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Duke !buir Company ;
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L July 28,f1989 Document Control Desk U. S. Nuclear-Regulatory Commission Washington, D. C.
20555-
Subject:
Catawba Nuclear Station, Unit 1
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Docket No.-50-413 LER 413/89-01, Revision 2 Gentlemen:
Attached is' Revision 2 to' Licensee Event Report 413/89-01, concerning a Train A" blackout due to an ' inappropriately installed protective relay.
This: revision.is being submitted to correct the sequential number that'was erroneously typed on Revision 1 as -012 submitted' 05/22/89.
- This event was considered to be of no significance with respect-to the
' health:and safety of the public.
Very t'ruly yours, L
- - b
. Tony
. Owen Station Manager KEB\\LER-NRC.TBO xc:
Mr.'S, D. Ebneter American Nuclear Insurers Regional. Administrator, Region II c/o Dottie Sherman, ANI Library U. S. Nuclear Regulator Commission The Exchange, Suite 245 101 Marietta Street, NW, Suite 2900 270 Farmington Avenue Atlanta, GA 30323 Farmington, CT 06032 M & M Nuclear Consultants Mr. K. Jabbour 1221 Avenues of the Americas U. S. Nuclear Regulatory Commission New York, NY 10020 Office of Nuclear Reactor Regulation Washington, D. C.
20555 INPO Records Center Suite 1500 Mr. W. T. Orders 1100 circle 75 Parkway NRC Resident Inspector Atlanta, GA 30339 Catawba Nuclear Station f
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hRC Form aos U.S. NUCLEAR E E0ULATG2V COMMeetsON APPROVED OMS teO.3190 4 108 LICENSEE EVENT REPORT (LER)
P AC.LITY NAME (11 DOCKET NUMSER (2)
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Catawba Nuclear Station, Unit 1 0 l 5 l 0 l 0 l 0 l4 l1 13,1 loFl Ol5 TITLE (41 Train A Blackout Due to Inapropriatcly Installed Protective Relav EVENT DATE 10)
LER NUMBER 101 REPORT DATE (7)
OTHER 7 ACILITIES INVOLVED (8)
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On January 7, 1989, at approximately 0302 hours0.0035 days <br />0.0839 hours <br />4.993386e-4 weeks <br />1.14911e-4 months <br />, 6900V Tie Breaker ITC-7 tripped after Reactor Coolant (NC) Pump IC had been started, and power to 4160 Essential Bus 1 ETA was lost. The loss of power caused an isolation of the bus with no back-up power available due to Diesel Generator 1A being out of service. The Blackout resulted in a loss of power to Residual Heat Removal Pump 1A, Fuel Pool Cooling Pump 1A, and Component Cooling Pump 1A2. Subsequently, due to a charging flow control valve failing open, NC System pressure increased and caused a Pressurizer PORV to lift seven times. The 6900V Switchgear 1TC is separated into two sides which are connected by normally open Tie Breaker ITC-7.
The tie breaker was closed because IT2A was out of service. The tie breaker tripped open on overcurrent because a ground overcurrent relay was installed in the time delay overcurrent relay location. The ground overcurrent relay was not designed for the inrush current caused by starting the NC Pump.
The Unit was in Moce 5, Cold Shutdown, when the incident occurred and had operated in all modes of operation. This incident is attributed to an inappropriate action.
It appears the relays were swapped during the initial installation during 1978.
Time delay and ground overcurrent relays were placed into the correct locations.
An inspection was performed to verify the correct relays were installed in all other similar applications.
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UCENSEE EVENT REPORT (LER) TEXT. CONTINUATION
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's'a Catawba Nuc1 car Station, Unit 1 0 l5 l0 jo jo j4 l 1l3 8l9 0l0,1 0l2 0l2 0F 0 l5 TEXT ## more Ipsce e recusred, use amWermet NAC #cmr JMif,# (171 BACKGROUND The 6900V Normal Auxiliary Power [EIIS:EB] (EPB) System distributes power to auxiliary equipment required for normal plant operation. The EPB System also serves as the normal supply to the 4160V Essential Auxiliary Power System.
[EIIS:EB]. Each 6900V Switchgear [E!IS:SWGR], ITA, 1TB, 1TC, and ITD, normally receives power from two of four auxiliary transformers [EIIS:XFMR] per Unit:
1TIA, 1T2A, ITIB, and 1T2B. Normally, one auxiliary transformer is used to feed one side of a 6900V Switchgear assembly. However, each transformer is sized to carry the loads of ~one entire switchgear in the event that one of the normal
' sources is out of service (see Enclosure 6.1).
The bus tie breaker [EIIS:BRK] in the switchgear is normally open so that each side of the 6900V Switchgear is normally fed from a separate transformer. The bus tie breaker is rated for 2000 amps and is equipped with protective relaying [EIIS:RLY]. A time delay overcurrent relay (51ZYX) is provided to trip the breaker on current greater than 2000 amps for a predetermined amount of time.
The bus tie breaker is also equipped with a ground overcurrent relay to trip the breaker on ground fault. The two relays are very similar except for their time response curves. The time delay relay will allow for inrush current greater than the setpoint of the relay, which allows for starting large pump motors.
The ground overcurrent relay does not allow for inrush currents and would trip the tie breaker much faster than the time delay overcurrent relay.
The 6900V Switchgear ITC supplies power to various plant loads including the Reactor Coolant [EIIS:AB] (NC) Pump [EIIS:P] 1C and is the alternate supply to Essential Switchgear Train A (1 ETA), via shared Transformer SATA.
DESCRIPTION OF INCIDENT On January 7,1989, Unit 1 was in Mode 5, Cold Shutdown, during a refueling outage. Auxiliary Transformer ITIA was out of service for maintenance and Tie Breaker ITC-7 was closed allowing Auxiliary Transformer IT2B to supply power to the entire 6900V Switchgear ITC.
1 ETA, 4160V Essential Switchgear Train A, was j
being fed by Transformer SATA. Diesel Generator [E!IS:DG) 1A was out of service for overhaul and inspection. Component Cooling [EIIS:CC] (KC) Pumps 1A2 and IB1 were in service, Charging Pump 1B was in service, and Residual Heat Removal [EIIS:BP] (ND) Pump 1A was in service.
l At 0302:35 hours, on January 7, 1989, Operations personnel started NC Pump 1C per OP/1/A/6150/01, Filling and Venting the Reactor Coolant System. A Hi Amps on NC Pump 1C alarm due to motor start was immediately received as expected.
Approximately seven seconds after starting NC Pump 1C, 6900V Switchgear Tie Breaker, 1TC-7, tripped, deenergizing the short side of ITC, which resulted in a loss of power to 1 ETA. As expected, NC Pump 1C tripped, ND Pump 1A tripped, KC Pump 1A2 tripped, Fuel Pool Cooling Pump 1A tripped, INV294, NV Pumps A and B Flow Control valve, failed open, Containment Purge [EIIS:VA] (VP) isolated, Control Room Area Pressurized Filter Train 1 (PFTF-1) initiated, and Diesel l
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Generator Load Sequencer Train A (DGLSA) Blackout Logic initiated. The Control Room Operator (CRO) responded by starting KC Pump 182 and entered
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AP/1/A/5500/21, Loss of Component Cooling. The CR0s realized they had lost all
' Train A Essential Switchgear related equipment and depressed the OFF pushbutton i
for NC Pump IC Breaker to prevent the pump from restarting when power was restored. At this time, the Eight Second Undervoltage Time Delay was complete on IETA and DGLSA actuated, opening the IETA Alternate Incoming Feeder Breaker and initiating 1 ETA Lead Shed.
Twenty-seven seconds after losing power to ND Pump 1A, the CR0 attempted to establish ND flow to the core by starting ND Pump 1B. The pump started but no
- - flow was provided to the Reactor. After further investigation, the CR0 discovered'1NI1788, ND Header IB to Cold Legs A and B, was closed. The CR0 opened the valve and ND flow was restored to the Reactor [EIIS:VSL] core 136 seconds into the incident.
During this period, the Operators used AP/1/A/5500/019, Loss of Residual Heat Removal.
At 0303:23 hours, NC pressure had risen to 361 psig.
Eight seconds later, INC34A Pressurizer PORV lifted which indicates NC System pressure reached approximately 400 psig. The Pressurizer PORV lifted a total of seven times within the next 116 seconds.
During this time, the CR0 diagnosed that INV294 had failed open.
Charging Pump 1B was then tripped by the CR0 and NC System pressure began to decrease.
Letdown was isolated approximately 13 minutes later to maintain 100 psig NC System pressure.
The CR0 then entered Loss of Normal Power Procedure AP/1/A/5500/07, Case II.
Operations investigated the problem and found Time Delay Overcurrent Relay 51Z.t.
tripped. The relay was reset and 1TC-7 was closed to reenergize switchgear ITC.
The CR0 next followed the Loss of Normal Power Procedure to reenergize IETA.
1 ETA was reenergized within 28 minutes and the VP System was realigned. One hour, five minutes after the incident, charging flow was reestablished and the NC System was returned to its initial condition.
At 0435 hours0.00503 days <br />0.121 hours <br />7.19246e-4 weeks <br />1.655175e-4 months <br />, Operations personnel initiated Priority 5F Work Request 29800 OPS. Transmissions personnel discovered that Time Delay Overcurrent Relay, 51ZYX, had the wrong time response curve.
Further investigation determined that the Ground Overcurrent Relay (51G) and the Time Delay Overcurrent Relay (51ZYX) were swapped. A new 51ZYX Relay was calibrated,and installed. The inservice 51G Relay was recalibrates and installed in its proper location.
Transmissions personnel verified proper protective relays were installed for all other 6900V Switchgear incoming and tie breakers.
CONCLUSION This incident is attributed to inappropriate action.
It appears the relays were swapped during the initial installation during 1978, possibly due to a lack of attention to detail. This could not be confirmed by a documentation review.
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C tawba Nuclear Station, Unit 1 o l5 jo jo jo l4 l 1l3 81 9 Text w,...,.w...mammac w assa w im Prior to the initial installation, Transmissions personnel performed an acceptance test on these relays to verify the relay had the correct time current characteristics. A relay test was then performed to verify or adjust the correct setting of the relay. After the relay was set up, it was tagged and installed. When the relays were found swapped, it was discovered that they also I
were tagged incorrectly.
The tagging indicated that the ground overcurrent i
relay should have been installed in the time delay overcurrent location and the time delay overcurrent relay should have been installed in the ground overcurrent location. Since the tagging was performed during the initial installation, it appears the relays have been installed incorrectly since May 4, 1978. Transmissions performed a routine test on these relays every other refueling outags. However, their testing only verifies the setting of the relay and does not verify the correct time current characteristics.
This incident has not occurred previously because NC Pump 1C was not required to start while ITIA was out of service with ITC supo!ying IETA along with its normal loads.
One item of concern which was noted during this incident is the amount of noise in the Control Room caused by the increased air flow when PFTF-1 started. It was noted by the Operators that this disruption was great enough to cause communication to be very difficult at a time when it was most important.
An additional problem was the lack of information that was available.
During the Sutage, numerous chart recorders were tecured in the Control Room, making ev u nion of plant response difficult. Data obtained by the Transient M.Mtwing System was also not saved, following the incident.
In the previous twelve months, there have been no ESF actuations due to incorrect relay installations.
CORRECTIVE ACTION
IMMEDIATE (1) CR0 started Component Cooling Pump 1B2.
SUBSEQUENT (1) CR0 reestablished Residual Heat Removal by placing ND Train B in service 136. seconds into the incident.
(2) Under Work Request 29800 OPS, Transmissions found ITC-7 Protective Relays 51ZYX and SIG swapped. Transmissions calibrated and installed a new 512YX relay and recalibrates the SIG relay and installed it in the proper location.
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iEXT t# more space e regerest, use eseopauf NAC harm Jg8A'st tih (3) Also under Work Request 29800 OPS, Transmissions vedfied proper i
protective relay installation for all other 6900V Switchgear incoming l
breakers and tie breakers.
J (4) Design Engineering evaluated the failure mode of valves 1,2NV204 I
during a complete loss of Train A esssntial power.
PLANNED (1) Duke Power personnel will evaluate excessive noise caused by the pressure filter fan and practices concerning retention of plant data, as appropriate, (2) Design Engineering will be requested to evaluate the possibility of adding an additional backup power supply to 1,2NV294.
(3) This report will be revised based on the results of Design Engineering evaluating the possibility of adding an additional backup power supply to 1,2NV294.
SAFETY ANALYSIS
i At the time of the incident, Unit 1 was in Mode 5, Cold Shutdown, following refueling and Diesel Generator 1A was inoperable. Following the initiation of the Blackout, power was lost to ND Pump 1A and KC Pump 1A2.
KC Pump 1B2 was immediately started by the Operators and flow was also reestablished to the core using ND Pump 1B within 136 seconds. There was no significant increase in temperature noted in the NC System during this time. During this incident, 1NV294 failed open. The v*.lve failing open caused NC pressure to increase to approximately 400 psig which in turn lifted Pressurizer PORV INC34A seven times to control primary coolant system pressure. Control Room Operators secured Charging Pump 18 and stabilized Reactor Coolant System pressure.
In Mode 5, Reactor Coolant inventory and core cooling would normally be provided by the ND System. Although lifting the PORV was undesirable in this event, it was preferable, since ND was not reestablished for 136 seconds.
Design Engineering has evaluated the failure mode of valves 1,2NV294 during a complete loss of Train A Essential power. The ultimate failure position has been selected based on the most desirable safety function. Since the cause of.he Tie Breaker ITC-7 trip was located and corrected, it is unlikely that the same set of conditions will exist in future C Pump start sequences during Mode 5.
Although this is unlikely to recur, Desi9, Engineering will evaluate the possibility of adding an additional ockup power sapply to 1,2NV294 in all Modes of operation. The health and safety of the ptblic were unaffected by this incident. This incident is reportable pursuant to 10CFR 50.72, Section (b)(5)(ii) and 10CFR 50.73, Section (a)(2)(iv). The lifting of PORV 1NC-34 is reportable pursuant to Technical Specifications 3.4.9.3 and 6.9.2.
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| 05000414/LER-1989-001-02, :on 890112,Bussmann Fna Fuse Failure Caused Main Feedwater Control Valve Circuit to Fail to Close. Caused by Mfg & Mgt Deficiency.Fuses Replaced |
- on 890112,Bussmann Fna Fuse Failure Caused Main Feedwater Control Valve Circuit to Fail to Close. Caused by Mfg & Mgt Deficiency.Fuses Replaced
| | | 05000413/LER-1989-001, :on 890107,Train a Blackout Due to Inappropriately Installed Protective Relay.Apparently Relays Were Swapped During Initial Installation During 1978.RHR Reestablished by Placing Nd Train B in Svc |
- on 890107,Train a Blackout Due to Inappropriately Installed Protective Relay.Apparently Relays Were Swapped During Initial Installation During 1978.RHR Reestablished by Placing Nd Train B in Svc
| | | 05000414/LER-1989-002-01, :on 890121,reported Manual Trip of Reactor Due to Decreasing Steam Generator Level.Caused by Mechanical Malfunction of Temp Transmitter for Generator Stator Cws. Transmitter Calibrated |
- on 890121,reported Manual Trip of Reactor Due to Decreasing Steam Generator Level.Caused by Mechanical Malfunction of Temp Transmitter for Generator Stator Cws. Transmitter Calibrated
| | | 05000413/LER-1989-002-03, :on 890201,maint Personnel Declared Floor Elevations 543 Through 594 Ft of Auxiliary Bldg Inoperable as Fire Boundary Seals.Incident Classified as Design Oversight.Security Initiated Hourly Fire Watch |
- on 890201,maint Personnel Declared Floor Elevations 543 Through 594 Ft of Auxiliary Bldg Inoperable as Fire Boundary Seals.Incident Classified as Design Oversight.Security Initiated Hourly Fire Watch
| | | 05000413/LER-1989-003-02, :on 890206,manual Auxiliary Feedwater Actuation Occurred Following Manual Turbine Trip Due to High Turbine Vibration.Caused by Equipment Malfuncion.Condenser Vacuum Broken to Reduce Turbine Speed |
- on 890206,manual Auxiliary Feedwater Actuation Occurred Following Manual Turbine Trip Due to High Turbine Vibration.Caused by Equipment Malfuncion.Condenser Vacuum Broken to Reduce Turbine Speed
| | | 05000414/LER-1989-003, :on 890221,reactor Trip on Steam Generator 2C lo-lo Level Due to Mgt Deficiency.Troubleshooting Review Guideline Provided.Open Setpoint for 2SV7 Recalibrated |
- on 890221,reactor Trip on Steam Generator 2C lo-lo Level Due to Mgt Deficiency.Troubleshooting Review Guideline Provided.Open Setpoint for 2SV7 Recalibrated
| | | 05000413/LER-1989-003-03, :on 890221,jumper Used to Check Relay Contacts Short Circuited,Resulting in Closure of Steam Generator 2C MSIV & Opening of 3 2C Code Safety Relief Valves.Caused by Mgt Deficiency.Setpoint Recalibr |
- on 890221,jumper Used to Check Relay Contacts Short Circuited,Resulting in Closure of Steam Generator 2C MSIV & Opening of 3 2C Code Safety Relief Valves.Caused by Mgt Deficiency.Setpoint Recalibr
| | | 05000414/LER-1989-004-01, :on 890221,both Trains of Diesel Generator Load Sequencer Declared Inoperable During post-trip Review of Events Recorder Indication,Resulting in Safety Injection. Caused by Design Deficiency |
- on 890221,both Trains of Diesel Generator Load Sequencer Declared Inoperable During post-trip Review of Events Recorder Indication,Resulting in Safety Injection. Caused by Design Deficiency
| | | 05000413/LER-1989-004, :on 890222,automatic Alignment Brought on by Momentary Short Across Level Transmitter.Caused by Inappropriate Action Due to Improper Following of Procedure. Training on Proper Method to Be Provided |
- on 890222,automatic Alignment Brought on by Momentary Short Across Level Transmitter.Caused by Inappropriate Action Due to Improper Following of Procedure. Training on Proper Method to Be Provided
| | | 05000414/LER-1989-005-03, :on 890321,compensatory Sample for 2EMF31, Turbine Bldg Sump Radiation Monitor Missed.Caused by Inadequate Policy to Ensure Compensatory Samples Obtained. Policy for Obtaining Samples Revised |
- on 890321,compensatory Sample for 2EMF31, Turbine Bldg Sump Radiation Monitor Missed.Caused by Inadequate Policy to Ensure Compensatory Samples Obtained. Policy for Obtaining Samples Revised
| | | 05000413/LER-1989-005-01, :on 890227,header B of Nuclear Svc Water (NSW) Sys Automatically Aligned to Standby NSW Pond.Cause Unknown, But Event Possibly Caused by Equipment Malfunction.Work Request Issued to Replace Suspect Relays |
- on 890227,header B of Nuclear Svc Water (NSW) Sys Automatically Aligned to Standby NSW Pond.Cause Unknown, But Event Possibly Caused by Equipment Malfunction.Work Request Issued to Replace Suspect Relays
| | | 05000413/LER-1989-006-01, :on 890224-28,turbine Bldg Sump Radiation Monitor Unintentionally Returned to Svc in Inoperable Condition.Caused by Inappropriate Action Due to Lack of Attention to Detail |
- on 890224-28,turbine Bldg Sump Radiation Monitor Unintentionally Returned to Svc in Inoperable Condition.Caused by Inappropriate Action Due to Lack of Attention to Detail
| | | 05000414/LER-1989-006-02, :on 890403,Tech Spec Action Statement Violated When Containment Purge Isolation Valves Open W/Containment Gas Radiation Monitor Inoperable.Caused by Incomplete Operating Procedure.Valves Closed |
- on 890403,Tech Spec Action Statement Violated When Containment Purge Isolation Valves Open W/Containment Gas Radiation Monitor Inoperable.Caused by Incomplete Operating Procedure.Valves Closed
| | | 05000414/LER-1989-007-02, :on 890306,containment Air Return Fan Started Due to Containment Pressure Control Sys Permissive.Improved Method of Proper Isolation Using Sliding Link Will Be Available |
- on 890306,containment Air Return Fan Started Due to Containment Pressure Control Sys Permissive.Improved Method of Proper Isolation Using Sliding Link Will Be Available
| | | 05000413/LER-1989-007, :on 890127,turbine Driven Auxiliary Feedwater Pump Failed.Caused by Stress Corrosion Cracking at Key Slot of Final Stage Shaft Sleeve.Shaft Replaced & Feedwater Pump Returned to Svc |
- on 890127,turbine Driven Auxiliary Feedwater Pump Failed.Caused by Stress Corrosion Cracking at Key Slot of Final Stage Shaft Sleeve.Shaft Replaced & Feedwater Pump Returned to Svc
| | | 05000414/LER-1989-007, :on 890316,containment Air Return Fan 2A Started in Response to High Containment Pressure.Caused by Inadequate Policy Involving Control of Sliding Links.Fan Secured & Timer Calibr Reperformed |
- on 890316,containment Air Return Fan 2A Started in Response to High Containment Pressure.Caused by Inadequate Policy Involving Control of Sliding Links.Fan Secured & Timer Calibr Reperformed
| | | 05000414/LER-1989-008-01, :on 890509,hourly Fire Watches Not Performed Where Required on Inoperable Mechanical Penetration Area. Caused by Inappropriate Action.Penetration Resealed & Use of Approved Procedures Emphasized to Personnel |
- on 890509,hourly Fire Watches Not Performed Where Required on Inoperable Mechanical Penetration Area. Caused by Inappropriate Action.Penetration Resealed & Use of Approved Procedures Emphasized to Personnel
| | | 05000413/LER-1989-008, :on 890305,reactor Trip Occurred Due to Exceeding Overpower Delta T Loop 2 Setpoint.Caused by Personnel Error & Actuator Failure.Work Request Issued & Instrument Isolation Valve Replaced |
- on 890305,reactor Trip Occurred Due to Exceeding Overpower Delta T Loop 2 Setpoint.Caused by Personnel Error & Actuator Failure.Work Request Issued & Instrument Isolation Valve Replaced
| | | 05000413/LER-1989-009-03, :on 890515,personnel Identified Potential Violation of Intent of Tech Spec 4.9,4.1 Associated W/ Incore Instrumentation Room Purge Subsys.Caused by Incomplete Tech Specs.Tech Spec Change Made |
- on 890515,personnel Identified Potential Violation of Intent of Tech Spec 4.9,4.1 Associated W/ Incore Instrumentation Room Purge Subsys.Caused by Incomplete Tech Specs.Tech Spec Change Made
| | | 05000413/LER-1989-009-01, :on 890515,incomplete Tech Spec Associated W/Incore Instrumentation Room Purge Subsystem.Guideline Provided Verifying Iir Purge Subsystem & Design Engineering Evaluated Tech Spec Surveillance Requirements |
- on 890515,incomplete Tech Spec Associated W/Incore Instrumentation Room Purge Subsystem.Guideline Provided Verifying Iir Purge Subsystem & Design Engineering Evaluated Tech Spec Surveillance Requirements
| | | 05000414/LER-1989-009, :on 890325,personnel Discovered Error in Tech Specs & Boric Acid Tank Vol Curves in Facility Data Book Procedure.Caused by Defective Procedure Due to Erroneous Info.Surveillance Procedure Revised |
- on 890325,personnel Discovered Error in Tech Specs & Boric Acid Tank Vol Curves in Facility Data Book Procedure.Caused by Defective Procedure Due to Erroneous Info.Surveillance Procedure Revised
| | | 05000413/LER-1989-010, :on 890331,unusual Noises Heard Coming from 1CRA-AHU-1 Motor.Caused by Motor lock-up Due to Failure of Inboard Bearing.Maint & Iae Replaced 1CRA-AHU-1 Motor Under Work Request 50291 OPS |
- on 890331,unusual Noises Heard Coming from 1CRA-AHU-1 Motor.Caused by Motor lock-up Due to Failure of Inboard Bearing.Maint & Iae Replaced 1CRA-AHU-1 Motor Under Work Request 50291 OPS
| | | 05000413/LER-1989-010-02, :on 890331,Tech Spec 3.0.3 Entered & Unusual Event Declared Due to Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Failure of Inboard Motor Bearing.Motor Replaced |
- on 890331,Tech Spec 3.0.3 Entered & Unusual Event Declared Due to Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Failure of Inboard Motor Bearing.Motor Replaced
| | | 05000414/LER-1989-010-03, :on 880314,auxiliary Feedwater Pump 2A Discharge to Steam Generator 2A Isolation Failed to Completely Close.Caused by Design Deficiency.Mods to Actuator Torque Switch Setting Increased |
- on 880314,auxiliary Feedwater Pump 2A Discharge to Steam Generator 2A Isolation Failed to Completely Close.Caused by Design Deficiency.Mods to Actuator Torque Switch Setting Increased
| | | 05000413/LER-1989-011, :from 890131 to 890413,lower Containment Temp Monitoring Not Performed Per Tech Spec Compensatory Action. Caused by Not Notifying Personnel of Inoperable Smoke Detectors.Hourly Compensatory Action Initiated |
- from 890131 to 890413,lower Containment Temp Monitoring Not Performed Per Tech Spec Compensatory Action. Caused by Not Notifying Personnel of Inoperable Smoke Detectors.Hourly Compensatory Action Initiated
| | | 05000414/LER-1989-011-01, :on 890513,pump Breaker Tripped on Overcurrent While Attempting to Fill Unit Cold Leg Accumulators Using Safety Injection Pump 2A.Probably Caused by Motor Windings Being Hot from Previous Pump Run |
- on 890513,pump Breaker Tripped on Overcurrent While Attempting to Fill Unit Cold Leg Accumulators Using Safety Injection Pump 2A.Probably Caused by Motor Windings Being Hot from Previous Pump Run
| | | 05000413/LER-1989-012, :on 890107,6,900-volt Tie Breaker Tripped After Reactor Coolant Pump 1C Started,Causing Blackout & Loss of Power to RHR Pump,Fuel Cooling Pump & Component Cooling Pump.Caused by Error in Relay Installation |
- on 890107,6,900-volt Tie Breaker Tripped After Reactor Coolant Pump 1C Started,Causing Blackout & Loss of Power to RHR Pump,Fuel Cooling Pump & Component Cooling Pump.Caused by Error in Relay Installation
| | | 05000414/LER-1989-012-02, :on 890703,Loop C Overtemp Delta Temp Computer Alarm Received During Performance of Mode 1 Periodic Surveillance Items Procedure.Caused by Failed Card in Process Control Cabinet.Procedure Revised |
- on 890703,Loop C Overtemp Delta Temp Computer Alarm Received During Performance of Mode 1 Periodic Surveillance Items Procedure.Caused by Failed Card in Process Control Cabinet.Procedure Revised
| | | 05000413/LER-1989-013, :on 890412,discovered That Channel Checks for Containment Hydrogen Monitors Inadequate to Verify Standby Readiness of Monitors.Caused by Deficient Vendor Documentation.Hydrogen Monitor Repaired |
- on 890412,discovered That Channel Checks for Containment Hydrogen Monitors Inadequate to Verify Standby Readiness of Monitors.Caused by Deficient Vendor Documentation.Hydrogen Monitor Repaired
| | | 05000413/LER-1989-013-05, :on 890726,two Carbon Steel Liners,Containing Mixture of Powdex & Bead Resins,Shipped to Barnwell,Sc,In Violation of Process Control Program.Caused by Mgt Deficiency.Shipment Suspended |
- on 890726,two Carbon Steel Liners,Containing Mixture of Powdex & Bead Resins,Shipped to Barnwell,Sc,In Violation of Process Control Program.Caused by Mgt Deficiency.Shipment Suspended
| | | 05000414/LER-1989-013-01, :on 890521,feedwater Isolation Occurred as Steam Generator 2B Level Increased to hi-hi Level Setpoint. Event Attributed to Inadequate Procedural Precautions.Test Procedure Will Be revised.W/890619 |
- on 890521,feedwater Isolation Occurred as Steam Generator 2B Level Increased to hi-hi Level Setpoint. Event Attributed to Inadequate Procedural Precautions.Test Procedure Will Be revised.W/890619
| | | 05000413/LER-1989-014, :on 881020,performance Personnel Documented That Tech Spec 3.7.5 Appeared Unconservative in Comparison to FSAR Section 9.2.5 Re Standby Nuclear Svc Water Pond Temp Requirements.Procedure Developed |
- on 881020,performance Personnel Documented That Tech Spec 3.7.5 Appeared Unconservative in Comparison to FSAR Section 9.2.5 Re Standby Nuclear Svc Water Pond Temp Requirements.Procedure Developed
| | | 05000414/LER-1989-014-01, :on 890603,Tech Spec Violation Occurred When Valve Returned to Svc W/No Retest Performed.Caused by Lack of Attention to Detail.Valve Repaired & Retested.Memo Sent to All Shift Managers,Discussing Incident |
- on 890603,Tech Spec Violation Occurred When Valve Returned to Svc W/No Retest Performed.Caused by Lack of Attention to Detail.Valve Repaired & Retested.Memo Sent to All Shift Managers,Discussing Incident
| | | 05000413/LER-1989-015-01, :on 890616,emergency Low Level Signal for Nuclear Svc Water Sys Pit a Initiated Automatic Swap to Standby Nuclear Svc Water Pond.Caused by Blown Fuse AA-2. Fuse Replaced W/Littelfuse Type Flq Fuse |
- on 890616,emergency Low Level Signal for Nuclear Svc Water Sys Pit a Initiated Automatic Swap to Standby Nuclear Svc Water Pond.Caused by Blown Fuse AA-2. Fuse Replaced W/Littelfuse Type Flq Fuse
| | | 05000414/LER-1989-015, :on 890609,operating Main Feedwater Pump Tripped on Low Suction Pressure Initiating Auxiliary Feedwater Pump Automatic Start & Turbine Trip.Caused by Equipment Malfunction |
- on 890609,operating Main Feedwater Pump Tripped on Low Suction Pressure Initiating Auxiliary Feedwater Pump Automatic Start & Turbine Trip.Caused by Equipment Malfunction
| | | 05000414/LER-1989-016, :on 890616,both Channels of Upper Range Reactor Vessel Level Instrumentation Found Inoperable.Caused by Supervision Assigning Unqualified Technician to Return Instrumentation to Svc on 890528 |
- on 890616,both Channels of Upper Range Reactor Vessel Level Instrumentation Found Inoperable.Caused by Supervision Assigning Unqualified Technician to Return Instrumentation to Svc on 890528
| | | 05000413/LER-1989-016-02, :on 890913,four Channels of Power Range Instrumentation Showed Greater than 5% Allowable Mismatch Between Rated Thermal Power & Nuclear Power.Caused by Equipment Failure.Pneumatic Gauge Replaced |
- on 890913,four Channels of Power Range Instrumentation Showed Greater than 5% Allowable Mismatch Between Rated Thermal Power & Nuclear Power.Caused by Equipment Failure.Pneumatic Gauge Replaced
| | | 05000413/LER-1989-017, :on 890626,steam Generator 1A Main Feedwater Control Valve Began Closing Causing Generator Level to Decrease.Caused by Action Performance W/Insufficient Precision.Torn Gasket Replaced |
- on 890626,steam Generator 1A Main Feedwater Control Valve Began Closing Causing Generator Level to Decrease.Caused by Action Performance W/Insufficient Precision.Torn Gasket Replaced
| | | 05000414/LER-1989-017-02, :on 890731,during Monthly Surveillance Testing on Turbine Driven Auxiliary Feedwater Pump,Turbine Repetitively Tripped on Mechanical Overspeed.Caused by Pitting & Corrosion on Valve Stem |
- on 890731,during Monthly Surveillance Testing on Turbine Driven Auxiliary Feedwater Pump,Turbine Repetitively Tripped on Mechanical Overspeed.Caused by Pitting & Corrosion on Valve Stem
| | | 05000414/LER-1989-018-01, :on 890807,cold Leg Accumulator Boron Analysis Surveillance Missed Due to Inappropriate Action.Valve 2N179 Not Seating Properly & Allowing Cold Leg Accumulator 2C to Decrease Also Contributed.Meetings Held |
- on 890807,cold Leg Accumulator Boron Analysis Surveillance Missed Due to Inappropriate Action.Valve 2N179 Not Seating Properly & Allowing Cold Leg Accumulator 2C to Decrease Also Contributed.Meetings Held
| | | 05000413/LER-1989-018, :on 890628,discovered That Required Charcoal Cartridge Missing from Particulate & Charcoal Samples.Caused by Inappropriate Personnel Action.Technician Removed Particulate Filter & Replaced W/New Filter |
- on 890628,discovered That Required Charcoal Cartridge Missing from Particulate & Charcoal Samples.Caused by Inappropriate Personnel Action.Technician Removed Particulate Filter & Replaced W/New Filter
| | | 05000414/LER-1989-019-02, :on 890912,capability of Switches 2CA-15A & 2CA-18B Disabled Rendering Feedwater Pumps 2A & 2B Inoperable.Caused by Defective Procedure & Inappropriate Actions.Procedure Revised & Update Issued |
- on 890912,capability of Switches 2CA-15A & 2CA-18B Disabled Rendering Feedwater Pumps 2A & 2B Inoperable.Caused by Defective Procedure & Inappropriate Actions.Procedure Revised & Update Issued
| | | 05000413/LER-1989-019, :on 890628,unplanned Automatic Alignment of Nuclear Svc Water Sys to Standby Nuclear Svc Water Pond Occurred.Caused by Defective Procedure Due to Erroneous Circuit Isolation.Calibr Procedures Revised |
- on 890628,unplanned Automatic Alignment of Nuclear Svc Water Sys to Standby Nuclear Svc Water Pond Occurred.Caused by Defective Procedure Due to Erroneous Circuit Isolation.Calibr Procedures Revised
| | | 05000414/LER-1989-020, :on 891118,Tech Spec 3.0.3 Entered & 5-month Auxiliary Bldg Ventilation Sys Inoperability Occurred as Result of Low Filter Exhaust Flow Condition on 891111.Caused by Design Oversight.Duct Will Be Cleaned |
- on 891118,Tech Spec 3.0.3 Entered & 5-month Auxiliary Bldg Ventilation Sys Inoperability Occurred as Result of Low Filter Exhaust Flow Condition on 891111.Caused by Design Oversight.Duct Will Be Cleaned
| | | 05000414/LER-1989-020-01, :on 891111,low Filtered Exhaust Flow Discovered by Control Room Operators During Observation of Indications. Caused by Design Oversight Re Interaction of Sys/Components. Clothes Dryer Filters to Be Modified |
- on 891111,low Filtered Exhaust Flow Discovered by Control Room Operators During Observation of Indications. Caused by Design Oversight Re Interaction of Sys/Components. Clothes Dryer Filters to Be Modified
| | | 05000413/LER-1989-020-02, :on 890921,abnormal Degradation of Steel Containment Vessels Observed.Caused by Corrosion by Standing Water in Annulus Areas.Steel Containment Vessels Will Be Recoated During Next Refueling Outage |
- on 890921,abnormal Degradation of Steel Containment Vessels Observed.Caused by Corrosion by Standing Water in Annulus Areas.Steel Containment Vessels Will Be Recoated During Next Refueling Outage
| | | 05000413/LER-1989-021, :on 890727,Tech Spec Required Power Reduction Due to Failure of Two Refueling Water Storage Tank Level Channels Caused by Lightning Strike.Facility Returned to 100% Power After Transmitter Replaced |
- on 890727,Tech Spec Required Power Reduction Due to Failure of Two Refueling Water Storage Tank Level Channels Caused by Lightning Strike.Facility Returned to 100% Power After Transmitter Replaced
| | | 05000414/LER-1989-021-02, :on 890821,hydrogen Skimmer Fan 2A Declared Inoperable in Order to Replace Breaker,In Response to NRC Bulletin 88-010.On 890825,breaker Tripped & Power Reduction Resumed.Caused by Inappropriate Action |
- on 890821,hydrogen Skimmer Fan 2A Declared Inoperable in Order to Replace Breaker,In Response to NRC Bulletin 88-010.On 890825,breaker Tripped & Power Reduction Resumed.Caused by Inappropriate Action
| | | 05000413/LER-1989-022, :on 890824,manual Reactor Trip Occurred Due to Failure of Gasket on Main Feedwater Valve Positioner Control Air Manifold.Main Feedwater Valve Positioners Being Inspected Weekly |
- on 890824,manual Reactor Trip Occurred Due to Failure of Gasket on Main Feedwater Valve Positioner Control Air Manifold.Main Feedwater Valve Positioners Being Inspected Weekly
| | | 05000413/LER-1989-023, :on 890915,Tech Spec 3.0.3 Entered as Result of Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Equipment Malfunctions.Control Room & Area Pressurization Flow Rates Revised |
- on 890915,Tech Spec 3.0.3 Entered as Result of Both Trains of Control Room Area Ventilation Sys Being Inoperable.Caused by Equipment Malfunctions.Control Room & Area Pressurization Flow Rates Revised
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