LER-1981-001, Forwards LER 81-001/03L-0.Detailed Event Analysis Encl |
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Mr. James P. O'Reilly, Director
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Re: Oconee Nuclear Station Docket ~ No. 50-269-
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Please find attached Rep'ortableOi:durre'ned Rdpji-tIR0a269781-l'.. Ihis report
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is submitted pursuant to'Oconee Nuclear Station'Techni. cal Sp'ecification
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. 6.6.2.1.b(2), which concerns operation in a egraded niode permitted 'by. a d
limiting' condition for' opera'io', ahd lescr'ibes"an inEident which is con-f t n sidered to be of no significance with respect to its effect,on the health and safety of the public.
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Director Mr. Bill Lavallee Office of Management & Program Analysis Nuclear Safety Analysi's Center U. S. Nuclear Regulatory Commission P.- O. Box 10412 Washington, D. C.
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~ Rep 6rt'Dat'ei February 4, 198i " """ U-19 Occurrence Date: January 5, 1981 W
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Facility: Oconce Unit 1, Seneca,i..nrSeuth Carolina d e.u,: m. a u.cv c..w,4 ; r.
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a c~=4 pun. - r r.~-ef t--M / Mc Identification of Occurrence: Steady State Tilt Limit Exceeded
,7 Conditions' Prior to' Occurrence:
90% FP Descri6 tion of Occursinch': At.0605. hours on January 5, 1981, Oconee Unit 1 tripped'from-90% FP.
The actuating event was a turbine trip caused by loss of excitation on the Generator field. Personnel attempted to raise the Volt Amperes Reactive (VARs) on Oconee Units 1 and 2.
In doing this, a mismatch occurred causing the Unit 1 Generator to lose excitation, and ' ~
In~ anticipatory"rchetor'tilp'Ioll'oGsf.'"Durins"Ehe'6 nib'I'restartila large l
positive tilt was presetit'."Th8 valu6 'was'outsid' ' the ' Error"adjustid' steady e'
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state. limits, and the overpower' trip, set points were reduced"by;4% pursuant to' Technical Specification 13.5.2.4b2.-
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PEior'to'this reactor trip Unit 1 had been operating with a Steam Generator Primary to Secondary Tube Leak of approximately.02 gpm.
The release to the environment through the Safety Reliefs amounted to 8 pCi - cesium, and 112 pCi - Noble Gas Total. These values are below the allowed limits in
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10,CFR2 0'.
Aprat nt Cause of Occurrence: The Reactor Trip was an anticipatory reactor trip following a main turbine trip. When starting up Unit 1 after the Reactor Trip, a problem developed with Feedwater control. At approximately 12% FP. personnel attempted to open the Main Feedwater block valves A & B to allow power to be increased with the Turbine on line...This is,a normal process performed on all startups. However during this start up, a large feedwater swing occurred when opening the "A" feedwater block valve. The-swing was due to excessive leakage through 1FDW-32, the Main Feedwater
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control valve in the A loop. As the block valve 1FDW-31 was opened, ex-cessive feedwater was fed into the Steam Generator through the leaking 1FDW-32.
Since the block valve must be opened to increase power beyond 25% and due to the large swing that occurred when the block valve was electrically opened, the valve was opened manually a little at a time.
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' on the A loop followed by the B loop. During the time that the feedwater was mismatched betwe7n Steam Generators, a large ATC between loops occurred causing the large Quadrant Power Tilt. As soon as the ATC was decreased and both Feedwater loops were operating properly, the Quadrant Power Tilt decreased to within the steady state limits.
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Report Number: R0-269/81-1
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p Analysis of Occurrence: The Reactor was safely cooled down to approxi-P-
mately 550"F prior to restart within 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />. The RCS pressure remained above the ES actuation limit and below the RCS Power Operated Relief
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- " Valve set point..The RCS temperature' decrease did not exceed the 100 /hr.
limit. The pressurizer level remained on scale and the RCS was contained a'within its boundary with-the exception'of the.02 GPM Tube Leak. This I
.02 GPM Tube Leak resulted in a gaseous release, and, as noted in the Ydevaluation',-andivah#not Abve any'10CFR20 Limits.
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'The quadrant power tilt.was appYoxim'aEnly 1.81%'ab'ove thest' cad'y state linit at one time but never. approached"the Transient' Limit of 9~.44%: Due
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were exceeded and no other Technical Specification limits were exceeded.
'When Reactor power'was'-ine'rhasd to'25%7'hhe"A'TC'was'redd6cd'to 0'aEd 'the
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e quadrant power tilt in the quadrants in question was reduced below the steady state limit of_3.59%.
Since the Steady State Tilt Limit was ex-
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ceeded for two hours, the overpower 'tFip 's'eE"poin't wa's reduced in 'acho~r-
' dance with Technical Specification'Y.'5.'2'.'b.'2. "Thu's, this iscident w's 4
a of no significance with respect to safe operation,'and the health and
,, safety of the public were not effected.
Corrective Action
The Startup Procedure and the Operation at Power Pro-cedure will be revised to contain the method, in a step-by-s,tep p,rocess, for increasing the VARs on all three Oconee Units.
Specialized training
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Lvill be held for appropriate'1,1 censed p'ersonnel'in'the'operat' ion of',the
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Oconee G. E. Turbine - Cencrators. The training will be specific and address
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the appropriate s'ubjects' to prevent'a future reactor trip'of thi's nat'ure.
When a control operator is performing a function in the Control Roon which he has never done before, the Unit Shift Supervisor or other appropriate supervision will give proper, concise instructions for performing that function. All Shift Operation personnel will review this report.
1 ;-r The same types of Feedwater control problems have occurred in previous startups on all three Units. At the next convenient outage on Unit 1, both Main Fecdwater valves will be pulled, c1 caned and inspected, and the y
g valve positions will be calibrated.
Both have been done on Unit 2 and Feedwater control is acceptable after this maintenance.
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| 05000269/LER-1981-001, Forwards LER 81-001/03L-0.Detailed Event Analysis Encl | Forwards LER 81-001/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-001-03, /03L-0:on 810105,turbine Trip from 90% Full Power Occurred.Caused by Loss of Excitation on Generator Field Resulting from Mismatch During Personnel Attempt to Raise Volt Amperes Reactive on Units 1 & 2 | /03L-0:on 810105,turbine Trip from 90% Full Power Occurred.Caused by Loss of Excitation on Generator Field Resulting from Mismatch During Personnel Attempt to Raise Volt Amperes Reactive on Units 1 & 2 | | | 05000270/LER-1981-001-03, /03X-1:on 810120,discovered That Low Pressure Svc Water Was Not Flowing to HPI Pump 2A.Caused by Blockage Due to Crud Buildup.Portions of Carbon Steel Piping Will Be Replaced W/Stainless Steel | /03X-1:on 810120,discovered That Low Pressure Svc Water Was Not Flowing to HPI Pump 2A.Caused by Blockage Due to Crud Buildup.Portions of Carbon Steel Piping Will Be Replaced W/Stainless Steel | | | 05000270/LER-1981-001, Forwards LER 81-001/03X-1.Detailed Event Analysis Encl | Forwards LER 81-001/03X-1.Detailed Event Analysis Encl | | | 05000270/LER-1981-002, Forwards LER 81-002/01T-0.Detailed Event Analysis Encl | Forwards LER 81-002/01T-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-002-01, /01T-0:on 810211,electrical Penetration EMV-2 Could Not Be Pressurized.Caused by Leak at Interior Bushing. Penetration to Be Repaired or Replaced During Next Outage | /01T-0:on 810211,electrical Penetration EMV-2 Could Not Be Pressurized.Caused by Leak at Interior Bushing. Penetration to Be Repaired or Replaced During Next Outage | | | 05000269/LER-1981-003, Forwards LER 81-003/03L-0.Detailed Event Analysis Encl | Forwards LER 81-003/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-003-03, /03L-0:on 810125,dc Input Fuse in 1DID Vital Inverter Blew,Causing Inverter to Lose Power source.1DIB Inverter Tripped When Ac Output Breaker Apparently Opened. 1DID Trip Caused by Blown Fuse.Cause of 1DIB Trip Unknown | /03L-0:on 810125,dc Input Fuse in 1DID Vital Inverter Blew,Causing Inverter to Lose Power source.1DIB Inverter Tripped When Ac Output Breaker Apparently Opened. 1DID Trip Caused by Blown Fuse.Cause of 1DIB Trip Unknown | | | 05000287/LER-1981-003, Forwards LER 81-003/01T-0.Detailed Event Analysis Encl | Forwards LER 81-003/01T-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-003-01, /01T-0:on 810226,B Steam Generator Was Pressurized to 550 Psig.Caused by Procedural Deficiency. Once-through Steam Generator Pressure Lowered.Procedures for Opening Startup Block Valves Will Be Revised | /01T-0:on 810226,B Steam Generator Was Pressurized to 550 Psig.Caused by Procedural Deficiency. Once-through Steam Generator Pressure Lowered.Procedures for Opening Startup Block Valves Will Be Revised | | | 05000270/LER-1981-003-03, /03L-0:on 810302,alarm Sounded to Indicate High Temp on Reactor Bldg Cooling Unit.Caused by Grease Starvation.Reactor Bldg Cooling Unit 2C Was Secured & Grease Added to Motor Bearings.Cooling Unit Restarted | /03L-0:on 810302,alarm Sounded to Indicate High Temp on Reactor Bldg Cooling Unit.Caused by Grease Starvation.Reactor Bldg Cooling Unit 2C Was Secured & Grease Added to Motor Bearings.Cooling Unit Restarted | | | 05000270/LER-1981-003, Forwards LER 81-003/03L-0.Detailed Event Analysis Encl | Forwards LER 81-003/03L-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-004-03, /03L-0:on 810304,motor Driven Emergency Feedwater Pump 2B Was Declared Inoperable Due to Arcing in Motor.Cause Unknown.Motor Was Disassembled & Failure Found in Coil Slot | /03L-0:on 810304,motor Driven Emergency Feedwater Pump 2B Was Declared Inoperable Due to Arcing in Motor.Cause Unknown.Motor Was Disassembled & Failure Found in Coil Slot | | | 05000270/LER-1981-004, Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-004-03, /03L-0:on 810212,primary Level Indication for Elevated Water Storage Tank Was Declared Inoperable Following Low Water Level Alarms.Caused by Loose Connectors on Air Compressor Starter Terminals.Connections Tightened | /03L-0:on 810212,primary Level Indication for Elevated Water Storage Tank Was Declared Inoperable Following Low Water Level Alarms.Caused by Loose Connectors on Air Compressor Starter Terminals.Connections Tightened | | | 05000269/LER-1981-004, Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-004-03, /03L-0:on 810312,valve 3FDW-105 Failed to Close Electrically After Chemical Sampling of Steam Generator B. No Apparent Cause Found.Valve Manually Closed & Circuit Breaker Opened,Disabling Valve | /03L-0:on 810312,valve 3FDW-105 Failed to Close Electrically After Chemical Sampling of Steam Generator B. No Apparent Cause Found.Valve Manually Closed & Circuit Breaker Opened,Disabling Valve | | | 05000287/LER-1981-004, Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | Forwards LER 81-004/03L-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-005-03, /03L-0:on 810323,engineering Safeguard Valve 3CS-5 Failed to Operate.Caused by Operator Failure Since Valve Could Be Operated Manually.Valve Operator Will Be Inspected During Next Outage | /03L-0:on 810323,engineering Safeguard Valve 3CS-5 Failed to Operate.Caused by Operator Failure Since Valve Could Be Operated Manually.Valve Operator Will Be Inspected During Next Outage | | | 05000287/LER-1981-005, Forwards LER 81-005/03L-0.Detailed Event Analysis Encl | Forwards LER 81-005/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-005, Forwards LER 81-005/01T-0.Detailed Event Analysis Encl | Forwards LER 81-005/01T-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-005, Forwards LER 81-005/01T-0.Detailed Event Analysis Encl | Forwards LER 81-005/01T-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-005-01, /01T-0:on 810222,low Power Injection Check Valve Discovered Leaking Excessively During Intersystem LOCA Leak Test.Caused by Buildup of Crud in Pivot Gap Area.Disc Hinge & Hinge Pin Replaced.Crud to Be Analyzed | /01T-0:on 810222,low Power Injection Check Valve Discovered Leaking Excessively During Intersystem LOCA Leak Test.Caused by Buildup of Crud in Pivot Gap Area.Disc Hinge & Hinge Pin Replaced.Crud to Be Analyzed | | | 05000270/LER-1981-005-01, /01T-0:on 810318,four Closure Studs on Reactor Coolant Pump 2A2 Had Corrosion Wastage in Pump Closure Area. Caused by Leakage from Pump Closure Gaskets.Stud 20 Replaced.Studs 1,2 & 3 Left in Place | /01T-0:on 810318,four Closure Studs on Reactor Coolant Pump 2A2 Had Corrosion Wastage in Pump Closure Area. Caused by Leakage from Pump Closure Gaskets.Stud 20 Replaced.Studs 1,2 & 3 Left in Place | | | 05000270/LER-1981-006, Forwards LER 81-006/03L-0.Detailed Event Analysis Encl | Forwards LER 81-006/03L-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-006-03, /03L-0:on 810409,valve 2PR-8 Failed to Open During on-line Insp.Caused by Faulty Valve Operator Diaphragm.Valve Repaired & Verified Operable | /03L-0:on 810409,valve 2PR-8 Failed to Open During on-line Insp.Caused by Faulty Valve Operator Diaphragm.Valve Repaired & Verified Operable | | | 05000287/LER-1981-006, Forwards LER 81-006/03X-1.Detailed Event Analysis Encl | Forwards LER 81-006/03X-1.Detailed Event Analysis Encl | | | 05000287/LER-1981-006-03, /03X-1:on 810324,reactor Protection Sys Channel a High Pressure Trip Found Out of Calibr.Caused by Transmitter Drift.Pressure Transmitter Recalibr | /03X-1:on 810324,reactor Protection Sys Channel a High Pressure Trip Found Out of Calibr.Caused by Transmitter Drift.Pressure Transmitter Recalibr | | | 05000269/LER-1981-006, Forwards LER 81-006/03L-0.Detailed Event Analysis Encl | Forwards LER 81-006/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-006-03, /03L-0:on 810328,RCS Subcooling Margin Monitors Were Discovered Inoperable When Computer Alarm Printer & Rider in Control Room Indicated All Analog Points in Alarm Condition.Caused by Failed Low Level Amplifier | /03L-0:on 810328,RCS Subcooling Margin Monitors Were Discovered Inoperable When Computer Alarm Printer & Rider in Control Room Indicated All Analog Points in Alarm Condition.Caused by Failed Low Level Amplifier | | | 05000269/LER-1981-007-01, /01T-0:on 810410,fire Barrier Door for West Penetration Room Was Inoperable W/O Proper Fire Watches Maintained.Caused by Personnel Error.Individual Involved Counseled Re Importance of Communication | /01T-0:on 810410,fire Barrier Door for West Penetration Room Was Inoperable W/O Proper Fire Watches Maintained.Caused by Personnel Error.Individual Involved Counseled Re Importance of Communication | | | 05000269/LER-1981-007, Forwards LER 81-007/01T-0.Detailed Event Analysis Encl | Forwards LER 81-007/01T-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-007, Forwards LER 81-007/03L-0.Detailed Event Analysis Encl | Forwards LER 81-007/03L-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-007, Forwards LER 81-007/01T-0.Detailed Event Analysis Encl | Forwards LER 81-007/01T-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-007-03, /03L-0:on 810329,inner Door Seal of Reactor Bldg Personnel Lock Found to Leak at Rate Greater than That Allowed by Procedure.Caused by Faulty Installation of Strong Backs.Gasket Shinned & Strong Backs Reinstalled | /03L-0:on 810329,inner Door Seal of Reactor Bldg Personnel Lock Found to Leak at Rate Greater than That Allowed by Procedure.Caused by Faulty Installation of Strong Backs.Gasket Shinned & Strong Backs Reinstalled | | | 05000270/LER-1981-007-01, /01T-0:on 810326,during Periodic Test,Auto/Manual Transfer Switches for B1T-8 & B2T-5 Incorrectly Placed in Manual Position & Not Returned After Test Completion.Caused by Personnel Error.Switches Restored to Auto Position | /01T-0:on 810326,during Periodic Test,Auto/Manual Transfer Switches for B1T-8 & B2T-5 Incorrectly Placed in Manual Position & Not Returned After Test Completion.Caused by Personnel Error.Switches Restored to Auto Position | | | 05000287/LER-1981-008-03, /03L-0:on 810422,during Seismic Block Wall Insp, Discovered Breach of Fire Barrier in Penetration 3-T-T-1. Caused by Pulling of Electrical Cables Through Barrier. Breach Repaired Using RTV Foam | /03L-0:on 810422,during Seismic Block Wall Insp, Discovered Breach of Fire Barrier in Penetration 3-T-T-1. Caused by Pulling of Electrical Cables Through Barrier. Breach Repaired Using RTV Foam | | | 05000269/LER-1981-008-01, /01T-0:on 810513,loss of Valve Position Noticed. Valve CCW-8 Determined to Be Electrically Inoperable.Caused by Open Circuit in Several Conductors in Control Cable. Control Cable Replaced & Valve Electrically Cycled | /01T-0:on 810513,loss of Valve Position Noticed. Valve CCW-8 Determined to Be Electrically Inoperable.Caused by Open Circuit in Several Conductors in Control Cable. Control Cable Replaced & Valve Electrically Cycled | | | 05000270/LER-1981-008-03, /03L-0:on 810508,solenoid Valve for 2FDW-316 Stuck in Manual Position,Disabling Automatic Level Control of B Steam Generator from Emergency Feedwater Sys.Valve Replaced Per Procedure | /03L-0:on 810508,solenoid Valve for 2FDW-316 Stuck in Manual Position,Disabling Automatic Level Control of B Steam Generator from Emergency Feedwater Sys.Valve Replaced Per Procedure | | | 05000287/LER-1981-008, Forwards LER 81-008/03L-0.Detailed Event Analysis Encl | Forwards LER 81-008/03L-0.Detailed Event Analysis Encl | | | 05000270/LER-1981-008, Forwards LER 81-008/03L-0.Detailed Event Analysis Encl | Forwards LER 81-008/03L-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-008, Forwards LER 81-008/01T-0.Detailed Event Analysis Encl | Forwards LER 81-008/01T-0.Detailed Event Analysis Encl | | | 05000269/LER-1981-009, Forwards LER 81-009/03L-0.Detailed Analysis Encl | Forwards LER 81-009/03L-0.Detailed Analysis Encl | | | 05000287/LER-1981-009-03, /03L-0:on 810507,containment Isolation Valve 3CS-6 Was Discovered in Intermediate Position,Resulting in Loss of Containment Integrity.Cause Undetermined.Valve 3CS-6 Verified Operable | /03L-0:on 810507,containment Isolation Valve 3CS-6 Was Discovered in Intermediate Position,Resulting in Loss of Containment Integrity.Cause Undetermined.Valve 3CS-6 Verified Operable | | | 05000269/LER-1981-009-03, /03L-0:on 810622,during Normal Operations,Startup Transformer CT-1 Locked Out.Cause Not stated.CT-1 Transformer & Bus Work Checked & Protective Relaying Checked for Malfunction Prior to Return to Svc | /03L-0:on 810622,during Normal Operations,Startup Transformer CT-1 Locked Out.Cause Not stated.CT-1 Transformer & Bus Work Checked & Protective Relaying Checked for Malfunction Prior to Return to Svc | | | 05000270/LER-1981-009-03, /03L-0:on 810415,during Low Pressure Svc Water Pump Periodic Test,Valves 2LPSW-19 & 2LPSW-21 Were Closed Resulting in RB Rbcu Being Out of Svc.Caused by Personnel Error.Valve 2LPSW-19 Opened & Personnel Counseled | /03L-0:on 810415,during Low Pressure Svc Water Pump Periodic Test,Valves 2LPSW-19 & 2LPSW-21 Were Closed Resulting in RB Rbcu Being Out of Svc.Caused by Personnel Error.Valve 2LPSW-19 Opened & Personnel Counseled | | | 05000287/LER-1981-009, Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | | | 05000287/LER-1981-010-03, /03L-0:on 810517,broken Airline to Valve 3LPSW-525 Was Discovered.Caused by Breakage of Brass Nipple Between Air Supply Isolation Valve & Accumulator Tank.Brass Nipple Replaced | /03L-0:on 810517,broken Airline to Valve 3LPSW-525 Was Discovered.Caused by Breakage of Brass Nipple Between Air Supply Isolation Valve & Accumulator Tank.Brass Nipple Replaced | | | 05000269/LER-1981-010-03, /03L-0:on 810602,turbine Driven Emergency Feedwater Pump Declared Inoperable.Caused by Governor Valve Sticking in Open Position Due to Sys Contamination.Linkage Pin Removed,Governor Valve Freed & Stem Cleaned | /03L-0:on 810602,turbine Driven Emergency Feedwater Pump Declared Inoperable.Caused by Governor Valve Sticking in Open Position Due to Sys Contamination.Linkage Pin Removed,Governor Valve Freed & Stem Cleaned | | | 05000269/LER-1981-010, Forwards LER 81-010/03L-0.Detailed Event Analysis Encl | Forwards LER 81-010/03L-0.Detailed Event Analysis Encl | |
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