ML052380247

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LER 005-003-00 for Palo Verde, Unit 2 Regarding Two Independent Trains of Auxiliary Feedwater Inoperable
ML052380247
Person / Time
Site: Palo Verde Arizona Public Service icon.png
Issue date: 08/13/2005
From: Borchert P
Arizona Public Service Co
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
102-05321-DMS/CKS/DLK LER 05-003-00
Download: ML052380247 (6)


Text

FA subsidiaryofPinnadle Cast Capital Corporadon 10 CFR 50.73 Palo Verde Nuclear Generating Station David M. Smith Tel. 623-393-2002 Mail Station 7294 Plant Manager Fax. 623-393-1806 FO Box 52034 Nuclear Production e-mail: DSMlTH0lapsc.com Phoenix, AZ 85072-2034 102-05321 -DMS/CKS/DLK August 13, 2005 ATTN: Document Control Desk U.S. Nuclear Regulatory Commission Washington, DC 20555-0001

Dear Sirs:

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Unit 2 Docket No. STN 50-529 License No. NPF 51 Licensee Event Report 2005-003-00 Attached please find Licensee Event Report (LER) 50-529/2005-003-00 prepared and submitted pursuant to 10 CFR 50.73. This LER reports two trains of Auxiliary Feed Water rendered inoperable as a result of a single watertight fire door being left open and uncompensated.

In accordance with 10 CFR 50.73(d), copies of this LER are being forwarded to the NRC Regional Office, NRC Region IV and the Senior Resident Inspector. If you have questions regarding this submittal, please contact Daniel G. Marks, Section Leader, Regulatory Affairs, at (623) 393-6492.

The corrective actions described in this LER are not necessary to maintain compliance with regulations. Arizona Public Service Company makes no commitments in this letter.

Sincerely, DMS/CKS/DLK/ca Attachment cc: B. S. Mallett NRC Region IV Regional Administrator M. B. Fields NRC NRR Project Manager - (send electronic and paper)

G. G.Wamick NRC Senior Resident Inspector for PVNGS

NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB: NO. 3150-0104 EXPIRES: 0613012007 (6-2004) Estimated burden per response to comply with this mandatory collection request 50 hours5.787037e-4 days <br />0.0139 hours <br />8.267196e-5 weeks <br />1.9025e-5 months <br />. Reported lessons learned are Incorporated Into the licensing process and fed back to Industry. Send comments regarding burden estimate to the Records and FOlA/Privacy Service Branch (To F52), U.S.

LICENSEE EVENT REPORT (LER) Nuclear Regulatory Commission, Washington, DC 20555-0001, or by Internet e-mail to Infocollectsenrc.gov, and to the Desk Officer, Office of Information and RegufatoryAffalrs. NEOB-10202, (3150-0104), Office of Management and Budget, Washington, DC 20503. If a means used to Impose an Information (See reverse for required number of collectIon does not display a currently valid OMB control number. the NRC may digits/characters for eachi block) Inot conduct or sponsor. and a person Isnot required to respond to, the

1. FACILITY NAME 2. DOCKET NUMBER 3. PAGE Palo Verde Nuclear Generating Station Unit 2 05000529 1 OF 5
4. TITLE Two Independent Trains of Auxiliary Feedwater Inoperable
5. EVENT DATE 6. LER NUMBER 7. REPORT DATE 8. OTHER FACILITIES INVOLVED 1FACILITYDAY NAME DOCKET NUMBER MONTH DAY YEAR YEAR SEQUENTIAL REOVMONTH YEAR None 05000 FACILITY NAME DOCKET NUMBER 06 23 2005 2005 - 003 - 00 08 13 2005 None 05000
9. OPERATING MODE 11. THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CF:R§: (Check all that apply) ol 20.2201(b) 0 20.2203(a)(3XI) 0 50.73(aX2)(i)(C) 0 50.73(aX2)(vli) 1 0 20.2201(d) E 20.2203(a)(3Xii) 0 50.73(aX2)(1i)(A) 3 50.73(aX2)(viiiXA) o 20.2203(a)(1) 0 20.2203(a)(4) 0 50.73(a)(2#)(8) 0 50.73(a)(2)(viiiXB) 0l 20.2203(aX2)(i) 0 50.36(cX1)(iXA) 0 50.73(a)(2XiI) E0 50.73(a)(2Xix)(A)
10. POWER LEVEL E 20.2203(aX2)(ii) 0 50.36(cX1)(ii)(A) D 50.73(a)(2Xiv)(A) 0, 50.73(a)(2Xx) o 20.2203(aX2)(ii) 0 50.36(cX2) 0 50.73(a)(2XvXA) 0. 73.71(a)(4).

o 20.2203(aX2)(iv) 0:l 50.46(a)(3)(ii) 0 50.73(a)(2)(v)(B) E 73.71(a)(5) 100 E 20.2203(a)(2)(v) D 50.73(aX2)(i)(A) 0 50.73(a)(2)(v)(C) 0 OTHER 0 20.2203(aX2Xvi) r 50.73(aX2)(iXB) 0 50.73(a)(2)(v)(D) Specify In Abstract below or In NRC Form 366A

12. LICENSEE CONTACT FOR THIS LER FACILITY NAME TELEPHONE NUMBER (Include Area Code)

Daniel G. Marks, Section Leader, Regulatory Affairs (623) 393-6492 CAUSE SYSTEM COMPONENT MANU-FACTURER J

13. COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT
14. SUPPLEMENTAL REPORT EXPECTED REPORTABLE TO EPIX CAUSE SYSTEM COMPONENT
15. EXPECTED SUBMISSION MANTU-FACTURER MONTH DAY REPORTABLE TO EPIX YEAR 0 YES (If yes, complete 15. EXPECTED SUBMISSION DATE) 0 NO DATE ABSTRACT (Lmit to 1400 spaces, I e., approximately 15 single-spaced typewritten lines)

On June 23, 2005 at approximately 0823 Mountain Standard Time (MST) Unit 2 was operating at 100 percent power, model (power operations), when work control personnel notified the control room that door C-A06 was found opened by maintenance personnel with no compensatory measures established. Door C-A06 is a watertight fire door that functions as the train separation barrier between Auxiliary Feedwater (AFW) pump room "A" and "B." When door C-A06 is open with the unit operating in mode 1, compensatory action must be taken in order to maintain both AFW trains "A" and "B" operable. The maintenance crew that discovered door C-A06 open, established appropriate compensatory measure while they performed their task and closed C-A06 when they exited the area. Based on a review of security computer transaction logs, control room personnel determined that door C-A06 was opened with no compensatory actions taken between 0712 and 0755 (approximately 43 minutes). As such, AFW trains "A" and "B" were considered inoperable between 0712 and 0755. Based on further review and personnel interviews, an investigation concluded that a security officer had failed to close C-A06 after leaving the AFW pump room area. The investigation classified the event as an isolated human performance error. The security officer was coached on securing watertight fire doors.

In the past three years, no previous similar events were reported.

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NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (7-2001)

LICENSEE EVENT REPORT (LER)

1. FACILITY NAME Palo Verde Nuclear Generating Station 05000529 I 2. DOCKET Y ENRI
6. LER NUMBER TALREVISION NUMER
3. PAGE 2 OF 5 Unit 2 Ui212005 200 003 -

-- 00

17. NARRATIVE (if more space Isrequired, use additional copies of NRC Form 366A)
1. REPORTING REQUIREMENT(S):

This LER (50-529/2005-003-00) is being submitted pursuant to 10 CFR 50.73(a)(2)(vii),

to report an event where a single conditior caused two independent trains to become inoperable in a single system designed to remove residual heat and mitigate the consequences of an accident. Specifically, on June 23, 2005 a watertight fire door (EIIS: NM, DR) functioning as the'train separation barrier between Auxiliary Feedwater (AFW) (EIIS: BA) pump rooms 'A" and "B"was left open and unattended for 43 minutes.

As a result, AFiW trains "A" and "B"where rendered inoperable.

This event was initially reported to the Headquarters Operation Center as ENS 41789.

The event was reported as an unanalyzed condition that significantly'degrades plant safety [10 CFR 50.72(b)(3)(ii)(B)]. Subsequent review concluded that the event was not reportable under that criterion and the original ENS notification was not required.

2. DESCRIPTION OF STRUCTURE(S), SYSTEM(S) AND COMPONENT(S):

The AFW system consists of one essential steam turbine driven pump (train "A") (EIIS:

BA, P, TRB), one essential motor driven AFW pump (train "B") (EIIS: BA, P, MO), and one non-essential motor driven AFW pump (train "N") configured into three trains. The essential steam turbine-driven and motor-driven AFW pumps are located on the 80 ft level in the Main Steam Support Structure (EIIS: NM) in separate rooms designed to seismic category I requirements. Each essential pump provides 100 percent of AFW flow capacity to the steam generators (EIIS: AB, SG) as assumed in the accident analysis. The AFW system mitigates the consequences of any event with a loss of normal feedwater (EIIS: SJ). The design basis of the essential AFW trains is to supply water to the steam generator to remove decay heat and other residual heat, by delivering at least the minimum required flow rate to the steam generators at pressures corresponding to 1270 psia at the entrance to the steam generators. A watertight fire door (C-A06) functions as the train separation barrier between AFW train "A"and "B" pump rooms.

3. INITIAL PLANT CONDITIONS:

On June 23, 2005 at approximately 0823 MST Palo Verde Unit 2 was in Mode 1 (power operations), operating at approximately 100 percent power. There were no major structures, systems, or components inoperable at the start of the event that contributed to the event.

NRC FORM 366A (7-2001)

r,,l* ,a I . -V ?J 1rw"2-i I, NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION-(7-2001)

LICENSEE EVENT REPORT (LER)

1. FACILITY NAME 2. DOCKET 6. LER NUMBER 3. PAGE

,SEQUENTAL REVISION f .. YtEAR 'NUMBER NUMBER Palo Verde Nuclear Generating aion05000529 Y 3 OF 5 Unit 2 0 2005-- 003 -- 00

17. NARRATIVE (If more space Is required, use additional copies of NRC Form 366A)
4. EVENT DESCRIPTION:

June 23, 2005 at approximately 0823 Mountain Standard Time (MST) Unit 2 was operating at 100 percent power, mode 1, when control room personnel were notified that door C-A06 had been found open by maintenance personnel with no compensatory measures established. Door C-A06 is a watertight fire door that functions as the train separation barrier between AFW pump room 'A" and "B." When door C-A06 is open with the unit operating in mode 1, compensatory action must be taken in order to maintain both AFW trains "A" and 'B" operable. At 0823 MST, when the control room was notified of the condition, actions had been taken by maintenance personnel at door C-A06 to compensate for the door being open. The shift manager requested that security personnel obtain a copy and review the security computer transaction log for door C-AO1 to determine who had previously entered and exited AFW pump room "A."

(At the time of the event, the only access to AFW pump room "B" was through door C-A06 via AFW pump room 'A" and door C-AO1.) Based on a review of the security computer transaction log for docr C-AO1, control rocm personnel determined that door C-A06 was opened with no compensatory actions taken between approximately 0712 and 0755 (43 minutes). As such, AFW trains "A" and 'B" were considered inoperable between 0712 and 0755.

Based on the security transaction log review and interviews with security, maintenance, and work control personnel, at 0710 MST on June 23, a security officer (utility, non-licensed) entered AFW pump room "A" to perform testing on door C-AO1. During the performance of the test, the security officer experienced radio communication problems and was unable to hear the radio transmissions being made by the Secondary Alarm Station. The security officer remembered from previous experience that radio transmissions could be heard in the AFW pump room "B." The security officer opened door C-A06, entered AFW pump room "B," and after hearing the expected repeated radio transmission, returned to door C-AO1 to continue testing. The security officer did not close or take compensatory actions for door C-A06 after leaving AFW pump room "B." At 0712 MST, the security officer completed testing on door C-A01 and exited the area leaving door C-A06 open with no compensatory measures established. At 0755 MST (43 minutes later) maintenance personnel entered AFW pump room "A" to perform a pre-job walk down and noticed that door C-A06 was open. The maintenance crew provided compensatory measures for door C-A06 while they were in the area. When preparing to leave, one of the maintenance crew workers called the work control desk and asked if door C-A06 should be left in the open or closed position. At approximately 0823 MST, work control advised the maintenance crew that door C-A06 should be closed and notified the control room of the event. At approximately 0823 MST maintenance personnel closed door C-A06 and exited the area at 0832 MST.

NRC FORM 366A (7-2001)

NRC FbRM 366A U.S. NUCLEAR REGULATORY COMMISSION (7-2001)

LICENSEE EVENT REPORT (LER)

1. FACILITY NAME 2. DOCKET 6. LER NUMBER 3. PAGE vie  ;,y lSEQUENTAL lREVISION PaloVerdeNuclearGeneratingSt on Y EAR eNUMBER NUMBER 40F5 Palo 050005290 4 O Unt2- -2005 -- 003 - 00
17. NARRATIVE (ifmore space Is required, use additional copies ofNRC Form 366A)
5. ASSESSMENT OF SAFETY CONSEQUENCES:

On June 23, 2005, from 0712 to 0755 MST the two essential trains of AFW ("A" and "B")

were considered inoperable due to an opened, uncompensated watertight fire door-the non-essential train of AFW ("N") remained operable. The AFW system is designed to mitigate the consequences of any event with a loss of normal feedwater. Because no actual loss of normal feedwater occurred on June 23, 2005 there were no actual safety consequences associated with the two essential trains of AFW being rendered inoperable for 43 minutes.

Technical Specification Limiting Condition for Operation (LCO) 3.7.5 condition "C" provides required actions for two AFW trains inoperable in modes 1,2, or 3. The required action is to be in mode 3 within 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> and mode 4 within 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. The LCO was restored in approximately 43 minutes - less than the Completion Time required by Technical Specifications. The Technical Specification Bases state that the LCO 3.7.5(c) allowed Completion Times are reasonable, based on operating experience, to reach the required unit conditions from ful power conditions in an orderly manner and without challenging unit systems.

The risk associated with 43 minutes of exposure to flooding, fire or a seismic event was reviewed by the Probabilistic Risk Assessment personnel. A core damage frequency of 1E-7 delta CDF was considered the threshold for having very low safety significance.

Operation with the watertight fire door open for 152 hours0.00176 days <br />0.0422 hours <br />2.513228e-4 weeks <br />5.7836e-5 months <br /> would be required to reach the 1E-7 delta CDF threshold due to a flooding event. Similarly, operation with the watertight fire door open for 14,624 hours0.00722 days <br />0.173 hours <br />0.00103 weeks <br />2.37432e-4 months <br /> would be required to reach the 1E-7 delta CDF threshold due to a fire event. There is no change to seismic risk, since the barrier provides no protection against an earthquake. The risk impact of having C-A06 opened and uncompensated for 43 minutes was minimal - below the threshold for having very low safety significance.

The condition would not have prevented the fulfillment of any safety function and did not result in a safety system functional failure as defined by 10 CFR 50.73(a)(2)(v).

6. CAUSE OF THE EVENT:

A security officer (utility, non-licensed) failing to close door C-A06 after exiting AFW pump room "B"caused the event. The incident investigation determined the failure was an isolated human performance error in that the security officer did not apply a sufficient degree of attention while exiting door C-A06. No procedural or training weaknesses associated with the proper operation of door C-A06 were found to have been contributing factors in the event.

NRC FORM 366A (7-2001)

, I. .N I .',,t, ,

NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (7-2001)

LICENSEE EVENT REPORT (LER)

1. FACILITY NAME 2. DOCKET 6. LER NUMBER 3. PAGE

-YEAR SEQUENTAL REVISION Palo Verde Nuclear Generating Station 2NUMBER YER NUMBER Unt205000529 5O Unt22005 -- 003 - 00

17. NARRATIVE (if more space Is required, use additional copies of NRC Form 366A)
7. CORRECTIVE ACTIONS:

The security officer responsible for the event was coached on securing watertight fire doors. Additionally, a security briefing was issued to inform security personnel of the event.

8. PREVIOUS SIMILAR EVENTS:

Inthe past three years, no previous similar events were reported.

NRC FORM 366A (7.2001)