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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to Contractor Employee.Caused by Incomplete Info Re Circumstances of Individual Military Separation.Individual Access Was Revoked.With 990719 Ltr ML17265A7021999-07-15015 July 1999 LER 99-010-00:on 990615,ventilation Isolation of Auxiliary Bldg Occurred When Auxiliary Bldg Gas Radiation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
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Text
ACCELERATED DEMONST+XTION SYSTEM DISTRIBUTION REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9101140089 DOC.DATE: 91/01/07 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 trip 90-013-00:on 901211,turbine tripATWS w/subsequent reactor mitigation occurred. Caused by inadvertent sos actuation circuitry (AMSAC) actuation. Jumper, omitted zn D AMSAC circuit design installed.W/910107 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR 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 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD1-3 LA 1 1 PD1-3 PD 1 1 JOHNSON,A 1 1 INTERNAL: ACNW 2 2 AEOD/DOA 1 1
'2 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/LHFB11 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPBl1 2 2 NRR/DST/SELB SD 1 '1 NRR/DST/SICB 7E 1 1 NRR/D PLBSD1 1 1 NRR/DST/SRXB SE 1 1 1 1 RES/DSIR/EIB 1 1 N 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHY,G.A 1 1 NUDOCS FULL TXT 1 1 D
D NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE '6rASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOih'I P l-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 31 ENCL 31
I! ccc ~
~
c ROCHESTER GAS AND ELECTRIC CORPORATION ~ 89 EAST AVENUE, ROCHESTER N.K 14649-0001
'. ROBfRT( Acj( Aft)'c TELfPccOc,.
c 'cc e Fce~ic!c ':,
C cene Nvciei" hc ceo<<iv' AREA CODE T)6 546 2?M January 7, 1991 U.S. Nuclear Regulatory Commission Document Control Desk Washington, DC 20555
Subject:
LER 90-013, Turbine Trip Due to an Inadvertent ATWS Mitigation System Actuation Circuitry (AMSAC)
Actuation Causes a Reactor Trip 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 Protec-tion System (RPS)", the attached Licensee Event Report LER 90-013 is hereby submitted.
This event has in no way affected- the 'public's health and safety.
Ver truly yours, Robert C. M credy xc: U.S. Nuclear Regul'atory Commission Region I 475 Allendale Road King of Prussia, PA 19406 Ginna USNRC Senior Resident Inspector 9] C~] 400SP > ~g Og 07 F'Dfi ADOCK 05000244 PDR
NKC /or((( SSSA UA. NUCLEAR IIECULATOIIYCOMMISSION (MJI /
LICENSEE EVENT REPORT ILERI TEXT CONTINUATION ASSAOVSO OMS NO SISOMID4 EKPIAES SISI/SS SACILITY NAME lll DOCKET NUMSEN ITI LEII NUMSSII ISI SACS ISI SS 0 V E N T ( A 1. ASVISIOH
~ I+M CA M SN R.E. Ginna Nuclear Power Plant o s o,o o 24 4 90 013 00 020F 1' TEXT u'((((((Y N(OCN N nCVrar, vM NNaeanv NSC I((v((( ~ S I I ITI PRE-EVENT PLANT CONDITIONS The reactor was at approximately 974 steady state full power with the following activities in progress:
The Instrument .and Control (I&C) Department was performing Periodic Test procedure PT-5.40 (Process Instrumentation Reactor Protection Channel Trip Test (Channel 4 Yellow)).
0 -The I&C Department was also working on Ginna Station work request or trouble report (WR/TR)
Number 90-02112 which involved the "B" Steam Generator Main Feedwater Flow Transmitter FT-477.
II. DESCRIPTION OF EVENT A. DATES AND APPROXIMATE TIMES OF MAZOR OCCURS?,'NCES:
o December 11, 1990, 1517 EST: Event date and time.
o December 11, 1990, 1517 EST: Discovery date and time.
o December ll, 1990, 1517 EST: Control Room operators verify both reactor all control trip breakers open, and shutdown rods inserted ahd turbine trip.
o December 11, 1990, 1529 EST: Control Room operators close both Main Steam Isolation Valves (MSIVs) to terminate a Reactor Coolant System (RCS) cooldown.
o December 11, 1990, 1540 EST: Plant stabilized at hot shutdown.
NIIC ADAM SSSA ISWI
0 NIIC ferrrr 99EA I945 I V.E. NVCLEAII IIEOVLATOIIYCOMMIEEION LICENSEE EVENT REPORT ILERI TEXT CONTINUATION /
AeeAOYEO OU9 NO 5I 50&IOI EXeVIES.'EQI/85 eACILITY NAME III OOCXET NVMEEII Ill LEII NVMEEII IEI ~ AOE IEI YEAN 5 5 0IJ 5 N Tl A L AEV ISIOH N U e ~ rVU %1 R.E. Ginna Nuclear Power Plant o s o o o 0 1 3 000 3 oel, 2 TExT lllmore NUce N reeeeed. rree Aoeoronel Nllc lrerrrr sELA El I ITI B. EVEPZ:
On December 11, 1990 at 1517 EST, with the reactor at approximately 97% full power, the Control Room received several annunciator alarms. Most notable of these alarms was" the red first out annunciator alarm D-24 (Turbine Auto Stop) (indicating a Reactor Trip) and K-3 (AMSAC Actuated) (indicating a Turbine Trip).
The Control Room operators immediately performed the .
immediate actions of procedure E-0 (Reactor Trip or Safety Injection) and transitioned to ES-O.l (Reactor Trip Response) was when it was not actuated or required.
verified that safety'njection The Control Room operators, following optional procedure guidances, closed both MSIVs at 1529 EST to terminate an RCS cooldown.
The closing of both MSIVs mitigated the RCS cooldown and the plant was subsequently stabilized in hot shutdown.
Other equipment problems that occurred during the event were:
0 The Intermediate Range .(IR) Nuclear Instrumentation, Channel N-35, after tracking identically to Channel N-36, down to approximately 10 1 amps, and reinstating the source range channels properly, had its indication continue to decrease below 10 11 amps (i.e. offscale low). The N-35 channel returned to normal approximately nine hours following the trip.
This is an explained phenomenon involving.'the idling current within the system.
N A C S 0 II U 999 A I947I
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~ L'ICENSEE EVENT REPORT ILER) TEXT CONTINUATION U.S. NUCLEAIl AEOULATOIlYCOMMISSION
, AttROVEO OMS NO 3150&IOI EXtlAESrenlrSS tACILITYNAME III OOCKET NUMSEII IXI LEII NUMEEII I ~ ) ~ AOE ISI SSOUSNTIAL tSYCION NUM << N M R.E. Ginna Nuclear Power Plant o s o o o 24 490 013 0 004 OF 1 2 TEXT litmort <<ster <<rStum<<E ttS a<<M<<mSI IYIIC Arm JSLI'll I ITI o Approximately 20 minutes following the trip, the "A" Motor Driven Auxiliary Feedwater (MDAFN) pump was observed to be producing no flow and to have steam escaping from both ends of the pump shaft through the packing glands. The pump was removed from service and vented to cool This evolution'ook approximately 45 minutes.
it down.
The "A" Motor Driven Auxiliary Feedwater pump was operated again between 1730 and 1930 EST on December 11, 1990 with no observed problems.
Condenser Steam Dump valve AOV-3355 indicated partially open when Local investigation it should have been closed.
verified that AOV-3355 was closed.
o Reheater Steam Supply valves AOV-3426 and AOV-3428 did not indicate fully closed when they should have. Local investigation verified that the valves were closed.
The Control Room operators notified higher supervision and the Nuclear Regulatory Commission (NRC) of the event. )
C. INOPERABLE STRUCTURES, COMPONENTS, OR SYSTEMS THAT CONTRIBUTED TO THE EVENT:
None D. OTHER SYSTEMS OR SECONDARY PUNCTIONS AFFECTED.
None E. METHOD OP DISCOVERY:
The event was immediately apparent due to alarms and indications in the Control Room.
~ INC tOAM SSSA 10441
NRC Elm SSOA U.S. NUCLEAR REOULATORY COMMISSION (94SI LICENSEE EVENT REPOAT (LERI TEXT CONTINUATION /
AOOROVEO OMS 4O SI 50&104 EXOIRES 9/SI '85 OACILITY NAME 111 OOCKET HUMSE R Ill LER NUMEER I ~ I JAOE ISI SSOVaeT<AL OEVl$ lOR HVV To NVV To R.E. Ginna Nuclear Power, Plant 0 5 0 0 0 90 0 13 0 0 0 50F 1 2 TEXT IJT mat OOOCO O teOoood. ooo oOOOooa'WtC Fono ~ 5l IIT)
F. OPERATOR ACTION.
Subsequent to the Reactor Trip, the Control Room operators performed the appropriate actions of Emergency Operating procedures E-0 (Reactor Trip or Safety Injection) and ES-0.1 (Reactor Trip Response) and stabilized the plant. The MSIVs were closed approximately twelve (12) minutes after the trip to prevent further plant cooldown.
G. SAFETY SYSTEM RESPONSE:
None III. CAUSE OF EVENT A. IMMEDIATE CAUSE:
The reactor trip occurred due to a turbine trip.
B. INTERMEDIATE CAUSE:
The turbine trip was due to an inadvertent AMSAC actuation.
The inadvertent AMSAC actuation was determined to be due to a low voltage potential of one of the logic outputs from a Foxboro N-2CCA-DF Control Module in the AMSAC Logic Circuitry.
C. ROOT CAUSE The underlying cause of the event was determined to be a vendor circuit design deficiency;
~ eRC SORM SOOA 194SI
NHC FoclII 444A V.S. NVCLSA1 1SOVLATOIIY COMMISSIOH (ScISI LICENSEE EVENT REPORT ILERI TEXT CONTINUATION
/
AFFAOYSO OMS HO SISOW104 SKFIASS 8/SIISS FACILITY HAMS III OOCKST HVMSSII ITI LSII NVMSSII lll FAOS ISI VSAA SSQVtNTIAL ASVISION M+M t1 ~ IVM tA R.E. Ginna NUclear Power Plant o 5 o o o 2 4 4 '0 0 1 3 000 6 OF TACT IH <<<<C<<<<C CACCC 1 <<FOMCCCL IIW cCOCOIncl IVYFO<<IN JOE'l I I I<<I IV. ANALYSIS OF E&9FZ This event is reportable in accordance with 10 CFR 50.73, Licensee Event Report System, item (a)(2)(iv), which requires reporting of "any event or'ofcondition that resulted in manual or automatic actuation any Engineered Safety Feature (ESF), including the Reactor Protection System (RPS)," in that the reactor trip from the AMSAC-actuated turbine trip was an automatic actuation of the RPS.
An assessment was performed considering both the safety consequences and implications of this event with the following results and conclusions:
0 The two r'eactor trip breakers opened as required.
All control and shutdown rods inserted to shut the reactor down as designed.
The plant was quickly stabilized in hot shutdown.
The transient was compared to the assumptions of the accidents evaluated in section 15 of the Ginna Updated Final Safety Analysis (UFSAR). No assumptions specified in Chapter 15 of the UFSAR were violated during this event.
A- slow cooldown resulted during the post trip recovery period. Tavg decreased to approximately 535 F and the MSIVs were closed. The closing of the MSIVs terminated the cooldown. This cooldown is bounded by the plant .,
accident analysis and does not exceed the technical specification limit of 100 F per hour. Additional protection was provided by closure of the MSIVs.
NAC F 01M SSSA I949 I
IIAC Sellll 555A V.E.IIUCLEAR REGULATORY COMMI55IOH 1945 I L'ICENSEE EVENT REPORT ILER) TEXT CONTINUATION ASSROV EO OME HO 5150&104 ERSIRES 5/51l55 I'AGILITYIIAME III OOCKET RVMEER ITI LEA IIUMEER IEI ~ AGE ISI TEAR I 55 GU HTI A L AEVI5lOH MUM llUM 5A R.E. Ginna Nuclear Power Plant: 0 5 0 0 0 2 4 4 9 0 0 l 3 0 00" 7 OF TEXT IIImer5 SeCe R nOVeeC llew 5555OCV5I NSIC Slylll ~'SI I IT)
Technical Specifications were reviewed'n respect to the post trip review data. The following is the results'f that review:
Pressurizer level decreased to approximately 10:
the reactor trip and subsequ'ent cooldown. 'ollowing Technical specification 3.1.1.5 states in part, that for RCS temperatures at or above 350 F, the pressurizer level will be maintained between 12% and 87< of level span to be. considered operable. Technical Specification 3.1.1.5 also states in to part, level, that restore if the pressurizer is inoperable due the pressurizer to operable status within six (6) hours or have the reactor below a RCS temperature of 350 F and the RHR system in operation within an additional six (6) hours. Pressurizer water level recovered to greater than- 124 level well before the six (6) hour action statement.
Both Steam Generators (S/G) levels decreased to less than narrow range indication following the reactor trip, thus rendering them technically inoperable (i.e. due to low level) even though both loops were still in operation and performing their intended function of decay heat removal. Technical Specification 3.1.1.1(c) states in part that except for special tests, when the RCS temperature is at or above 350 F with the reactor power less than or equal to 130 MWT (8.5~), at least one reactor coolant loop and its associated
. steam generator and reactor coolant pump shall be in operation. Both reactor coolant. loops were in operation, but the S/Gs were technically inoperable due to low narrow range level indication. Taking the most conservative Technical Specification action statement approach for the above interpretation, would lead to Technical Specification 3.1.1.1(d)(ii) which states: "lf neither loop is in operation, suspend all operations involving a reduction in boron concentration in the reactor coolant system and immediately initiate corrective action to return a coolant loop to operation.
MAC SCAM 555A IHE I
0 NhC Sons EEEA (949 I V.E. NVCLEAII IIEOULATOIIYCOMMIEEION LICENSEE EVENT REPORT ILER) TEXT CONTINUATION /
ASSROVEO OME NO EIEOWIOO EleeIRES 9/9InN fACILITYNAME Ill DOCKET NUMEER LTI LEII NVMEER IEI ~ AOE I1I YEAR 5 E O U E N T I A I. AEVOIOH MVM Is SVM R.E. Ginna Nuclear Power Plant o s o o o 2 449 0 0 1 3 0 0 0 80F 12 TEXT IIS stoee efece N nord. ceo NNeeonoI IYIIC Sons ~ Tv I IT I The above actions were taken and both loops were returned to -technically operable status within approximately four (4) minutes following the reactor trip.
Based .,on public the above, health and safety it wascan assured be concluded that the at all times.
CORRECTIVE ACTION A. ACTION TAKEN TO RETURN AFFECTED SYSTEMS TO PRE-EVENT NORMAL STATUS:
o Troubleshooting of the AMSAC Logic Circuitry was performed by the I&C Department. Results of this troubleshooting identified that one of the logic outputs from a Foxboro N-2CCA-DF control module, (3 of 4 feedwater flow logic) was approximately seven (7) volts. The output voltage should have been either zero (0) volts for logic high or fifteen'(15) volts for logic low.
Discussions were held with the AMSAC vendor who attributed the low voltage potential to the omission of a jumper connecting the module negative output logic terminal to the module signal common. This jumper was not specified in the. circuit design, nor shown on the system drawings.
A jumper was installed as directed by the vendor. Testing of the logic circuitry verified that the logic output voltage was greater than the 10 volt minimum required by the N-2CCA-DF control module.
NRC SOIIM 9OOA I9WI
A NAC Form SSSA U.S. NUCLEAII IIECULATOIIYCOMMISSION 194 9 I LICENSEE EVENT REPORT ILERI TEXT CONTINUATION A>AAOVEO OMS NO SI50MIOA
'SQI tSSl')ctllIES FACILITY NAME III OOCKET NUMSEII Ql LEII NUMSEII I ~ I PACE IS)
SEQUENTIAL ASVI$ION NUM %1 4VM IA R.E. Ginna Nuclear Power Plant o 5 o o o 24 490 0 1 3 0 0 0 9 OF 1 2 TEXT III mme NNCA N novns. vM rdaeOAet NIIC Ann ~ VI (ITI During troubleshooting, a second unrelated problem was also identified which required 'the replacement of the'AMSAC timer signal. processing module. The defective module was replaced and successfully tested .with no further problems detected.
o Following the reactor trip on 09/26/90 (discussed in LER 90-012) and this event, IR Channel N-35 indication went off scale low. Both IR channels decreased together and the source ranges properly reinstated. However, at less than 9 x 10 amps, N-35 continued to decrease until off scale low. N-36 remained greater than 10 it went amps. Approximately nine hours after the-trips, N-35 came back on scale and responded the same as N-36 thereafter.
Based on . conversations with Westinghouse (the supplier of the IR detectors), the age of the detector can affect the low level instrument response. N-35 was replaced during the 1990
.annual outage. N-36 has been installed for many years. Because N-36 has been irradiated for significantly longer, its components will be more highly activated. The gamma emitted by the activated components is added to the idling current to maintain on-scale indication. Both IR channels decreased together through the range where compensation is important (i.e. 10 amps to 10 amps); therefore, the compensating voltage is properly set. Westinghouse experts have stated that as long as both IR channels track together while decreasing and increasing power, the channels can be considered fully operable.
In addition, the protective functions of both IR channels were tested satisfactorily using Periodic Test procedure PT-6.2 (N.I.S.
Intermediate Range Channels).
SAC ~ OIIM SSSA ISIS I
HRC Eorm SEEA U.E. NUCLEAR REOULATORY COMMISSION ISe51 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION /
A55ROYEO OMS rrO EIEOMIC4 ERRIAES 5/SI rES EACILITY IIAME 111 OOCKET IIVMSER IXI LEII IIVMSER IEI ~ AOE 151 5 5 O v 5 rr 5 r A L R 5 Y I5 IO rr rr Q M RVM EA R.E. Ginna Nuclear Power Plant
'TEXT Irrr mere 5eeee e nerrrrrrr. rree ~ rYRC Irerrrr SSEASI I ITI 0 5 0 0 0 2 4 90 0 13 0 0 1 00F1 2 0 It was determined become steam bound that the "A" MDAFW pump had due to running dead-headed (i.e. zero flow conditions).
The "A!I MDAFW pump running dead-headed was due to the following circumstances:
o The discharge cross-tie valves were open between the two MDAFW pumps.
o The "B" MDAFW pump, based on testing results, has approximately a 15 psig higher discharge pressure than the "A". MDAFW pump.
Since there is very little piping run between the MDAFW pumps while the. cross-ties are open, it is postulated that the higher discharge pressure of the "B" MDAFW pump forced the "A" MDAFW pump discharge check valve closed. This would create the zero flow conditions for the "A" MDAFW Pump and result in heat being transferred to the condensate, resulting in steaming through both pump shaft packing glands.
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o The condenser steam dump valve AOV-3355 position indication problem was due to a bent position switch actuating arm. The arm was replaced and the limit switch adjusted for proper position indication.
o The reheater steam supply valves, AOV-3426 and AOV-3428 position indication problem was due to their position indication mechanisms being out of adjustment. The affected valves position indication mechanisms were adjusted for proper indication.
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B. ACTION TAKEN OR PLANMK) TO PRLWENT RECURRENCE:
o The jumper, omitted in the AMSAC circuit design, was installed to obtain the 10 volt minimum voltage.
0 The AMSAC design was reviewed to identify any other logic-to-logic connections. No similar connections were found.
o Detailed system checkout was performed on the AMSAC system, with plant conditions simulated to be similar to those during the initial AMSAC actuation. This checkout, performed for more than eight (8) hours, did not,show any observed problems with the low voltage potential, and no other problems were observed with the performance of the AMSAC system.
The industry was notified, via Nuclear NETWORK, of the desi.gn deficiency in the control module.
Calibration procedures will be revised to include an annual check of the voltage measurement of the logic outputs.
o Parallel operation of the MDAFW pumps will not be allowed in Emergency Operating Procedure (EOP) ES-0.1. This procedure has been changed to require that one running MDAFW pump be secured should the discharge cross-tie valves be open.
VI. ADDITIONAL INFORMATION FAILED COKPONENTS:
o The AMSAC logic output module which lacked the jumper was a Foxboro N-2CCA-DF control module manufactured by the Foxboro Company.
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FACILITY NAME lll OOCKET NUMEER ITI LEN NUMEEN (5) ~ AOE I1I vEAA 55QUENTIAL aEVI5IO4 4VM Ir Ure R.E. Ginna Iituclear Power Plant TExT lie mare erMee o s o o o 2 4490 0 1 3 0 0 1 2 or 1 2 re aerrearE rree Nraaarar rYAC Farrrr Pc4'el IITI o The faulty AMSAC timer signal processing module was also a Foxboro N-2CCA-DF control module manufactured by the Foxboro Company.
B. PREVIOUS LERs ON SIMILAR EVENTS:
A similar LER event historical search was conducted with the following results: LER 89-004 (Turbine Trip During Manual Unblock of ATWS Mitigation System Actuation Circuitry (AMSAC), Due to Modification Program Inadequacy) was a similar event with a different root cause. The root cause was different and the corrective action for LER 89-004 was not applicable to preventing this event.
C. SPECIAL COMMENTS:
None 4AC FOIIM 555A I941I