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WASHINGTON PUllLIC POWER SUPPLY SYSTEM l' O. flas 968
- 3n00 George \\Yashington \\Yuv
- Hi<hland. \\Yashington 99352 Docket No.
50-397 November 14, 1991 G00-91-207 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C.
20555
Subject:
NUCLEAR PLANT NO. 2 LICENSEE EVENT REPORT NO. 89-001-02
Dear Sir:
Transmitted herewith is Licensee Event Report No. 89-001-02 for the HNP-2 Plant.
Inis report is submitted in response to the report requirements of 10CFR50.73 and discusses the items of reportability, corrective action taken, and action taken to preclude recurrencc.
Very truly yours,
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Enclosure:
Licensee Event Report No. 89-001-02 cc:
Mr. John B. Martin, NRC - Region V Mr. C. Sorensen, NRC Resid(nt Inspector (M/D 901A)
INPO Records Center - Atlanta, GA Ms. Dottle Sherman, ANI Mr. D.L. Hilliams, BPA (H/D 399)
NRC Resident Inspector - Halk Over Copy 1~li ?- 2.
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On January 12, 1989, during an engineering evaluation of the Containment Nitrogen inerting (CN) System, four new unanalyzed failure modes were discovered.
These fdilure modes all have the potential to impact safety reldted equipment required to attain safe shutdown of the reactor.
A summary of the failure modes is os follows:
1)
Failure Mode 1 - Loss of auxilidry steam or pressure control to the "high flow'* nitrogen line, 2)
Failure Mode 2 - A break in the " low flow" nitrogen line or loss of electric heater on the " low flow" line 3)
Failure Mode 3 - A tornado missile causes failure of liquid nitrogen storage tank and/or associated piping 4)
Failure Mode 4 - Non-mechdnistiC rupture of liquid nitrogen stordge tank or liquid lines beneath the tank.
failure Modes 1 and 2 involve potential damage to safety related compenents due to contoct with liquid nitrogen and/or low temperatures.
Failure Modes 3 and 4 involve the potential for oxygen starvation of all three divisions of emergency diesel ;enerators under certain low probability conditions, immediate corrective action was to modify procedures to require additional operator coverage and provide specific guidance to ensure correct response to failure mode conditions.
The root cause of the event was determined to be inadequate design procedures in effect at the time that this system was originally designed.
As a result of an ingineering evaluation, a design change was initiated to instdll low temperature isolation valves in both the low and high flow sides of the CN system.
This event posed no threat to the health and safety of either the public or Plant personnel.
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Event Description
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On January 12, 1989 as a result of an engineering evaluation of the Containment Nitrogen Inerting-(CN) system, four new failure modes of this non-safety related system were' identified.
This condition was discovered during performance of corrective action for-the event reported in LER 88-034-00 " Pipe failure Caused by-
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Introduction of liquid Nitrogen into the Primary Containment Supply Purge Piping Due to Personnel / Design / Maintenance Problems"._ An engineering review of the CN System
- - design, being performed to investigate potential f ailure modes, found four new f ailure modes which could result in the degradation of safety related equiptrent as summarized below (see attached diagram figure 1):
a)-
Failure Mode 1 - Loss of auxiliary steam or nitrogen pressure control (failure of high N2 flow pressure control valve CN-PCV-6) resulting'in liquid nitrogen i-being introduced into the "high flow" Inerting header.
This header is not
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i-b)
Failure Mode 2 - A break in the " low flow" line or loss of electric heater on i.
the " low flow" line when this line is supplied from the bottom of the liquid Nitrogen Tank CN-lK-1.
Again, liquid nitrogen is introduced into piping not designed for cryogenic temperatures, i
c)
Failure Mode 3 - A tornado missile that causes failure of the exposed CN-TK-1
'and associated piping outside the buildings that results in release of-large 4
quantities of liquid nitrogen which might starve the emergency diesel 4
generators of oxygen.
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Failure Mode 4 - Non-mechanistic rupture of the Liquid Nitrogen Storage Tank
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CN-TK-1-_ or the liquid lines beneath the tank that might result in oxygen starvation of the emergency diesel generators.
At 1500 hours0.0174 days <br />0.417 hours <br />0.00248 weeks <br />5.7075e-4 months <br />, these new failure modes were identified as conditions which alone could have-prevented the fulfillment of the safety func tiot, of the Emergency AC
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Electrical Power Distribution System..At 1701 hours0.0197 days <br />0.473 hours <br />0.00281 weeks <br />6.472305e-4 months <br />, the NRC Operations Center was notified via the Emergency Notification System that this condition was reportable 7
under the four hour report requirement of 10CFR50.72(b)(2)(lii).
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~As'a-result of actions taken during the previous CN System event reported in-LER 88-034-00, the system operating procedure had been modified to require an operator to be stationed at the CN System skid whenever high volume containment inerting was being performed.
Guidance was glweis to the operators via night orders that the only
- - duty-of this_ additional operator was to isolate the nitrogen supply line if nitrogen effluent temperrture dropped to 30'f.
lhis action was to limit entry of liquid nitrogen into piping-not-designed for extreme low temperature use in response to failure Modes l'and 2.
Additionally, a night order was issued which requires an alarming oxygen monitor to be used whenever taking-suction with the Control Room Ventilation system from the remote air intake nearest the CN skid without use of the normal system intakes.
This measure was taken to mitigate the effects of possible reduction in oxygen content of control room air due to induction of nitrogen which potentially could be r: dased'in large quantity as a result of CN System failure in response to failure Hode 4.
Further Evaluation and Corrective Ac!lon
(
- Further Evaluation 1.
This event is being reported as an event or condition which alone could have-prevented the fulfillment of the safety function of structures or systems that are needed to :
(A)
Shut down the reactor an maintain it in a safe shutdown condition per the requirements of 10CfR50.73(a)(2)(V).
E.
1he root cause of'this event was determined to be inadequate design procedures which were in existence at the time that the Containment Nitrogen-Inerting System was originally designed.
During intial plant construction and-startup, the design procedures then in ef fect did not cause single f ailure analyses or-break pipe analyses to be performed on these types of non-safety related systems.
The CN System was not reviewed as a system which supported safety related equipment.
Also, dt that time, no piping outside the " Power Block" was considered-for analysis.
Based on this root cause, no additional corrective action is necessary.-
In light of the improvements to-the design procedures which have been made since.
that time, the probability for recurrence has already been signif icantly minimized, lhe self-initiated Safety System functional Inspection being i
performed by the Supply System Engineering Assurance Group will continue to-j
. attempt to discover additional system design deficiencies of a similar nature, i
Therefore, no additional corrective action is needed to examine other systems.
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3.
The potential for the four unanalyzed failure modes and the compensdtory I
measures presenting an unreviewed safety question was recognized.
An ar'olysis per 10CFR50.59 was completed which concluded that an unreviewed saf ety quest ion s'
did not exist.
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There were no structures, components or systems that were inoperable at the start of the event that contributed to the event.
5.
A comprehensive engineering calculation was perfornied pertaining to a non-mechanistic rupture of the Liquid Nitrogen Storage lank (f ailure Mode 4).
The results of that calculation, which was perf ornied by a contrac tor, are presented in the Safety Significance section of this LtR.
Further Corrective Actlon An Engineering evaluation was perf ormed to determine the need for design changes to the CN System. As a result of the evaluation, a de5ign change was initiated to install low temperature cut-off devices (isolat.lon valves) in both the low and high flow sides of the system.
The low temperature isolation valves have been installed in the low flow side of the system.
Installatiori of the isolation valves in the high flow side of the system is also complete; however, procedural restrictions have been established to operate the valves manually pending resolution of problems associated with the automatic actuation switches.
The isolation valves will provide adequate protection against Failure Mode 1 and 2 events by isolating the nitrogen in the storage tank any time the flowing nitrogen temperature f alls below -20*f on the high flow side and -30*F on the low flow side.
Safety Significance
Any potential for adverse safety consequences as a result of this event occurred during the time between initial startup of the CN System and the time compensatory measures were implemented.
If the low probability condition posed by f ailure Modes 1 or 2 had occurred during this period in conjuction with a Design Basis Loss of Coolant Accident (itself a low probability event), it is possible that the ability l
to shut down the reactor and maintain it in a safe shutdown condition could have t c compromised.
Neither f ailure Mode 3 nor Failure Mode 4 represents a credible
(/ent which could have occurred during this period.
Since the postulated CN System f ailure modes did not occur, no adverse safety significant consequences actually resulted.
The following is a sumri)ary of the safety significance for each postulated f ailure mode:
o failure Modes I and 2 - Both failure modes potentially could have caused piping breaks within the various rooms in the Diesel Generator and Reactor Buildings through which these lines are routed.
Consequently, the safety related equipment in these rooms (primarily emergency diesel generators and related l
components) could have been exposed to liquid nitrogen resulting in conditions beyond the design capabilities of this equipment.
Without compensatory measures applied to avert these failure modes, the resultant impact on safety related equipment could have compromised the ability of the equipment to achieve its design f unc tion.
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f ailure Mode 3 - A tornado which produces a missile suf ficient to topple arid /cr ruuture the CN Liquid Nitrogen Storage lank and associated piping would include enough wind to provide mixing and dilution to the point that the emergency diesel generators would not be starved for oxygen.
lhe ability of the reactor to achieve safe shutdown is not compromised in this failure mode, o
failure Mode 4 - In accordance with the guidelines of Standard Review Plans 3.6.1 and 3.6.2, a moderate encrgy crack was assumed to occur in the piping associated with the nitrogen tank.
The analysis completed for this event indicates that the only Plant equipment directly af f ected by the crack and subsequent nitrogen release were the three emergency diesel generators.
Dispersion analysis for the most limiting crack size could result in a loss of the three diesel generators for up to eight minutes. However, from a safe shutdown analysis perspective, this is acceptable because a loss of offsite power need not be assumed concurrent with an assumed moderate energy pipe crack if the event does not lead to a reactor scram or turbi je trip.
Because the postulated crack and resultant conserences do not result in a reactor scram or i
turbine trip, offsite power remains o.allable and reliance on the diesel generators is rat required.
The potential for the loss of nitrogen supply to indirectly cause a turbine trip or reactor scram due to loss of the nitrogen supply to the Main Steam Isolation Valves (MSIVs) was also evaluated, lhe design of the MSIV system is such that the check valves and accumulators have been shown by testing to maintain adequate nitrogen supply pressure for at least 60 minutes to hold the MSIVs open.
A loss of nitrogen pressure would also alarrii in the Control Room and operator response to such an alarm would be to line up alternate pressurized air / nitrogen supplies, thereby, preventing MSIV isolation.
As a result, the safety significance associated with this failure mode is minimal due to 1) the short time (eight minutes) the emergency diesel generators would be inoperable, 2) the design characteristics of the MSIV nitrogen supply, and 3) operator actions to prevent MSIV closure.
Accordingly, a non-mechanistic failure of the liquid nitrogen storage tank would not compromise the ability to shutdown the reactor and maintain it in a safe shutdown condition.
This event posed no threat to the health and safety of either the public or Plant personnel.
Similar Events
LER 89-001-00 and LER 89-0d1-01 l
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| | | Reporting criterion |
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| 05000397/LER-1989-001, :on 890112,discovered Four New Unanalyzed Failure Modes in Containment Nitrogen Inerting Sys.Caused by Inadequate Design Procedures.Design Change Initiated to Install low-temp Cutoff Device |
- on 890112,discovered Four New Unanalyzed Failure Modes in Containment Nitrogen Inerting Sys.Caused by Inadequate Design Procedures.Design Change Initiated to Install low-temp Cutoff Device
| 10 CFR 50.73(a)(2) | | 05000397/LER-1989-002, :on 890130,reactor Scram Occurred Due to Turbine Control Valve Fast Closure Actuation of Reactor Protective Sys Logic.Caused by Equipment Design Deficiency. Damaged 500 Kv Insulator Stack Replaced |
- on 890130,reactor Scram Occurred Due to Turbine Control Valve Fast Closure Actuation of Reactor Protective Sys Logic.Caused by Equipment Design Deficiency. Damaged 500 Kv Insulator Stack Replaced
| 10 CFR 50.73(a)(2) | | 05000397/LER-1989-003, :on 890209,control Room Emergency Filtration Sys Adsorber Charcoal Sample Not Taken After 720 H of Operation.Caused by Misinterpretation of Tech Specs.Charcoal Sample Analyzed & Procedure Revised |
- on 890209,control Room Emergency Filtration Sys Adsorber Charcoal Sample Not Taken After 720 H of Operation.Caused by Misinterpretation of Tech Specs.Charcoal Sample Analyzed & Procedure Revised
| | | 05000397/LER-1989-004, :on 890226,mobile Crane Brought within Reach of safety-related Structures & Components W/O Safety Evaluation Being Performed.Caused by Lack of Procedures Controlling Use of Mobile Cranes.Crane Removed from Area |
- on 890226,mobile Crane Brought within Reach of safety-related Structures & Components W/O Safety Evaluation Being Performed.Caused by Lack of Procedures Controlling Use of Mobile Cranes.Crane Removed from Area
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(e)(2) | | 05000397/LER-1989-005, :on 890311,34 of 185 Control Rods Drifted Inward from One to Seven Notches.Caused by Main Steam Line Radiation Monitor Design Deficiency.Desired Rod Pattern Reestablished |
- on 890311,34 of 185 Control Rods Drifted Inward from One to Seven Notches.Caused by Main Steam Line Radiation Monitor Design Deficiency.Desired Rod Pattern Reestablished
| | | 05000397/LER-1989-005-01, :on 890311,of 185 Control rods,34 Drifted Inward from One to Seven Notches Due to Momentary Low Scram Air Header Pressure.Caused by Main Steam Radiation Monitor Design Deficiency |
- on 890311,of 185 Control rods,34 Drifted Inward from One to Seven Notches Due to Momentary Low Scram Air Header Pressure.Caused by Main Steam Radiation Monitor Design Deficiency
| | | 05000397/LER-1989-006, :on 890316,entry Into TS 3.0.3 Caused by Errors Discovered in Calculation for Dose Received by CR Operators During Loca.Cr Calculation Revised to Assume Zero Percent Mixing of Leakage from Containment |
- on 890316,entry Into TS 3.0.3 Caused by Errors Discovered in Calculation for Dose Received by CR Operators During Loca.Cr Calculation Revised to Assume Zero Percent Mixing of Leakage from Containment
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(viii)(B) | | 05000397/LER-1989-007, :on 890316,discovered That Two Tech Spec Surveillance Procedures Re Fire Protection Zones for Standby Svc Water Pump Houses & Power Generation Control Cabinet Inconsistent.Action Statements Implemented |
- on 890316,discovered That Two Tech Spec Surveillance Procedures Re Fire Protection Zones for Standby Svc Water Pump Houses & Power Generation Control Cabinet Inconsistent.Action Statements Implemented
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000397/LER-1989-008, :on 890419,discovered That on 881202,Tech Spec Amend Request Submitted to NRC Describing Diesel Generator Trip Bypass Verification That Had Not Been Performed W/Ler Not Issued within 30 Days After Determination |
- on 890419,discovered That on 881202,Tech Spec Amend Request Submitted to NRC Describing Diesel Generator Trip Bypass Verification That Had Not Been Performed W/Ler Not Issued within 30 Days After Determination
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(e)(2) | | 05000397/LER-1989-009, :on 880529,full Reactor Protection Sys Actuation Occurred Twice During Performance Testing.Caused by Inadequate Preoperational Test & trouble-shooting Procedures.Preoperational Procedure Revised |
- on 880529,full Reactor Protection Sys Actuation Occurred Twice During Performance Testing.Caused by Inadequate Preoperational Test & trouble-shooting Procedures.Preoperational Procedure Revised
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(e)(2)(vii) 10 CFR 50.73(e)(2)(ii) | | 05000397/LER-1989-010-01, :on 890501,experienced Momentary Loss of 120-volt Ac Power to Bus & on 890503,bus Suffered Sustained Loss of 120-volt Ac Power.Caused by Nameplate Falling Into Reactor Protection Sys Bus a Supply Circuitry |
- on 890501,experienced Momentary Loss of 120-volt Ac Power to Bus & on 890503,bus Suffered Sustained Loss of 120-volt Ac Power.Caused by Nameplate Falling Into Reactor Protection Sys Bus a Supply Circuitry
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-010, :on 890501,power Lost to Reactor Protection Sys 120-volt Instrument Bus a Twice,Causing ESF Actuations. Caused by Metal Nameplate Falling Into Power Supply Circuitry.Nameplates Removed from Panels |
- on 890501,power Lost to Reactor Protection Sys 120-volt Instrument Bus a Twice,Causing ESF Actuations. Caused by Metal Nameplate Falling Into Power Supply Circuitry.Nameplates Removed from Panels
| | | 05000397/LER-1989-011, :on 890502,determined That Eight Valve Motors Did Not Meet Plant Commitment Made in Response to IE Circular 81-13.Caused by Less than Adequate Design Basis Documentation.Plant Mod Request Revised |
- on 890502,determined That Eight Valve Motors Did Not Meet Plant Commitment Made in Response to IE Circular 81-13.Caused by Less than Adequate Design Basis Documentation.Plant Mod Request Revised
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition | | 05000397/LER-1989-012, :on 890505,unplanned Reactor Scram Occurred During Performance of Reactor Protection Sys Logic Sys Functional Test.Caused by Procedural Inadequacy.Procedure Will Be Revised to Provide Specific Resetting |
- on 890505,unplanned Reactor Scram Occurred During Performance of Reactor Protection Sys Logic Sys Functional Test.Caused by Procedural Inadequacy.Procedure Will Be Revised to Provide Specific Resetting
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-013, :on 890508,preliminary Calculations Indicated Potential Common Mode Failure of Redundant 120-volt safety- Related Devices.Caused by Less than Adequate Design Criteria to Limit Voltage Drops.Procedure Revised |
- on 890508,preliminary Calculations Indicated Potential Common Mode Failure of Redundant 120-volt safety- Related Devices.Caused by Less than Adequate Design Criteria to Limit Voltage Drops.Procedure Revised
| 10 CFR 50.73(a)(2) | | 05000397/LER-1989-014, :on 890509,full Reactor Protection Sys Actuation Occurred.Caused by Accidental Movement of Local Power Range Monitor Cables.Scram Reset & Importance of Tying Cables Away from Working Area Stressed |
- on 890509,full Reactor Protection Sys Actuation Occurred.Caused by Accidental Movement of Local Power Range Monitor Cables.Scram Reset & Importance of Tying Cables Away from Working Area Stressed
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-015, :on 890512,three-quarter-inch High Point Vent Line Failed During Performance of HPCS Sys Operability Procedure.Caused by Reverse Bending Fatigue Caused by Vibration.Design Change Implemented |
- on 890512,three-quarter-inch High Point Vent Line Failed During Performance of HPCS Sys Operability Procedure.Caused by Reverse Bending Fatigue Caused by Vibration.Design Change Implemented
| 10 CFR 50.73(a)(2) | | 05000397/LER-1989-016, :on 890514,reactor Operator Inadvertently Tripped Div 1 & 2 Offsite Power Supply Feeders Resulting in Loss of Power to Buses SM-7 & SM-4.Caused by Inadvertent Removal of Transformer Fuses.Fuses Reinserted |
- on 890514,reactor Operator Inadvertently Tripped Div 1 & 2 Offsite Power Supply Feeders Resulting in Loss of Power to Buses SM-7 & SM-4.Caused by Inadvertent Removal of Transformer Fuses.Fuses Reinserted
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-017, :on 890520,outboard RHR Shutdown Cooling Valve Automatically Isolated,Causing Loss of Shutdown Cooling. Caused by Removal of Relay by Contractor Maint Electrician Installing Mod to Leak Detection Sys |
- on 890520,outboard RHR Shutdown Cooling Valve Automatically Isolated,Causing Loss of Shutdown Cooling. Caused by Removal of Relay by Contractor Maint Electrician Installing Mod to Leak Detection Sys
| | | 05000397/LER-1989-018, :on 890522,reactor Protection Sys (RPS) a motor-generator Set Failed Resulting in Loss of Power to RPS Bus A.Caused by Component Failure.Motor Replaced |
- on 890522,reactor Protection Sys (RPS) a motor-generator Set Failed Resulting in Loss of Power to RPS Bus A.Caused by Component Failure.Motor Replaced
| | | 05000397/LER-1989-019, :on 890524,inboard RHR Shutdown Cooling Supply Valve Automatically Isolated When Electrician Lifted Wire Deenergizing Valve Control Relay.Personnel Counseled & Training in Plant Procedures Initiated |
- on 890524,inboard RHR Shutdown Cooling Supply Valve Automatically Isolated When Electrician Lifted Wire Deenergizing Valve Control Relay.Personnel Counseled & Training in Plant Procedures Initiated
| 10 CFR 50.73(s)(2) | | 05000397/LER-1989-020, :on 890527 & 0605,during Local Leak Rate Testing,Valve RHR-V-9 Automatically Isolated.Caused by Procedural Inadequacy & Inadequate Corrective Action Following Second Event.Procedure Modified |
- on 890527 & 0605,during Local Leak Rate Testing,Valve RHR-V-9 Automatically Isolated.Caused by Procedural Inadequacy & Inadequate Corrective Action Following Second Event.Procedure Modified
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000397/LER-1989-021, :on 890527,electrical Protection Assembly Breaker Tripped Causing Loss of Power to Reactor Protection Sys Bus B.Cause Unknown.Upgraded Breaker Equipment Will Be Installed |
- on 890527,electrical Protection Assembly Breaker Tripped Causing Loss of Power to Reactor Protection Sys Bus B.Cause Unknown.Upgraded Breaker Equipment Will Be Installed
| 10 CFR 50.73(e)(2) | | 05000397/LER-1989-022, :on 890530,loss of Secondary Containment During Core Alterations Due to Unisolatable Lines Occurred.Caused by Simultaneous Activities.Rhr Heat Exchanger Isolation Valves Closed to Reestablish Integrity |
- on 890530,loss of Secondary Containment During Core Alterations Due to Unisolatable Lines Occurred.Caused by Simultaneous Activities.Rhr Heat Exchanger Isolation Valves Closed to Reestablish Integrity
| 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)(ii)(A), Seriously Degraded 10 CFR 50.73(e)(2) 10 CFR 50.73(e)(2)(v) | | 05000397/LER-1989-023, :on 890531,ESF Isolations & Actuations Occurred Due to Loss of Reactor Protection Sys Bus During Testing. Caused by Personnel Error.Logic Sys Functional Test Procedure Revised.Test Engineer Counseled |
- on 890531,ESF Isolations & Actuations Occurred Due to Loss of Reactor Protection Sys Bus During Testing. Caused by Personnel Error.Logic Sys Functional Test Procedure Revised.Test Engineer Counseled
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-024, :on 890614,secondary Containment Bypass Leakage Found Greater than Allowed by Design Basis.Caused by Equipment Design Deficiency.Check Valves in Common Discharge Line of CRD Pump Installed to Prevent Leakage |
- on 890614,secondary Containment Bypass Leakage Found Greater than Allowed by Design Basis.Caused by Equipment Design Deficiency.Check Valves in Common Discharge Line of CRD Pump Installed to Prevent Leakage
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(e)(2) | | 05000397/LER-1989-025, :on 890617 & 18,three Separate But Related Events Occurred Which Caused ESF Isolations & Actuations During Excess Flow Check Valve Testing.Caused by Inadequate Procedure.Procedure Modified |
- on 890617 & 18,three Separate But Related Events Occurred Which Caused ESF Isolations & Actuations During Excess Flow Check Valve Testing.Caused by Inadequate Procedure.Procedure Modified
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-026, :on 890619,testing Confirmed That Selected Steam Tunnel Penetrations Could Fail to Perform as Pressure Boundary Following Design Basis Main Steamline Break.Caused by Inadequate Design Mgt.Part 21 Related |
- on 890619,testing Confirmed That Selected Steam Tunnel Penetrations Could Fail to Perform as Pressure Boundary Following Design Basis Main Steamline Break.Caused by Inadequate Design Mgt.Part 21 Related
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(e)(2)(viii) | | 05000397/LER-1989-027, :on 890630,determined That Two Seismic Supports Missing on PASS Containment Isolation Valves.Caused by Inadequate Work Practices & Training of Project Personnel. Tech Spec Action Statement 3.6.1 Entered |
- on 890630,determined That Two Seismic Supports Missing on PASS Containment Isolation Valves.Caused by Inadequate Work Practices & Training of Project Personnel. Tech Spec Action Statement 3.6.1 Entered
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000397/LER-1989-028, :on 890629,turbine Throttle Valve Closure Reactor Scrammed During Turbine Testing.Caused by Inadequate Procedure.Operator Acted Promptly Tp Place Plant in Safe Shutdown Condition.Training Program Improved |
- on 890629,turbine Throttle Valve Closure Reactor Scrammed During Turbine Testing.Caused by Inadequate Procedure.Operator Acted Promptly Tp Place Plant in Safe Shutdown Condition.Training Program Improved
| | | 05000397/LER-1989-029, :on 890703,RWCU & RCIC Sys Isolation Occurred When RWCU-V-1 Closed as Part of Group 7 Nuclear Steam Supply Shutoff Sys Isolation.Caused by Inadequate Preparation & Review of Surveillance Test Procedure |
- on 890703,RWCU & RCIC Sys Isolation Occurred When RWCU-V-1 Closed as Part of Group 7 Nuclear Steam Supply Shutoff Sys Isolation.Caused by Inadequate Preparation & Review of Surveillance Test Procedure
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000397/LER-1989-030, :on 890210,HPCS Suction Valve from Suppression Pool Failed to Fully Open During Surveillance Procedure. Caused by Motor Operator HPCS-MO-15 Mfg Design Defect.Tech Spec Action Statements Entered & Valve Closed |
- on 890210,HPCS Suction Valve from Suppression Pool Failed to Fully Open During Surveillance Procedure. Caused by Motor Operator HPCS-MO-15 Mfg Design Defect.Tech Spec Action Statements Entered & Valve Closed
| 10 CFR 50.73(c)(2) 10 CFR 50.73(e)(2) | | 05000397/LER-1989-031, :on 890806,low Reactor Pressure Vessel Level Reactor Scram Initiated by Reactor Protective Sys in Response to Actual Low Water Level Condition Caused Unplanned Trip of Reactor Feedwater Pump 1B |
- on 890806,low Reactor Pressure Vessel Level Reactor Scram Initiated by Reactor Protective Sys in Response to Actual Low Water Level Condition Caused Unplanned Trip of Reactor Feedwater Pump 1B
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(e)(2) | | 05000397/LER-1989-032, :on 890810,discovered That non-Class 1E 120 Volt Ac Electrical Power Supply Branch Circuit Violated Electrical Separation Criteria.Caused by Equipment/Design Deficiency/Spec Less than Adequate |
- on 890810,discovered That non-Class 1E 120 Volt Ac Electrical Power Supply Branch Circuit Violated Electrical Separation Criteria.Caused by Equipment/Design Deficiency/Spec Less than Adequate
| 10 CFR 50.73(e)(2)(i) | | 05000397/LER-1989-033, :on 890811,RWCU Isolation Occurred When Fuse in Power Supply to Leak Detection Monitor Blew,Giving False High Alarm Signal to Isolation Logic.Cause Unknown.Fuse Replaced & RWCU Sys Restored to Operation |
- on 890811,RWCU Isolation Occurred When Fuse in Power Supply to Leak Detection Monitor Blew,Giving False High Alarm Signal to Isolation Logic.Cause Unknown.Fuse Replaced & RWCU Sys Restored to Operation
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(s)(2) | | 05000397/LER-1989-034, :on 890811,six Class 1E 480 Volt Ac Motor Control Ctrs Declared Inoperable Due to Design Deficiency. Caused by Exclusion of Fault Tripping Coordination. Distribution Sys to Be Evaluated |
- on 890811,six Class 1E 480 Volt Ac Motor Control Ctrs Declared Inoperable Due to Design Deficiency. Caused by Exclusion of Fault Tripping Coordination. Distribution Sys to Be Evaluated
| | | 05000397/LER-1989-035, :on 890817,reactor Scram Occurred During Surveillance Testing of Reactor Level Instrument Associated W/Automatic Depressurization Sys.Caused by Personnel Error. Training Improved & Visibility Increased |
- on 890817,reactor Scram Occurred During Surveillance Testing of Reactor Level Instrument Associated W/Automatic Depressurization Sys.Caused by Personnel Error. Training Improved & Visibility Increased
| 10 CFR 50.73(e)(2)(v) 10 CFR 50.73(o)(2)(x) | | 05000397/LER-1989-036, :on 890905,discovered That Present Surveillance Procedures Do Not Provide for Independent Measurement of Two Values.Caused by Less than Adequate Surveillance Procedures on Response Time Testing of APRM Sys |
- on 890905,discovered That Present Surveillance Procedures Do Not Provide for Independent Measurement of Two Values.Caused by Less than Adequate Surveillance Procedures on Response Time Testing of APRM Sys
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000397/LER-1989-037, :on 890830,differential Pressure Indicating Switch RHR-DPIS-12B Discovered Isolated & Equalized.Cause Not Determined.Instrumentation & Control Work Practices Manual Developed & Training Provided |
- on 890830,differential Pressure Indicating Switch RHR-DPIS-12B Discovered Isolated & Equalized.Cause Not Determined.Instrumentation & Control Work Practices Manual Developed & Training Provided
| 10 CFR 50.73(e)(2) | | 05000397/LER-1989-038, :on 890121,two 3/8-inch Drain Line Valves Associated W/Standby Liquid Control Flow Transmitter Not Labeled & Not Contained in Checklist.Caused by Inadequate Procedures.Walkdown Will Be Conducted |
- on 890121,two 3/8-inch Drain Line Valves Associated W/Standby Liquid Control Flow Transmitter Not Labeled & Not Contained in Checklist.Caused by Inadequate Procedures.Walkdown Will Be Conducted
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000397/LER-1989-039, :on 890914,discovered Three Discrepancies W/ Current Configuration of Reactor Bldg Exhaust Air Radiation Monitoring Sys That Do Not Satisfy Design Basis Requirements |
- on 890914,discovered Three Discrepancies W/ Current Configuration of Reactor Bldg Exhaust Air Radiation Monitoring Sys That Do Not Satisfy Design Basis Requirements
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(s)(2)(v) 10 CFR 50.73(s)(2) | | 05000397/LER-1989-040, :on 890919,determined That Under Certain Meteorological Conditions Situation Would Be Created Not within Licensing Basis Consideration for Secondary Containment Performance |
- on 890919,determined That Under Certain Meteorological Conditions Situation Would Be Created Not within Licensing Basis Consideration for Secondary Containment Performance
| 10 CFR 50.73(e)(2) | | 05000397/LER-1989-041, :on 891103,determined That Motor for Valve Operator Associated W/Rhr Sys Valve Does Not Provide Sufficient Starting Torque at Degraded Voltage Conditions. Cause Indeterminate |
- on 891103,determined That Motor for Valve Operator Associated W/Rhr Sys Valve Does Not Provide Sufficient Starting Torque at Degraded Voltage Conditions. Cause Indeterminate
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition | | 05000397/LER-1989-042, :on 891106,pressure Switch,Which Provides Input to Logic Calibr,Outside Tech Spec Limits.Caused by Inadequate Procedures W/Ambiguous Instructions.Surveillance Procedures Revised |
- on 891106,pressure Switch,Which Provides Input to Logic Calibr,Outside Tech Spec Limits.Caused by Inadequate Procedures W/Ambiguous Instructions.Surveillance Procedures Revised
| 10 CFR 50.73(a)(2)(i) | | 05000397/LER-1989-043, :on 891121,HPCS Sys Immediately Declared Inoperable.Caused by Equipment Failure.Failure Analysis & Determination of Root Cause of HPCS-V-23 Failure Performed & HPCS Operability Surveillance Revised |
- on 891121,HPCS Sys Immediately Declared Inoperable.Caused by Equipment Failure.Failure Analysis & Determination of Root Cause of HPCS-V-23 Failure Performed & HPCS Operability Surveillance Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(e)(2) | | 05000397/LER-1989-044, :on 891128,discovered Six Incorrectly Sized Thermal Overload Heaters That Could Have Prevented HPCS from Performing Safety Function.Caused by Inadequate Design. Procedures Revised |
- on 891128,discovered Six Incorrectly Sized Thermal Overload Heaters That Could Have Prevented HPCS from Performing Safety Function.Caused by Inadequate Design. Procedures Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000397/LER-1989-045, :on 891201,two 3/4-inch Test Connection Valves Located Between Containment & Outboard Isolation Valve on Primary Coolant Sample Line Not Included in Surveillance. Caused by Personnel Error.Instruction Added |
- on 891201,two 3/4-inch Test Connection Valves Located Between Containment & Outboard Isolation Valve on Primary Coolant Sample Line Not Included in Surveillance. Caused by Personnel Error.Instruction Added
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(e)(2) |
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