Accident Lesson Card · Real investigation (tap external link for official report)
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NUREG Investigation Report No. NUREG-LER-2011-003-BRUNSWICK 2011 Operational Operational
Brunswick 控制楼仪表空气干燥器故障结冰导致控制室空调/应急通风丧失(2011)
Brunswick Steam Electric Plant, Units 1&2, North Carolina, USA (Progress Energy)
Related equipment type → air dryer (air dryer)
0Fatalities
0Injuries
FailureMechanism code FAI
Failure Mode · ISO 14224 Mapping
Damage mechanism (recorded in KB)
FailureFAI
Internal damage-mechanism code (not ISO 14224)
ISO 14224:2016 functional failure code
OTH · Other
Mapped to ISO OTH — Other.
1What Happened

控制楼仪表空气干燥器因制冷剂压力低导致仪用空气管路结冰堵塞,丧失控制空气,连带控制室空调(3 系统)与应急通风(2 系统)不可用,被迫旁路干燥器恢复

2Root Cause

对制冷剂低压缺乏监测,未能及时发现导致仪用空气管路结冰;纠正措施含更换干燥器并修订程序在低压时旁路

3Reliability Lessons (from investigation root cause)
  • The 'Root Cause' above is the core lesson of this accident; not split further.
4Associated Failure Mechanisms (Keywords)
干燥器 仪表空气 结冰 堵塞 控制空气 旁路 air dryer instrument air freeze ice blockage bypass
About the Failure-Mode Code (click to expand)

The mechanism code FAI shown on this card is the KB's internal damage-mechanism abbreviation (not an ISO 14224 code); it describes how the equipment failed. The 'ISO 14224 Mapping' block above maps it to the correct ISO functional failure code (which describes what the equipment failed to do) — these are two distinct dimensions in ISO 14224. The mechanism follows the narrative in the card body.

5Evidence Source (transparent)
Authority:U.S. Nuclear Regulatory Commission (NRC), Office of Nuclear Reactor Regulation
Official Report:www.nrc.gov ↗
Data Verification:verified_url_nrc_adams_ML12046A835_2026-08-08 (Brunswick LER 11-003-00 原文)
Report No. NUREG-LER-2011-003-BRUNSWICK · Data from NUREG (US NRC) public investigation conclusions, compiled by Reliability AI, for reliability demonstration purposes only. This case is derived from public incident investigation reports for learning purposes only. AIM does not endorse or guarantee its accuracy.