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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
T D DISTRIBUTION DEMONSTRATION SYSTEM
~ ~
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9110240006 DOC.DATE: 91/10/10 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,J.W. Washington Public Power Supply System RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 91-024-00:on 910909,unanalyzed condition associated w/
postulated main steam line failure outside containment discovered by GE.Caused by failure to consider iodine source term. Procedure re cold startup changed.W/911010 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED'LTR L TITLE: 50..73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
ENCL 3 SIZE NOTES:
RECIPIENT COPIES 'ECIPIENT COPIES D ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD5 LA 1 1 PD5 PD 1 1 ENG,P.L. 1 1 INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 1 AEOD/ROAB/DS P 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB10 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB8H3 1 1 ST/ PLB8D1 1 1 NRR/DST/SRXB 8E 1 1 REG ILE 02 1 1 RES/DSIR/EIB 1 ~ 1 FILE 01 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 D
D D
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WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 965 ~ 3000 George IVashinglon 1Vay ~ Richland, 1Vashington 99352 Docket No. 50-397 October 9, 1991 602-91-183 Document Control Desk U.S, Nuclear Regulatory Commission Washington, D.C. 20555
Subject:
NUCLEAR PLANT NO.
EVENT REPORT 2'ICENSEE NO.'91-024
Dear Sir:
Transmitted herewith is Licensee Event Report No.91-024 for the WNP-2 Plant. This report is submitted in response to the report requirements of 10CFR50.73 and discusses the items of repor'tability, corrective action taken, and action taken to preclude recurrence.
Very truly yours, t>
J. W. Baker WNP-2 Plant Manager
Enclosure:
Licensee Event Report No.91-024 cc: Hr. John B. Hartin, NRC Region V Mr. C. Sorensen, NRC Resident Inspector (H/D 901A)
INPO Records Center Atlanta, GA Ms.. Dottie Sherman, ANI Hr. D. L. Williams, BPA (M/D 399)
NRC Resident Inspector walk over copy y 4
$ 0 ay qO()/, 9 $ j (.1 'I 0 +pzz pp,"-! QOPji V, A5000- 97 F'DR
NRC FOAM 366 V.S. NUCLEAR REGULATORY COMMISSION APPROVE O OMB NO. 31500104 (64)9)
EXPIRES: 4130192 EO>IMATEO BURDEN PER RESPONSE TO COMPLY WTH THIS INFOAMATION COLLECTION REOUEST: 50.0 HAS. FORWARD LICENSEE EVENT REPORT ILER) COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (PJ)30). U.S. NUCLEAR REGULATOAY COMMISSION, WASHINGTON. OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTANO BUDGET, WASHINGTON, DC 20503.
DOCKET NUMBER (2) PAGE 3 FACILITY NAME (11 Washington Nuclear Plant Unit 2 0 5 0 0 0 3 9 7 1 OF 0 TITLE (4)
Unanalyzed Condition Associated With Hain Steam Line Failure Outside Containment EVENT OAT E (6) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
MONTH DAY YEAR YEAR
'29 SEQUENTIAL
. NUMBER REVISION
'OW NUMBER MONTH DAY YEAR FACILITYNAMES DOCKET NUMBFR(S) 0 5 0 0 0 0 9 0 9 9 1 9 1 024 0 0 10 0991 0 5 0 0 0 THIS REPORT IS SUBMITTED PURSUANT T 0 THE RtOVIREMENTS OF 10 CFA (): (Check one or more of the foifowinpl (ill OPERATING MODE (9) 20.402(B) 20.406(cl 60.73(e) (2)Hv) 73 71(B) 20.405(eHIHB 50.3d(cHI) 60.73(el(2)(v) 73.71(cl POWER LEYEL 0 0 0 (vill)(B) 50.73(e) (2)(vil) OTHER ISpecily in Ahrtrert (10) 20.405 (e I (1)(ii) 50.3d(c) (2) hefovrend In TecL NRC Form 20.405 ( ~ l(1)(ill) d0.73(e ) (2) I I ) 50,73( ~ H2HvlilHA) 366AI 20.40d( ~ HI Hlvl 50.73(e H2)(ill 60.73( ~ l(2) 20.405(eHIHv) 50.73(eH2Hiiil 60,73( ~ )(2)lel LICENSEE CONTACT FOR THIS LER (121 NAME TELEPHONE NUMBER AREA CODE C. L. Fies, Compliance Engineer 50 937 7- 4147 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT ILS)
CAUSE SYSTEM COMPONENT MANUFAC TVRER EPORTABLE .e:C TO NPADS 'Q~p..
44~+<
ly((y .,
gM CAUSE SYSTEM COMPONENT MANUFAC.
TUAER EPORTABLE TO NPRDS mr)i@gk(vir k4@~%'UPPLEMENTAL REPORT EXPECTED (14) MONTH DAY YEAR EXPECTED SUBMISSION DATE IISI YES Ill yN, compiere EXPECTED StlperiSSION DATEI NO ABsTRAGT I(.lmit to fepp rpecer. i.e., epproeimerery fifteen rinpie Ipece rypervrrtren lined (16)
ABSTRACT On September 9, 1991 a reportabi lity evaluation was approved which concluded that an unanalyzed condition associated with a postulated main steam line failure outside containment had existed at WNP-2 during prior operating cycles. This condition was discovered by General Electric while performing a recalculation of the accident as a result of updated meteorological data. The unanalyzed condition was caused by the need to'onsider an additional iodine source term as a result of the postulated mass release through main steam line drains in the event of a high energy pipe break outside the primary containmeni.. This unique accident scenario results in Reactor Pressure Yessel (RPY) depressurization and an increased radiological source term due to iodine spiking that is not usually associated with a main steam line break.
NRC Form 366 (54)9)
NRC FORM 356A U.S. NUCLEAR REGULATORY COMMISSION APPROYEO 0MB NO, 31504104 (669)
EXPIRES: 4/30/92'ST
.ED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE EPORT (LER) INFORMATION COLLECTION REOUESTI 500 HRS. FORWARD REGARDING BURDEN ESTIMATE TO THE RECORDS 'OMMENTS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P 530), U S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3)504)104). OFFICE OF MANAGEMENTAND BUDGE1'. WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER l2) LER NUMBER (6) PAGE (3)
YEAR <<Pi SEOVENTIAL PA REVSION
..P5 HUMBE +
NUMBER Washington Nuclear Plant Unit TEXT /I/ mom pwca Ss m9oirrd, wt addi(iona/ NRC Form 366AB/ l 12) 2 osooo 1 024 0 0 0 2oF 0 9 Since the plant was is mode four (cold shutdown) no immediate corrective action was required for the unit itself. Immediate corrective action was taken to change Plant Procedure PPH 3.1.2, Reactor Plant Cold Startup', to require the five drain valves located outside containment (MS-V-67A, B, C, D, and HS-V-19) to be closed whenever reactor power is greater than or equal to five percent.
The root cause of this event was less than adequate change management. The risks and consequences associated with the change in operating procedures was not adequately reviewed and assessed.
Further corrective actions will be taken to assure personnel are aware of the need to carefully control changes. Calculation procedures will be strengthened and a review will be performed to assure adequate controls are in place for calculations done by internal organizations.
The safety significance review showed the impact of the postulated accident, had it occurred with depressurization, would have been greatly reduced because of the very small number of failed fuel rods during past operating cycles. In addition, downstream valves, even though not safety related, would have most likely been available to stop the long term depressurization.
The event posed no threat to the health and safety of either the public or plant personnel.
Plant Conditions Power Level 0 A Plant Mode 4 Event Descri tion On September 9, 1991 a reportabi lity evaluation was approved which concluded that an unanalyzed condition associated with a postulated main steam line break (MSLB) outside containment had existed at WNP-2 during prior operating cycles. This condition was discovered by General Electric while performing a recalculation of .the FSAR Chapter 15 accidents and transients as a result of updated meteorological data. The unanalyzed .condition involved the amount of water and steam released in the event of a MSLB outside the primary containment. The current accident analysis, as descr.ibed in Section 15.6.4 of the FSAR, assumes a break in a main steam line downstream of an outboard isolation valve. A single failure. of one of the inboard Hain Steam Isolation Valves (HSIV) is also assumed in the analysis. Within seconds, however, *the remaining outboard MSIV closes, and the release. is limited to the mass flowing through the valve while it is closing (119,000 pounds). This current FSAR accident scenario does not result in significant primary system depressurization.
NRC Form 366A (669)
NRC FORM 366A US. NUCLEAR REGULATORY COMMISSION (64)9) APPROVEO 0MB NO.3I504))04 E X PI RES) 4/30192 LICENSEE EVEN EPORT ILER) ESTI O BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P4)30). U.S. NUCLEAR P REGULATORY COMMISSION, WASHINGTON. DC 20555. AND TO THE PAPERWORK REDUCTION PROJECT 131500104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON.DC 20503.
FACILITY NAME (I) DOCKET NUMBER (1)
LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL NUMBER '~r(S rsvMosA Washington Nuclear Plant Unit 2 o s o o o 3 9 024 0 0 0 3 op 0 9 TEXT Ul more spsse is rsr(rrr)ed, ose eddroorrsl A'RC Fonrr 3654's) (IT)
The condition discovered involves additional mass release through main steam drain line piping under the above accident scenario. These drain lines are isolated outside primary containment by five main steam 1 ine drain valves (HS V 67A, 8, C, D, and NS-V-1 9) . During heatup and cool down condi t ions the drai'n lines that each contain a 67 valve provide a means of removing moisture from their associated main steam lines'in the area between the inboard and outboard isolation NSIVs. The fifth drain line that contains HS-V-19 is designed to remove moisture from all main steam lines upstream of the 'inboard isolation valves. During the postulated accident conditions jet impingement from the steam line break outside containment could cause these valves to fai 1 "as-is" at the time the accident occurred. During the past operating cycles (since early 1984) WNP-2 has been operating with these valves.
open. If the main steam line break accident had occurred, as described in the FSAR, additional mass could be released through these valves. The highest mass release would occur if blowdown occurred through the line containing NS-V-19 since this is a three inch line while the lines containing the 67 valves are one and one half inch diameter lines. A single failure, plus the consequences of the jet impingement, even on all the HS-V-67 valves and: the HS-V-19 valve, can only result in one unisolaied blowdown path being available.'he single failure is either the failure of an inboard NSIV to close ( leading to blowdown through one MS-V-67 valve) or the fai lure of NS-V-16 ( leading to blowdown through NS-V-19).
Any of these lir)es could result in long term depressurization of the primary system if isolation by downstream non-safety related valves could not be achieved. The depressurization could also result in iodine release from the failed fuel assumed to be present just prior to the event. This iodine release would cause "iodine spiking" usually associated with instrument. line breaks in boiling water reactors and steam generator tube ruptures in pressurized water reactors. The long term depressurization aspect of the event described above makes it different from the accident desscribed in Standard Review Plan 15;6.4, Radiological Consequences of Main Steam Line Failure Outside Containment (BWR). Consequently, this scenario would increase the radiological source term for the calculation beyond that evaluated in the FSAR resulting in an unanalyzed condition.
Immediate Corrective Action Since the plant was in mode four (cold shutdown) no immediate corrective action was required for the unit. Immediate corrective action was taken to change Plant Procedure PPN 3.1.2, Reactor Plant Cold Startup, to require the drain valves to be closed whenever reactor power is greater than or equal to 5 percent.
NRC Form 366A (64)9)
oo397.1 NRC FORM 366A U.S. NUCLEAR AEGULATORY COMMISSION (6419) APPROVED OMB NO. 3(504)(04 EXPIRES: 4I30/92 ES EO BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE REPORT ILER) INFORMATION COLLECTION REOUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION .
AND AEPORTS MANAGEMENT BAANCH (F430), U.S. NIJCLEAR so REGULATOAY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK AEDUCTION PROJECT (31504)I04), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITYNAME II) DOCKET NUMBEA (2) (.ER NUMBER (6) PAGE (3)
SEDVENTIAL 'dip REVIS10N YEAR pe NVMBER NUMSER Washington Nuclear Plant - Unit 2 o 024 0 0 0 4 OF 0 9 TEXT IIImore spree (4 reohhired, o>> edChrhorhei NRC Form 3MA's) (17)
Further Evaluation and Corrective Action A. Further Evaluation
- l. This event is being r'eported per the -requirements of 10CFR50.73(a)(2)(ii)(B) as ".....a condition that was outside the design basis of the plant. ...". ~
- 2. Further evaluation of this event showed a long history associated with this issue:
a ~ The original design of the plant and the supporting analysis done by General Electric prior to 1983 assumed the drain valves were closed (or could be closed) under accident condi Lions. The Plant Operating Procedure in effect in mid 1983, PPH 3.1.2, Reactor Plant Cold Startup, Revision 4, implemented this design requirement by requiring the valves to be closed when the plant was above 5X power.
Application of the rules for high energy line break analysis allow a va')ve to be considered "closed" if it is closed at or below 5X rated power.
- b. In Oecernber 1983 Burns and Roe, the Architect-Engineer for WNP-2, complei,ed the stress analysis on the drains from the main steam lines and determined that they could not be certified for the life of the plant if the valves were closed at greater than 5$ power and reopened at below 5X power. They recommended adding orifices to the lines and letting them blowdown continuously in order to avoid the severe thermal stress cycles. This recommendation was implemented by a change to PPH 3.1.2 (Revision 5) in April 1984. It did not appear that the personnel making the change to the procedure w'ere aware of the requi rements of the design and the accident analysis and the plant was operated with the valves open until the refueling outage in 1985.
C. In Hay 1985 a nonconformance report (285-0234) was generated when was determined that both FSAR, section 3.6, and Burns and Roe it calculat,ion 5.51.059 requ.ired the drain valves to be, closed at greater than 5%%d power. The nonconformance 'eport again raised a concern about the thermal stress on U)e valves. As a result of this concern, a evaluation was performed to evaluate the radiological NRC Ferro 366A (689)
NRC FOAM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVEO 0MB NO. 3'I50010l (649)
EXPIRES: l/30(92 ES ED BURDEN PER AESPONSE TO COMPLY>WTH THIS LICENSEE EVE REPORT (LER) INF ATION COLLECTION AEOUESTI 50Aj HRS. FOAWARD COMMENTS REGARDING BUAOEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BAANCH (P-530), U.S. NUCLEAR AEGULATOAYCOMMISSION, WASHINGTON. DC 20555, AND TO THE PAPERWOAK REDUCTION PROJECT (31500'Iol). OFF ICE OF MANAGEMENTAND BUDGET, WASHINGTON. DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
SEOUENTIAL REVISION YEAR NU M1 E R Jeer NUMBER 0 5 0 0 0 OF TEXT (ifmors spsco is rsqrdrod, oso odds'onsiiVRC fonrr 3554's) (17)
J consequences of operating with the valves open. This evaluation was perFormed by one of the plant support organizations, Radiological Programs, at the request of Engineering. The evaluation assumed an additional 1,080,000 pounds oF saturated liquid and steam was released because of the open drain valves but the radiological source term was taken from the FSAR analysis. With the assumptions used, the calculated doses were all less than one rem and, based on these results, the decision was made to operate above 5X power with the drain valves open. The plant continued to operate in this condition until the refueling outage in 1991.
- d. In early 1991 General Electric was contracted to recalculate the off-site consequences of the main steam line failure outside containment accident. This was done to incorporate revised meteorology that was added to the FSAR in the 1990 amendment. When it was learned by General Electric that the reason for the high steam and liquid mass losses prov.ided by the Supply System for this event was that WNP-2 was operating with the drain valves opened it was pointed out that the increased source term due to iodine spiking needed Ko be included in the evaluation. A preliminary calculation was performed by General Electric using a non-production program to estimate the dose. In this evaluation the total iodine spiking source term calculated from the instrument. line break accident (WNP-2 FSAR Section 15.6) was assumed to be released to the reactor pressure vessel immediately following a main steam isolation valve closure.
This is a conservative assumption since the normal spiking source term released to the RPV is proportional to the rate of vessel depressurization. Also, as the RPV depressurizes less of the mass loss will be saturated steam and, ti)erefore, less iodine will be released. Further, since the mass of coolant lost through the drain lines is in excess of the coolant initially in the RPV it is assumed tt)at all the spik'ing activity is released to the environment. With these assumptions the calculated maximum off:site thyroid dose is 239 rem which is within the 300 rem limit of 10CFR100. The evaluation by General Electric was not finalized with a production program since the decision was made to operate with the valves closed.
- 3. Further investigatior) found that ti)e evaluation done in 1985 did not use the formal process established by Radiological Programs for performing calculations to be used for safety related applications. The memo transmitting the results of the evaluation recommended a refined analysis be performed using codes referenced in the FSAR. Radiological Programs Instruction (RPI) =
Manual Procedure RPI 2.1, Evaluation Log, should have been used to perform the evaluation for this application.
NRC Form 366A (669)
NRC FORM 366A US. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 31500)Of 1609) EXPIRES: 4/30/92 D BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE EPORT (LER) INFO ATION COLLECTION REQUEST: 50JI HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IP430), U.S. NUCLFAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT 13)500104). OFFICE OF MANAGEMENTAND BUDGET. WASHINGTON, DC 20503.
FACILITY NAME Ill DOCKET NUMBER (2) LER NUMBER (6) PAGE 13)
SEQUENTIAL 954 AfVISION NUMINE 4;Yiv'. IIUM9f 4 YEAR Washington Nuclear Plant Unit 2 o s o o o3 024 0 0 0 6 OF TEXT /I/mme Jtwco/f nqotrod, oso oddrtioIM!HRC FooII 36649/ Ill)
- 4. Further evaluation did not find any record of a Generation Engineering review of the results of the evaluation. Generation Engineering had formally requested the evaluation be performed by memo and had provided the mass release value. However, since the formal calculation was not completed and transmitted to Engineering no review was performed. The only record of review was the nonconformance report which used the Radiological Programs memo as justification for closeout of the NCR.
There was r)o Engineering signoff of the NCR as it was not required by the process at that time. Generation Engineering believed a formal calculation would be performed by Radiological Programs and delayed changing the FSAR to reflect the open valves until it was received.
However, Radiological Programs was not aware of the need for a formal calculation. Tracking systems in place at that time were not sufficient to flag this item for management attention.
- 5. A 50.59 review of the change to Plant Procedure PPN 3.1.2. Reactor Plant Cold Startup, was performed in March 1984. The 50.59 review should have recognized the significance of the change which allowed operation with the drain valves open, 6 ~ The root . cause of this event was less than adequate change management.
The risks and consequences associated with the change in operating procedures was not adequately reviewed and assessed. The change management process should have detected this deficiency in 1984 when the initial change to the procedure was made and again in 1985 when the non-conformance report was signed off with a use-as-is disposition. This event also had three contributing causes. Required procedures were not used by Radiological Programs in performing the radiological analysis for this safety related application. In addition, there was inadequate communication between organizations on the end use and si:atus of the evaluation. Finally, personnel performance was a contributing cause. The formal calculation should have been done in a timely manner and, failing that, the issue should have been brought to management attentions There were no structures, components or systems that were inoperable prior to the start of this event which contributed to the event.
Further Corrective Action A lessons learned evaluation will be generated as part of the root cause analysis and this will be made a part of the training or required reading for all Plant 1'echnical, Plant HP/Chemistry, Generation Engineering, and Radiological Programs personnel performing safety related calculations.
NRC FoII4366A 1669)
NRC FORM366A US. NUCLEAR REGULATORY COMMISSION (64)9) l APPROVEO OMB NO. 31504(04 EXPIRES: 4I30)93 ESTI D BUADEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVEN EPOR7 ILER) INFOAMATION COLLECTION AEOUESTI 50JI HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND AEPORTS MANAGEMENT BRANCH (F430), U.S. NUCLEAR AEGULATORY COMMISSION. WASHINGTON, DC 30555, AND TO THE PAPERWORK AEOUCTION PROJECT (3'l50d)04). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, OC 30503.
FACILITY NAME ill DOCKET NUMBER (2) LER NUMBER (6) PAGE Ll)
YEAR SSOUENTIAL 2.W REVISION NUMBER A:.5'5 NUMBER Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 024 0 0 0 7 "0 9 TEXT IilIIOIO SOsCO Js sooowsd, vso oddio'oooJ HRC Form 3664'si ()T)
- 2. Radiological Health Instruction 2.1, Calculation Logs, will be amended to ensure the intended use of the evaluation is clear to the individual performing the evaluation and that the use is identified within the body of the evaluation.
- 3. An adequacy review will be performed of the present policies and processes used for calculations by internal organizations supporting WNP-2 Oesign Engineering.
- 4. The 'impact of thermal cycling on the drain valves and lines will be reviewed to assure design limits wi 11 not be exceeded.
- 5. No further corrective action is believed to be necessary for the 50.59 and change management process, 1'he process has been strengthened significantly since this event occurred in the 1984-1985 time frame.
Methods of identifing and tracking corrective actions have been improved.
This includes additional training that is ongoing at this i.ime. This should prevent reoccurrence of this problem in the fui.ure.
- 6. No furi,her corrective action is needed for tracking outstanding items as this process has also been s.Lrengthened to assure periodic reviews are performed by management in a timely manner.
Safet Si nificance The plant has been operating outside the bounds of the analysis as described in Chapter 15 of the FSAR. However, one factor that would mitigate the significance of this condition involves the capability for isolation using 'the downstream valves
{see attached figure). The long term depressurization resulting from the NS-V-19 or-a NS-V-67 valve failing open during a NSLB could have been prevented by closure of NS-V-21 and NS-V-156 {for NS-V-19) or AS-V-68 and NS-V-69 {for a NS-V-67 valve).
Credit is not taken for these valves and associated piping in the acc'ident analysis as they are not safety related.
An additional important factor that would decrease the significance of the NSLB, if it had occurred, would be the condition of the fuel at WNP-2 during past operating cycles. The number of fuel rod failures has been very small. The iodine spiking occurs when the gas trapped within a failed rod during power operation is released on depressurization ~ The accident analysis recently performed by General Electric that resulted in the calculated thyroid dose of 239 rem assumes a fuel failure fraction at the start of the accident that was typical of BWR reactor experience more than 10 years ago. At WNP-2 there have been only six rod failures since plant s tartup. The worst case fuel cycle involved four pin failures. Therefore, if a NSI.B accident had occurred there would have been signif'icant releases of primary coolant but the wad.iologica1 consequences would have been below 10CFR100 imi t.s 1 because of the low amount of fuel failures.
NRC FonII 366A (669)
NAC FOAM06&A U.S, NUCLEAA AEGULATORY COMMISSION (689) APPAOVEO 0MB NO. 3)500106 EXPIRES: S/30/92 EST, EO BURDEN PER RES)'ONSE TO COMPLY WTH THIS LlCENSEE EVEN REPORT (LER) INFOAMATION COLLECTION REQUEST: 50/) HAS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATlON ANO AEPOATS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWOAK REDUCTION PROJECT (31504104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (II DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL MC; REVISION NUMSER NUMSEA Washington Nuclear Plant Unit 2 o s o o o 024 0 0 0 8 oFo TEXT /i/move Aoecm/r rN/rn'red, rrro eddroSrrel llRC Fcvm 3/JIS42/(12)
Similar Events There are no similar events.
EIIS InFormation Text Reference EIIS Reference
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NRC Form 36&A (669)
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