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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3301994-10-0707 October 1994 LER 94-011-00:on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested satisfactorily.W/941007 Ltr ML20024J3291994-10-0303 October 1994 LER 94-027-00:on 940903,determined That Channel B Linear Range Nuclear Instrument Inoperable as Result of Connector J6 Being Disconnected from Jack.Connector J6 Reinstalled.W/ 941003 Ltr ML20029E5291994-05-13013 May 1994 LER 94-007-00:on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been reduced.W/940513 Ltr ML20029E1361994-05-11011 May 1994 LER 94-007-00:on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing procedure.W/940511 Ltr ML20029D8491994-05-0202 May 1994 LER 94-006-00:on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A.W/940502 Ltr ML20029D6221994-04-29029 April 1994 LER 94-005-00:on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed satisfactorily.W/940429 Ltr ML20029D2531994-04-28028 April 1994 LER 94-008-00:on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit response.W/940428 Ltr ML20046C7771993-08-0606 August 1993 LER 93-010-00:on 930707,reactor Trip Input to Turbine Trip Portion of ESFAS Declared Inoperable Due to Inadequate Surveillance Testing.Test to Verify Operability Written & performed.W/930806 Ltr ML20046C2161993-08-0303 August 1993 LER 93-017-00:on 930701,possible Inoperability of Power Operated Relief Valve Blocking Valves Caused by Original Design Basis.Changed Designs & Performed tests.W/930803 Ltr ML20046B0311993-07-23023 July 1993 LER 93-012-01:on 930524,turbine & Reactor Tripped During Mussel Cook (Thermal Backwash) Due to Lack of Heat Removal Capabilities from Main Generator Stator Water Cooling Sys. Installed Thermoconductivity filler.W/930723 Ltr ML20045H8991993-07-15015 July 1993 LER 93-009-00:on 930617,determined That Suppl Leak Collection & Release Sys May Have Been Inoperable During Certain Weather Periods in Past.Caused by Failure to Account for Chimney Effect.Suppl Will Be sent.W/930715 Ltr ML20045H4021993-07-0909 July 1993 LER 93-007-00:on 930611,plant Mgt Discovered Reduction in EDG Fuel Oil Storage Capacity Per SER & Fsar,Constituting Event Outside Design Basis of Plant.Caused by Inadequate Design Interface.Temporary Tanker utilized.W/930709 Ltr ML20045H8921993-07-0909 July 1993 LER 93-005-01:on 930311,discovered That Automatic RPS Actuation Occurred on 930222 & Not Immediately Reported to Nrc.Caused by Personnel Error.Memo Sent to All Licensed Operators/Personnel Re Reporting requirements.W/930709 Ltr ML20045H8571993-07-0909 July 1993 LER 93-008-00:on 930614,one Channel of Electrical Environmentally Qualified Temp Monitor for Main Steam Valve Bldg Found Indicating Improperly.Caused by Personnel Error. Manual Logging of Temp initiated.W/930709 Ltr ML20045F5891993-07-0202 July 1993 LER 93-013-00:on 930603,noted That Main Turbine Generator EHC Sys Caused an Increase in Pressurizer Pressure,Resulting in Reactor Trip,Due to Closing of Intercept & Cv.Operators Performed EOP & Sys Performed as expected.W/930702 Ltr ML20045F6881993-07-0202 July 1993 LER 93-004-02:on 930222,reactor Trips on SG Low Water Level Occurred.Caused by Automatic Trip of MFW Pump B on Low Suction Pressure Due to High FW Flow Rates.Classroom Training on Main & Afwc Received by Licensed Operators ML20045D9041993-06-23023 June 1993 LER 93-012-00:on 930524,reactor Trip Occurred Due to Turbine Trip & Malfunction Caused Feedwater Regulating Valve a to Stay Approx 56% Open.Caused by Lack of Heat Removal Capabilities.Hand Wheels secured.W/930623 Ltr ML20045D8601993-06-21021 June 1993 LER 93-006-00:on 930525,two HPSI Discharge Check Valves Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Personnel Error.Test Written & Performed to Demonstrate Valve operability.W/930621 Ltr ML20045D9031993-06-21021 June 1993 LER 92-003-01:on 920207,discovered Potential Barrier Breach Via Direct Openings Around Main Feedwater Bypass Line Penetrations.On 920130,plant Entered Mode 4 W/O Encl Bldg Integrity.Erosion/Corrosion Exam Procedure Modified ML20045D3091993-06-18018 June 1993 LER 93-005-00:on 930520,cold Over Pressure Protection Sys Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Mgt Deficiency.Overlap Task Force Will Continue to Review Procedures Associated W/Reactor trip.W/930618 Ltr ML20045A4491993-06-0404 June 1993 LER 93-009-00:on 930506,inlet & Outlet skid-mounted Isolation Valves to Radiation Monitor Found Shut.Caused by Procedure Noncompliance by I&C Personnel.Personnel Will Review & Edit Radiation procedures.W/930604 Ltr ML20045A2321993-06-0101 June 1993 LER 93-008-00:on 930505,determined That Electrical Starter for Both Charging Pumps Inoperable.Caused by Program Failure.Administrative Controls Have Been Established to Ensure Minimum TS requirements.W/930601 Ltr ML20044C9191993-05-0707 May 1993 LER 93-002-01:on 930206 & 07,Train a & Train B CR Pressurization Sys Failed 18-month Surveillance Test, Respectively.Caused by Moisture in Air Banks & Pressure Oscillations.Air Banks purged.W/930507 Ltr ML20044C9331993-04-30030 April 1993 LER 91-002-01:on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys replaced.W/930430 Ltr ML19346B2411992-08-20020 August 1992 LER 92-018-00:on 920722,both RHR Trains Rendered Inoperable Due to Procedure Deficiency.Both Trains of RHR Restored to Operable Condition & Surveillance Procedures for Both Trains revised.W/920820 Ltr ML20024H3241991-05-24024 May 1991 LER 91-001-01:on 910110,electro-hydraulic Control Sys Failure Occurred,Causing Reactor Trip.Caused by Turbine Trip.Both EHC Pump Discharge Filters Changed Out & Pump B Replaced W/Spare pump.W/910524 Ltr ML20029C1281991-03-18018 March 1991 LER 91-004-00:on 910216,unexpected Trip of 'B' Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to Sgfp Circuitry & Design Change made.W/910318 Ltr ML20029B6001991-03-0707 March 1991 LER 91-004-00:on 910205,leakage Found During Local Leak Rate Testing for Four Containment Isolation Valves.Caused by Improper Valve Seating.Valve Removed from Svc & Sent to Mfg for overhaul.W/910307 Ltr ML20029B6031991-03-0404 March 1991 LER 91-002-00:on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance ML20029B5981991-03-0404 March 1991 LER 91-003-00:on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector replaced.W/910304 Ltr ML20029A6501991-02-19019 February 1991 LER 91-001-00:on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure revised.W/910219 Ltr ML20028H4261990-12-27027 December 1990 LER 89-005-01:on 890330,intermittent Connection While Sliding Module Into Position Caused Automatic Test Insertion Circuit to Send Signals Greater than Normal Pulse Thus Allowing Three SIAS Modules to actuate.W/901227 Ltr ML20028H4391990-12-27027 December 1990 LER 90-015-01:on 900919,inadvertent Isolation of Containment Isolation Valves Occurred.On 900920,inadvertent Actuation of Sias,Containment Isolation Actuation Sys & Encl Bldg Filtration Sys occurred.W/901227 Ltr ML20028H4271990-12-27027 December 1990 LER 90-021-00:on 901127,LCO Paragraph 3.0.3 Entered.Caused by Poor Communications.Mgt Reviewed Event & Events Leading Up to Incident & Concluded That Increased Awareness W/ Respect to Sys Status Must Be pursued.W/901227 Ltr ML20028H4401990-12-24024 December 1990 LER 90-019-00:on 900606,automatic Reactor Trip from Negative Flux Rate Signal Occurred Due to Dropped Control Rod.Caused by Broken Connection in Gripper Coil Power Cable.Connector Replaced & Power Loop checked.W/901224 Ltr ML20028G9421990-09-26026 September 1990 LER 90-012-00:on 900827,automatic Reactor Trip Occurred During Bypass Switch Operations.Caused by Operator Error. Procedure Sp 2601D Revised to Incorporate Separate Section on Performing calibrs.W/900926 Ltr ML20028G9111990-09-18018 September 1990 LER 89-008-01:on 891002,determined That Plant Failed to Perform Functional Check of Control Board Annunciators During Channel Functional Tests.Caused by Personnel Error. Procedures Revised Re Annuciator testing.W/900918 Ltr ML20044B0441990-07-10010 July 1990 LER 90-007-00:on 900611,discovered That Surveillance Procedure 2609E Re Encl Bldg Filtration Sys Testing - Refueling Not Performed Prior to Entering Mode 4.Caused by Personnel Error.Missed Surveillance performed.W/900710 Ltr ML20044A1581990-06-18018 June 1990 LER 90-017-00:on 900518,loss of Both Trains of HPSI Occurred.Caused by Cognitive Failure by Licensed Operator. Personnel Counseled on Causes of Event & Importance of Recognizing When Event reportable.W/900618 Ltr ML20043H2021990-06-15015 June 1990 LER 90-005-00:on 900503,identified Potential for High Energy Line Break in Auxiliary Steam Sys That Could Degrade Plant Areas Determined as Mild Environs.Probably Caused by Incorrect Conclusions from Analysis in 1973.W/900615 Ltr ML20043G1031990-06-12012 June 1990 LER 90-016-00:on 900513,steam Generator B lo-lo Signal Generated Reactor Trip Signal,Causing Automatic Start of motor-driven Auxiliary Feedwater Pumps a & B.Caused by Inadequate Guidance.Procedure revised.W/900612 Ltr ML20043G3921990-06-11011 June 1990 LER 90-014-00:on 900519,manual Reactor Trip Initiated as Result of Anticipated Turbine Trip Due to Condenser Vacuum. Caused by Design Deficiency in That Traveling Screen Capacity Inadequate.Traveling Screen modified.W/900611 Ltr ML20043F7021990-06-11011 June 1990 LER 90-015-00:on 900512,feedwater Isolation Occurred While Opening Msivs.Caused by MSIV 2 Opening Faster than Other Msivs,Resulting in Swell in Steam Generator 2.Steam Generator Level Restored to normal.W/900611 Ltr ML20043F8261990-06-0707 June 1990 LER 90-006-00:on 900508,reactor Manually Tripped When Decreasing Levels Noted in Steam Generator 1 & Feedwater Regulating Valve Indicated Full Open.Caused by Valve Stem Separating from Plug.Feedwater Flow restored.W/900607 Ltr ML20043D4711990-05-30030 May 1990 LER 85-002-01:on 850302 & 25,unplanned Actuation of Containment Purge Valve Isolation Occurred.Caused by Personnel Error.Caution Signs Placed on Radiation Monitors & Reset Button on Monitor Made inaccessible.W/900530 Ltr ML20043A7841990-05-16016 May 1990 LER 90-013-00:on 900416,manual Reactor Trip Initiated Due to Imminent Loss of Condenser Vaccum.Caused by Inadequate Administrative Guidance When Debris Collected on Trash Rack. Severe Weather Procedure revised.W/900516 Ltr ML20042G7201990-05-0707 May 1990 LER 90-012-00:on 900406,review of Steam Generator Blowdown Monitor High Radiation Alarm Setpoint Revealed That Setpoint Was Nonconservative.Caused by Administrative Deficiency. Correct Setpoint installed.W/900507 Ltr ML20042E6751990-04-20020 April 1990 LER 90-002-00:on 900322,Tech Spec Action Statement 3.3.3.10 Not Entered for Out of Svc Stack Gas & Particulate Radiation Monitor.No Particulate Radiation Increases Detected.Caused by Personnel error.W/900420 Ltr ML20042E1621990-04-0909 April 1990 LER 90-009-00:on 900309,automatic Turbine Trip W/Subsequent Reactor Trip Occurred Due to High Stator Cooling Water Temp. Caused by Failure of Mechanical Linkage on Fisher & Portor Controller.Controller Replaced w/spare.W/900409 Ltr ML17223A7901990-04-0202 April 1990 LER 89-009-01:on 891025,radiation Monitor RM 8262 Inlet Valve (2-AC-82) Found Closed.Caused by Personnel Error. Isolation Valve Opened,Sample Flow Restored & Radiation Monitor Restored to Operable status.W/900402 Ltr 1994-05-02
[Table view] Category:RO)
MONTHYEARML20024J3301994-10-0707 October 1994 LER 94-011-00:on 940908,manual Reactor Trip Initiated Due to MSIV Failure During part-stroke Test.Solenoid Valve & Number of Pins Replaced & MSIVs Tested satisfactorily.W/941007 Ltr ML20024J3291994-10-0303 October 1994 LER 94-027-00:on 940903,determined That Channel B Linear Range Nuclear Instrument Inoperable as Result of Connector J6 Being Disconnected from Jack.Connector J6 Reinstalled.W/ 941003 Ltr ML20029E5291994-05-13013 May 1994 LER 94-007-00:on 940414,determined That Valve Stroke Time Acceptance Criterion Exceeded System Response Time.Caused by Programmatic Error During Initial Startup.Corrective Action: Stroke Time Acceptance Has Been reduced.W/940513 Ltr ML20029E1361994-05-11011 May 1994 LER 94-007-00:on 940412,CRAC & Ebfs Were Inoperable Due to Previous Charcoal Testing Performed to Industry Std Different than Ts.Corrective Actions:Ts Changed to Reflect Newest Charcoal Testing procedure.W/940511 Ltr ML20029D8491994-05-0202 May 1994 LER 94-006-00:on 940407,plant Did Not Meet Requirements of LCO 3.7.6.1 Re Two Independent Control Room Emergency Ventilation Sys.Caused by Inadequate Work Organization. Corrective Action:Revised OP 2315A.W/940502 Ltr ML20029D6221994-04-29029 April 1994 LER 94-005-00:on 940401,determined That Both Facilities of Ebfs Had Never Been Tested in Accordance W/Ts.Caused by Program Failure/Personnel Error.Corrective Action: Surveillance Was Completed satisfactorily.W/940429 Ltr ML20029D2531994-04-28028 April 1994 LER 94-008-00:on 940329,discovered That Data in OPS Form 2604P-2,was Recorded Incorrectly.Caused by Program Failure, Procedure Deficiencies & Technical Error.Corrective Action: Recalculated ESF Equipment Circuit response.W/940428 Ltr ML20046C7771993-08-0606 August 1993 LER 93-010-00:on 930707,reactor Trip Input to Turbine Trip Portion of ESFAS Declared Inoperable Due to Inadequate Surveillance Testing.Test to Verify Operability Written & performed.W/930806 Ltr ML20046C2161993-08-0303 August 1993 LER 93-017-00:on 930701,possible Inoperability of Power Operated Relief Valve Blocking Valves Caused by Original Design Basis.Changed Designs & Performed tests.W/930803 Ltr ML20046B0311993-07-23023 July 1993 LER 93-012-01:on 930524,turbine & Reactor Tripped During Mussel Cook (Thermal Backwash) Due to Lack of Heat Removal Capabilities from Main Generator Stator Water Cooling Sys. Installed Thermoconductivity filler.W/930723 Ltr ML20045H8991993-07-15015 July 1993 LER 93-009-00:on 930617,determined That Suppl Leak Collection & Release Sys May Have Been Inoperable During Certain Weather Periods in Past.Caused by Failure to Account for Chimney Effect.Suppl Will Be sent.W/930715 Ltr ML20045H4021993-07-0909 July 1993 LER 93-007-00:on 930611,plant Mgt Discovered Reduction in EDG Fuel Oil Storage Capacity Per SER & Fsar,Constituting Event Outside Design Basis of Plant.Caused by Inadequate Design Interface.Temporary Tanker utilized.W/930709 Ltr ML20045H8921993-07-0909 July 1993 LER 93-005-01:on 930311,discovered That Automatic RPS Actuation Occurred on 930222 & Not Immediately Reported to Nrc.Caused by Personnel Error.Memo Sent to All Licensed Operators/Personnel Re Reporting requirements.W/930709 Ltr ML20045H8571993-07-0909 July 1993 LER 93-008-00:on 930614,one Channel of Electrical Environmentally Qualified Temp Monitor for Main Steam Valve Bldg Found Indicating Improperly.Caused by Personnel Error. Manual Logging of Temp initiated.W/930709 Ltr ML20045F5891993-07-0202 July 1993 LER 93-013-00:on 930603,noted That Main Turbine Generator EHC Sys Caused an Increase in Pressurizer Pressure,Resulting in Reactor Trip,Due to Closing of Intercept & Cv.Operators Performed EOP & Sys Performed as expected.W/930702 Ltr ML20045F6881993-07-0202 July 1993 LER 93-004-02:on 930222,reactor Trips on SG Low Water Level Occurred.Caused by Automatic Trip of MFW Pump B on Low Suction Pressure Due to High FW Flow Rates.Classroom Training on Main & Afwc Received by Licensed Operators ML20045D9041993-06-23023 June 1993 LER 93-012-00:on 930524,reactor Trip Occurred Due to Turbine Trip & Malfunction Caused Feedwater Regulating Valve a to Stay Approx 56% Open.Caused by Lack of Heat Removal Capabilities.Hand Wheels secured.W/930623 Ltr ML20045D8601993-06-21021 June 1993 LER 93-006-00:on 930525,two HPSI Discharge Check Valves Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Personnel Error.Test Written & Performed to Demonstrate Valve operability.W/930621 Ltr ML20045D9031993-06-21021 June 1993 LER 92-003-01:on 920207,discovered Potential Barrier Breach Via Direct Openings Around Main Feedwater Bypass Line Penetrations.On 920130,plant Entered Mode 4 W/O Encl Bldg Integrity.Erosion/Corrosion Exam Procedure Modified ML20045D3091993-06-18018 June 1993 LER 93-005-00:on 930520,cold Over Pressure Protection Sys Declared Inoperable Due to Inadequate Surveillance Testing. Caused by Mgt Deficiency.Overlap Task Force Will Continue to Review Procedures Associated W/Reactor trip.W/930618 Ltr ML20045A4491993-06-0404 June 1993 LER 93-009-00:on 930506,inlet & Outlet skid-mounted Isolation Valves to Radiation Monitor Found Shut.Caused by Procedure Noncompliance by I&C Personnel.Personnel Will Review & Edit Radiation procedures.W/930604 Ltr ML20045A2321993-06-0101 June 1993 LER 93-008-00:on 930505,determined That Electrical Starter for Both Charging Pumps Inoperable.Caused by Program Failure.Administrative Controls Have Been Established to Ensure Minimum TS requirements.W/930601 Ltr ML20044C9191993-05-0707 May 1993 LER 93-002-01:on 930206 & 07,Train a & Train B CR Pressurization Sys Failed 18-month Surveillance Test, Respectively.Caused by Moisture in Air Banks & Pressure Oscillations.Air Banks purged.W/930507 Ltr ML20044C9331993-04-30030 April 1993 LER 91-002-01:on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys replaced.W/930430 Ltr ML19346B2411992-08-20020 August 1992 LER 92-018-00:on 920722,both RHR Trains Rendered Inoperable Due to Procedure Deficiency.Both Trains of RHR Restored to Operable Condition & Surveillance Procedures for Both Trains revised.W/920820 Ltr ML20024H3241991-05-24024 May 1991 LER 91-001-01:on 910110,electro-hydraulic Control Sys Failure Occurred,Causing Reactor Trip.Caused by Turbine Trip.Both EHC Pump Discharge Filters Changed Out & Pump B Replaced W/Spare pump.W/910524 Ltr ML20029C1281991-03-18018 March 1991 LER 91-004-00:on 910216,unexpected Trip of 'B' Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to Sgfp Circuitry & Design Change made.W/910318 Ltr ML20029B6001991-03-0707 March 1991 LER 91-004-00:on 910205,leakage Found During Local Leak Rate Testing for Four Containment Isolation Valves.Caused by Improper Valve Seating.Valve Removed from Svc & Sent to Mfg for overhaul.W/910307 Ltr ML20029B6031991-03-0404 March 1991 LER 91-002-00:on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance ML20029B5981991-03-0404 March 1991 LER 91-003-00:on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector replaced.W/910304 Ltr ML20029A6501991-02-19019 February 1991 LER 91-001-00:on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure revised.W/910219 Ltr ML20028H4261990-12-27027 December 1990 LER 89-005-01:on 890330,intermittent Connection While Sliding Module Into Position Caused Automatic Test Insertion Circuit to Send Signals Greater than Normal Pulse Thus Allowing Three SIAS Modules to actuate.W/901227 Ltr ML20028H4391990-12-27027 December 1990 LER 90-015-01:on 900919,inadvertent Isolation of Containment Isolation Valves Occurred.On 900920,inadvertent Actuation of Sias,Containment Isolation Actuation Sys & Encl Bldg Filtration Sys occurred.W/901227 Ltr ML20028H4271990-12-27027 December 1990 LER 90-021-00:on 901127,LCO Paragraph 3.0.3 Entered.Caused by Poor Communications.Mgt Reviewed Event & Events Leading Up to Incident & Concluded That Increased Awareness W/ Respect to Sys Status Must Be pursued.W/901227 Ltr ML20028H4401990-12-24024 December 1990 LER 90-019-00:on 900606,automatic Reactor Trip from Negative Flux Rate Signal Occurred Due to Dropped Control Rod.Caused by Broken Connection in Gripper Coil Power Cable.Connector Replaced & Power Loop checked.W/901224 Ltr ML20028G9421990-09-26026 September 1990 LER 90-012-00:on 900827,automatic Reactor Trip Occurred During Bypass Switch Operations.Caused by Operator Error. Procedure Sp 2601D Revised to Incorporate Separate Section on Performing calibrs.W/900926 Ltr ML20028G9111990-09-18018 September 1990 LER 89-008-01:on 891002,determined That Plant Failed to Perform Functional Check of Control Board Annunciators During Channel Functional Tests.Caused by Personnel Error. Procedures Revised Re Annuciator testing.W/900918 Ltr ML20044B0441990-07-10010 July 1990 LER 90-007-00:on 900611,discovered That Surveillance Procedure 2609E Re Encl Bldg Filtration Sys Testing - Refueling Not Performed Prior to Entering Mode 4.Caused by Personnel Error.Missed Surveillance performed.W/900710 Ltr ML20044A1581990-06-18018 June 1990 LER 90-017-00:on 900518,loss of Both Trains of HPSI Occurred.Caused by Cognitive Failure by Licensed Operator. Personnel Counseled on Causes of Event & Importance of Recognizing When Event reportable.W/900618 Ltr ML20043H2021990-06-15015 June 1990 LER 90-005-00:on 900503,identified Potential for High Energy Line Break in Auxiliary Steam Sys That Could Degrade Plant Areas Determined as Mild Environs.Probably Caused by Incorrect Conclusions from Analysis in 1973.W/900615 Ltr ML20043G1031990-06-12012 June 1990 LER 90-016-00:on 900513,steam Generator B lo-lo Signal Generated Reactor Trip Signal,Causing Automatic Start of motor-driven Auxiliary Feedwater Pumps a & B.Caused by Inadequate Guidance.Procedure revised.W/900612 Ltr ML20043G3921990-06-11011 June 1990 LER 90-014-00:on 900519,manual Reactor Trip Initiated as Result of Anticipated Turbine Trip Due to Condenser Vacuum. Caused by Design Deficiency in That Traveling Screen Capacity Inadequate.Traveling Screen modified.W/900611 Ltr ML20043F7021990-06-11011 June 1990 LER 90-015-00:on 900512,feedwater Isolation Occurred While Opening Msivs.Caused by MSIV 2 Opening Faster than Other Msivs,Resulting in Swell in Steam Generator 2.Steam Generator Level Restored to normal.W/900611 Ltr ML20043F8261990-06-0707 June 1990 LER 90-006-00:on 900508,reactor Manually Tripped When Decreasing Levels Noted in Steam Generator 1 & Feedwater Regulating Valve Indicated Full Open.Caused by Valve Stem Separating from Plug.Feedwater Flow restored.W/900607 Ltr ML20043D4711990-05-30030 May 1990 LER 85-002-01:on 850302 & 25,unplanned Actuation of Containment Purge Valve Isolation Occurred.Caused by Personnel Error.Caution Signs Placed on Radiation Monitors & Reset Button on Monitor Made inaccessible.W/900530 Ltr ML20043A7841990-05-16016 May 1990 LER 90-013-00:on 900416,manual Reactor Trip Initiated Due to Imminent Loss of Condenser Vaccum.Caused by Inadequate Administrative Guidance When Debris Collected on Trash Rack. Severe Weather Procedure revised.W/900516 Ltr ML20042G7201990-05-0707 May 1990 LER 90-012-00:on 900406,review of Steam Generator Blowdown Monitor High Radiation Alarm Setpoint Revealed That Setpoint Was Nonconservative.Caused by Administrative Deficiency. Correct Setpoint installed.W/900507 Ltr ML20042E6751990-04-20020 April 1990 LER 90-002-00:on 900322,Tech Spec Action Statement 3.3.3.10 Not Entered for Out of Svc Stack Gas & Particulate Radiation Monitor.No Particulate Radiation Increases Detected.Caused by Personnel error.W/900420 Ltr ML20042E1621990-04-0909 April 1990 LER 90-009-00:on 900309,automatic Turbine Trip W/Subsequent Reactor Trip Occurred Due to High Stator Cooling Water Temp. Caused by Failure of Mechanical Linkage on Fisher & Portor Controller.Controller Replaced w/spare.W/900409 Ltr ML17223A7901990-04-0202 April 1990 LER 89-009-01:on 891025,radiation Monitor RM 8262 Inlet Valve (2-AC-82) Found Closed.Caused by Personnel Error. Isolation Valve Opened,Sample Flow Restored & Radiation Monitor Restored to Operable status.W/900402 Ltr 1994-05-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217P5391999-10-25025 October 1999 Rev 0,Change 1 to Millstone Unit 1 Northeast Utils QA Program ML20217C8721999-10-0606 October 1999 Rev 21,change 3 to MP-02-OST-BAP01, Nuqap Topical Rept, App F & G Only B17896, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 1.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 1.With B17894, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 2.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 2.With B17898, Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 3.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Millstone Nuclear Power Station,Unit 3.With ML20216J4341999-09-24024 September 1999 Mnps Unit 3 ISI Summary Rept,Cycle 6 ML20211N8401999-09-0202 September 1999 Rev 21,change 1 to Northeast Utils QA TR, Including Changes Incorporated Into Rev 20,changes 9 & 10 B17878, Monthly Operating Rept for Aug 1999 for Mnps,Unit 1.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Mnps,Unit 1.With B17874, Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 3.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 3.With ML20216F5141999-08-31031 August 1999 Rept on Status of Public Petitions Under 10CFR2.206 B17879, Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 2.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Millstone Nuclear Power Station,Unit 2.With ML20211G9631999-08-30030 August 1999 SER Accepting Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety-Related Motor-Operated Valves ML20211A6561999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 2 B17858, Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 3.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 3.With B17856, Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 1.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Millstone Nuclear Power Station,Unit 1.With ML20210J0311999-07-21021 July 1999 Rev 20,Change 10 to QAP 1.0, Organization ML20210E5931999-07-19019 July 1999 Revised Page 16 of 21,to App F of Northeast Util QA Program Plan ML20210C5911999-07-15015 July 1999 Revised Rev 20,change 10 to Northeast Util QA Program TR, Replacing Summary of Changes ML20210A0411999-07-15015 July 1999 Rev 20,change 10 to Northeast Util QA Program Tr B17814, Special Rept:On 990612 B Train EDG Failed to Restart within 5 Minutes Following Completion of 18 Month 24 H Endurance Run Required by TS 4.8.1.1.2.g.7.Caused by Procedural inadequacy.Re-performed Hot Restart Via Manual Start1999-07-12012 July 1999 Special Rept:On 990612 B Train EDG Failed to Restart within 5 Minutes Following Completion of 18 Month 24 H Endurance Run Required by TS 4.8.1.1.2.g.7.Caused by Procedural inadequacy.Re-performed Hot Restart Via Manual Start ML20209D1881999-07-0101 July 1999 Rev 20,change 9 to Northeast Util QA Program Tr ML20196J2191999-06-30030 June 1999 SER Concluding That Licensee USI A-46 Implementation Program,In General,Met Purpose & Intent of Criteria in GIP-2 & Staff Sser 2 for Resolution of USI A-46 ML20211A6751999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 2,providing Revised Average Daily Unit Power Level & Operating Data Rept ML20196A8451999-06-30030 June 1999 Post Shutdown Decommissioning Activities Rept ML20209J0541999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Unit 2 B17830, Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 3.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Nuclear Power Station,Unit 3.With ML20196K1791999-06-30030 June 1999 Addendum 6 to Millstone Unit 2 Annual Rept, ML20196J1821999-06-30030 June 1999 Rev 21,Change 0 to Northeast Utilities QAP (Nuqap) Tr B17833, Monthly Operating Rept for June 1999 for Millstone Power Station,Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Millstone Power Station,Unit 1.With ML20195H1011999-06-11011 June 1999 Rev 20,change 8 to Northeast Utilities QAP (Nuqap) TR ML20207G6411999-06-0303 June 1999 Safety Evaluation Supporting Amends 105,235 & 171 to Licenses DPR-21,DPR-65 & NPF-49,respectively ML20211A6631999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 2,providing Revised Average Daily Unit Power Level,Operating Data Rept & Unit Shutdowns & Power Reductions B17808, Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 3.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Millstone Nuclear Power Station,Unit 3.With ML20211B7351999-05-31031 May 1999 Cycle 7 Colr B17804, Monthly Operating Rept for May 1999 for Mnps,Unit 2.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Mnps,Unit 2.With B17807, Monthly Operating Rept for May 1999 for Mnps,Unit 1.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Mnps,Unit 1.With ML20209J0661999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Millstone Unit 2 ML20206M4631999-05-11011 May 1999 Safety Evaluation Supporting Alternative Proposed by Licensee to Perform Ultrasonic Exam on Inner Surface of Nozzle to safe-end Weld ML20206J8351999-05-0707 May 1999 Rev 20,Change 7 to QAP-1.0, Northeast Utls QA Program (Nuqap) Tr ML20206G6221999-05-0404 May 1999 SER Accepting Util Request to Apply leak-before-break Status to Pressurizer Surge Line Piping for Millstone Nuclear Power Station,Unit 2 B17782, Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station,Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station,Unit 1.With ML20205R3531999-04-30030 April 1999 Addendum 4 to Annual Rept, B17775, Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station Unit 3.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Nuclear Power Station Unit 3.With ML20205K6141999-04-30030 April 1999 Non-proprietary Version of Rev 2 to Holtec Rept HI-971843, Licensing Rept for Reclassification of Discharge in Millstone Unit 3 Spent Fuel Pool ML20206E2971999-04-30030 April 1999 Rev 1 to Millstone Nuclear Power Station,Unit 2 COLR - Cycle 13 B17777, Monthly Operating Rept for Apr 1999 for Millstone Unit 2. with1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Millstone Unit 2. with ML20205Q5891999-04-0909 April 1999 Rev 20,change 6 to QAP-1.0,Northeast Utils QA Program TR ML20205R8751999-04-0909 April 1999 Provides Commission with Staff Assessment of Issues Related to Restart of Millstone Unit 2 & Staff Recommendations Re Restart Authorization for Millstone Unit 2 ML20206T3991999-03-31031 March 1999 First Quarter 1999 Performance Rept, Dtd May 1999 B17747, Monthly Operating Rept for Mar 1999 for Millstone Nuclear Power Station,Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Millstone Nuclear Power Station,Unit 1.With 1999-09-30
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ACCELERATED STRJBUTION DEMON~TION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR: 9004160214 DOC. DATE: 90/04/02 NOTARIZED: NO DOCKET N FACIL:50-336 Millstone Nuclear Power Station, Unit 2, Northeast Nu 05000336 AUTH. NAME AUTHOR AFFILIATION DESLANDES,K.D. Northeast Nuclear Energy Co. (subs. of Northeast Utilities)
SCACE,S.E. Northeast Nuclear Energy Co. (subs. of Northeast Utilities)
SCACE,S.E. Northeast Utilities j RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 89-009-01:on 891025,Radiation Monitor RM 8262 inlet valve (2-AC-82) found closed.
W/9 DISTRIBUTION CODE'E22T COPIES RECEIVED'LTR TITLE: 50.73/50.9 Licensee Event Report (LER), gIncident ENCL J SIZE:
Rpt, etc.
NOTES RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD1-4 LA 1 1 PD1-4 PD 1 1 VISSING,G 1 1 INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 DEDRO 1 1 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB9H3 1 1 NRR/DET/ESGB 8D 1 1 NRR/DLPQ/LHFB11 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB11 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB 7E 1 1 /~SR/ PLB8D1 1 1 NRR/DST/SRXB 8E 1 1 G FILE 02 1 1 RES/DSIR/EIB 1 1 RGN1 FILE 01 1 1 EXTERNAL EG&G STUART E V A 4 4 L ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR .1 1 NSIC MAYS,G 1 1 NSIC MURPHY,G.A 1 1 NUDOCS FULL TXT 1 1
~S>3< P)
/i70 NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WAS'ONTACT THE.DOCUMENT CONTROL DESK, ROOM P 1-37 (EXT. 20079) TO ELMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEEDI FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 37 ENCL 37
snw aaAsV lmurras The connecticut Light And Power company General Offices Selden Street. Berlin Connecticut Western Massachusetts Electric Company P.O.BOX 270 Hotyoke Water Power Company Northeast Utilities Service Company HARTFORD. CONNECTICUT 06414-0270 Northeast Nuclear Energy Company (203)665-5000 April 2, 1990 MP-90-322 Re: 10CFR50.73(a) (2) (i)
U.S. Nuclear Regulatory Commission Document Control Desk
'tiI'ashington, D.C. 20555
Reference:
Facility Operating License No. DPR-65 Docket No. 50-336 Licensee Event Report 89-009-01 Gentlemen:
This letter forwards Licensee Event Report 89-009-01 required to be submitted pursuant to paragraph 50.73(a) (2) (i). This update report is submitted to reflect a change in the description and analysis of event.
Very truly yours, NORTHEAST NUCLEAR ENERGY COMPANY j
/cA'1 c Step n E. cace Director, Millstone Station SES/KDD:Ijs
Attachment:
LER 89-009-01 cc: T. T. Martin, Region I Administrator W. J. Raymond, Senior Resident Inspector, Millstone Unit Nos. 1, 2 and 3 G. S. Vissing, NRC Project Manager, Millstone Unit No. 2
~ ~pd'Pf 9004160214 900402 ~~r PDR ADOCK 0500033r' PDC t/
hiRC Form 366 S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 315~104 (6-89) EXPIRES: 4/30/92 Estimated burden per response to comply with this Information collection request: 50.0 hrs. Forward comments regarding burden estimate to the Records LICENSEE EVENT REPORT (LER) and Reports Management Branch (p-530). U.S. Nuclear Regulatory Commission. Washington. DC 20555. and to the Paperwork Reduction Project (3150-0104). Office of Management and Budget. Washington. DC 20503.
FACILITYNAME (1) DOCKET NUMBER (2) pa rnl Millstone induc)ear Power Station Unit 2 0 5 0 0 03 3 6 1OF TITLE [4)
Radiation Monitor RM 8262 In)et Va)ve (2-AC-S2) Found Closed EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
MONT DAY YEAR YEAR SGllCNllAL ';:".a'4JMSDt MONT DAY YEAR FACILITYNAMES 0 5 0 0 0 1025 8 9 8 9 0 0 9 0 I 04 029 0 0 5 0 0 0 OPERATING THIS REPORT IS BEING SUBMiTTED PURsUANT To THE REDUIREMENTs QF 10 cFR tj; (cneck one or more ot the following) (11)
MODE (g) 73,7)(b) 20.402(b) 20. 402(c) 50. 73(a) (2) (iv)
POWER 20.405(a)(1)(I) 50,36(c)(1) 50,73(a)(2)(v) 73.71(c)
LEYEL p p p 20.405(a) (1) (il) 50.36(c) (2) 50.73.(a)(2)(vll) OTHFR (Specify in Abstract below and in 20.405(a) (1) (ill) 50.73(a)(2) (I) 50. 73 (a) (2) (vill)(A) Text. NRC Form 366A) 20.405(a) (1) (lv) 50,73(a) (2) (II) 50. 73(a) (2) (vill)(B) 20.405(a)(1) (lv) 50.73(a) (2) (III) 50.73(a)(2)(x)
LICENScE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER AREA COD Keith D. Des)andes, Engineer, Ext. 4421 2 0 3 4 4 7 1 7 9 1 COMPLETE ON= LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
MANUcAC- <'ci~~~i'"'<"4~'.'";i CAUSE SYSTE MANUFAC-CAUSE SYSTE COMPONcNT TURER COMPONENT TURER SUPPLEMcNTAL REPORT EXPECTED (14) MONT DAY YEAR EXPECTED SUBMISSION DATE (15)
YES (lf yes. complete EXPECTED SUBMISSiON DATE) )( NO ABsTRAGT (Limit to 1400 spaces, l.e., approximately fifteen single-space typewritten lines) (16)
On October 25, 1989, at 1849 hours0.0214 days <br />0.514 hours <br />0.00306 weeks <br />7.035445e-4 months <br /> with the plant in cold shutdown mode 5, 0~/o power, it tvas determined that Containment Purge was in operation Nithout an operable radiation monitor capable of isolating the purge on a high radiation sirnal. The sample inlet isolation valve (2-AC-82) for the Facility 2 radiation monitor RM8262 was found closed.
At the time of occurrence the Facility 1 emergency power source (diesel generator) tvas taken out of sertice on October 23, 1989, at 1428 hours0.0165 days <br />0.397 hours <br />0.00236 weeks <br />5.43354e-4 months <br />. This rendered the Facility 1 radiation monitor RM8123 inoperable, because it was without an emergency power source for its roots blower. Although, emercency power was not available, the radiation monitor remained in sermce. Radiation monitor RM8123 was taken out of service October 23, 1989, at 2109 hours0.0244 days <br />0.586 hours <br />0.00349 weeks <br />8.024745e-4 months <br /> for maintenance and returned to service October 24, 1989, at 0137 hours0.00159 days <br />0.0381 hours <br />2.265212e-4 weeks <br />5.21285e-5 months <br />.
The radiation monitor was taken out of service again for maintenance on October 24, 1989, at 1310 hours0.0152 days <br />0.364 hours <br />0.00217 weeks <br />4.98455e-4 months <br /> and returned to service October 25, 1989, at 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br />. During both maintenance activities the Containment Purge was isolated.
Subsequent review showed radiation monitor RM8262 was taken out of service on October 21, 1989, for calibration under procedure SP 2404AL. Restoration from the procedure failed to open sample inlet isolation valve 2-AC-82.
Therefore, no operab)e Containment Atmosphere Particle/Gaseous radiation monitor was available for 52 hours6.018519e-4 days <br />0.0144 hours <br />8.597884e-5 weeks <br />1.9786e-5 months <br />. During this period of time, Containment Purge was in service for 19 hours2.199074e-4 days <br />0.00528 hours <br />3.141534e-5 weeks <br />7.2295e-6 months <br /> and isolated for 33 hours3.819444e-4 days <br />0.00917 hours <br />5.456349e-5 weeks <br />1.25565e-5 months <br />.
Technical Specification Limiting Condition for Operation 3.3.3.1 titled "Radiation Monitoring," and 3.3.2.1 titled "Engineered Safety Feature Actuation System Instrumentation" were not entered. Limiting condition for Operation 3.3.3.1 requires a grab sample at least once per 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> or the u'se of a constant air monitor.
Limiting Condition for Operation 3.3.2.1 requires the Containment Purge Valves to be maintained in the closed position.
It should be noted that Health Physics conducted routine outage grab samples of Containment atmosphere with no unusual results during the time the sample inlet isolation valve 2-AC-82 was closed. Also an area radiation monitor is located in Containment on the refuel bridge which continuously monitors the Containment area.
The sample inlet isolation valve 2-AC-82 was opened and radiation monitor RM8262 was declared operable.
NRC Form 366 (6-86)
NRC Form 366A U.S. NUCLEAR REGULATORY COMh4SSION APPROVED OMB NO. 3150-0104 (6-6g) EXPIRES: 4/30/92 EStimated burden Per reSPOnSe tO COmPIy With thiS LICENSEE EVENT REPORT (LER) information collection request: 50.0 hrS. Forward comments regarding burden estimate to the Records TEXT CONTINUATION and Reports Management Branch (p-530), U.S, Nuclear Regulatory commission. Washington. Dc 20555. and 1o the Paperwork Reduction Project (3150&104). Office of Management and Budget. Washington. DC 20503.
FACII.ITY NAME (1) DOCKET NUMBER (2) LER NUMBER f61 PAGc (3)
...,,... 6(t3/6NIIAL i,, )tens()
YEAR Millstone nuclear Power Station Unit 2 0 5 0 0 0 3 3 6 8 9 0 0 9 0 1 0 2 OF 0 3 TEXT (lf more space is required. uSe additional NRC Form 366A's) (17)
On October 25, 1989, at 1S49 hours with the plant in cold shutdown mode 5, 0'ower, it was determined that Containment Purge was in operation t(ithout an operable radiatioh monitor capable of isolating the purge on a high radiation signal. The sample inlet isolation valve (2-AC-82) for the Facility 2 radiation monitor RMS262 was found closed.
At the time of occurrence the Facility 1 emergency potver source (diesel generator) was taken out of service on October 23, 1989, at 1428 hours0.0165 days <br />0.397 hours <br />0.00236 weeks <br />5.43354e-4 months <br />. This rendered the Facilit> 1 radiation monitor Riv18123 inoperable, because it was without. an emergency power source for its roots blower.
Although, emergency potter was not available, the radiation monitor remained in service. Radiation monitor RMS123 was taken out ol service October 23, 1989, at 2109 hours0.0244 days <br />0.586 hours <br />0.00349 weeks <br />8.024745e-4 months <br /> for maintenance and returned to service October 24, 1989, at 0137 hours0.00159 days <br />0.0381 hours <br />2.265212e-4 weeks <br />5.21285e-5 months <br />. The radiation monitor was taken out of service again for maintenance on October 24, 1989, at 1310 hours0.0152 days <br />0.364 hours <br />0.00217 weeks <br />4.98455e-4 months <br /> and returned to service October 25, 1989, at 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br />. During both maintenance activities the Containment Purge was isolated.
Subsequent review showed radiation monitor RM8262 was taken out of service on October 21, 1989, for calibration under procedure SP 2404AL. Restoration from the procedure failed to open sample inlet isolation valve 2-AC-S2.
Therefore no operable Containment Atmosphere - Particle/Gaseous radiation monitor was available for 52 hours6.018519e-4 days <br />0.0144 hours <br />8.597884e-5 weeks <br />1.9786e-5 months <br />. During this period of time, Containment Puree was in service for 19 hours2.199074e-4 days <br />0.00528 hours <br />3.141534e-5 weeks <br />7.2295e-6 months <br /> and isolated for 33 hours3.819444e-4 days <br />0.00917 hours <br />5.456349e-5 weeks <br />1.25565e-5 months <br />.
Below is the sequence of events, starting at the date Radiation Monitor RMS262 was calibrated, to the date the isolation valves were found closed.
10/21/89 time unknown RMS262 calibration, isolation valves closed 10/23/89 at 1428 hours0.0165 days <br />0.397 hours <br />0.00236 weeks <br />5.43354e-4 months <br /> "A" Diesel secured, RMS123 inoperative.
10/23/89 at 2109 hours0.0244 days <br />0.586 hours <br />0.00349 weeks <br />8.024745e-4 months <br /> Secured Containment Purge 10/24/89 at 0137 hours0.00159 days <br />0.0381 hours <br />2.265212e-4 weeks <br />5.21285e-5 months <br /> Started Containment Purge 10/24/89 at 1310 hours0.0152 days <br />0.364 hours <br />0.00217 weeks <br />4.98455e-4 months <br /> Secured Containment Purge 10/25/89 at 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br /> Started Containment Purge 10/25/89 at 1849 hours0.0214 days <br />0.514 hours <br />0.00306 weeks <br />7.035445e-4 months <br /> RMS262 isolation valves found closed Technical Specification Limiting Condition for Operation 3.3.3.1 titled "Radiation Monitoring," and 3.3.2.1 titled "Engineered Safety Feature Actuation System Instrumentation" were not entered.
Limi(ing condition for Operation 3.3.3.1 requires a grab sample at least once per 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> or the use of a constant air monitor. Limiting Condition for Operation 3.3.2.1 requires the Containment Purge Valves to be maintained in the closed position.
It should be noted that Health Physics conducted routine outage grab samples of Containment atmosphere with no unusual results during the time the sample inlet isolation valve 2-AC-82 was closed. Also an area radiation monitor is located in Containment on the refuel bridge which continuously monitors the Containment area.
The sample inlet isolation valve 2-AC-S2 was opened and radiation monitor RMS262 was declared operable.
NRC Form 366A (6-69)
NRC Form.366A U.S. NUCLEAR REGULATORY CO)i/JWSSION APPROVED OMB NO. 3150&104 (5-89) EXPIRES: 4/30/62 Estimated burden per response to comply with this LICENSEE EVENT REPORT (LER) information collection request: 50.0 hrs. Forward comments regarding burden estirna1e to the Records TEXT CONTINUATION and Reports Management Branch (p-530). U.S. Nuclear Regulatory Commission. Washington. DC 20555. and to the Paperwork Reduction Project (3150-0104). Ofhce of Management and Budget. Washington. DC 20503, FACILITY NAME (1) DOCKET NUIVIBER (2) LER NUMBER I6l PAGE (3)
'+g'j YE AR C". SGl/ENttAL 14)MBER Millstone Nuclear Power Station Unit 2 0 5 0 0 0 3 3 6 8 9 0 0 9 0 1 0 3OF 03 TEXT (If more space is required. use additlOnal NRC Form 366A's) (tr)
During the performance of the calibration procedure SP 2404AL, valve 2-AC-S2 was closed.
During the performance of the rest of the procedure, it was determined by the person performing the calibration that a change to the way the radiation monitor was isolated was appropriate. The new isolation method provided in change 1 to procedure SP 2404AL called for the closure of the radiation monitor inlet valve, 2-AC-70, and radiation monitor outlet valve, 2-AC-74, by Operations. This change moved the isolation boundary from the inside the recirculation line on the skid to outside the recirculation line.
When the change was implemented and the isolation boundary moved, 2-AC-82 was not reopened.
The calibration activity was then completed by different personnel. They performed the procedure guidance provided by the change to have operations re-open valve 2-AC-70 and 2-AC-74. This completed the activities required by the procedure but left the radiation monitor isolated by the closure of valve 2-AC-S2.
The root cause of this event is personnel error. Prior to making a procedure change, valve 2-AC-S2 should have been opened, which would have restored the radiation monitor RM8262 valve lineup to normal operation. Once restored and the procedure change approved, the surveillance could have been completed using the new isolation boundary.
This event is being reported pursuant to the requirements of paragraph 50.73(a)(2)(i) which requires reporting of any operation prohibited by the plant's Technical Specifications. During the time radiation mon)tor RMS262 was isolated, radiation monitor RM8123 was in service without its emergency power source and would have performed its safety function, which is to isolate Containment Purge on a high radiation signal. During the time radiation monitor RM8123 was secured for maintenance, the Containment Purge was isolated.
Health Physics personnel conducted routine outage grab samples of Containment atmosphere during this period with no unusual results. Also, an area radiation monitor is located in Containment on the Refuel Bridge which continuously monitors the Containment area. Although, the Limiting Condition for Operation, LCO, (3.3.3.1) tvas not-entered, the actions required by the LCO were being performed.
Therefore, there are no safety consequences as a result of this occurrence.
Immediate action taken was to open isolation valve 2-AC-82, restoring sample flow, which restored radiation monitor RM8262 to operable status. The error of making changes to procedures prior to restoring the system to original conditions has been discussed with the personnel involved, and as a topic for the entire Instrument and Control department.
Also steps have been added to the restoration section of calibration procedure SP 2404AL and SP 2404AM which mll verify positive sample flow indication at the radiation monitor skid and verify no low flow or high flow alarms exist.
I I No similar events.
EIIS Codes ( )
IL - Radiation Monitoring System NRC Form 366A (6-8g)