase on the overall risk
requires an analysis of accident sequences involving LPIS failure
                                 109

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     However, a generic treatment was not provided for design adequacy
     in typical BWRs and PWRs.  Appendix X does not contain a summary
     discussion of the probability that specific equipment will be
     designed properly.  At best, the summary tables in Appendix X
     provide a qualitative indication of which selected systems or
     equipment may be marginally adequate.  One must look throughout
     the appendices to evaluate the question of appropriate attention
     to design adequacy.  It is recommended that the question of prob-
     ability of adequate design be addressed in Appendix X.

(4)  Are the component failure rate values properly computed from data
     used by WASH-1400?

     The log-normal distribution used in developing assessed ranges
     of failure rates appears reasonable.  It is doubtful that any
     other statistical treatment would change the results of the study
     significantly.  While the log-normal distribution appears suitable,
     the computation or selection of failure rate ranges from avail-
     able data is questionable in some Instances.  Specific examples
     of this point may be found in the detailed review.

9.   PWR Low Pressure Injection System Failure

General Review - A review was performed of the PWR low pressure injec-
tion system (LPIS) failure analysis as presented in Appendix II, Vol. 2
of WASH-1400.  The analysis was found to be correctly done except for
the consideration of operator error.

Figure 11-54, page 299 of Section 5.6.3 (Appendix II, Vol. 2) of WASH-
1400 illustrates the reduced fault tree for the LPIS system.  This tree
consists of single and double fault contributions.  Under the double
fault contribution, there is a subtree labelled "Failure In Pumps and
Control of Cause Failure" (see Comment 3 under Miscellaneous Comments).
This subtree consists of two identical branches for failures in "A"
                                 108

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F fiiluro
               it n >0'3
                                      UMS
                                    Unavailability
                                                4J a ID'1
                                                (l.A  x 10~2)
                                     BJ n 10
                                 (9.66  x  10~3)
      Figure 19 - -i.ow  Pressure Injection System Unavailability Contributions with Revised
                                          Humb.ers in Parentheses

-------
(designated "D") as a dominant accident sequence for release categories
3, 4, 5 and 7 under large LOCA (the LPIS is required only for large
I.OCAs).  However, the contribution from these sequences is less than
1 percent of the total from all accidents in each release category for
Categories 3, 4 and 5 and about 3 percent for Category 7.  Thus, a
factor of three increase in the LPIS failure portion of the accident
sequence would not have a significant effect on the overall risk result,

Omissions - No omissions requiring an in-depth review were found.

Trojan Comparison - A determination of the applicability of the Surry
LPIS failure to the Trojan reactor resulted in the following:

(1)  Pump capacities, injection pressures, and other pertinent param-
     eters are the same for the Surry and Trojan plants.  Piping lay-
     outs and system components arrangements are generally similar.
     Figure 20 shows flow diagrams for the two systems.  The diagrams
     are similar except that the Trojan system pumps to four reactor
     coolant loops while Surry pumps to three.  Indicated on Figure 20
     by circled numbers are major single failure contributions causing
     total system failure.  In all cases, these failures are valve
     failures.  The Trojan system has three such contributions while
     the Surry system contains six.  It would thus be expected, since
     single failures dominate the system unavailability (see Figure
     20), that the Trojan system has a lower unavailability.  However,
     in view of the small contribution to the overall risk from fail-
     ure of the Surry LPIS, this difference would not be significant.

Conclusions - No errors or omissions of significance were found in the
WASH-1400 analysis of the PWR low pressure injection system failure.
Due to similarities in design and operation between the Surry and
Trojan Jow pressure injection systems, the Surry analysis is largely
applicable to Trojan.  Because of fewer single failure possibilities,
the availability of the Trojan LPIS should be somewhat higher.
                                 Ill

-------
                                                                 M>H>K
                                   SURRY
W.i tor
Tank
       IXHM-
                                                     To Hot Lep.s
           Figure 20 - Comparison of Troj in and Surry Low Prcssurp Injection Sysfm?;

-------
 Miscellaneous Comments - In reviewing Section 5.6.3 of Appendix II,
 Vol.  2,  the following comments were developed:

 (1)   Page 284 - The single failures here do not correspond to the
      single failures listed on the single failure subtree in Figure
      11-54.  Further, neither considers the Refueling Water Storage
      Tank (RWST) drain plugged to be a single failure, as was done for
      the HPIS, where it was concluded to be not significant.

 (2)   Page 297, Figure 11-53 - There appear to be inconsistencies be-
      tween Figure 11-53 and Figure 11-65 (page 373).  Figure 11-53
      shows two LPIS lines connecting to two HPIS lines outside the
      containment and then entering the containment and going to hot
      leg injection.  Figure 11-65 shows three LPIS lines connecting
      to  three HPIS lines inside the containment.

 (3)   Page 299, Figure 11-54 - The statement in the box at the top of
      the left hand subtree under "Double Cut Set" reads "(1) Failure
      in  Pumps and Controls or Cause Failure."  This statement is not
      clear and needs to be revised.

10.    PWR Low Pressure Recirculation System (LPRS) Failure

 General  Review - A review was performed of the PWR LPRS failure as pre-
 sented in Section 5.9, Appendix II, Vol. 2 of WASH-1400.  The analysis
 was  found to be correctly done except for a consideration of operator
 error.  The operator action required to successfully initiate low pres-
 sure  recirculation is not clearly specified in Section 5.9.  On page
 489,  it  is stated that the operator needs to open either or both of
 the valves in the pump suction lines to the containment sump (these
 valves are labelled V-24 and V-25 on Figure 11-90, and 1860A (A05) and
 1860B (B05) on Figure 11-95) and also close the valve in the suction
 line  to  the Refueling Water Storage Tank (RWST).  On page 495, the
 transition from low pressure injection to recirculation is defined as
                                  113

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opening J>jot_h V-24 and V-25.  On page 498, it is stated that the RWST
suction line valve need not be closed.  For this analysis,, it will be
assumed that the operator only needs to open one valve; either 1860A
or 1860B.   The failure of the operator to perform this action is
included as  a common mode contribution to system failure in Section
5.9.  The probability of operator failure for this action is assigned
                 -3
a value of 3.0x10  .  Since the action required to open either valve
is identical, the two acts are assumed to be completely coupled; ie,
the probability of failing to open the second valve is one, given that
the operator fails to open the first.  Section 5.9 also assumes that '
operator failure probability to realign the LPRS injection to the hot
legs from the cold legs after 24 hours is also 3x10   .  The total com-
mon mode failure for continued LPRS availability, consisting only of
ttiese operator errors, is thus computed to be 6.0x10

                       -3
The probability of 3x10   assigned to the failure of  the operator to
open at least one suction line valve to the containment sump appears
to be too low.  The basis for the value is not clear.  Appendix III,
Section 6.1.2 of WASH-1400, discusses "Human Performance Data", and
describes generally how human failures and errors were quantified and
applied to the computations (in Appendix II) of system unavailability.
This section includes a sample calculation of the probability that the
operator fails to open either valve 1860A or 1860B due to (a) no action
taken and (b) incorrect action taken.  For (a), a negligible value was
derived, and for (b) a value of 10   was selected.  From this discus-
                                  -2
sion, it appears that a value of 10   should have been used as the
probability that the operator fails to open either of the valves,
                -3                                  -2
rather than 3x10  .  In addition, it appears that 10   is also too low
based on other considerations.  The "basic error rate" for "Operator
fails to act correctly after the first 30 minutes in  an extreme stress
condition" is given as 10   in Table 111-13, page 131 of Appendix III.
According to the text in Section 5.9, this basic rate was altered to
account for other factors. .However, the factors considered to justify
                   -2
the reduction to 10   are not delineated; a statement is merely made:
                                 114

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"The basic error rate of 10   was assessed to be too large for this
                                                                     _2
type of action (opening containment sump valves for the LPRS), and 10
was accordingly selected as the nearest order of magnitude estimate."
An apparent conflict with this assessment exists on page 135  of the
same section.  Here it is stated that:  "The basic error rates in
Table 111-13 were modified by assigned (sic) higher rates to  situations
where the arrangement and labelling of controls to be manipulated were
potentially confusing.  For example, motor operated valves MOV-1860A
and MOV-1860B..."  The discussion goes on to describe how the operator
                                                             ;
could confuse the controls for these valves with others.  This dis-
cussion seems to argue that the basic error rate of 10   is even too
low.
It is recognized that many factors must be considered in order to
determine with confidence the human error rate for an activity under
a given set of circumstances.  Such a determination is beyond the scope
of this effort.  However, it does not appear, based on the information
presented, that the value of 3x10   used in WASH-1400, Appendix II
(Vol. 2) for failure to open valves 1860A and/or 1860B is justified,
and, further, it appears that a higher value is more appropriate.  In
order to determine the effect of this parameter on the overall risk
assessment, avalueof 10   was used.  This value does not appear un-
reasonable based on information contained in Appendix III of WASH-1AOO
as discussed above.

                      -3-1
The increase from 3x10   to 10   for operator failure to open valves
                                                                     _3
1860A and/or 1860B changes the LPRS system unavailability from 7.9x10
to 1x10  .  This change is illustrated in Figure 21, which is a re-
vised version of Figure 11-96 from Appendix II, Vol. 2, of WASH-1AOO.
The revised numbers are shown in parentheses.  Translating this in-
crease to probabilities for the PWR release sequences (Table V-16,
page 37 of Appendix V) yields the following changes (all median values):

(1)  Category 3 increases from 5x10   to 7x10
                                 115

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             LPRS
             System
             Unavailability
Single Failure
Contribution
Double Failure
Contribution
 1.1 x  10
         ,-5
  1.8  x 10'3
                                                       7.9  x 10
                                                               •3
                                                       (1 x 10
                                                                I
                                                                                         Test  And
                                                                                        Maintenance
                                                                                        9.8 x 10"5
               Figure 21 -  Revised LPRS  Contribution  Pictorial  Summary

-------
    1               '                — fl        — ft
(2)  Category 5 increases from 1x10   to 2x10
                                   -5          -4
(3)  Category. 7 increases from 6x10   to 1.4x10
To assess the significance of these release category probability in-
creases to the general population, the revised numbers were compared
with the corresponding numbers in Table VI-20  (page 71, Appendix VI).
Since only Categories 1 through 4 produce acute  fatalities  (average)
of greater than one per accident, the increases  in Categories 5 and 7
are of little consequence.  The increase in Category 3 is small and
thus would not significantly increase the overall risk.

Two other apparent problems with the LPRS reduced fault tree used in
WASH-1400 were found during the general review.  These are  as follows:

(1)  Figure 11-91 - It is not clear why "operator error,^operator
     closes MOV 1890C" is not included as a single failure  under
     "Single Failures Which Can Cause Insufficient LPRS Flow."

(2)  Figure 11-91 - A.subtree to the top event "Pump B01 Fails to
     Start and Pump A01 Fails to .Continue Running" includes three
     valve faults.  These valve faults (B03 and  B02) do not haye. any-
     thing to do with pump malfunction.  These valve faults should be
     included in the suction line (B03) and discharge line  (B02) faults
     which are parts of separate subtrees B03.   However', neither of
     these valve faults appear under suction line failures  or discharge
     line failures.  They do appear under the  top event "Pumps A01 and
     B01 Discontinue Running."  Again, these valves do not  have any-
     thing to do with the top event.  It thus  appears that  these valve
     failures have been counted twice, and in  neither case  have they
     been included where they logically belong.

Omissions - This review resulted in the finding  of an additional fail-
ure mode which was not considered.  Appendix I of WASH-1400 (page 24)
                                  117

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states that only cold leg breaks (for large LOCAs) were considered
since this location presents the most stringent demand on ECCS.  Ap-
pendix IT (Vol. 2) states (page 490) that "...although no written
procedures were found to be available, it was assumed that at some
time during the first day following a cold leg break the LPR system
should be realigned to inject into the hot legs..."  Failure to per-
form this activity was assumed to result in failure of the LPRS.  The
                                                           -3
probability assigned to this operator failure mode was 3x10  .  (In
view of the fact that no emergency procedures were apparently avail-
able to the operator, this failure probability seems much too low.)
It is not clear whether the operator will be able to distinguish be-
tween a hot leg and a cold leg break.  If a hot leg break occurs, and
the operator, assuming a cold leg break, switches to hot leg circula-
tion, an LPRS failure may ensue for the same reasons as stated on
page 490, Appendix II, Vol. 2.  It is not expected, however, that such
a failure would contribute to the overall risks because of the time
elapsed (24 hours) before the action is taken and the relatively in-
significant risk associated with LPRS failure, as discussed under the
general review.

'!.' r o j an Comp ar is on - This review resulted in determining that the pump
capacities, injection pressures, and other pertinent parameters are
the same for the Surry and Trojan plants.  Piping layouts and system
components arrangements are similar.  Two exceptions to this similarity
should be noted:

     First, on page 498 of Section 5.9, it is stated that ruptures
     in either pump discharge line up to the intersection of the two
     lines will not cause system failure because the downcomer in the
     pressure vessel will have been filled and the system need only
     deliver 300 gpm to be successful.  Since Trojan operates at a
     power level about 1/3 higher than Surry, it will require an LPRS
     flow of about 400 gpm to be successful.  Depending on relative
     pressure drops, a line break as described above may disable the
                                 118

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     Trojan system.  However, since line ruptures are relatively un-
     likely, this difference, if it exists, would not be expected to
     make any significant difference in the overall risks.

     Second, part of the procedure for switching from low pressure
     injection to recirculation for Trojan includes aligning the LPRS
     such that part of the flow is injected into the containment
     sprays.  The entire switchover for the Trojan (see Reference 2,
     Section 6.3.2.2.2) thus takes some 20 steps (versus 5 for Surry).
     This would increase slightly the probability of operator error,
     but the difference should not be significant.

Conclusions - The errors found in the WASH-1400 analysis of the Surry
LPRS appear to be insignificant.  No omissions which have a significant
effect on the overall risks of nuclear power were found in the WASH-
1AOO analysis of the Surry LPRS.  In addition, the analysis of the
Surry LPRS should apply, with only minor modifications, to the Trojan
LPRS.

Miscellaneous Comments -

(1)  Appendix II, Vol. 2, page 490 - It appears that valve V10 needs
     to be closed to ensure hot leg injection.  This is not listed
     in the procedure.

B.   CONSEQUENCE AREAS

The analysis of the four consequence areas selected for review are
presented here.  For the core heatup and containment pressurization
analysis contained in WASH-1400, a review was made of the assumptions
and methods used.  In addition, independent calculations using dif-
ferent techniques were performed and compared to the WASHK1400 results.
For the PWR containment failure pressure assessment given in WASH-1400,
a review was completed and a revised failure pressure was proposed
                                 119

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based on information contained in WASH-1400 and the Surry Safety Analy-
sis Report.  For the fourth area, tritium release consequences follow-
ing a major accident, a calculation was completed to show the biological
effects of tritium release from the containment.  An analysis of tritium
release was not included in WASH-1400.

1.   Parametric Studies of Core Meltdown (PWR)

This section presents a review of the PWR Core Meltdown analysis de-
veloped in Appendix VIII of WASH-1400.  In addition, an independent
analysis of selected core meltdown sequences is presented.  The pur-
pose of this section is to determine the applicability of the WASH-1400
core meltdown analysis as used in assessing the risks of nuclear power.

WASH-1400 Analysis - The computer code BOIL, described in Appendix
VIII of WASH-1400, was written by Battelle Columbus Laboratories to
calculate core heatup and meltdown during reactor accidents where water
initially in the core is boiled away by the core fission product decay
heat.  BOIL was also written to calculate the core heatup for cases
with very low bottom-flooding rates (<0.2 in/sec) and the dry heatup
of the core in the absence of water.  The code performs energy balances
on the fuel rods and flow channel fluid to predict the water tempera-
ture and boiloff rate and the fuel rod temperature.  Three different
models are used to predict the heat transfer and molten fuel transport
within molten fuel regions.

The BOIL code uses a simplified approach to solve a complex problem.
The BOIL code solution is, however, consistent with the state-of-the-
art, and the simplifying assumptions appear reasonable.

Independent Core Meltdown Analysis - In attempting to select a computer
code to perform an independent core meltdown analysis, none could be
found which could be directly used to calculate the effects of fuel
slumping after the core begins to melt.  Most of the codes currently
                                 120

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being used for reactor thermal-hydraulics calculations are not intended
for predicting fuel pin cladding temperatures above the 2200°F per-
mitted by the ECCS acceptance criteria     .  It was decided to make the
required modifications to the RELAP4 computer code     to permit a dry
core heatup analysis until the hottest region in the core begins to
melt.  The core was assumed to be in a dry steam environment, but steam
boiloff from the lower plenum due to heat transfer from hot reactor
vessel walls was permitted.  This case is representative of a LOCA with
failure of all ECCS, and is recognized to be conservative because the
passive accumulator systems will almost certainly provide some core
cooling for some time after blowdown is complete.

The RELAP4 model used in the analysis (Figure 22) consisted of five
fluid volumes:  One each for the upper and lower plenums and three
volumes in the core.  Sixteen core heat slabs were defined, and two
heat slabs transferred heat to the lower plenum.  A hot core region
representing the hottest 10 percent of the core fuel rods was also
modeled by eight heat slabs connected to core fluid volumes in the
same manner as the average core.  The reactor primary system and fuel
                                                (3)
rod dimensions were obtained from the Surry SAR   .  The core axial
and radial peaking factors were obtained from Battelle    .  The aver-
age fuel pins were represented by eight core heat slabs, two each of
which connect.to the fluid volumes at core inlet and outlet, and four
to the central core fluid volume.

The heat transfer from the pressure vessel walls to the lower plenum
water was modeled using two heat slabs representing the lower head and
cylindrical walls up to the core inlet level.

The initial peak fuel rod temperature at the start of core heatup after
blowdown was assumed to be 1200°F, and the reactor vessel wall temper-
ature was assumed to be 571 F.  The core decay heat was assumed to
follow the ANS standard    .  The core heatup was assumed to begin 30
seconds after the start of blowdown.  Runs were made with and without
                                  121

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    Q)
    3
    U- C
      O J3
    
             Upper Plenum
 Lower Core

Fluid Volume
o
3
P-. C »
oj:
a) -H r
UJ60-
tO Q/ */
OJ CN
£




Upper Core

Fluid Volume

c
o v>
•H ^O
6t tO
a »H

ij f^
c
z
                 c
                 o in
"QJ
3
li. C W
OjD
01 — I tt)
60 OO-i
to QXO
ti a;
a)  >J
_c
_

             Lower Plenum
                                O .0
                                3 O
                    to  •
                    O u
                    ^1 C3

                    TJ a

                    •* o
                   *-< c
                                tj
             Lower  Dome
            One Heat  Slab
Figure 22 - RELAP4 Nodalization


                 122

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reducing the decay heat to account for fission product losses.  One
run was also made which assumed no cladding metal-water reaction.

The minimum time required to the start of a PWR core melting was as-
sumed in WASH-1400 (see Appendix I, page 121) to be 16 minutes.  The
RELAP4 model described above predicts that core melting begins'at 4.5
minutes if fission product release is neglected, and at 5.2 minutes
when the BOIL code fission product release equations are programmed
into RELAP4.  If metal-water reaction is neglected, the core melting
time is extended to 17 minutes.  The case with no metal-water reaction
corresponds to a case where no liquid exists in the lower plenum after
blowdown, as was apparently assumed in the BOIL code dry heatup calcu-
lations.  Thus, although boiloff of the residual water in the lower
plenum does not provide significant cooling, it does provide enough
steam for the metal-water reaction to greatly accelerate the heatup
rate and, therefore, should be included in core heatup and meltdown
analysis.  It is not realistic to assume that no water will be left
In the lower plenum following blowdown, especially if ECC accumulators
are assumed to function.

The core heatup analysis in WASH-1400 assumes that the core is either
initially covered by water, covered by water up to the 6-foot eleva-
tion, or completely dry.  The first case corresponds to failure of the
core heat removal system after the ECC systems have functioned success-
fully; the second apparently represents partially successful ECCS; and
the last represents total failure of all ECCS.

The assumption of a dry heatup is conservative because the passive
accumulator systems can be realistically assumed to provide core cool-
ing for some time after the accident.  A core reflood rate analysis
was, therefore, performed as part of this review to determine the re-
flood rate history to be expected for a case with accumulator injection
only.  The analysis also predicts the core liquid level which can be
                                  123

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expected at the beginning of core boiloff.  The analysis must be con-
sidered as scoping in nature because of the unknown end-of-bypass time
and the estimations used for accumulator injection rate and loop re-
sistances.  These values were selected on the basis of previous exper-
ience with similar calculations.  One accumulator was assumed to inject
into the primary system.  The core carryover rate fraction was assumed
                                                  r i: p\
to be constant at C.8, based c.:. PWR-FLECHT resultsv  ' after the core
water level reached one foot,i.e.,80 percent of the water predicted to
enter the core was assumed to be carried out of the core to the con-
tainment.  Figure 23 shows the core reflood rate and t:he core liquid
level as a function of time after blowdown is initiated.  The core
reflood began at 20 seconds and continued until 200 seconds.  The core
liquid level at the end of the reflood was calculated to be 3.3 feet.
Detailed calculations of the core temperature response during this
time period would require computer code modifications which are beyond
                                                            (58)
the scope of this study.  However, examination of PWR-FLECHT     data
shows that for an average reflood rate of 1 inch/sec, the core will be
quenched to a level of less than 6 feet at 200 seconds.  Host of the
core will, therefore, be at temperatures greater than 900°P at the
beginning of core boiloff.  This is different from either the totally
dry or totally quenched assumptions in WASH-1400.

The cooling effect of the short term reflood and the resulting 3-foot
water level in the core can only be estimated.  A reasonable estimate
would delay the rapid core heatup calculated for an initially dry core
by an estimated 5 minutes.  The estimate assumes a 2-minute delay due
to reflood and a 3-minute delay due to boiloff of the 3 feet of water.
The 5-minute estimate could be increased due to level swell in the
core or decreased because of increased metal-water reaction resulting
from the higher steam supply.  In either case, it appears that the
time required for initiation of core melt during a LOCA accompanied
by a loss of electrical power will be greater than the 4.5 minutes
calculated herein for the no fission product release case, but less
than the 16 minutes reported in WASH-14QO.
                                 124

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60
80
100          120         140          160
 Time After Start of Slowdown (seconds)
180
200
   Figure 23 - Core Liquid Level and Core Reflood Rate as a
                    Function of Time after Slowdown

-------
Conclusions - An independent core heatup analysis for a LOCA accompanied
by failure of all ECCS was performed using the RELAP4  computer code.
The calculations were performed only until fuel melting was predicted
to begin.  The RELAP4  analysis showed the time to the beginning of
fuel melt to be between 4.5 and 5.2 minutes compared to the 16 minutes
reported in WASH-1400.  The difference is apparently due-to metal-water
reaction.  The RELAP4 model calculated a steam flow to the core from
the lower plenum due to heat transfer from the reactor vessel walls
thus resulting in a substantial metal-water reaction.  In the BOIL
code, there is no steam flow during a dry core" heatup and, therefore,
no metal-water reaction is calculated.  A RELAP4 calculation assuming
no metal-water reaction was performed arid the calculated time to ini-
tial fuel melting was 17 minutes.

The impact of these observed differences upon the final results of
WASH-1400 is difficult to assess directly.  A decrease in the time
to initiate core melt would slightly increase radiation levels and
decrease evacuation times, both tending to increase the consequences
of the accident.  Additional analysis is required to determine if this
is a significant effect.  If the effect is significant, the core heatup
case assuming accumulator injection needs further assessment since the
calculations presented herein are different than the WASH-1400 results.

Miscellaneous Comments - Specific comments on the core heatup and BOIL
code equations and assumptions as described in Appendix A of Appendix
VIII are as follows:

(1)  Page A-3 - The fission-product-release fraction is given by equa-
     tion (A-2) for rod temperatures between 1500 and 2000°F and by
     equation (A-3) for rod temperatures greater than 2000°F.  The
     report states that the value from one or the other equation is
     used.  If this is true, the release fraction from both equations
     should be equal at 2000°F.  This is not the case.  Equations (A-2)
     and (A-3) could not be checked because their sources are not
                                 126

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     referenced.   In addition, the 1500°F initial cladding rupture
     temperature is inconsistent with cladding rupture temperatures
     cited in Appendix VII.  Rod (cladding) rupture is assumed to
     begin at 1200-1400°F on page C-2 of Appendix VII, and a lower
     limit of 1400°F is stated on page 3.

(2)  Page A-3 - The Baker-Just     rate law is assumed to be applicable
     until the fuel is completely melted.  The applicability of the
     Baker-Just rate law has not been verified above the melting temp-
     erature of Zircaloy.

(3)  Page A-4 - The radiation interchange factor given by equation
     (A-5) assumes the radiating and receiving surfaces to be parallel
     planes.  Since this equation is used for calculation of radiation
     exchange between the fuel rods and the structure above or water
     below the core, the interchange factor should assume intersecting
                  »
     perpendicular planes.
(4)   Page A-5 - Equation (A-6) assumes a "common gas" with a Prandtl
     number of 0.
     proach 0.88.
(6)
              (35)
number of 0.78    .   High temperature steam Prandtl numbers ap-
(5)   Page A-5 - Equation (A-7) assumes a constant water temperature
     and a constant boiling heat transfer coefficient.  These assump-
     tions need to be justified since the system pressure and fuel rod
     heat flux are changing with time.
Page A-6 - The Q  n  in equation (A-9) should be 0     . .
  b             melt      *                       xquench
(7)   Page A-7 - Integration of equation (A-10) to get equation (A-lOa)
     assumes (T - T)  in last term on right-hand side of equation (A-10)
               Kl
     remains constant during the time step.  Since that term is vari-
     able,  justification for this assumption should be provided.
                                  127

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 (8)   Page  A-8 - The dry heatup model assumes steam and fission product
      flow  from the core is due only to volumetric expansion of the
      gases.   This is a good estimate if there is water in the lower
      plenum at a level high enough to seal the core inlet.   If the
      core  inlet is not water sealed, natural circulation through the
      core  could transport the steam and fission products to the con-
      tainment at a much higher rate than will volumetric expansion.

 (9)"  Page  A-ll - It is stated that the BOIL code does not include an
      entrainment model.  This is not entirely true because, for the
      low or zero flooding rate cases considered, the mixture level
      model in BOIL accounts for all entrainment which will occur.

(10)   Page  A-12 - The core meltdown models should consider clad melting
      and slump occurring prior to fuel melting.  The major effects
      would be earlier flow channel blockage for meltdown models A&B
      and reduced fuel mass and metal-water reaction for model C.

(11)   Page  A-1A - A possible fourth meltdown model should consider con-
      vection heat flux within the molten pool in all three directions.
      This  would be consistent with the data of Hesson referenced in
      WASH-1400.

(12)   Page  A-18 - The steam generation rates given in Figure A-2 are
      wrong.   The steam generation rate from decay heat in a full
      covered core one hour after shutdown is approximately 1900 Ib/min.

 2.    Containment Response - Failure Pressure (PWR)

 This  section reviews sub-Appendix E of Appendix VIII of WASH-1400,
 entitled "Containment Failure Modes Evaluation."  The purpose of the
 review is  to determine (a) if the containment failure pressure select-
 ed  for the Surry reactor, and used in other parts of the study in
                                  128

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 consequence assessments,  is appropriately selected and reasonably
 justified,  and (b)  if the containment failure pressure assumed for
 Surry applies to Trojan,  a reactor more representative of  the reactor
 type which  the results of the study are applied.

                                                             (3)
 Surry Nuclear Plant - The Surry nuclear containment building    is a
 vertical circular cylinder with a spherical dome.   The inside radius
 of the cylinder is  63 feet.  The walls of the cylinder are 4-1/2 feet
 thick and consist of reinforced concrete.  The dome is also reinforced
 concrete and is 2-1/2 feet thick.  The inside of  the containment is
,lined with  a 3/8-inch thick steel liner which serves as a  membrane to
 distribute  the load to the reinforced concrete structure.

 The structure is designed to contain a pressure of AS psig with  a
 safety factor of 1.5 with respect to yield of the reinforcing steel.
 Assuming propar design, proper construction practices, and use of
 materials which meet specifications, a pressure of 1.5x45  » 67.5 psig
 will cause  yielding of the reinforcing steel.   No credit for support-
 ing strength is given to  the steel liner in the design since it  is to
 serve as a  membrane only.   The ACI Code     calls for a yield capacity
 factor of 0.9 to provide  for small, adverse variations in  material
 strength, workmanship, control, etc.  Thus, 90 percent of  the actual
 yield strength of the reinforcing steel was used  as the design basis.

 The Paul E.  Mast consultant report contained in Appendix E of WASH-
 1400 gives  the pressure which will cause yielding of the reinforced
 steel to be 75 psig.   To  obtain this value, a nominal safety factor
 of 1.5/0.9  «= 1.67,instead of the design safety factor of 1.5,was used.
 Thus,  the 10 percent reduction in design strength as called for  in the
 ACI Code is essentially cancelled.

 The Mast report presents  an analysis which shows  that,after yielding,
 the cracks  in the concrete will increase from 0.03 inches  to approxi-
 mately 0.5  inches.   This  progressive stage of cracking during yield
                                  129

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is accompanied by essentially no increase in load carrying capacity
of the structure.  The report states that the liner integrity will
become important at this point a»ut that the  lavge strain 
-------
Appendix E concludes on the basis of the Mast and Sampath reports, on
pages E-2 through E-4, that the PWR (Surry) containment "...can be ex-
pected to fail at 100 ± 15 psia (85 ± 15 psig)."  The conclusion is
based on using the lower bound of 75 psig calculated by Mast, plus 17  .
psig attributed to the yield strength of the liner - something Mast
indicated shouldn't be depended upon, and which seems to be in conflict
with the statements at the bottom of page E-2:  "It (the steel liner)
has a relatively low strength in comparison with that of the reinforced
concrete and depends on the latter for support.  No allowance is given
to the strength of the liner in the design of the structure."

In the evaluation of the Sampath report in WASH-1400, it is concluded
on page E-4 that the predicted failure pressure (75 psig) may be overly
conservative, and that the expected threshold of failure is taken to
be the "approximate mean" of the Sampath and Mast (plus 17 psi) values.
The mean between these two values is 83.5 psig, somewhat less than the
selected value of 85 psig.

                                                      (2)
Trojan Nuclear Plant - The Trojan containment building    is a vertical
circular cylinder with a spherical dome.  The inside diameter of the
cylinder is 124 feet, the wall is 3-1/2 feet thick and is pre-stressed
reinforced concrete.  The dome is 2-1/2 feet thick and is also pre-
stressed reinforced concrete.  The inside of the containment is lined
with a 1/4-inch thick steel plate which serves as a membrane.  The
reinforced concrete structure includes both vertical and hoop tendons.
These tendons are jacked to a stress level of 0.8f or 145,000 psi.
The ACI Code      calls for a reduction in strength of both the rein-
forcing steel and the stressing tendons.  The reduced strength is
54,000 psi and 182,000 psi for the reinforcing steel and the tendons,
respectively.

The design is such that the structure will contain a pressure of 60
psig with a safety factor of 1.5 with respect to yielding.  Thus, if
construction practices and quality of materials are at least par, when
                                 131

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the internal pressure is 90 psig  (104.7 psia), a state of impending
yielding will exist and failure is imminent.

The cylindrical part of the containment structure has about 7000 psi
compressive stress in the hoop reinforcing steel due to pre-stress.
Upon a 90 psig loading, the stress in the hoop reinforcing steel will
increase to 37,000 psi tension -  an increase  of 44,000 psi.  The stress-
ing tendons must strain as much as the reinforcing steel and their
elastic moduli are equal; therefore, the stress in the tendons will
.increase to 189,000 psi (145,000  + 44,000).   At this stress level, the
tendons will have either yielded  or be near the beginning of yield.
A substantial portion of any pressure increase past this point will
have to be supported by the reinforcing steel.  A pressure increase of
one psig above the design pressure could cause as much as a 7000 psi
stress rise in the reinforcing steel.  Thus,  failure is impending at
any rise above 90 psig.

Since the concrete is pre-stressed, the cracking at design pressure
will be small.  However, additional pressure  beyond this point will
cause the cracks to grow rapidly  until a "weak link" develops.  Some
possible weak links are as follows:

(1)  the concrete may crack to the point where it will no longer
     support radial shear.  At this point, failure at the base could
     occur or a penetration such  as the equipment hatch may blow out,

(2)  the liner may tear at a point of high strain concentration,

(3)  a pre-stressing tendon may snap, releasing a tremendous amount
     of strain energy and causing failure due to rapid crack propaga-
i
     tion.

It is difficult to say exactly what internal  pressure one of these weak
links would support.   However, since both the reinforcing steel and the
                                  132

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pre-stressing tendons are at yield when the internal pressure is 90
psig, a slight increase in pressure will cause a large strain increase
in certain areas.  These strain concentrations could lead to immediate
failure.  The failure of one tendon would precipitate the failure of
other adjacent tendons when stressed at this high level.  For example,
when the stress in a hoop tendon is 182,000 psi, the stored strain
energy is 2,440,000 foot-pounds.  If this tendon were to snap, this
amount of energy would have to be immediately absorbed in the surround-
ing structure.  If most or all of this energy were to be concentrated
at a particular location, failure would certainly occur.  Thus, when
the structure is pressurized to the point that the ttmdons begin to
fail, the complete structure will possibly fail in a catastrophic
manner.

Several differences exist between the Surry and Trojan containment
structures.  The Trojan structure is pre-stressed, reinforced concrete
the Surry structure is reinforced concrete but not pre-stressed.  The
concrete in the Trojan structure is initially in compression due to
pre-stressing.  Thus, the cracks in the concrete at yield are smaller
than those in the Surry containment.  The analyses for the modes of
failure should be somewhat different for the two structures.  Each
tendon in the Trojan containment is made up of 180 (1/4-inch diameter)
steel wires.  The tendon system is a primary component of the load
support system.  If the tendons fail under design load, the entire
structure could fail catastrophically.

The liner plate in the Trojan is 1/4-inch thick steel - in the Surry,
it is 3/8-inch thick steel.  This difference is probably not too im-
portant since the liner plate will not influence the failure mode to
a great degree in either structure.

Conclusions - The assumed failure pressure used in WASH-1400 for PWR
containments of the Surry design, 85 psig, does not appear to be
                                 133

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sufficiently justified, and appears to be too high.  This conclusion is
based on the following:

     The use by Mast of a safety factor of 1.67 instead of 1.5 is
     not justified.

     The addition of 17 psi in Appendix E of WASH-1400 to the failure
     pressure calculated by Mast appears to be improper since Mast
     indicates it should not be allowed and credit for liner strength
     is not permitted in the design.  Under accident loading, the
     liner will be in compression due to thermal expansion.  Thus,
     at the point where the reinforcing steel is starting to yield,
     the liner will not be supporting any of the internal pressure
     load.  The liner, at this point, not only contributes nothing to
     the pressure carrying capacity of the structure, but due to
     thermal expansion, is exerting even more load on the reinforced
     concrete structure.

     Both the Mast and Sampath analyses stress that discontinuities
     in design (such as penetrations), insufficient design details,
     and possible imperfections in fabrication were not accounted for
     in the analysis, and could be important.  It appears that the
     failure pressure should be reduced in an attempt to account for
     these factors.  For example, Sampath argues:

     "It should be emphasized that the conclusions reported here must
     be considered as tentative.  The reason is that,-due to severe
     constraints on both time and the lack of details, many areas
     received only a cursory examination or were not pursued at all."
     (Page E-22)

     "A number of different failure mechanisms were considered and,
     so far as possible, quantitative estimates made for each.  The
     accuracy associated with the estimated failure pressures was
     limited by the lack of specific design details."  (Page E-23)
                                  134

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     "The liner amd the reinforcing near the inside face are only
     inches apart.  This circumstance probably required very careful
     workmanship during construction to achieve proper consolidation
     of the concrete and its integrity is somewhat suspect.  However,
     assuming that this section is properly constructed..."  (Page E-24)

     "The structure has an excess of steel  (in the neighborhood of
     5 percent whereas it is usual to find  1-2 percent steel in typical
     well-designed concrete structures).  Proper compaction of concrete
     under such conditions would be difficult to achieve."  (Page E-29)

     In addition, the section in Appendix E which concludes that the
     failure pressure is 85 psig contains a discussion of the effect
     of penetrations, discontinuities and other factors.  It is con-
     cluded on page E-4 that "Such considerations are difficult to
     quantify, at best, and cannot be evaluated in the absence of
     specific details on design, quality of workmanship, and results
     of nondestructive examinations.  Other factors bearing on the
     failure potential of major penetrations include the manner in
     which they are anchored to the concrete and the reinforcing
     steel, the reinforcing of the liner around such penetrations, and
     the attachment of the liner to the penetrations.  The signifi-
     cance of these factors will obviously vary with the details of
     each design."  (Page E-4)                       7

In view of the above considerations, it appears unjustified to use a
containment failure pressure of 85 psig (100 psia) for the Surry con-
tainment building.  Due to the complex nature of the containment struc-
ture, uncertainties in the design, fabrication and material quality,
all that can be said with any degree of certainty is that the building
will withstand a pressure to which it is designed and tested.  (Ac-
                            (41)
ceptance testing is required     at: 1.15 times design.)  In addition,
the building will probably hold 1.5 times design pressure,  or 67.5 psig
(82.2 psia) as discussed previously.  In the absence of any  destructive testing
                                 135

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information, any pressure it will contain above thla Value i
tion.  It is probable that  th.- building will withstand pressures in
t-xoi'ss ot this valui-, but in v u-w uf the rapid s^reya b\\U4\M? VUl*
P\pssvm> Ari,i ovn, ,  „», ,,,, nini. i,.fi  discussed  above,  the  unknown  excess
could be yery  small.

Regarding the  applicability of the  Surry containment failure pressure
to  the Trojan  containment building,  the design differences discussed
abovt- would render  such  application  invalid without further supporting
analysis.   In  the concluding discussion, it is stated  on page  E-l  that
"To tbe  extent possible, the extension of  the results  ^o other contain-
ments of similar design  has been indicated."  There is .no indication  of
any such extension in the conclusions  other than the results apply to
a "reinforced-concrete  containment  building design 'for an internal
pressure of 60 psia..."   Containment buildings of the  more representa-
tive Trojan PWR design  are  designed for 75 psia.  Even though  the
                                                     »•£
Trojan and  other 4-loop  PWRs are designed  for a higher containment
pressure,  the  loss-of-coolant accident produces a higher pressure.
The effect  of  these differences upon the time at which containment
overpressure  failure occurs is discussed in detail under item 3 of
 this section.

Miscellaneous  Comments  - During the review of sub-Appendix E of Ap-
pendix VIIT in WASH-1AOO, the following comments were developed:

 (1)  Throughout sub-Appendix E, units of psi, psia, psid, and psig
      are intermixed, which tends to confuse the quantitative assess-
      ments  of  containment pressure.

 (2)  A  pressure of 5 psi is added to the computed  failure pressure in
      the Paul  E. Mast section of sub-Appendix E.  There  does not
      appear to be any justification included for the increase.
                                  136

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3.   Containment Response - Pressure History (PWR)

This section presents the results of a review of the WASH-1400 con-
tainment response analysis for the Surry reactor plus two independent
calculations of PWR containment response.

WASH-1400 Analysis - Appendix VIII contains little discussion of the
analysis methods and assumptions used to calculate the reported con-
                                                  (53)
tainraent response.  Discussions with BMI personnel     revealed that
the containment pressure behavior calculations were made without the
use of a computer, using simple energy and mass balances.  Computer
                                   (39)
codes, such as the CONTEMPT-LT Codev  ', are readily available and
be used for transients of the type investigated in WASH-1400.
The assumptions used for the WASH-1400 PWR containment pressure response
analysis are discussed on pages A-27 through A-30 of Appendix VIII.
The discussion includes the following major topics:  Energy Sources,
Containment Heat Sinks, Containment Atmosphere, and Containment Leakage.

The general approach used in WASH-1400 in treating the potential energy
sources was to justify ignoring some sources by assuming some of them
to be offset by some potential energy absorbing effects.  For example,
all of the decay heat is assumed to result in steam generation while
the metal-water reaction energy is assumed to go entirely into heating
up the reactor core.  The additional water flow to the containment due
to entrainment during core reflood is neglected.  These assumptions may
not affect the end results of the study, but more rigorous assumptions
appear to be required in the absence of supporting information Justify-
ing the assumptions used.

                                                        2
A constant steam-condensing coefficient of 150 Btu/hr-ft -°F was as-
sumed for all "cold" heat sinks within the containment.  This assumption
while not consistent with experimental data and state-of-the-art con-
                 (54)
tainment analysis    , is not expected to greatly affect the long-term
                                  137

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containment response of interest.  The major heat sinks in the contain-
ment are concrete and the heat transfer to concrete will become conduc-
tion limited early in the transient.  However, the analysis could have
gained credibility through the use of state-of-the-art correlations for
condensation coefficients rather than using a gross assumption.

The containment leakage assumptions in WASH-1400 appear reasonable
compared to usual containment design values.  The source and justifi-
cation of the assumed leakage rates should, however, be provided In
the report.

                                                        (39)
Independent Surry Containment Analysis - The CONTEMPT-LT     computer
code was used to calculate the Surry containment pressure response for
two LOCAs.  The LOCAs chosen for analysis were:  (1) a large cold leg
break accompanied by loss of all electric power to the emergency safe-
guard systems, including containment sprays and emergency core cooling
systems; and (2) a large cold leg break (pump discharge) accompanied
by loss of containment sprays.

The CONTEMPT-LT model included simulation of containment dry well, the
reactor primary system, and engineered safeguard systems.  The model
also included heat conduction to or from various structures within both
the containment and the reactor primary system.  The system dimensions
                                                       (3)
and initial conditions were obtained from the Surry SAR   .  The heat
transfer coefficients for heat transfer to or from containment and
primary system structures were also obtained from the SAR.  The primary
coolant mass flow to the containment during blowdown was obtained from
the SAR and the fluid enthalpy was defined by the primary system energy
content prior to blowdown.  The mass flow table in the SAR does not
include the reflood phase of the accident.  For this analysis, reflood
was assumed to begin at 15 seconds and continue until an assumed core
quench time of 600 seconds.  The delivery rate to the core was assumed
to be equivalent to a cold reflood rate of 6 inches/second for 4 seconds,
                                 138

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1.5 inches/second to 300 seconds, then decreasing linearly to zero at
600 seconds.  The remainder of the ECCS delivery was assumed to spill
to the containment sump.  Eighty percent of the reflood water entering
the core was assumed to be carried out the top of the core and through
the steam generators, where it was heated to the secondary system
temperature before flowing to the containment.  After 600 seconds, the
mass and energy flow from the reactor primary system is due to the core
decay heat and conduction of residual heat from primary system metal.
For the case where all electric power (including that to the ECCS) was
assumed to fail, the core reflood was assumed to be as predicted in
Section V B-l of this report.

The Surry containment pressure response as predicted by the CONTEMPT-LT
model for the assumed failure of the containment spray injection system
(CSIS) and the containment spray recirculation system (CSRS) is shown
in Figure 24.  The corresponding curve from WASH-1400 is also shown in
Figure 24.  There is a significant difference between the two curves
for the first ten minutes of the transient.  There are two major reasons
for the differences.  The decrease in containment pressure predicted
by CONTEMPT-LT is due to high heat transfer rates to cold heat sinks
in the containment.  The only apparent significant difference between
the WASH-1400 and CONTEMPT-LT models is in the modeling of the contain-
ment walls and dome.  The WASH-1400 model considered only the steel
liner and the CONTEMPT-LT model considers the steel liner and the con-
crete walls as a composite slab with negligible contact resistance be-
tween the steel and the concrete.  The pressure rise occurring between
3 and 10 minutes predicted by CONTEMPT-LT is due to the liquid carry-
over during core reflood.  The WASH-1400 analysis neglects this effect.
After 10 minutes, the reactor decay heat becomes the controlling factor
in the containment pressure transient and, thus, the pressure transients
from the two analyses are nearly equal.   The WASH-1400 assumed failure
pressure (100 psia) is shown along with a revised lower limit failure
pressure of 82.2 psia as discussed previously in Section V B-2 of this
                                  139

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12J
110
 10  .
                                                    CSIS and CSRS Failure
                                                      (CONTEMPT-LT)
                                                                                             WASH-1400 Assumed
                                                                                              Failure Pressure

                                                                               CSIS and CSUS Failure
                                                                                   (WASH-UOO)

                                                                                         Revised Lower
                                                                                      Limit Failure Pressure
                                                                                                        I   I  1  I I I t
     U.I
10
100
                                                                                            1000
                                                     Time
                   Figure 24 - Surry Containment Pressure During LOCA with. CSIS and CSRS Failure

-------
report.  The CONTEMPT-LT analysis along with the revised failure pres-
sure predicts containment overpressure failure at 63 minutes compared
to the 230 minutes predicted in WASH-1400.  The fact that the offsetting
effects of containment heat loss and core reflood entrainment reduces
the difference between long-term containment pressures predicted by the
CONTEMPT-LT and WASH-1400 analyses is fortuitous and cannot be assumed
to occur during all accident sequences.

Figure 25 compares the CONTEMPT-LT and WASH-1400 results for the LOCA
accompanied by a complete loss of electric power.  The pressure versus
time curves are terminated when the reactor pressure vessel water has
completely boiled away.  (CONTEMPT-LT is incapable of calculating beyond
this point.)  Neither case predicts containment failure, but CONTEMPT-
LT  predicts a peak pressure of 81 psia which is nearly equal to the
revised lower limit of 82.2 psia.  If combustion of the hydrogen gen-
erated by metal-water reaction in the core is considered, the pressure
transients become as shown in Figure 26.  The WASH-1400 analysis ex-
ceeds the 82.2 psia failure pressure in 25 minutes and reaches 100 psia
at 70 minutes.  Heat transfer to structures within the containment
delays the containment failure time predicted by the CONTEMPT-LT model
until 174 minutes.  The water in the reactor pressure vessel is com-
pletely boiled away before the pressure calculated by CONTEMPT-LT
reaches the WASH-1400 failure pressure of 100 psia.

The containment failure mode and time at which the failure occurs de-
termine the extent of the fission product release, the radiation level
of the release, and the effectiveness of the population evacuation
procedures.  The CONTEMPT-LT analysis of the Surry containment and re-
definition of containment failure pressure performed in this study (see
Section V B-2)indicates significant differences from those in WASH-
1400 for containment failure modes and times.  For the two LOCA cases
analyzed, one was found to result in a containment overpressurization
failure at a much earlier time than predicted in WASH-1400 and the other
                                 141

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     100
     90
80
     70
N3
     60
     50
      30
     20
     10
                                           WASH-1400
                                                                                 —  — — —   82.2  psia  (Revised
                                                                                               Lower Limit  Failure
                                                                                               Pressure)
                                                                                  CONTEMPT-LI
                                     I    «   tllllfl
       0.1
                             1.0
                                                                                          1000
                                            10                      100
                                                 Timo  (minutes)
               Figure 25 - Surry Containment Pressure During LOCA with EPS Failure and No H-
                                                   Combustion

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      100
       90
U>
   t   7o
   3
60




50



40




30




20




10
                                                                               WASH-1AOO
                                                                                           	  82.2  psia Revised

                                                                                                Lower Limit Failure

                                                                                                Pressure
                                                                                  CONTEMPT-LT
                                                •	I  1 t I I
                                                                        i i i il
                                                                            i    i   i  t  i i 1 i 1
                                                                                                                I  I  I I 1
        0.1
                        1.0                  10                    100                     iUOO

                                                    Time  (Minutes)

                  Figure 26 - Surry Containment Pressure During LOCA with EPS Failure and

                                                    ^  Combustion

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case predicts that the containment overpressure failure predicted in
WASH-1400 will not occur until a significantly Iqter time.

An investigation was undertaken to determine the significance of the
difference between the containment failure times assessed in WASH-1400
and the times calculated herein.  The containment failure time will
influence the radioactive source term available for release, the time
available for evacuation of the population potentially available for
exposure, and the probability of containment failure by melt-through
as opposed to overpressure.  The radioactive source term available for
release will decrease as the containment failure time is extended due
to (1) increased deposition and plateout of the radioactive material
on internal containment surfaces, and (2) extended radioactive decay
time.  The change in the amount of fission product deposition and
plateout in the containment is not a strong function of time as pointed
out in Appendix VII  (Appendix J) of WASH-1400.  The reduction in the
source term from radioactive decay for the times involved in the con-
tainment failure calculations is also not significant.  An indication
of the composite effect of decay time and deposition and plateout on
the radioactive source terra can be obtained from Appendix VI of WASH-
1400.  As shown in Table VI-2 of that appendix, an increase in time
of release from 1.5  to 2.5 hours has an insignificant effect on the
fraction of core fission product inventory released.

It was not possible, due. to uncertainties associated with the applica-
tion of the evacuation model used in WASH-1400 (see Miscellaneous
Comments at the conclusion of this analysis), to determine quantitative-
ly the effect of changes in evacuation times associated with the cal-
culated containment  failure times.  However, a simplified analysis was
done in an attempt to determine the sensitivity of the accident risks
to evacuation times.

WASH-1400 predicts that containment overpressure failure at 100 psia
will occur at 230 minutes and the revised 82.2 psia lower limit is
                                  144

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reached at 105 minutes for a LOCA accompanied by loss of containment
safeguards.  Using the failure pressure of 82.2 psia recommended in
this study and the CONTEMPT-LT analysis results in a containment over-
pressure failure at 63 minutes.  The CONTEMPT-LT analysis predicted
100 psia at 140 minutes.  One effect of this difference will be upon
the population evacuation effectiveness.  (It should be noted that the
validity of the WASH-1400 evacuation model has been questioned by the
                               (58)
Environmental Protection Agency    .)  The magnitude of this effect
can be estimated by examining the evacuation model equation .given on
page 31 of WASH-1400 Appendix VI as
        - a+(l-a)exp [-M^-TL+T )]                             (1)
where
     F    =  Fraction of population remaining after evacuation
     a    =  Fraction of population unaffected by evacuation
     X    =  Measure  of the evacuation rate
     t,   =  Transport time to mesh point i
     T    =  Time between awareness of impending core melt and
             leakage for accident type j
     TL   =  Time lag associated with interpretation of data and
             issuance of warning to evacuate.

Assuming a » 0.1, TL = 0.02 day, A = 8.3 days  , and a 20-mile radius
to the population as in WASH-1400 , and further assuming a 2.5 meter/
second wind velocity, the above equation (1) becomes
     F    -  0.1+0.9 exp [-8.3(1+0.129)1                          (2)

Figure 27 is the plot of equation (2).  If t. is assumed to equal the
time to containment overpressure failure, the WASH-1400 failure time
of 230 minutes allows for all but 18 percent of the population to be
evacuated.  The 63 minute failure time predicted in this study results
in failure to evacuate 31 percent of the population.  Thus, the number
of people exposed will be increased.by 72 percent if the results of
this study are used.
                                 145

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 o
 3
 fj
 a
   0.4
 CO
 c
I  0.3

c
o
3
0.
o
ex

U4  0.2
o
o
«H
u
o
   0.1
                                                            0.1  +  0.9  exp [-8.3 (T  + 0.129)]
                  200
AOO
                                         600
                        800
1000
1200
                                                                                          1400
                                                    T  , minutes
                         Figure 27 - Evacuation  Effectiveness versus Containment Failure Time  (T,)

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For the assumed LOCA accompanied by complete loss of electrical power,
WASH-1400 predicted containment failure time is 70 minutes.  This would
result in 30 percent of the population being subject to exposure.  The
corresponding analysis in this study shows that containment over-
pressure failure and significant leakage will not occur until 174
minutes.  For this containment failure time, the fraction of the popu-
lation subject to exposure obtained from Figure 4 is 21 percent, a
reduction of 9 percent from the WASH-1400 value.  Neither of these
changes is of major significance.

The effect of changing the probability of containment melt-through as
opposed to containment failure by overpressure could not be assessed
due to lack of information.  If the containment failure is predicted
to occur earlier for a particular accident sequence, then the probabil-
ities of containment failure by melt-through  could be reduced, and
some accidents which were calculated to result in melt-through failure
could change to overpressure failure and the risks would increase
since overpressure failure presents a substantially greater hazard to
the exposed population.  It is stated on page 31, Appendix VIII of
WASH-1400, "Since overpressure (failure) of the containment and con-
tainment melt-through can occur at approximately the same time, it is
necessary to consider the competition between the two events."  A re-
assessment of these two failure modes and their effect on the accident
risks for the appropriate accident sequences appears to be needed based
on the results of the containment overpressure failure times calculated
herein.

Trojan Containment Analysis - To assess the assumed general appllcabil-
                                     o
ity of the WASH-1400 results to all PWR power plants, a scoping analysis
was performed on the Trojan Containment System.  The purpose of the
analysis was to determine which assumed loss of safeguards would result
in containment overpressure failure during a large break LOCA.   In
modeling the Trojan containment with the CONTEMPT-LT computer program,
only the containment volume and its associated heat absorbing structural
                                  147

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components were considered.  The mass and energy flow from the reactor
primary system were supplied in table form from data provided in the
Trojan SAR   .   The containment safeguards systems, when effective,
were assumed to operate at the times and capacities specified in the
SAR.  No attempt was made to account for events such as the molten core
dropping into a pool of water, hydrogen combustion, C0_ formation as
the core melts through the containment floor, or failure of the emer-
gency core cooling systems.  The LOCA chosen for this analysis was the
double-ended pump suction guillotine break designated in the Trojan SAR
as the design basis accident.  The containment overpressure failure
pressure was assumed to be 90 psig as discussed in Section V, B-2.
The results of the Trojan containment analysis are presented in Fig-
ure 28.  Containment overpressure failure was found to occur at 50
minutes when all containment safeguards fail and at 190 minutes when
the fan coolers and low pressure recirculation system are assumed to
fail.  These failure times bracket the 63-minute containment failure
                                                     s,
time predicted for the Surry LOCA with loss of containment safeguards.
                                                    4.

Conclusions - An independent assessment of the Surry containment re-
sponse analysis indicates that (1) for the case assuming CSIS and CSRS
failure, the containment failure time will be reduced from the WASH-
1400 time of 230 minutes to 63 minutes, and (2) for the case assuming
complete loss of electrical power, the containment failure would occur
about 100 minutes later than predicted in WASH-1400.  Except for the
possible effect of changing the probability distribution between con-
tainment failure by overpressure and failure by melt-through, which
was not assessed, the effect of the different containment failure times
does not appear significant.

The Trojan analysis indicated that the Trojan containment failure time
is comparable to Surry.  However, the differences in containment fail-
ure pressure and engineered safety systems for the two reactors may
lead to a different assessment of risks.  A detailed assessment for the
                                  148

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   120
    ,10
   100
    90
    80
    70
    60
in
a.
s
10
in
c
a;
6
§   40
u
    JO




    20




    10
 Design Basis Accident

 with Containment Safeguards
                                                                            All Containment Safeguards  Pallet!
                                                                                          104.7  psi.-i  Failure Pressure
                                                                                  LPRS and  Fan  Coolers  Failure
                                                                                          Fan  Cooler  F.-iilure
                                                                                       Failure  of  All  Containment

                                                                                               Sprays
       0.1
1.0
10                   100

      Time (Minutes)
OCT
                     Figure  28 - Trojan Containment Pressure During LOCA with Assumed Containment

                                                    Safeguards Failures

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Trojan design would be required in order to establish the significance
of these differences.

Miscellaneous Comments - The following comment was developed during the
review of the containment failure assessment contained in WASH-1400:

(1)  It is not entirely clear how containment failure times and evacu-
     ation times were computed and used in WASH-1400.  The time of re-
     lease of the fission products given in Table VI-2 (Appendix VI,
     page 9) does not appear to correspond to the calculated time of
     containment failure for PWR release Categories 2 and 3 which are
     dominated by accidents culminating in containment failure by over-
     pressure.  For example, accident sequence S?C-6, which dominates
     PWR release Category 3 (Appendix V, Table V-16), is a small break
     accident with loss of containment sprays resulting in containment
     failure by overpressure.   According to Appendix VIII of WASH-1400
     (Figure 6), the containment failure is calculated to occur in
     about 200 minutes, while Table VI-2 shows a release time of 2 hours
     (120 minutes).  It is not clear why these values differ.

     For the PWR Category 1 release, Table VI-2 of WASH-1400 indicates
     identical times (1.5 hours) for "time of release" and "warning
     time for evacuation."  Page 32 of Appendix VI indicates (Table
     VI-7) that a constant time lag (TL) "...associated with inter-
     pretation of data and issuance of warning to evacuate"  was used
     for all accidents.  It would thus appear that the warning time
     for evacuation would always have to be 1/2 hour less than the time
     of release.

     The definitions of TL, t. on page 31 are not clear (eg, what is
     the difference between "...awareness of impending core melt..."
     and "...interpretation of data...?")  and their relationship to
     the headings of Table VI-2 is not apparent.
                                 150

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4.   Tritium Release Considerations (BWR & PWR)

This section presents an assessment of the radiological hazards associ-
ated with the release of tritium during a power reactor LOCA in which
core meltdown and containment failure are assumed.  The assessment is
based on a very conservative, scoping analysis.  The risks associated
with tritium release during a reactor accident were not considered as
part of the Reactor Safety Study (WASH-1400).  It is concluded that the
radiological hazards associated with the tritium release are negligible
compared with the hazards presented by other fission products released
during the accident.

Tritium Inventory During Reactor Operation - Tritium exists in the fuel
of a power reactor, being produced as a fission product at the rate of
                                    4          (42)
one tritium atom for every 1 to 2x10  fissions    .  Tritium also exists
in the primary system  coolant, being generated from neutron reactions
with chemical constituents in the coolant (boron, lithium, deuterium).
A small amount of tritium produced in the fuel can leak through the
fuel pin cladding into the coolant.  The amount of tritium expected to
exist in the fuel and in the coolant will be treated separately.

                                                            (43)
(1)  Tritium accumulation in the fuel - A recent calculation     indi-
     cates that the equilibrium amount of tritium existing in a 3558
     MWt PWR core is expected to be 11,530 Ci.  The amount present in
     a BWR core should be comparable.

(2)  Tritium accumulation in the reactor coolant - The equilibrium
     amount of tritium in the reactor coolant  for a 3300 MWt PWR has
                    (43)
     been calculated     to be 5200 Ci at the end of plant life (40
     years), conservatively assuming no letdown and leakage of the
                                                  (45)
     primary system coolant.  A second calculation    , done for a
     2200 MWt PWR of different design, yields an equilibrium value
     of about 1000 Ci at a low 6.3 ml/sec (0.1 gpm) primary coolant
                                                            (44)
     removal rate.   A conservative production rate for a BWR     is
                                  151

-------
     0.53 uCi/sec, which would result in an end of plant life inventory,
     assuming no losses, of 6685 Ci.

     For the purposes of this study, the largest amount calculated,
     6685 Ci, will be used as the source term.

Biological Effects of Tritium Release During a LOCA - In order to con-
servatively assess the biological effects of tritium release during a
LOCA, the following assumptions are made:

(1)  All tritium in the primary system coolant is released to the con-
     tainment during blowdown.

(2)  All tritium in the fuel is released during the core meltdown.

(3)  The containment fails immediately after core meltdown, and the
     entire tritium inventory in the containment, (representing 100
     percent of coolant inventory plus 100 percent of fuel inventory)
     is released.

(4)  The release occurs at ground level.

(5)  The release is assumed to be continuous during the assumed 0.5 hour
     release time.  The 0.5 hour release time corresponds to the short-
     est release time calculated from the Reactor Safety Study

                                                                    (47)
Under these assumptions, the inhalation dose for a human receptor is    :

where     D  is infinite (lifetime) dose in rems
          A  is dose conversion constant
          E  is average decay energy in MeV/dis
          B  is breathing rate of the receptor
                                  152

-------
          C  is the'average concentration of tritium
             in ground level air
          T  is exposure duration in days
         \e  is tritium elimination rate for receptor
          M  Is mass of body water

Sirre tritium is a beta emitter, the whole body dose from the radio-
active cloud can be ignored.  Also, consistent with assumptions used
in WASH-1400 for other isotopes, the dose from ingestion of signifi-
cantly contaminated vegetation, milk, meat or water is ignored since
these sources can be detected and isolated from human consumption.  In
addition, for the LOCA considered, evacuation would be effected before
any significant ingestion of the contaminated foodstuffs could occur.

The numerical values for the terms in equation (1) are as follows:

          A  =  5.1xlO~  rem - g - dis/pCi-MeV-day
          E  =  6.3xlO~3 MeV/dis
          B  =  20m /day (adult)
                 5m /day (infant)
         Ae  =  0.069/day  (adult)
                0.22/day (infant)
          M  =  43,000 gra  (adult)
                 6,100 gm  (infant)

Using the above values, equation  (1) becomes:

          D = 4.19xlO~9 CT - for adult and,                      (2)
                     _Q 	
          D = 2.39x10   CT - for infant.                         (3)

In the above equation, C,  the ground level concentration, is evaluated
from the following equations:

          C = K Q                                                (4)
                                  153

-------
where

          K is the weighted mean dispersion constant  (sec/m ),

and

          Q is the release rate in pCi/sec,

K has been evaluated     , assuming average weather conditions, to be:
          —       -6      3
          K = 2x10   sec/m  at 1 Km from the source,  and
          K = 1x10   sec/m  at 5 Km from the source.

The value of Q for this problem is:

              fuel inventory + coolant inventory
                           release time

or, from the previous discussion,
Thus,
          C = (1.0xl013)(2xlO~6) = 2xlO? pCi/m3                 (5)
nt a distance of 1 Km.

Substituting the value of C from equation  (5) into equations (2) and
(3) yields:

          D = 8.4xlO~2 T rem (adult)                            (6)
and
          D = 4.8x10 2 T rem (infant)                           (7)
Assuming an exposure time of one day, the doses become

          D = 84 mrem (adult)

                                 154

-------
and
           D =  48 mrera  (infant).

Assuming  the worst weather  conditions  (Class  F),  the  ground  level  con-
centration can be      a  factor of  seven higher, giving  dose  rates  of

           D =  588 mrem (adult)

and

           D =  336 mrem (infant).

It has been observed that tritiated water vapor can be  absorbed  through
the skin and produce an  internal dose effect  up to as large  as that ob-
tained from inhalation    '    .  Assuming, conservatively, that such an
effect occurs, the doses would be  doubled, and would become

           D = 1076 mrem  (adult)

and

           D = 672 mrem (infant).

Conclusions -  The doses at 1 Km during Pasquill  Class  F weather due  to
100 percent tritium release from the reactor  coolant and fuel during  a
LOCA are insignificant 0.076 mrem - adult and  672  mrem - infant) when
compared with doses from other fission products at the  same  location.
It requires, according  to WASH-1400     , 3,000 to  5,000  rem to the  lung
                                                      3         3
to produce an  acute fatality, or  an adult dose 2.7x10  to 4.5x10   times
larger than those calculated  due to tne tritium release.  The incidence
of lung cancer fatalities due to radiation is 1-2 deaths per year  per
million man-rem    .   Thus, for the adult doses computed, an exposed
population at  1 Km of  about 850,000 adults would  be required before any
lung cancer deaths would be expected from the tritium released during
the assumed accident.  Similar comparisons could  be made for the whole
body dose  or other organ doses from tritium.
                                   155

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                       VI.  GENERAL OBSERVATIONS

While the main thrust of this report is to present the detailed analy-
sis of specific areas in WASH-1400 in an attempt to determine their
applicability, it is considered at least as important to discuss and
explore some of the more fundamental, far-reaching implications and
limitations of the document.  Current indications are that WASH-1400
could become the single most important document forming the basis for
decisions in this country regarding the safety of nuclear power for
generating electrical energy.  It is essential, therefore, that the
report present the safety risks in a comprehensive and unambiguous
manner, using the best available scientific methods and technology.
Lt is in this spirit that the following observations are presented.

A.   COMPARATIVE RISK CURVE

The net result of the WASH-1400 analysis is depicted in Figure 29.
This curve appears in the summary report of WASH-1400 (Figure 1,
page 3), and in the main document (Figure 6.1, page 189).  It shows the
frequency of accidents versus the number of fatalities for several man-
caused events including accidents in 100 nuclear power plants.  This
curve has been widely published to show that the risks to the general
population from nuclear power plant accidents is much less than from
any other man-made cause examined.  In view of the significance of this
curve, and its widespread use to convey the implication to the public
Lhat reactors are safe, it is imperative that the comparison which it
depicts is valid.  In reviewing the basis for the curve, several fac-
tors were found which tend to undermine the credibility of the compari-
sons.  (These factors are in addition to the more detailed technical
problems discussed in Section V.)  The factors are as follows:
                                  156

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       1/10
      1/100	
Hi   1/1000
o
c
O)
3
cr
u.
    1/10.000
1/10.000.000
   1/100.000	\	r	i	
 1/1.ooo.ooo -r - _^°-^§rr^n«_
             10
1000     10.COO

    Fatalities
100.000   1,000.000
                 Figure 29 -  Comparative Risk  Curve
                                 from WASH-1400
                                  157

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L•    Calculated versus Actual Risks

Figure 29 from WASH-1400  compares nuclear power plant risks calculated
in WASH-1400 with actual  risk data from the other man-caused events.
An important question is, obviously, how closely do  the  calculated
risks compare with actual risks from nuclear power plants?  The curve
is misleading, in that risks appear to be compared on a  common basis,
when in fact actual risks from other causes are compared to calculated
risks from nuclear power.

An interesting feature of the curve is that all man-caused risks,
except nuclear, fall in an envelope of width less than a factor of 100
(frequency value for a given number of fatalities) even  though the
risks come from extremely diverse sources.  The nuclear  risks, on the
other hand, fall over two decades below the lower limit  of the envelope.
This large difference in  risks is obviously not a valid  reason, in
itself, for disputing the WASH-1400 results, but it  does raise the
question of whether the curve is a valid comparison  of risks or illus-
trates how uncertain nuclear risk calculations are.

At the very least, the curve should clearly indicate that the nuclear
power plant risks are calculated risks as opposed to actual risks.
                                                                    i
2.    Calculational Uncertainties

Throughout WASH-1400, frequent reference is made to  the  uncertainties
in the various calculations, and numerical bounds are stressed on most
results.  However, in Figure 1 of the WASH-1400 summary  report (repro-
duced as Figure 29) no such uncertainty bounds are displayed in the
f-urve, nor is any hint given in the accompanying text as to the confi-

-------
uncertainties in the  calculations are indicated.  Pursuing  further,
the source of Figure  29, Figure 5.3  (main document, page  153 of WASH-
1400) appears as the  precursor to the risk  comparison  curve.  This
curve is reproduced as Figure 30.  Here, in fine print at the bottom,
the uncertainties are quoted.  Applying these uncertainties to Figure
30 and translating them to Figure 29 yields Figure 31.  As  shown, the
uncertainty is rather large, and is biased  in the direction of increased
risk.  Both of these  factors tend to amplify the need  for clearly show-
ing the uncertainties in this important curve.  Displaying  this uncer-
tainty also gives a strong indication that  the  comparisons  are made on
a different basis; ie, the nuclear risks are, calculated and the others
are from actual data  (see preceding comment).

3.   Acute versus Total Fatalities

Figure 29, extracted  from WASH-1400, shows  fatalities versus frequency
of events for 100 nuclear power plants.  The implication  given is that
these fatalities are  the total deaths expected  as a result of the
nuclear accident.  However, these fatalities from 100 nuclear power
plants are acute fatalities derived directly from Figure VI-5 from
Appendix VI, page 72  of WASH-1400.   (This curve is the same as that
included in the main  document, page 153 of  WASH-1400.)  This curve Is
reproduced as Figure  30.  (Figure 29 is obtained by multiplying the
ordinate of Figure 30 by 100 to account for 100 nuclear plants.)  Fig-
ure 30 is clearly  labelled "Acute Fatalities." For some reason, the
word "acute" was unfortunately dropped from the abscissa  in Figure 29.
"Acute" is used to describe deaths which occur  immediately after, and
as a result of, the accident.  One unique characteristic of nuclear
power plant accident  calculations Is the large  number of calculated
latent deaths (occurring over a 20-year period  following the accident)
caused by the release of radioactivity.  Essentially all of these
latent deaths are the result of cancer induced  by exposure to radio-
activity from the nuclear plant accident.   According to WASH-1400, a
value of 100 latent deaths per 10  man-rem  was  used to compute the
                                  159

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c
O
u
O
c
                                            rimiij    ni nmi]

                                                    I              I

                                                    I
                                                    i	

                                                     AVERAGE CURVE  I
                                                                   I             =
                                                             I I Mill  ll  I  I I I
III    I   I  I I I I
      10°
-10?             ItP


  ACUTE FATALITIES. X
10&
          • nd > in tont4OM*nt*
                            Figure 30 - Acute  Fatality Curve

                                          from WASH-1400
                                               In t

                                              i 1/3
                                        160

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       1/10
-    1/100	
 O
UJ
iH   1/1000
c
O)
1/10.ODO.OOO
                                    ___:	i	
                                             	1	
   1/10.000
   1/100.000	
1/1.000.000
            10
                               IQ:XJ    •  VO.ODO
                                  Fs'.alities
100.000   1.000tOOO
                Figure  31  -  Comparative Risk Curve
                             with Uncertainties  Shown
                             as  Quoted on Pg. 153  of
                             Main Docunent (KASH-UOO)

                                   161

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.Intent deaths  from the nuclear accidents  (Appendix VI, page 34).  To
determine the  total number of latent deaths, Appendix VI  (page  73)
states, "The number of latent deaths due  to  cancer over a  20-year period
subsequent to  the accident can be obtained by multiplying  the bottom
                            -4
scale  (of Figure VI-7) by 10  ..."  Figure Vl-7  is reproduced as Figure
32.  To obtain a relationship between acute  and  latent fatalities,
Figure 32 was  translated to Figure 30, using the  factor of 10   as
given  in WASH-1400.  This produces Figures 33.   As can be  seen, for
every  number of acute deaths, there is a  corresponding, and much larger,
number of latent deaths.  Using  these curves, Figure 31 was redrawn to
include total  nuclear accident fatalities.   The  result is  shown in
Figure 34, with error bounds given in WASH-1400  also included.  As can
he seen, there is a significant  difference in total fatalities  for
nuclear plant  accidents.  WASH-1400 does  not state whether fatalities
from other man-made causes are acute or total.   However, it should not
make any significant difference, since for most  of the accidents used,
a very small fraction of latent  deaths would be  expected.

The comparison of only acute fatalities from nuclear plant accidents
with fatalities from other man-made causes is considered somewhat mis-
leading.  The  total risk, in terms of all fatalities, would appear to
be a significant parameter with  which to  judge the safety  of nuclear
power, although it is recognized that the perceived risk from latent
deaths may be  less than that from acute deaths.   It should be noted
that the discussion in the Summary Report of WASH-1400 does not include
latent deaths, but uses only acute fatalities (although they ate not
labelled as such) in discussing  the nuclear  plant risks.

4.   Extrapolation of Man-Caused  Risks

The comparative risk curves used in WASH-1400 to  illustrate the results
of  the risk calculations (reproduced as Figure 29) shows several man-
caused risks,   'i ne basis for these plots  is derived from the analysis
contained in Chapter 6 of the main WASH-1400 document.   The solid
                                  162

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 10
109
  103
10«
                               V.'HOl.E BODY f.'.AN-ftCM X
               Figure 32 -  Whole Body Man-Rem Curve
                                from WASH-1400
                                       163

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x
A
c;
n:
O
IT
       E  nrrnrrn—rrn n
                	,___:	|_
                              	I	I	
                                                 Total  Fatalities
                                                   (Average) '
 WASH-MOO
Acute fatalities
   (Average)
                                       FATALITIES. X
                       Figure 33 -  Acute vs. Total Fatalities
                                      164

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                                               indicades extrenu
                                               data pcfint
~    1/100
                                              	I _
!H   1/1000
  100 Nuclear
  Power Plants
(WASH-1400 Acute
   Fatalities)
                                              100 Nuclear Power Plants
                                                  Total Fatalities
 1/1.000,000
1/10.000.000
             10
1000     10.000
    Fatalities
                                   100.000   1.000.000
          Figure 34 - Total  Fatalities, with Uncertainties,
                      Using  Figure VI-7 of Appendix VI,
                                   WASH-1400
                                  165

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curves extend out to some fatality value, then become dashed before
terminating.  It is not clear what the dashed portions of the curves
imply.  The usual implication is that the dashed portion indicates an
extrapolation beyond the point where the data ends.  However, in the
case of the WASH-1400 curve, the data ends at a value considerably
before the end of the solid portion of the curve.  The extrapolated
portion of the curves is based on various arguments presented in Chap-
ter 6 which necessarily have a different basis for each type of risk.
Some extrapolations appear valid, others are somewhat questionable.
lror example, the discussion of fatalities from dam failures given in
the WASH-1400 main document concludes with a calculated frequency
(].0~ ) for a dam failure causing 10,000 fatalities.  This calculated
value is said to "	agree quite well with the extrapolation of the
data," and a curve (Figure 6.10, page 216) is shown to illustrate the
point.  The calculated point does not, in fact, agree well at all with
the extrapolation of the data.  The data argue for an extrapolation
with the opposite inflection than was used.

Figure 34 shows the extreme data points for each curve, indicated by
an arrow.  As can be seen, a< significant extrapolation was done for
each of the man-caused risk curves, particularly for air crashes.  (No
data was quoted in Chapter 6 for chlorine releases.)  Each of these
extrapolations has some uncertainty associated with it, and it would
be useful to present such uncertainty on the curve.  As a minimum, the
clashed portion of the curve should start at the extreme data point to
clearly indicate the point at which extrapolation commences.

B.   NUCLEAR PLANT CHARACTERISTICS

According to WASH-1400, the calculated risks apply to the 100 nuclear
power plants expected to be in operation by 1980.  Indeed, recent re-
               (4 5)
vised estimates  '   confirm that 100 power plants are scheduled to be
on-line by 1980.  However, several characteristics of these plants are
different than those assumed by WASH-1400.  These differences are:
                                  166

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^ •    Distribution of Plant Jy_p_e

Ac-cording to recent  *   estimates, by 1980 there will be 33 BWRs and
67 PWRs operating.  Thus, the total risks from all plants must be
weighted two-ro-one towards PWRs.  WASH-1400 uses an unweighted aver-
age to determine the risks from these plants in arriving at the final
risk assessments,  this is done for acute fatalities, acute illnesses,
whole-body man-rem, property damage, etc (Figures VI-5 through VI-9
of Appendix VI).  To determine the difference between such unweighted
averaging and the actual case accounting for the preponderance of PWRs,
the acute fatalities, as presented in Appendix VI (Figure VI-5, page
72) and reproduced here as Figure 30, were adjusted.  Figure 35 pre-
sents the results of adjusting the average risk to account for the
projected existence of twice as many PWRs.  Since the risks are gener-
ally about the same for the two plants, not much change is evident in
the biased averaging.  However, a detailed examination shows some dif-
ferences which may be significant depending on how the results are
used.  For example, an accident which has a probability of 10   would
result in an average of 70 acute fatalities according to the WASH-1400
curve, compared to 86 with the revised curve, a 23 percent increase.
A somewhat lower fatality number occurs below an accident probability
of about 6x10

Kven though, in a gross sense, the change does not appear significant,
it is not good scientific practice to compute unweighted averages when
it is obvious that weighting is called for.

2.    Power Levels

According to Appendix VI (page 68) of WASH-1400, the risks were calcu-
lated assuming all 100 plants operate at 3200 MWt.   The actual average
power level for the 33 BWRs scheduled to be operating in 1980 will be
2400 and for the 67 PWRs, 2650 MWt   .   Since accident consequences are
                                  167

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ID 3 F—rnrrrnTT]—TT
                       TTrnr~T~TTTnTTi—rnrrmni    i
                                         i            i
                           i              I            I
                                                     I
    	*-	-I	f-
                                         	|	
91    i  i  i i mil    11 IIIMH    i  t iimiiv  im i  i inn  i i  i i i mi
                                                 _1	

                                         AVERAGE CURVE |
                                          (WASH-]400) I

                                              Revised Average
                                           (Weighted to account
                                              for more PWRs)
                            ACUTE FATALITIES. X
                  Figure  35 - Acute Fatalities Showing
                             the Effect of More PWRs
                                   than BWRs
                               168

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directly related  to the amount and type of radioactivity released,
which is, in turn, a linear function of power level, a reduction in
assumed power level should have a proportional reduction in accident
consequences.  Figure 36 shows the reduction in acute fatalities from
the WASH-1400 numbers when the computed reductions are accounted for
(the results are also weighted to account for the more numerous PWRs
as discussed in "A" above), conservatively assuming, as was done in
WASH-1400, that all of the plants run continuously at full power.  The
difference does not appear very significant, although the average acute
fatalities are reduced from 400 to 300 for an accident whose probability
is 10  .  Also, the average maximum fatalities are reduced from 2300 to
about 1700, a 25 percent reduction.  Again, these seemingly insignifi-
cant differences can, under certain circumstances, become important.
It should be noted that the most severe accident consequences calculated
won't change since there will be 3200 MWt reactors operating in 1980.

3-   PWR Design Variations

According to Reference 4, the PWRs expected to be on-line by 1980 are
distributed, by vendor (and by number of primary loops in the case of
Westinghouse designs), according to Table 19.

The WASH-1400 PWR risks are computed based only on the Surry reactor
which is a Westinghouse 3-loop design   , representative, according to
Table 19, of 21 percent of all PWRs scheduled to be operating by 1980.
Risks from other PWR types are not computed in WASH-1400, and an assess-
ment of the effect of considering the more numerous Westinghouse 4-loop
                                           (2)
reactors (represented by the Trojan reactor   ) is analyzed elsewhere
in this report. Not considered, either herein or in WASH-1400, are the
effects on PWR risKs represented by the Combustion Engineering and
Babcockfi, Wilcox designs (representing a total of 34 percent of the
plants).  These designs are different from the Westinghouse plants
(see, for example, References 49 and 50), and it cannot be assumed,
                                  169

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X
A
o
cc
IE
to
O
o:
                         i  'I i  mm—i  i |  IIMIJ    nrn
                                   I              i	•	
                                   i              ^              |.
                                                        WASH-1400 Values
                                                        Revised to reflect
                                                        lower power levels
                                                               I

                                                  AVERAGE CURVE
       	,	/	A^
       =             I   .-/       i \
                                               103

                                   ACUTE FATALITIES. X
                 Figure 36 - Effect of Reducing Average Power of BWRs
                                 from 3200 MWt to 2AOO MWt and PWRs
                                    from 3200 MWt to 2650 MWt
                                       170

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                   Table 19 - DISTRIBUTION OF PWRs EXPECTED
                                 TO BE OPERATING BY 1980
Reactor Vendor
VJestinghouse
Westinghouse
Westinghouse
Combustion
Engineering
Babcock & Wilcox
Type
2- loop
3-loop
4- loop
*
*
Number
8
14
22
10
13
% of Total
12
21
33
15
19
*  Only one basic type is marketed by Combustion Engineering and Babcock
   & Wilcox.
a priori, that the Surry risk analyses can be applied across the board
to these plants as was done in WASH-1400.

C.   REALISTIC VERSUS CONSERVATIVE ASSUMPTIONS

Page 15 of the main report in WASH-1400 contains a list of "specific
objectives" which were added to the original charter.  The second of
these states that the Reactor Safety Study will "perform a more realis-
tic assessment (of nuclear power plant risks) as opposed to the 'con-
servatively oriented' safety approach taken in the licensing process
for nuclear power plants."  While this is a laudable approach, it does
not seem to have been consistently followed.  In many cases, the report
contains assumptions which are described as conservative.  In most
instances, the effect of the assumption is negligible, and the authors
appear to have fallen into the tempting position of making conservative
assumptions, unlikely to be challenged, in lieu of more extensive anal-
ysis when the assumption does not have a deleterious effect on the
result.  The pitfall in this approach is that special applications of
the results or alterations of the analysis due to new data or techniques
                                  171

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can cause Insignificant conservative assumptions to become significant
conservative assumptions.

There are many areas where, due to inadequate analytical techniques
and/or lack of data, conservative assumptions may be justified, and
WASH-1400 did appropriately use conservative assumptions in many cases.
In at least one case, however, WASH-1400 makes an acknowledged conser-
vative assumption which, based on analyses conducted in Section V,
item 1 of this report, could be significant.  In this case, WASH-1400
made the "extremely conservative" (Appendix II, Vol. 3, page 94) assump-
tion that any three adjacent BWR control rod insertion failures during
scram would not render the core subcritical.  It seems likely that, in
this case, information is available from which to make a realistic
assumption.  As discussed in Section V, Item 1, this can become a very
crucial assumption, significantly influencing the ultimate BWR public
risks.

Realistic assumptions, with well justified error bounds, should be used
whenever possible in an important scientific work such as WASH-1400.
I).   COMPARISON OF RISKS BETWEEN NUCLEAR AND OTHER MEANS OF ELECTRICAL
     POWER GENERATION
The WASH-1400 comparisons of risks between nuclear power generation and
risks from other selected man-caused sources is one important aspect
in judging the acceptability of nuclear power.  However, there are
other considerations that must be evaluated in arriving at a final
judgment, one of the more significant of which is the comparison of
risks from other means of generating electrical power, an issue not
considered in WASH-1400.  Such a comparison would allow a determination
of which means of generating electrical power imposes the least addi-
tional risk on the general population, an issue quite different from
the comparison between nuclear power risks and other man-caused risks.
                                  172

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In this regard, Chapter 13 of Reference 57 assesses some of the risks
associated with electrical power generation from coal-fired plants.

It should also be noted that the risks calculated in WASH-1400 for 100
nuclear power plants include only risks from reactor accidents in the
power plants.  Risks from uranium mining, fuel reprocessing, spent fuel
transportation, sabotage, Pu diversion, radioactive waste transporta-
tion and storage, etc, are not included.  WASH-1400 does point out
Initially that the report covers only risks from reactor accidents.
However, the risk curves are merely entitled "100 Nuclear Power Plants."
Some readers may erroneously conclude that the curves represent the
total risks associated with the operation of 100 nuclear power plants.
The risk  associated with all fuel and waste handling activities re-
quired to support the operation of these plants is not included.
E.   GENERAL INCONSISTENCIES

WASH-1400 contains many inconsistencies including variations in approach
and different levels of depth in detail considered.  Many of these are
mentioned in Section V.  Although these inconsistencies do not neces-
sarily invalidate the results, they do tend to undermine the confidence
the reader obtains in the credibility of the results.  These inconsis-
tencies should be minimized.

F.   CONCLUSIONS

WASH-1400 represents the most significant effort ever attempted at
quantifying the public risks associated with nuclear power.  Although
modest attempts have been made     similar to the WASH-1400 technique
of quantifying reactor risks, the depth and breadth of the Study is
unprecedented.  Although not a new idea (such a study was suggested by
    (52)
Pugh     in 1969) , the Study contains many innovations that substan-
tially improve the perspective of power reactor safety.  The so-called
                                  173

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111,-.
  aximum credible accident" approach used for many years by  the  AEC
has clearly been shown to be an oversimplified method  for  evaluating
  *                                                                   / C O \
nuclear safetv under current conditions  (as  also  i-oinled out by  Fugh
 '  'v  •-.v . •     '• ''  ',., i.•;.>-.<  .-,11/TI \ e. •, * .1,1,1 e.n
-------
                           VII.  REFERENCES


 1.  Hsu, C. and Shotkin, L., "Calculation of a Loss of Condenser Vacuum
     ATWS in a Gd-Core BWR," BNL-18577 (January 1974).

 2.  "Final Safety Analysis Report - TROJAN Nuclear Plant," Portland
     General Electric Co., Docket No. 50-344, as amended through
     January 1974.

 3.  "Final Safety Analysis Report - Surry Power Station, Units 1 and
     2," Virginia Electric and Power Co.

 4.  "World List of Nuclear Power Plants," Nuclear News Buyers Guide
     (February 1974).

 5.  "Nuclear Plant Construction Progress," Nuclear Industry, Vol. 21,
     No. 12 (December 1974).

 6.  Wade, G.  E. , "Evaluation and Current Status of the BWR Containment
     System," Nuclear Safety, Vol. 15, No. 2 (March-April 1974).

 7.  Acero, M., "Fault Tree Analysis of Reactor Safety Systems," Masters
     Thesis, University of California, Berkeley (1974).

 8.  "Final Safety Analysis Report, Peach Bottom Atomic Power Station,
     Units No. 2 & 3," Philadelphia Electric Co.,  Vol. 2, Section 3.8
     (October 1970).

 9.  "Reactor Safety Study - An Assessment of Accident Risks in U.S.
     Commercial Nuclear Power Plants," WASH-1400 (Draft): Appendix I,
     Accident Definition and Use of Event Trees, p 240 (August 1974).

10.  "Final Safety Analysis Report, Edwin I. Hatch Nuclear Plant Unit 1,"
     Georgia Power Co., Appendix L, Vol.  VI (October 1971).

11.  "Technical Report on Anticipated Transients Without Scram for
     Water-Cooled Power Reactors," WASH-1270, Regulatory Staff, USAEC
     (September 1973).

12.  Classen,  L. B. , Eckert, E. C., "Studies of BWR Designs for Mitiga-
     tion of Anticipated Transients Without Scram," NEDO-20626 (October
     1974).

13.  "Evaluation of Nuclear Power Plant Availability," OOE-ES-001,
     USAEC Office of Operations Evaluation (January 1974).

]4.  "Nuclear Power Plant Operating Experience During 1973," OOE-ES-004,
     USAEC Office of Operations Evaluation (December 1974).

                                  175

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lr).  "Evaluation of Incidents of Primary Coolant Release from Oper-
     ating Boiling Water Reactors," Office of Operations Evaluation,
     Directorate of Regulatory Operations (Oct. 30, 1972).

16.  "Regulatory Guide 1.93, Availability of Electric Power Sources,"
     U.S. Atomic Energy Commission, Directorate of Regulatory Standards
     (Dec. 1974).

17.  Longo, J. Jr., Kern, R.C., "The Small Break Loss of Coolant Acci-
     dent," Topical Meeting on Water-Reactor Safety, March 26-28, 1973,
     CONF-730304, pg. 136.

18.  Augustine, G.L., "Small Break Loss of Coolant Accident Analysis
     for PWR Systems (SLAP Digital Computer Code)," WCAP-7983 (Decem-
     ber 1972).

J9.  Jones, R.C., et al, "Multinode Analysis of Small Breaks for B&W's
     205 Fuel-Assembly Nuclear Plants with Internal Vent Valves," BAW-
     10074 (November 1972).

20.  Ward, L.W., "Simplified Small Break Slowdown Models," 1974 Annual
     Meeting, American Nuclear Society, June 23-27, 1974, Philadelphia,
     Pa., TANSAO 181-401.

21.  "Final Safety Analysis Report - Units 1 and 2, Diablo Canyon Site,"
     Section 15.3.1, Amendment 5 (March 1974).

22.  "Final Safety Analysis Report - Units 1 and 2, Diablo Canyon Site,"
     Section 15.3.1, Amendment 10  (May 1974).

23.  "Westinghouse Anticipated Transients Without Trip Analysis,"
     WCAP-8330 (August 1974).

24.  Gumbel, E.J., "Statistical Theory of Extreme Values," NBS AMS 33
     (1954).

25.  Ferrell, E.B., "Probability Paper for Plotting Experimental Data,"
     IQC, XV, 1 (1958).

26.  AEC Report OOE-OS-001, "Diesel Generator Operating Experience at
     Nuclear Power Plants."

27.  Ablitt, J.F., "Accident Probability Reduction by the Application of
     Service Reliability Data," SRD-R-16 (1973).

28.  "Report on Equipment Availability for the Ten Year Period 1964-
     1973," Edison Electric Institute Publication //74-57 (December 1974).

29.  Garrick, B.J., et al, "Collection of Reliability Data at Nuclear
     Power Plants," HN-199 (December 1968).

                                  176

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30.  Garrick, B.J., Gekler, W.C., Pomrehn, H.P., "An Analysis of Nuclear
     Power Plant and Safety Experience," HN-185 (1966).

31.  Gangloff, W.C., "Common Mode Failure Analysis," Paper T 74355-4,
     IEEE PES Summer Meeting & Energy Resources Conference, Anaheim,
     California (July 1974).

32.  Green, A.E., Bourne, A.J.,  Reliability Technology.  Wiley (1972).

33.  ANS Standard N 18.8, 'Criteria for Preparation of Design Basis for
     Systems that Perform Protective Functions in Nuclear Power Gener-
     ating Stations" (Oct. 1973).

34.  Regulatory Guide 1.6, "Independence Between Redundant Standby
     (Onsite) Power Sources and Between Their Distribution Systems"
     (March 10, 1971).

35.  McAdams, W.H., Heat Transmission, McGraw-Hill, New York (1954).

36.  Concluding Statement of Position of the Regulatory Staff/'Accept-
     ance Criteria for Emergency Core Cooling Systems for Light-Water
     Cooled Nuclear Power Reactors,-'Docket No. RM-50-1, U.S. Atomic
     Energy Commission.

37.  Moore, K.V. and Rettig, W.H., "RELAP4 - A Computer Program for
     Transient Thermal  Hydraulic Analysis," ANCR-1127 (December 1973).

38.  Cadek, F.F., et al, "PWR FLECHT (Full Length Emergency Cooling
     Heat Transfer)", Final Report, WCAP-7665 (April 1971).

39.  Wheat, L.L. and Wagner, R.W,, "CONTEMPT-LT Users Manual," Aerojet
     Nuclear Co., Interim Report 1-214-74-12.1 (August 1973). .

40,  "Criteria for Reinforced Concrete Nuclear Power Containment Struc-
     tures," American Concrete Institute Committee 349 (January 1972).

41.  Regulatory Guide 1.18, "Structural Acceptance Test for Concrete -
     Primary Reactor Containments" (December 12, 1972).

42.  Locante, J., Malinowski, DD., "Tritium in Pressurized Water Reactors,"
     Westinghouse Electric Corporation, Las Vegas Tritium Symposium,
     CONF-710809 (September 1971).

43.  Lentsch, J.M., et al, "Accumulation and Release Tritium in PWRs,"
     PGE-8001 (November 1973).

44.  Smith, J.H.,  Gilbert, R.S.,  "Tritium Experience in Boiling Water
     Reactors," General Electric - Nuclear Energy Division, Las Vegas
     Tritium Symposium, CONF-710809 (September 1971).

                                   177

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45.   Turner, S.E., "Evaluation of Methods for Removing and Concentrating
     Tritium Oxide in Water/' Southern Nuclear Engineering, Inc. , SNE-
     125 (May 1973).

46.   "Reactor Safety Studys An Assessment of Accident Risks in U.S.
     Commercial Nuclear Power Plants/1 WASH-1400 (Draft); Appendix VI0 Calcu-
     lation of Reactor Accident Consequences.

47.   Anspaugh, L.R. „ et al, "The Dose to Man Via Food-Chain Transfer
     Resulting from Exposure to Tritiated Water Vapor/' Lawrence Liver-
     more Laboratory, Las Vegas Tritium Symposium,  CONF-7IOSQ9 (Sept. 1971).

48.   Bryant, P.M., "Methods of Estimation of the Dispersion of Windborne
     Material and Data to Assist in Their Application," AMSS(lP)-R-42
     (May 1964).

49.   "Final Safety Analysis Reports, Rancho Seco Nuclear Generating
     Unit No. 1 „" Sacramento Municipal Utility District (Babcock 6 Hilcox).
50.   "Final Safety Analysis Report, Millstone Nuclear Power
     Unit II," Connecticut Power and Light Co., Combustion Engineering.

51.   Schlucher, R. , Cady0 K.D., "Estimate of the Risk of Accidental
     Radiological Exposure from a BWR," Cornell University (April 1972).

52.   Pugh, M.C., "Probability Approach to Safety Analysis/" TRG Report,
     1949 (1969).

53.   Wooten, R.W. , Battelle Columbus Laboratories, Personal Cossaunication
     (January 14, 1975).

54.   Slaughterbeck, D.C., "Review of Heat Transfer Coefficient® for Con-
     densing Steam in a Containment Building Following a Loss-of-Coolant
     Accident ," IN- 1388 (September 1970).

55.   Proposed ANS Standard, "Decay Energy Release Rates Following Shut-
     down of Uranium-Fueled Thermal Reactors," ANS-5.1 (October 1971).

56.   Baker, Louis, Jr., Just, Louis C. , "Studies of Metal-Hater Reactions
     at High Temperatures:  III. . .Experimental and Theoretical Studies
     of the Zirconium-Water Reaction," ANL-6548 (May 1962) .

57.   "Air Quality and Stationary Source Emission Controlp" Prepared for
     the Committee on Public Works, United States SenatGpby the Hafcional
     Academy of Sciences  (March 1975) .
                                   178

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58.  Letter, W.  D. Rowe (EPA) to Saul Levine (AEC) (November 1974).

59.  International Committee on Radiological Protection, Publication
     No.  2,"Report of Committee II on Permissible Dose for Internal
     Radiation" (1959).

60.  Osborne, R.V., "Absorption of Tritiated Water Vapor by People,"
     Health Physics. Vol. 12, No. 11 (1966).
                                  179

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                           VIII.  GLOSSARY

AEC        Atomic Energy Commission
BWR        Boiling Water Reactor
PWR        Pressurized Water Reactor
RPS        Reactor Protection System
LPIS       Liquid Poison Injection System, Low Pressure Injection
           System
GE         General Electric Company
LOCA       Loss of Coolant Accident
LPCI       Low Pressure Coolant Injection
RHR        Residual Heat Removal
ESF        Engineered Safety Feature
HPIS       High Pressure Injection System
SIS        Safety Injection System
RWST       Refueling Water Storage Tank
LPRS       Low Pressure Recirculation System
RSS        Reactor Safety Study (WASH-1400)
SAR        Safety Analysis Report
EPS        Electric Power System
                                  180

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                               APPENDIX A

A.    INTRODUCTION

This Appendix describes Subtask I of the WASH-1400 review, which con-
sisted of selecting items which were' to be subsequently given an in-
depth review.  The criteria for selection of the items ia presented,
as well as the specific reason that  each selection was made.  The
items are divided into two categories.  The first category consists
of failure mode paths and the second category includes critical con-
sequence areas.  The items selected, as described in this Appendix,
were subsequently modified as the in-depth review proceeded.  The
modifications, and the final items selected, are described in Section
III (Introduction) of this report.

B.    DEFINITION OF FAILURE MODE PATHS AND CRITICAL CONSEQUENCE AREAS

For the purposes of this Study, failure mode paths are defined as
accident sequences involving only the primary system and directly
associated subsystems which are calculated to culminate in core melt-
down.  Critical consequence areas are those areas directly associated
with the time sequence and magnitude of radioactive release from the
containment building following or during a failure mode path event.
Thus, failure mode paths are paths or sequences, following an
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accident initiating mechanism, in which the thermal-hydraulic response
of the reactor core is of primary concern.  Critical consequence areas,
on the other hand, refer to the disposition of fission products released
from the primary system during the failure mode path event.

Failure mode paths are characterized in WASH-1400 by event trees which
culminate in core melt.  The fault trees used to compute the probability
of each failure in the event tree are also considered part of the fail-
ure mode path.  The response of the containment and the attendant dis-
position of radioactive material is considered separately in WASH-1400.
Thus, the definitions used here are consistent with the general format
of WASH-1400.

Failure mode paths which were considered for selection can be categor-
ized as one of the following:

(1)  An accident sequence  (path) which was overlooked and thus not con-
     sidered by the Study.  This sequence could include an overlooked
     initiating mechanism or an overlooked failure mode path following
     a given initiating mechanism.

(2)  An accident sequence incorrectly analyzed in the Study.  This could
     include faulty event tree logic, or incorrect application or manipu-
     lation of failure probabilities.

(3)  A protection system malfunction overlooked.  This includes an
     omission in the fault tree analysis of protection system functions.
     Overlooked common mode failures are also included.

(4)  An incorrectly analyzed protection system function.  This includes
     incorrect logic on protection system fault trees or incorrect
     application or manipulation of component failure probabilities.
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Similarly, critical consequence areas can be categorized as:

(i)  Parameters affecting containment leakage or failure sequences
     which were overlooked in the Study,

(2)  Parameters in the containment leakage or failure sequence which
     were incorrectly analyzed,

(3)  Containment protection system failure sequences which were over-
     looked, and

(A)  Containment protection system fault trees which were incorrectly
     analyzed.

C.   CRITERIA FOR SELECTION OF FAILURE MODE PATHS

The following criteria were used in selecting the failure mode paths:

(1)  The path must appear to have a significant impact on the results
     of the Study.  This applied both to overlooked paths and to ap-
     parently incorrectly analyzed paths.

(2)  If a path from the Study is selected, it must appear to be incor-
     rect on the basis of either some apparent problem in the internal
     logic or analysis of the path or on a judgment of the validity of
     the r'esult.

I).   FAILURE MODE PATHS SELECTED

The following failure mode paths were selected for an in-depth review.
A discussion of the reasons for the selection is included based on the
Selection Criteria presented in Section III.
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1.   BWR Reactor Protection System (refer to Appendix II, Vol. 3,
     Section 6.2 of WASH-1400)

This system constitutes a protection system designed to mitigate numer-
ous accident sequences.  As a failure mode path, it falls in Category 4
of Section II.  The selection of this system is based on the following
factors:

(a)  The computed failure probability of the system, as presented in
     the Study, appears to be unreasonably low.

(b)  The system is required for a wide range of accidents.  In particu-
     lar, it is required during high probability transient events and
     its failure could lead to severe consequences.

(c)  Credit is taken during the more likely transients for actuation
     and operation of the standby liquid control system to deliver
     sodium pentaboratje solution to the reactor coolant system and
     thus affect reactor shutdown.  The ability of this system to be
     effective in time to arrest many transients is questionable, and
     its use in this regard appears to be in conflict with an AEC-
     Regulatory assessment

2.   BWR Anticipated Transient //I

This transient accident, as well as the next two (see below) will be
selected later in the effort based on the following:

(a)  The transient selected will be one which is both likely and imposes
     the most stringent requirements on the reactor protective system.
     This latter factor cannot be assessed until the protective system
     is examined in detail as proposed under item 1 above.
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(b)  The transient selected will be one which was not considered by
     the Study and which meets the requirements of (a) above.

3.   BWR Anticipated Transient //2

See 2 above.

4.   BWR Anticipated Transient //3

See 2 above.

5.   PWR - Electric Power System Availability

The availability of this system during all major accidents, is critical
to the mitigation of the accident consequences.  The failure probability
computed in the Study appears to be low for such a complex system.  Thus,
the PWR electric power system has been selected as a Subtask II review.

6.   PWR - High. Pressure Injection System (HPIS)

This system was selected since it must operate during the relatively
high probability small break accident condition.  There is no backup
system to the PWR-HPIS (as there is in a BWR); thus, its failure
strongly influences the overall consequence assessment.  Some aspects
of the system, such as the apparent  necessity for operator action to
actuate the pump lubrication system may not have been accounted for.
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 7.   PWR -  Small Break LOCA //I

 This accident has been selected because of the following considerations:

 (a)  The accident has a  relatively high probability,

 (b)  It appears that the Study may have overlooked and/or improperly
     treated specific small break locations, and

 (c)  The consequences of a small break LOCA, as indicated by the Study,
     are a  dominating factor  in the overall consequences.

 The specific Small Break accident, in terms of break size and location,
 has not been selected.   The selection will be based on the following:

 (a)  The break size and  location which impose the most stringent re-
     quirements on the HPIS (item 6 above).

 (b)  The break size and  location which results, assuming failure of
     the HPIS, in the most severe consequences.

 8.   PWR -  Small Break LOCA Transient #2

 See item 7  above.

 9.   PWR -  Loss of Power Transient

 This accident was selected because it may represent a relatively prob-
 able event  (see discussion under item 5 above), and because the conse-
 quences can be severe.   It appears that some events important to the
 accident consequence, such as discharge of accumulators after core
melt-through, may have been omitted.

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 10.    Component Failure  Rates

 Although not  specifically  a failure mode path,  this  activity has been
 selected since it  provides the  basis for the  system  failure rates
 being reviewed.  As presently envisioned,  this  activity will apply  to
 several of  the systems  investigated under Subtask  II.  It will  consist
 of an independent  evaluation of failure  fates for  those components
 which have  been  Identified as critical to the determination of  system
 failure rates.-

11.   PWR - Low Pressure Injection System (LPIS)

This system was selected for the  following  reasons:

(a)   The successful operation of the LPIS  is  required to prevent core
      meltdown for all LOCAs with a  pipe  break greater than i» 6-inch
      diameter.

(b)   There is no backup system  to the LPIS.

(c)   The failure probability of  the LPIS,  as  calculated in WASH-1400,
      appears to be too low.

12.   PWR - Low Pressure Recirculation System  (LPRS)

This system was selected because:

(a)   The successful operation of the LPRS  is  required to prevent core
      meltdown for all LOCAs with a pipe break greater than ^ 6 Inches
      in diameter

(b)   There is no backup system to the LPRS.

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(c)  Successful operation of this system depends on operator action,
     and it is not clear if this activity has been properly accounted
     for by the Study.

E.   SELECTION CRITERIA FOR CRITICAL CONSEQUENCE AREAS

The following criteria were used in selecting the critical consequence
areas:

(1)  The area must significantly influence either the magnitude of
     the radioactive source or the time of release of the source
     from the containment to the environs, or both.

(2)  The area, as indicated by the Study, must either be

     (a)   incorrectly quantified,

     (b)   improperly applied,

     (c)   judged significant but not considered by the Study.

F.   CRITICAL CONSEQUENCE AREAS SELECTED

The following critical consequence areas have been selected for fur-
ther investigation in Subtask III of the contract.  A discussion of
the reasons for the selection is included, and is based on the selection
criteria presented in Section V.

1.   Core Parameters Prior to Meltdown Calculation

The core parameters of fuel and clad temperature and water level are
critical initial conditions for subsequent calculations of the time to
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 core melt which,  in  turn, establishes  the  time of release of radio-
 activity from the core  to the  containment.  It appears that the assump-
 tions used in establishing  these parameters are questionable, and other
 values for these  parameters, which may be  more likely and appear to have
 the potential of  causing a  significant change in .the time to core melt,
 have not been considered.
2.    Core Meltdown Calculations

At the time of fuel melt, large quantities of radioactive material are
released from the core and become available for release to the contain-
ment.  Thus, the time of core melt becomes a significant parameter in
determining the radiological consequences of the accident.  For this
reason, this calculation has been selected for review.  In addition,
some of the methods utilized in the Study to compute heat transfer from
the core appear to be questionable.  This task includes an independent
calculation of core heatup, utilizing available applicable computer
codes.

3.    Containment Response-Pressure History (PWR)

The pressure response of the containment following a LOC& blowdown is
critical in determining accident consequences.   Containment leakage and
containment rupture, which are determined by containment pressure response,
provide the only mechanisms for airborne release of radioactivity outside
the containment.   The PWR containment pressure histories appear to be low
when compared with similar calculations for other PWR plants.  For these
reasons, the PWR Containment Response-Pressure History has been selected
as a Subtask III  critical area.
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 4.     Containment  Response-Failure Pressure (PWR)

 The  pressure  at  which the containment is assumed to rupture ie a critical
 parameter  in  the accident consequences analysis since the rupture event
 causes a puff release of fission products residing in the containment.  ,
 Since  the  containment pressure buildup is a time-dependent parameter,
 (.In-  assumed containment failure pressure can have a significant influence
 on  (.he time of fission product release.  In addition, the fission product
 inventory  available for release depends on the residence time of the
•fission products in the containment .vessel, since plateout, washout, and
 radioactive decay are all time-dependent phenomena.
  r).   Applicability  of  Containment Response to Other PWR Systems

  This item  concerns  the applicability of the containment response analysis
  contained  in  the  Study to more recent PWR designs.   Specifically, the
  results  do not  consider the PWR ice condenser and fan cooler contain-
  ment designs.   The  containment response and failure modes could be
  significantly different for these designs.

  6.   Tritium  Release Considerations

  The Study  does  not  consider the potential radiological consequences of
  the release of  tritium during a LOCA.   Tritium is contained in both the
  primary  system  coolant and the reactor core.   As a result of a suggestion
  hy the Environmental Protection Agency, this area will be studied.
                                    U.S. GOVERNMENT PRINTING OFFICE: 1975—110-610:41
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