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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:RO)
MONTHYEARML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B1111997-11-10010 November 1997 LER 97-011-00:on 971010,HPCS Battery Charger Failed.Caused by Failure of a Phase Firing Control Circuit Board Due to Aging During 7 Yrs of Use.Hpcs Sys Was Immediately Declared inoperable.W/971110 Ltr ML17292B1151997-11-0707 November 1997 LER 97-010-00:on 970906,discovered That TS SR 3.4.5.1 for Identified Portion of RCS Total Leakage Would Not Be Able to Perform within Time Limits of SR 3.0.2.Caused by Inadequate Methods.Method of Meeting SR 3.4.5.1 Established ML17292B0641997-09-24024 September 1997 LER 97-004-01:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Indication of Entry Into Region a of power-to-flow Map.Caused by Inadequate Attention to Detail.Established Event Evaluation teams.W/970924 Ltr ML17292B0241997-08-18018 August 1997 LER 97-009-00:on 970717,discovered Error in Recently Performed Inservice Testing procedure,OSP-TIP/IST-R701. Caused by Procedure Inadequacy.Plant Procedure OSP/TIP/IST-R701 Will Be changed.W/970818 Ltr ML17292B0291997-08-15015 August 1997 LER 97-008-00:on 970716,wire Seal Used to Lock Containment Instrument Air Pressure Control valve,CIA-PCV-2B,found Not Intact.Cause of Misadjustment of CIA-PCV-2B Unknown.Event Will Be Communicated to Plant employees.W/970815 Ltr ML17292B0201997-08-15015 August 1997 LER 97-S01-00:on 970718,failure to Take Compensatory Measure for Inoperative Microwave Security Zone Occurred. Caused by Personnel Error.Training Will Be Conducted W/ Appropriate Members of Security force.W/970815 Ltr ML17292A9481997-07-23023 July 1997 LER 97-007-00:on 970611,voluntary Rept of Automatic Start of DG-1 & DG-2 Was Experienced.Caused by Undervoltage Condition on Electrical Busses SM-7 & SM-8.Circulating Water Pump CW-P-1C Control Switch Placed in pull-to-lock.W/970723 Ltr ML17292A9201997-06-26026 June 1997 LER 97-006-00:on 970527,non-performance of Surveillance Requirement 3.6.1.3.2 for Blind Fanges,Was Noted.Caused Because Misunderstanding of Intent of Specs.Added Five Structural Assemblies for SP.W/970626 Ltr ML17292A8331997-04-28028 April 1997 LER 97-004-00:on 970327,plant Operators Manually Scrammed Reactor as Required by TS Due to Entry Into Region a of power-to-flow Map Following Planned Trip of Single Mfp. Event Evaluation teams,established.W/970428 Ltr ML17292A8311997-04-28028 April 1997 LER 97-005-00:on 970327,valid Reactor Scram Signal Received Due to Low Water Level Condition During Preparations for SRV Testing.Caused by Risks & Consequences of Decisions Not Completely Identified.Restored Water level.W/970428 Ltr ML17292A8251997-04-21021 April 1997 LER 97-003-00:on 970320,notification of Noncompliance W/Ts as TS SRs for Response Time Testing Were Not Being Met for Specified Instrumentation in Rps,Pcis & Eccs.Requested Enforcement Discretion for One Time exemption.W/970421 Ltr ML17292A7431997-03-20020 March 1997 LER 97-002-00:on 970218,determined That Rod Block Monitor (RBM) Calibr Values Were Not Set IAW Tech Specs.Caused by Calibr Procedures Inadequacies.Revised & re-performed RBM Channel Calibr procedures.W/970330 Ltr ML17292A7401997-03-13013 March 1997 LER 97-001-00:on 970211,reactor Water Cleanup Sys Blowdown Flow Isolation Setpoint Was Slightly Above TS Allowable Valve Occurred Due to Calculation Error.Lds Fss LD-FS-15 LD-FS-16 Were Declared inoperable.W/970313 Ltr ML17292A6641997-01-22022 January 1997 LER 96-009-00:on 961220,miscalculation of Instantaneous Overcurrent Relay Settings Resulted in Inoperability of safety-related Equipment.Caused by Utilization of Inappropriate Design.Testing Was completed.W/970122 Ltr ML17292A6461997-01-0606 January 1997 LER 96-008-00:on 961205,failure to Comply with TS Action Requirement for Emergency Core Cooling Sys Actuation Instrumentation Occurred Due to Unidentified Inoperability Condition.Pmr initiated.W/970106 Ltr ML17292A6371996-12-19019 December 1996 LER 96-007-00:on 961122,electrical Breakers Were Not Seismically Qualified in Test/Disconnect Position.Circuit Breaker Mfg Did Not Consider Raced Out Breaker Position During Testing.Relocated Circuit breakers.W/961217 Ltr ML17292A4121996-08-0808 August 1996 LER 96-006-00:on 960709,average Power Range Monitor Rod Block Downscale Surveillance Not Performed Prior to Entry Into Mode 1.Caused by long-standing Misinterpretation of Requirements of Tss.Procedures revised.W/960808 Ltr ML17292A3801996-07-24024 July 1996 LER 96-004-00:on 960624,plant Was Manually Scrammed by Control Room Personnel Due to Reactor Water Level Transient Experienced During Testing of Digital Feedwater Sys.Caused by Programming Error.Sys Was corrected.W/960724 Ltr ML17292A3771996-07-24024 July 1996 LER 96-005-00:on 960624,determined Missed Surveillance Test Re Channel Check of Average Power Range Monitor.Caused by Inadequate Procedures.Revised Surveillance Procedure Re When APRM Checks Must Be performed.W/960724 Ltr ML17292A3641996-07-12012 July 1996 LER 96-003-00:on 960615,required Surveillance Test Not Performed When Required by TS 3.4.1.3.Caused by Inadequate Procedures.Implementing Surveillance Procedure & Reactor Plant Startup Procedures revised.W/960712 Ltr ML17292A3361996-06-20020 June 1996 LER 96-002-00:on 960504,critical Bus SM-8 Lost Power When Supply Breaker 3-8 Tripped.Caused by Personnel Error. Operators Counselled & Procedures revised.W/960620 Ltr ML17292A2861996-05-24024 May 1996 LER 96-001-00:on 960425,inadvertent ESF Actuations Occurred Due to Tripping of Temporary Power Supply to IN-3.Caused by Personnel Error.Operations Restored to IN-3 Loads & Reset ESF actuations.W/960524 Ltr ML17291B0891995-10-19019 October 1995 LER 95-011-00:on 950919,failed to Comply W/Ts SR for RCIC Sys Due to Analysis Deficiency That Resulted in Inadequate Surveillance Test Procedure.Surveillance Procedure Revised to Correct deficiency.W/951019 Ltr ML17291A9021995-07-0707 July 1995 LER 95-010-00:on 950609,HPCS DG Declared Inoperable Due to Discovery That TS Test Method Incomplete.Caused by Inadequate Testing Procedure.Test Procedure for HPCS DG Reviewed & Special Test Procedures written.W/950707 Ltr ML17291A9031995-07-0707 July 1995 LER 95-009-00:on 950607,inadvertent MSIV Closure Occurred During Surveillance Test Due to Poor Communication Between Test Team.Determined That MSIV Closure Not Valid Because Closure Not Triggered by Plant conditions.W/950707 Ltr ML17291A8501995-06-0808 June 1995 LER 95-006-01:on 950405,reactor Scram Occurred During Surveillance Testing Due to Protective Sys Relay Failure. Replaced Failed Relay Before Plant Startup ML17291A8101995-05-12012 May 1995 LER 95-008-00:on 940125,TS Wording Lead to Potential TS Violation.Caused by Lack of Clarity in Ts.Submitted Improved TS for Plant to Provide Addl clarity.W/950512 Ltr ML17291A7841995-05-0505 May 1995 LER 95-007-00:on 950222,emergency Diesel Start Occurred Due to Voltage Transient on BPA Grid.Confirmation Was Received at 17:51 H That Disturbance Had Originated in BPA Grid ML17291A7801995-05-0404 May 1995 LER 95-006-00:on 950405,main Turbine Trip Occurred During Performance of Surveillance Test Due to Protective Sys Relay Failed.Replaced Failed Relay Before Plant startup.W/950504 Ltr ML17291A7851995-05-0303 May 1995 LER 95-005-00:on 950222,inoperable IRM Had Been Relied Upon to Meet TS Requirements During Reactor Startup.Caused by Lack of Neutron Source to Test Instrumentation. Sys Knowledge Gained Will Be incorporated.W/950503 Ltr ML17291A7071995-03-25025 March 1995 LER 95-004-00:on 950226,malfunction in Main Turbine DEH Control Sys Caused All Four High Pressure Turbine Governor Valves to Rapidly Close.Caused by Blown Fuse.Suspected Faulty Circuit Card replaced.W/950325 Ltr ML17291A7011995-03-20020 March 1995 LER 95-002-00:on 950218,automatic Reactor Scram Occurred. Caused by Erroneous Positioning of Control During Performance of Scheduled Periodic Functional Test.Control repositioned.W/950320 Ltr 1999-07-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17284A9001999-10-31031 October 1999 Rev 0 to COLR 99-15, WNP-2 Cycle 15,COLR GO2-99-177, LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With1999-10-0101 October 1999 LER 99-S01-00:on 990903,failure to Take Compensatory Measure within Required Time Upon Failure of Isolation Zone Microwave Unit,Was Noted.Caused by Personnel Error.Provided Refresher Training on Compensatory Measures.With ML17284A8941999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for WNP-2.With 991012 Ltr ML17284A8801999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for WNP-2.With 990910 Ltr ML17284A8691999-07-31031 July 1999 Monthly Operating Rept for July 1999 for WNP-2.With 990813 Ltr ML17292B7421999-07-20020 July 1999 LER 99-001-00:on 990628,ESF Signal Closed All Eight MSIVs While Plant Was Shutdown.Caused by Failure of Relay RPS-RLY-K10D.Subject Relay Was Replaced & Tested on 990630. with 990720 Ltr ML17292B7271999-06-30030 June 1999 Monthly Operating Rept for June 1999 for WNP-2.With 990707 Ltr ML17292B6961999-05-31031 May 1999 Monthly Operating Repts for May 1999 for WNP-2.With 990608 Ltr ML17292B6641999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for WNP-2.With 990507 Ltr ML17292B6391999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for WNP-2.With 990413 Ltr ML17292B5871999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for WNP-2.With 990311 Ltr ML17292B5571999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for WNP-2.With 990210 Ltr ML17292B5621999-01-31031 January 1999 Rev 1 to COLR 98-14, WNP-2 Cycle 14 Colr. ML17292B5341999-01-15015 January 1999 Part 21 Rept Re Incorrect Modeling of BWR Lower Plenum Vol in Bison.Defect Applies Only to Reload Fuel Assemblies Currently in Operation at WNP-2.BISON Code Model for WNP-2 Has Been Revised to Correct Error ML17292B5331999-01-15015 January 1999 Part 21 Rept Re XL-S96 CPR Correlation for SVEA-96 Fuel. Defect Applies Only to WNP-2,during Cycles 12,13 & 14 Operation.Evaluations of Defect Performed by ABB-CE ML17292B4791998-12-31031 December 1998 Washington Public Power Supply Sys 1998 Annual Rept. with 981215 Ltr ML17292B5351998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for WNP-2.With 990112 Ltr ML17292B5741998-12-31031 December 1998 WNP-2 1998 Annual Operating Rept. with 990225 Ltr ML17284A8231998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for WNP-2.With 981207 Ltr ML17284A8081998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for WNP-2.With 981110 Ltr ML17292B4451998-10-27027 October 1998 LER 98-012-01:on 980715,failure to Comply with Requirements of TS SR 3.8.4.7 Was Noted.Caused by Inadequate Work Practices.Training Session Was Held with Personnel.With 981027 Ltr ML17284A7831998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for WNP-2.With 981007 Ltr ML17284A7491998-09-10010 September 1998 WNP-2 Inservice Insp Summary Rept for Refueling Outage RF13 Spring,1998. ML17284A7561998-09-0303 September 1998 LER 98-013-00:on 980805,ESF Actuations Were Noted Due to Deenergization of Vital Electrical Bus SM-8.Caused by Inadequate Direction in Troubleshooting Plan.Will Conduct Training for Engineering Personnel.With 980903 Ltr ML17284A7571998-09-0202 September 1998 LER 98-014-00:on 980807,completion of TS 3.8.1.F Required Shutdown Due to Inoperability of EDG-2 Was Noted.Caused by Degraded Voltage Regulator for DG-2.Replaced Voltage Regulator & Associated Scrs.With 980902 Ltr ML17284A7551998-09-0202 September 1998 LER 98-015-00:on 980808,discovered Reactor Coolant Pressure Boundary Leak During Shutdown Conditions.Caused by Leakage from Socket Weld (Fwb 63) on Elbow Connection.Failed Piping Connection Was Replaced.With 980902 Ltr ML17284A7681998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for WNP-2.With 980915 Ltr ML17284A7311998-08-17017 August 1998 LER 98-012-00:on 980716,determined That 24-month SR 3.8.4.7 Had Not Been Fulfilled within Specified Frequency.Caused by Inadequate Work Practices.License Requested & Received Enforcement Discretion Re Battery Svc test.W/980817 Ltr ML17284A7261998-07-31031 July 1998 Monthly Operating Rept for July 1998 for WNP-2.W/980810 Ltr ML17284A7121998-07-23023 July 1998 LER 98-006-01:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of 10CFR50,App R Calculations for High Impedance Faults.Caused by Inadequate Work Practices.Implemented Procedural Changes ML17284A6951998-07-17017 July 1998 LER 98-011-00:on 980617,ECCS Pump Room Flooding Was Noted Due to FP Sys Pipe Break.Caused by Inadequate Design of FP Sys.Detailed Review of FP Sys Design Was Conducted. W/980717 Ltr ML17284A6961998-07-15015 July 1998 LER 98-010-00:on 980615,TS Required Shutdown Due to Inoperability of TIP Sys Isolation Valve Was Noted.Caused by Improper Installation of TIP Tubing.Reattached Affected Tubing & Inspected Other TIP tubing.W/980715 Ltr ML17284A6731998-07-0101 July 1998 LER 98-009-00:on 980606,nuclear Steam Supply Shutoff Sys Group 3 & 4 Isolations During Testing Was Noted.Caused by Procedural Deficiency.Counseled Individuals Involved in preparation.W/980701 Ltr ML17284A6751998-06-30030 June 1998 Ro:On 980617,flooding of RB Northeast Stairwell with Consequential Flooding of Two ECCS Pump Rooms.Caused by Inadequate Fire Protection Sys Design.Pumped Out Water from Affected Areas to Point Below Berm Areas of Pump Rooms ML17284A6641998-06-24024 June 1998 LER 98-008-00:on 980531,inadvertent Full Scram During RPV Leak Testing in Mode 4 Was Noted.Caused by Change in Mgt Techniques.Revised Procedures to Take Into Account Addl Water Head in Pressure Sensing lines.W/980624 Ltr ML17284A6651998-06-24024 June 1998 LER 98-007-00:on 980530,inadvertent Full Scram & Division 1 ECCS Injection Was Noted.Caused by Failure to Meet Mgt Work Practice Expectation When Encountering Deficient Procedure. Incident Review Board Convened to Review event.W/980624 Ltr ML17284A6631998-06-19019 June 1998 LER 98-006-00:on 980520,discovered Discrepancies in Low Voltage Bus Calculations During Review of App R Calculations for High Impedance Fault Analysis.Caused Indeterminate. Implemented Procedural Changes Involving Operator Action ML17284A6551998-06-0404 June 1998 LER 98-005-00:on 980506,potential for Failure of RHR Sys Valve to Close on Isolation Signal Was Noted.Caused by Design Deficiency.Caution Tag Was Placed on RHR-V-40 Control Switch to Inform Plant Operators of limitation.W/980604 Ltr ML17284A6421998-06-0101 June 1998 LER 98-004-00:on 980502,determined That Primary Containment Penetration Overcurrent Protection Does Not Meet Reg Guide 1.63 Requirements.Caused by Inadequate Design Changes. Installed Addl Fuse in RHR-MO-9 circuit.W/980601 Ltr ML17284A6491998-05-31031 May 1998 Rev 0 to COLR 98-14, WNP-2,Cycle 14 Colr. ML17292B4031998-05-31031 May 1998 Monthly Operating Rept for May 1998 for WNP-2.W/980608 Ltr ML17292B3921998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for WNP-2.W/980513 Ltr ML17292B3291998-04-0909 April 1998 LER 98-003-00:on 980311,WNP-2 Experienced SCRAM Signal as Result of Low Rpv.Caused by Less than post-SCRAM Operational Strategy for Resetting SCRAM Signal in Conditions.Changes in post-SCRAM Operational Strategy implemented.W/980409 Ltr ML17292B3281998-04-0909 April 1998 LER 98-002-00:on 980311,reactor Scram & Plant Transient Occurred,Due to Failed Closed Main Steam Isolation Valve. Caused by Loss of Pneumatic Actuating Supply Pressure. Problem Evaluation Request Written for Failure of MS-V-22D ML17292B3371998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for WNP-2.W/980409 Ltr ML17292B2641998-03-0404 March 1998 Performance Self Assessment,WNP-2. ML17292B2661998-03-0404 March 1998 LER 98-001-00:on 980203,automatic Start of HPCS EDG Was Noted.Caused by Operator Error.Operations Crew Stabilized Plant at Approximately 75% Reactor Power & Investigation of Event Was initiated.W/980304 Ltr ML17292B2911998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for WNP-2.W/980313 Ltr ML17284A7971998-02-17017 February 1998 Rev 28 to Operational QA Program Description, WPPSS-QA-004.With Proposed Rev 29 ML17292B3591998-02-12012 February 1998 WNP-2 Cycle 14 Reload Design Rept. 1999-09-30
[Table view] |
Text
ACCELERATED DISTRIBUTION DEMONSTPWTION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9107110207 DOC.DATE: 90/11/05 NOTARIZED: NO DOCKET FACIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 AUTH. NAME AUTHOR AFFILIATION FIES,C.L. Washington Public Power Supply System BAKER,Z.W. Washington Public Power Supply System RECIP.NAME RECIPIENT AFFILIATION R SUBZECT: LER 90-023-01:on 901004,pressure loss occurred in containment instrument axr sys when relief valve CIA-RV-2 opened prematurely. Caused by inadequate mgt programs & work practices.Sys requirements reviewed.W/910701 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES RECIPIENT COPIES RECIPIENT COPIES D ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD5 LA 1 1 PD5 PD 1 1 D ENG,P.L. 1 1 INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1
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NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOiil P 1-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROiiI DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 33 ENCL 33
WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968 ~ 3000 George Washington Way ~ Richland, Washington 99352 Docket No. 50-397 July 1, 1991 G02-91-126 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555
Subject:
NUCLEAR PLANT NO. 2 LICENSEE EVENT REPORT NO. 90-023-1
Dear Sir:
Transmitted herewith is Licensee Event Report No. 90-023-1 for the WNP-2 Plant. This report is submitted in response to the report requirements of 10CFR50.73 and discusses the items of reportability, corrective action taken, and action taken to preclude recurrence.
Very truly yours, J. W. Baker (H/D 927M)
WNP-2 Plant Manager JWB:lr
Enclosure:
Licensee Event Report No. 90-023-l cc: Hr. John B, Martin, NRC Region V Hr. C. Sorensen, NRC Resideni. Inspector (H/D 90lA)
INPO Records Center Atlanta, GA Hr. D. L. Williams, BPA (H/D 399)
NRC Resident Inspector walk over copy
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NRC FOAM 366 (6S9)
LICENSEE EVENT REPORT {LER)
U.S. NUCLEAR REGULATORY COMMISSION t APPROVED OMB NO. 31504(04 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION O)LLECTION RFQUESTI 608) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPOATS MANAGEMENT BRANCH IPS30), US. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20566, AND TO THE PAPERWORK REDUCTION PROJECT (31600(04), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20603.
FACILITY NAME (1) DOCKET NUMBER (2) PAGE 3 0 5 0 0 0 1 OF
'"""'Engineered Safety Feature Actuation of Containment Instrument Air (CIA) er ress r EVENT DATE (6) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED 0))
%g NUMSSA ceo) rt<<tsrrx'DNTH MONTH DAY YFAR YEAR co~ SEQUENTIAL DAY YEAR FACILITYNAMES DOCKET NUMBER(SI NUMBEA 0 5 0 0 0 v
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LICENSEE CONTACT FOR THIS LER (12I NAME TELEPHONE NUMBER AREA CODE COMPLETE ONE LINE FOR EACH COMPONENT FAILURE OESCRIBEO IN THIS REPORT (13) r, c vcr et CAUSE SYSTEM COMPONENT MANUFAC. EPORTABLE R4 6 . r4 SYSTEM COMPONENT MANUFAC- EPORTABLE TO NPRDS ~~
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At 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> on October 4, 1990, during the performance of activities associated with a Technical Specification Surveillance Channel Functional Test, a pressure loss occurred in the Containment Instrument Air (CIA) System. 'he pressure loss occurred when relief valve (CIA-RV-2) opened prematurely when pressure was increased in the system. The pressure decrease caused the safety-related part of the CIA system to be isolated and automatically placed the backup bottled nitrogen source into service. This action is considered an Engineered Safety Feature Actuation.
The root cause for this event was Management Programs, Work Practices, and Preventative Maintenance less than adequate. A contributing cause was an Equipment .
Design Deficiency and less than adequate procedures.
Corrective actions to prevent recurrence include a review of the installed equipment against design I.equirements, and a review of operations and maintenance procedures associated with this event. An evaluation of the Material Management System processes will also be performed.
The event posea no threat to the health and safety of either the public or plant personnel.
NRC Form 366 (569)
NRC FORM 366A (669)
LICENSEE EV
'PPROVED U.S. NUCLEAR AEGULATORYCOMMISSION T REPORT (LER)
OMB NO. 31500104 EXPIRES.'4/30/92 o IMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 500 HAS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE AECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3(504)104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, OC 20503.
FACILITY NAME (ll DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
PZ+ SSOVENTIAL yA< 46VISION
? .4 NVM664 +49 NVM 64 I
Washin ton Nuclear Plant - Unit 2 0 5 0 0 0 39 90 0 3 0 1 oF 0 TEXT i// rr>>rP g>>ce /I rPI)rr/rrd, IIAI 4ddr)irrr>>l //RC %%drrrr 36643/ ()7)
Plant Con'ditions Power Level - 96%
Plant Mode - 1 On October 4, 1990, the safety-related portion of the Containment Instrument Air (CIA) System was actuated. Just prior to the actuation Plant Instrumentation and Control Technicians were performing Technical Specification Surveillance 7.4.5.1.21, ADS-Accumulator Backup Low Pressur e Alarm Division II-Channel Functional Test. This test is a monthly test to verify the proper operation of three Containment Instrument Air (CIA) pressure switches. The I8C Technicians found Pressure Switch 21B (CIA-PS-21B) in the tripped condition and immediately notified the Shift Manager as required by the procedure.
Plant Operators then initiated action to reset CIA-PS-21B. They knew a CIA pressure of approximately 160 psig would be required to reset CIA-PS-21B and since the pressure control valve for CIA (CN-PCV-10) was set to control at 150 psig specific action would be needed to accomplish this task. One operator was sent to the Nitrogen Storage Tank (CN-TK-1) located outside the power block where he established radio communication with the control room. One of the I8C Technicians was located at CIA-PS-21B at the 548 foot Level of the Reactor Building who was also in communication with the control room. The Control Room Supervisor then instructed the Plant Operator at CN-TK-1 to open the bypass valve (CN-V-34) around CN-PCV-10 two turns to pressurize the CIA system in an effort to reset CIA-PS-21B.
When the pressure was inc'reased in the CIA system it peaked at approximately 165 psig according to the computer trace measured by Pressure Transmitter CIA-PT-20.
This was enough pressure to open relief valve (CIA-RV-2) located on the Air Receiver (CIA-AR-1). The setpoint listed on the data sheet for CIA-RV-2 is 180 psig so it appears to have opened at a somewhat lower pressure. With the relief valve open the pressure in the CIA header dropped to the point where the safety-related part of CIA isolated and the Division II backup nitrogen supply was initiated. This action is considered an Engineered Safety Feature Actuation.
The safety-related part of the CIA provides the nitrogen supply to operate the Main Steam Safety Relief Valves (MSRVs) in the Automatic Depressurization System (ADS) mode of operation. The ADS is a portion of the backup Emergency Core Cooling System (ECCS) designed to quickly reduce reactor pressure in the unlikely event of failure of the High Pressure Core Spray (HPCS) system. The ADS is composed of seven specially designated MSRVs that provide rapid depressurization of the primary system. The safety-related part of the CIA system normally receives nitrogen from the non-safety-related part of the system via CIA-V-39A(B). The HAU devices are used to designate safety-related Division I and the UBH devices make up Division II. When a loss of pressure e is detected by Pressure Switches CIA-PS-39A(B) valves CIA-V-39A(B) are automatically closed. This isolation occurred at 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> when the pressure dropped to 140 psig.
NRC F orrrr 366A (669)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (64)9) APPROVED OMB NO.3)500104 E XPIR ES: 4/30/92 E IMATEO BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE T REPORT ILER) INFORMATION COLLECTION REQUEST) 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P4)30), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1ME PAPERWORK REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (I) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
SEQUENTIAL REVISION NUMBER NUM EA Washington Nuclear Plant - Unit 2 397 90 0 2 3 0 1 3 pF 0 7 TEXT //I rrroro 4/>>oo /4 ror/vtrod, vro odd/dor>>//VRC Forrrr 36dr4 9/ ()2)
Following isolation the CIA system is designed to maintain the Division I and II safety-related headers at a nominal pressure of 150 psig using backup nitrogen bottles. A total of three signals are used to initiate backup nitrogen for the ADS. The signals are (1) CIA-PS-22A(B) 137 PSIG, (2) CIA-PS-21A(8) 140 PSIG, and (3) CIA-V-39A(B) closed as described above. These signals feed a two-out-of-three logic circuit which initiates the stepping programmers for the nitrogen bottles.
Programmer "A", CIA-PROG-1A, is initiated by the "AH logic and provides backup nitrogen to three ADS valves. Programmer HB", CIA-PROG-18, is initiated by the HB" logic and provides backup nitrogen to four additional ADS valves. At 1700 hours0.0197 days <br />0.472 hours <br />0.00281 weeks <br />6.4685e-4 months <br /> CIA-PROG-18 (Division II) was automatically initiated by the logic described above.
The pressure in the Division II header recovered to 150 psig by 1705 hours0.0197 days <br />0.474 hours <br />0.00282 weeks <br />6.487525e-4 months <br />. It should be noted that the accumulators for the ADS valves each have a check valve between the accumulator and the header where the relief valve is located. Thus, nitrogen pressure would have been available to operate the Division II ADS valves.
The pressure in the Division I part of the CIA system was maintained above 150 psig throughout this time period.
Once CIA-RV-2 reset the CIA header pressure returned to the normal value of 150 psig and both CIA-V-39A and 8 were reopened. At this time CIA-PS-218 was still in a tripped condition. CN-V-34 was then opened again (one half turn) to reset CIA-PS-218 allowing I8C to complete their surveillance.
Immediate Corrective Action The relief valve was closed allowing the CIA header pressure to reestablish at 150 psig at 1705 hours0.0197 days <br />0.474 hours <br />0.00282 weeks <br />6.487525e-4 months <br />. CIA valves CIA-V-39A and CIA-V-398 were then reopened to establish the normal configuration.
Further Evaluation and Corrective Action A. Further Evaluation
- 1. The actuation of the Division II portion of CIA is being reported per the requirements of 10CFR50.73(a)(2)( iv) as an "event or condition that resulted in manual or automatic actuation of any Engineered Safety Feature (ESF).....".
NRC Form 366A (64)9)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 3(50010E (BJ)9)
EXPIRES: E/30/92 IMATED BURDEN PER RESPONSE TO COMPI.Y WTH THIS LICENSEE EV T REPORT {LER) INFORMATION COLLECTION REOUEST: 50/I HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT (31504)OS), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, 0020503.
FACILITY NAME (1) DOCKET NUMBER (2) 'LER NUMBER (6) PAGE (3)
'.";: SEOUENTIAL REVISION
'..Ir NUMBER NUMBER Washington Nucl ear Pl ant - Unit 2 p 5 p p p 3 9 7 9 0 0 3 OF 0 7 TEXT /// moro g>>oo /r roqlr/rod, IrJo oddlrror>>///RC Fonrr 36649/ ((7)
- 2. Further evaluation of the history of CIA-PS-218 revealed the following information. In 1986 the pressure switch was changed from a Barton instrument to a Static-0-Ring device (Design Change Package 85-0147-OA-29) to provide a narrower deadband. Since the operating pressure in the CIA header is normally 150 psig and the trip setpoint (decreasing) is 140 psig the deadband was specified (fngineering Specification No.
16961-0009-1) at 8 psig. The final test certificate provided with the shipment of switches indicated that the 8 psig deadband was achievable. A review of the test data associated with the work order that installed the switch (Maintenance Work Request AU6651) indicates CIA-PS-218 never met the design requirements. A Material Request and subsequent purchase order to the manufacturer was submitted for an alternate switch to meet the deadband requirements in late 1986. In early 1987 the vendor issued a Part 21 that included the model switch installed as CIA-PS-218. An engineering evaluation of the Part 21 notification indicated that the installed switches were adequate for the CIA application. To remedy the Part 21 concern the vendor offered a replacement model switch with a greater deadband. In March 1990, in response to the open purchase requisition, the vendor formally guaranteed a maximum 12 psig deadband, 4 psig above the desired level. After an engineering review of the deadband information, the evaluation revision record for the replacement model was updated to allow the use of the replacement model for CIA-PS-21A(B) due to the system operating margin. The Material Management System (MMS) was updated to allow that application. Three days later, on March 23, 1990, the evaluation revision record was updated to remove CIA-PS-21A(B) from the list of available plant applications but the MMS database was not revised at that time..
- 3. In May 1990 I8C Technicians withdrew a replacement switch from plant stores to change out.CIA-PS-218 due to a discrepancy discovered during a monthly surveillance'. As part of the withdrawal process for this application, a Material Verification Record (MVR) check in the MMS is required to validate the use of the equipment for the specific application. That check was executed on this withdrawal but since the MMS database had not been updated to reflect the record revision there was no flag to preclude withdrawal for the CIA-PS-218 application. The MMS database was updated in June 1990 to remove CIA-PS-21A(B) as a suitable application for this model.
- 4. CIA-PS-218 surveillance data from June 1989 to June 1990 indicates an average deadband of 12.76 psig. Surveillance data from July 1990 to October 1990 for the replacement model switch indicates an average deadband of 15.29 psig.
NRC Form 366A (6J)9)
NAC FORM 366A U.S. NUCLEAR REGULATOAY COMMISSION APPAOVED OMB NO. 3(504)04 (64)9)
EXPIRES: 4/30/92 MATEO BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EV T REPORT (LER) INFORMATION COLLECTION REQUESTI 503) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P4)30). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER 12) LER NUMBER (6) PAGE (3)
SEOVENTIAL PPP REVISION YEAR NVMSER .A NVM ER Washington Nuclear Plant - Unit 2 0 s 0 o o 3 9 7 90 0 2 3 01 5 OF 0 7 TEXT /// mare epeoe /4 rer)rr/red, ace edd/rr'one/ HRC Form 36643/117)
- 5. A review of the Plant Technical/Engineering correspondence including Field Change Request (FCR) 02- 85-0147-0-01 dated October 24, 1986 shows a request was made to have Pressure Switches CIA-PS-21A(B) connected to the Bypass and Inoperable Status Indicators (BISI) similar to Pressure Switches CIA-PS-22A(B). This would provide an alarm in the control room if either of these switches is in the tripped condition. However, the request was outside the scope of the associated modification and a revision to the Plant Modification Request (PMR) was never submitted.
- 6. Plant Operators were using the general guidance of Plant Procedures PPM 1.3.1, Conduct of Operations to perform the operation associated with the reset of CIA-PS-21B.'hey were also familiar with the problem because the same thing had happened before and the same process had been successfully used to reset the switch.
- 7. Discussions were held with the Plant I8C Technicians on alternate methods of resetting CIA-PS-21B. A portable nitrogen source is available to locally pump up the switch since the current procedure calls for a pressure source including a nitrogen bottle and regulator. They pointed out this was not included in the present version of the procedure and they would be reluctant to do this without a procedure deviation or approved work request.
- 8. The root cause for this event was Management Programs and Work Practices less than adequate in that the MMS database was not updated allowing the installation of a switch with an excessive reset. A second root cause was a Preventative Maintenance deficiency in the relief valve testing program that led to the premature lift and blowdown of CIA-RV-2. A contributing cause was and Equipment Design Deficiency in that there is no annunciator to indicate a trip on CIA-PS-21A or CIA-PS-21B. A second contributing cause was less than adequate procedural guidance to verify reset of CIA-PS-21B after CIA isolations and no direction to allow local reset of CIA-PS-21B.
B. Further Corrective Action The system requirements along with the installed configuration of CIA-PS-21A(B) will be reviewed to determine system operation.'his review will include a review of the need for if improvements can be made in annunciation in the control room if CIA-PS- 21A(B) are in the tripped condition.
NAC Form 366A (SJ/9)
0 NRC FORM 366A (ISJ)9)
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t LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION V.S. NUCLEAR REGULATORY COMMISSION t APPROVED 0MB NO. 31500)04 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMP(.Y WTH THIS INFORMATION COLLECTION REQUESTI 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P4)30). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT (31504)104), OFFICE OF MANAGEMENTAND BUDGET.WASHINGTON, DC 20503.
FACILITY NAME (1I DOCKET NUMBER (2) LER NUMBER (6I, PAGE (3)
SEQUENTIAL SEP~F REVISION NVMIIER ">rN NUMSER Washington Nuclear Plant - .Unit 2 o s o o o 39 9 0 0 3 0 1 6 OF 0 7 TEXT /I/ moro SPooo /4 rorlo/rrrd, o44 odditiono/l/RC Form 366r49/ (17)
- 2. Plant operating procedures will be reviewed to determine if changes need to be made to reset CIA-PS- 21A(B) if a pressure decrease takes place in the CIA system.
- 3. Surveillance Procedure 7.4.5. 1.21 will be reviewed to provide additional guidance on steps to be taken in the event a switch is found in a tripped condition.
- 4. CIA-RV-2 was tested to verify the proper relief pressure. The as found lift pressure was 169.6 psig. This was below the nameplate setpoint of pressure 180 psig.
- 5. An evaluation will be performed of the transmittal and MMS update process where procurement requirements or use controls are revised.
- 6. The relief valve testing program was upgraded to include specialized methods for testing air/gas relief valves.
Safety Si nificance This is no safety significance associated with this event. The accumulators for the ADS valves each have a check valve between the accumulator and the header where the relief valve is located. Thus, nitrogen pressure would have been available for initial automatic operation of the ADS valves. In addition, all conditions associated with CIA-PS-21B have put the plant in a safer condition. There was no threat to the health and safety of Plant personnel or to the public.
Similar Events The most recent LER associated with CIA was LER 90-022. This LER described an ESF actuation of CIA caused by depleting the Nitrogen Cryogenic Tank (CN-TK-1) during containment inerting. There is a high probability that CIA-PS-21B was placed in a tripped condition three days earlier during that event which ended on October 1, 1990.
There were two other recent LERs associated with loss of normal CIA pressure and ESF actuation of the safety-related portion of CIA. LER 90-005 describes the event that occurred when the normal CIA supply was lost due to a faulty non-safety-related circuit breaker. LER 90-018 describes the event that occurred on September 4, 1990 when a light fixture was inadvertently moved against the manual handle on relief valve CIA-RV-5B causing depressurization of the Division II portion of the system.
These events all occurred on the CIA system but do not appear to be related in any significant way expect as noted above.
NRC Form 366A (64)9V
NRC FORM 366A (64)9)
~ ~ I LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION U.S. NUCLEAR REGULATORY COMMISSION t APPROVED 0MB NO. 31504)104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST'. 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH IP4)30), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT (3(S04)104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON. DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE 13)
YEAR SEQUENTIAL REVISION NUMBEII NUMBER Washington Nuclear Plant - Unit 2 o s o 0 o 3 9 7 90 0 2 30 1 7 oF0 7 TEXT fffmoro Spoco (I roqrrlrod, IrJo oddirforrol HRC Form 3664'4) (1 2)
EI IS Information Text Reference EI IS Reference Containment Instrument Air (CIA) LD CIA Relief Valve 2 (CIA-RV-2) LD RV CIA Pressure Switch 218 LD PS (CIA-PS-218)
Containment Nitrogen Pressure Control LK PCV Valve 10 (CN-PCV-10)
Nitrogen Cryogenic Tank (CN-TK-1) LK TK Containment Nitrogen Bypass Valve LK V (CN-V-34)
CIA Pressure Transmitter 20 (CIA-PT-20) LD PT CIA Receiver Tank (CIA-AR-1) LD TK Safety Relief Valves (SRVs) SB V Automatic Depressurization System (ADS) BG High Pressure Core Spr@ System (HPCS) BG CIA Valves 39A and 8 (CIA-V-39A(B)) LD V CIA Pressure Switches 39A and 398 LD PS (CIA-PS-39A(B))
C IA Pressure Switches 22A and 228 LD PS (CIA-PS-22A(8))
CIA Pressure Switch 21A (CIA-PS-22A) LD PS CIA Programers lA and 18 LD PMC (CIA-PROG-1 A(18 ) )
CIA Relief Valve 58 (CIA-RV-58) LD RV NRC Form 366A (64)9)