LER-1981-080, Forwards LER 81-080/03L-0.Detailed Event Analysis Encl |
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OFFICIAL co; y DUKE POWER COMPANY q.
Powra Ut:stotxo 520 Sourn Cnunen STREET. CIMHIDTTE. N. C. 28242
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June 5, 1981 37s-4oss Mr. James P. O'Reilly, Director
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101 Marietta Street, Suite 3100 og 12 Atlanta, Georgia 30303 Og,,\\ o.s.tfjn c
Re: McGuire Nuclear Station Unit 1 Docket No. 50-369
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Lear Mr. O'Reilly:
Please find attached Reportable Occurrence Report R0-369/81-80.
This repcrt concerns Train B of the RHR System incperable when the plant entered Mcde 5.
This incident was considered to be of no significance eith respect to the health and safety of the public.
Very truly yours, M
/-
j William O. Pa.-ker, Jr.
RWO:pw Attachment cc:
Director Mr. Bill Lavallee Office of Management & Drogram Analysis Nuclear Safety Analysis Center F.S. Nuclear Regulatory Commission P. O. Box 10412 Washington, D. C.
20555 Palo Alto, CA 94303 Ms. M. J. Graham Resident Inspector - NRC l
McGuire Nuclear Station l
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8108030300 810605 PDR ADOCK 05000369 5
PDR
McGUIRE NUCLEAR STATION INCIDENT REPORT Report Number: 81-d0 Report Date:
June 4, 1981 Occurrence Date:
May 8, 1981 Facility: McGuire Unit 1, Cornelius, N. C.
Identification of Occurrence: Train B of the Residual Heat Removal (ND)
System was inoperable when the plant entered Mode 5.
Condition Prior to Occurrence:
Mode 5, Prior to initial criticality.
i Description of Occurrence: At 1100 hours0.0127 days <br />0.306 hours <br />0.00182 weeks <br />4.1855e-4 months <br /> on May 8, 1981, the plant entered Mode 5 (reactor vessel head fully tensioned) without having both trains of the ND System operable.
This was reportable pursuant to Technical Specification 3.4.1.4.
Apparent Cause o5 Occurrence:
Operations personnel were not fully aware that the head tensioning was complete and did not take the steps necessary to prevent entering Mode 5 without having ND Train B operable.
In addition, there were no procedures which indicated what prerequisites must be met prior to entering Mode 5 from Mode 6.
I Analysis of Occurrence: At 1400 hours0.0162 days <br />0.389 hours <br />0.00231 weeks <br />5.327e-4 months <br /> on May 5, 1981, valve 1NI-178 (ND pump B discharge to Safety Injection (NI) System) was red tagged closed in order to repair INI-81 (Cold leg accumulator C discharge check valve).
Thus, ND Train B was inoperable during this time.
The Shift Supervisor on duty on May 8 (0800-1600 hours) knew that ND Train B was inoperable but was not aware that the reactor vessel head tensioning uould be completed during his shift. Also, no Operations' procedures existed with sign off steps which indicated what prerequisites must i
be met prior to entering Mode 5 from Mode 6.
The head tensioning was completed at 1100 hours0.0127 days <br />0.306 hours <br />0.00182 weeks <br />4.1855e-4 months <br /> on May 8 but Operations' personnel were not notified until 1350 hours0.0156 days <br />0.375 hours <br />0.00223 weeks <br />5.13675e-4 months <br />.
Evidently, the personnel tensioning the head were not aware of the im-
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portance of notifying Operations when the head was tensioned.
In addition, Maintenance procedure, Reactor Vessel Head Removal and Replacement, did not cen-I tain steps to notify Operations' personnel while the head was being tensioned.
Valve 1NI-81 was repaired and 1N1-178 was operable (red tag removed and breaker energized) at 0550 hours0.00637 days <br />0.153 hours <br />9.093915e-4 weeks <br />2.09275e-4 months <br /> on May 9, 1981.
Safety Analysis
Since there was only new fuel in the core, no decay heat was present.
ND Train A waF available for other purposes if needed.
Thus, the i
health and safety of the public were not affected.
If the reactor had been at power and a mode change was required, Operating Procedure, Controlling Procedure for Unit stortur, outlines the steps necessary to take the plant from a cold shutdown (Mode 5) to 15% full power (Mode 1).
ND Train A could also be used if needed to help remove decay heat.
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4 Report Number 81-80 Page 2
Corrective Action
An operating procedure will be written to verify that pre-requisites are met before entering Mode 5 from Mode 6.
This procedure will reference various Mode 5 periodic tests and Operations' logs.
The Maintenance Procedure will be changed to include tin above operating procesire t
as a prerequisite sign off step before the head is tensioned.
In addition, sign off steps to notify Operations' personnel during various stages of head tension-ing will also be included.
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| 05000369/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000369/LER-1981-001-03, /03L-0:on 810129-0212,several Fire Detection Instruments Were Inoperable for Periods Exceeding 1-h. Caused by Const in Area.Fire Watches & Patrols Established | /03L-0:on 810129-0212,several Fire Detection Instruments Were Inoperable for Periods Exceeding 1-h. Caused by Const in Area.Fire Watches & Patrols Established | | | 05000369/LER-1981-002-01, /01T-0:on 810130,during Test,Vent Valve VX-41 & Containment Isolation Valve XV-40 Found Open to Atmosphere, in Violation of Tech Spec 4.9.4.1.Caused by Lack of Valve Checklist & Lack of Periodic Test.Valves Closed | /01T-0:on 810130,during Test,Vent Valve VX-41 & Containment Isolation Valve XV-40 Found Open to Atmosphere, in Violation of Tech Spec 4.9.4.1.Caused by Lack of Valve Checklist & Lack of Periodic Test.Valves Closed | | | 05000369/LER-1981-002, Forwards LER 81-002/01T-0 | Forwards LER 81-002/01T-0 | | | 05000369/LER-1981-003-03, /03L-0:on 810129,conventional Waste Plant Discharge Flow Monitor Found Inoperable.Caused by Inaccurate Flow Readings Due to Inability of Instrument to Measure Continuous Discharge Flow.New Equipment Ordered | /03L-0:on 810129,conventional Waste Plant Discharge Flow Monitor Found Inoperable.Caused by Inaccurate Flow Readings Due to Inability of Instrument to Measure Continuous Discharge Flow.New Equipment Ordered | | | 05000369/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000369/LER-1981-004-03, /03L-0:on 810129-0212,various Firestops & Fire Doors Found Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established | /03L-0:on 810129-0212,various Firestops & Fire Doors Found Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established | | | 05000369/LER-1981-004, Forwards LER 81-004/03L-0 | Forwards LER 81-004/03L-0 | | | 05000369/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000369/LER-1981-005-03, /03L-0:on 810202,power Supply to Both Excore Range Monitors Was Interrupted.Caused by Maint Personnel Cutting Off Power to Investigate Steam Generator Status Lights & lo-lo Level Alarms.Personnel Instructed | /03L-0:on 810202,power Supply to Both Excore Range Monitors Was Interrupted.Caused by Maint Personnel Cutting Off Power to Investigate Steam Generator Status Lights & lo-lo Level Alarms.Personnel Instructed | | | 05000369/LER-1981-006-03, /03L-0:on 810202,leaking Seal Discovered on RHR Pump.Caused by Improperly Loaded Spring Which Holds Seal Faces Together.Seal Replaced | /03L-0:on 810202,leaking Seal Discovered on RHR Pump.Caused by Improperly Loaded Spring Which Holds Seal Faces Together.Seal Replaced | | | 05000369/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000369/LER-1981-007-03, /03L-0:on 810203,RHR Sys Train a Was Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys.Valves Repaired & Train a Returned to Svc | /03L-0:on 810203,RHR Sys Train a Was Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys.Valves Repaired & Train a Returned to Svc | | | 05000369/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000369/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000369/LER-1981-008-03, /03L-0:on 810203,control Area Ventilation Sys Train a Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys. Valves Repaired & Train a Returned to Svc | /03L-0:on 810203,control Area Ventilation Sys Train a Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys. Valves Repaired & Train a Returned to Svc | | | 05000369/LER-1981-009-03, /03L-0:on 810205,flow to Reactor Coolant Loops Was Momentarily Lost.Caused by Failure of Throttle Valve to Close Due to Loosening of Nut Holding Linkage to Valve Stem. Linkage Repositioned & Nut Tightened | /03L-0:on 810205,flow to Reactor Coolant Loops Was Momentarily Lost.Caused by Failure of Throttle Valve to Close Due to Loosening of Nut Holding Linkage to Valve Stem. Linkage Repositioned & Nut Tightened | | | 05000369/LER-1981-009, Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000369/LER-1981-010-03, /03L-0:on 810207,total RHR Flow Exceeded Tech Specs.Caused by Air Line Supplying Actuator on RHR Valve Breaking,Allowing Valve to Fail Open.Rhr Flow Reset.Rigid Air Supply Lines to Be Replaced W/Flexible Lines | /03L-0:on 810207,total RHR Flow Exceeded Tech Specs.Caused by Air Line Supplying Actuator on RHR Valve Breaking,Allowing Valve to Fail Open.Rhr Flow Reset.Rigid Air Supply Lines to Be Replaced W/Flexible Lines | | | 05000369/LER-1981-011-03, /03T-0:on 810210,both Pressure Seals on Inner Door of Lower Personnel Air Lock Failed.Caused by Hole in One Seal & Bubble in Other Seal.Seals Replaced & Returned to Manufacturer | /03T-0:on 810210,both Pressure Seals on Inner Door of Lower Personnel Air Lock Failed.Caused by Hole in One Seal & Bubble in Other Seal.Seals Replaced & Returned to Manufacturer | | | 05000369/LER-1981-011, Forwards LER 81-011/03T-0 | Forwards LER 81-011/03T-0 | | | 05000369/LER-1981-012-03, /03T-0:on 801211,isolation Valve NV-250 Found Not Verified Closed Under Administrative Control Per Tech Spec. Caused by Lack of Signoff Step in Daily Surveillance Items. Procedure Change Incorporated | /03T-0:on 801211,isolation Valve NV-250 Found Not Verified Closed Under Administrative Control Per Tech Spec. Caused by Lack of Signoff Step in Daily Surveillance Items. Procedure Change Incorporated | | | 05000369/LER-1981-012, Forwards LER 81-012/03T-0 | Forwards LER 81-012/03T-0 | | | 05000369/LER-1981-013-03, /03L-0:on 810212,radiation Detectors EMF 33,35,36, 37,38,39 & 40 Were Declared Inoperable Due to Loss of Sample Flows.Caused by Individual Nonrelated Failures of Each Emf. Repairs Performed & EMFs Declared Operable | /03L-0:on 810212,radiation Detectors EMF 33,35,36, 37,38,39 & 40 Were Declared Inoperable Due to Loss of Sample Flows.Caused by Individual Nonrelated Failures of Each Emf. Repairs Performed & EMFs Declared Operable | | | 05000369/LER-1981-013, Forwards LER 81-013/03L-0.Detailed Event Analysis Encl | Forwards LER 81-013/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-014, Forwards LER 81-014/03L-0 | Forwards LER 81-014/03L-0 | | | 05000369/LER-1981-014-03, /03L-0:on 810212,while in Mode 6,control Room Received High Groundwater Alarm.Caused by Localized Temporary High Groundwater Level.Proper Surveillance Conducted & Alarm Was Cleared within 2 Days | /03L-0:on 810212,while in Mode 6,control Room Received High Groundwater Alarm.Caused by Localized Temporary High Groundwater Level.Proper Surveillance Conducted & Alarm Was Cleared within 2 Days | | | 05000369/LER-1981-015-03, /03L-0:on 810213,various Firestops & Fire Doors Rendered Inoperable for Periods Exceeding 1-h from 810213-27.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established as Required | /03L-0:on 810213,various Firestops & Fire Doors Rendered Inoperable for Periods Exceeding 1-h from 810213-27.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established as Required | | | 05000369/LER-1981-015, Forwards LER 81-015/03L-0 | Forwards LER 81-015/03L-0 | | | 05000369/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000369/LER-1981-016-03, /03L-0:on 810216,several Firestops Inadvertently Left Open W/O Fire Watches Being Posted.Caused by Omission of Stops from Maint List of Those Requiring Seals.Stops Sealed.Seals Will Be Verified Every 18 Months | /03L-0:on 810216,several Firestops Inadvertently Left Open W/O Fire Watches Being Posted.Caused by Omission of Stops from Maint List of Those Requiring Seals.Stops Sealed.Seals Will Be Verified Every 18 Months | | | 05000369/LER-1981-018, Forwards LER 81-018/03L-0.Detailed Event Analysis Encl | Forwards LER 81-018/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-018-03, /03L-0:on 810219,annunciator Alarm Indicated Loss of Sample Flow on Radiation Monitor 1-EMF-33.Monitor Vacuum Pump Internally Damaged Due to Water Inside Pump.Pump Vanes & Bearings Replaced & Water Removed | /03L-0:on 810219,annunciator Alarm Indicated Loss of Sample Flow on Radiation Monitor 1-EMF-33.Monitor Vacuum Pump Internally Damaged Due to Water Inside Pump.Pump Vanes & Bearings Replaced & Water Removed | | | 05000369/LER-1981-019-01, /01T-0:on 810306,during ESF Testing,Loss of Ac Power Was Experienced on Half of Station Security Sys.Caused by Blown Security Sys Power Inverter Fuse.Security Procedures Changed to Indicate Info Concerning Power Sys | /01T-0:on 810306,during ESF Testing,Loss of Ac Power Was Experienced on Half of Station Security Sys.Caused by Blown Security Sys Power Inverter Fuse.Security Procedures Changed to Indicate Info Concerning Power Sys | | | 05000369/LER-1981-019, Forwards LER 81-019/01T-0 | Forwards LER 81-019/01T-0 | | | 05000369/LER-1981-020, Forwards LER 81-020/03L-0.Detailed Event Analysis Encl | Forwards LER 81-020/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-020-03, /03L-0:on 810219,spurious High Radiation Alarm & Loss of Flow Alarm Sounded in Control Room on EMF-49. Personnel Cleared Radiation Alarm But Overlooked Closed Valve,Causing Loss of Flow Alarm.Monitor Repaired | /03L-0:on 810219,spurious High Radiation Alarm & Loss of Flow Alarm Sounded in Control Room on EMF-49. Personnel Cleared Radiation Alarm But Overlooked Closed Valve,Causing Loss of Flow Alarm.Monitor Repaired | | | 05000369/LER-1981-021, Forwards LER 81-021/03L-0.Detailed Event Analysis Encl | Forwards LER 81-021/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-021-03, /03L-0:on 810226,noble Gas Activity Monitor for Condenser Evacuation Sys EMF-33 Not Functioning.Caused by Excessive Amounts of Condensation in Sample Lines.Moisture Removed.Different Type of Moisture Separator to Be Used | /03L-0:on 810226,noble Gas Activity Monitor for Condenser Evacuation Sys EMF-33 Not Functioning.Caused by Excessive Amounts of Condensation in Sample Lines.Moisture Removed.Different Type of Moisture Separator to Be Used | | | 05000369/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000369/LER-1981-022-03, /03L-0:on 810301-16,various Portions of Fire Detection Sys Inoperable for Periods Exceeding 1-h.Caused by Const in Area.Fire Watches & Patrols Established as Required | /03L-0:on 810301-16,various Portions of Fire Detection Sys Inoperable for Periods Exceeding 1-h.Caused by Const in Area.Fire Watches & Patrols Established as Required | | | 05000369/LER-1981-023-03, /03L-0:on 810227-0313,various Firestops & Fire Doors Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrol Established as Required | /03L-0:on 810227-0313,various Firestops & Fire Doors Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrol Established as Required | | | 05000369/LER-1981-023, Forwards LER 81-023/03L-0 | Forwards LER 81-023/03L-0 | | | 05000369/LER-1981-024, Forwards LER 81-024/01T-0 | Forwards LER 81-024/01T-0 | | | 05000369/LER-1981-024-01, /01T-0:on 810316,Unit 1 Wedge Plates Discovered to Be Smaller than Required Size.Cause Not Stated.Calculations Reviewed to Determine Acceptance.Corrective Action Deemed Necessary.Bar Along Length of Washer Plate Added | /01T-0:on 810316,Unit 1 Wedge Plates Discovered to Be Smaller than Required Size.Cause Not Stated.Calculations Reviewed to Determine Acceptance.Corrective Action Deemed Necessary.Bar Along Length of Washer Plate Added | | | 05000369/LER-1981-025-01, /01T-0:on 810319,no Seismic Bracing or Calculations Found for 12 Reactor Bldg safety-related Electrical Cable Tray Hanger Stds.Cause Not Stated.Seismic Calculations Performed on Affected Hangers | /01T-0:on 810319,no Seismic Bracing or Calculations Found for 12 Reactor Bldg safety-related Electrical Cable Tray Hanger Stds.Cause Not Stated.Seismic Calculations Performed on Affected Hangers | | | 05000369/LER-1981-025, Forwards LER 81-025/01T-0 | Forwards LER 81-025/01T-0 | | | 05000369/LER-1981-026-03, /03L-0:on 810305,EMF Sys Panel Alarm in Control Room Indicated Malfunction of EMF-43A.Alarm Could Not Be Cleared & Control Room Outside Air Intake Gaseous Activity Monitor Inoperable.Caused by Broken Bnc Jack | /03L-0:on 810305,EMF Sys Panel Alarm in Control Room Indicated Malfunction of EMF-43A.Alarm Could Not Be Cleared & Control Room Outside Air Intake Gaseous Activity Monitor Inoperable.Caused by Broken Bnc Jack | | | 05000369/LER-1981-026, Forwards LER 81-026/03L-0.Detailed Event Analysis Encl | Forwards LER 81-026/03L-0.Detailed Event Analysis Encl | |
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