ML14191B106

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Insp Rept 50-261/89-07 on 890211-0310.Violation Noted.Major Areas Inspected:Operational Safety Verification,Surveillance Observation,Maint Observation,Esf Sys Walkdown,Onsite Followup of Events & Onsite Review Committee
ML14191B106
Person / Time
Site: Robinson Duke Energy icon.png
Issue date: 04/06/1989
From: Dance H, Garner L, Jury K
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML14191B103 List:
References
50-261-89-07, NUDOCS 8904200180
Download: ML14191B106 (9)


See also: IR 05000261/1989007

Text

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UNITED STATES

NUCLEAR REGULATORY COMMISSION

REGION II

101 MARIETTA STREET, N.W.

ATLANTA, GEORGIA 30323

Report No.:

50-261/89-07

Licensee:

Carolina Power and Light Company

P. 0. Box 1551

Raleigh, NC

27602

Docket No.:

50-261

License No.: DPR-23

Facility Name: H. B. Robinson

Inspection Conducted: February 11 -

March 10, 1989

Inspector:

A_____

__

__

__________

k

L. W. Garner, Senior Resident Inspector

ate Signed

K. R. Jury, Resident Inspector

Date Signed

Approved by: 9'

C 4

-

-'--4-4/

H. C. Dance, Section Chief

Date Signed

Division of Reactor Projects

SUMMARY

Scope:

This routine announced inspection was conducted in the areas of opera

tional safety verification, surveillance observation, maintenance observation,

ESF system walkdown, onsite followup of events at operating power reactors, and

onsite review committee.

Results:

The unit experienced a high steam flow coincident with Low Tavg SI

induced reactor trip from 30% power due to a personnel

error.

While

troubleshooting a EH power supply an I & C technician inadvertently connected a

current meter into the control circuit. The resultant short circuit closed two

governor valves, thereby, initiating the transient.

A violation was identified concerning procedure usage. Procedure steps were

signed off certifying that safety related valves operated properly before the

post-maintenance tests were actually performed, paragraph 4.

An operator was observed manipulating a valve without first verifying valve

identification, resulting in the wrong valve being manipulated.

This poor

practice is discussed in paragraph 3.

The licensee demonstrated a conservative approach to safety, in that, plant

operation has been voluntarily limited to 9 months as a result of the A loop

hot leg RTD thermowell cracking issue described in paragraph 6.

,i,,904200 1808946

p~ D

VCK 05000261

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REPORT DETAILS

1. Licensee Employees Contacted

R. Barnett, Maintenance Supervisor, Electrical

C. Bethea, Manager, Training

R. Chambers, Engineering Supervisor, Performance

  • D. Crook, Senior Specialist,.Regulatory Compliance
  • J. Curley, Director, Regulatory Compliance
  • C. Dietz, Manager, Robinson Nuclear Project Department

R. Femal, Shift Foreman, Operations

W. Flanagan, Manager, Design Engineering

W. Gainey, Support Supervisor, Operations

  • E. Harris, Director, Onsite Nuclear Safety
  • R. Johnson, Manager, Control and Administration

D. Knight, Shift Foreman, Operations

D. McCaskill, Shift Foreman, Operations

R. Moore, Shift Foreman, Operations

  • R. Morgan, Plant General Manager

0. Nelson, Maintenance Supervisor, Mechanical

M. Page, Acting Manager, Technical Spport

D.

Quick, Manager, Maintenance

F.

Seagle, Shift Foreman, Operations

J. Sheppard, Manager, Operations

R. Steele, Acting Operating Supervisor, Operations

  • H. Young, Director, Quality Assurance/Quality Control

Other licensee employees contacted included technicians, operators,

mechanics, security force members, and office personnel.

  • Attended exit interview on March 12, 1989.

Acronyms and initialisms used throughout this report are listed in the

last paragraph.

2. Operational Safety Verification (71707)

The inspectors observed licensee activities to confirm that the facility

was being operated safely, in conformance with regulatory requirements,

and that the

licensee management control

system was effectively

discharging its responsibilities for continued safe operation.

These

activities were confirmed by: direct observations, tours of the facility,

interviews and discussions with licensee management and personnel,

independent verifications of safety system status and limiting conditions

for operation, and reviews of facility records.

2

Periodically, the inspectors reviewed shift logs, operations records, data

sheets, instrument traces, and records of equipment malfunctions to verify

operability of safety-related equipment and compliance with TS. Specific

items reviewed include control room logs,

maintenance work requests,

auxiliary logs,

operating orders,

standing orders,

jumper logs,

and

equipment tagout records.

Through periodic observations of work in

progress and discussions with operations staff members,

the inspectors

verified that the staff was knowledgeable of plant conditions; responded

properly to alarm conditions; adhered to procedures and applicable

administrative controls; and was

aware of equipment out of service,

surveillance testing, and maintenance activities in progress.

The

inspectors routinely observed shift changes to verify that continuity of

system status was maintained and that proper control

room staffing

existed. The inspectors also observed that access to the control room was

controlled and operations personnel were carrying out their assigned

duties in an attentive and professional manner.

The control room was

observed to be free of unnecessary distractions. The inspectors performed

channel checks, reviewed component status and safety related parameters,

including SPDS information, to verify conformance with the TS.

During this reporting interval, the inspectors verified compliance with

selected LCOs. This verification was accomplished by direct observation

of monitoring instrumentation, valve positions, switch positions,

and

review of completed logs and records.

Plant tours were conducted to verify the operability of standby equipment;

assess the general

condition of plant equipment;

and verify that

radiological controls, fire protection controls, and equipment tag out

procedures were properly implemented. These tours verified the following:

the absence of unusual fluid leaks; the lack of visual degradation of

pipe, conduit and seismic supports; the proper positions and indications

of important valves and circuit breakers; the lack of conditions of which

could invalidate EQ; the operability of safety-related instrumentation;

the calibration of safety-related and control instrumentation including

area radiation monitors, friskers and portal monitors; the operability of

fire suppression and fire fighting equipment;

and the operability of

emergency lighting equipment.

The

inspectors also verified that

housekeeping was adequate and areas were free of unnecessary fire hazards

and combustible materials.

In the course of the monthly activities, the inspectors included a review

of the licensee's physical security and radiological control programs.

The inspectors verified by general observation and perimeter walkdowns

that measures taken to assure the physical protection of the facility met

current requirements. The inspectors randomly verified that radiological

controls were being adhered to by station personnel.

No violations or deviations were identified within the areas inspected.

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3

3. Monthly Surveillance Observation (61726)

The inspectors observed certain surveillance related activities of

safety-related systems and components to ascertain that these activities

were conducted in accordance with license requirements.

For the

surveillance test procedures listed below, the inspectors determined that

precautions and LCOs were met,

the tests were completed at the required

frequency, the tests conformed to TS requirements, the required adminis

trative approvals and tagouts were obtained prior to initiating the tests,

the testing was accomplished by qualified personnel in accordance with an

approved test procedure,

and the required test instrumentation

was

properly calibrated.

Upon completion of the testing, the inspectors

observed that the recorded test data was accurate, complete and met TS

requirements,

and that test discrepancies were properly rectified.

The

inspectors independently verified that the systems were properly returned

to service. Specifically, the inspectors witnessed/reviewed portions of

the following test activities:

a. OST-202 (revision 16) Steam Driven Auxiliary Feedwater System

Component Test

The test implements surveillance requirements of ASME Section XI and

TS 4.8.

The inspectors witnessed the performance of section 7.2

which tests the SDAFW pump.

The test was performed in order to

declare the SDAFW pump operable after adjustments of the Masoneilan

pressure controller were completed. The adjustments were necessary

as the required flow rate had not been obtained during the

performance of OST-206. The inspectors verified that the acceptance

criteria concerning pump speed, differential pressure, vibration, and

feed-steam differential pressure were met.

b. OST-206 (revision 9) Steam Driven Auxiliary Feedwater Pump Flow Test

The procedure implements test requirements of ASME Section XI.

On

February 24,

1989,

the SDAFW pump developed approximately 300 gpm

instead of the anticipated 600 gpm during the test performance.

During troubleshooting activities, the operator was observed to

manipulate an instrument air valve without first reading the valve

tag. This resulted in manipulation of the air regulator valve to the

Masoneilan pressure controller instead of the controller's air

isolation valve. This had no safety significance in that the SDAFW

pump was already inoperable. However, the inspectors have observed a

tendency by operations personnel to not alway verify valve identifi

cation prior to operating valves. This is considered a poor work

practice. The inspectors acknowledge that there is no requirement to

verify a valve tag prior to operating equipment.

However,

the

licensee is required to identify equipment in

some manner

and

4

implement procedures adequately.

In the context of equipment

identification established by the licensee (i.e., valve tags), the

failure to habitually use the established system (i.e.,

read valve

tags) is considered a weakness. This issue was discussed with the

Operations

Manager.

The

inspectors observed

adjustment of the

pressure controller by I&C, and the subsequent successful completion

of OST-206.

No violations or deviations were identified within the areas inspected.

4. Monthly Maintenance Observation (62703)

The

inspectors observed several maintenance related activities of

safety-related systems and components to ascertain that these activities

were conducted in accordance with approved procedures, TS, and appropriate

industry codes and standards.

The inspectors determined that these

activities did not violate LCOs,

and that redundant components were

operable.

The

inspectors

also

determined that

activities were

accomplished by

qualified

personnel

using

approved

procedures,

appropriate ignition and fire prevention controls were implemented,

and

the affected equipment was properly tested before being returned to

service.

In particular, the inspectors observed/ reviewed the following

maintenance activities:

o

CM-111

(revision

5); Limitorque Limit Switch and Torque Switch

Maintenance

o

WR/JO 89-ACUM1; Weld repair of A SWBP PI-1601A pressure indicator

sensing line.

o

WR/JO 89-ACXW1; Repair of B EDG air compressor.

On February 15, 1989, while reviewing implementation of CM-111 associated

with WR/JO 89-ACMK1 and 89-ACML1, the inspectors identified a procedure

usage problem.

The WRs involved inspection of V2-14A (89-ACMK1)

and

V2-14C

(89-ACML1),

the SDAFW pump discharge valves to S/Gs A and C,

respectively. Step 7.6.4 of CM-111 requires verification of proper motor

operator function when the valves are electrically cycled fully open

and closed.

This verification is to be initialed on the associated

attachment 8.1.

The inspectors identified that this verification was

initialed as having been completed before the valve operators were

completely reassembled.

Upon discussion of this situation with the maintenance personnel performing

the work,

the inspectors were told that they had every intention of

completing the procedure, and that they had just signed the verification

step in advance. This situation is identified as a violation: Initialing

Procedure Steps Prior to Performing Work (89-07-01).

One violation was identified within the areas inspected.

5

5. ESF System Walkdown (71710)

The inspectors performed a field walkdown of parts of the CS andthe SI

sub-systems shown on drawings 5379-1082 sheets 1, 2 and 3, and the MDAFW

sub-system shown on drawing G-190197 sheet 4. Specifically, the

inspectors examined the system components located in the CS tank room, the

SI pump room,

the CCW room,

and the MDAFW pump

room.

Items examined

included pumps,

valves, piping, pipe supports,

instrument tubing and

their supports, and valve tagging. The inspectors verified that all major

valves were in their correct position,

manual valves were locked as

required, instrumentation was valved into service, and power was available

to MOVs as indicated by the RTGB indicators and MCC breaker positions.

No conditions which could render these sub-systems incapable of performing

the safety function were observed.

No violations or deviations were identified within the areas inspected.

6. Onsite Followup of Events at Operating Power Reactors (93702)

a.

Failure of the A Loop RTD Hot Leg Thermowells

On February 9, 1989,

while at rated temperature and pressure in

preparation for taking the reactor critical

after refueling

number 12, the licensee observed an abnormal downscale indication on

the A loop TAVG instrument. On February 11, the licensee discovered

that a small plume of steam was being emitted from one of the loop A

hot leg RTD thermowells.

The reactor system was returned to cold

shutdown and the thermowell was removed. Liquid penetrative examina

tion at the Harris Energy and Environmental Center revealed a 200

degree crack at the transition area between the threaded area and the

shank of the thermowell.

Subsequent destructive testing revealed

that the crack was a fatique failure at a stress riser. The cracking

resulted from stresses due to high flow induced vibrations and

amplified by a very small radius of curvature in the transition area

(approximately 5 mils radii).

Removal of the other two A loop hot

leg

RTD

thermowells

revealed non-throughwall cracking.

In one

instance the crack was in the same location as the one discussed

above.

The radius of curvature was found to be

15 mils.

The

specified radius of curvature was 30 plus or minus 10 mils.

The

other thermowell was cracked in between the first and second threads.

In this instance the crack initiated at a manufacturing defect.

In

summary, the cracking was attributed to higher than anticipated flow

induced stresses, compounded with either stress risers due to either

a small radius of curvature or a manufacturing flaw.

The licensee has performed a safety analysis which indicates that

total failure of a hot leg RTD thermowell (i.e., complete separation)

is bound by existing analysis for loose parts and would not result in

6

coolant inventory loss in excess of the normal makeup capability.

The largest leak from one completely severed thermowell is limited to

that which would occur from a one fourth inch diameter hole.

One

charging pump can make up the leakage from a three-eighths inch

diameter hole. Consequently, failure of the three A loop hot leg

RTD thermowells would not render the safeguards system inoperable.

The licensee, with the assistance of Westinghouse (the RTD Thermcwell

supplier) and Weed Instrument Company (the RTD manufacturer), modified

the design of the replacement A loop hot leg RTD thermowells.

The

changes included a shorter thermowell (i.e.,

a 3.5 inch instead

of 4.5 inch emersion depth); increased transition area radius of

curvature

(machining);

increased compressive stresses in the

transition area (shot peening); and reduced thermowell to coolant

pipe wall gap (chrome plating).

Reduction of the gap limits the

allowable deflection of the thermowell. This limits the amplitude of

vibration and hence limits the maximum stress in the transition area.

The licensee's engineering department performed calculations which

demonstrated a useful life for the replacement RTD thermowells of

9 months. These calculations conseratively assumed that the vibration

amplitude could be as large as 16 mils, the thermowell to coolant

pipe wall gap. The licensee has authorized plant operation for up to

nine months while a permanent solution is found.

The licensee is

pursuing redesign of the A loop hot leg RTD thermowells and develop

ment of more realistic analytical models. This issue is identified

as an IFI: Review Permanent Solution to RTD Thermowell

Cracking

Phenomena (89-07-02).

The unit was placed on line at 9:47 a.m.,

on February 25,

1989.

Subsequent inspection and channel checks of the RTGB TAVG indicators

have revealed no unusual indications from the A loop hot leg RTDs.

b.

Reactor Trip and NOUE

On February 27, 1989, at 4:17 p.m., the unit experienced a SI signal

reactor trip from 30% full power.

The plant was brought to stable

conditions in accordance with EOP PATH-1 and end path procedure

EPP-7,

revision 6, SI Termination.

All ESF systems performed as

expected. Plant Emergency Procedure,

PEP-101,

revision 8, Initial

Emergency Actions, describes conditions

requiring entry

into

emergency classification.

Item 1.b of

PEP-101,

Attachment

9.1

requires an unusual event be declared for an "Automatic (non-spurious)

S-signal"; where an S-signal is a SI signal.

The licensee declared a

NOUE at 4:22 p.m.,

and after the plant was stabilized, the NOUE was

terminated at 4:51 p.m.

The inspectors entered the control

room approximately 15 minutes

after the trip. The inspectors verified that timely notifications

were made to the state and to the NRC. The inspectors also witnessed

7

successful completion of EPP-7. A post scram review determined that

the trip had occurred as a result of a personnel error.

While

troubleshooting an EH power supply trouble alarm,

an I&C technician

inadvertently shorted out part of the control circuit during the

installation of a meter into the circuit.

The meter can serve as

either a voltmeter or ammeter depending upon a switch position . The

technician had intended to measure voltage, but had the meter set to

the ammeter mode. The resultant shorting of the circuit caused two

of the turbine governor valves to go closed. The subsequent loss of

load caused three steam dumps to open.

The I&C technician, sensing

something was amiss because of relay actuations, proceeded to remove

the meter from the circuit.

This action caused the two governor

valves to reopen. With the three steams dumps also open,

a high

steam flow and over cooling of the primary resulted (i.e.,

TAVG

decreased rapidly).

The resultant high steam flow coincident with

low TAVG, conditions indictative of a steam line break, initiated the

SI signal and reactor trip.

The inspectors reviewed the draft post trip review report and have no

further concerns at this time. The EH power supply was repaired and

the unit was returned to service on February 28, 1989.

No violations or deviations were identified within the areas inspected.

7. Onsite Review Committee (40700)

The inspectors evaluated certain activities of the PNSC to determine

whether the onsite review functions were conducted in accordance with TS

and other regulatory requirements. In particular, the inspectors attended

the special PNSC meetings on February 18 and 22, 1989, concerning the RTD

thermowell replacements prior to plant

startup.

In addition, the

inspectors also attended the monthly scheduled PNSC meeting on

February 15,

it

was ascertained that provisions of the TS dealing with

membership, review process, frequency, and qualifications were satisfied.

No violations or deviations were identified within the areas.inspected.

8. Exit Interview (30703)

The inspection scope and findings were summarized on March 12, 1989, with

those persons indicated in paragraph 1.

The inspectors described the

areas inspected and discussed in detail the inspection findings listed

below and those addressed in the report summary. Dissenting comments were

not received from the licensee.

Proprietary information is not contained

in this report.

Item Number

Status

Description/Reference Paragraph

89-07-01

Open

VIO - Initialing Procedure Step Prior

to Performing Work, paragraph 4.

88-07-02

Open

IFI - Review Permanent Solution For RTD

Thermowell Cracking Issue, paragraph 6.

8

9. Acronyms and Initialisms

AFW

Auxiliary Feedwater

ASME

American Society of Mechanical Engineers

CCW

Component Cooling Water

CM

Corrective Maintenance

CS

Containment Spray

EDG

Emergency Diesel Generator

EH

Electro-hydraulic

EOP

Emergency Operating Procedures

EPP

End Path Procedures

EQ

Environmental Qualifications

ESF

Engineered Safety Feature

I&C

Instrumentation & Control

IFI

Inspector Followup Item

LCO

Limiting Condition for Operation

MCC

Motor Control Center

MDAFW

Motor Driven Auxiliary Feedwater

MOV

Motor Operated Valve

MST

Maintenance Surveillance Test

NOUE

Notice of Unusual Event

NRC

Nuclear Regulatory Commission

OST

Operations Surveillance Test

PEP

Plant Emergency Procedure

PNSC

Plant Nuclear Safety Committee

RCA

Radiation Control Area

RTD

Resistence Temperature Detector

RTGB

Reactor Turbine Generator Board

RWP

Radiation Work Permit

SDAFW

System Driven Auxiliary Feedwater

S/G

Steam Generator

SI

Safety Injection

SPDS

Safety Parameter Display System

SW

Service Water

SWBP

Service Water Booster Pump

TAVG

Temperature, Average

TS

Technical Specification

VIO

Violation

WR

Work Request

WR/JO

Work Request/Job Order

0II