05000335/LER-1978-037-01, /01T-1 on 780919:during Sys Insp,Class I Longitudinal Braces on Auxiliary Bldg Ventilation Ducts Were Found Missing.Caused by Unique Combination of Personnel Errors

/01T-1 on 780919:during Sys Insp,Class I Longitudinal Braces on Auxiliary Bldg Ventilation Ducts Were Found Missing.Caused by Unique Combination of Personnel Errors

ML17266A023
Person / Time
Site:	Saint Lucie
Issue date:	12/18/1978
From:	Siebe A FLORIDA POWER & LIGHT CO.
To:	NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
Shared Package
ML17206A593	List: 05000335/LER-1978-037, Forwards LER 78-037/01T-1 05000335/LER-1978-037-01, /01T-1 on 780919:during Sys Insp,Class I Longitudinal Braces on Auxiliary Bldg Ventilation Ducts Were Found Missing.Caused by Unique Combination of Personnel Errors
References
LER-78-037-01T, LER-78-37-1T, NUDOCS 7901080161
Download: ML17266A023 (3)

LER-1978-037, /01T-1 on 780919:during Sys Insp,Class I Longitudinal Braces on Auxiliary Bldg Ventilation Ducts Were Found Missing.Caused by Unique Combination of Personnel Errors

Event date:
Report date:
3351978037R01 - NRC Website

text

UPOATE REPORT 0 PREVIOUS REPORT DATE OCTOBER 2, 1978 V *NUCLLLRRSCVLATCRV C uNllSSIQN N RC PORM $$4 IT TT)

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Radial restraints are only required in the event of a LOCA.

An engineering evaluation by our AE indicates that restraints existing at the time of;the occurrence were

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The affected safe related ventilation s stems are capable of sustaining the additional loads during"a design basis seismic

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A i u co. 'tion of errors and weaknesses in construction administra-..

tion and quality assurance allowed the omission to occur.

Installation of the prev'iously'missing braces in PSL-l was completed on October 5,1978,

~I2 and actions to prevent similar occurrences on PSL-2 have been identified for implementation.

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REPORTABLE OCCURRENCE 335-78-37 Rev. l LICENSEE EVENT REPORT PAGE TWO Additional Event Descri tion.

The system inspections were being conducted to verify plant "as built" design drawings.

The a'ffected safety related

systems, Control, Room Ventilation, Emergency Core Cooling Systems Area Ventilation (including portions of the Reactor AuxiliaryBuilding-Ventilation supply system),

and Shield Building. Ventilation are. only required in the event of a.

LOCA.

In order for them to possibly fail to fulfilltheir functions an earthquake would also have to occur The probability of these two events occurring in'he near future is extremely low An engineering evaluation performed by the AE has determined that the ventilation duct restraint system existing at the. time'of the occurrence, on the safety related system in question was capable of sustaining the additional loads imposed upon it due to the absence of the 66 missing longitudinal braces during a design basis seismic event.

Other ventilation systems in containment and shield building do not require the longitudinal braces so are not a concern.

Additional Cause Descri tion and Corrective Action'e have concluded that a unique combination of factors involved in the contracting, dxawings and quality control. for.these ventilation braces resulted in their not being installed as required.

A description of the circumstances is as follows:

a

. It was not until late into the St; Lucie Unit 1 project that the ventilation system installer, an independen" contractor, was to be assigned the additional scope of work of installing the permanent restraints and braces for ventilation system ducting, which included the 66 braces in question.

A communication error between the AE and the ventilation system installer apparently contributed to the installer not including these 66 braces on the installation drawings, even though these braces appeared on the Architect-Engineer's (A-E's) design engineering drawings which were used as a source for the installation drawings.

b.

The installer was also responsible for the quality con~1 inspections associated with the ventilation system installation; consequently the "as-built"

.condition was inspected to the installation drawings,

which, as noted above, did not include these 66 braces.

Had the ventilation system been inspected by our A-E's QC, who did most of the other inspecting, or had the installer used the A-E's design drawings for inspec-tion, the missing braces probably would have been identified during the construction phase.

REPORTMKE OCCURRENCE 335-78-37 Rev.

1 LICENSEE EVENT REPORT PAGE THREEAlthough there were several other contractors participating in the St. Lucie Unit 1 constzuction who performed their own quality control, it has been determined that. none of these contractors used other than design drawings for installations and inspections.

Installation of the previously missing braces in PSL-1 was.

completed on October 5, 1978.

Measures are being established to prevent a similar omission from occurring on our St Lucie Unit 2.

These measures include=

a More effective comparison of installation drawings against design drawings for accuracy and. completeness prior to site approval of installation drawings.

b Pezforming a walkdown by PPL Quality Contxol personnel of seismic duct. supports to verify that the "as-built" is in accordance with the design drawings