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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:RO)
MONTHYEARML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A3671998-07-14014 July 1998 LER 98-002-00:on 971019,CR Emergency Air Treatment Sys Actuating Function Was Not Operable.Caused by Mispositioned Switch.Revised Procedure CPI-MON-R37.W/980714 Ltr ML17265A1921998-03-11011 March 1998 LER 98-001-00:on 980209,discovered That Boraflex Degradation in SPF Was Greater than Was Assumed.Caused by Dissolution of Boron on Boraflex Matrix,Per 10CFR50.21.Removed Spent Fuel Assemblies from Selected Degraded Storage Rack Cells ML17265A1641998-02-0606 February 1998 LER 97-007-01:on 971117,reactor Engineer Recognized That Neutron Flux Low Range Trip Circuitry for Channel Was Not in Tripped Condition as Required.Caused by Technical Inadequacies.Channel Defeat Will Be Identified ML17265A1601998-02-0606 February 1998 LER 97-006-01:on 971103,verification of B Concentration Was Not Performed Due to Misinterpretation of Event Sequence. Audible Count Rate Function Was Restored to Operable Status ML17264B1441997-12-17017 December 1997 LER 97-007-00:on 971117,NF Low Range Trip Circuitry for Channel N-44 Was Not Placed in Tripped Condition.Caused by Technical Inadequacies in Procedures.Implemented EWR 4862 to Resolve Design deficiency.W/971217 Ltr ML17264B1291997-12-0303 December 1997 LER 97-006-00:on 971103,NIS Audible Count Rate Function Was Inoperable.Caused by Misinterpretation of Event Sequence Due to Not Verifying Boron Concentration.B Verification Occurred Every 12 H Per ITS LCO Action 3.9.2.C.3.W/971203 Ltr ML17264B1271997-12-0101 December 1997 LER 97-005-00:on 971031,undetected Unblocking of SI Actuation Signal Occurred at Low Pressure Condition,Due to Faulty Bistable Which Resulted in Inadvertent SI Actuation Signal.Sias,Ci & CVI Signals Were Reset ML17264B1211997-11-24024 November 1997 LER 97-004-00:on 971024,radiation Monitor Alarm Were Noted Due to Higher than Normal Radioactive Gas Concentration Resulted in Cvi.New R-12 Alarm Setpoint Was Maintained for Duration of Refueling Outage ML17264B0461997-09-29029 September 1997 LER 97-003-01:on 970730,bistable Instrument Trip Setpoint Could Have Exceeded Allowable Value.Caused by Insufficient Existing Margin Between Trip Setpoint & Allowable Value. Held Switches in Tripped configuration.W/970929 Ltr ML17264B0111997-08-27027 August 1997 LER 97-003-00:on 970730,high Steam Flow Bistable Instrument Setpoint Plus Instrument Uncertainty Could Exceed Allowable Value in ITS Was Identified.Caused by Entry Into ITS LCO 3.0.3.Switches Placed in Tripped configuration.W/970827 Ltr ML17264A9941997-08-19019 August 1997 LER 97-002-00:on 970720,34.5 Kv Offsite Power Circuit 751 Was Lost.Caused by Automatic Actuation of B Emergency DG Due to Undervoltage on Safeguards Buses 16 & 17.Offsite Power Restored to Safeguards Buses 16 & 17.W/970819 Ltr ML17264A9911997-08-11011 August 1997 LER 96-009-02:on 960723,determined That Leak Rate Outside Containment Was Greater than Program Limit.Caused by Weld Defect.Isolated Leak & Cut Out & Replaced Leaking Pipe ML17264A8271997-03-0303 March 1997 LER 97-001-00:on 970131,discovered Service Water Temp Was Less than Specified Value.Caused by non-representative Method of Monitoring.Increased Water Temp in Screenhouse Bay to Greater than 35 Degrees F.W/970303 Ltr ML17264A8071997-01-22022 January 1997 LER 96-015-00:on 961223,discovered Thermally Induced Overpressure Transient Could Occur.Caused by Thermal Expansion of Fluid During Design Basis Accident Condition. Installed Relief Valve on Affected line.W/970122 Ltr ML17264A7471996-11-27027 November 1996 LER 96-013-00:on 961029,circuit Breakers Closed While in Mode 3 & Resulted in Condition Prohibited by TS Due to Personnel Error.Circuit Breakers for MOV-878B & MOV-878D Were re-opened.W/961127 Ltr ML17264A6051996-09-19019 September 1996 LER 96-012-00:on 960820,feedwater Transient Occurred,Due to Closure of Feedwater Regulating Valve,Causing Lo Lo Steam Generator Level Reactor Trip.Sgs Were Restored & Missing Screw in 1/P-476 Was replaced.W/960919 Ltr ML17264A6061996-09-19019 September 1996 LER 96-009-01:on 960723,leakage Outside Containment Occurred,Due to Weld Defect,Resulting in Leak Rate Greater than Program Limits.Source of Leakage Isolated from RWST by Freeze Seal,Allowing Exit from ITS LCO 3.0.3.W/960919 Ltr ML17264A5911996-09-0505 September 1996 LER 96-011-00:on 960807,improper Configuration of Circuit Breaker Occurred,Due to Undetected Internal Interference, Resulting in Automatic Start of Both Auxiliary Feedwater Pumps.Running AFW Pumps Were secured.W/960905 Ltr ML17264A5921996-09-0505 September 1996 LER 96-010-00:on 960806,latching of Main Turbine While in Mode 4 Occurred,Due to Defective Procedure,Resulting in Automatic Start of Auxiliary Feedwater Pump.Caused by Defective Maint Procedure.Procedure revised.W/960905 Ltr ML17264A5891996-08-22022 August 1996 LER 96-009-00:on 960723,determined Leak on Piping Sys Outside Containment Greater than Program Limit.Caused by Weld Defect.Pipe & Socket Welds Were Cut Out & Replaced. W/960822 Ltr ML17264A5781996-08-0606 August 1996 LER 96-008-00:on 960707,main Feedwater Pump Breakers Opened. Caused by Change in Seal Water Differential Pressure Occurred During Sys Realignment.Afw Flow Controlled as Desired to Maintain S/G level.W/960806 Ltr ML17264A5561996-07-12012 July 1996 LER 96-007-00:on 960612,CR Operators Identified Control Rods Misaligned & Not Moving in Proper Sequence.Caused by Faulty Firing Circuit Card in Rod Control Sys.Faulty Firing Circuit Card in 1BD Power Cabinet replaced.W/960712 Ltr ML17264A5421996-06-20020 June 1996 LER 96-006-00:on 960521,discovered Containment Penetration Not in Required Status.Caused by Personnel Error.Installed Flange Inside Containment Penetration 2.W/960620 Ltr ML17264A5411996-06-17017 June 1996 LER 96-005-00:on 960516,PORC Determined Deficient Procedures Do Not Meet SRs for Testing safety-related Logic Circuits. Caused by Inadequancies in Individual Testing Procedures. Procedures Re Improved TSs revised.W/960617 Ltr ML17264A5051996-05-17017 May 1996 LER 96-003-01:on 960308,identified That Both Pressurizer PORVs Inoperable Concurrently Due to Disconnection of Flex Hose to Both PORV Actuators to Install air-sets for Benchset & Limit Switch Activities.Hpes Completed ML17264A4481996-04-0808 April 1996 LER 96-003-00:on 960308,both Pressurizer Relief Valves Inoperable.Hpes Evaluation Is Being Conducted to Determined Cause of Event.C/As:Both PORVs restored.W/960408 Ltr ML17264A4471996-04-0808 April 1996 LER 96-002-00:on 960307,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump.C/As: Thermography performed.W/960408 Ltr ML17264A4101996-03-18018 March 1996 LER 96-001-00:on 950504,inservice Test Not Performed During Refueling Outage.Caused by Inadequate Tracking of Surveillance Frequency.Valve Test Performed & Disassembled. W/960318 Ltr ML17264A2971995-12-14014 December 1995 LER 95-009-00:on 950817,surveillance Was Not Performed Due to Improper Application of TS Requirements Resulting in TS Violation.Testing of MOV-515 Was Performed on 951115.W/ 951214 Ltr ML17264A1711995-09-25025 September 1995 LER 95-008-00:on 950825,secondary Transient Occurred.Caused by Loss of B Condenser Circulating Water Pump That Resulted in Manual Rt.Returned S/G Levels to Normal Operating levels.W/950925 Ltr 1999-09-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17265A7601999-10-0505 October 1999 Part 21 Rept Re W2 Switch Supplied by W Drawn from Stock, Did Not Operate Properly After Being Installed on 990409. Switch Returned to W on 990514 for Evaluation & Root Cause Analysis ML17265A7621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Re Ginna Npp.With 991008 Ltr ML17265A7531999-09-23023 September 1999 Part 21 Rept Re Corrective Action & Closeout of 10CFR21 Rept of Noncompliance Re Unacceptable Part for 30-4 Connector. Unacceptable Parts Removed from Stock & Scrapped ML17265A7541999-09-22022 September 1999 LER 99-011-00:on 990823,small Tears Were Discovered in Flexible Duct Work Connector at Inlet of CR HVAC Sys Return Air Fan (AKF08).Caused by in-leakage Greater than That Assumed.Implemented Temporary Mod 99-029.With 990922 Ltr ML17265A7471999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Re Ginna Npp.With 990909 Ltr ML17265A7431999-08-24024 August 1999 LER 99-004-01:on 990412,discovered That Containment Recirculation Fan Chevron Separator Vanes Were Installed Backwards.Caused by Improper Assembly by Mfg.Moisture Separator Vanes Were Dismantled & Correctly re-installed ML17265A7341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Re Ginna Npp.With 990806 Ltr ML17265A7291999-07-29029 July 1999 Interim Part 21 Rept Re safety-related DB-25 Breaker Mechanism Procured from W Did Not Pas Degradatin Checks When Drawn from Stock to Be Installed Into BUS15/03A.Holes Did Not line-up & Tripper Pan Bent ML17265A7181999-07-23023 July 1999 LER 99-007-01:on 990423,reactor Trip Occurred Due to Instrument & Control Technicians Inadvertently Pulling Fuses from Wrong Nuclear Instrument Channel.Setpoint Adjustments Were Completed by Different Crew of Technicians ML17265A7081999-07-22022 July 1999 LER 98-003-02:on 980904,actuations of CR Emergency Air Treatment Sys Was Noted Due to Invalid Causes.Caused by Various Degraded Components in CR RM Sys.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored ML17265A7131999-07-22022 July 1999 Special Rept:On 990407,radiation Monitor RM-14A Was Declared Inoperable.Caused by Failed Communication Link from TSC to Plant Process Computer Sys.Communication Link Was re-established & RM-14A Was Declaed Operable on 990521 ML17265A7031999-07-19019 July 1999 LER 99-S01-00:on 990617,determined That Temporary Unescorted Access Had Been Granted to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7211999-07-19019 July 1999 ISI Rept for Third Interval (1990-1999) Third Period, Second Outage (1999) at Re Ginna Npp. ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation Monitor R-14 Reached High Alarm Setpoint.Cr Operators Rest Auxiliary Bldg Ventilation Isolation Signal.With 990715 Ltr ML17265A7661999-06-30030 June 1999 1999 Rept of Facility Changes,Tests & Experiments Conducted Without Prior NRC Approval for Jan 1998 Through June 1999, Per 10CFR50.59.With 991020 Ltr ML17265A7011999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Re Ginna Npp.With 990712 Ltr ML17265A6851999-06-21021 June 1999 LER 99-001-01:on 990222,deficiencies in NSSS Vendor steam- Line Brake Mass & Energy Release Analysis Results in Plant Being Outside Design Bases Occurred.Caused by Deficiencies in W.Temporary Administrative Replaced.With 990621 Ltr ML17265A6761999-06-16016 June 1999 Part 21 Rept Re Defects & noncompliances,10CFR21(d)(3)(ii), Which Requires Written Notification to NRC on Identification of Defect or Failure to Comply. Relays Were Returned to Eaton for Evaluation & Root Cause Analysis ML17265A6661999-06-0202 June 1999 LER 99-009-00:on 990503,instrumentation Declared Inoperable in Multiple Channels Resulted in Condition Prohibited by Ts. Caused by Unanticipated High Frequency AC Voltage Ripple. Entered TS LCO 3.0.3.With 990602 Ltr ML17265A6681999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Re Ginna Nuclear Power Plant.With 990608 Ltr ML17265A6651999-05-27027 May 1999 Interim Rept Re W2 Control Switch,Procured from W,Did Not Operate Satisfactorily When Drawn from Stock to Be Installed in Main Control Board for 1C2 Safety Injection Pump. Estimated That Evaluation Will Be Completed by 991001 ML17309A6541999-05-27027 May 1999 LER 99-008-00:on 990427,overtemperature Delta T Reactor Trip Occurred Due to Faulted Bistable During Calibr of Redundant Channel.Plant Was Stabilized in Mode 3 & Faulted Bistable Was Subsequently Replaced.With 990527 Ltr ML17265A6631999-05-24024 May 1999 LER 99-007-00:on 990423,technicians Inadvertently Pulled Fuses from Wrong Nuclear Instrument Cahnnel,Causing Reactor Trip,Due to High Range Flux Trip.Caused by Personnel Error. Labeling Scheme Improved ML17265A6601999-05-21021 May 1999 LER 99-006-00:on 990421,start of turbine-driven Auxiliary Feedwater Pump Was Noted.Caused by MOV Being Left in Open Position.Closed Manual Isolation Valve to Secure Steam to Pump.With 990521 Ltr ML17265A6591999-05-17017 May 1999 Part 21 Rept Re Relay Deficiency Detected During pre-installation Testing.Caused by Incorrectly Wired Relay Coil.Relays Were Returned to Eaton Corp for Investigation. Relays Were Repaired & Retested ML17265A6441999-05-13013 May 1999 LER 99-005-00:on 990413,undervoltage Signal of Safeguards Bus During Testing Resulted in Automatic Start of B Edg. Caused by Personnel Error.Blown Fuse Was Replaced & Offsite Power Was Restored to Safeguards Bus 17.With 990513 Ltr ML17265A6431999-05-12012 May 1999 LER 99-004-00:on 990412,discovered That Containment Recirculation Fan Moisture Separator Vanes Were Incorrectly Installed,Per 10CFR21.Caused by Improper Assembly by Mfg. Subject Vanes Were Dismantled & Correctly re-installed ML17265A6381999-05-0707 May 1999 Part 21 Rept Re Replacement Turbocharger Exhaust Turbine Side Drain Port Not Functioning as Design Intended.Caused by Manufacturing Deficiency.Turbocharger Was Reaasembled & Reinstalled on B EDG ML17265A6391999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Re Ginna Nuclear Power Plant.With 990510 Ltr ML17265A6361999-04-23023 April 1999 Part 21 Rept Re Power Supply That Did Not Work Properly When Drawn from Stock & Installed in -25 Vdc Slot.Power Supply Will Be Sent to Vendor to Perform Failure Mode Assessment.Evaluation Will Be Completed by 991001 ML17265A6301999-04-18018 April 1999 Rev 1 to Cycle 28 COLR for Re Ginna Npp. ML17265A6251999-04-15015 April 1999 Special Rept:On 990309,halon Systems Were Removed from Svc & Fire Door F502 Was Blocked Open.Caused by Mods Being Made to CR Emergency Air Treatment Sys.Continuous Fire Watch Was Established with Backup Fire Suppression Equipment ML17265A6551999-04-0909 April 1999 Initial Part 21 Rept Re Mfg Deficiency in Replacement Turbocharger for B EDG Supplied by Coltec Industries. Deficiency Consisted of Missing Drain Port in Intermediate Casing.Required Oil Drain Port Machined Open ML17265A6291999-03-31031 March 1999 Rev 0 to Cycle 28 COLR for Re Ginna Npp. ML17265A6241999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Ginna Station.With 990409 Ltr ML17265A6141999-03-31031 March 1999 LER 99-003-00:on 990301,two Main Steam non-return Check Valves Were Declared Inoperable Due to Exceedance of Acceptance Criteria.Caused by Changes in Methodology & Matls.Packing Gland Torque Will Be Adjusted.With 990331 Ltr ML17265A6131999-03-29029 March 1999 LER 99-002-00:on 990227,discovered That Surveillance Had Not Been Performed at Frequency,Per Ts.Caused by Personnel Error.Procedure O-6.13 Will Be Evaluated for Enhancement Documentation of Completion of ITS Srs.With 990329 Ltr ML17265A6061999-03-24024 March 1999 LER 99-001-00:on 990222,plant Was Noted Outside Design Basis.Caused by Deficiencies in NSSS Vendor Slb Mass & Energy Release.Placed Temporary Administrative Restriction 40 Degrees F Max on Screenhouse Bay Temp ML17265A5661999-03-0101 March 1999 Rev 26 to QA Program for Station Operation. ML17265A5961999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Ginna Nuclear Power Plant.With 990310 Ltr ML17265A5371999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Re Ginna Nuclear Power Plant.With 990205 Ltr ML17265A5951998-12-31031 December 1998 Rg&E 1998 Annual Rept. ML17265A5001998-12-21021 December 1998 Rev 26 to QA Program for Station Operation. ML17265A4951998-12-21021 December 1998 LER 98-005-00:on 981120,loss of 34.5 Kv Offsite Power Circuit 751,resulted in Automatic Start of B Edg.Caused by Faulted Cable Splice.Performed Appropriate Actions of Abnormal Procedure AP-ELEC.1.With 981221 Ltr ML17265A4931998-12-17017 December 1998 LER 98-004-00:on 971030,determined That Improperly Performed Surveillance Resulted in Condition Prohibited by Ts.Caused by Procedure non-adherence.Appropriate Calibr Procedures Were Properly Performed with 24 H of Condition Discovery ML17265A4761998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Re Ginna Nuclear Power Plant.With 981210 Ltr ML17265A4691998-11-25025 November 1998 LER 98-003-01:on 980904,actuations of CR Emergency Air Treatment Systems (Creats) Occurred.Caused by Radon build-up During Temp Inversion.Creats Actuation Signal Was Reset & Normal Ventilation Was Restored to CR ML17265A4531998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Re Ginna Nuclear Power Plant.With 981110 Ltr ML17265A4271998-10-0505 October 1998 LER 98-003-00:on 980904,actuations of CR Emergency Air Treatment Sys Occurred.Caused by Radon build-up During Temp Inversion.Air Samples Were Taken & Determined That Source of Radiation Was Naturally Occurring Radon.With 981005 Ltr ML17265A4291998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Re Ginna Nuclear Power Plant.With 981009 Ltr 1999-09-30
[Table view] |
Text
ACCELERATED D+~RIBUTION DEMONS~TION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9109130162 DOC.DATE: 91/08/29 NOTARIZED: NO DOCKET FACIL:50-244 Robert Emmet Ginna Nuclear Plant, Unit 1, Rochester G ,05000244 AUTH. NAME AUTHOR AFFILIATION BACKUS,W.H. Rochester Gas & Electric Corp.
MECREDY,R.C. Rochester Gas & Electric Corp.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 91-007-00:on 910731,"B" Emergency Diesel Generator started automatically due to initiation signal from Bus 16 &
17 Undervoltage monitoring/protection sys.Caused temp l
D failure. Replace solid state switch.W/910829 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR i ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:License .Exp date in accordance with 10CFR2,2.109(9/19/72). 05000244 A D
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PDl-3 LA 1 1 PDl-3 PD 1 1 JOHNSON,A 1 1 INTERNAL: ACNW 2 2 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB10 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPBll 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB8H3 1 1 1 1 NRR/DST/SRXB 8E 1 1 REG FIL 02 1 1 RES/DSIR/EIB 1 1 FILE 01 1 1 EXTERNAL EG&G BRYCE g J ~ H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 D
A D 'O D
TO ALL "RIDS" RECIPIENTS PLEASE HELP US TO REDUCE KYASTE! CONTACT THE DOCUi~!ENT CONTROL DESK, ROOii1 Pl-37 (EXT. 2M79) TO ELIS!!NATE YOUR NAME FROiil DISTRIBUTION LISTS FOR DOCUiIEiNTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 31 ENCL 31
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srarc ROCHESTER GAS AND ELECTRIC CORPORATION 4 89 EAST AVENUE, ROCHESTER N. Y. 14S49.0001 ROBERT C MECREOY, TELEPHONE Vice Presideni AREA coDE 716 546 2700 Cinna Nuciear Producdon August 29, 1991 U.S. Nuclear Regulatory Commission Document Control Desk Washington, DC 20555
Subject:
LER 91-007, Safeguards, Buses Undervoltage Relay Actuations Due to Failed Solid State Switches Causes Automatic Starts of the "B" Emergency Diesel Generator R.E. Ginna Nuclear Power Plant Docket No. 50-244 In accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires a report of, "any event or condition that resulted in manual or automatic actuation of any Engineered Safety Feature (ESF), including the Reactor Protection System (RPS)", the attached Event Report LER 91-007 is hereby submitted.
This event has in no way affected the public's health and safety.
Ver truly yours, Robert C. ecre y XCA U.S. Nuclear Regulatory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector trrrg't 9109l 30l b2 S05000244 10829 PDR @DOCH, S PDR
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Ae>>HOVSO ONS NO, SISS.OIOsl UCENSEE EVENT REPORT tLER) t SSs HIS Sl S III S YACILITYNAset lll DOCS ST HVSSOtll Ql R.E. Ginna Nuclear Power Plant o5oo0244>oF].].
Safeguards Buses Undervoltage Relay Actuatzons ue o ai e Solid State Switches Causes Automatic Starts of the HBH Emergency D G tVSSST OATS ISI LS1 NVsstt1 Ill ASSOAT OATt lll OTHSI SACILSTISS INVOLVSO NI llOVIHrseL IllVSICee ~ AClUTT NAsess slOHTH OAY YtA1 YSA1 ~ svse ~ ill ~ eVWSA NOHTH OAY YSA1 OOCKST NUssSSAISI 0 5 0 0 0 0 7 319 9 1 0 0 7 0 0 0 82991 0 6 0 0 0 oct AA'TINo THIS 1teOAT N SUSsslTTtO SUASVANT T 0 THt 1SOUI1tlltNTS OS ISCSH $ s ICeeee eee <<s<<>> el Se t<<sseeetl llll scoot ssl N SO.>>OS IVI 10 >>OS Ill ~ S.T SHI Q I(lel TS.TIHI
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SVS>>LtlstNTAL 1SSOAT ttrtCTSO IIsl SSOHTSS CAY YSA1 txrtctto SUSSS I STION OATS IISI Yt t litree, esrsees SAASCTSO SVSVISSIOH OA Tll HO estTAAOT ILssH s Iescl seers, lA, ee<<>>seers<<e Hrsees eever>>cere Iree>>rssee <<cess lltl On July 31, 1991 at 1746 EDST, with the reactor at approximately 984 full power and again on August 2, 1991 at. 1049 EDST, with the reactor at approximately 98> full power, the "B" Emergency Diesel Generator started automatically due to an initiation signal from the Bus 16 and Bus 17 Undervoltage Monitoring/Protection Systems.
The "B" Emergency Diesel Generator started normal for both events and attained proper voltage and frequency.
close into Bus 16 or Bus 17 because these buses were at their
'y design, it did not proper voltage fed from their normal power supply.
Immediate operator action was to verify that. Bus 16 and Bus 17 were energized and that the "B" Emergency Diesel Generator was operating properly.
The cause of the event was determined to be a temperature related failure of a solid state switch printed circuit board.
Corrective action taken was to replace the solid state switch printed circuit board with a qualified spare, followed. by a satisfactory test and return to service. Corrective actions to prevent recurrence are discussed in section (V)(B).
N1C e<<s SSO IS AS I
IIC arm 344A V.5. NVCLEAII IIEOULATOIIYCOM51(54(ON (0431 LICENSEE EVENT REPORT ILER) TEXT CONTINUATION A55AOVEO OV4 NO 3(50&(04 E)IPIAES 413IIES I'ACILITYNASIE lll OOCKET NUMEEII 13l LEII NV154EII (Sl 5AOE (3I 55QVCNTIAL 5 5 V l5 K) H HUM 5A ~ yVM 5A R.E. Ginna Nuclear Power Plant 24 491 007 00 02 1 TEXT II(mew ~ N naca/. w5 aanaW HIIC fam ~ 3 I II Tl o s o o o 0F 1 PRE-EVENT PLANT CONDITIONS This LER covers two separate events, which had the same general cause and consequences, and occurred within a reasonably short length of time.
Prior to both events, the plant was at approximately 98%
steady state reactor power with no major activities, in progress.
II; DESCRIPTION OF EVENT A. DATES AND APPROXIMATE TIMES OF MAJOR OCCURRENCES:
0 July 31, 1991, 1746 EDST: First event date and time 0 July 31, 1991, 1746 EDST: First event discovery date and time 0 July 31, 1991, 1843 EDST: Safeguards Bus 17 power supply manually transferred to "B" Emergency Diesel Generator to Safeguards 480 volt Bus 17 per T-27.4 (Diesel Generator Operation) 0 August 1, 1991, 0331 EDST: Safeguards 480 volt Bus 17 normal power power supply restored 0 August 1, 1991, 0331 EDST: Safeguards 480 volt Bus 17 "B" Emergency Diesel 'enerator power supply terminated and "B" Emergency Diesel Generator stopped and aligned for auto standby 0 August 2, 1991, 1049 EDST: Second event date and time 0 August 2, 1991, 1049 EDST: Second event discovery date and time
~ tAC SOAK 355A
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NRC Sar~ 255A V.S. NUCLEAR REOULATORY COMMI55ION (042 I L'ICENSEE EVENT REPORT {LER) TEXT CONTINUATION ASSROVSO OMS NO, 2I 50&105 EXSIRES:5I2l/$ 5 SACILITY NAME III OOCKET NUINER l2I LER N~ER I5) ~ AOE ISI YEAR I. 55QVCNTIAL HUM 15VISION HVM 51 R.E. Ginna Nuclear Power Plant 0 TEXT Ilfaero Swee e ~. wr aASaonV HSIC Anti ~ 5 I I ITI 0 5 0 0 0 2 4 4 9 1 0 7 0 0 3 o August 2, 1991, 1321 EDST: Safeguards Bus 16 power supply manually transferred to "B" Emergency Diesel Generator per M-48.13 (Isolation of Bus 16 Undervoltage System For Maintenance, Tr'oubleshooting, Rework and Testing) 0 August 2, 1991, 1707 EDST: Safeguards 480 volt Bus -16 normal power supply=,restored. "B" Emergency Diesel Generator power supply terminated.
o August 2, 1991, 1725 EDST: "B" Emergency Diesel Generator stopped and aligned for auto standby B. EV1sNT:
On July 31, 1991 at 1746 EDST, with the reactor at approximately 984 full power, the Control Room received the following alarms: '-15 (Bus 17 Undervoltage Safeguards) and J-32 (Emergency Diesel Gen 1B Panel). The Control Room operators immediately verified proper voltage on Bus 17 and that the normal power supply breaker was closed. The Control Room operators also verified that the "B" Emergency Diesel Generator had started and displayed proper voltage and frequency. By design, the "B" Emergency Diesel Generator did not close into Bus 17, as the Bus voltage was normal and was still being supplied by its normal power supply.
Auxiliary operators were dispatched to check the Bus 17 Undervoltage Monitoring/Protection System cabinets and the operation of the "B" Emergency Diesel Generator. The operation of the "B" Emergency Diesel Generator was found to be normal and investigation of Bus 17 Undervoltage Monitoring/Protection System cabinets indicated an odor resembling that of burning elect;rical insulation and one red indication light and four amber indication lights were illuminated.
The red light indicates trouble in the system and the amber lights indicate auxiliary relays have actuated (i.e. Diesel start, Control Room Annunciator, etc.).
%1C SO1M 2551 I942I
MAC Stre 154A U.5. IIUCLTAIIlltOULATOIIYCOMMI5NOII I545 I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION r APPIIOVEO OMI IIO 1150WIOt t)IPII155. 5151/55 PACILITY HAM% Ill OOCKET IIUMIEII111 LTII MUAIICII151 PAOT 111 55OIJCMTIAL i ~ PTVISIOrr
~ rVM A rrVM 5A R.E. Ginna Nuclear Power Plant TENT Irs rrrrrrP MrPct e o s o o o 2 491 0 0 7 0 0 0 40F trrrnrL rrtP AP5trPnsl IYAc srrrrrr ss5A'SI (111 Subsequently, at 1843 EDST, the power supply to Bus 17 was transferred from the normal supply to the "B" Emergency Diesel Generator per operating procedure, T-27.4 (Diesel Generator Operation). This was done at this time because the Shift Supervisor was unsure of how many channels of undervoltage protection were still operable for Bus 17 and to comply with Technical Specification Table 3.5.1, action statement 7, which states in part that, "any time the number of operable channels is less than the minimum operable channels, either a) be at hot shutdown within the next 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> and an RCS temperature less than 350 F= within the following 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br />, or b) energize the affected bus with a diesel generator."
At 0331 EDST, August 1, 1991, subsequent to the repair, testing, and return to service of Bus 17 Undervoltage Monitoring/Protection System, Bus 17 normal power was restored and the Bus 17 "B" Emergency Diesel Generator power supply terminated. Following this, the "B" Emergency Diesel Generator was stopped and aligned for auto standby.
Again on August 2, 1991 at 1049 EDST, with the reactor at approximately 98l. full power, the Control Room received the following alarms: L-7 (Bus 16 Undervoltage Safeguards) and J-32 (Emergency Diesel Gen 1B Panel). The Control Room operators immediately verified proper voltage on Bus 16 and that the normal power supply breaker was closed. The Control Room operators also veiified that the "B" Emergency Diesel Generator had started and displayed proper voltage and frequency. By design, the "B" Emergency Diesel Generator did not close into Bus 16, as the bus voltage was normal and was its normal power supply.
still being supplied by rr A C 5 0 IIM 5tt A r5 451
NAC Sore SSSA U.S. NUCLEAII IISOULATOIIYCOMMISSION IS4SI LICENSEE EVENT REPORT {LER) TEXT CONTINUATION /
ASOIIOVEO OMS HO SISOWI04 EX>>INES, SQI/85 SACILITY NAME III OOCKET NUMSEN ISI LEII NUMSEII ISI ~ AOE ISI vSAA SSQVSHTCAL 'SVCSIOH HVM So HVM R.E. Ginna Nuclear Power Plant TEXT rrI'or>>
o s o o o 244 91 007 00 05 or-N>>c>>>> >>CcrncE ooo co>>error ~ rYAC focrrr BASSA'cl IITI Auxiliary operators were dispatched to check the Bus 16 Undervoltage Monitoring/Protection System cabinets and the operation of the "B" Emergency Diesel Generator. The operation of the "B" Emergency Diesel Generator was found to be normal and investigation of Bus 16 Undervoltage Monitoring/Protection System cabinets indicated one red indication light and four amber indications lights.
As this event occurred during normal working hours, Maintenance personnel were dispatched quickly to evaluate, the problem with the Bus 16 Undervoltage Monitoring/Protection System. They reported that only one of the Bus 16 Undervoltage Protection channels was affected, thus the Shift Supervisor was not required to load the "B" Emergency Diesel Generator onto Bus 16 per Technical Specifications.
Subsequently, at 1321 EDST, the power supply to Bus 16 was transferred from its normal supply to the "B" Emergency Diesel Generator per Maintenance procedure, M-48.13 (Isolation of Bus 16 undervoltage System For Maintenance, Troubleshooting, Rework and Testing).
This transfer was done so the Maintenance Department could repair, test, and return to service, the Bus 16 Undervoltage Monitoring/Protection System.
At 1707 EDST, August 2, 1991, subsequent to the repair, testing, and return to service of the Bus 16 Undervoltage Monitoring/Protection System, Bus 16 normal power supply was restored and the Bus 16 "B" Emergency Diesel Generator power supply terminated.
At 1725 EDST, August 2, 1991, the "B" Emergency Diesel Generator 'as stopped and aligned for auto standby.
C. INOPERABLE STRUCTURES, COMPONENTS, OR SYSTEMS THAT CONTRIBUTED TO THE 19719lT:
None.
HAC oOrcM SO>>A ISSSI
NAC Seam 444A V.S. NUCLCAA 44OULATOAY COMMISSION (944 I I;ICENSEE EVENT REPORT (LER) TEXT CONTINUATION r ASPAOV40 OM4 NOQI 50MIOS 44SIA4$ . 4flI4$
SACILITY NAM4 III POCKET NVM444 Ill L44 NUM4411 ISI ~ AO4 ISI SSQUKNSIAL NSYC5IQN NUM 4 MUM SA TEXT N'me NMCS e nacred. YM ~
R.E. Ginna Nuclear Power Plant le% Ave ~'II I I Tl o 5 o o o2 44 9 10 0 7 00 60F 11 D. 0&MR SYSTEMS OR SECONDARY FUNCTIONS AFFECTED:
None.
E. METHOD OP DISCOVERY:
The event was immediately apparent due to alarms and indications in the Control Room and at the affected Safeguard Buses Undervoltage Monitoring/Protection System cabinets.
OPERATOR ACTION:
Following the Bus 17 undervoltage alarm and the "B" Emergency Diesel Generator automatic start, the Control Room operators immediately verified proper voltage on Bus 17 via its normal power supply and that the "B" Emergency Diesel Generator displayed proper voltage and frequency.
Subsequently, the Control Room operators transferred Bus 17 from its normal supply to the "B" Emergency Diesel Generator per T-27.4 to satisfy plant technical specifications and to facilitate troubleshooting, repairing, and testing of the Bus 17 Undervoltage Monitoring/Protection System.
Following the Bus 16 undervoltage alarm and the "B" Emergency Diesel Generator automatic start,'he Control Room operators immediately verified proper voltage on Bus 16 via its normal power supply and that the "B" Emergency Diesel Generator displayed proper voltage and frequency.
Subsequently, the Control Room operators transferred Bus 16 from its normal supply to the "B" Emergency Diesel Generator per M-48.13 to facilitate repairing and testing of the Bus 16 Undervoltage Monitoring/Protection System.
NAC SOIIM SSSA
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NAC fee>> SSEA V.S. NVCLEAA AEOULATOAYCOMMISSION IS4SI L'ICENSEE EVENT REPORT II-ER) TEXT CONTINUATION r AffAOVEO OME NO QISOWI04 EAfIAES, SISI/SS fACILI'TYNAME III OOCKET NUMEEA ISI LEA NVMEEA ISI ~ AOE ISI yEAA,<< ~ SSQVSNT>AL i 'EVIS<<OH HVM %% HVM R.E. Ginna Nuclear Power Plant TEXT W men <<>>ce r N<<yyy<<L y>> NNN>><<>>I <<AC ffy>> SAM'el IITI o 5 o o o 24 4 9 1 007 00 07 DF Subsequent to both events, the Control Room operators notified higher supervision and the Nuclear Regulatory Commission (NRC) .
G. SAFETY SYSTEM RESPONSES.
The "B" Emergency Diesel Generator automatically started and displayed proper voltage and frequency.
III. CAUSE OP EVENT A. IMMFJ)IATE CAUSE:
The automatic actuation of the "B" Emergency Diesel Generator was due to an undervoltage signal from the Bus 17 Undervoltage Monitoring/Protection System for the first event and an undervoltage signal from the Bus 16 Undervoltage Monitoring/Protection System for the second event.
B. INTERMEDIATE CAUSE:
The undervoltage signal from,the Bus 17 Undervoltage Monitoring/Protection System was due to the internal failure of the system's solid state switch printed circuit board number one (1).
The undervoltage signal from the Bus 16 Undervoltage Monitoring/Protection System was due to the internal failure of the system's solid state switch printed circuit board number two (2).
The above solid state switches are identical in design and provide the interface mechanism between the solid state undervoltage relays and the mechanical actuation relays.
81C fOAM SSSA if4S I
NAC Sane 888A
($ 48 I U.8. NUCLEAII IIEOULATOIIYCOIIMIEEION I;ICENSEE EVENT REPORT (LER) TEXT CONTINUATION S ASSIIOVEO OM8 NO815OMIOI EIISIIIES. 8/51/85 SACILITY NAME III OOCIIET NUMEEII lll LEII NUMEEA IEI SAOE 18I 55OMIHTiLL 15VISIOn 41IM nQM ~ A R.E. Ginna Nuclear Power Plant TExT IIs mar Nrca r near. aaa arceeaw IYIIC ~81 I ITI o s o o o 244 1 007 00 08 OF 11
%%dna C ROOT CAUSE:
The underlying cause of the internal failure of the system's solid state switch was determined to be, that present circuit design results in fairly high
'emperatures at the circuit card. This fairly high temperature generally reduces the useful life of specific transistors and causes them to fail prematurely.
ANALYSIS OR KRTENT The events are reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires reporting of, "any event or condition that resulted in manual or automatic actuation of any Engineered Safety Feature (ESF). including the Reactor Protection System (RPS)". The starting of the "B" Emergency Diesel Generator was an automatic actuation of an ESF System.
An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
There were no operational or. safety consequences or implications. attributed to the starting of the "B" Emergency Diesel Generator because:
The "B" Emergency Diesel Generator operated as designed.
0 Both Bus 17 power supplies (i.e. normal and emergency) were either in use or available throughout the event.
Both Bus 16 power supplies (i.e. normal and emergency) were either in use or available throughout the event.
0 The Bus 16 and Bus 17 undervoltage Monitoring/Protec-tion System failure was in the conservative direction (i.e. the failure actuated the "B" Emergency Diesel Generator).
NAC SCAM 555L I 5451
NAC Eadem SEEA U.E. NUCLEAII AEGULATOAY COMMISSION 10431 LICENSEE EVENT REPORT ILERI TEXT CONTINUATION AttAOYEO OME NO. 3150&104 E)ttIAES. EISIlES SACILITY NAME Ill DOCKET NUMEEA IEI LEII NUMEEA Ill ~ AGE ISI 5%4VENTIAL g5ytSION NQM IA NUM A R.E. Ginna Nuclear Power Plant 0 5 0 0 0 2 4 4 007 0 0 09o~11 TEXT Itt mme Neer r Nryeed. y55 Ir5NryrIlyAC Arm ~ LU I I1 I Based on the above, health it and safety was assured at can be concluded that all times.
the public's "V. CORRECTIVE ACTION A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
o The Maintenance Department, after troublesho'oting the Bus 16 and Bus 17 Undervoltage Monitoring/Pro-tection System, determined that the problem was a solid state switch printed circuit board in the system.
o The Maintenance Department replaced the affected solid state switch printed circuit boards with qualified spares, tested the systems satisfactorily and returned them to service.
o Operations, after the Bus 16 and Bus 17 Undervoltage Monitoring/Protection System was restored to service, returned Bus 16 and Bus 17 to their normal power supply and stopped the "B" Emergency Diesel Generator and aligned auto standby.
it for B. ACTION TAKEN OR PLANNED TO PREVENT RECURRENCE:
The following is an outline of the corrective actions being taken or planned in response to the recent failures of the solid state switch circuit boards located inside the Undervoltage Monitoring/Protection System cabinet:
Short Term Response:
a) Auxiliary operators are checking each undervoltage cabinet for proper status light indication once per shift.
b) Each solid state switch circuit board was visually checked for signs of heat related degradation.
NAC ~ DAM 555A
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IIAC Form SSSA U.S. HUCLEAII IIEQULATOIIYCOMMISSIOII IS4ll /
L'ICENSEE EVENT REPORT ILER) TEXT CONTINUATION AFFIIOVEO OMS IIO SISOW104 ExFIAEs. SISlrss FACILITY IIAME III COCKET IIUMSEII (SI Lfll NUMSEII Itl ~ AQS ISI v t *II StQVt MTIAL AtVltrQH HUM 'to rrV M tA R.E. Ginna Nuclear Power Plant: o s o o o 244 9 1 007 00 10 DF TExT IIImore toeoe rt nous'. rrto ~ eeooror ivAC Fomr ~ sl IITl c) A voltage check of each train of Undervoltage Monitoring/Protection was conducted to verify the integrity of the diodes which have previously exhibited heat related degradation.
0 Intermediate Term Response:
a) Replacement of remaining solid state switch circuit boards which have been in service
'or an extended. time period (service life estimated at 4-5 years) was completed for Bus 16, and for the failed card on Bus 17.
In addition, boards were replaced on Bus 14.
b) The periodic test procedure for testing the undervoltage relays (PT-9.1) was enhanced to include periodic full end-to-end testing.
c) Full end-to-end testing was performed on Buses 14, 16, 17 and 18, including verification of trip functions that were previously tested annually.
0 Long Term Response:
a) The Undervoltage System will be modified to eliminate heat related degradation of the solid state switch circuit boards.
b) Remaining solid state switch circuit boards, which have been in service for an extended time period, will be replaced when parts are available. This includes one card on Bus 17 and two cards on Bus 18.
c) Other internal components that are affected by heat will be evaluated for periodic replacement.
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<<RC $ >>m 000A I041I V,S. NUCLEAR RIOVLATORY COMMITNOH L'ICENSEE EVENT REPORT (LER) TEXT CONTINUATION AAAROVEO OM0 HO 1I50WI04 1RAIRES;0IT I ISS I'ACILITY HAM1 III COCK ET HUM01R l1I LER IIVM01R III ~ AOC I1I vCAA IIOVCAnAL AIV<<ION HUM IA AVM IA
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R.E. Ginna Nuclear Power Plant 0 5 0 0 0 2 4 4 9 0 0 7 0 0 1 1 oF1 1 TUB IifmeA <<M>> <<>>0used, v>> <<<<RAvvA'RC AvvA ~'el IITI ADDITIONAL INFORMATION A. FAILED COMPONENTS:
The failed solid state switch printed circuit boards were supplied by Electro-Mechanics, part number 33013-898 and 33013-899, assembly numbers 03021-287 and 03021-288.
PREVIOUS LERs ON SIMILAR EVENTS:
A similar LER event historical search was conducted with the following results: LER 88-008 Undervoltage Relay Actuation Due to a Failed (Safeguard'us Solid State Switch Caused Automatic Start of "B" Emergency Diesel Generator) was a similar event. The root cause of LER 88-008 was determined to be a random failure of an electronic component and no corrective action was deemed necessary to prevent recurrence. LER 90-015 (Safeguards Bus Undervoltage Relay Actuation Due to a Failed Solid State Switch Causes an Automatic Start of the "ALI Emergency Diesel Generator) was also a similar event. The root cause of LER 90-015 was determined to be a failure of an electronic component. Corrective action taken was to perform thermography on the failed solid state switch printed circuit board and then provide the results of this thermography to Electro-Mechanics, the system designer, for review. Based on the review of the thermography results by RG&E and Electro-Mechanics, modifications to the circuit design are being evaluated. Printed circuit card replacement intervals are also being evaluated.
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The above corrective action led to the root cause determination and corrective action for LER 91-007.
C. SPECIAL COMMENTS:
None.
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