Cabinet investigation committee interim report translation (part 4)
part 1 :
https://www.physicsforums.com/showpost.php?p=3687263&postcount=11983
part 2 :
https://www.physicsforums.com/showpost.php?p=3688404&postcount=12005
part 3 :
https://www.physicsforums.com/showpost.php?p=3696394&postcount=12082
( A full official translation will be available some day at http://icanps.go.jp/eng/interim-report.html )http://icanps.go.jp/111226Honbun4Shou.pdf translation of pages 114 (38/170) - 119 (43/170)
(c) Judgement by the power plant response headquarters and by the main office response headquarters
1) While from their location they could not measure the parameters that are needed to control unit 1 such as reactor pressure and reactor water level, while performing various controlling operations toward cold shutdown in a bad environment, without lighting, etc., as mentioned below, the shift operators on duty basically reported to the power plant response headquarters the important information pertaining the judgement of the IC's operation status, except the fact that the return line isolation valve (MO-3A) had been closed at around 18:25 on March 11.
2) Knowing that when electric power is lost, the IC's fail-safe function is activated and the four isolation valves installed on the pipes are closed is a basic knowledge concerning the design and the function of the IC, an equipment fulfilling an emergency cooling function.
During their hearing by this investigation committee, many Tokyo Electric related people said something like: "The IC is something special installed on unit 1 only", and while explaining at great length the specificity of the IC, when this investigation committee asked: "When electric power is lost and it becomes impossible to perform the necessary operations, are the isolation valves closed as a result of the activation of the primary containment vessel's containment function, or are they kept open?", all of them answered the same way: "I think they are closed". In other words, it can be thought that, let alone the specificity of the IC and of unit 1, if they had had a basic knowledge about the containment function, they would have easily become aware of the possibility that the IC's isolation valves are closed during a loss of electric power, even if they did not know the details about the pipe rupture detection circuit and the fail-safe function.
It is therefore recognized that - as the full loss of electric power occurred at around 15:37 on March 11, and as it became known that unit 1's DC power had also been fully lost - at least at that point of time, both at the power plant response headquarters and at the main office response headquarters, there were sufficient opportunities to develop an awareness of the problem regarding the possibility that the IC's four isolation valves were closed and the IC was not functioning.
In reality, however, among the power plant response headquarters or the main office response headquarters, not even a single person did develop a questioning attitude and point out the problem. Furthermore, no trace has been found that the preparation for reactor depressurization and alternative water injection was started, and instead, even at around 21:00 on the same day, they were still mistakenly believing that the IC was under operation.
3) Next point: the power plant response headquarters received reports from the shift operators on duty concerning the fact that during the lapse of time from 16:42 to 16:56 on the same day when unit 1's water level (wide band) was measurable, the reactor water level was displaying a decreasing trend, concerning the fact that the water level went down scale and became unavailable, or concerning the fact that at around 17:50 on the same day, they could not check the IC's condenser tank water level because the radiation dose in the vicinity of unit 1's reactor building was high. Furthermore, at a point of time around 17:15 on the same day, the power plant response headquarters' technical group had already predicted, based on unit 1's water level's declining trend, that TAF would be reached within one hour.
Then, the main office response headquarters was sharing these informations via the teleconferencing system.
If they had accurately evaluated these informations, the power plant response headquarters and the main office response headquarters should have become aware that the IC was clearly not operating normally. If the IC had been operating in a suitable manner, the cooling function should have been fulfilled for at least 6 hours, that is until around 21:30 on the same day and it can be thought that probably, by observing the symptoms from the 16:00 - 17:00 hour to the 17:00 - 18:00 hour, they could have easily realized that the IC was not functioning normally and could not be expected to perform the cooling function. However, while recognizing those symptoms, they were still relying on the IC for water injection, and they did not immediately start to prepare reactor depressurization and alternative water injection. It cannot be thought that this was an appropriate judgement of the situation.
4) Normally, Fukushima Daiichi's unit 1's IC is started, controlled and shut down by operating - among the four isolation valves - only the return line operation valve (MO-3A) which is located on the outer side of the primary containment vessel, and the three other valves are maintained open, without performing opening or closure operations. It is hard to believe that, among the power plant response headquarters or the main office response headquarters who are in a position to assist the shift operators on duty, not even a single person knew about this. Under the hypothesis that it is so, we have to say that this fact alone is a problem, and that a radical reform of education and training is indispensable.
Then, at least the fact that at around 18:18 the shift operators on duty had opened not only the return line isolation valve (MO-3A) but also the feed line isolation valve (MO-2A) was reported by them to the power plant response headquarters.
Hence, upon receiving this report, the power plant response headquarters should have realized that at least until that time, the feed line isolation valve (MO-2A) and the return line isolation valve (MO-3A) were closed, and that the IC was shut down. Then, although fuel exposure and fuel damage, depending on how long the IC was shut down, must be suspected, instead of duly checking with the shift operators on duty how long the IC had been shut down, the power plant response headquarters did not become aware of this issue and did not check anything.
Furthermore, if at a point of time around 18:18 on the same day the power plant response headquarters had known the basic facts about the normal operations of the IC's isolation valves and the fail safe function, they would have noticed that the shift operators on duty had opened the normally open feed line isolation valve (MO-2A) because it was closed. Furthermore, it should have been easy to realize that there was a possibility that that valve had been closed by the fail-safe function. Then, it is thought that if they had realized these basic facts, they would have questioned whether the isolation valves on the inner side of the primary containment vessel (MO-1A, 4A) (note 35) had been fully or nearly fully closed the same way as the feed line isolation valve (MO-2A) as the closure signal was emitted by the fail-safe function as a consequence of the earthquake and tsunami. As a matter of fact, the shift operators on duty were questioning what was happening and taking countermeasures on location.
Note 35 :the isolation valves on the inner side of the primary containment vessel cannot be manually operated when electric power is lost, and in order to open them, there was no other solution to open them than performing a remote controlled operation from the control panel depending on a recovery of electric power
About this, the same can be said about the main office response headquarters who was grasping the same informations through the conferencing system.
Notwithstanding the above, the power plant response headquarters and the main office response headquarters were not aware of the problems and did not study the IC's operation status, and did not provide necessary assistance or give instructions to the shift operators on duty about the following :
a) about why the normally open valves were in closed status;
b) about the possibility that, as a consequence of the earthquake and tsunami, the closure signal could have been emitted by the fail-safe function, and the isolation valves on the inner side of the primary containment vessel (MO-1A, 4A) could be closed too;
c) about the possibility that under such conditions the IC's cooling function is not sufficiently fulfilled and alternative water injection means have to be implemented soon.
Furthermore, at around 21:19 on the same day, the power plant response headquarters and the main office response headquarters received a report saying that unit 1's water level was TAF + 200 mm, and based on the fact that the water level was in the TAF + something domain, they still mistakenly believed that the IC was functioning. However, as unit 1 had undergone a total loss of AC power at around 15:37 on the same day and at about the same time a total loss of DC power too, and while more than 5 and a half hours had already elapsed, the IC had fallen into a situation of near loss of function, adding to the fact that no alternative water injection was being performed, so that it is difficult to believe that the water level was in the TAF + something domain, and the value indicated by the reactor water level gauge should not have been blindly trusted. Then, although the reactor water level gauge was indicating TAF + 200 mm, if the power plant response headquarters and the main office response headquarters had accurately understood the action of the fail-safe function and the open or closed status of the IC's isolation valves, and if they had accurately evaluated the informations about the reactor water level decline between 16:42 and 16:56 on the same day, after which the water level gauge went down scale, and about the high radiation dose in the vicinity of unit 1's reactor building at around 17:50 on the same day, they would not have been misguided by the reactor water level gauge's indicated value and they would not have mistakenly believed that the IC was under operation.
5) At around 18:25 on 11 March, when the shift operators on duty closed the IC's return line isolation valve (MO-3A), the power plant response headquarters, far from receiving no report at all concerning the IC, received a report from the operators saying that the quantity of steam generated when the IC was started was small, and that they were considering the IC's operation status as a problem.
In that case, let alone the question whether the real reason why the IC was not sufficiently functioning was that the condenser tank was running out of water, it can be said that the power plant response headquarters naturally recognized at that time that there was a possibility that there was some functional problem affecting the IC.
Even under the hypothesis that they did not receive a clear report of the closure of the IC's return line isolation valve (MO-3A) at around 18:25 on the same day, if there was no report from the shift operators on duty about the IC status after that, instead of leaving the issue, they should have requested a sufficient report from the shift operators on duty.
If they had requested such a report from the shift operators on duty, the power plant response headquarters could have accurately and early grasped the fact of the closure of the return line isolation valve (MO-3A) at around 18:25 on the same day.
In reality, however, until they received the report about the opening of the return line isolation valve (MO-3A) at around 21:30 on the same day, the power plant response headquarters did not sufficiently check with the shift operators on duty the IC's operation status including that valve's open or closed status, and they believed that the IC was running.
6) At around 21:30 on the same day, the shift operators on duty reported to the power plant response headquarters the fact that they had opened the return line isolation valve (MO-3A).
Even if we closely investigate Tokyo Electric's internal records, we conclude that the power plant response headquarters received no report whatsoever about the return line isolation valve (MO-3A) during the more than 3 hours between the reception of the report about the opening operation at around 18:18 on the same day and 21:30 on the same day.
In that case, after receiving the report from the shift operators on duty saying that they had opened the return line isolation valve (MO-3A), as it means that they are suddenly opening the valve again after more than 3 hours have elapsed, the power plant response headquarters should have questioned the following:
a) when did return line isolation valve (MO-3A) become closed ?
b) wasn't the IC under operation ?
and they should have been able to check this with the shift operators on duty. However, they did not develop such questions and they did not inquire with the shift operators on duty who were in the units 1 and 2 central control room.
7) As a result of the above, even if they did not clearly grasp the information about the fact that the return line isolation valve (MO-3A) had been closed at around 18:25 on the same day, it is recognized that if they had appropriately evaluated the important information mentioned above from 2) to 6), the power plant response headquarters and the main office response headquarters at least would have had sufficient opportunities to develop questions about the IC's operation status.
(d) The expected role of the power plant response headquarters and of the main office response headquarters
(to be continued)