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10 CFR 50.73 4
PHILADELPHIA El.ECTRIC COMPANY LIMERICK GENER ATING ST ATION P. O, DOX A S AN ATOG A PENNSY LV ANI A 19454
{215) 337 1200 s at, teoo January 28, 1992
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Docket No. 50-353 License No. NPF-85 mo...................
U.S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555
SUBJECT:
Licensee Event Report Limerick Generating Station - Unit 2 This LER reports an event where a Unit 2 pressure indicaling switch shorted to ground causing a blown fuse that made the High Pressure Coolant Injection (HPCI) system, the 024 Emergency Diesel Generator, the 'O' Residual Heat Removal system, and the 'O' Core Spray system inoperable,
Reference:
Docket No. 50-353 Report Number:
2 92-001 Revision Number:
00 Event Date:
January 4. 1992 Report Date:
January 28, 1992 Facility:
Limerick Generating Station P.O. Box 2300 Sanatoga, PA 19464-2300 This LER is being submitted pursuant to the requirements of 10 CFR 50,73(a)(2)(v).
Very truly.yours, 7q N
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T. T. Martin, Administrator, Region 1 USNRC T. J. Kenny, USNRC Senior Resident Inspector, LGS 030002 92020'10251 720128
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On January 4, 1992, a Unit 2 pressure indicating switch shorted to ground causing a blown power supply fuse that made the High Pressure Coolant injection (HPCI) system, the D24 Emergency Diesel Generator, the 'O' Residual Heat Removal system, and the 'O' Core Spray system inoperable. After removing the failed pressure indicating switch, the fuse was replaced, When the HPCI system instrumentation was reenergized an anticipated HPl system isolation occurred.
Tne HPCI systr7 isolation was reset and the HPCI system was declared operable.
The actual consequences of this event were minimal. The failed pressure indicating switch was replaced on January 4, 1991. Similar pressure indicating switches in the same card file we e inspected and confirmed to not have the same condition. The failed pressure indicating switch has been sent to the manufacturer for performance of a failure analysis. The results of the failure analysis conducted by the manuf acturer will be reviewed to determine if additional corrective action needs to be taken.
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Unit Conditions Prior to the [ vent:
Unit 2 was in Operational Cendition 1 (Power Operation) operating at 100% power level. There were no structures, systems, or components out of service that contributed to this event.
Description of the Event:
On January 4, 1992, at 0600 hoars, a failure of a pressure indicating switch (Ells:PIS) caused a power supply fuse to blow.
The blown fuse deenergized card filt E21 A-Z33 and its associated instrumentation used to automatically initiate multiple safety systems. At 0650 hours0.00752 days <br />0.181 hours <br />0.00107 weeks <br />2.47325e-4 months <br />, operators determined that the deenergized instrumentation made the High Pressure Coolant Injection (HPCl) 3 system (Ells:BJ), the 024 Emergency Diese s Gener ator (EDG) (Ells:EK), the 'D' 7
Residual Heat Removal (RHR) system (Ells:80), and the 'O' Core Spray (CS) system (Ells:BM) inoperable. At 0658 hours0.00762 days <br />0.183 hours <br />0.00109 weeks <br />2.50369e-4 months <br />, operators reduced power in accordance with the action specified by Technical Specifications (TS) Section 3.0.3.
Instrumentation and Control (l&C) technicians removed and tested CS system and RHR system pressure indicating switches until they identified switch PIS 2N690H was shorted to grocnd. After removing PIS-42-2N690H, the fuse was replaced. When card file E21A-230 and its associated instrumentation, including the HPCI system instrumentation, was reenergized, an anticipated HPCI system isolation occurred. The HPCI system isolation resulted from the trip unit switch electronics reenergizing at 6 faster rate than their associated transmitter e!9ctronics. lhe trip unit switch electronics sensed an input signal below their low trip setpoint and initiated the HPCI system isolation.
Operators reset the HPCI system isolation in accordance with General Plant (GP)
Procedure GP-8, " Primary and Secondary Containment Isolation Verification and Reset." Operators then declared the HPCI system operable at 0738 hours0.00854 days <br />0.205 hours <br />0.00122 weeks <br />2.80809e-4 months <br /> and exited TS Se_ tion 3.0.3.
PIS-42-2N690H was replaced on January 4, 1992. The 024 EDG, the 'O' RHR system, and the 'O' CS system were declared operable after ILC technicians reinstalled all pressure indicating switches and completed functional testing of the switches. A one hour notification w3s made to the NRC at 0748 hours0.00866 days <br />0.208 hours <br />0.00124 weeks <br />2.84614e-4 months <br /> on January 4, 1992, with a followup notification at 0845 hours0.00978 days <br />0.235 hours <br />0.0014 weeks <br />3.215225e-4 months <br /> in accordance with the requirements of 10 CFR 50.72(b)(1)(i)(A) because a TS required plant shutdown was initiated.
This notification was also made in accordance with the requirements of 10 CFR 50.72(b)(2)(iii)(A) because the HPCI system was unable to perform its safety ionctions of maintaining the reactor in a safe shutdown condition and mitigating the consequencas of an accident. The notification made in accordance with the requirements sf 10 CFR 50.72(b)(2)(ii) for the HPCI system isolation, an Engineered Safety feature (ESF) actuotion, was a conservative measure because the ESF actuation resulted from a preplanned sequence aring reactor operation and did not need to be reported. This LER is being submitttd in accordance with the requirements of 10 CFR 50.73(a)(2)(v).
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Analysis of the Event
The actual consequences of this event were minimal in that an accident condition did not occur during the time in which the HPCI system, the 024 EDG, tht 'D' RHR system, and 'D' CS system were inopereble. The period of time in which the HPCI system was inoperable was limited to 48 minutes. The period of timt in which i
the 024 EDG, the 'O' kHR system, and the 'O' CS system were inoperable was limited to 7 hours8.101852e-5 days <br />0.00194 hours <br />1.157407e-5 weeks <br />2.6635e-6 months <br /> 58 minutes.
Although the systems were inoperable because they would not automatically initiate under all accident conditions; operators could have manually initiated these systems to perform their safety function.
If an accident had occurred while all affected systems were inoperable, sufficient Erergency Core Cooling Systems and AC power sources were available to maintain safe shutdown of the reactor and mitigate the consequences of an accident.
Ccuse of the E.ent:
The cause of this event was the failure of PIS-42-2N690H wt1:h resulted in a blown power fusa. PIS-42-2N690H has been sent to the manutacturer for performance of a failure anaiysis. The results of the failure analysis will be relied upon to identify the cause of failure to PIS-42-2N690H.
Corrective Actions
PIS-42-2N690H was replaced on January 4, 1992. Similar pressure indicating switchas in card file E21A-230 were inspected and confirmed to not have the same condition. The results of the failure analysis conducted by the manufacturer will be reviewed to determine if additional corrective action needs to be taken.
Previous Similar Occurrences:
None Tracking Codes: B - Design, manufact, const/ install deficiency
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| 05000353/LER-1992-001, :on 920104,high Pressure Coolant Injection Sys, D24 Emergency Diesel Generator D RHR Sys & D Core Inoperable Due to Blown Fuse.Switches in Card File E21A-Z3D Inspected. Failed Switch Replaced |
- on 920104,high Pressure Coolant Injection Sys, D24 Emergency Diesel Generator D RHR Sys & D Core Inoperable Due to Blown Fuse.Switches in Card File E21A-Z3D Inspected. Failed Switch Replaced
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000352/LER-1992-001-02, :on 920129,high Toxic Chemical Concentration Alarm Received in Main Control Room.Caused by High Vinyl Chloride Concentration in Outside Air Intake Plenum.No Corrective Actions Necessary |
- on 920129,high Toxic Chemical Concentration Alarm Received in Main Control Room.Caused by High Vinyl Chloride Concentration in Outside Air Intake Plenum.No Corrective Actions Necessary
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-002-03, :on 920311,cooling Fan for E21-K601D Inverter Discovered Inoperable Due to Normal Wear.On 920314,subj Inverter Removed from Svc & HPCI Sys Declared Inoperable. Cooling Fan for E21-K601D Inverter Replaced |
- on 920311,cooling Fan for E21-K601D Inverter Discovered Inoperable Due to Normal Wear.On 920314,subj Inverter Removed from Svc & HPCI Sys Declared Inoperable. Cooling Fan for E21-K601D Inverter Replaced
| 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-002-01, :on 920119,momentary Spike Occurred on D Channel of Unit 2 Refueling Floor Exhaust Duct Radiation Monitor.Caused by Unexpected Equipment Failure.Radiation Sensor Was Replaced on 920131 |
- on 920119,momentary Spike Occurred on D Channel of Unit 2 Refueling Floor Exhaust Duct Radiation Monitor.Caused by Unexpected Equipment Failure.Radiation Sensor Was Replaced on 920131
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000353/LER-1992-003, :on 920204,fire Door Found Open from Pump to Heat Removal Rooms Against Moderate Energy Pipe Break Rules. Root Cause Not Known.Door Closed & Dogged & Info to Prevent Recurrence Added to Training Matl |
- on 920204,fire Door Found Open from Pump to Heat Removal Rooms Against Moderate Energy Pipe Break Rules. Root Cause Not Known.Door Closed & Dogged & Info to Prevent Recurrence Added to Training Matl
| 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000352/LER-1992-003-02, :on 920321,ESF Actuation Occurred After Chemistry Technician Inadvertently Entered Incorrect Values in Computer & Alarm on Computer Sounded.Caused by Personnel Error.Technician Counseled & Memo Issued |
- on 920321,ESF Actuation Occurred After Chemistry Technician Inadvertently Entered Incorrect Values in Computer & Alarm on Computer Sounded.Caused by Personnel Error.Technician Counseled & Memo Issued
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-004-01, :on 920321,reactor Encl Supply Fans Failed to Trip,Resulting in High Reactor Encl Differential Pressure. Caused by Overpressurization Transient Causing Blowout Panel to Open.Mod to Setpoint Implemented |
- on 920321,reactor Encl Supply Fans Failed to Trip,Resulting in High Reactor Encl Differential Pressure. Caused by Overpressurization Transient Causing Blowout Panel to Open.Mod to Setpoint Implemented
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000353/LER-1992-004, :on 920221,24 & 26,HPCI Sys Inverter Power Supply Fuse Blew,Resulting in Inoperability of HPCI Sys Flow Control Circuitry.Caused by Degraded Inverter.Inverter Replaced on 920228 & Sent to Mfg |
- on 920221,24 & 26,HPCI Sys Inverter Power Supply Fuse Blew,Resulting in Inoperability of HPCI Sys Flow Control Circuitry.Caused by Degraded Inverter.Inverter Replaced on 920228 & Sent to Mfg
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-005-01, :on 920415,security System Experienced Unscheduled Outage & Firewatch Insp Not Performed.Caused by Cognitive Personnel Error in Security.Security Shift Sergeant Counseled |
- on 920415,security System Experienced Unscheduled Outage & Firewatch Insp Not Performed.Caused by Cognitive Personnel Error in Security.Security Shift Sergeant Counseled
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-005, :on 920605,EDG D21 Inadvertently Started During Performance of Shutdown of DG Operating Procedure.Caused by Personnel Error.Operator Counseled,Operator Aid Applied to Manual Air Start Valves & Chapter Revised |
- on 920605,EDG D21 Inadvertently Started During Performance of Shutdown of DG Operating Procedure.Caused by Personnel Error.Operator Counseled,Operator Aid Applied to Manual Air Start Valves & Chapter Revised
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000353/LER-1992-005-02, :on 920605,EDG D21 Inadvertently Started Due to Personnel Error.Operator Involved Counseled on Importance of Procedure Compliance & Strict Attention to Detail |
- on 920605,EDG D21 Inadvertently Started Due to Personnel Error.Operator Involved Counseled on Importance of Procedure Compliance & Strict Attention to Detail
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000353/LER-1992-006-02, :on 920621,operations Personnel Observed Loss of Reactor Enclosure Secondary Containment Causing Blowout Panel to Actuate.Caused by Design Defienciency.Mod to Raise Unit 1 Setpoint Completed |
- on 920621,operations Personnel Observed Loss of Reactor Enclosure Secondary Containment Causing Blowout Panel to Actuate.Caused by Design Defienciency.Mod to Raise Unit 1 Setpoint Completed
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000352/LER-1992-006-01, :on 920417 & 28,main Control Room Annunicator Alarm Received Indicating High Toxic Gas Concentration in Fresh Air Intake.Cause Undetermined.Preventive Maint Program for Toxic Chemical Analyzers Implemented |
- on 920417 & 28,main Control Room Annunicator Alarm Received Indicating High Toxic Gas Concentration in Fresh Air Intake.Cause Undetermined.Preventive Maint Program for Toxic Chemical Analyzers Implemented
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000353/LER-1992-007-02, :on 920624,discovered That Main Control Room Operator Failed to Return Reactor Encl Isolation Valves a & B Reset Switches Back to as-found Auto Position.Caused by Design Deficiency.Alarm Annunciation Installed |
- on 920624,discovered That Main Control Room Operator Failed to Return Reactor Encl Isolation Valves a & B Reset Switches Back to as-found Auto Position.Caused by Design Deficiency.Alarm Annunciation Installed
| 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-007-01, :on 920423,main Control Room Ventilation Sys Chlorine Isolation Manually Initiated in Response to Rising Concentration in Chlorine Detection Sys.Caused by Offsite Release of Chlorine.Chlorine Sys Reset |
- on 920423,main Control Room Ventilation Sys Chlorine Isolation Manually Initiated in Response to Rising Concentration in Chlorine Detection Sys.Caused by Offsite Release of Chlorine.Chlorine Sys Reset
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(e)(2)(iv) | | 05000353/LER-1992-008-02, :on 920717,various Actuations of Primary Containment,Reactor Vessel Isolation Sys & Reactor Encl Secondary Containment Isolation Occurred.Caused by Blown Fuse.Fuse Sent to Mfg for Failure Analysis |
- on 920717,various Actuations of Primary Containment,Reactor Vessel Isolation Sys & Reactor Encl Secondary Containment Isolation Occurred.Caused by Blown Fuse.Fuse Sent to Mfg for Failure Analysis
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-008-01, :on 920506,condition Prohibited by TS in That SRs Were Not Met for Certain fire-rated Encapsulations. Caused by Drawing & Procedural Deficiencies.Procedures ST-7-022-920-1 & 2 Will Be Revised |
- on 920506,condition Prohibited by TS in That SRs Were Not Met for Certain fire-rated Encapsulations. Caused by Drawing & Procedural Deficiencies.Procedures ST-7-022-920-1 & 2 Will Be Revised
| 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-009-02, :on 920728,primary Containment & Reactor Vessel Isolation Control Sys Inadvertently Actuated.Caused by Personnel Error.Event Will Be Highlighted in Ongoing Training for I&C Technicians |
- on 920728,primary Containment & Reactor Vessel Isolation Control Sys Inadvertently Actuated.Caused by Personnel Error.Event Will Be Highlighted in Ongoing Training for I&C Technicians
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-009, :on 920515,Loop a of Emergency Svc Water Sys Declared Inoperable During Testing of Discharge Check Valves.Caused by Failure to Perform Adequate Daily Review of Log.Detailed Review of Log Performed |
- on 920515,Loop a of Emergency Svc Water Sys Declared Inoperable During Testing of Discharge Check Valves.Caused by Failure to Perform Adequate Daily Review of Log.Detailed Review of Log Performed
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-010, :on 920605,north Stack wide-range Accident Monitor Discovered Inoperable & Unable to Perform Design Function Since 920507.Caused by Equipment Malfunction & Procedure Deficiency.Procedure Revised |
- on 920605,north Stack wide-range Accident Monitor Discovered Inoperable & Unable to Perform Design Function Since 920507.Caused by Equipment Malfunction & Procedure Deficiency.Procedure Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-010-02, :on 920828,main Steam Safety Valves Setpoint Drifted Due to Corrosion Induced Bonding within Valves. Affected SRVs Removed for Setpoint Testing.Srv Setpoint Drift Pending Conclusion of Ongoing Testing |
- on 920828,main Steam Safety Valves Setpoint Drifted Due to Corrosion Induced Bonding within Valves. Affected SRVs Removed for Setpoint Testing.Srv Setpoint Drift Pending Conclusion of Ongoing Testing
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000353/LER-1992-011-02, :on 921027,established Firewatch Insp for Area Containing Inoperable Fire Barrier Not Performed Per TS 3.3.7.Caused by Cognitive Personnel Error.All Firewatch Personnel Counseled Re Attention to Detail |
- on 921027,established Firewatch Insp for Area Containing Inoperable Fire Barrier Not Performed Per TS 3.3.7.Caused by Cognitive Personnel Error.All Firewatch Personnel Counseled Re Attention to Detail
| 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-011-01, :on 920605,discovered Potential Physical Electrical Separation Deficiency in Panel 10C790.Plant Electrical Maint I&C Technicians Received Training on Electrical Separation Requirements |
- on 920605,discovered Potential Physical Electrical Separation Deficiency in Panel 10C790.Plant Electrical Maint I&C Technicians Received Training on Electrical Separation Requirements
| 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-011, :on 920605,inoperabilty of Channel B of Main Steam Line Radiation Monitoring Sys Occurred as Result of Inadequate Electrical Separation.Wiring Sleeved on 920629 |
- on 920605,inoperabilty of Channel B of Main Steam Line Radiation Monitoring Sys Occurred as Result of Inadequate Electrical Separation.Wiring Sleeved on 920629
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-012-02, :on 921204,both Reactor Recirculation Pumps Tripped When end-of-cycle Recirculation Pump Trip Breakers Tripped Open.Root Cause Undetermined.Upcoming Continuing Training Programs Will Be Enhanced |
- on 921204,both Reactor Recirculation Pumps Tripped When end-of-cycle Recirculation Pump Trip Breakers Tripped Open.Root Cause Undetermined.Upcoming Continuing Training Programs Will Be Enhanced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-012, :on 920611,determined That Various Thermo-Lag fire-rated Barriers Inoperable Since Initial Installation. Caused by Design Defects.Fire Watches Posted.Addl Response Will Be Sent Per NRC Bulletin 92-001 |
- on 920611,determined That Various Thermo-Lag fire-rated Barriers Inoperable Since Initial Installation. Caused by Design Defects.Fire Watches Posted.Addl Response Will Be Sent Per NRC Bulletin 92-001
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-013, :on 920624,determined That RHR HX Failed Heat Transfer Capacity Test,Per Generic Ltr 89-13.Caused by HX Fouling & Leaking RHR HX 1B Bypass Valve.Restricting Orifice Removed to Allow Increased Flow |
- on 920624,determined That RHR HX Failed Heat Transfer Capacity Test,Per Generic Ltr 89-13.Caused by HX Fouling & Leaking RHR HX 1B Bypass Valve.Restricting Orifice Removed to Allow Increased Flow
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | | 05000353/LER-1992-013-02, :on 921210,EDG D23 Failed to Start Due to Improperly Set Mechanical Governor Load Limit Knob.Edg Sys Manager Counseled on Importance of Procedural Compliance & What Constitutes Configuration Change |
- on 921210,EDG D23 Failed to Start Due to Improperly Set Mechanical Governor Load Limit Knob.Edg Sys Manager Counseled on Importance of Procedural Compliance & What Constitutes Configuration Change
| 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-014, :on 901116,continuous Fire Watch Not Implemented Upon Discovery of Inoperable Thermo-Lag Fire Rated Barriers.Caused by Personnel Error.Fire Watch Posted, on 920626,as Result of NRC Bulletin 92-001 |
- on 901116,continuous Fire Watch Not Implemented Upon Discovery of Inoperable Thermo-Lag Fire Rated Barriers.Caused by Personnel Error.Fire Watch Posted, on 920626,as Result of NRC Bulletin 92-001
| 10 CFR 50.73(a)(2)(1) | | 05000352/LER-1992-015, :on 920707,HPCI Sys Turbine Stop Valve Closed & Reopened Several Times.Caused by Malfunction of Hydraulic Mechanical Ovespeed Trip Mechanism.Hpci Sys Maint Procedures Will Be Revised & Sys Flushed |
- on 920707,HPCI Sys Turbine Stop Valve Closed & Reopened Several Times.Caused by Malfunction of Hydraulic Mechanical Ovespeed Trip Mechanism.Hpci Sys Maint Procedures Will Be Revised & Sys Flushed
| 10 CFR 50.73(a)(2)(v)(0) | | 05000352/LER-1992-016, :on 920828,during Pressure Setpoint Testing of 14 Reactor Main Steam Sys Target Rock pilot-operated Valves, Only Two Valves Lifted within TS Limit.Caused by Corrosion Induced Bonding.Switch Options Reviewed |
- on 920828,during Pressure Setpoint Testing of 14 Reactor Main Steam Sys Target Rock pilot-operated Valves, Only Two Valves Lifted within TS Limit.Caused by Corrosion Induced Bonding.Switch Options Reviewed
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000352/LER-1992-017-01, :on 921012,isolation Signal Resulted in Actuations of Primary Containment & Rv Isolation Control Sys.Caused by Personnel Error.Special Training Session Held to Emphasize Mgts Work Practices |
- on 921012,isolation Signal Resulted in Actuations of Primary Containment & Rv Isolation Control Sys.Caused by Personnel Error.Special Training Session Held to Emphasize Mgts Work Practices
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000352/LER-1992-018-01, :on 921211,primary Containment Isolation Valve in Instrument Gas Sys Closed.Probably Caused by Stuck Microswitch within Pressure Differential Switch.Procedures Will Be Revised & Clarified |
- on 921211,primary Containment Isolation Valve in Instrument Gas Sys Closed.Probably Caused by Stuck Microswitch within Pressure Differential Switch.Procedures Will Be Revised & Clarified
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) |
|