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January 30, 1990 1
a RBG-32220 -
i File Nos. G9.5, G9,25.1.3 U.S. Nuclear Regulatory Commission"
- - Document Control Desk Washington, D.C.
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e Gentlemen:
River Bend Station - Unit 1:
Docket No. 50-458 Please. find enclosed Licensee,. Event Report No.90-001 for River Bend Station - Unit 1.
This: report is being submitted pursuant-to 10CFR50.73.
- - Sincerely, Y**7 J. E. Booker
- - k
- - Manager-River Bend Oversight i
n W m h 4 h'e k. es t River Bend Nuclear Group i
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- - JtB/TFP/RGW/DCH/ELG/pg l'
- - cc: -U.S. Nuclear Regulatory Commission-611 Ryan Plaza' Drive, Suite 1000 Arlington, TX 76011 l
NRC Resident' Inspector i
P.O. Box 1051 St. Francisville, LA 70775-1 1
INP0 Records Center 1100 Circle 75 Parkway p
Atlanta, GA 30339-3064
/9 9002080021 900130 l
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At-2122 hours on January 3,
- 1990, with the unit in Operational p
Condition 1 at 100 percent power, an isolation of the reactor core l
isolation cooling (RCIC) steam supply inboard isolation valve (IE51*MOVF063) occurred.
This was caused by an instrumentation and controls-(I&C) technician lifting an incorrect lead during the performance of a surveillance test procedure (STP).
This event was a
l-Division II RCIC system (*BN*) isolation and thus an engineered safety feature (ESF) actuation.
Therefore, this report is hereby submitted pursuant to 10CFR50.73(a)(2)(iv).
This event occurred during surveillance testing of the RCIC system.
Thus, the system was inoperative and the plant was in a
limiting condition for operation (LCO).
The RCIC isolation occurred as
. designed.
No other safety systems were involved or affected.
The RCIC system was restored to operable status following completion of surveillance testing.
Therefore, there was no adverse impact on the health and safety of the public as a result of this event.
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UCENSEE EVENT REPORT RERI TEXT CONTINUATION awaoveo oue o rue.
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s ac a m w nn REPORTED CONDITION At 2122 hours0.0246 days <br />0.589 hours <br />0.00351 weeks <br />8.07421e-4 months <br /> on January 3,
- 1990, with the unit in Operational Condition 1 at 100 percent power, an isolation of the reactor core isolation cooling (RCIC) steam supply inboard isolation valve (IE51*MOVF063) occurred.
This was caused by an instrumentation. and controls (180) technician lifting an incorrect lead during the performance of a surveillance test procedure (STP).
This event was a
Division II RCIC system (*BN*) isolation and thus an engineered safety feature (ESF) actuation.
Therefore, this report is hereby submitted pursuant to 10CFR50.73(a)(2)(iv).
INVESiljAllpN 4
At the time of the event, surveillance test procedure (STP) 207-4295, I
rev 4
"RCIC-RCIC Steam Line Flow High Timer Quarterly Ch.
Cal.
(E51-K84)"
was being performed.
During the performance of the STP, technicians were required to lift the lead on relay lE51*K84 terminal M1 to prevent the RCIC steam supply inboard isolation valve 1E51*MOVF063 (*ISV*) from stroking closed.
- However, the technician lifted the lead on relay 1E12A-K129C terminal M1 in error.
This contact is for the residual heat removal (RHR) pump IE12-C002C stop control automatic trip indication only and would not have affected the operation of the RHR pump automatic trip function.
The STP was continued and an isolation signal was generated causing IE51*MOVF063 to stroke closed.
The shift supervisor was notified of the event.
The trip signal was
- removed, the lead was relanded on IE12A-K129C terminal M1 and the isolation signal was reset.
The STP was completed with no further occurrences.
A similar event was reported in LER 88-019.
In this case, leads were inadvertently lifted from a control cabinet instead of the junction box for a radiation monitor.
This event resulted in an initiation of the fuel building charcoal filtration system.
Corrective action for this event included, counseling for the individuals involved in the event as well as training for all IAC technicians.
CORRECTIVE ACTION
The lead was relanded on IE12A-K129C terminal M1 and the Division II isolation was reset.
The STP was completed with no further occurrences.
Maintenance guidelines, which include the procedure for lifting leads in the control room pc els, have been added-to ADM-0023
" Conduct of Maintenance."
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Training will be conducted on the event for all
!&C foremen and technicians.
Training will also be conducted on A0M-0023 for all IAC and electrical maintenance personnel.
The required training will be completed by March 3,
1990.
The individuals involved in the event have received counseling.
l
SAFETY ASSESSMENT
This event occurred during surveillance testing of the RCIC system.
- Thus, the system was inoperative end the plant was in a limiting
. condition-for operation (LCO).
The RCIC isolation occurred as designed.
No other safety systems were involved or affected.
The RCIC system was restored to operable status following completion of surveillance testing.
Therefore, there was no adverse impact on the health and safety of the public as a result of this event.
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NOTE:
Energy Industr Identification System Codes are identified in the text as (*XX*).
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| 05000458/LER-1990-001, :on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on Terminal |
- on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on Terminal
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-004, :on 900211,div II Emergency 125-volt Dc Bus Experienced Voltage Spike Causing Topaz Inverter Unit to Trip.Caused by Drift of Inverter High Voltage Trip Setpoint. Inverters Calibr |
- on 900211,div II Emergency 125-volt Dc Bus Experienced Voltage Spike Causing Topaz Inverter Unit to Trip.Caused by Drift of Inverter High Voltage Trip Setpoint. Inverters Calibr
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-006, :on 900309,error in Calculations for Pressure Temp Limit Curves in Tech Specs 3.4.6.1-1 Discovered.Caused by Personnel Error.Tech Spec Pressure Temp Limit Curves to Be Revised,Per Generic Ltr 88-11 |
- on 900309,error in Calculations for Pressure Temp Limit Curves in Tech Specs 3.4.6.1-1 Discovered.Caused by Personnel Error.Tech Spec Pressure Temp Limit Curves to Be Revised,Per Generic Ltr 88-11
| | | 05000458/LER-1990-007, :on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of Procedures |
- on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of Procedures
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-008, :on 900315,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Loss of Field Relay. Relay Reworked & Returned to Svc After Testing & Maint Procedures Revised |
- on 900315,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Loss of Field Relay. Relay Reworked & Returned to Svc After Testing & Maint Procedures Revised
| | | 05000458/LER-1990-009, :on 900319,both Inboard & Outboard Isolation Valves Failed Local Leak Rate Test.Caused by Silt & Corrosion Products Present in Both Valves.Disk Hinge Ping Area Cleaned & Valve Seats Inspected |
- on 900319,both Inboard & Outboard Isolation Valves Failed Local Leak Rate Test.Caused by Silt & Corrosion Products Present in Both Valves.Disk Hinge Ping Area Cleaned & Valve Seats Inspected
| | | 05000458/LER-1990-010, :on 900320,rope Barricade for High Radiation Area Removed.Caused by Personnel Error.Training on Radiation Protection Practices Will Be Provided to Plant Operators to Emphasize Importance of Requirements |
- on 900320,rope Barricade for High Radiation Area Removed.Caused by Personnel Error.Training on Radiation Protection Practices Will Be Provided to Plant Operators to Emphasize Importance of Requirements
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-011, :on 900326,faulted Condition on Transformer 1NJS-X1A Resulted in Trip of Circuit Breaker ACB-016 on Switchgear 1NJS-SWGR1A.Caused by Random Failure of Transformer.Tranformer Replaced |
- on 900326,faulted Condition on Transformer 1NJS-X1A Resulted in Trip of Circuit Breaker ACB-016 on Switchgear 1NJS-SWGR1A.Caused by Random Failure of Transformer.Tranformer Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-012, :on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B |
- on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-013, :on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet Revised |
- on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet Revised
| | | 05000458/LER-1990-014, :on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves Replaced |
- on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves Replaced
| | | 05000458/LER-1990-015, :on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit Logics |
- on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit Logics
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-016, :on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal Operation |
- on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal Operation
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-017, :on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap Seal |
- on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap Seal
| | | 05000458/LER-1990-019, :on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit Replaced |
- on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-020, :on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to Operators |
- on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to Operators
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-021, :on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel Retrained |
- on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel Retrained
| | | 05000458/LER-1990-022, :on 900518,HPCS Sys Declared Inoperable & 14-day Shutdown Limiting Condition for Operation Entered Due to Inoperative Suppression Pool Level Transmitter.Caused by Personnel Error.Reactor Operators Trained |
- on 900518,HPCS Sys Declared Inoperable & 14-day Shutdown Limiting Condition for Operation Entered Due to Inoperative Suppression Pool Level Transmitter.Caused by Personnel Error.Reactor Operators Trained
| | | 05000458/LER-1990-023, :on 900523,standby Gas Treatment & Annulus Mixing Sys Declared Inoperable.Caused by Failure of Radiation Monitor Sample Pump.Operation Section Procedure, OSP-012 Revised |
- on 900523,standby Gas Treatment & Annulus Mixing Sys Declared Inoperable.Caused by Failure of Radiation Monitor Sample Pump.Operation Section Procedure, OSP-012 Revised
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-024, :on 900719,discovered Missed Fire Watch Patrol. Caused by Miscommunication & Inadequate Verification of Fire Watch Log.New Log Book Designed to Be Passed Down to Each Succeeding Shift,Will Be Used |
- on 900719,discovered Missed Fire Watch Patrol. Caused by Miscommunication & Inadequate Verification of Fire Watch Log.New Log Book Designed to Be Passed Down to Each Succeeding Shift,Will Be Used
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-025, :on 900809,surveillance Requirements Not Performed on Valve Due to Omission from Tech Spec Table 3.6.4-1.Caused by Personnel Oversight.Monthly Operating Log Revised |
- on 900809,surveillance Requirements Not Performed on Valve Due to Omission from Tech Spec Table 3.6.4-1.Caused by Personnel Oversight.Monthly Operating Log Revised
| | | 05000458/LER-1990-026, :on 900810,RWCU Isolated.Caused by Short Circuit During Jumper Manipulation.Prompt Maint Work Order Initiated to Replace Blown Fuses |
- on 900810,RWCU Isolated.Caused by Short Circuit During Jumper Manipulation.Prompt Maint Work Order Initiated to Replace Blown Fuses
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-027, :on 900916,fire Watch Missed Due to Personnel Illness |
- on 900916,fire Watch Missed Due to Personnel Illness
| | | 05000458/LER-1990-028, :on 900930,RPS Actuation Occurred on High Level Scram Disharge Vol |
- on 900930,RPS Actuation Occurred on High Level Scram Disharge Vol
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-029, :on 901006,safety Relief Valve Air Supply Sys Removed from Svc Resulting in Violation of Tech Specs.W/ |
- on 901006,safety Relief Valve Air Supply Sys Removed from Svc Resulting in Violation of Tech Specs.W/
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-030, :on 901010,high Radiation Area Violated Due to Personnel Error |
- on 901010,high Radiation Area Violated Due to Personnel Error
| 10 CFR 50.73(a)(2)(1) | | 05000458/LER-1990-031, :on 901003,areas Omitted from Hourly Fire Watch Patrols Due to Personnel Error |
- on 901003,areas Omitted from Hourly Fire Watch Patrols Due to Personnel Error
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000458/LER-1990-032, :on 901021,snubber Removed from Piping in Violation of Tech Spec 3.7.4 |
- on 901021,snubber Removed from Piping in Violation of Tech Spec 3.7.4
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000458/LER-1990-035, :on 901027,loss of Shutdown Cooling Occurred Due to Engineer Failing to Recognize Effect of Cable Removal |
- on 901027,loss of Shutdown Cooling Occurred Due to Engineer Failing to Recognize Effect of Cable Removal
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-036, :on 901104,Div I balance-of-plant Isolation Occurred During Mods to Wiring in Control Room Panel.W/ |
- on 901104,Div I balance-of-plant Isolation Occurred During Mods to Wiring in Control Room Panel.W/
| | | 05000458/LER-1990-037, :on 901105,two Contract Employees Entered High Radiation Area in Violation of Tech Specs |
- on 901105,two Contract Employees Entered High Radiation Area in Violation of Tech Specs
| | | 05000458/LER-1990-038, :on 901108,loosening of Common Neutral Connection in RPS a Resulted in Div I balance-of-plant Isolation & Loss of Shutdown Cooling.Caused by Design Engineer Error.Mod Request Revised |
- on 901108,loosening of Common Neutral Connection in RPS a Resulted in Div I balance-of-plant Isolation & Loss of Shutdown Cooling.Caused by Design Engineer Error.Mod Request Revised
| | | 05000458/LER-1990-039, :on 901109,power Lost of 480-volt Load Ctr, Causing Loss of RPS B Motor Generator Set & Isolations of RWCU & Div II Containment Isolation Valves.Caused by Inadequate Communication.Training Given |
- on 901109,power Lost of 480-volt Load Ctr, Causing Loss of RPS B Motor Generator Set & Isolations of RWCU & Div II Containment Isolation Valves.Caused by Inadequate Communication.Training Given
| | | 05000458/LER-1990-040, :on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually Secured |
- on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually Secured
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-041, :on 901113,operability Containment Isolation Valve Indeterminate Due to Improperly Installed Torque Switch.Torque Switch Removed & Installed in Proper Position |
- on 901113,operability Containment Isolation Valve Indeterminate Due to Improperly Installed Torque Switch.Torque Switch Removed & Installed in Proper Position
| | | 05000458/LER-1990-043, :on 901119,unanticipated Safety Feature Actuation of Rha Sys a Sys & Control Bldg Emergency Filter Train Occurred.Caused by Error in Preparation of Retest Procedure.Personnel Will Receive Training |
- on 901119,unanticipated Safety Feature Actuation of Rha Sys a Sys & Control Bldg Emergency Filter Train Occurred.Caused by Error in Preparation of Retest Procedure.Personnel Will Receive Training
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-044, :on 901119,div II Valves & Dampers Isolated When Breaker Opened Instead of Power Supply Breaker Causing Deenergization of Power Line Conditioner.Caused by Personnel Failure to Follow Procedure |
- on 901119,div II Valves & Dampers Isolated When Breaker Opened Instead of Power Supply Breaker Causing Deenergization of Power Line Conditioner.Caused by Personnel Failure to Follow Procedure
| | | 05000458/LER-1990-045, :on 901121,unplanned ESF Actuation Occurred During Surveillance Testing of Drywell Bypass Leakage Rate. Caused by Inadequate Procedural Steps in Surveillance Test Procedure.Hpcs Suction Path Automatic Transfer Performed |
- on 901121,unplanned ESF Actuation Occurred During Surveillance Testing of Drywell Bypass Leakage Rate. Caused by Inadequate Procedural Steps in Surveillance Test Procedure.Hpcs Suction Path Automatic Transfer Performed
| | | 05000458/LER-1990-046, :on 901205,unplanned ESF Actuation Occurred When Spurious Trip Signal Received from RCIC Equipment Room Differential Temp Instrumentation.Caused by Isolation Valve Stroked Closed.New Switch Installed |
- on 901205,unplanned ESF Actuation Occurred When Spurious Trip Signal Received from RCIC Equipment Room Differential Temp Instrumentation.Caused by Isolation Valve Stroked Closed.New Switch Installed
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-047, :on 901212,reactor Scrammed Due to Turbine Control Valve Fast Closure Signal During Valve Testing. Caused by Low electro-hydraulic Trip Sys Pressure Transient. Orifices Installed on Tcvs,Tsvs & CIVs |
- on 901212,reactor Scrammed Due to Turbine Control Valve Fast Closure Signal During Valve Testing. Caused by Low electro-hydraulic Trip Sys Pressure Transient. Orifices Installed on Tcvs,Tsvs & CIVs
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000458/LER-1990-048, :on 901224,EQ Operability Status of Two H Ingniters Apparently Exceeded Lifetimes.Caused by Temps Higher than Originally Used to Calculate Lifetimes.Six H Igniters & Associated Cables Replaced |
- on 901224,EQ Operability Status of Two H Ingniters Apparently Exceeded Lifetimes.Caused by Temps Higher than Originally Used to Calculate Lifetimes.Six H Igniters & Associated Cables Replaced
| 10 CFR 50.73(a)(2)(1) |
|