INES-event
INES 1

TRITIUM RELEASE DUE TO SPILLAGE OF HEAVY WATER FROM MODERATOR SYSTEM

Unit was under cold shutdown. Moderator was in dumped condition. While normalising moderator system, a temporary ion exchange column was hooked up on series with normal purification IX column. This was connected by reinforced PVC hose. 15 minutes after valving in the additional column, the hose was found to have come out resulting in spillage of heavy water which resulted in higher Tritium concentration in accessible areas. Reactor Building exhaust fan with higher capacity was started to reduce the Tritium concentration. Investigations revealed that an improper hose and clamp of incorrect size was used for connection of temporary ion exchange column.
Justification: The incident has been considered as if it has taken place in non reactor installations because the reactor was in cold shutdown state and the moderator was in dumped condition and moderator heavy water was being circulated from the storage tank only and as such it was in no way connected with the reactor. As per users manual clause IV 3.3 the incident is rated at level 1 due to deficiency in safety culture.

Location: KALPAKKAM-2
Event date: Wed, 16-09-1992
Nuclear event report
Legenda & explanation