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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
l ACCELERATED DISTRIBUTION DEMONSTRATION SYSTEM i
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9112090440 DOC.DATE: 91/11/27 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 91-029-00:on 911031,inadequate primary containment hydrogen recombiner recycle flow control xndentified.Caused by less than adequate design & change implementation.W/ D 911127 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 ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD5 LA 1 1 PD5 PD 1 1 ENG,P.L. 1 1 D INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB10 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPB11 NRR/DST/SICBSH3 NRR/DST/SRXB 8E RES/DSIR/EIB 2
1 1
1 2
1 1
1 REG @XIi ' '2 NRR/DST/SELB SD NRR/ DSZJ'S2LBSD 1 RGN5 g FTEE~03; 1
1 1
1 1
1 1
1 EXTERNAL EG&G BRYCE i J ~ H '
3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 NSIC POOREiW ~ 1 1 NUDOCS FULL TXT 1 1 D
D D
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE KVASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM PI-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 33 ENCL 33
@~i WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968 ~ 3000 George Washington iVay ~ Richland, Washington 99352 December 2, 1991 GOB-91-219 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555
Subject:
NUCLEAR PLANT NO. 2 LICENSEE EVENT REPORT NO,91-029
Dear Sir:
Transmitted herewith is Licensee Event Report No.91-029 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 WNP-2 Plant Manager JWB:ac
Enclosure:
Licensee Event Report No.91-029 cc: Mr. John B. Hartin, NRC Region V Hr. C. Sorensen, NRC Resident Inspector (M/D 901A)
INPO Records Center Alanta, GA Ms. Dottie Sherman, ANI Mr. D. L. Williams, BPA (M/D 399)
NRC Resident Inspector walk over copy
~
V'i 09 0~40 ai i K"-'7 00039
~DOCK 0 PDR pod
NJIC FOAM365 U.S. NUCLEAR REGULATORY COMMISSION APPROVEO OMB NO. 31504)104 (64)9)
EXPIRES: 4(30I92 ES t ATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 60.0 HRS. FOAWARD LICENSEE EVENT REPORT (LER) 'COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (F630), V.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31600104I, OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, OC 20503.
FACILITY NAME (I I DOCKET NUMBER (2I PAGE 3 Hashington Nuclear Plant Unit 2 0 5 0 0 0 1 OF TITLE (4)
Inadequate Primary Containment Hydrogen Recombiner Recycle Flow Control MONTH EVENT DATE (6)
DAY YEAR YEAR g~.
LER NUMBER (6)
.'EPORT SEQUENTIAL CPj ADVS~ MQNTH OAY DATE (7I YEAR OTHER FACILITIES INVOLVED (8)
FACILITYNAMES DOCKET NUMBERIS)
N UM 8 8 R 'r tsUMSDR 0 5 0 0 0 1 0 3 1 9 1 029 0 011 279 1 0 5 0 0 0 OPERATING THIS REPORT IS SUBMITTED PURSUANT T THE RLQUIREMENTS OF 10 CFR (I: IC>>rett onr or more of thr fotiovvf>>PI Ill MODE (Dl 20.402(8) 20.405(c) 50.73(el(2) Qvl 73.71(D) 1 POWER 20.405( ~ ) (I) III 60.38(cl(ll X 50.73(e) (2Hvl 73.71(c)
LEYEL OTHER ISPrrlfy I>> 4ostrrct 1 0 0 20.405 I~ ) (I ) (ilI 60.38(cl(2I X 50.73(e) (2)(v8)
Oerovv rnd in rect, IYAC Form 20.405(e) (I ) (lii) 60,'7 3(e I (2 I I I) 60.73(el(2) bill)(Al 3$ 64I 20.405( ~ ) (1)(ivl 60.73( ~ l(2)(DI 60.'73(e I (2)(vlitI (8) 20.405(el (I l(vl 50.73(el(2)0il) 60.73( ~ ) (2)(el LICENSEE CONTACT FOR THIS LER (12I NAME TELEPHONE NUMBER AREA CODE Carl L. Fies Com liance'En ineer SO 7 7-COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13I MANUFAC REPORTABLE MANUFAC. EPORTABLE CAUSE SYSTEM COMPONENT SYSTEM COMPONENT TVRER TO NPRDS rp)i.,kiF~'AUSE TURER TO NPADS SUPPLEMENTAL REPORT EXPECTED (14I MONTH OAY YEAR EXPECTED SU 8 M I SS IO N DATE IISI YES III yrs, compirtr EXPECTED $ (ISMISSIDII D4TEI NO ABSTRACT ILimit to f400 specrs, I r., epprostmetrly fiftrrn stnptr specs typrvvrittrn Ifnrsi (15)
On October 31, 1991, a reportabili ty evaluation was completed that concluded that a problem associated with flow control of the Primary Containment Hydrogen Recombiners was reportable. A contract engineer performing a setpoint calculation review had discovered that incorrect Containment Atmospheric Control (CAC) Recycle Flow Control controllers (CAC-FC-67A/B) were installed for both divisions in the control room.
The plant design and operating procedures required these instruments to be used in the auto mode of operations to control recombiner recycle flow. If these incorrect controllers had been used in the auto mode, they would not have controlled recycle flow which could have resulted in a reduced recombination rate or possible system shutdown due to excessive recombination.
Immediate corrective action was taken to change plant procedures requiring operation of these instruments in the manual mode. This allows plant operators to control recycle flow from the control room by manually positioning the Recycle Flow Control Valve (CAC-FCV-6A/B) ~
NRC Form 356 (54)9)
NRC FORM 388A U.S. NUCLEAR REGULATORY COMMISSION l54(9) APPROVED OMB NO. 31500104 EXPIRES: 4/30/92 ATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EV REPORT (LER) INFORMATION COLLECTION REOUEST( 50A) 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 THE PAPERWORK REDUCTION PROJECT (31504)104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503, FACILITY NAME (11 DOCKET NUMBER l2) LER NUMBER (5) PAGE (3)
SEOUENTIAL REVISION NUMBER NUMEER Hashington Nuclear Plant Unit 2 0 5 0 0 0 9 1 0 2 9 0 0 0 2oF 0 8 TEXT //f IIRNE 4/>>CE /4 nEU/RR/ IIW EIS/404/ HRC %%dnII 35/M 3/ l17)
The root cause of this event was a less than adequate design and design change process during plant construction/startup. A contributing cause was less than adequate testing programs that Should have identified the incorrect instruments, Further corrective action will include a review of the design, testing, and opera-tion of the CAC System by the Nuclear Safety Assurance Group Division.
The safety significance review shows that under postulated accident cond1tions, sufficient time would have been available for plant operators to discover and correct the prob- lem with operation of CAC-FC-67A/B 1n the auto position.
Power Level 100/
Plant Mode - 1 At approximately 1200 hours0.0139 days <br />0.333 hours <br />0.00198 weeks <br />4.566e-4 months <br /> on October 31, 1991 a reportability evaluation was completed that concluded a problem associated with the Containment Atmosphere Control (CAC) System was reportable. The problem with the flow instrumentation had been under review since it was discovered on August 7, 1991. A contract engineer identified the issue wh1le evaluating the instrumentat1on associated with the CAC system as part of the Supply System's setpoint evaluation program. This event was reported under 50.72 at approximately 1500 hours0.0174 days <br />0.417 hours <br />0.00248 weeks <br />5.7075e-4 months <br /> on October 31, 1991.
At HNP-2 the CAC System includes redundant catalytic hydrogen recombiners provided to combine the hydrogen and oxygen in the Primary Containment during degraded post-LOCA conditions. The recombiner subsystems (A and B) are located adjacent to the Primary Containment in the Reactor Building (Secondary Containment). Each redundant subsystem consists of a blower, wet scrubber, electric heater, catalyst vessel, gas cooler and associated instrumentation, valves and piping. A constant speed blower is used to draw the atmosphere from the Primary Containment, process it through the equipment and return it back to the Containment, The amount of recomb)-
nation is controlled by the amount of recycle flow that is directed back through the unit (see the attached sketch), The amount of recycle flow is controlled by Recycle Flow Control Valve, CAC-FCV-6A/B. As the amount of recycle flow is increased, the rate of recombination decreases. If CAC-FCV-6A/B 1s fully closed, the system func-tions with single pass flow through the unit resulting 1n max1mum recombinations but risking subsystem shutdown due to high recombiner outlet temperature if the recombi-nation rate becomes too high. Part of the instrumentation for the recombiner sub-system is associated with the control of recycle flow. CAC-FCV-6A/B is controlled by a locally mounted Flow Indicating Controller, CAC-FIC-67A/B, which recieves a flow feedback signal from the Recycle Flow Transmitter CAC-FT-7A/B. CAC-FIC-67A/B, in turn, was designed to be controlled by remote Master Controller CAC-FC-67A/B located in the control room. The Remote Master Controller receives input on total flow from Flow Transmitter CAC-FT-6A/B. CAC-FC-67A/B should be, by design, ratio-type setpoint stations providing, in the AUTO mode, the setpoint signal to NRC Form 355A (589)
NRC FORM 366A US. NUCLEAR REGULATORY COMMISSION (64)9) APPROVED OMB NO. 31604))04 EXPIRESI 4/30/92 LICENSEE EVIO REPORT ILERI ATED BURDEN PER RESPONSE TO COMPLY WTH THIS I r RMATION COLLECTION REOUESTI 50A) 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 1ME PAPERWORK REDUCTION PROJECT (31604104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) PAGE (3)
LER NUMBER (6)
- jg C,..
SEOVENTIAL NVMSER
))ITr REVISION 2 LS NVM ER Hashington Nuclear Plant Unit 2 0 5 0 0 0 9 1 0 2 9 0 0 0 3oF0 8 TEXT ///more 4Pece /4 rrr/lrer/ See EIR/4/one//YRC Form 36BA'4/ (12) 9 CAC-FIC-67A/B. Plant Procedures PPM 2.3.3A/B, Containment Atmospheric Control, Revision 0, would have been used for post-LOCA operation of the system. These procedures called for CAC-FC-67)/B to be in automatic on system initiation.
The contract engineer discovered the fact that CAC-FC-67A/B are proportional-integral controllers rather than ratio type controllers. These proportional-integral controllers receive total flow as a process feedback signal. Their output, h'owever, only controls recycle flow. Hence, they are acting in an open control loop and their output will integrate either up or down until the recycle valves are full open or full closed. If the recycle valve went full open this would limit the containment gas flow through the scrubber and dilute the hydrogen concentration at the recombiner. The recombiner would continue to run under this condition but with reduced efficiency. If the recycle valve went closed, this could cause a high tem-perature rise across the recombiner, resulting in automatic system shutdown. The system would then have to be manually restarted.
Plant System Operating Procedures, PPM 2.3.3A/B, Containment Atmospheric Control, were deviated to require operation of CAC with CAC-FC-67A/B in the manual mode. The recyc'le flow (minimum recycle ratio) is to be set to the value given in the proce-dure. This ratio is provided as a function of containment pressure. The procedure calls for the control room operator (Section 5.3, CAC Operation Following LOCA) to periodically monitor recombiner catalyst temperature and Drywell pressure to main-tain minimum recycle ratio (maximum recombination) by adjusting CAC-FC-67A/B.
Fr rE n iv A.
- 1. This event is being reported per the requirements of 10CFR50.73 under three different paragraphs. First, it is reportable under 50.73(a)(2)(i)(B) as a "condition prohibited by the Plant's Tech Specs" since the system did not meet the OPERABLE definition contained therein.
Second, 50.73(a)(2)(v) is also applicable as, "Any event or condition that alone could have prevented the fulfillment of the safety function...H in controlling the release of radioactive material and mitigating the conse-quences of an accident. Finally, 50.73(a)(2)(vii) is impacted since the event caused, H...two independent trains...to become inoperable...," in a single system designed to mitigate the consequences of an accident.
- 2. Past records indicate that this discrepancy has existed since initial Plant Startup. Startup Problem Report SPR I-1145, dated June 2, 1981, documents the discovery that the Bailey controllers supplied for initial installation were not correct. The Bailey devices installed in the Control Room were Model 701 003ADAE1 proportional-type controllers.
NRC Form 366A (669)
NRC FORM 368A U.S. NUCLEAR REGULATORY COMMISSION (64(9) APPROVED 0MB NO. 31500104 EXPIRES: 4/30/92 ATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EV REPORT (LER) IN ORMATION COLLECTION REQUEST: 50.0 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)104). OFFICE OF MANAGEMENTAND BUDGET. WASHINGTON, DC 20503.
FACILITY NAME ('ll DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR SEOUENTIAL Qjg:. REVISION 2jPQy NUMBER .>@2 NUMBER Washington Nuclear Plant Unit 2 0 5 0 0 0 9 1 29 00 0 4oF 0 8 TEXT /// mero 4Poco /4 /oEM)ed, ooo R//oooo///RC Fom) 36643/ (12)
- 3. Further review showed that Design Change PED 218-I-3923 was issued on February ll, 1982 to respond to this problem. The design change specified a Bailey Model 715 039AAE1 ratio setpoint controller for CAC-FC-67A/B.
Further investigation revealed that this design change alone would not have been sufficient to correct the problem. The Recycle and Total Flow Transmitters (CAC-FT-7A/B and CAC-FT-6A/B) were calibrated to different ranges. Further, the feedback signal to the flow controller was a delta-P signal directly from the transmitter since square root converters had not been installed. Additional signal conditioning equipment would have been required to make the controllers (CAC-FC-67A/B and CAC-FIC-67A/B) function together correctly to control the Recycle Flow Control Valve CAC-FCV-6A/B.
4, For reasons that are indeterminate, the correct Bailey ratio-type setpoint stations were never installed. The root cause investigation was unable to determine or locate documentation that could explain why the correct ratio-type setpoint stations were not installed by PED 218-I-3923, The Startup Problem Report was closed out based on the issuance of the cor-rected design and the recommended System Lineup Test.
- 5. A System Lineup Test was referenced on the Startup Problem report as being a required retest after replacement of the instrument. This test was performed in April 1983 but it was limited to a functional check of the incorrectly installed Model 701 003ADAEl proportional-type controller.
- 6. The Preoperational Test on the system was performed in December 1983, The Test Procedure has a step which states, HSet FC-67 to recycle 55/. of the gas leaving the phase separator." The procedure did not specifically require placing CAC-FC-67A/B in the auto position. The preoperational test did not discover the fact that the incorrect device was installed,
- 7. Various surveillance tests are performed on equipment associated with the CAC system. This includes an 18-month surveillance (4.6 '.l.b.l) which requires, HPerforming a CHANNEL CALIBRATION of all recombiner operating instrumentation and control circuits." Plant Procedure PPM 7.4.6.6.1.3C/D, H2 Recombiner lA/B Flow Instrumentation Channel Calibra-tion, performs this surveillance test. On November 21, 1991, during a further evaluation associated with this LER, it was discovered that this surveillance had not tested the operation of the Recycle Flow Control Valve, CAC-FCV-6A/B, from the Remote Master Flow Controller, CAC-FC-67A/B in the manual mode of operation. A trouble shooting plan was formulated and implemented that demonstrated movement of the CAC-FCV-6A/B from the control room.
- 8. A review was performed of the 50.59 that implemented the change to PPM 2.3.3A/B, System Operating Procedures for Containment Atmospheric Control (Division I/II). These procedures are referenced by the Emergency Operating Procedures and were changed previously (see Immediate Corrective Action above) to allow for manual operation of CAC-FC-67A/B. The review found a Safety Evaluation was not performed on the change and one was NRC Fono 388A (84)9)
NRC FORM 388A U.S, NUCLEAR REGULATORY COMMISSION (84) 9) APPROVED 0MB NO. 31504104 EXPIRES: 4/30/92 E ATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EV REPORT (LER) INFORMATION COLLECTION REOUEST: 50.0 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 (31500104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1I DOCKET NUMBER (2) LER NUMBER (8) PAGE (3)
YEAR if'EOVENTIAL
...? NVMSER REVISION NVMSER Hashington Nuclear Plant Unit 2 0 5 0 0 0 91 0 29 0 0 0 5 OF 0 8 TEXT ///IIRuo Spooo /4 EooukN/ uoo ////oo4/HRC Form 388ABI ()7) completed on November 27, 1991. During the Safety Evaluation the discovery was made that operation of the system at 55 percent recycle flow could have resulted in automatic system shutdown due to high catalyst temperature caused by higher than expected flows through the system. This could occur since the flow measured by the preoperational test was higher than the flow assumed in the analysis. The analyzed flow was 65.7 scfm compared to the measured flow of 86 scfm at atmospheric pressure. Recombiner mass flow would be even higher at elevated containment pressures due to increased density. These high flows resulted in a recommendation for additional changes to PPM 2.3.3A/B. A deviation to these procedures was approved on November 27, 1991 (Procedure Deviations 91-1126 and 91-1127) that required an additional operator to be stationed at the recombiner panel in the control room as soon as possible, but no later than six hours following a LOCA (the design analysis assumes the recombiners are started six hours post accident). This dedicated operator would provide added assurance that CAC recycle flow is monitored in a manner that would maximize the hydrogen and oxygen removal rate while preventing a high temperature shutdown.
The root cause of this event was a less than adequate design and design change implementation. Design Change PED 218-I-3923 was not driven to completion by the change process during construction and plant startup testing. There are also contributing root causes that allowed this event to go undetected. The first contributor was a less than adequate Preoperational Test which failed to identify the wrong flow- controller and an improper system setup. The second contributor was a less than adequate surveillance testing program that failed to adequately test the functionality of the recycle flow control subsystem.
C.
- 1. The design change process in place during construction depended on contractors to implement changes that were issued by the Architect-Engineer. It is concluded, based on the turnover process put in place at the end of construction, that the failure to implement Design Change PED 218-I-3923 is an isolated occurrence, The construction design change process in place when this event began was completely changed when the plant went into operation. Therefore, no further corrective action is warranted.
- 2. Plant Procedure PPM 7.4.6.6.1.3.C/D will be revised to incorporate a test of the CAC-FC-67A/B to CAC-FCV-6A/B instrument control loop.
- 3. Since events associated with this LER have some safety significance, Plant Management has requested a Technical Assessment be performed on the CAC System by the Nuclear Safety Assurance Division. This review will include an assessment of the design, testing, and operation of the system. The results of this effort will be reported in a revision to this LER.
NR C Form 388A (889)
NRC FORM 355A UA. NUCLEAR REGULATORY COMMISSION (5419) APPROVED OMB NO. 31500104 EXPIRES: 4/30/52 MATEO BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EV REPORT (LER) INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P.530). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT (31504)104), OFF ICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (I) DOCKET NUMBER (2) LER NUMBER (5)
YEAR SEOVENTIAL REVISION gQ NVMSER NVM ER washington Nuclear Plant Unit 2 0 5 0 0 0 9 1 0 2 9 0 0 0 6 OF 0 8 TEXT /I/mar 4/>>44/4 nquked, V44 J/(/444/NRC FCnn 3554'4/ l IT)
Emergency Operating Procedure PPH 5.2.1, Primary Containment Control, provides the flowchart to be used by Plant Operators in the event of a LOCA combined with degraded ECCS Operation. This procedure states that CAC is to be initiated if drywell or wetwell hydrogen concentration reaches 0.5 percent. Primary containment hydrogen is monitored on Containment Honitoring Control Panels CH-CP-1301/1401 and recorded on Stripchart Recorders CH2-H2R-1/2. These instruments would be on scale at this low concentration. Thus, HNP-2 Emergency Operating Procedures are conserv-ative requiring CAC to be operational early in an accident scenario if hydrogen is generated.
The FSAR analysis (6.2.5,2.2) for hydrogen control assumes that the initial levels of hydrogen and oxygen in the containment following the design basis LOCA are 2.5 percent and 3.5 percent, respectively. Nith these initial conditions and the predicted hydrogen and oxygen generation rates, the analysis demonstrates that even with a six hour delay in starting the recombiners the hydrogen and oxygen concentrations can be successfully maintained below the flammability limits.
The use of Emergency Operating Procedure PPH 5.2.1 would have provided WNP-2 Plant Operators with time (minimum of six hours) to detect problems with the recycle flow and take appropriate corrective action. Both total recombiner flow and recycle flow is recorded in the control room on recorder CAC-FR-67A/B. Operation with CAC-FC-67A/B in the auto position, as explained above, could have resulted in the recycle valve CAC-FCV-6A/B going to the full closed or full open position. The output indicated on the flow controller (CAC-FC-67A/B) would also have read either maximum or minimum. These controllers are similar to others in the control room and plant operators are familiar with their operation. Placing CAC-FC-67A/B in manual would have been a natural reaction and allowed plant operators to control recycle f 1 ow.
We believe this event has safety significance since the operability of both divi-sions of one of the HNP-2 Engineered Safety Features was impacted. However, this impact is decreased by the fact that sufficient time would have been available, along with information on system operation, to allow plant operators to take corrective action.
LER 84-013 reported the event where both hydrogen recombiner fan (CAC-FN-lA/B) motors tripped on electrical overload during preoperational testing at 18 psig con-tainment pressure. The fuses and overloads installed had not been sized for the higher pressure conditions. The portion of this event associated with surveillance testing is similar to those events reported in LER 91-013-02. It is also similar to several events referenced in LER 91-013-02 from the standpoint that inadequate sur-veillance procedures have been in place since plant startup, The long term correc-tive actions for this problem are being defined by a Quality Action Team (QAT).
NR C Form 355A (555)
NRC FORM 358A US. NUCLEAR REGULATORY COMMISSION (64)9) APPROVED OMB NO. 3)504)104 EXP IR ES: 4/30/92 LICENSEE EV ATED BURDEN PER RESPONSE TO COMPLY WTH THIS REPORT HLER) INFORMATION COLLECTION REQUEST: 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION ~
AND REPORTS MANAGEMENT BRANCH (P4)30), V.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, OC 20555, AND TO 1ME PAPERWORK REDUCTION PROJECT (31504)1041. OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503, FACILITY NAME (11 DOCKET NUMBER (2)
I.ER NUMBER (8) PAGE (3)
YEAR SEOUENTIAL jI~'EVISION NUMBER .% NUMBE4 Hashington Nuclear Plant Unit 2 9 1 0 2 9 0 0 0 7 0 8 0 5 0 0 0 TEXT /// mere <<>>44/4 IPIFkeIL IIP4 R//0544///RC FomI 3////A'4/ ( 17)
Primary Containment Hydrogen Recombiner BB RCB Containment Atmosphere Control (CAC) BB System CAC Recycle Flow Controller (CAC-FC-67A/8) BB FC CAC Recycle Flow Control Valve BB FCV (CAC-FCV-6A/B CAC Recycle Flow Transmitter (CAC-FT-7A/B) BB FT CAC Local Recycle Flow Indicating BB FIC Controller (CAC-FIC-67A/B)
CAC Total Flow Transmitter (CAC-FT-6A/B) BB Containment Monitoring Control Panels IK PNL (CMS-CP-1301/1401)
Containment Monitoring System Hydrogen IK Recorders (CMS-H2R-1/2)
CAC Recombiner Fan (CAC-FN-1A/B) BB FN NRC Form 355A (54)9)
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