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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 j.
REGULAT . INFORMATION DISTRIBUTIO YSTEM (RIDS)
ACCESSION NBR:9803100346 DOC.DATE: 98/03/05 NOTARIZED- NO DOCKET I FACIL:50-389 St. Lucie Plant, Unit 2, Florida Power & Light Co. 05000389 AUTH. NAME AUTHOR AFFILIATION
'FREHAFER,K.W. Florida Power & Light Co.
STALL,J.A. Florida Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 98-001-00:on 980206,high/low pressure shutdown cooling interface outside appen R design bases occurred. Caused by personnel error.Addi guidance was provided to engineering A dept personnel.W/980305 ltr. I T
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:
E'ECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-3 PD 1 1 GLEAVES,W 1 1 INTERNAL: ACRS 1 1 AEOD/SP~D RAB 2 2 Y.
AEOD/SPD/RRAB 1 1 ER 1 1 NRR/DE/ECGB 1 1 &/DE/EE 1 1 NRR/DE/EMEB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1' NRR/DRCH/HOLB 1 1 NRR/DRCH/HQMB 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 D EXTERNAL: L ST LOBBY WARD 1 1 LITCO BRYCE,J H 1 1 0 NOAC POORE,W. 1 1 NOAC QUEENER,DS 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1
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I N
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE. TO HAVE YOUR NAME OR ORGANIZATION REMOVED FROM DISTRIBUTION LISTS OR REDUCE THE NUMBER OF COPIES RECEIVED BY YOU OR YOUR ORGANIZATION, CONTACT THE DOCUMENT CONTROL DESK (DCD) ON EXTENSION 415" 2083 FULL TEXT CONVERSION REQUIRED Kl TOTAL NUMBER OF COPIES REQUIRED: LTTR P5 ENCL
Florida Power 5 Light Company, 6351 S. Ocean Drive, Jensen Beach, FL 34957 March 5, 1998 PRL L-98-066 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: 98-001 Date of Event: February 6, 1998 High/Low Pressure Shutdown Cooling Interface Outside A endix R Desi n Bases The attached Licensee Event Report is being submitted pursuant to the requirements of 10 CFR 50.73.
Very truly yours, J. A. Stall Vice President St. Lucie Plant JAS/EJW/KWF Attachment cc: Regional Administrator, USNRC, Region II Senior Resident Inspector, USNRC, St. Lucie Plant 9803i00346 '780305 PDR ADGCK 0500038'rr 8 PDR u~
I llllllllllllllllllllllIlllllllllllllllll an FPL Group companY
APPROVED BY OMB NO. 3160%104 NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION EXPIRES 04/30IQ S (4-95) ESTIMATED BURDEN PER RESPONSE TO COMPLY WITH THIS MANDATOR INFORMATION COLLECTION REQUEST: 60.0 HRS. REPORTED LESSON LEARNED ARE INCORPORATED INTO THE UCENSING PROCESS AND F BACK TO INDUSTRY. FORWARD COMMENTS REGARDING BURDEN ESTIMAT LICENSEE EVENT REPORT tLER) TO THE INFORMATION AND RECORDS MANAGEMENT BRANCH IT.S F33)
US. NUCLEAR REGIAATORY COMMISSION, WASHINGTON, DC 2066&0001 AND TO THE PAPERWORK REDUCTION PROJECT (3160%104), OFFICE 0 (See reverse for required number of MANAGEMENTAND BUDGET, WASHINGTON, DC 20603.
digits/characters for each block)
DOCKET NINABER ISI PAGE 13I FACIUTY NAME I1 I ST LUCIE UNIT 2 05000389 1 OF8 TITLE I4)
High/Low Pressure Shutdown Cooling Interface Outside Appendix R Design Bases FACIUTY NAME DOCKETNUMBER SEQUENTIAL REVISION MONTH DAY YEAR MONTH DAY YEAR NUMBER NUMBER n/a 05000 FACIUTY NAME DOCKETNUMBER 6 98 98 001 0 3 5 98 05000 OPERATING MODE {9) 20.2201 (b) 20.2203{a) {2)(v) 50.73(a) (2)(i) 50.73(a) {2)(viii)
POWER LEVEL (10) 100 20.2203(a) (2)(i) 20.2203(a)(3)(ii) 50.73(a) (2)(iii) 73.71 OTHER 20.2203{a) (2) On) 50.36(c) (1) 50.73(a)(2)(v) Specify in Abstract below or in NRC Form 366A 20.2203(a)(2)(iv) 50.36{c) {2) 50.73(a)(2)(vii)
NAME TELEPHONE NUMBER sndude Area Code)
K. W. Frehafer, Licensing Engineer (561) 468-4284 REPORTABLE REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER CAUSE SYSTEM COMPONENT MANUFACTURER To NPRDS To NPRDS BP n/a n/a n/a MONTH DAY YEAR EXPECTED YEs SUBMISSION
{Ifyes, complete EXPECTED SUBMISSION DATE). X No DATE (15)
ABSTRACT (Umit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On February 6, 1998, Unit 2 was in Mode 1 at 100 percent reactor power. While performing an on-going 10 CFR 50 Appendix R fire protection safe shutdown review, Engineering identified a portion of the low pressure safety injection system which does not meet Appendix R requirements. The issue involves the potential for a primary system high pressure/low pressure interface condition as a result of multiple fire induced three phase hot short cable faults.
The cause for the identified condition has been determined to be personnel error during the preparation and issuance of a plant modification that was not properly evaluated against the design basis requirements established during original plant design for primary system high/low pressure interfaces. A postulated fire could could result in a fire induced high pressure/low pressure iriterface between the reactor coolant and shutdown cooling systems due to the spurious opening of multiple valves via the unlikely multiple hot short cable fault failure mode.
Florida Power and Light established a 30 minute roving fire watch in the Unit 2 reactor auxiliary building which includes the subject fire areas as a compensatory measure. Additional corrective actions include fire breach permits, training, and a future modification to eliminate the potential high/low pressure interface condition.
NRC FOAM 366 (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO (4-95I LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 2 OF 8 98 001 0 TEXT (ifmore spece is required, use edditional copies of NRC Form 366AJ I17I On February 6, 1998, Unit 2 was in Mode 1 at 100 percent reactor power. Engineering notified Operations of a finding during an on-going fire protection safe shutdown review which identified a portion of the low pressure safety injection [EIIS:BP] (LPSI) system which does not meet Appendix R fire protection design requirements. The issue pertained to the potential for a primary system high pressure/low pressure interface condition as a result of fire induced cable faults. As stated in the updated final safety analysis (UFSAR), Appendix 9.5A, the design of the primary systems ensures that a fire induced loss of coolant accident (LOCA) cannot result from a single fire which opens multiple valves in series at a high/low pressure interface.
The original design of the Unit 2 shutdown cooling (SDC) system suction piping and associated motor-operated valves [EIIS:BP:MO:ISVJ (MOVs) is shown in Figure 1. As indicated, the SDC system suction piping consists of two separate suction lines with one originating at the 2A RCS hot leg and the other originating at the 2B RCS hot leg. Each shutdown cooling suction line includes two normally locked closed (via keylock switches) MOVs in series which are powered from separate safety related electrical busses [EIIS:EK] . The SDC suction line associated with RCS loop 2A includes V3480 (B train power) and V3481 (A train power) while the RCS loop 2B SDC suction line includes V3652 (A train power) and V3651 (B train power). In addition, a crosstie line is provided between these four SDC suction line MOVs. The SDC suction crosstie line includes MOV V3545 that was originally in a normally locked closed position (via keylock switch). V3545 is powered from the AB electrical bus. The AB bus can be powered from either the A or the B safety related electrical bus. The design of the SDC suction piping and isolation valves complies with the design requirements of General Design Criteria (GDC) 34 and Branch Technical Position (BTP) RSB 5-1 in that at least one train of shutdown cooling can be placed in service under the most limiting single failure condition. For the initiation of shutdown cooling, the most limiting single failure is the loss of one electrical bus. The shutdown cooling crosstie valve, V3545, originally had to be opened to perform this SDC function. Since V3545 can be powered from either the A or B electrical bus, GDC 34 design requirements were met.
For the purposes of providing protection from a fire induced LOCA, UFSAR Appendix 9.5A states that the combination of physical protection, system design and fire protection provisions provides assurance that no single fire can cause a LOCA. With respect to the shutdown cooling system, the UFSAR originally stated that where the cables for the redundant isolation valves are located in the same fire area, one train of isolation valve cables are protected in that area. With respect to cables located outside cohtainment, the power cables for the A train powered valves, V3652 and V3481, are routed in Fire Area A (Fire Zones 22 (A Electrical Penetration Room), 51" (A Penetration Room Extension) and 37 (A Switchgear Room)). The power cables for the B train powered valves, V3480 and V3651, are routed in Fire Areas C (Fire Zone 34 (B Switchgear Room) and I (Fire Zones 23 (B Electrical Penetration Room) and 51W (Cable Loft)). Therefore, a fire in Fire Area A could cause spurious opening of both V3652 and V3481. Likewise, a fire in Fire Areas C or I could cause spurious opening of both V3480 and V3651. However, with V3545 NRC FORM 366A I4 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 3 OF 8 98 001 0 TEXT ilfmore speceis required, use edditionel copies of hfRC F'orm 366Ai I17) normally closed and the cables protected, V3545 was not susceptible to fire induced faults that could cause the valve to spuriously open. As a result, high/low pressure system interface protection was provided by the original design of the SDC system piping and valve arrangement.
During a subsequent design review of safety related MOVs, it was discovered that V3545 was potentially susceptible to the phenomenon of pressure locking. That is, if one of the upstream SDC system isolation valves leaked, V3545 would be susceptible to valve bonnet pressurization which could potentially prevent the valve from being opened when required. The inability to open V3545 would violate the design requirements of GDC 34 and BTP RSB 5-1. To eliminate this potential failure mode, plant change modification (PCM) 168-295 was prepared to change the normal position of V3545 to "Locked Open" (see Figure 2). PCM 168-295 was implemented in December 1995. Included in the PCM was an evaluation of the design change on the fire program safe shutdown capability.
The PCM correctly identified that the combination of the five SDC system suction isolation valves must function as a high/low pressure interface boundary between the RCS and lower pressure shutdown cooling system piping. However, the PCM erroneously credited the removal of power from V3480, V3481, V3651, and V3652 as being sufficient to prevent spurious operation as a result of a fire. With the modified SDC system configuration, a fire in Fire Areas A (C or I) could cause spurious opening of V3652 (V3480) and V3481 (V3651). With V3545 normally open, a high/low pressure interface concern could exist between the RCS and lower pressure SDC system piping. This revised plant configuration has been determined to place Unit 2 outside of its original design basis with respect to providing protection against fire induced LOCAs.
Enhanced compensatory actions were established for the subject Fire Areas A (Fire Zones 22, 51" and 37), C (Fire Zone 34) and I (Fire Zone 23 and 51W). The enhanced compensatory actions implemented include the establishment of a 30 minute roving fire watch in the Unit 2 RAB which includes the subject Fire Areas A, C, and I; FPL concludes that there are sufficient design features and compensatory actions in place to provide a reasonable assurance of safety in the interim period until permanent corrective actions can be implemented to correct the subject design deficiency.
The cause for the identified condition has been determined to be personnel error during the preparation and issuance of PCM 168-295. The impact of the modification was not properly evaluated against the design basis requirements established during original plant design for primary system high/low pressure interfaces. The engineers involved credited the fact that with NRC FORM 366A (4.95I
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO I4-IISI LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 4 OF 8 98 001 0 TEXT /lfmore spaceis required, use additional copies of NRC Farm 366AJ I17I power removed from the SDC suction isolation MOVs, they would not be susceptible to fire induced cable failure modes that could cause spurious valve opening. This justification, although consistent with the design basis originally established for inside containment cables, was incorrect for cables located outside containment. A contributing factor was the lack of detail contained in the original Unit 2 Safe Shutdown Analysis with respect to cable failure mode assumptions and methodology.
A condition is considered reportable under 10 CFR 50.72/73 if it results in the nuclear power plant being operated outside its design basis. As stated in the Unit 2 UFSAR, Appendix 9.5A, Section 6.0, design provisions have been provided that preclude the potential for a fire induced LOCA. Analyses had originally been performed and cable protection provided which protected the lower pressure SDC system piping from the higher pressure RCS. However, PCM 168-295 modified the design of the shutdown cooling system suction piping such that the potential for a high/low pressure system interface could exist as a result of a single fire. As a result, Unit 2 is considered outside of its original design basis with respect to high/low pressure interface protection. As such, this condition has been determined to be reportable under 10 CFR 50.72(a)(2)(ii)B. This condition does not apply to St. Lucie Unit 1 because the SDC system configuration is different than the Unit 2 configuration in that Unit 1 has no crosstie valve.
To address safety significance, a review of the subject cable failure mode and fire detection and suppression capabilities in the affected fire zones was performed. With respect to the potential cable failure mode, it is important to note that the power cables of at least two shutdown cooling suction MOVs of the same power train would have to fail such that each valve was spuriously energized and would open. All five SDC suction MOVs are powered from three phase 480V safety related power supplies. The current plant design has the breakers for all five valves "Off" which removes power. In addition, the power supply breakers for valves V3480, V3481, V3651, and V3652 are locked in the "Off" position to further preclude their inadvertent energization. For the valves to spuriously become energized and open would require all three phases of the valves power cable to'become exposed as result of a fire and come in contact with the exposed conductors of another energized 480V power cable. All three phases of the energized power cable would have to contact the appropriate three phases of the SDC MOV power cables to power the valve motor and rotate it in the correct direction to cause the valve to open. This is essentially a low probability failure mode, however, it is considered in the high/low pressure interface design to preclude the potential for fire induced LOCAs.
NRC FORM 386A (4.851
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO (4.95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 5 OF 8 98 001 0 TEXT (ffmore space is required, use additional copies of NRC Form 366Ai I 17)
'ith regards to the fire detection and suppression capabilities, Table 1 lists the detection and suppression systems available in the subject Fire Areas/Fire Zones. As shown in the table, detection capability is provided for all affected areas and suppression or local fire fighting capability is available. These features further minimize the potential for a fire of sufficient magnitude to cause the fire induced cable faults required to cause spurious opening of multiple shutdown cooling system isolation valves.
FPL concludes that the existing condition had no significant impact on the health and safety of the public. The possibility of a fire induced LOCA was highly unlikely, based on the incredible cable failure mode in conjunction with the detection and suppression or local fire fighting capability provided for all affected areas.,
A complete review of the Unit 1 and 2 Safe Shutdown Analyses (SSA) is currently being performed. Included in the SSA review scope is a review of all potential high/low pressure interface concerns. As such, any potential generic issues concerning high/low pressure interfaces will be dispositioned as part of this continuing effort. Specific corrective actions include the following:
Unit 2 Operations personnel were advised of this condition via a night order and are aware of the susceptibility to a primary system high/low pressure interface concern for fires in Fire Areas A (Fire Zones 22, 51" and 37), C (Fire Zone 34) and I (Fire Zone 23 and 51W).
- 2. The roving fire watch personnel were advised of this condition via a training memo and are sensitive to the potential consequences of a fire in Fire Areas A (Fire Zones 22, 51" and 37), C (Fire Zone 34) and I (Fire Zone 23 and 51W).
- 3. Additional guidance was provided to Engineering Department personnel with respect to the assumptions contained in the SSA for high/low pressure interfaces. As part of the Unit 1 and 2 SSA validation effort, a cable failure mode methodology document has been developed and is in us'e. Included in the methodology document are the assumptions to be utilized when evaluating primary system high/low pressure interfaces which is consistent with that originally established for both Unit 1 and 2.
4, Fire Protection has been the subject material covered in the first quarter 1998 engineering support personnel continuing training program. Particular emphasis has been given to the importance of protecting potential high/low pressure interfaces from potential fire induced cable faults.
NRC FORM 366A I4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO H-as)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 6 OF 8 98 001 0 TEXT fifmore spece is required, use edditionel copies of NRC Form 366Ai I17)
- 5. Breach permits document the current deficiencies associated with the outside containment cables for valves V3480 and V3652. For simplicity, these two MOVs have been identified as having deficient barriers since protection of only the inboard SDC suction MOVs would preclude the potential for a high/low pressure interface concern.
- 6. Engineering shall scope the appropriate design modification to eliminate the current SDC system high/low pressure interface concern. Potential modifications include providing an alternate cable protection scheme, closing V3545, and providing alternate means to preclude the potential for pressure locking, etc. The associated design package shall be prepared and implemented no later than startup following the Fall 1998 SL2-11 Unit 2 refueling outage.
None LER 50-335/98-004, "Emergency Lighting Outside Appendix R Design Bases." Describes event where design error led to inadequate Appendix R emergency lighting.
LER 50-389/97-004, "Incorrect Original Cable Tray Fire Stop Assemblies Outside Appendix R Design Bases." Describes event where initial design was inadequate to meet Appendix R requirements.
LER 50-335, 389/97-007, "RCP Oil Collection System Outside Appendix R Design Bases."
Describes event where initial design was inadequate to meet Appendix R requirements.
NRC FOAM 388A (4-as)
NRC FORM 366A U.S. NUCLEAR REOULATORY COMMISSIO I4.9SI LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 7 OF 8 98 001 0 TEXT (tf more spaceis required, use edditionel copies of flRC Form 366Ai I17I Table 1 Dectection and Suppression Capabilities in Affected Fire Areas/Zones FIRE FIRE DETECTION SUPPRESSION AREA ZONE Smoke detection with control Pre-action automatic fire A 22 room alarm suppression with control room alarm Smoke detection with control Pre-action automatic fire A 51* room alarm suppression with control room alarm Smoke detection with control None. Fire extinguishers and room alarm hose stations available A
Smoke detection with control None. Fire extinguishers and room alarm hose stations available 34 Smoke detection with control Pre-action automatic fire 23 room alarm suppression with control room alarm Smoke detection with control Pre-action automatic fire 51W room alarm suppression with control room alarm NAC FOAM 366A I4.9S)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSIO (4-95I LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION YEAR SEQUENTIAL REVISION ST LUCIE UNIT 2 05000389 8 OF 8 98 001 0 TEXT (If more speceis required, use edditional copies of NRC Form 366AJ (17)
Figure 1 TRAIN B TRAIN A 2A HOT LEG V3480 V34S1 TRAIN AB RCS SDC TRAIN A TRAIN B V3545 2B HOT LEG V3652 V3651 Figure 2 TRAIN B TRAIN A 2A HOT LEG V3480 V34S1 TRAIN AB RCS SDC TRAIN A TRAIN B V3545 2B HOT LEG V3652 V3651 NRC FORM 366A (4.95I
1
'1