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"I APNIOvtD Oese NO. 3t904104 LICENSEE EVENT REPORT (LER)
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.! ACILITV NAASE (H DOCKET souteER (Il rebut (E Millstone Point Unit 2 015 l 010 l 0 l313 16 1 loFl 0 l3 TITLE (46 Safety Analysis Error EVENT DATE (N LER feuteER te REPORT DATE 17)
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An inconsistency was found between the Technical Specification requirement on Axial Shape Index (ASI) and the safety analysis assumptions on ASI that are input to the Millstone 2 Small Break Loss of Coolant (LOCA) analysis. The Unit 2 Small Break LOCA analysis was performed by Combustion Engineering. The event was declared immediately reportable by site procedures and falls under the 30 day reportable criteria of 50.73 (a), (2) V & V1.
The ASI inconsistency between Technical Specifications and Safety Analysis could have allowed plant operation in an unanalyzed region should a small break LOCA occur. Administrative controls were immediately implemented to preclude any unan-alyzed operation until further corrective actions could be implemented.
Reanalysis has shown that when the correct ASI inputs are used in the small break LOCA model, Peak Clad Temperatures (PCT) increase from 1971 degrees F to 2035 degrees F, still within the 2200 degrees F 10CFR50.46 LOCA limits on PCT.
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seRC Pwm MSA U 8. NUCLEJM E EGULATORY COMMISSION LICENSEE EVENT REPORT (LER) TEXT CONTINUATl2N AreaovEo oMe No 3 iso-oio.
EMPIRES 8/31/86 FACILITY esaast pl DOCKET NUteBER (23 LER NUMef R 163 PAGE (3) vtan SE Qus =T.a t atveosu Millstone Point Unit 2 0 l5 l0 j o lo l3 l 3 l6 8l 5
-- O l0l1 0 l0 0l2 OF 0 l3 rExt c-M wmRes mww nn The Safety Analysis that supports Millstone 2 operation is in part supplied by Combustion Engineering (C-E).
During the investigation phase of a potential Techni-cal Specification change, C-E identified an inconsistency between the Millstone 2 Technical Specification Axial Shape Index (ASI) values and the ASI assumptions utilized in the small break Loss of Coolant analyses performed by C-E.
The most negative Axial Shape Index (ASI) input to the LOCA analysis was an ASI of
.14.
Plant Technical Specifications allow a 100% power ASI of no more negati,ve than
.10.
Considering the
.06 ASI uncertainty assumed in the analysis, the plant could conceiv' ably operate with an ASI of (.10) - (.06) =
.16.
This is not bounded by the
.14 ASI input to the small break LOCA model.
The error was reported on 1/23/85 and was declared an immediate report to the NRC and state by site procedures. Administrative controls at this time were put in place to preclude plant operation in the unanalyzed ASI region, until corrective actions could be taken. Subsequently, a calculation was performed to determine the effects on the small break LOCA of the more negative ASI value of
.16.
The Peak Clad Temperature (PCT) during a postulated small break LOCA increased from 1971 degrees F to 2035 degrees F as a result of the mere negative ASI of
.16.
This increase still does not exceed the 10CFR50.46 limit for PCT, which is 2200 degrees F.
With this reanalysis in place and QA verified, administrative controls were removed on plant operation.
This incident was declared a 30 day report based on 100FR50.73 (a)(2)(V) and (VI).
This is because the ASI inconsistency could have allowed plant operation in unan-alyzed ASI space, where the ability of plant safety systems to mitigate a small break LOCA were not analyzed.
This error was in place since Cycle 3 (1979). This was the last time a Technical Specification change to the ASI Limiting Condition for Operation (LCO) was issued.
Three mitigating factors must be considered concerning this safety analysis incon-sistency:
1)
Actual plant operation in the unanalyzed ASI space during the time the error was in place, is extremely remote. Operation in the unanalyzed ASI space would indicate a severe abnormality in core power distribution.
2)
The only way operation in the unanalyzed ASI space could occur is if the ASI uncertainty of
.06 assumed in the analysis was at or near the negative ASI uncertainty limit of
.06.
3)
Even if operation did occur in the unanalyzed ASI space, reanalysis shows that plant safety systems were adequate to maintain PCT during a postulated small break LOCA to 2035 degrees F, below the 2200 degreor F 10CFR limit.
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DOCKlf NUMBER (2)
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,,,,c,,,,,,,,, t,T, This inconsistency between Technical Specification ASI limits and Safety Analysis limits on ASI is not common to any other Millstone 2 safety analysis transient nor is it a generic problem applicable to any other nuclear unit.
In summary, the corrective actions were to perform an analysis to ensure that plant h
operation with current Technical Specifications meet all LOCA acceptance criteria.
This analysis is complete.
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P.O. BOX 270 IE2"~
HARTFORD. CONNECTICUT 06141-0270 wwer unnes aw cow-(203) 666-6911 g
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February 20, 1985 MP-6660 U. S. Nuclear Regulatory Commission Documept Control Desk Washington, D. C. 20555
Reference:
Facility Operating License No. DPR-65 Docket No. 50-336 Reportable 9ccurrence RO 50-336/85-001-0 j
Gentlemen:
This letter forwards the Licer. oe Event Report 85-001-0 required to be submitted within thirty (30) dafs pursuant to paragraph 50.73 (a) (2)
(V) and (VI).
Yours truly, NORTHEAST NUCLEAR ENERGY COMPANY D/
E. J. Mroczka Station Superintendent Millstone Nuclear Power Station EJM/JJP:mo
Attachment:
LER RO 50-336/85-001-0 cc:
Dr. T. E. Murley, Region I jh h
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| 05000336/LER-1985-001, :on 850123,safety Analysis Error Found.Caused by Inconsistency Between Tech Spec Requirement on Axial Shape Index & Safety Analysis Assumptions on Index Used as Input to Small Break LOCA Analysis |
- on 850123,safety Analysis Error Found.Caused by Inconsistency Between Tech Spec Requirement on Axial Shape Index & Safety Analysis Assumptions on Index Used as Input to Small Break LOCA Analysis
| 10 CFR 50.73(a)(2) | | 05000423/LER-1985-001-01, :on 851209,during Cold Shutdown,Small Perforation Discovered in Fuel Oil Header Pressure Return Line Tubing of Emergency Diesel Generator A.Caused by Cyclic Vibration & Chafing Against Skid Frame |
- on 851209,during Cold Shutdown,Small Perforation Discovered in Fuel Oil Header Pressure Return Line Tubing of Emergency Diesel Generator A.Caused by Cyclic Vibration & Chafing Against Skid Frame
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000423/LER-1985-002-01, :on 851215,during post-core Load Testing While in Cold Shutdown,Reactor Tripped from Two 10-10 Level Bistables on Steam Generator C.Caused by Personnel Error |
- on 851215,during post-core Load Testing While in Cold Shutdown,Reactor Tripped from Two 10-10 Level Bistables on Steam Generator C.Caused by Personnel Error
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1985-002, :on 850302,intermittent Annunciator Alarm Indicated Process Radiation Monitor Tripped on High Radiation or Failed.Caused by Personnel Error.Radiation Monitor Restored & Purge Valves Reopened |
- on 850302,intermittent Annunciator Alarm Indicated Process Radiation Monitor Tripped on High Radiation or Failed.Caused by Personnel Error.Radiation Monitor Restored & Purge Valves Reopened
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1985-003, :on 850305,during 1985 Refueling Outage, Containment Penetrations Type B & C Leakage Rate Test Found Leakage in Excess of Tech Spec Limit.Caused by Excessive Leakage of Listed Penetrations/Valves |
- on 850305,during 1985 Refueling Outage, Containment Penetrations Type B & C Leakage Rate Test Found Leakage in Excess of Tech Spec Limit.Caused by Excessive Leakage of Listed Penetrations/Valves
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000423/LER-1985-003-01, :on 851214,while in Cold Shutdown,Emergency Bus 480-volt Ac Required to Be Operable Per Tech Specs Tagged Out of Svc to Perform Maint.Caused by Personnel Error.Bus Restored to Svc |
- on 851214,while in Cold Shutdown,Emergency Bus 480-volt Ac Required to Be Operable Per Tech Specs Tagged Out of Svc to Perform Maint.Caused by Personnel Error.Bus Restored to Svc
| 10 CFR 50.73(a)(2)(1) | | 05000336/LER-1985-004, :on 850314,sufficient Tubes in Each Steam Generator Had Flaws Greater than 40% through-wall to Place Steam Generators in Category C.3 of Tech Spec Table 4.4-6. Sludge Lancing & Chemical Cleaning Initiated |
- on 850314,sufficient Tubes in Each Steam Generator Had Flaws Greater than 40% through-wall to Place Steam Generators in Category C.3 of Tech Spec Table 4.4-6. Sludge Lancing & Chemical Cleaning Initiated
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000336/LER-1985-005, :on 850401,retest of Control Switch Caused Loss of Normal Power Signal to Be Generated to 4.16 Kv Emergency Bus 24D.Caused by Personnel Error.Personnel Instructed to Use Increased Caution in Researching Circuits |
- on 850401,retest of Control Switch Caused Loss of Normal Power Signal to Be Generated to 4.16 Kv Emergency Bus 24D.Caused by Personnel Error.Personnel Instructed to Use Increased Caution in Researching Circuits
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1985-006, :on 850329,ESFAS Channel II Actuated.Caused by Technician Installing New Response Time Tested Relays. Procedures Revised to Prevent Inadvertent ESFAS Actuations |
- on 850329,ESFAS Channel II Actuated.Caused by Technician Installing New Response Time Tested Relays. Procedures Revised to Prevent Inadvertent ESFAS Actuations
| | | 05000336/LER-1985-007, :on 850413,engineered Safeguards Actuation Sys Actuated Closing Containment Purge Valves.Caused by Loose Plated Particulate Radiation in Radiation Monitor Causing High Level Alarm.Procedures Revised |
- on 850413,engineered Safeguards Actuation Sys Actuated Closing Containment Purge Valves.Caused by Loose Plated Particulate Radiation in Radiation Monitor Causing High Level Alarm.Procedures Revised
| | | 05000245/LER-1985-008-01, :on 850114,after Return to Full power,5% Increase in Recirculation Flow Required to Attain Same Core Thermal Power.Caused by Injection of Oxides from Condensate Booster Pump Into RCS |
- on 850114,after Return to Full power,5% Increase in Recirculation Flow Required to Attain Same Core Thermal Power.Caused by Injection of Oxides from Condensate Booster Pump Into RCS
| | | 05000336/LER-1985-008, :on 850524,during Design Review to Determine Impact of Locked Up Snubber on Pressurizer Vent Piping,Error Discovered in Seismic Load Calculation.Caused by Incorrect Data Input to Adlpipe Version 1B |
- on 850524,during Design Review to Determine Impact of Locked Up Snubber on Pressurizer Vent Piping,Error Discovered in Seismic Load Calculation.Caused by Incorrect Data Input to Adlpipe Version 1B
| | | 05000336/LER-1985-009, :on 850611,during Routine Testing at Simulator, Discrepancy Noted in Charging Pump Circuitry.Caused by Design Error.Circuit Design Modified |
- on 850611,during Routine Testing at Simulator, Discrepancy Noted in Charging Pump Circuitry.Caused by Design Error.Circuit Design Modified
| | | 05000336/LER-1985-009-01, :on 851106,during Routine Testing on Unit Simulator,Design Discrepancy Noted in Charging Pump B Circuitry.Caused by Design Error Which Inhibits Pump Operation.Mod to Circuit Implemented |
- on 851106,during Routine Testing on Unit Simulator,Design Discrepancy Noted in Charging Pump B Circuitry.Caused by Design Error Which Inhibits Pump Operation.Mod to Circuit Implemented
| | | 05000245/LER-1985-009, :on 850813,reactor Scram Occurred,Initiated by Main Steam Line hi-hi Radiation.Caused by Entrained in Feedwater Sys When Demineralizer Placed in Svc After Cleaning.Plant Procedures Revised |
- on 850813,reactor Scram Occurred,Initiated by Main Steam Line hi-hi Radiation.Caused by Entrained in Feedwater Sys When Demineralizer Placed in Svc After Cleaning.Plant Procedures Revised
| | | 05000336/LER-1985-010, :on 850615,loss of Low Temp Overpressure Protection Due to Isolation & Venting of Pressurizer Pressure Transmitters.Caused by Procedure Inadequacy.Porvs Manually Opened & Procedure Revised |
- on 850615,loss of Low Temp Overpressure Protection Due to Isolation & Venting of Pressurizer Pressure Transmitters.Caused by Procedure Inadequacy.Porvs Manually Opened & Procedure Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2) | | 05000336/LER-1985-011-01, :on 850715,plant Tripped Due to Thermal Margin Low Pressure.Caused by Pressurizer Spray Valve Stuck Open & Unable to Stroke.Valves Added to Preventative Maint Program |
- on 850715,plant Tripped Due to Thermal Margin Low Pressure.Caused by Pressurizer Spray Valve Stuck Open & Unable to Stroke.Valves Added to Preventative Maint Program
| 10 CFR 50.73(a)(2) | | 05000245/LER-1985-011, :on 850719,oysters Sampled Indicated Presence of Co-60 Exceeding Control Station Average by Factor Greater than 10.Caused by High Degree of Sensitivity of Measuring Background Samples |
- on 850719,oysters Sampled Indicated Presence of Co-60 Exceeding Control Station Average by Factor Greater than 10.Caused by High Degree of Sensitivity of Measuring Background Samples
| | | 05000336/LER-1985-012, :on 850726,loss of Svc Water Header a Occurred. Caused by Fouled Strainer Due to Debris.Header Returned to Svc Following Cleaning & Replacement of Strainer Internals |
- on 850726,loss of Svc Water Header a Occurred. Caused by Fouled Strainer Due to Debris.Header Returned to Svc Following Cleaning & Replacement of Strainer Internals
| 10 CFR 50.73(a)(2) | | 05000336/LER-1985-013-02, :on 850822,during Maint Evolution After Charging Pump C Removed from Svc Due to Packing Leaks,Dye Penetrant Insp Showed Cracked Block.Caused by High Internal Stresses.Pump Block Replaced W/Spare |
- on 850822,during Maint Evolution After Charging Pump C Removed from Svc Due to Packing Leaks,Dye Penetrant Insp Showed Cracked Block.Caused by High Internal Stresses.Pump Block Replaced W/Spare
| | | 05000336/LER-1985-013-01, :on 850822,charging Pump C Removed from Svc Due to Packing Leaks.Caused by High Internal Stresses Causing Cracks to Initiate at Subsurface Inclusions.Pump Replaced |
- on 850822,charging Pump C Removed from Svc Due to Packing Leaks.Caused by High Internal Stresses Causing Cracks to Initiate at Subsurface Inclusions.Pump Replaced
| | | 05000336/LER-1985-013, :on 850820,charging Pump C Removed from Svc to Repair Packing Leaks & on 850822,dye Penetrant Insp of Block Revealed Crack.Caused by High Internal Stresses.Block Replaced W/Spare from Warehouse |
- on 850820,charging Pump C Removed from Svc to Repair Packing Leaks & on 850822,dye Penetrant Insp of Block Revealed Crack.Caused by High Internal Stresses.Block Replaced W/Spare from Warehouse
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000336/LER-1985-014, :on 850927,orderly Shutdown Commenced as Precautionary Measure Due to Hurricane Gloria.Grounding Problems Caused Unit to Divorce from Offsite Power.Unit Returned to Normal Hot Shutdown Condition |
- on 850927,orderly Shutdown Commenced as Precautionary Measure Due to Hurricane Gloria.Grounding Problems Caused Unit to Divorce from Offsite Power.Unit Returned to Normal Hot Shutdown Condition
| | | 05000336/LER-1985-015, :on 851008,no Sample Flow from Radmonitor Discovered.Caused by Low Flow Switch FIS8262 Stuck in Nonalarming Position,Closed Suction Valve 2-EB-89 & Failure of Operator to Verify Proper Radmonitor Flow |
- on 851008,no Sample Flow from Radmonitor Discovered.Caused by Low Flow Switch FIS8262 Stuck in Nonalarming Position,Closed Suction Valve 2-EB-89 & Failure of Operator to Verify Proper Radmonitor Flow
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000245/LER-1985-016, :on 850916,automatic Actuation of ESF Occurred. Caused by Isolation of Reactor Bldg Ventilation & Initiation of Standby Gas Treatment Due to Steam Tunnel High Radiation Spike.Isolation Signal Reset |
- on 850916,automatic Actuation of ESF Occurred. Caused by Isolation of Reactor Bldg Ventilation & Initiation of Standby Gas Treatment Due to Steam Tunnel High Radiation Spike.Isolation Signal Reset
| | | 05000245/LER-1985-017, :on 850927,reactor Scrammed on APRM hi-hi When Reactor Mode Switch Changed from Run to Startup/Hot Standby. Off-normal Procedures Followed.Reactor Brought to Hot Shutdown |
- on 850927,reactor Scrammed on APRM hi-hi When Reactor Mode Switch Changed from Run to Startup/Hot Standby. Off-normal Procedures Followed.Reactor Brought to Hot Shutdown
| | | 05000245/LER-1985-018, :on 850927,loss of Normal Power Occurred Causing Various Isolations & Sys Initiations.Caused by Hurricane Gloria |
- on 850927,loss of Normal Power Occurred Causing Various Isolations & Sys Initiations.Caused by Hurricane Gloria
| | | 05000245/LER-1985-019, :on 850928,unidentified Drywell Leak Noted While Starting from 0% Power.Caused by Packing Leak in LPCI Sys Discharge Shutoff Valve 1-LP-12A.Valve Repacked & Startup Resumed |
- on 850928,unidentified Drywell Leak Noted While Starting from 0% Power.Caused by Packing Leak in LPCI Sys Discharge Shutoff Valve 1-LP-12A.Valve Repacked & Startup Resumed
| | | 05000245/LER-1985-022, :on 851031,during Inservice Insp,Igscc Identified within Heat Affected Zone of 12-inch Isolation Condenser Weld.Cause Not Stated.Weld Repaired |
- on 851031,during Inservice Insp,Igscc Identified within Heat Affected Zone of 12-inch Isolation Condenser Weld.Cause Not Stated.Weld Repaired
| | | 05000245/LER-1985-023-01, :on 851104,during Local Leak Rate Testing,Two MSIVs Could Not Meet Required Leak Rates.Cause Under Investigation |
- on 851104,during Local Leak Rate Testing,Two MSIVs Could Not Meet Required Leak Rates.Cause Under Investigation
| | | 05000245/LER-1985-023, :on 851104,two MSIVs & Addl Primary Containment Isolation Valves Failed Local Leak Rate Tests.Caused by Worn Internal Parts,Including Seat Rings,Pilot Valves & Disc Assemblies.Valves Repaired & Retested |
- on 851104,two MSIVs & Addl Primary Containment Isolation Valves Failed Local Leak Rate Tests.Caused by Worn Internal Parts,Including Seat Rings,Pilot Valves & Disc Assemblies.Valves Repaired & Retested
| | | 05000245/LER-1985-025, :on 851110,torus-to-drywell Vacuum Breakers Alarm Microswitches Found Out of Calibr.Caused by Adjustment Screws for Microswitch Actuation Not Having Locknut. Microswitches Calibr |
- on 851110,torus-to-drywell Vacuum Breakers Alarm Microswitches Found Out of Calibr.Caused by Adjustment Screws for Microswitch Actuation Not Having Locknut. Microswitches Calibr
| | | 05000245/LER-1985-027, :on 851121,loss of Normal Power Occurred While Trip Testing Breakers.Caused When Technician Used Incorrect Tripping Sequence,Causing Main Transformer to Divorce from Grid.Gas Turbine Failed to Respond |
- on 851121,loss of Normal Power Occurred While Trip Testing Breakers.Caused When Technician Used Incorrect Tripping Sequence,Causing Main Transformer to Divorce from Grid.Gas Turbine Failed to Respond
| | | 05000245/LER-1985-028, :on 851122,possible IGSCC Identified in Several Welds on Both Jet Pump Instrumentation Assemblies.Cause Not Stated.Indications Repaired Using Weld Overlay Technique.W/ |
- on 851122,possible IGSCC Identified in Several Welds on Both Jet Pump Instrumentation Assemblies.Cause Not Stated.Indications Repaired Using Weld Overlay Technique.W/
| | | 05000245/LER-1985-029, :on 851126,during Bench Checks of Main Steam Safety/Relief Valves,All Six Valves Lifted at Pressures Exceeding Tech Spec Limit.Caused by High Friction at Labyrinth Seal in Valve Topworks |
- on 851126,during Bench Checks of Main Steam Safety/Relief Valves,All Six Valves Lifted at Pressures Exceeding Tech Spec Limit.Caused by High Friction at Labyrinth Seal in Valve Topworks
| | | 05000245/LER-1985-031, :on 851215,condensate Booster Pump a Failed to Automatically Start During Loss of Normal Power/Max Credible Accident Testing.Caused by Relay in Autoclose Circuit for Booster Pump |
- on 851215,condensate Booster Pump a Failed to Automatically Start During Loss of Normal Power/Max Credible Accident Testing.Caused by Relay in Autoclose Circuit for Booster Pump
| | | 05000245/LER-1985-033, :on 851219,break Detection Valve Permissive Found out-of-spec & Differential Pressure Indicating Switches (DPIS) Found in Tripped Position.Caused by Water Entrapment in DPIS |
- on 851219,break Detection Valve Permissive Found out-of-spec & Differential Pressure Indicating Switches (DPIS) Found in Tripped Position.Caused by Water Entrapment in DPIS
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