华能山东如意（巴基斯坦）能源有限公司

Huaneng Shandong Ruyi (Pakistan) Energy Limited

近期不安全事件学习
Learning About
Recent Unsafe Events
20200208 Luntai Power Plant U2 Abnormal Trip Event

1 事前工况 Conditions

2 事件经过 Accident Process

目录
CONTENTS 3 原因分析Cause Analysis

4 暴露问题Exposed Problems

5 防范措施Preventive Measures
Conditions Before the Accident

At 10:30 on February 8, 2020, load of unit 2 was

1 5 8 m w, m a i n s t e a m p r e s s u r e w a s 1 4 . 8 m p a , u n i t
coordinated control operation, AGC was put into operation;
pump a of stator cooling water of unit 2 was in operation,
current was 53.4a, pump B was out of service, inlet flow of
stator cooling water of generator was 56.5t/h, inlet pressure
was 390kpa, and unit was in normal operation.
20200208 Luntai Power Plant U2 abnormal trip event

1 事前工况 Conditions

2 事件经过 Accident Process

目录
CONTENTS 3 原因分析 Cause Analysis

4 暴露问题 Exposed Problems

5 防范措施 Preventive Measures

 事件经过Accident Process
During the Shift-2 inspection, it was found that the vibration Unit-2 Stator Cooling Water Pump
B was large.
16:45 Stator Cooling Water Pump was switched to Pump A, and Pump B was put in standby. 2/7
After switching, Pump A operated normally with current of 53.7A, flow of Stator Cooling Water
was 56.7t/h and differential pressure of inlet and outlet of Stator Cooling Water was 151kPa.

09:38 Maintenance Department handled the work order to check the Stator Cooling Water Pump B of
Unit-2.
10:22 Receive the ticket and prepare to implement the safety measures.
10:36:16 Operation Department cut off the power supply of Stator Cooling Water Pump B in patrol
inspection, and then went to the stator cooling water tank of Unit-2 to close the outlet manual valve
2/8 of Stator Cooling Water Pump B. At this time, the stator cooling water system pump a was running
and Pump B was under maintenance.
10:44:57 DCS monitoring personnel found that the three flow indicators of Unit-2 generator stator
coil water inlet flow showed low flow and the generator stator coil water inlet flow low gave an
alarm at the same time (for generator water cut-off protection), the water inlet flow of the generator
stator cooling water decreased rapidly, and the current of Stator Cooling Water Pump A decreased
from 54A to 24.8A.
 事件经过Accident Process

The flow of the cooling water is reduced from 56.7t/h to 14.lt/h (the action value of LL flow
switch of the cooling water is less than 38t/h with 30s delay to trigger the action of the water cut-
off protection of the generator). Immediately informed the patrol inspector to check on site, and
report to the main operator.
10:45:28 DCS showed that the generator of Unit-2 tripped (water cut-off protection triggered),
the turbine tripped and the boiler MFT acted. The first MFT trip was turbine trip, and the first
ETS trip was generator trip.
2/8 10:45:44 The alarm of low differential pressure at the inlet and outlet of Stator Cooling Water
Pump A of Unit-2 was given, and Pump A had no output.
10:47:05 The alarm signal of low differential pressure at the inlet and outlet of Stator Cooling
Water Pump A disappeared, the flow of stator cooling water and the current of Stator Cooling
Water Pump A began to recover automatically,
10:47:43 Stator Cooling Water Pump A returned to normal, the parameters of stator cooling water
system were normal, and the current of Stator Cooling Water Pump A was 51.8A, the flow of
stator cooling water is 55.5t/h, and the differential pressure between the inlet and return water of
stator cooling water is 146kpa. During this period, Pump A did not trip.
20200208 Luntai Power Plant U2 abnormal trip event

1 事前工况 Conditions

2 事件经过 Accident Process

目录
CONTENTS 3 原因分析 Cause Analysis

4 暴露问题 Exposed Problems

5 防范措施 Preventive Measures

 原因分析Cause Analysis

1. When the operation inspector implemented the measures of

closing the outlet valve of Stator Cooling Water Pump B, he
mistakenly closed the outlet valve of Stator Cooling Water Pump A
which was in operation, resulting in the sudden inability of output
during the operation of pump A. As a result, the cooling water flow
of generator stator is low, which triggers the action of generator
water cut-off protection, generator trip, turbine trip and boiler MFT.
After finding the abnormality, the field operator quickly restores the
outlet valve of Stator Cooling Water Pump A, and the flow and
pressure of stator cooling water system return to normal.
2. Unit-2 Stator Cooling Water Pump A was overhauled due to
large vibration, and the power was cut off, resulting in single pump
operation of stator cooling water system and loss of standby.
20200208 Luntai Power Plant U2 abnormal trip event

1 事前工况 Conditions

2 事件经过 Accident Process

目录
CONTENTS 3 原因分析 Cause Analysis

4 暴露问题 Exposed Problems

5 防范措施 Preventive Measures

 暴露问题Exposed Problems
Operator's safety
awareness is weak,
equipment tag is not
checked carefully. When
the measures to close the
outlet valve Pump B are
implemented, the outlet
valve of Pump A is closed
by mistake, which shows
that the operator's sense of
responsibility is not strong
and the system is not
proficient.
The analysis of
dangerous points of
operation is not in place.
When "close the inlet and
outlet valve of B stator
cooling water pump" is taken
as the safety m e a sur e o f
"maintenance of B stator
cooling water pump", the
awareness of risk factors is
insufficient and careless.
Exposed Problems
T h e D C S The requirements
monitoring personnel of "safety hazard source
neglected to monitor control, site risk
the parameter changes hierarchical control"
of the equipment required by the superior
operated on site, failed company have not been
to respond in time implemented in place,
before the accident and which may affect the
terminate the operation. safe and stable
operation of the unit.
During the maintenance
period, if there is no
standby operation error,
it may affect the safe
operation of the unit.
20200208 Luntai Power Plant U2 abnormal trip event

1 事前工况 Conditions

2 事件经过 Accident Process

目录
CONTENTS 3 原因分析 Cause Analysis

4 暴露问题 Exposed Problems

5 防范措施 Preventive Measures

防范措施Preventive Measures

Preventive
Measures When the important equipment and important logic protection are out
of standby, it is necessary to inform the professional engineer and
director of the Department and the deputy general manager of
production, which can only be implemented after approval. In the
process of implementing the safety measures for the work ticket, it
is necessary to implement jointly by two people, one for
supervision and one for operation, so as to avoid the occurrence of
misoperation.

When the safety measures of important equipment work order are

implemented and the operation process has an impact on the safety
of the equipment, the shift main operator shall make a detailed
safety disclosure to the operator and arrange a special person to
follow up the operation to prevent the occurrence of personnel
misoperation.
防范措施Preventive Measures

Preventive
Measures Clarify the division of labor of operators before the operation,
strengthen the communication and cooperation before the operation,
adjust carefully, operate carefully, strengthen the technical
training of operators, and improve the ability of dangerous point
analysis and risk prevention of operators on duty.
Strengthen the skill training and assessment of professional
personnel. All departments should comprehensively strengthen the
professional skills and safety education of professional personnel,
strengthen the pertinence and effectiveness of education and
training, and strengthen the post learning and implement rules and
regulations. Standards and specifications such as responsibility
system, electric power safety work regulations and operation
regulations, strengthen professional technology and operation skill
training, improve employees' post performance ability and safety
risk identification ability, continuously improve employees' safety
responsibility awareness and self-protection awareness, and enhance
accident prevention ability
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
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2 事
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目录
CONTENTS 3
3 原
原因因分
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4 暴
4 暴露露问
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5 防范措施Preventive Measures
Overview

Overview of Unit：
Huaneng Fuzhou Power Plant No.5 steam turbine is N660-25 / 600 / 600, supercritical, single
intermediate reheat, single shaft, four cylinder four exhaust, eight stage regenerative extraction and
condensing steam turbine of Shanghai Electric Group. There are three drainage channels in the
condensate tank of the boiler drain flash tank, one to the condenser, one to the unit drain tank (non
pressure drain pipe), one to the circulating water return pipe, and the water level of the condensate
tank is 1.2m.
Boiler start-up drain system of our Unit
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
1 事前前工
工况况 C
Coon
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2 事
2 事件件经
经过过A
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目录
CONTENTS 3
3 原
原因因分
分析析C
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4 暴
4 暴露露问
问题题E
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5 防范措施Preventive Measures
Conditions before the accident

On 20th March, at 15:42 on Unit-5, the unit load was

612MW, the coal quantity was 280t/h, the ABCDEF pulverizing
system was in operation, the feed water flow was 1635t/h, the
main steam pressure was 25MPa, the main steam temperature
was 602 ℃, the reheat steam temperature was 605 ℃, and the
condenser pressure was 5.5kPa. The condensate tank of the boiler
drain flash tank drains water, which is discharged to the drainage
tank of the unit during normal operation.
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
事前前工
工况况 C
Coon
ndd ii tt ii o
onn ss

2 事
事件件经
经过过A
Accc
c ii d
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P rr o
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目录
CONTENTS 3 原
原因因分
分析析C
Caau
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Anna
a ll y
y ss ii ss

4 暴
暴露露问
问题题E
Exxp
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5 防范措施Preventive Measures
 事件经过Accident Process

15:42:29 Operator found that the water level of condensation water tank of drain flash tank of Unit-5 boiler was
1.2 m and gave an alarm, and was ready to open the electric drain valve from drain water to the drainage tank of
the unit. At this time, the two boiler drain pumps are in shutdown state, the opening of the pump outlet regulating
valve is zero, the outlet electric valve is fully open, the electric valve of the drain to circulating water return
pipeline is fully open, the operator did not carefully check the DCS, opened the electric valve from the condensate
tank of the boiler drain flash tank to the condenser, and wanted to stop the opening action after finding that the
operation is not correct, but because the valve has no intermediate stop function, it has no intermediate stop
function.
15:42:52 Condenser pressure starts to rise.
15:45:41 high condenser pressure protection action (30KPa), turbine trip, boiler MFT.
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
事前前工
工况况 C
Coon
ndd ii tt ii o
onn ss

2 事
事件件经
经过过A
Accc
c ii d
deen
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P rr o
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目录
CONTENTS 3 原
原因因分
分析析C
Caau
u ss e
e A
Anna
a ll y
y ss ii ss

4 暴
暴露露问
问题题E
Exxp
poo ss e
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P rr o
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5 防范措施Preventive Measures
原因分析Cause Analysis

When handling the high water level in the condensate tank of

drain flash tank of Unit-5 boiler, the operator did not confirm the
operation object carefully, and opened the electric valve from the
condensate tank of drain flash tank of Unit-5 boiler to the
condenser by mistake, resulting in the connection between the drain
pipe to the condenser and the drain pipe to the circulating water
return pipe, and the air (in the circulating water return pipe Siphon
Well Drainage Mode) enters the condenser, which causes the
pressure of the condenser to rise rapidly, the high pressure
protection of the condenser acts, and the turbine trips.
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
事前前工
工况况 C
Coon
ndd ii tt ii o
onn ss

2 事
事件件经
经过过A
Accc
c ii d
deen
n tt P
P rr o
occe
e ss ss

目录
CONTENTS 3 原
原因因分
分析析C
Caau
u ss e
e A
Anna
a ll y
y ss ii ss

4 暴
暴露露问
问题题E
Exxp
poo ss e
edd P
P rr o
obb ll e
emm ss

5 防范措施Preventive Measures
 暴露问题Exposed Problems

T h e h a z a r d The operation The troubleshooting

The safety risk
of hidden dangers is not
awareness of operators identification and control of operators is not in-depth, and the control
ability of the Operation standardized, the logic from the
is weak and their sense
Department is insufficient, training is not in condensate tank of drain
of responsibility is not flash tank to the electric
the implementation of place, and the skill valve of condenser is
strong. The team leader misoperation prevention level is insufficient. not perfect, and the
did not supervise the measures is inadequate, manual operation
locking is not carried
operation personnel on and the operation risk is
out.
DCS. not effectively controlled.

Exposed Problems
20200320 FuZhou Power Plant U5 abnormal trip event

1 事
1 事前前工
工况况 C
Coon
ndd ii tt ii o
onn ss

2 事
事件件经
经过过A
Accc
c ii d
deen
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P rr o
occe
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目录
CONTENTS 3 原
原因因分
分析析C
Caau
u ss e
e A
Anna
a ll y
y ss ii ss

4 暴
暴露露问
问题题E
Exxp
poo ss e
edd P
P rr o
obb ll e
emm ss

5 防范措施Preventive Measures
 防范措施Preventive Measures

Preventive
Measures The middle stop function is added to the electric valve from the
boiler start-up drain to the condenser; the check valve is added
after the electric valve from the boiler start-up drain to the
circulating water return; the logic interlock condition of the drain
valve of the condensate tank of the boiler drain flash tank is
organized and discussed, and the high point exhaust valve is added
to the pipeline before the electric valve from the boiler start-up
drain to the condenser pipeline.
Immediately organize the revision and improvement of misoperation
prevention measures and publicize, and implement them. Strengthen
the communication and supervision of the operation on DCS to avoid
unsafe behaviors
The operation sheet shall be prepared to clearly define the
operation steps of boiler start-up drainage recovery and drainage
pipeline switching, and the qualified working medium shall be
recovered on the premise of ensuring the unit safety
 防范措施Preventive Measures

Preventive
Measures Organize and carry out risk level management and control, formulate
risk level management and control and responsibility list, and
implement safety responsibilities at all levels. Strengthen safety
education, improve the sense of responsibility, safety risk
awareness and safety risk identification ability of operators.
Strengthen the training of operators, standardize the operation on
DCS, and improve the familiarity and operation skills of the DCS.
Carry out simulator training, strengthen fault handling skills
training of operators, and improve the analysis and handling
capacity of abnormal events
Strengthen the special governance of safety hazard investigation,
sort out the list of systems, equipment, valves and logic involved
in the main protection of each discipline, check the safety hazard,
and rectify the hidden dangers that are prone to misoperation and
misoperation. Improve the incentive mechanism for hidden danger
investigation and encourage production technicians to find deep and
hidden hidden hidden safety hazards
END