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February 16, 1990 10 CFR Part 50 3
Section 50,73 i
e Director of Nuclear Reactor Regulation U S Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555 i
l' PRAIRIE ISLAND NUCLEAR GENERATING PIANT Docket Nos, 50 282 License Nos. DPR 42 50-306 DPR 60 Automatic Control Room Isolation and Start of Control Room Cleanuo Fan Due to Personnel Error Durine Surveillance Test The Licensee Event Report for this occurrence is attached.
This event was reported via the Emergency Notification System in accordance with 10 CFR Part 50, Section 50.72, on January 17, 1990.
Please contact us if you require additional information related to this event.
Thomas M Parker Manager
' Nuclear Support Servicts c: Regional Administrator - Region III, NRC NRR Project Manager, NRC
- - Senior Resident Inspector, NRC
.f MPCA Attn:
Dr J W Ferman Attachment PDR ADOCK 0500 2
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... -.,.., o s i On January 17,1990, Unit 1 was shutdown for refueling and Unf.t 2 was at 100%
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SP1698, Chlorine Monitor Weekly Check, was in progress.
This surveillance procedure cleans and checks operation of the chlorine monitors.
An 160 technician uses a small mirror on a handle to see parts of the optics block of the monitor. At 1400 hours0.0162 days <br />0.389 hours <br />0.00231 weeks <br />5.327e-4 months <br />, while the I&C technician was working in the monitor cabinet, his mirror contacted a bare power supply terminal and shorted it to ground, tripping the power supply.
Since both monitors on the affected train share the power supply, the failure caused the outside air to the control room to be isolated and No. 122 control room cleanup fan to start.
The system was returned to normal in about 20 minutes.
The chlorine monitors were returned to service in about 20 minutes.
Exposed wire terminal points in the monitor cabinets will be covered to prevent a similar occurrence.
This work will be completed by April 1, 1990.
Long term corrective action involves replacement of the present chlorine monitors with now, more trouble free monitors, each having its own power supply.
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EVENT DESCRIPTION
On January 17, 1990, Unit 1 was shutdown for refueling and Unit 2 was at 100%
power.
SP1698, Chlorine Monitor Weekly Check, was in progress. This surveillance procedure cleans and checks operation of the chlorine monitors (EIIS Component Identifier: HON). An 160 technician uses a small mirror on a handle to see parts of the optics block of the monitor. At 1400 hours0.0162 days <br />0.389 hours <br />0.00231 weeks <br />5.327e-4 months <br />, while the 16C technician was working in the monitor cabinet, his mirror contacted a bare power supply terminal and shorted it to ground, tripping the power supply.
Since both monitors on the affected train share the power supply, the failure caused the outside air to the control room to be isolated and No. 122 control room cleanup fan (EIIS Component Identifier: FAN) to start.
The system was returned to normal in about 20 minutes.
CAUSE OF THE EVENT
The cause of the event was personnel error in that the tool used by the I&C technician shorted a bare power supply terminal to ground.
Since the power supply is shared by two chlorine monitors in the same train, loss of power to the affected train caused the outside air to the control room to be isolated and one control room cleanup fan to start.
ANALYSIS OF THE EVENT
The functional response of the automatic actuation of the control room cleanup fan and isolation of the outside air to the control room was according to design.
The purpose of this isolation is to protect control room personnel from chlorine leaks.
Since this occurrence was not triggered by the presence of chlorine in the atmosphere, there was no threat to the operation of the plant. The affected chlorine monitor train failed to the safe condition.
Therefore, this event did not affect the health and safety of the public.
CORRECTIVE ACTION
The chlorine monitors were returned to service in about 20 minutes.
Exposed wire terminal points in the monitor cabinets will be covered to prevent a similar occurrence.
This work will be completed by April 1, 1990.
Long term corrective action being considered involves replacement of the present chlorine monitors with new, more trouble free monitors, each having its own power supply.
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t PREVIOUS SIMIIAR EVENTS 1
Several automatic actuations of the control room isolation and cleanup system have occurred and were reported as LER's 89 006, 89 009, 89 012, 89 015 and 89 020.
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| 05000282/LER-1990-001, :on 900117,technician Mirror Contacted Bare Power Supply Terminal & Shorted Terminal to Ground,Causing Power Supply to Trip & Isolation of Outside Air to Control Room.Exposed Wire Terminal Points Covered |
- on 900117,technician Mirror Contacted Bare Power Supply Terminal & Shorted Terminal to Ground,Causing Power Supply to Trip & Isolation of Outside Air to Control Room.Exposed Wire Terminal Points Covered
| | | 05000306/LER-1990-001-01, :on 900308,relay Failed to Operate Properly During Bus Duct Cooler Local Panel Test.Caused by Failure of Test relay.On-line Testing of Bus Duct Cooler Local Panel Discontinued.Value of on-line Testing Studied |
- on 900308,relay Failed to Operate Properly During Bus Duct Cooler Local Panel Test.Caused by Failure of Test relay.On-line Testing of Bus Duct Cooler Local Panel Discontinued.Value of on-line Testing Studied
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-002, :on 900117,review of Cooldown Data Showed That Cooldown Rate of Pressurizer Exceeded Tech Spec Limit.Caused by Procedure Inadequacy.Procedures Revised to Require Use of Water Space Temp to Find Cooldown Rate |
- on 900117,review of Cooldown Data Showed That Cooldown Rate of Pressurizer Exceeded Tech Spec Limit.Caused by Procedure Inadequacy.Procedures Revised to Require Use of Water Space Temp to Find Cooldown Rate
| 10 CFR 50.73(a)(2)(1) | | 05000282/LER-1990-002-01, Forwards LER 90-002-01 Re Excessive Pressurizer Cooldown Rate & Excessive Spray/Pressurizer delta-T.Procedures Will Be Revised to Require Use of Pressurizer Water Temp for Determining Pressurizer Heatup & Cooldown Rates | Forwards LER 90-002-01 Re Excessive Pressurizer Cooldown Rate & Excessive Spray/Pressurizer delta-T.Procedures Will Be Revised to Require Use of Pressurizer Water Temp for Determining Pressurizer Heatup & Cooldown Rates | | | 05000306/LER-1990-002-01, :on 900309,reactor Trip Occurred During Startup.Caused by Failed Reactor Protection Logic Relay. Failed Relays Replaced & Blown Fuse Replaced |
- on 900309,reactor Trip Occurred During Startup.Caused by Failed Reactor Protection Logic Relay. Failed Relays Replaced & Blown Fuse Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000306/LER-1990-003, :on 900316,reactor Trip Occurred Following Resetting of Rod Control Sys Urgent Failure Alarm.Caused by Personnel Error.Temporary Operating Instructions Issued to Not Reset Alarms Until Consulting W/I&C Dept |
- on 900316,reactor Trip Occurred Following Resetting of Rod Control Sys Urgent Failure Alarm.Caused by Personnel Error.Temporary Operating Instructions Issued to Not Reset Alarms Until Consulting W/I&C Dept
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-003-01, :on 900323,automatic Start of Safeguards Cooling Water Pump Occurred Due to Inadequate Procedures. Plant Procedures Revised to Improve Guidance for Detecting Loss of Prime |
- on 900323,automatic Start of Safeguards Cooling Water Pump Occurred Due to Inadequate Procedures. Plant Procedures Revised to Improve Guidance for Detecting Loss of Prime
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000306/LER-1990-004-02, :on 900905,automatic Start of Both Auxiliary Feedwater Pumps Occurred.Caused by Inadequately Reviewed Procedures.Work Control Process Reviewed & Personnel Counseled |
- on 900905,automatic Start of Both Auxiliary Feedwater Pumps Occurred.Caused by Inadequately Reviewed Procedures.Work Control Process Reviewed & Personnel Counseled
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-004, :on 900424,discovered That Surveillance Test SP1042, Resistance Temp Detector Bypass Flow Meter Functional Test Not Performed within Required Time Period. Caused by Personnel Error.Test Performed |
- on 900424,discovered That Surveillance Test SP1042, Resistance Temp Detector Bypass Flow Meter Functional Test Not Performed within Required Time Period. Caused by Personnel Error.Test Performed
| 10 CFR 50.73(a)(2)(1) | | 05000306/LER-1990-005-02, :on 900910,turbine-driven Auxiliary Feedwater Pump Started Automatically Due to Personnel Oversight.W/ |
- on 900910,turbine-driven Auxiliary Feedwater Pump Started Automatically Due to Personnel Oversight.W/
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-005, :on 900504,control Room Received High Radiation Alarm & Indication of Automatic Start of Spent Fuel Pool Special Exhaust Fan 121 on Two Occasions.Caused by Electrical Spike on Monitor.Modules Replaced |
- on 900504,control Room Received High Radiation Alarm & Indication of Automatic Start of Spent Fuel Pool Special Exhaust Fan 121 on Two Occasions.Caused by Electrical Spike on Monitor.Modules Replaced
| | | 05000306/LER-1990-006-02, :on 900912,excessive Leakage Through Containment Isolation Valve Due to Valve Malfunction Occurred.Caused by Inadequate Work Instructions.Valve Travel Stop Adjusted |
- on 900912,excessive Leakage Through Containment Isolation Valve Due to Valve Malfunction Occurred.Caused by Inadequate Work Instructions.Valve Travel Stop Adjusted
| 10 CFR 50.73(a)(2)(1) | | 05000282/LER-1990-006, :on 900517,electrical Spike on Radiation Monitor R-25 Caused auto-start of Spent Fuel Pool Special Ventilation Sys.Caused by Procedural Inadequacy.Request for Training Issued Re Basics of Procedure Writing |
- on 900517,electrical Spike on Radiation Monitor R-25 Caused auto-start of Spent Fuel Pool Special Ventilation Sys.Caused by Procedural Inadequacy.Request for Training Issued Re Basics of Procedure Writing
| | | 05000282/LER-1990-007, :on 900517,discovered That Several Relays Deenergized & Automatic Start & Loading of Diesel Generator D1 Initiated.Caused by Inadequate Design.Mod Initiated to Install Test Points |
- on 900517,discovered That Several Relays Deenergized & Automatic Start & Loading of Diesel Generator D1 Initiated.Caused by Inadequate Design.Mod Initiated to Install Test Points
| | | 05000306/LER-1990-008-02, :on 900923,auto-start of Component Cooling Water Pump 2 Occurred While Switching RHR Pumps |
- on 900923,auto-start of Component Cooling Water Pump 2 Occurred While Switching RHR Pumps
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-008, :on 900627,shield Bldg Exhaust Fan Inadvertently Made Inoperable.Caused by Personnel Error in Turning Off Incorrect Circuit Breaker.Rev Made to Procedures to Involve Personnel in Equipment Isolation |
- on 900627,shield Bldg Exhaust Fan Inadvertently Made Inoperable.Caused by Personnel Error in Turning Off Incorrect Circuit Breaker.Rev Made to Procedures to Involve Personnel in Equipment Isolation
| | | 05000306/LER-1990-009-02, :on 901007,technician Inadvertently Removed Fuses from Intermediate Range Channel Instead of Power Range Channel |
- on 901007,technician Inadvertently Removed Fuses from Intermediate Range Channel Instead of Power Range Channel
| | | 05000282/LER-1990-009-01, :on 900811,automatic Start of Component Cooling Pump Occurred.Caused by Momentary Low Pressure in Component Cooling Water Sys.Procedures to Be Revised to Warn Operator of Possibility of Automatic Pump Starts |
- on 900811,automatic Start of Component Cooling Pump Occurred.Caused by Momentary Low Pressure in Component Cooling Water Sys.Procedures to Be Revised to Warn Operator of Possibility of Automatic Pump Starts
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000306/LER-1990-010-02, :on 901023,inadvertent Operation of Safeguards Logic Train Pushbutton Occurred |
- on 901023,inadvertent Operation of Safeguards Logic Train Pushbutton Occurred
| | | 05000282/LER-1990-010, :on 900629,surveillance Test Missed Because of Rescheduling.Discrepancy Existed Between Due Dates on Master Surveillance Schedule & Radiation Protection Group Schedule. Caused by Personnel Error.Schedules Improved |
- on 900629,surveillance Test Missed Because of Rescheduling.Discrepancy Existed Between Due Dates on Master Surveillance Schedule & Radiation Protection Group Schedule. Caused by Personnel Error.Schedules Improved
| | | 05000282/LER-1990-011, :on 900712,Westinghouse Notified Util of Error in Facility Large Break LOCA Analysis.Peak Cladding Temp Predicted by Code Wcobra/Trac Exceeded 10CFR50.46.Limit Reduced |
- on 900712,Westinghouse Notified Util of Error in Facility Large Break LOCA Analysis.Peak Cladding Temp Predicted by Code Wcobra/Trac Exceeded 10CFR50.46.Limit Reduced
| | | 05000306/LER-1990-011-02, :on 901009,entrance Into Tech Spec 3.0.C During AMSAC post-installation Testing Occurred |
- on 901009,entrance Into Tech Spec 3.0.C During AMSAC post-installation Testing Occurred
| 10 CFR 50.73(a)(2)(1) | | 05000306/LER-1990-012-02, :on 901229,control Room Operators Received Annunciation of Reactor Trip.Caused by Rod Control Sys Failures.Failed Cards in Rod Control Sys Replaced |
- on 901229,control Room Operators Received Annunciation of Reactor Trip.Caused by Rod Control Sys Failures.Failed Cards in Rod Control Sys Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-013, :on 900830,inadvertent Mispositioning of Control Switch of 11 Shield Bldg Ventilation Heater Controls Identified.Caused by Workman Unknowingly Moving Switch. Protective Covers Installed Over Switches |
- on 900830,inadvertent Mispositioning of Control Switch of 11 Shield Bldg Ventilation Heater Controls Identified.Caused by Workman Unknowingly Moving Switch. Protective Covers Installed Over Switches
| 10 CFR 50.73(a)(2)(1) | | 05000282/LER-1990-014-01, :on 900912,auto-start of One Control Room Ventilation Train Occurred |
- on 900912,auto-start of One Control Room Ventilation Train Occurred
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-015-01, :on 901018,determined That ASME Section XI Tests Omitted from Testing Procedures During Rev Process.W/ |
- on 901018,determined That ASME Section XI Tests Omitted from Testing Procedures During Rev Process.W/
| 10 CFR 50.73(a)(2)(1) | | 05000282/LER-1990-016-01, :on 901106,shift Supervisor Failed to Establish Continuous Fire Watch When Removing Sprinkler Sys |
- on 901106,shift Supervisor Failed to Establish Continuous Fire Watch When Removing Sprinkler Sys
| 10 CFR 50.73(a)(2)(1) | | 05000282/LER-1990-017-01, :on 901121,discovered That Bus Duct Cooling Fan 11 Not Running & Supply Breaker Tripped,Resulting in Main Generator,Turbine & Reactor Trip.Caused by Inadequate Design.Supply Breaker Replaced |
- on 901121,discovered That Bus Duct Cooling Fan 11 Not Running & Supply Breaker Tripped,Resulting in Main Generator,Turbine & Reactor Trip.Caused by Inadequate Design.Supply Breaker Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000282/LER-1990-018-01, :on 901130,discovered That Certain Valves Subject to ASME Section XI Testing Found in Design Basis Reconstitution.Cause Will Be Discussed in Supplemental Rept. Valves Cycled to Obtain Baseline Data |
- on 901130,discovered That Certain Valves Subject to ASME Section XI Testing Found in Design Basis Reconstitution.Cause Will Be Discussed in Supplemental Rept. Valves Cycled to Obtain Baseline Data
| | | 05000282/LER-1990-019-01, On 901218,ventilation Filter Testing Requirements Not Being Met.Caused by Personnel Oversight in Developing Procedures.Procedure Revs Have Been Initiated to Address Need for Special Testing | On 901218,ventilation Filter Testing Requirements Not Being Met.Caused by Personnel Oversight in Developing Procedures.Procedure Revs Have Been Initiated to Address Need for Special Testing | 10 CFR 50.73(a)(2)(1) |
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