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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:RO)
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr ML17229A7381998-05-21021 May 1998 LER 98-006-00:on 980421,missed EDG Fuel Oil Sample Surveillance Was Noted.Caused by Personnel Error.Revised Fuel Oil Sampling Service Purchase Order & Revised Site procedure.W/980521 Ltr ML17229A7011998-04-27027 April 1998 LER 98-003-00:on 980326,discovered Containment Pressure Instrumentation Design Single Failure Vulnerability.Caused by Inadequate Design by Personnel Error.Removed RPS & ESFAS Containment Pressure Bypass Keys immediately.W/980427 Ltr ML17229A6761998-04-0202 April 1998 LER 98-005-00:on 980305,identified Two Conditions That Were Outside App R Design Bases.Caused by Design Oversight During Development of Original App R Safe SD Design.Established 30 Minute Roving Fire Watches & Provided training.W/980402 Ltr ML17229A6731998-03-26026 March 1998 LER 98-002-00:on 980224,radiation Monitor Surveillance Inadequacies Led to Operating of Facility Prohibited by Tss. Caused by Congnitive Personnel Error.Permanent Procedure Changes Were implemented.W/980326 Ltr ML17229A6551998-03-0505 March 1998 LER 98-001-00:on 980206,high/low Pressure Shutdown Cooling Interface Was Noted Outside App R Design Bases.Caused by Personnel Error.Addl Guidance Was Provided to Engineering Dept personnel.W/980305 Ltr ML17229A6281998-02-19019 February 1998 LER 98-004-00:on 980121,emergency Lighting Outside App R Design Bases Occurred.Caused by Congnitive Personnel Error During Translation of App R Section Iii.Procedures Onop 1 & 2 ONP-100.01 Were Issued for Use on 980206.W/980219 Ltr ML17229A6211998-02-0909 February 1998 LER 98-003-00:on 980110,manual Rt Due to DEH Leak at Turbine Test Block Was Noted.Caused by o-ring Extrusion.Shortened Bolts by About 0.125 & Reinstalled at Correct Torque values.W/980209 Ltr ML17229A6191998-02-0404 February 1998 LER 98-002-00:on 980105,CIS Bistable in Bypass Resulted in Condition Prohibited by Tss.Caused by Personnel Error. Radiation Monitor Was Restored to service.W/980204 Ltr ML17229A6161998-02-0303 February 1998 LER 98-001-00:on 980104,inadvertent RPS Actuation Occurred Due to Personnel Error.Caused by Procedural Inadequacies & Inadequate self-checking by Licensed Utility Personnel. Placards Have Been Placed in CRs.W/980203 Ltr ML17229A6051998-01-27027 January 1998 LER 97-010-01:on 971027,inadvertent Core Alteration Prohibited by TSs Were Noted Due to Stuck Cea.Caused by Personnel Error.Cea #24 Was Dislodged & Transferred to Spent Pool for insp.W/980127 Ltr ML17229A5501997-12-0505 December 1997 LER 97-008-00:on 971107,inadequate CR Ventilation Surveillance Resulted in Condition Prohibited by Ts.Caused by non-cognitive Personnel Error.Operating Procedure 2-1900050 Was revised.W/971205 Ltr ML17309A9091997-12-0202 December 1997 LER 97-011-00:on 971102,non-conservative RAS Set Point Resulted in Operation Prohibited by Ts.Caused by Inadequate Set Point & Instrument Loop Scaling Process.Revised ESFAS Functional Tp W/Proper Set point.W/971202 Ltr ML17229A5391997-11-26026 November 1997 LER 97-010-00:on 971027,inadvertant Core Alteration Prohibited by TS Occurred.Caused by CEA Failure to Detach from Ugs.Safety Evaluation Was Performed & Procedural Rev Made to Continue Upper Guide Structure move.W/971126 Ltr ML17229A5151997-11-0707 November 1997 LER 97-007-00:on 971008,inoperable Containment Cooling Fan Resulted in Operation of Facility Outside Design Basis. Caused by non-cognitive Personnel Error.Ccs Operation Was Revised & Issued on 971013.W/971107 Ltr ML17229A4991997-10-17017 October 1997 LER 97-009-00:on 970917,inoperable PORV Block Valve Resulted in Operation Prohibited by Tech Specs Occurred.Caused by Plant GL 89-10 Program Plan to Review Plant Manager Action Item Sys.Porv Block Valve V-1403 restored.W/971017 Ltr ML17309A9011997-08-27027 August 1997 LER 97-008-00:on 970728,mechanical Fire Penetrations Were Inoperable & Outside App R Design Bases.Caused by Seal Mfg Not Providing Formal Documentation for Installed Seals. Modified Inoperable Fire penetrations.W/970827 Ltr ML17229A4311997-07-29029 July 1997 LER 97-006-00:on 970630,discovered Inadequate Testing of Engineered Safety Features Subgroup Relays.Caused by Inadequacy in Implementing TS Requirements in Surveillance Procedures.Revised Surveillance procedures.W/970729 Ltr ML17229A4241997-07-25025 July 1997 LER 97-005-00:on 970625,discovered That Hot Shutdown Control Panel Shutdown Cooling Flow indicator,FI-3306 Inoperable. Caused by Weakness in Work Order & Procedure Used to Repair FI-3306.Section Meeting W/I&C Planners held.W/970725 Ltr ML17229A3971997-07-11011 July 1997 LER 97-004-00:on 970611,discovered Incorrect Original Cable Tray Fire Stop Assembly Installation Was Outside App R Design Basis.Caused by Personnel Error.Hourly Fire Watch Patrols Will Be posted.W/970711 Ltr ML17229A3871997-06-19019 June 1997 LER 97-003-00:on 970521,determined Required Post Maint Open Stroke Test for Valve V3245,2B2 SIT Discharge Check Valve, Had Not Been Performed.Caused by Personnel Error.Procedure revised.W/970619 Ltr ML17229A3841997-06-17017 June 1997 LER 97-002-00:on 970518,containment Sump Debris Screen Was Not IAW Design Due to Gaps in Screen Encl.Performed SER to Document Containment Sump Design requirements.W/970617 Ltr ML17229A3751997-06-0202 June 1997 LER 97-006-00:on 970501,operation Was Prohibited by TS Due to Inadequately Tested Degraded Voltage Sys.Revised Unit 1 ESFAS Surveillance Test procedure.W/970602 Ltr ML17229A3611997-05-29029 May 1997 LER 97-007-00:on 970502,reactor Coolant Pump Oil Collection Sys Was Outside App R Design Bases.Identified Leak Sites Were Repaired & Mods to RCP Oil Collection Sys to Capture Any Future Leakage from areas.W/970529 Ltr ML17229A3491997-05-21021 May 1997 LER 97-001-00:on 970423,containment Isolation Actuation Occurred.Caused by Increased Radiation Levels During Removal of Upper Guide Structure.Proper Actuation of Containment Isolation Components Was verified.W/970521 Ltr ML17229A3441997-05-13013 May 1997 LER 97-005-00:on 970419,reactor Was Shutdown Due to Reactor Coolant Pressure Boundary Leakage.Hot Cracking Was Caused by Weld Contamination.Repairs to RCPB Were Completed & 1A SDC Train Was Restored to Svc ML17229A3141997-04-30030 April 1997 LER 97-004-00:on 970402,refueling Machine Was Operating in Manner Prohibited by TS Due to Original Design of Refueling Machine Bypass Feature Conflicting W/Ts Requirements. Eliminated Overload Cut Off Limit bypass.W/970430 Ltr ML17229A2951997-03-31031 March 1997 LER 97-003-00:on 970304,automatic Rt Resulted from Loss of Electrical Power to 1A2 Rc Pump.Rcp Breaker Was Replaced & Pump Was Returned to svc.W/970331 Ltr ML17229A2721997-03-21021 March 1997 LER 97-002-00:on 970221,operation in Excess of Max Rated Thermal Power Occurred Due to Digital Data Processing Sys (Ddps) Calorimetric Error.Verified Acceptable Performance of Ddps Functions & Reviewed Software mods.W/970321 Ltr 1999-07-06
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17241A4891999-10-0707 October 1999 LER 99-004-00:on 990912,noted That MSSV Surveillance Was Outside of TS Requirements.Caused by Setpoint Drift.Subject MSSVs Are Being Refurbished & Retested Prior to Unit Startup from SL1-16 Refueling Outage.With 991007 Ltr ML17241A4951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for St Lucie,Units 1 & 2.With 991014 Ltr ML17241A4741999-08-31031 August 1999 Rev 1 to PCM 99016, St Lucie Unit 1,Cycle 16 Colr. ML17241A4591999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for St Lucie,Units 1 & 2.With 990913 Ltr ML17241A4301999-07-31031 July 1999 Monthly Operating Repts for Jul 1999 for St Lucie Units 1 & 2.With 990805 Ltr ML17241A4111999-07-16016 July 1999 LER 99-007-00:on 990610,unplanned Cooldown Transient Occurred Due to Personnel Error.Trained & Briefed Personnel & Revised Procedures.With 990716 Ltr ML17241A4031999-07-0606 July 1999 LER 99-006-00:on 990605,sub-critical Reactor Trip Occurred Due to Inadvertent MSIV Opening.Caused by Personnel Error. Provided Operation Supervision Instruction to Operating Crews,Stand Down Meetings & Operator Aids.With 990706 Ltr ML17241A4041999-07-0606 July 1999 LER 99-005-00:on 990604,CEA Drop Resulted in Manual Reactor Trip.Caused by Procedural Inadequacies.Procedure Changes Are Planned to Correct Lack of Procedural Guidance for CEA Subgroup Power Switch Replacement.With 990706 Ltr ML17241A4091999-06-30030 June 1999 Monthly Operating Repts for June 1999 for St Lucie,Units 1 & 2.With 990712 Ltr ML17241A3941999-06-30030 June 1999 LER 99-004-01:on 990415,as Found Cycle 10 Psv Setpoints Were Outside TS Limits.Caused by Manufacturing Process Defect. All Three Psvs Were Replaced with pre-tested Valves During Cycle 11 Refueling Outage.With 990630 Ltr ML17355A3681999-06-30030 June 1999 Revised Update to Topical QA Rept, Dtd June 1999 ML17241A3551999-06-0404 June 1999 LER 99-002-00:on 990505,both Trains of Safety Injection Actuation Were Blocked During Surveillance.Caused by Procedure Error.Procedure Revised.With 990604 Ltr ML17241A3631999-05-31031 May 1999 Monthly Operating Repts for May 1999 for St Lucie Units 1 & 2.With 990610 Ltr ML17241A3321999-05-17017 May 1999 LER 99-004-00:on 990415,determined That as Found Cycle 10 Psv Setpoints Outside TS Limits.Root Cause Under Investigation.Psvs Replaced with pe-tested Valves During Cycle 11 ML17241A3271999-05-0606 May 1999 LER 99-003-00:on 990406,ECCS Suction Header Leak Resulted in Both ECCS Trains Being Inoperable & Entry Into TS 3.0.3. Caused by Chloride Induced OD Stress Corrosion Cracking of Piping.Made Code Repairs & Coated Piping.With 990506 Ltr ML17241A3331999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for St Lucie,Units 1 & 2.With 990517 Ltr ML17229B0801999-04-0707 April 1999 LER 99-002-00:on 990311,SG ECT Error Caused Operation with Condition Prohibited by Ts.Caused by Deficiencies in Data Analysis Guideline Instructions.Licensee Will Change Data Analysis Guidelines for Lead Analysts.With 990407 Ltr ML17229B0841999-04-0707 April 1999 Rev 2 to PSL-ENG-SEMS-98-102, Engineering Evaluation of ECCS Suction Lines. ML17229B0791999-04-0707 April 1999 LER 99-001-00:on 990309,discovered Inadequate Design & IST SRs for Iodine Removal Sys (Irs).Caused by Original Design Inadequacies & Personnel Error.Naoh Tank Vent Valve V07233 Was Tagged Open.With 990407 Ltr ML17229B0961999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for St Lucie,Units 1 & 2.With 990408 Ltr ML17229B0541999-03-10010 March 1999 LER 99-001-00:on 990211,inadequate TS SRs for SIT & SDC Isolation Valves Were Noted.Caused by Failure to Correctly Implement TS Srs.Submitted LAR to Align Required TS SR with Design Bases Requirements Being Verified.With 990310 Ltr ML17229B0461999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for St Lucie,Units 1 & 2.With 990310 Ltr ML17229B0051999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for St Lucie,Units 1 & 2.With 990211 Ltr ML17229A9901999-01-20020 January 1999 LER 98-009-00:on 981223,noted That Facility Operated Outside of Design Basis.Caused by non-conservative MSLB Analysis Inputs.Will Review SR Component Differences Between Units & Will re-baseline LTOP Analysis.With 990120 Ltr ML17229A9961999-01-14014 January 1999 SG Tube Inservice Insp Special Rept. ML17229A9821999-01-0404 January 1999 LER 98-010-00:on 981207,RCS Boron Sample Frequency Required by Ts,Was Exceeded by Twelve Minutes.Caused by Personnel Error.Equipment Clearance Order Was Lifted to Draw Required Sample & Operations Procedure Was Changed.With 990104 Ltr ML17229A9831998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for St Lucie,Units 1 & 2.With 990111 Ltr ML17229A9611998-12-22022 December 1998 LER 97-002-01:on 981204,containment Sump Debris Screen Was Not IAW Design.Caused by Inadequate C/As for Sump Screen Anamolies.All Identified Sump Screen Deficiencies Were Dispositioned &/Or Repaired.With 981222 Ltr ML17229A9561998-12-15015 December 1998 LER 98-008-00:on 981118,missed TS SG U Tube Insp.Caused by Encoding Errors While Using Remote Positioning Fixtures.All SG Tube Surveyed.With 981215 Ltr ML17241A3581998-12-0909 December 1998 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period of 970526-981209. ML17229A9421998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for St Lucie,Units 1 & 2.With 981215 Ltr ML17229A9301998-11-25025 November 1998 LER 98-005-01:on 980807,discovered That New MOV Methodology Caused Past PORV Block Valve Operability Problem.Caused by Inadequacies in Original Vendor MOV Methodology.Planned Valve Mods Will Be Implemented During Cycle 11 1998 Outage ML17229A9021998-11-0404 November 1998 LER 98-008-00:on 981008,inadequate Reactor Protection Sys Trip Bypass TS Was Noted.Caused by Poorly Worded Ts. Submitted LAR to Clarify Power Requirements for High Rate of Power Trips.With 981104 Ltr ML17241A4931998-11-0101 November 1998 Statement of Account for Period of 981101-990930 for Suntrust Bank,As Trustee for Florida Municipal Power Agency Nuclear Decommissioning Trust (St Lucie Project). ML17229A9051998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for St Lucie,Units 1 & 2.With 981110 Ltr ML17229A8871998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1 Which Was Machined with Improper Length.C/A Includes Insp Equipment That Will 100% Identify Short Length ML17229A8781998-10-19019 October 1998 Part 21 Rept Re Potential Defect in Swagelok Stainless Steel Front Ferrule,Part Number SS-503-1,which Was Machined with Improper Length.Insp Equipment That Will 100% Identify Short Length ML17229A8771998-10-14014 October 1998 LER 98-006-00:on 980918,inadvertent Afas Actuation Was Noted.Caused by Degradation of Multiple Afas Power Supplies. Replaced Afas Power Supplies & Revised Procedures.With 981014 Ltr ML17229A8761998-10-14014 October 1998 LER 98-007-00:on 980918,identified Discrepancies Between Fire Protection Design Requirements & Field Conditions. Caused by Inadequate Translation & Implementation of Fire Protection Requirements.Procedures Revised.With 981014 Ltr ML17229A8721998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for St Lucie Units 1 & 2.With 981009 Ltr ML17229A8511998-09-0202 September 1998 LER 98-005-00:on 980807,discovered That PORV Margins Were Insufficient to Accommodate Addl Conservatism.Caused by Inadequacies in Original Vendor MOV Methodology.Will Implement Planned Valve Actuator mods.W/980902 Ltr ML17229A8611998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for St Lucie,Units 1 & 2.With 980911 Ltr ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17229A8481998-08-0707 August 1998 Rev 1 to PSL-ENG-SEFJ-98-013, St Lucie Unit 2,Cycle 10 Colr. ML17229A9461998-08-0707 August 1998 Rev 0 to PCM 98016, St Lucie Unit 2,Cycle 11 Colr. ML17229A8301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for St Lucie,Units 1 & 2.W/980814 Ltr ML17229A8201998-07-29029 July 1998 LER 98-007-00:on 980630,inadequate Procedure May Have Resulted in SBO Recovery Complications.Caused by Inadequate Procedures.Attached Caution Tags to Appropriate Control switches.W/980729 Ltr ML17229A7981998-06-30030 June 1998 Monthly Operating Repts for June 1998 for St Lucie,Units 1 & 2.W/980713 Ltr ML17229A7701998-05-31031 May 1998 Monthly Operating Repts for May 1998 for St Lucie,Units 1 & 2.W/980612 Ltr ML17229A7411998-05-28028 May 1998 LER 98-004-00:on 980430,discovered Waste Gas Decay Tank Operation W/O Available Oxygen Analyzers,Which Is Prohibited by Ts.Caused by Inadequate Licensee Review of License Amend. Oxygen Analyzer recalibrated.W/980528 Ltr 1999-09-30
[Table view] |
Text
~ CATEGORY REGULATORY INFORMATION DISTRIBUTION SYSTEM (RZDS)
ACCESSION NB%". 9705280064 DOC. DATE: 97/05/21 NOTARIZED: NO DOCKET FACIL:50-389 St. Z,ucie Plant, Unit 2, Florida Power s Light Co. 05000389 AUTH. NAME AUTHOR AFFZLZAT*ION BENKEN,E.J. Florida Power & Light Co.
STALL,J.A. Florida Power & Light Co; RECZP.NAME RECIPIENT AFFIZ ZATZON
SUBJECT:
LER 97-001-00:on 970423,containment isolation actuation occurred. Caused by increased radiation levels during removal of upper guide structure, Proper actuation of containment isolation components was verified.W/970521 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50'.9 Licensee Event Report (ZER), Incident Rpt, etc.
NOTES:
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-3 PD 1 1 WIENS, L. 1 1 INTERNAL: ACRS 1 1 A S AB 2 2 AEOD/SPD/RRAB 1 1 IL 1 1 NRR/DE/ECGB 1 1 1 1 NRR/DE/EMEB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/H ICB 1 1, NRR/DRCH/HOLB 1 1 NRR/DRCH/HQMB 1 1 NRR/DRPM/PECB 1 1 NRR/DSSA/SPLB 1 1 NRR/DSSA/SRXB 1 1 RES/DET/EIB 1 1 RGN2 FILE 01 1 1 EXTERNAL: L ST LOBBY WARD 1 1 LITCO BRYCE,J g 1 1 NOAC POORE,W. 1 1 NOAC QUEENER,DS 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE CONTACT THE DOCUMENT CONTROL DESK)
ROOM OWFN SD-S(EXT ~ 415-2083) TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEEDt FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 25 ENCL 25
C Florida Power 5 Light Company, 6501 South Ocean Orive, Jensen Beach, FL 34957 May 21, 1997 L-97-138 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555
(
Re: St. Lucie Unit 2 Docket No. 50-389 Reportable Event: 97-001
~~p(* ~
Date of Event: April 23, 1997 Containment Isolation Actuation due to Increased Radiation Q
The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73 to provide notification of the subject event.
Very truly yours, J. A. Stall Vice President St. Lucie Plant JAS/EJB Attachment cc: Regional Administrator, USNRC Region II Senior Resident Inspector, USNRC, St. Lucie Plant IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
'rr705280064 'ir7052i PDR ADOCK 0500038'rr 8 PDR an FPL Group company
APPROVED BY OMB No. 316041104 NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION EXRRES 04/30lSS (4-95) ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS MANDATOR I
INFORMATION COLLECTION REQUEST: 60.0 HRS. REPOR'rED LESSON LEARNED ARE INCORPORATED INTO THE UCENSING PROCESS AND FE BACK TO INDUSTRY. FORWARD COMMENTS REGARDING BURDEN ES'TIMAT LICENSEE EVENT REPORT (LER) TO THE INFORMATION ANO RECORDS MANAGEMENT BRANCH fT.B F33I U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. OC 20666~1 AND TO THE PAPERWORK REDUCTION PROJECT I3160%104), OFRCE Of (See reverse for required number of MANAGEMENTAND BUDGET, WASHINGTON, OC 20603.
digits/characters for each block)
FACIUTY NAME 11) DOCKET NWIISER 12I PAGE (3I ST LUCIE UNIT 2 05000389 1 QF7 TITLE I>>
Containment Isolation Actuation due to Increased Radiation Levels during Removal of Upper Guide Structure FACIUTY NAME DOCKETNUMBER SEOUENTIAL REVISION MONTH DAY YEAR MONTH DAY YEAfl NUMBER NUMBER N/A FACIUTYNAME DOCKET NUMBER 04 23 97 97 001 00 05 21 97 N/A OPERATING MODE (9) 20. 2201 (b) 20. 2203(a) (2) (v) 50.73(a) (2) (I) 50.73(a)(2)(viii)
POWER LEVEL (10) 000 20.2203(a) (2) (I) 20.2203(a)(3)(ii) 50.73(a)(2)(iii) 73.71 OTHER 20.2203(a)(2)(m) 50.36(c) (1) 50.73(a) (2) (v) Specify ln Abstract below or in NRC Form 366A 20.2203(a)(2)(iv) 50.36(c)(2) 50.73 (0) (2) (vii)
NAME TELEPHONE NUMBER Snolude Area Code)
Edwin J. Benken, Licensing Engineer (561) 476 - 7156 f.'QSL,I?.g., REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER CAUSE SYSTEM COMPONENT. MANUFACTURER To NPRDS To NPRDS
$ '.:('Nef; je MONTH OAY YEAR EXPECTED YES SUBMISSION (If yes, complete EXPECTED SUBMISSION DATE).
X No DATE (15)
ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single. spaced typewritten lines) (16)
On April 23, 1997, St. Lucie Unit 2 was in Mode 6 during a scheduled refueling outage. At 1758, a containment isolation actuation signal (CIAS) was received during the removal of the upper guide structure (UGS) in preparation for fuel movement. The CIAS was anticipated based on previously identified high radiation levels in the area of the upper incore instrumentation (ICI) guide tubes. Non-essential personnel had been removed from the area prior to UGS movement and the evolution was completed without further incident. The CIAS was reset following verification of component actuation and the completion of the UGS relocation to its refueling storage location.
The CIAS was generated as a result of high radiation as measured by two-out-of-four containment isolation radiation monitoring instruments. The monitor set points had been adjusted to 90 mR/hr as required by plant Technical Specifications during the refueling mode. The elevated radiation levels were caused by the presence of irradiated ICI segments which had broken during removal and remained in the upper section of the ICI guide tubes contained in the UGS.
Corrective Actions include: 1) Proper actuation of containment isolation components was verified. 2) ICI material found in the guide tubes was removed or relocated within the guide tube to ensure adequate shielding during UGS movement. 3) An engineering safety evaluation was performed to verify the acceptability of operation with simulated incore assemblies and ICI remnants. 4) Procedure changes were made to improve the ICI removal process. 5) FPL is continuing to evaluate the ICI failure mechanism and the need for additional corrective actions. 6) Radiological survey practices are being reviewed for improvement.
NRC FOAM 366 (4.95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO I4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST. LUCIE UNIT 2 05000389 2 OF 7 97 001 00 TEXT Iffmore speceis required, use edditionel copies of NRC Farm 3GSAJ I171 On April 23, 1997, St. Lucie Unit 2 was in Mode 6 during a scheduled refueling outage. At 1147, the upper guide structure (UGS) [EIIS:AB] was being removed from the reactor vessel in accordance with General Maintenance Procedures, as part of the refueling sequence. The reactor cavity water level was being maintained at approximately 56.1 feet, as required, and containment integrity was established.
Four channels of containment isolation radiation monitoring [EIIS:IL] were in se'rvice with alarm set points adjusted at 90 millirem per hour (mR/hr) in accordance with Technical Specifications (TS).
As the UGS was raised approximately eight feet, and the incore instrumentation (ICI) [EIIS:IG] guide tube cluster assembly (refer to Figure 1) cleared the surface of the water, measured radiation levels in containment rapidly increased. Containment Isolation monitor channel MD [EIIS:IL] alarmed at a measured radiation level of 90 mR/hr and an automatic containment evacuation alarm was sounded.
Three other containment isolation radiation monitoring channels (MA, MB and MC) [EIIS:IL] also indicated elevated radiation levels, of up to 30 mR/hr, however, only the MD channel exceeded the CIAS set point of 90 mR/hr and therefore a CIAS (requiring 2-out-of-4 channel logic) was not initiated.
The UGS was lowered into the reactor vessel at 1154 and radiation levels decreased to normal values when the ICI guide tube cluster assemblies were submerged in water. Following the containment evacuation alarm, an orderly evacuation of the containment was conducted.
An inspection of the UGS was initiated using a radiation monitor and extended boom. Radiation levels in excess of 500 REM were detected in the area of the incore detector guide tubes, which indicated that activated ICI material had become lodged in the upper portion of the tubes during instrument removal. The incore detectors had been removed by FPL Instrument and Control (IRC) personnel prior to the UGS lift, for replacement with new detectors and an ICI flange modification.
Based upon the radiological conditions associated with the UGS, a meeting was held with plant management to assess available options and determine the appropriate actions to facilitate removing the broken detector material. It was determined that the UGS would be moved to its refueling storage position in the lower reactor cavity prior to performing any additional inspection or material retrieval.
Relocating the UGS to this position would preclude potential foreign material exclusion issues in the area of the reactor vessel.
On April 23, 1997, at 1705, operations conducted a crew briefing to review moving the UGS. A CIAS was anticipated to occur during the UGS lift and was discussed with operating crews prior to performance of the evolution. All non-essential personnel were then cleared from the containment prior to the start of the evolution. At 1750, the UGS lift was commenced, and a valid CIAS was received at 1758. Following receipt of the CIAS, operators verified the proper actuation of required components.
At 1810, on April 23, 1997, the UGS was placed in its refueling storage position in the lower reactor cavity, and the CIAS was reset at 1812.
Subsequent inspection of the UGS, including boroscopic examination of the ICI positions, identified that broken incore detector segments were present in three incore instrumentation (ICI) guide tube locations.
The affected detector locations were L-16, R-9 and T-13 (refer to Figure 2).
NRC FORM 368A I4-95I
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO I4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST. LUCIE UNIT 2 05000389 3 OF 7 97 001 00 TEXT Iffmore spece is required, use edditionel copies of NRC Form 366AI I17)
Following a detailed inspection of the UGS, efforts to retrieve the incore detector material from the guide tubes were initiated. The ICI detector debris located at core position L-16 was successfully removed using a specifically designed extraction tool and transferred to the spent fuel storage area.
Detector debris found in the ICI guide tubes at positions R-9 and T-13 could not be extracted due to the condition of the material. The detector segments at these locations were subsequently inserted toward the bottom of the instrument tube thimble assemblies to allow adequate shielding during movement of the UGS back to its core location. Partial length, simulated ICI assemblies were installed at detector locations R-9 and T-13 to simulate the physical rigidity of a normal ICI in the curved guide tube region.
When the above work was completed, the UGS was temporarily raised to normal travel height to verify that radiation levels remained acceptable and then reset in the lower reactor cavity. This test was satisfacto(ily completed on April 30, 1997.
The Containment Isolation Actuation Signal (CIAS) which was actuated at 1758, on April 23, 1997, was a valid actuation based on elevated radiation levels measured in containment during the removal of the UGS from the core to its refueling position. The CIAS was anticipated and planned, and containment isolation system (CIS) components were verified to have operated in accordance with their design following the actuation. The removal of the UGS to its refueling storage location was completed without further incident.
The increase in containment radiation levels encountered during the UGS lift were caused by the presence of irradiated ICI detector segments located in three of the incore detector guide tubes.
Following boroscopic examination of the incore instrumentation flanges, it was determined that incore detectors at core positions L-16, R-9, and T-13 had broken while being removed from their associated guide tubes. The detectors were being removed in preparation for the installation of an ICI flange modification, and were scheduled for replacement. The incore detectors at the above three locations were broken when the irradiated portion of the detector assembly passed through the "S" bends in the upper portion of the guide tubes located above the ICI support plate. The exact mechanism for the failure of the'CIs during their removal has not yet been determined.
The containment isolation radiation monitoring instrumentation at St. Lucie Unit 2 was operable during this event with the alarm/trip set point adjusted to less than or equal to 90 mR/hr as required by Technical Specification (TS) 3.3.3.1 Additionally, the CIS was operable as required by Technical
~
Specification 3.9.9 for core alterations and fuel movement. During the UGS relocation from the reactor to its refueling storage position in the lower reactor cavity, an anticipated CIAS was received when 2-out-of-4 containment area radiation measurement channels exceeded 90 rnR/hr. This event is therefore reportable under 10 CFR 50.73(a) (2) (iv), as "Any event or condition that resulted in a manual or "
automatic actuation of any engineered safety feature (ESF), including the reactor protection system...
NRC FORM 366A I4.95I
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO I4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEOUENTIAL REVISION ST. LUCIE UNIT 2 05000389 4 OF 7 97 001 00 TEXT Iifmore spaceis required, use additional copies of NRC Form 366AI I17I Operability of radiation monitoring channels, per TS 3.3.3.1, ensures that radiation levels are continuall measured in the'areas served by the individual channels and the alarm or automatic function is initiated when the radiation level trip set point is exceeded. For this event, the containment isolation radiation monitoring instrumentation was operable and functioned as designed during the initial UGS lift to automatically actuate a containment evacuation alarm upon measurement of radiation levels at the prescribed set point of 90 mR/hr. Additionally, continuous coverage was provided by Health Physics personnel while lifting the UGS to ensure that only essential personnel were in the area during the UGS removal and radiological conditions remained acceptable.
Operability of the containment isolation system during core alterations ensures that the containment is automatically isolated upon detection of high radiation levels within the containment. The system will
. restrict the release of radioactive material from the containment atmosphere to the environment in the event of a fuel handling accident. During this event, core alterations or fuel movement were not in progress, al1d therefore, the potential for a fuel handling accident did not exist. Additionally, the CIAS was anticipated based on previously measured radioactivity levels on the UGS and additional HP protective measures were implemented prior to UGS movement to ensure personnel exposure was minimized.
As a result of this event, incore instrumentation at core locations R-9 and T-13 will not be available during St. Lucie Unit 2, Cycle 10, and simulated, partial length ICI assemblies will be used at these locations. FPL performed an engineering safety evaluation to determine the acceptability of this modification and concluded that the installation of dimensionally equivalent ICI assemblies will not adversely affect reactor coolant system (RCS) integrity. Additionally, more than the minimum number of incore detectors, as defined in the St. Lucie Unit 2 Final Updated Safety Analysis Report (FUSAR),
will be available for St. Lucie Unit 2, Cycle 10 operation. The evaluation also concluded that the remnant ICI segments located in core locations R-9 and T-13 will have no adverse effect on plant operation or safety.
There was no adverse impact on radiological safety or release of radioactive material as a result of this event. All radiation monitoring instrumentation functioned as designed and health physics measures were in place at all times to ensure that personnel exposure was minimized during movement of the UGS. Based on the above, the protection of the health and safety of the public was not affected by the event.
Following the CIAS on'April 23, 1997, operators verified that required. containment isolation components had properly actuated. The CIAS was then reset following the completion of the UGS relocation to the lower reactor cavity area.
'NRC FORM 366A (4.95I
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO I4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST. LUCIE UNIT 2 05000389 5 OF 7 97 001 00 TEXT itfmore speceis required, use edditionel copies of NRC Form 366AI I17I
- 2. The UGS was moved to its refueling storage location, and the incore detector material found in the ICI guide tubes was either removed for disposal or repositioned to the lower thimble assembly portion of the guide tube. Following this, the UGS was raised to the normal travel height to verify that radiation levels remained normal. The UGS was subsequently moved back to its operating position in the core without incident.
- 3. Simulated ICI assemblies were installed in core locations R-9 and T-13, and an engineering safety evaluation was performed which verified the acceptability of operation with assemblies in place and remnant ICI segments remaining in the two incore guide the'imulated tubes. FPL will further determine if this modification will remain for one cycle or as a permanent change to the facility.
C 4, The Instrument and Control tIRC) procedure related to the removal of the incore detectors was revised to include a positive verification of proper ICI removal through the use of remote video equipment. Additionally, FPL will assess the type and application of the load cell being used during ICI removal to determine if further improvements can be made.
- 5. FPL is continuing to assess the failure mechanism associated with the incore instrumentation assemblies located in core positions L-16, R-9 and T-13. Additional corrective actions will be implemented as needed based on the results of the assessment. For example, the use of non-depleting incore detectors, which do not require frequent replacement, is being evaluated for possible u'se at St. Lucie Plant.
- 6. Radiological surveying practices associated with the upper guide structure will be reviewed for enhancements in identifying potentially radioactive ICI material in the UGS prior to its removal from the reactor core.
None None NAC FOAM 388A I4.95I
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST. LUCIE UNIT 2 05000389 6 OF 7 97 001 00 TEXT iifmore spece is required, use addi tionel copies oi AIRC Form 366A/ I17I INCORE INSTRUMENTATION INSTALLATIONARRANGEMENT UGS SUPPORT PLATE
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EZEEE-IEZZZL E~~N NRC FORM 366A (4 95I
Cf NRC FORM 386A U.S. NUCLEAR REGULATORY COMMISSI (4-QSI LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST. LUCIE UNIT 2 05000389 7 OF 7 97 - 001 00 TEXT flfmore specs is required, use additionsl copies of NRC Farm 3884/ I17I EIGUBED ST. LUCIE UNIT 2 INCORE INSTRUMENTATION LOCATIONS A B C D E F GHJKLMNPR S T V W X Y 0 0 0 0 0 0 0 0 7
8 9 o o 0 0 0 10 11 12 13 14 0 0 0 0 0 15 0 16 0 0 6 0 17 18 0 0 19 20 0 0 0 0 21 ICI DETECTOR ASSEMBLY I CORE EXIT THERMOCOUPLE LOCATION ALL CONTAIN A CALIBRATIONTUBE NRC FORM 366A (4 95)