text
ACXXLERATED D UTION DEMONSHRATION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)'CCESSION NBR:9003140391 DOC.DATE: 90/03/02 NOTARIZED: NO DOCKET FACIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 AUTH.NAME AUTHOR AFFILIATION FIES,C.L.
Washington Public Power Supply System POWERS,C.M.
Washington Public Power Supply System RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 89-038-01:on 890913,inadequate primary containment integrity verification.
W/8 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incide t Rpt, etc.
NOTES:
RECIPIENT ID CODE/NAME PD5 LA SAMWORTH,R INTERNAL: ACNW AEOD/DOA AEOD/ROAB/DS P NRR/DET/ECMB 9H NRR/DET/ESGB 8D NRR/DLPQ/LPEB10 NRR/DREP/PRPBll NRR/DST/SICB 7E NRR/DST/SRXB 8E RES/DSIR/EIB EXTERNAL: EG&G WILLIAMS,S LPDR NSIC MAYS,G NUDOCS FULL TXT COPIES LTTR ENCL 1
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RECIPIENT ID CODE/NAME PD5 PD ACRS AEOD/DSP/TPAB DEDRO NRR/DET/EMEB9H3 NRR/DLPQ/LHFB11 NRR/DOEA/OEAB11 NRR/DST/SELB 8D LB8D1 REG FILE 02 LE 01 L ST LOBBY WARD NRC PDR NSIC MURPHYIG A COPIES LTTR ENCL 1
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NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTEt CONTACT THE DOCUMENI'ONTROLDESK, ROOM Pl-37 (EXT. 20079) TO ELIMINATEYOUR NAMEFROM DISIRIBUTION FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED:
LTTR 37 ENCL 37
@~i WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968
~ 3000 George Washington Way
~ Richland, Washington 99352 Docket No.
50-397 Harch 2, 1990 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C.
20555
Subject:
NUCLEAR PLANT NO.
2 LICENSEE EVENT REPORT NO. 89-038-01
Dear Sir:
Transmitted herewith is Licensee Event Report No. 89-038-01 for the WNP-2 Plant.
This revised report is submitted to correct some minor errors present in the original report.
Very truly yours, D@<A--~
C.
H.
Powers (H/D 927H)
WNP-2 Plant Hanager CHP:lr
Enclosure:
Licensee Event Report No. 89-038-01 cc:
Hr. John B. Hartin, NRC Region V
Hr.
C. J.
- Bosted, NRC Site (H/D 901A)
INPO Records Center Atlanta, GA Hs. Dottie Sherman, ANI Hr.
D. L. Williams, BPA (H/D 399)
IP gS 9003i4039i 900302 PDR ADDCK 05000397 PDr
NRC FORM 366 (669)
~
U.S. NUCLEAR REGULATORYCOMMISSION LICENSEE EVENT REPORT (LERI APPROVEO OMB NO. 31504)104 EXPIAESI 4I30l92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEOUESTI 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENTBRANCH (P+30), U.S. NUCLEAR AEGULATORYCOMMISSION. WASHINGTON. DC 20555, AND TO THE PAPERWO4K REDUCTION PROJECT (31500104),
OFFICE OF MANAGEMENTANO BUDGET, WASHINGTON, DC 20503.
FACILITYNAME (I)
Washington Nuclear Plant - Unit 2 TITLE (4)
Inadequate Primary Containment Integrity Verification DOCKET NUMBER (2)
PA E
3 0
5 0
0 0
3 9
7 1
OF MONTH DAY YEAR EVENT DATE (5)
YEAR LER NUMBER (6)
SSOUENTIAL N?:
NUMSEII P?6 RLYrSION NUMBER MONTH OAY YEAR REPORT DATE (7)
DOCKET NUMBER(6) 0 5
0 0
0 FACILITYNAMES OTHER FACILITIES INVOLVED(6) 0 9 13 89 8 9
038 01 03 02 9
0 0
5 0
0 0
OPERATING MODE (9)
POWER LEUEL 1
0 0 20A02(ii) 20AOS(e) (1)(il 20.405( ~ )(1((4) 20.405( ~ )(I) (IIII 20A054) III(ivl 20AOS(el(1 Hvl 20AOS(e) 50.36(c) Ill 50.36(el(2) 50.73(e) (2 IG) 50.73(e)(2l(4) 50.73 le I l2 I (I BI LICENSEE CONTACT FOR THIS LER (12) 50,73( ~l(2)liv) 50,73( ~l(2)(vl S0.73( ~ )(2)lv4) 60.73( ~ )l2)lvBII(AI 60.73( ~l(2)4(4)(BI 50,73( ~ ) (2) (xI THIS REPORT IS SUBMITTED PURSUANT 70 THE RLQUIREMENTS OF 10 CF R $ : IChrce onr or morr ol mr folfovrlnpl (11) 73.7((rr) 73.71(el OTHER ISpreify rn AOrrrret trrrow rnrf ln Trxt, IVRC Form 366AI NAME C. L. Fies, Com liance Engineer TELEPHONE NUMBER AREA CODE 50 37 7-50 1
COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE
SYSTEM COMPONENT MANUFAC.
TVRER REPORTABLE
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TO NPROS j
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CAUSE
SYSTEM COMPONENT MANUFAC TUAER EPORTABLE ?4
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EXPECTED SUBMISSION DATE I'I6)
MONTH OAY YEA4 On September 13,
- 1989, a reportability evaluation was approved by the Plant Techni-cal Manager which directed that an event which began on January 21, 1989, be reported per 10CFR50. 73.
On the later date, plant equipment operators discovered two small 3/8 inch valves which should have been included on the primary containment integrity verification surveillance.
The immediate corrective action placed these valves on the surveillance to allow verification of their closed condition to occur on a monthly frequency.
The Plant Manager also directed that the containment integrity procedure be compared with the local leak rate testing procedure to iden-tify any other missing valves.
Four additional 1/2 inch valves were discovered during that review.
The root cause of this event was less than adequate procedures that did not identify all the containment items that require verification.
Further corrective action will include a physical walk-down of all containment pen-etrations to provide assurance that all items are now contained on the checklist.
This event posed no threat to the health and safety of either the public or plant personnel.
N4C Form 366 (669)(64)9)
U.S. NUCLEAR REGULATORYCOMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION t
APPROVED 0MB NO. 31504)104 EXPIRES; 4/30)92 ESTIMATED BURDEN PER
RESPONSE
TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENTBRANCH (P4)30), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, ANDTO THE PAPERWORK REDUCTION PRO)ECT (31504104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON,DC 20503.
FACILITYNAME (11 DOCKET NUMBER (2)
LER NUMBER (6)
SEQUENTIAL NUMSSII PPF 115vasloN I.4 NUMBSII PAGE (3)
Washin ton Nuclear Plant - Unit 2 0
0 0
3 7
TEXT ()/mare z>>ce ia mqukat, u>> eddldruael HRC Farm 36643l (17)
OF Pl ant Conditions Power Level - 10(C Plant Mode -
1 (Power Operation)
Event Descri tion On September 13,
- 1989, a reportability evaluation was approved by the Plant Techni-cal Manager which directed that an event which began on January 21, 1989, be reported per 10CFR50. 73.
On January 21, 1989, while doing the primary containment integrity verification sur-veillance procedure (7.4. 6.1. 1), plant equipment operators, discovered two 3/8 inch drain line valves (SLC-V-52 and SLC-V-53) associated with a standby liquid control flow transmitter (SLC-FT-1) which were not labeled and not contained on the primary containment integrity valve checklist (see Sketch 1).
These valves are used to drain the instrument lines when calibrating SLC-FT-1 which is required on a yearly surveillance.
These valves are located inside the outboard isolation valves (SLC-V-4A and SLC-V-4B) and therefore require closed verification on a monthly fre-quency per Technical Specification surveillance 4.6.1.1.b.
During the review of the problem evaluation request, the Plant Manager directed that the containment integrity verification procedure, PPM 7.4.6.1.1, be compared with the Local Leak Rate Test (LLRT) procedure to check for additional missing valves.
This review identified four Containment Monitoring System (CMS) valves which should have been on the primary containment integrity verification surveillance (PI-V-X29bl, PI-V-29f1, PI-V-X30al, PI-V-X30f1).
The purpose of these 1/2 inch valves is to allow operability tests to be performed on the associated excess flow check valves (PI-EFC-X29b, PI-EFC-X29f, PI-EFC-X30a, and PI-EFC-X30f) located directly downstream from the containment (see Sketch 2).
These four valves were added to the plant during the refueling outage in May 1986.
Immediate Corrective Action
The primary containment integrity verification procedure was updated to show the additional valves.
Further Evaluation and Corrective Action A.
Further Evaluation 1.
This event is being re~orted as a "....deviation from the plant's Techni-cal Specifications.... 'er the requirements of 10CFR50.73(a)(2)(i)(B).
2.
There were no structures, components or systems that were inoperable prior to the start of this event which contributed to the event.
NRC Sana 3(rrSA (669)
NRC FOAM 366A (64)9)
U.S. NUCLEAR REGULATORYCOMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION l
APPROYEO OMB NO,31500104 E XP IR 6 S: 4/30/92 ESTIMATED BURDEN PEA RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 50A) HAS. FOAWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPOATS MANAGFMENTBRANCH (P4)30), U.S. NUCLEAR REGULATORY COMMISSION. WASHINGTON, DC 20555, ANDTO 1HE PAPERWORK REDUCTION PROJECT (31504)104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON,DC 20503.
FACILITYNAME (1)
DOCKET NUMBER (21 LER NUMBER (6)
YEAR gP SEOUENTIAL NUMBER IIEVISION NUM 6 II PAGE (3)
Washin ton Nuclear Plant - Unit 2 <<
o o
o 9
7 TEXT ///more elreoe /4 rlo/okerL o>> ate//1/one/HRC Form 3664'4/ (IT) 0 3 8
0 OF 3.
The root cause of this event was less than adequate procedures that did not identify all the containment items that require verification.
A con-tributing cause was inadequate review of procedures impacted by the plant modification which installed the four excess flow check valve test connec-tions and valves.
4.
The Plant modification process has been improved to provide a more com-plete review of impacted plant procedures.
B.
Further Corrective Action A physical walkdown will be performed of all containment penetrations to pro-vide assurance that all items are now contained on the checklist.
This walk-down will also identify the items that may have been added by plant modification.
Safet Si nificance The establishment of primary containment integrity ensures that the release of r adi-oactive material from the containment will be restricted to those leakage paths and rates assumed in the FSAR.
This restriction is relied upon to limit the control room and site boundary radiation doses to within the limits established by General Design Cr iterion 19 and 10CFR100 during accident conditions.
The two valves associated with SLC-FT-1 (SLC-V-52 and SLC-V-53) are located outside containment and outboard of SLC-V-6, a check valve in the SLC injection line.
The inboard containment isolation valve (SLC-V-7) is the inboard isolation valve located inside primary containment.
Thus, there are two check valves in a series between the two drain valves and the primary containment.
The second check valve (SLC-V-6) is not considered a containment isolation valve, but for purposes of this analysis, it does exist upstream of the valves in question and provides assurance of contain-ment integrity.
During plant operations, the lines leading to SLC-V-52 and SLC-V-53 are continually filled with water.
- Thus, any leaks in these valves would be apparent as they are in a very accessible area of the reactor building.
These valves are only used during the 18 month surveillance which is performed during the annual refueling outage.
In addition, the lines are capped downstream of the valves.
The four test connections for the excess flow check valves were added by a plant modification in May 1986.
These test connections are used to test the excess flow check valve operation on the one inch lines which penetrate primary containment to monitor process conditions inside containment.
These taps are used for an 18 month surveillance which is performed during the annual refueling outage.
Specific steps in the procedure, Surveillance Testing of Containment Atmosphere and Suppression Pool Level Excess Flow Check Valves (7.4.6.3.4.2), call for the test connection valve to be closed after the test and the cap to be replaced on the line.
In addi-tion, the four test connections were identified in the Integrated Leak Rate Test (PPM) 7.4. 6.1.2. 1) which was performed at the end of the 1987 outage.
NAC FomI 36FA (669)(649)
U.S, NUCLEAR REGULATORYCOMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION t
APPROVED OMB NO. 31500104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER
RESPONSE
TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENTBRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, ANDTO 1HE PAPERWORK REDUCTION PROJECT (31600104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON,DC 20503.
FACILITYNAME (1I DOCKET NUMBER (2)
YEAR LE R NUMBER (6)
SEOVENTIAL NVMSEII REVISION NVM ER PAGE (3)
Mashington Nuclear Plant - Unit 2 TEXT/I/more eoeoe Js rer/Ir/rerL use 4/A/O 'one/ HRC %%drm 3SSA'4) ((7) 0 5
0 0
0 3
9 7
8 9 0 3 8
010 4
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4 In conclusion, there is a very low probability of these valves adversely affecting containment integrity even though they were not on the checklist.
Similar Events
LER 84-130 was written when 25 valves were found not listed on the primary contain-ment integrity verification surveillance.
EIIS Information Text Reference EI IS Reference
~Ss tern
~Com onent Primary Containment SLC-V-52 SLC-V-53 SLC-FT-1 Containment Monitoring System (CMS)
NH BR BR BR IK V
V FT NRC Forms SSSA ($4)9)
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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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