ML17286B211

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Insp Rept 50-397/91-44 on 911104-1208.Violations Noted. Major Areas Inspected:Various Problems,Both Reported & NRC Identified,Associated W/Cac Sys
ML17286B211
Person / Time
Site: Columbia Energy Northwest icon.png
Issue date: 12/11/1991
From: Johnson P, David Proulx, Sorensen R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION V)
To:
Shared Package
ML17286B210 List:
References
50-397-91-44, NUDOCS 9112310006
Download: ML17286B211 (26)


See also: IR 05000397/1991044

Text

U.S.

NUCLEAR REGULATORY COMMISSION

REGION

V

Report

No:

Docket No:

Licensee:

Facility Name:

Inspection at:

50-397/91-44

50-397

Washington Public

Power Supply System

P. 0.

Box 968

Richland,

WA 99352

Washington Nuclear Project

No.

2

(WNP-2)

WNP-2 site near Richland,

Washington

Inspection

Conducted:

Nove

er

4 - December

8,

1991

Inspectors:

o en

,

en'

ess

t

nspector

.

Prou x,

si ent

nspector

ate

i ne

/2. il

a

e

igne

Approved by:

~Summ au

nson,

se

React

Projects

Section

3

/+/// q/

ate

>gne

S ecial

Ins ection

on November

4

December

8

1991

Re ort No. 50-397 91-44

Areas

Ins ected:

Special

inspection

by the resident

inspectors of various

problems,

both reported

and" NRC-identified, associated

with the containment

atmospheric

control

(CAC) system.

During this inspection,

Inspection

Procedures

61726,

62703,

71707,

71710,

90712,

and

92700 were utilized.

Safet

Issues

Mana ement

S stem

SIMS

Items:

None.

Results:

General

Conclusions

and

S ecific Findin

s

Si nificant Safet

Matters:

The material condition

and operability of

the containment

atmospheric

control

(CAC) system

have not been main-

tained

as required.

Pii"'3iOOOE

Pii213'DR

ADDCVi 05000397

8

PDR

(i

F

~

l

')'

1

Summar

of Violations and Deviations:

Four apparent violations were

identified involving the

CAC system,

as follows:

Seismic supports for the

CAC system were not assembled-'as

required

(paragraph

4.a).

The "A" Train of the

CAC system

was inoperable

from December

1990

until September

1991

because

of loss of lubricating oil from the

blower housing

(paragraph

5.a).

Both trains of the

CAC system were inoperable

from before initial

plant startup until procedures

were revised in August

1991 to

provide for manual operation,

because

improper recycle flow

controllers

were installed

(paragraph

5.b).

The licensee

did not report the inoperability of both trains of.

CAC (caused

by the use of improper flow controllers) within the

time periods required

by 10 CFR 50.72

and 50.73

(paragraph

S.b).

1t

I)

4

L',

N

DETAILS

1..

Persons

Contacted

  • L. Oxsen,

Deputy Managing Director

  • J. Baker,

Plant Manager

L. Harrold, Assistant

Plant Manager

  • J. Irish,

Program Analyst, Bonneville Power Administration

  • R. Webring, Plant Technical

Manager

  • A. Hosier,

Licensing Manager

  • S. Davison, guality Assurance

Manager

  • J. Peters,

Administrative Manager

.

S.

HcKay, Operations

Manager

  • K. Worthen, Operations

Engineer

  • J. Snyder,

Lead Engineer

P. Inserra,

System Engineer

D. Bosi, Plant Support Engineering

  • L. Sharp,

Plant Support Engineering

The inspectors

also talked with other cognizant licensee

represen-

tatives.

  • Attended the Exit Heeting

on December

6,

1991.

Back round

The'ontainment

atmospheric

control

(CAC) system is composed of two

redundant, full capacity

hydrogen-oxygen

recombiners

manufactured

by Air

Products

and Chemicals,

Inc., with associated

piping, valves,

and

components.

The system is designed

to Seismic Category

I requirements

and in accordance, with Regulatory

Guide 1.7

and Criterion 41 of 10 CFR 50, Appendix A.

The recombiners

serve to limit the concentration

of

oxygen

and hydrogen in the primary containment .following a postulated

loss-of-coolant

accident

(LOCA).

The recombiners

are located outside

the primary containment.

Each

CAC train was procured

from the vendor

as

a skid-mounted unit,

and is composed of a water scrubber,

a constant-

speed

blower,

a catalytic recombiner,

and

an aftercooler.

The process

gas

from the containment

atmosphere first enters

the water

scrubber

where particulates,

droplets,

and soluble trace impurities are

removed

by direct continuous

contact with water in a packed

bed column.

After leaving the top of the water column, the gas

passes

through a-

demister which traps

any entrained water (the water, with entrapped

particulates

and dissolved solids,

leaves

the bottom of the scrubber

and

is directed to the suppress.ion

pool).

The gas

then, enters

the blower.

The blower is designed

to provide

a constant

65.7

SCFH flow through the

system

and connected

piping.

The process

gas

then enters

the preheater

where it is heated to'a temperature

of 500 to 550 degrees

F.

Heating of

the gases

to

a temperature

of 500 degrees

prior to their entering the

catalytic recombiner prevents

degradation

of the catalyst

bed

by

halogens that are potentially present

in the process

gas.

The gas

then

enters

the catalytic recombiner,

where

oxygen

and hydrogen react

on the

catalyst

bed to form water vapor.

The hot effluent gas is then cooled

in the aftercooler;

which utilizes standby service water

as

a heat sink.

The condensate

from the aftercooler is separated

in a moisture separator

and directed to the suppression

pool.

Typically, 55X of the recombiner discharge

flow is recycled

back to the

blower suction.

Thus, the hydrogen/oxygen

mixture that enters

the

blower is diluted by this recycle flow (principally nitrogen).

It is

very important to closely control this recycle flow.

For every IX

concentration of hydrogen in the process

stream,

the catalytic recom-

biner exit temperature will increase

approximately

140 degrees

above the

500 degree

recombiner inlet temperature

supplied

by the preheater.

The

recombiner unit is designed to trip at

an exit temperature

of 1150

degrees.

Thus, insufficient recycle flow could eventually cause

the

unit to trip on high temperature (if containment

hydrogen concentration

were greater

than about.5X).

An important consideration for the

CAC system is that the blower and

motor are enclosed within a steel

vessel.

The vessel

is bolted closed

and

has

no access

port.

The inside of the vessel

is part of primary

containment;

thus,

the blower cannot

be inspected

during normal plant

operation.

3.

Previous

NRC Findin

s

Re ardin

the

CAC

S stem

Previous

NRC findings regarding the

CAC 'system

were documented

in

NRC

Inspection

Report

No. 50-397/91-28

(inspection period ending

on

September

17,

1991).

The following is

a summary of those findings.

The inspector

had performed

a detailed

walkdown of the

CAC system to

verify that the plant configuration

and system lineups

were in accord-

ance with the as-built drawings, that system operating

procedures

correctly reflected the

FSAR and as-built drawings, that the material

condition of the system

was satisfactory,

and that vendor-recommended

preventive maintenance

activities were being performed.

The findings in

these

various

areas

can

be categorized

as follows:

a.

Preventive

Haintenance

Some maintenance

activities specifically recommended

in vendor

technical

manuals

were not being addressed

by the licensee.

Although the vendor (Switzer Co.)

recommended

that the lubricating

oil in the

CAC blowers

be changed

every 500 hours0.00579 days <br />0.139 hours <br />8.267196e-4 weeks <br />1.9025e-4 months <br /> of operation,

or

at least every six months

(whichever

comes first),

a lubrication

schedule

had,not

been established.

The licensee

stated that the

decision

had

been

made during startup that,

since the

CAC blowers

are run on

a very infrequent basis for short periods of time,

a

lubricating oil changeout

frequency of once per 40 years

was suf-

ficient.

Based

on this, the licensee

had

no lubricating schedule

for the

CAC blowers.

No records

were available at the time of the

inspection

documenting that this evaluation

had

been

accomplished.

However, the licensee

stated

at the exit meeting that these

records

would be provided.

It

III

/

Further, it was noted

by the inspector that the licensee's

lubri-

cation schedule for the motor that drives the

CAC blower

was more

restrictive than that for the blower itself, in that the schedule

required the motor's oil to be changed

every five years.

The

vendor technical

manual for the motor recommends

an oil change

every

3 to

9 months, of oper ation, which is much less restrictive

than the vendor recommendation for the

CAC blowers.

It appeared,

therefore,

that the licensee

had used inconsistent

engineering

judgement

in the rationale for developing lubrication schedules

for

these safety related

components.

The licensee

stated

at the exit

meeting that they were planning to establish

a preventive eainte-

nance action to change

the oil in the blowers every five years.

The vendor technical

manual

also

recommends that the blower and

motor should

be

"bumped" at least

once every two weeks

by applying

'power

and rotating .the shaft to a new position.

This is to prevent

flat spots

from developing

on the motor/blower shaft.

The licensee

had not periodically rotated these

fans since plant startup,

and

was unaware of this vendor recommendation.

The system engineer

stated that this could lead to "running the

CAC fans to destruc-

tion," and felt that the biweekly rotation of the fans

was not

warranted.

The inspector noted,

however, that the vendor manuals

guarantee

that the

CAC motors

and blowers

can run for several

years

of continuous operation without failure.

This finding was

especially significant, given that the licensee

found one of .the

CAC blowers seized while trying to conduct

a surveillance test in

September

1991

(see

paragraph

5.a below).

It had apparently

been

seized

since

December

1990, the last time this particular surveil-

lance test

had

been

conducted.

This problem would have

been

discovered

much sooner

had this vendor recommendation

been imple-

mented.

The licensee

stated

at the exit meeting that additional

consideration

was being given to periodically rotating the blowers.

b.

S stem Naterial Deficiencies

C.

While conducting

a walkdown of the

CAC system

(during the previous

inspection),

the inspector

had noted the following labeling or

material condition discrepancies:

The label plates for valves

CAC-V-307A and

308A were reversed.

The label plates for valves

CAC-V-301A and

302A were reversed.

Loose bolts were noted

on, the torque switch cover for CAC-V-6.

Review of CAC 0 eratin

Procedures

PPHs 2.3.3A and 2.3.38

The inspector

had also noted minor discrepancies

in operating

procedures.

No verification and validation

(V&V) had

been

accomplished for them as of the time of the previous inspection.

This was especially significant given that the

CAC operating

procedures

are directly referenced

by the

Emergency

Operating

Procedures

(EOPs).

Discrepancies

noted were:

0

t

il

i

1

I

I

II

V

4

Plant Procedures

Manual

(PPH) Sections

2.3.3A and 2.3.38

directed operators

to use

a key to operate

keylocked switches

for valves

CAC-FCV-lA, 18,

4A, and 48.

None of these

valves

has

a keylocked switch for operation

from the control

room.

PPHs 2.3.3A and 2.3.38 listed drawing H-554, Revision

16,

as

the applicable reference for the valve lineup.

The actual

revision for drawing H-554 in effect during the inspection

period

was Revision 46.

Revision

16 dates

from prior to plant

startup.

CAC-TCV-48 was listed

as

CAC-TCV-48 in

PPH 2..3.38.

The as-built drawing listed the proper position of CAC inter-

face valves

RHR-V-134A and

RHR-V-1348 as open, while PPHs

2.3.3A and 2.3..38 required these

valves to be shut.

Valves

CAC-V-5A and

CAC-V-58 perform identical functions for

Trains

A and

8 of CAC, respectively.

However, the required

position of CAC-V-5A was

open in

PPH 2.3.3A and the required

position of CAC-V-58 was shut in

PPH 2.3.38.

Drawing M-554 and

PPHs 2.3.3A and 2.3.38 listed different

positions for CAC-V-316A and CAC-V-3168 (isolation valves for

similar pressure

gauges).

The licensee

stated that these discrepancies

would probably have

been identified by VEV of the most recent revision to these

proce-

dures.

However, the inspector

noted that these errors

had existed

in these

operating

procedures

through several

previous revisions.

These fiqdings gave

an initial indication, in the aggregate,

of insuffi-

cient attention to proper maintenance

and operation of the

CAC system.

This was addressed

in the cover letter which transmitted

the inspection

report to the licensee.

4.

Additional Findin

s

Re ardin

CAC Maintenance

and Confi uration Control

Additional inspector observations

related to the

CAC system

were

made

during late September

and early October,

1991,

as follows:

a,

While observing

a surveillance test

on

CAC Temperature

Control

Valve (TCV)-4A, just prior to plant startup

on September

26, the

inspector

observed

a 3/4-inch hex nut on the floor of the "A" CAC

skid near

TCV-4A,

This nut appeared

to have

come from CAC piping

restraint

PS-5,

which the inspector

noted

was, not made

up properly.

This restraint

had apparently

been disassembled

for work on TCV-4A,

although the maintenance

work request

(HWR) that authorized

work on

this valve did not authorize

removal of PS-5.

The inspector

informed the equipment operator

who was performing the surveillance

and the Shift Manager,

who indicated that mechanical

maintenance

would restore

PS-5 to its proper configuration.

'On October 2, the inspector revisited the

CAC skids to verify the

licensee's

action,

and noted that the hex nuts for restraint

PS-5

were loose.

The inspector .informed the Plant Manager of the

findings of September

26 and October

2, at the resident

!inspectors'eekly

exit meeting

on October 3,

1991.

On October

9,

1991, the inspector

again

checked

the "A" CAC skid

restraint

PS-5

and noted that the hex nuts for this restraint

were

still loose.

The inspector then checked

the

PS-5 restraint

on the=.

"B" CAC skid for a possible generic problem.

Although the

inspector

noted that the hex nuts

on PS-5 of the "B" train of CAC

were tight, the rest'raint configuration was different from PS-5

on

the "A" train.

PS-5 for CAC "A" was configured such that two hex

nuts straddled

the restraint

bar (and were loose)

on one side of

the restraint's

"U-bolt", with the other side of the U-bolt

having'nly

one hex nut.

However, the configuration for PS-5

on the "B"

CAC skid consisted

of two hex nuts outside of the restraint

bar on

each side of the U-bolt (hereafter referred to as

a lock nut and

jam nut configuration).

The inspector obtained the licensee's

vendor drawing CVI-4-1371-

18.20 to determine

the proper method for the PS-5 restraint

configuration.

The drawing revealed that the lock nut and jam nut

configuration

was proper,

leading the inspector

to conclude that

PS-5

on the "A" train was

made

up improperly.

Since this vendor

drawing also

showed the configuration for other restraints

on the

two trains of"CAC, the inspector

inspected

a sample of 20 of the

76

pipe restraints to determine

whether

any additional deficiencies

existed.

Besides

the problem with PS-5,'the

inspector

noted the

following additional discrepancies:

CAC "A" Train Skid:

PS-3

PS-15

PS-18

Missing one jam nut, other nuts straddling

support

Hissing both jam nuts

All nuts loose

CAC "B" Train Skid:

PS-11

Missing both jam nuts

PS-15

PS-18

Missing both jam nuts

Hissing

one jam nut

The inspector notified the Plant Manager of these deficiencies

on October

10,

1991,

and. the Plant Manager directed

a

100%%d

verification of the pipe supports for both

CAC skids..

During the

licensee's

walkdown of these

supports,

the following additional

deviations

from the vendor drawing were noted:

f

II

)

)

CAC "A" Train Skid:

PS-10

PS-12

Hissing

3 of 4 nuts, U-bolt, held ih place

by

the only remaining nut

All nuts loose

CAC "8" Train Skid

PS-10

PS-14

All 4 nuts missing, U-bolt in place

Hissing one lock nut, all other nuts loose

PS-20

Two nuts loose

PS-22

PS-23

PS-35

~ Hissing bothjam nuts, lock nuts staked

in

place

Hissing one jam nut, other nuts tight

Excessive

gap between U-bolt and pipe

(3/16 inch vice allowable 1/16 inch)

PS-38

Two nuts loose

The licensee

issued

Problem Evaluation

Request

(PER)

291-841

on

October

11,

1991 to address

issues

associated

with the

CAC

supports.

It was the licensee's

position that the

CAC system

was

still operable

and seismically qualified,

based

on engineering

judgement,

because

sufficient rigidity of the system piping

apparently still existed.

However, the above deficiencies

taken

together

appear to violate

10 CFR 50, Appendix B, Criterion V,

"Instructions,

Procedures,

and Drawings" (397/91-44-01).

It is important to note that,

according to knowledgeable

licensee

representatives,

the method

used to seismically qualify the

CAC

skids

was to place

each

on

a shaker table

and subject it to

a safe

shutdown

earthquake

(SSE).

Since they were not qualified by

analysis,

there are

no calculations

which support the seismic

qualification.

The loose, missing, or improperly configured pipe

supports

depicted

above therefore- appeared

to place the seismic

qualification of the

CAC skids (at the time of the inspector's

observations)

in question.

The licensee

corrected

the identified

discrepancies

on October

11,

1991.

b.

Technical Specification 4.6.6. I.b.4 states

that the

CAC system

shall

be demonstrated

operable

at least

every

18 months

by

"verifying through

a visual examination that there is no evidence

of abnormal

conditions within the recombiner enclosure; i.e., loose

wiring or structural

connections,

deposits of foreign materials,

etc."

The licensee

interpreted this visual examination to apply to

each of the

CAC skids.

However,

a specific procedure

or checklist

for performing this visual examination did not exist at the time of

0

0

l;

C.

this inspection.

The licensee

performs this inspection

as

a single

step at the completion of the required

18 month

CAC functional

test.

This single procedural

step did not provide any:specific

direction

on how to perform this examination; it merely repeated

verbatim the words of the Technical Specification

quoted

above.

Specific guidance

also

had not been provided for the performance of

system

walkdowns

by the system engineer.

The inspector

noted that

this

TS is unique in specifically requiring

a periodic walkdown of

-the

CAC system,

and concluded that improved guidance

on its

implementation

was needed.

Vendor drawing CVI-4-1371-18.20 provided

no torquing specification

for the pipe support nuts.

Since

a number of these

nuts were found

to be loose or missing,

the inspector requested

more information

concerning

the torquing requirements

the licensee utilizes in this

application.

The inspector will review this information during

a

future inspection

(Followup Item 397/91-44-02).

On October 21,

1991 the inspector verified that the licensee

had

restored

the

CAC pipe restraints

to the correct configurations

in

accordance

with the vendor drawing.

However, during this walkdown,

the inspector identified an additional deficiency.

The inspector

found

a conduit plug for CAC-PT-1A (a pressure

transmitter for CAC

fan

1A) on the floor, and discovered that another plug was loose

on

that

same pressure

transmitter.

An opening in the side of the

pressure

transmitter,

with electrical

leads visible inside,

was

apparently

where the plug on the floor belonged.

This was brought

to the attention-of the electrical

maintenance

engineering staff,

who initiated prompt corrective action to fix the apparent

problem.

The pressure transmitter

was later determined to be subject to

environmental qualification requirements.

However, the system

engineer stated that the 572-foot elevation of the reactor building

(where the

CAC skids are located) is not susceptible

to

a high

energy line break,

as other parts of the reactor building are.

The

CAC skid components

are only qualified for a warm, moist environ-

ment; thus,

he preliminarily indicated that the environmental

qualification of CAC-PT-1A would not have

been affected

by the

missing

and loose plugs discussed

above.

According to Technical

Memorandum

(TH) 2004,

Revision 0, electrical

and instrumentation

equipment for the

CAC skids

have bottom entry

conduit,

which precludes

condensation

in the conduit from draining

into a component

and potentially resulting in failure or loss of

accuracy.

TM-2004 does not address

the case

wherein

an instrument

such

as the pressure

transmitter described

above is exposed

to the

secondary

containment

environment at one side.

The inspector

therefore

concluded that the environmental qualification of this

configuration

was indeterminate

(Unresolved

Item 397/91-44-03).

The above findings, taken

as

a whole, further demonstrate

a persistent

weakness

in the proper attention to,

and configuration control 'of,

an

important safety-related

system.

The licensee

also missed opportunities

'k

t

to identify the above deficiencies

on their own by not providing more

complete

guidance

on the implementation of TS surveillance

requirement

4.6.6. l.b.4,

as discussed

above.

5.

Recent

Licensee

Event

Re orts

LERs

Associated with the

CAk S stem

a 0

LER 91-25 - "A" Train of the

CAC S stem Rendered

Ino erable

Lon er

Than Allowed b

the Technical

S ecifications

TS

Due to Loss of

Oil in K dro en Recombiner

Blower

On September

3,

1991,

the

CAC functional test for train "A" was

initiated.

The

CAC blower tripped approximately six seconds

after

receiving

an auto-start

signal

(there is

a six-second

time delay

for the low flow trip signal to allow the blower to establish

an

adequate

flow rate).

The blower motor was found to be drawing

excessive

current, indicating

a locked rotor condition.

An oil

drain plug in the bottom of the blower housing

was found completely

removed

and lying at the bottom of the steel

enclosure

around the

motor/blower assembly.

This had caused

the lubricating oil to

drain from the blower housing.

Upon uncoupling the motor from the

blower, the motor was found to rotate freely, but the blower was

seized.

Disassembly of the blower revealed

severe

bearing

damage.

The immediate six-second

time delay trip, coupled with the bearing

damage,

indicated that the blower was already in a locked rotor

condition when the functional test

was initiated on September

3.

This,led the licensee

to conclude that the bearing

damage

must have

occurred the'ast

time the blower was operated.

This was deter-

mined to have

been during

a surveillance test

on December

8,

1990.

Thus, the "A" train of CAC had

been

inoperable

since that time.

This meant that

WNP-2 had operated for over four months in Node

1

with the "A" train of CAC inoperable

and the appropriate

action

statement

of the

TS not carried out.

This is an apparent violation

'of the TS, Section 3.6.6. 1,

as stated

in TS 3.0.2 (397/91-44-04}.

The action statement

for TS 3.6.6.

1 requires that

an inoperable

CAC

train be restored

to an operable

status within 30 days or that. the

reactor

be placed in Hot Shutdown within the following 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />.

The licensee

speculated

that the oil drain plug fell out due to

vibration from the blower while it was operating.

The oil had

been

replaced

during the

1990 annual refueling outage,

but inadequate

maintenance

instructions

had

been provided,

in that

no torquing

requirements

had

been

speci fied for reinstallation of the drain

plugs.

.The blower,was operated for about eight hours

on December

8

and the licensee

speculates

that it was during that time period

that the drain plug fell out.

Lockwires were installed

on all

blower drain plugs,

both'"A" and

"B" trains,

in September

1991.

Maintenance

procedures

were

enhanced

to require the drain plugs in

each

blower to be torqued,

lockwired,

and verified.

The

LER stated

that the

1990 refueling outage

was the first time the "A" train

blower/motor assembly

had

been

removed since startup

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The "B"

blower/motor assembly

had not been

removed prior to September

1991.

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The licensee

did not adequately

explain in the

LER how this bearing

damage

escaped

detection during the surveillance test 'conducted

on

December

8.

Further,

had the licensee

implemented

a periodic rota-

tion of the blower as

recommended

by the vendor (paragraph 3.a),

this failure of the blower would have

been discovered kch sooner,

perhaps

in time to comply with the action statement

requirements.

This is especially important, given that normal

system configur-

ation

(as discussed

in paragraph

2 above)

does not allow easy

detection of a low bearing oil level condition.

Although there

are

sightglasses

associated

with both the blower and motor, they are

contained within the steel

enclosure

vessel.

This enclosure

forms

a part of primary containment

and cannot

be opened during plant

operation,

severely limiting the licensee's ability to verify

adequate

lubrication.

Failure of the "A" train

CAC in this manner is another

example of

poor maintenance

of,

and insufficient attention to, the material

condition of an important safety related

system.

As noted above,

the licensee

missed

an opportunity to identify this failure in a

timely manner

by not implementing

a preventive maintenance

action

(periodic rotation of the

CAC blowers)

recommended

by the vendor.

LER 91-29

Inade uate

Primar

Containment

H dro en Recombiner

Rec cle Flow Control

A problem dealing with the recycle flow in each

CAC skid was

discovered

by

a contract engineer during the licensee's

setpoint

evaluation

program.

Recycle flow, as discussed

in paragraph

2, is

used to control the rate of hydrogen recombination in the catalytic

recombiner.

It is controlled by varying the position of flow con-

trol valves

(FCV).

Valves

CAC-FCV-6A and

6B serve this function.

By further opening

CAC-FCV-6A or 6B, more flow is passed

through

the recycle line back to'he, blower suction, further diluting the .

hydrogen

stream

from the drywell and decreasing

the rate of hydro-

gen recombination'.

Conversely,

further closing

CAC-FCV-6A or 6B

.

results

in less recycle flow to the blower suction, resulting

im

less dilution of the hydrogen

stream from the drywell and

increasing

the rate of hydrogen recombination.

CAC valve

FCV-6A (Train

B is identical) is controlled

by

a locally

mounted flow indicating controller,

CAC-FIC-67A, which receives

a

signal of actual

recycle flow from flow transmitter

CAC-FT-7A.

CAC-FIC-67A was designed

to be controlled by Haster Controller

CAC-FC-67A, located in the control

room.

CAC-FC-67A receives

input

on total recombiner discharge

flow from CAC-FT-6A and provides

a

setpoint signal, in the automatic

mode, to CAC-FIC-67A.

To operate

properly,

CAC-FC-67A must also

be able to ratio the flow

sensed

in the recycle line (CAC-FT-7A) to the total recombiner

discharge

flow, which is sensed

in the recombiner discharge line

(by CAC-FT-6A).

However, the type of controllers installed

are not

ratio type controllers,

but are proportional-integral

controllers,

'nd

do not receive

an input from actual

recycle flow (CAC-FT-7A).

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Since they are not capable of ratio type control, their output will

either integrate

up or down until the recycle valves

are either

fully open or fully closed.

Consequently,

when 'in automatic,

the

recombiner would have, either tripped

on high exit temperature

(because

of too little recycle flow, if containment

hyh ogen con-

centration

was greater than about

5X) or failed to effectively

remove

hydrogen

(because

of too much recycle flow),'llowing

hydrogen concentration

in the primary containment to increase

to

a

potentially flammable mixture.

It should

be noted that

PPM 2.3.3A and

PPM 2.3.3B required

CAC-FC-

67A and

67B to be in the automatic

mode for post-LOCA operation.

This would have required the operator to correctly diagnose

improper operation of the

CAC system

and then place the controllers

in the manual

mode.

It appeared

to the inspector that operation of

the

CAC system in this manner could have presented difficulty to

the operators,

particularly since existing procedures

did not

provide guidance

on manual

operation of the system.

As stated

in

the

LER,

PPMs 2.3.3A and 2.3.3B were revised

(on August 29,

1991)

to require operation of CAC with CAC-FC-67A/B in the manual

Mode.

This

LER noted that the design discrepancy

being reported

had

existed

since plant construction

and startup.

Records

indicated

that

a Startup

Problem Report

(SPR)

was written in 1981 to document

that the wrong type of controller was supplied for use with the

CAC

skids.

This discrepancy

was dispositioned

and tracked

by a Project

Engineering Directive

(PED) in 1982

and the applicable

SPR was

closed out.

The

PED directed that

new ratio controllers

be

procured

and installed

as designed.

A memorandum

from Bechtel to

their electrical contractor directed that the work be accomplished

per the

PED.

However, the work was never

accomplished

and .there

are

no records indicating that the

new controllers were ever

procured.

Failure of the licensee's

tracking systems

to ensure

implementation of the

PED was still being researched

by the licen-

see at the conclusion of the inspection.

It appears,

therefore,

that these controllers

have

been

unable to perform their intended

function since plant startup,

and consequently,

that the

CAC system

has

been inoperable

since the plant was first started

up in 1984.

This is an apparent violation of the TS, Section 3.6.6. 1 (397/91-

44-05).

As previously stated,

the licensee

revised

system

procedures

on August 29,

1991 to provide for manual

system

operation.

A System

Lineup Test

was performed in April 1983

and

a Preopera-

tional Test

was performed in December

1983.

Neither of these tests

identified that the wrong type of controllers

was installed.

The

required

18 month surveillance test of the

CAC system

was also

unable to identify the existence of this controller deficiency.

Another aspect of this

LER is noteworthy.

A safety evaluation

was

performed in November

1991 to allow for manual

operation of

CAC-FC-67A/B. It determined that the

55X recycle flow used

as the

analyzed

flow rate in the

FSAR,

and originally used

as the setpoint

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for CAC-FC-67A and

67B in the

CAC operating procedure,

would

probably have resulted

i'n tripping of the recombiner

due to high

catalyst temperature.

This was because

the blower flow rate during

the preoperational

test was"actually measured

to be 86,SCFH at

atmospheric

pressure

vs. the 65.7

SCFH stated

in the

FEAR.

The

flow-rate would be even higher at elevated

containment'pressures.

As

a result of these findings, the licensee

made additional

changes

to

PPHs 2.3.3A and 2.3.3B to provide for stationing

an additional

operator at the

CAC operating

panel

during post-LOCA conditions.

Finally, the inspector

noted that the controller deficiency was

first discovered

and documented

in a

PER on August 7,

1991,

and

was

addressed

by a procedure revision which was issued

on August 29.

However, the licensee's

reportability assessment

was not completed

until October

31 (at which time

a report was

made pursuant to

10 CFR 50.72),

and

LER 91-29 was not issued until December

2.

This

extended

period after the controller deficiency was identified

before it was reported to the

NRC is an apparent violation of- the

reporting requirements

of 10 CFR 50.72

and 50.73 (397/91-44-06).

The inspector

concluded that the licensee

had missed opportunities

to discover

and correct this problem with the

CAC flow controllers.

It appeared

that without operator action,

the

CAC system would not

have

been

able to fulfillits intended safety function.

In

addition, operati'ng

procedures

in effect from plant startup until

August 29,

1991 directed the use of the automatic

mode for the

CAC

controllers

and provided

no guidance to operators

on how to control

the

CAC system in the manual

mode.

6.

Hiscellaneous

Problem Evaluation

Re uests

Other problems with valves

CAC-FCV-6A and

6B have also

been identified

by the licensee.

Problem Evaluation

Request

(PER)

291-481

documented

a

deficiency in Hay 1991, in that neither valve would achieve its full

1-3/8" stroke.

Valve FCV-6A would only stroke 1".

Also, the valve was

80X closed

when

a 50X signal

(12 milliamps) was applied to it, vs. the

50% closed that it should

have

been.

Likewise,

FCV-6B would only stroke

1-1/8" and reached

80X closed

when

a 50X closed signal

was applied to

it.

These conditions

were significant, in that they would have affected

the ability of the

CAC system to achieve the proper recycle flow, and

therefore to avoid system

shutdown

on high catalyst temperature.

These

conditions

were corrected

before the end of the

1991 refueling outage,

and were determined

by the licensee

not to have affected

system opera-

bility.

7.

Conclusions

Apparent violations of regulatory requirements

were identified during

this inspection,

as discussed

in the foregoing paragraphs.

These

are

summarized

as follows:

Seismic supports for the

CAC system were not assembled

as required

(paragraph

4.a).

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The "A" Train of the

CAC system

was inoperable

from December

1990

through September

1991

because

of loss of lubricating .oil from the

blower (paragraph

5.a).

Both trains of the

CAC system were inoperable

from before initial

plant startup, until procedures

were revised in August '1991 to

provide'for manual

operation,

because

improper recycle flow

controllers

were installed

(paragraph

5.b).

The licensee

did not report the inoperability of both trains of CAC

(caused

by the use of improper flow controllers) within the time

periods required

by 10 CFR 50.72

and 50.73

(paragraph 5.b).

The

NRC expects

safety

systems to be operable

in accordance

with the

Technical Specifications,

configured in accordance

with design drawings

and the Final Safety Analysis Report,

operated with correct procedures,

and maintained

in a manner which provides

a high degree of confidence

that the system will perform its intended safety function when called

upon.

The above apparent violations

and other inspection findings

discussed

earl'ier in this report indicate that this requisite attention

to the

CAC system

by Supply System

management

has not been provided.

It

appears

that the involvement of the engineering,

quality assurance,

operations,

and maintenance

organizations

in the

CAC system

has

been

insufficient.

8.

Unresolved

Item

Unresolved

stems

are matters

about which the

NRC requires further infor-

mation in order to determine

whether the matters

represent

violations,

deviations,

or acceptable

items.

An unresolved

item identified during

this inspection is 'discussed

in paragraph

4.c of this report.

9.

~Eit 9

tt

An exit meeting

was conducted with the indicated licensee

personnel

(refer to paragraph

1)

on December

6,

1991.

The scope of this

inspection

and the inspectors'indings,

as noted in this report,

were

discussed

and acknowledged'by

the licensee

representatives.

The licensee

did not identify as proprietary

any of the information

reviewed

by or discussed

with the inspectors

during the inspection.

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