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GULF STATES UTELITIES COMPANY filVI N DIND $1 Af 60N PostOff108ODX220 Si f RANCISVILLt. LOUIStANA 70776 A41 A CODI ted 636 6094 346 Sti61 i
October. 30, 1990 RBG-33923 File Nos. G9.5, G9.25.1.3 U.S. Nuclear Regulatory Ccanission Document Control Desk Washington, D.C.
20555 Gentlenent River Bend Station - Unit 1 Docket No. 50-458 Please find enclosed Licensee Event Report No.90-028 for River Bend Station - Unit 1.
cThis report 'is being subnitted -
pursuant to 10CFR50.73.
Since 1,
W. H. Odell Manager-Oversight River Bond Nuclear Group cc U.S. Nuclear Regulatory Cmmission 611 Ryan Plaza Drive, suite 1000 Arlington, TX 76011-NRC Desident Inspector P.O. Box 1051 St. Francisville, IA 70775 INPO Records Center 1100 Circle 75 Parkway-Atlanta, GA 30339-3064L Mr. C. R. Oberg Public Utility Cartnission:of _'Ibxas 7800 Shoal Creek Blvd., Suite 400_ North.
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,1Ciu,, NAME n, OOC.8, uM.t. o, Am UIVER BEND STATION 0151010l0l41518 1 loFl 013 Reactor Protection System Actuation on High Level in the Scram Discharge Volume due to operator I:rror I
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At approximately 0427 on 09/30/90 with the unit in Operational Condition 4 (Cold Shutdown),
the reactor protection system (RPS) actuated on high water level in the scram discharge volume (SDV).
All control rods were inserted previously and no additional rod motion occurred due to the RPS actuation.
The root
cause
of the RPS actuation was the failure of the operator to bypass the scram discharge vclume (SDV) high level trip.
This event is reportable pursuant to 10CFR50.73 (a) (2) (iv) as an engineered safety feature (ESP) actuation.
All licensed operators will receive on-shift training on this event.
In
- addition, a
" CAUTION" - will be added to Abnormal Operating "rocedure, AOP 0001 (Reactor Scram)- to remind the operatc.rs that the-scram discharge volume will take longer to fill and thus reach the high level trip when the plant-is at reduced pressure and/or there is no control rod motion.
The control rods were fully inserted prior to this event.
No additional rod motion occurred as a
result of the unplanned RPS actuation, and the.'PS system responded as designed.
Therefore, this event did not ' dversely affect the health and safety of the public.
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i, LICENSEE EVENT REPORT (LER).
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wnac n.in muw on REPORTED CONDITION At approximately 0427 on 09/30/90 with the unit ~in Operational; Condition 4 (Cold shutdown),
the. reactor protection system' (RPS)
'l
(*JE*)
actuated.on_
high water level in'the_ scram discharge volume (SDV).
All control rods were inserted previously and.no : additional rod motion occurred due to the RPS actuation.- The root cause of the
{
RPS actuation was the failure of the operator to bypass the ;SDV. high level trip.
This-' event is reportable pursuant to 10CFR50.73 (a)-(2) (iv)-
as an engineered safety fehture-(ESP) actuation.
INVESTIGATION f
on September 30, 1990, the reactor mode ~ switch
_ as in._the
" refuel"-
w position to allow. surveillance. testing of the! nuclear' instruments.?
With the surveillance testing completed, the; reactor mode --switch was required to be placed-in the
" shutdown" ' position.
At 0426=the at-the-controls (ATC). operator placed the mode switch in the
" shutdown" position, which in turn caused!a reactor protection system c
(RPS) actuation.
This RPS actuation was expected in response-to the i
preplanned placement of the mode switch in the " shutdown'.' position and thus is not reportable; however, a later RPS_ actuation. occurred due:to the failure of the ATC operatar to bypass the.SDVLhigh' level l trip.
This RPS actuation is, reportable p2rsuant_to 10CFR50. 73.
Following the expected RPS actuation,-the ATC operator. verified _ that the scram pilot solenoid valve statusz lights (*IL*)c had de-energized, but failed to review" Abnormal Operating-Procedure, AOP.-0001
(" Reactor
[
- - Scram")
for subsequent operator' actions.-
.The ATC operator-then 4
noticed that the "CRD Scram Disch-Vol.High Water ~ Level"._ alarm
(*LA*)
i did not actuate.
'When the plant ~is' shutdown, _the SDV requires _more time to fill up than it'does.following control rod movement at : normal, I
l operating pressure.
At this point,'without placing-thec"CRD Scram
- - i Disch Vol High Water Level Bypass" switches;in the " bypass"_ position,-
he, reset the;RPS actuation..At approximately.0427 the SDV_.high-water level trip occurred
- and caused the second RPS actuation.
This;
- - l I
actuation was.not a'
part of' a preplanned _ activity!.and thus51s L
reportable under 10CFR50.73 as an ESF actuation.
At the' direction - of 4
l the-Shift-Supervisor, the ATC operator reviewed AOP-0001:and properly.
- - reset the RPS actuation.
L q
A review ~ of previousl'y submitted LERs. revealed a
similar event?
j l
reported. in LER-85-002'.
In LER
'85- 002, three RPS actuations are 1
L described.
The first,and third RPS actuations were due to' inadvertent
~!
noise spikes; during an-inspection..of the main steam.line radiation monitors which tripped:RPS channel B coupled with RPS channel A'~being in a
manually tripped condition to perform the calibration.
The second actuation was due to high level in the SDV.
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CORRECTIVE ACTION
[
l After the RPS actuation was reset, the Shift Supervisor' stopped all work in the main control room - and-briefed all on-shift-licensed-operators on this event..
He emphasized ~the need'to maintain control and the use of procedures.'regardless "of theDcurrent: Operational Condition.
Once he was satisfied that all.of the ' operators present-3
- - understood the severity of-the: situation;he authorized the restart of work activities.-
5 As-further corrective action'a " CAUTION" will be. added to-AOP-0001,
" Reactor Scram".
The " CAUTION" will be used.to remind the operators" i
'that at reduced reactor pressure;and/or with no-control l rod motion-that the SDV will take longer to fill and reach the high level trip.
In addition, all licensed operators will receive on-shift 1 training on this event by November 6, 1990.
SAFETY ASSESSMENT
The control rods were fully ' inserted prior to : this'. event.
No i
additional rod motion occurred.as' a result.of -
the'.= unplanned RPS actuation, and the RPS system responded as. designed.- Therefore,.this' l
event did not adversely affect the health'and safetyfof'the public..
NOTE:
Energy Industry Identification: System Codes are identified'lin?
j the text as (*XX*).
l s
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s NIC Penn 300A (649) -
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|
|---|
|
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| | | Reporting criterion |
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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) |
|