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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
ACCELERATOR DOCUMENT DISTRJ TION SYSTEM
)cW REGULATO~ INFORMATION DISTRIBUTION TEM (RIDS)
!ACCESSION NBR:9303220278 DOC.DATE: 93/03/19 NOTARIZED: NO DOCKET
~'ACIL:50-397 WPPSS Nuclear Project, Unit 2, Washington Public Powe 05000397 AUTH. NAME AUTHOR AFFILIATION FIES I C. L. Washington Public Power Supply System BAKERgJ.W. Washington Public Power Supply System RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 93-009-00:on 930217,concluded that existence of noncondensible gases in reference leg of RPV Instrumentation. Caused by design deficiency. Credit was taken for existing flood watch.W/930319 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident pt, etc.
NOTES:
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD5 LA 1 1 PD5 PD 1 1 CLIFFORDgJ 1 1 INTERNAL: ACNW 2, ACRS 2 2 AEOD/DOA 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFBHE 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 NRR/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 NR~ SPLB 1 1 NRR/DSSA/SRXB 1 REC FILE 02 1 1 RES/DSIR/EIB 1 ILE 01 1 1 EXTERNAL: EG&G BRYCEgJ.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACI'IIE DOCUMEN'I'ON'I:ROL DI>V.,
ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME FROM DISTRIDUT!ON LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 32 ENCL 32
ti WASHINGTON PUBLIC POWER SUPPLY SYSTEM P.O. Box 968 ~ 3000 George Washington Way ~ Richland, Washington 99352 March 19, 1993 G02-93-065 Docket No. 50-397 Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555
Subject:
NUCLEAR PLANT WNP-2, OPERATING LICENSE NPF-21 LICENSEE EVENT REPORT NO.93-009
Reference:
Letter G02-93-051, dated March 2, 1993, J. W. Baker (SS) to J. B. Martin (NRC), "Existence of Noncondensable Gases in the RPV Narrow Range Instrumentation" Transmitted herewith is Licensee Event Report No.93-009 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.
This LER changes the Supply System's commitment on backfilling while pressurized. The reference stated that procedures were being developed. At this time backfilling at pressure is still being evaluated.
Sincerely,
. W. Baker WNP-2 Plant Manager (Mail Drop 927M)
JWB/CLF/cgeh Enclosure CC: Mr. J. B; Martin, NRC - Region V Mr. R. Barr, NRC Resident Inspector (Mail Drop 901A, 2 Copies)
INFO Records Center - Atlanta, GA Mr. D. L. Williams, BPA (Mail Drop 399)
Z20gl g
'st303220278 9303i9 PDR ADOCK 05000397 S PDR
LICENSEE EVENIIEPORT (LER)
AGILITY NAME (I) DOCKET NUHB R (2) PAGE (3)
Washin ton Nuclear Plant - Unit 2 O 5 O O O 3 9 7 I OF IO ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION EVENT DATE (5) LER NUHBER 6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
MONTH DAY YEAR YEAR SEQUENTIAL EVISIOH HONTH OAY YEAR FACILITY HAHES CKET HUHBERS(S)
NUHBER UHBER 5 0 0 2 1 7 9 3 9 3 0 0 9 0 0 0 3 1 9 9 3 5 0 PERATING MIS REPORT IS SUBHITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR 5: (Check one or more of the following) (11 ODE (9) 1 ONER LEVEL 20.402(b) 20.405(C) 50.73(a)(2)(iv) 77.71(b)
(10) 20.405(a)(1)(i) 50.36(c)(1) 50.73(a)(2)(v) 73.73(c) 20.405(a)(1)(ii) 50.36(c)(2) 50.73(a)(2)(vii) THER (Specify in Abstract 0.405(a)(l)(iii) 0.73(a)(2)(i) 0.73(a)(2)(viii)(A) elow and in Text, NRC 0.405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(a)(2)(viii)(B) orm 366A) 0.405(a)(1)(v) 0.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
AHE TELEPHOHE HUHBER C. L. Fies, Compliance Engineer REA CODE 5 0 9 7 7 - 4 1 4 7 COMPLETE OHE LINE FOR EACH COMPONENT FAILURE OESCRIBEO IH THIS REPORl'13)
CAUSE SYSTEM COMPONENT MAHUFACTURER EPORTABLE Ii:,",ig: CAUSE SYSTEH COMPONENT MANUFACTURER EPORTABLE ';?'.".;",)
0 NPRDS TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED SUBHISSIOH MONTH DAY YEAR ATE (15)
YES (If yes, complete EXPECTED SUBHISSIOH DATE) NO
'FRACT nIO On February 17, 1993, after a period of engineering review and evaluation, plant management concluded that the existence of noncondensible gases in the reference leg of Reactor Pressure Vessel (RPV)
Instrumentation could have affected the point at which a RPV Level 3 isolation actuated. This acutation is required in response to a postulated pipe crack and would have delayed a Nuclear Steam Supply Shutoff System (NS4) Groups 5 and 6 isolation.
As an immediate corrective action credit was taken for an existing flood watch to assure a leak would be detected and any flood could be terminated. Further corrective actions include procedure changes and training to provide plant operators with information on how to recognize the noncondensible gas problem and to describe actions to be taken if the conditions are observed. Boiling Water Reactor Owners Group (BWROG) activities associated with this problem are being tracked to provide a short and long-term solution to this issue.
The root cause of this event was a design deficiency. The RPV level instrumentation designer did not recognize the impact of noncondensible gases in the system.
The event posed no threat to the health and safety of either the public or plant personnel.
LICENSEE EVENT REPORT ( )
TEXT CONTINUATtON AGILITY NAME (1) OOCKET NUMBER (2) LER NUMBER (8) AGE (3) umber ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 009 2 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION Plant ndi i n Power Level - 100%
Plant Mode -1 Event D ri ion On February 17, 1993, after a period of engineering review and evaluation, plant management concluded that the existence of noncondensible gases in the reference leg of Reactor Pressure Vessel (RPV)
Instrumentation could have affected the point at which the RPV Level 3 isolation actuated. This trip is used to mitigate a postulated moderate energy line crack during shutdown cooling. During shutdown cooling a RPV Level 3 trip results in a Nuclear Steam Supply Shutoff System (NS') Groups 5 and 6 isolation. This isolation closes the Residual Heat Removal (RHR) Shutdown Cooling Outboard and Inboard Supply Valves (RHR-V-8 and RHR-V-9) plus other RHR system valves (please see the attached figure).
The purpose of this isolation function is to prevent draining the RPV water to areas outside containment in the unlikely event of a pipe crack in the RHR piping. Four Level Indicating Switches (MS-LIS-24A, B, C, and D) are used to detect a loss of water level during this shutdown cooling condition. Each of these instruments is associated with a separate condensing chamber (MS-CU-4A, D, C, and B, respectively) and reference leg instrument tubing. The logic associated with Group 5 and 6 isolation is a two-out-of-two arrangement. One trip system (Division) of the logic operates the outboard valves and the other the inboard valves. A RPV low water level condition detected by MS-LIS-24A (associated with MS-CU-4A) and MS-LIS-24B (associated with MS-CU-4D) would result in an outboard isolation (closure of RHR-V-8, plus other valves). Likewise, a RPV low water level condition detected by MS-LIS-24C (associated with MS-CU-4C) and MS-LIS-24D (associated with MS-CU-4B) would result in an inboard isolation (closure of RHR-V-9 plus other valves).
Previously, on January 21, 1993, during depressurization after 140 days at power, RPV level notching and degassing were observed as part of preplanned data gathering for the Boiling Water Reactor Owners Group (BWROG). The notching and degassing are both believed to have been initiated by the build up of noncondensable gases in the level instrumentation reference legs during the approximately 140 day run prior to the scram. During operation, these gases can move into the reference legs by several methods.
These include, 1) leakage at the instrument racks, which allows the water with the dissolved gases to migrate down the reference legs, 2) thermal mixing within the reference leg, 3) gas diffusion down the reference legs and 4) gases introduced by surveillance test activities when test equipment is connected to the instrument lines.
LICENSEE EVENT REPORT (eI)
TEXT CONTINUATION AGILITY NAKE (i) OOCKET NURSER (2) LER NURSER (8) AGE (3)
Year umber ev. Ko.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 09 3 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION The term notching is used to describe indicated alternating step increases in level indication of about six inches lasting for about one minute. It is believed to be a result of gas bubbles that accumulate and are released as relatively large bubbles during depressurization and eventually propagate to the vertical sections resulting in momentary water head perturbations. The notching is repetitive and may reflect the instrument piping geometry. The term degassing is used to describe erratic noise like pulses that can result in an increased level biased error. It is a result of the noncondensable gases coming out of solution forming many small bubbles that propagate to vertical sections resulting in momentary water head perturbations, The quantity of noncondensable gasses released during depressurization by this mechanism, possibly in combination with the phenomenon resulting in notching, can displace water from the reference leg as the bubbles move up the reference leg lines. A reference leg level water volume decrease results in a higher than actual water level indication.
Following the reactor scram on January 21, 1993, notching on narrow range channels B and C (associated with condensing chambers MS-CU-4B and MS-CU-4C respectively) was observed by high resolution recording provided by the computer system. This data was being collected to support BWROG activities associated with this subject. No notching was detected on Channel A and Channel D is not recorded. The first notch occurred on Channel C about 7.7 hours8.101852e-5 days <br />0.00194 hours <br />1.157407e-5 weeks <br />2.6635e-6 months <br /> after the scram when reactor pressure was about 120 psig. The notch gave a false high level indication of about four inches lasting for about one minute.
Channel C notching indications reappeared at ten to fifteen minute intervals until they were masked by significant degassing at about 10.7 hours8.101852e-5 days <br />0.00194 hours <br />1.157407e-5 weeks <br />2.6635e-6 months <br /> after the scram. Notching appeared on Channel B about 8.6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> after the scram with pressure about 50 psig. Channel B showed repeated double notches of about seven inches in height with the first notch having duration of about one minute followed by a second notch of about 0.8 minute duration. The Channel B notching continued throughout the monitored period.
Some degassing was observed on all narrow range channels monitored by the computer starting about eight hours after the scram when pressure was about 80 psig. The degassing for Channels A and B did not produce an appreciable bias; the indicated increase was less than about two inches. Channel'C showed increased degassing of about 10 inches at about nine hours after the scram when pressure was 35 psig. At about 10.7 hours8.101852e-5 days <br />0.00194 hours <br />1.157407e-5 weeks <br />2.6635e-6 months <br /> after the scram, coincident with the initiation of shutdown cooling and a pressure drop from 20 to 10 psig, significant degassing occurred on narrow range Channel C. The degassing resulted in a peak level offset of about 32 inches within four minutes of the pressure reduction. Within about 25 minutes narrow range Channel C recovered to an average value of about six inches above the expected level and within two hours it had fully recovered to the expected level; probably in response to the condensing chamber refilling the reference leg.
This observed behavior of the RPV level instrumentation could have delayed the initiation of a Level 3 trip in the event of a pipe crack in the RHR piping. The inboard isolation function is initiated only if level indicating Switches MS-LIS-24C and MS-LIS-24D are both actuated. Thus, the trip could have been delayed until the level was 32 inches below Level 3 based on the observed degassing behavior of narrow
'ICENSEE EVENT REPORT (4)
TEXT CONTINUATION ACILITY NANE (1) OOCKET NUMBER (2) LER NUMBER (8) AGE (3)
Year ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 09 4 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION range Channel C. The response of the redundant outboard logic as a result of degassing is indeterminant.
No high resolution recording data is available for the instrumentation associated with condensing Chamber MS-CU-4D and connected indicating Switch MS-LIS-24B. No degassing was observed associated with MS-CU-4A and its connected MS-LIS-24A. However, the two-out-of-two logic requires both channels to trip for isolation.
This condition could have impacted the flooding analysis and the capability to remove decay heat from the reactor.
Immedi e orrec ive Ac ion Credit was taken for an existing flood watch using surveillance cameras and an hourly flood tour to assure a leak is detected and any flood could be terminated. These compensatory measures were initiated as compensatory action for problems experienced with the ECCS pump room penetration seals as explained in LER 92-034.
her Ev luai n R e n rr iveAci n A. Further Evaluation
- 1. This event is being reported per the requirements of 10CFR 50.73(a)(2)(v) as, "....an event or condition that along could have prevented the fulfillment of the safety function of....systems that are needed to....remove residual heat." A four hour nonemergency report in accordance with 10CFR 50.72(b)(2)(iii) was made at 1656 hours0.0192 days <br />0.46 hours <br />0.00274 weeks <br />6.30108e-4 months <br /> on February 17, 1993.
- 2. A further evaluation was performed for each of the instruments attached to the condensing chambers. The instrumentation can be divided into three functional categories: those'that provide signals for automatic actuations or process variable information for plant operator use at pressures above 450 psig; those that provide process variable information for plant operator use at pressures below 450 psig; and those that provide signals for automatic actuations at pressures below 450 psig.
The following is a discussion of each category:
- a. Functions that use instrumentation to provide signals for automatic actuation or process variable information for operator action at pressures above 450 psig include High Pressure Core Spray (HPCS) high level trip, RPV low water level scram, Reactor Core Isolation Cooling (RCIC) high level trip, HPCS RPV low water level initiation, containment isolation initiation, post accident RPV level and pressure monitoring, Main Steam Isolation Valve (MSIV) high pressure scram interlock, RPV high pressure scram, reactor feedwater RPV high
LICENSEE EVENT REPORT TEXT CONTINUATION (4)
ACILITY HARE (1) OOCKET HUHBER (2) LER HUHBER (8) AGE (3) umber ev. Ho.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 09 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION water level trip, RPV low water level ATWS initiation, ECCS/RCIC RPV low water level initiation, Automatic Depressurization System (ADS) initiation on low RPV level, Safety Relief Valve (SRV) actuation, ECCS injection valve interlock on low RPV pressure, and ATWS initiation on RPV high pressure. Since these functions all occur at high pressure the evaluation concluded there would be no impact from notching or degassing.
- b. Functions that use instrumentation to provide information for plant operator use at pressures below 450 psig include post accident water level monitoring (main control room and remote shutdown panels), post accident RPV pressure monitoring (main control room and remote shutdown panels), and post accident fuel zone, shutdown range, and upset range RPV water level monitoring. For these functions plant operators have been provided with guidance in determining RPV vessel water level following depressurization when degassing may have resulted in inaccurate water level displays.
In addition, in this category the MSLC function provides a permissive for Operator initiated MSLC following a LOCA at a pressure which will protect the low pressure piping. This variable actuates at 61 psig which is within the range at which WNP-2 and other Plants have experienced the effects of instrument line degassing. The worst case result of degassing is a premature initiation of MSLC at approximately 79 psig. This has no safety significance since WNP-2 has preliminary calculations which indicate that the MSLC piping will not fail from an inadvertent opening of the system inlet valves with the MSIVs closed and leaking at maximum Technical Specification rates.
- c. There is one function that uses instrumentation signals for automatic actuation at RPV pressure below 450 psig; RHR Isolation during shutdown cooling.
The RHR shutdown cooling isolation valves are held closed by a reactor pressure interlock to prevent opening these valves during high reactor pressure conditions and exposing the low pressure piping to high pressure. For moderate energy pipe crack events (RHR piping), during shutdown cooling operation when the reactor is depressurized, these valves are automatically closed by reactor low water signals (Level 3 trip). Under Mode 3 conditions, the RPV Level 3 trip could experience water degassing and not be available to actuate RHR valve isolation at the correct time. The corrective actions below describe how the plant will be operated within the bounds of the Technical Specification under these conditions.
Further evaluation has been completed assuming that the reactor Vessel Level 3 trip signals are not available. In this case, the crack will continue to flood the RHR pump room without automatic isolation (refer to FSAR Question Response 211.031). This condition will continue until the pump room flood monitors actuate and alert Plant Operators of flood conditions. The
LICENSEE EVENT REPORT {Nl)
TEXT CONTINUATION AC1LITY MAHE (1) OOCKET MUHBER (2) LER MUHBER (8) AGE (3)
Year Number ev. Mo.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 09 0 0 6 F 10 1TLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION accident analysis assumes that Operator action can occur from the Control Room 20 minutes after the condition is known. This event will result in loss of approximately 63 inches of reactor with loss being terminated by Operator action at a vessel of approximately -22 inches; this is 138 inches above the Top Of Active Fuel.
The above Shutdown Cooling scenario assumes that the pump room flood monitor actuates.
Since these monitors are not single failure proof, it is necessary to postulate loss of this signal.
In this case, no safety related backup signals exist which will actuate under all post accident operating conditions to alert operators to the need for flood mitigation. Flooding can be mitigated by either the hourly tour or surveillance cameras. This will result in a scenario where operators will begin RPV makeup if water drops within the EOP control band preventing core uncovery. The break will continue to flood the pump room until it is identified by the tour (the most conservative option) and operator action is taken to terminate the flood. The flood tour or camera monitoring will continue until the cause of degassing is corrected or until the specific effects of degassing are known and shown to be acceptable.
During shutdown cooling, the flood tour or continuous monitoring need only be continued until the four narrow range instrument legs can be back filled to the condensing chambers.
- 3. There were no structures, components or systems that were inoperable prior to the start of this event which contributed to the event.
B. Rog~~au g The root cause of this event was a design deficiency. The RPV instrumentation designer did not recognize the impact of noncondensible gases in the system. Very low leakage criteria were not a requirement of the original design.
C. om leted orrective Ac ion The following corrective actions have been completed in response to this issue.
- 1. Criteria have been developed for operability of RPV Water Level Isolation Logic for RHR Isolation.
- a. Channels A through D are operable in Modes 1 and 2 as the phenomenon observed can only exist during depressurization.
LICENSEE EVENT REPORT (Ol)
TEXT CONTINUATION AGILITY HAHE (1) DOCKET NUHBER (2) LER HUHBER (8) AGE (3) ev. Ho.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 009 0 0 7 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION
- b. An operability assessment of water level instrumentation isolation will be made when the plant enters Mode 3. To be conservative the Supply System will assume Channel C is inoperable in Mode 3 for Technical Specification 3/4.3.2, Trip Function S.a. Channel C will be declared inoperable when the plant enters Mode 3 and the required response of Technical Specification Action Statement (3.3.2.b.2) will be taken promptly without regard to the 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> allowed by the Action Statement. The Supply System will inform the NRC resident inspector when Channel C is declared operable.
- c. Notches that exceed six inches in height and a duration of two minutes are deemed unacceptable notches. When an unacceptable notch is observed, the trip channel associated with that signal is deemed inoperable.
- d. If a trip channel has been deemed inoperable, the function of that channel may be recovered.
Recovery of the channel requires the indication to return to the water level value that is consistent with the other operable water level channels and maintain that recovered water level indication for at least five minutes.
- 2. It is the Supply System's position that channels A, B, and D are operable in Mode 3. This is based upon the recognition that the notching observed in these channels is well defined, of short duration, produces a small error in RPV level indication and is much different from what would be expected for actual loss of RPV inventory that would put the plant at risk.
- 3. RPV water level instrumentation will be closely monitored whenever RPV pressure is below 450 psig until cold shutdown conditions are reached. This observation will be enhanced by using a real time plot of available Transient Data Acquisition System (TDAS) computer channels, when available, and local observation of MS-LIS-24B (narrow range Channel D). In addition, the plant process computer will be configured to display available RPV narrow range data. In Mode 3, if water level degassing is observed and the trip channel is deemed inoperable per the criteria in Paragraph 1 above, the Technical Specification Action Statement for MS-LIS-24A/B/D (3/4 3.3.2) will be entered.
- 4. In Mode 3, ifentry into the Shutdown Cooling Mode has occurred and degassing is observed, the Plant will either continue to cold shutdown within the applicable Technical Specification actions or will remain in Hot Shutdown and restore the inoperable channel to an operable condition per the requirements of Paragraph 1 above, prior to continuing plant shutdown to cold shutdown.
L(CENSEE EVENT REPORT TEXT CONTINUATION
{4)
AGILITY NANE (1) DOCKET NUMBER (2) LER NUNBER (8) AGE (3) ev. NO.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 009 0 0 8 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION
- 5. Ifany channel(s) is inoperable, the existing hourly flood tour (or continuous camera surveillance) will continue in the associated RHR pump room whenever the Shutdown Cooling mode is entered when the Plant is in Mode 3 and will remain in effect until the Plant is in Mode 4.
- 6. Plant Procedures PPM 3.2.1, Normal Shutdown to Cold Shutdown, PPM 3.2.2, Normal Shutdown to Hot Shutdown, and PPM 3.3.1, Reactor Scram have been revised to accomplish the following:
a) provide the operators instructions for enhanced monitoring of the narrow range RPV data to facilitate the identification of notching and degassing; b) provide the operators with guidance on how to recognize these conditions; and c) describe the actions to take if they are observed.
- 7. Operator training on the recognition of degassing and notching and on the determination of RPV water during depressurization has been completed.
- 8. A plant walkdown to visually identify any leaks has been completed. Leakage was measured over a four day period ending on March 1, 1993. Evidence of past leakage was present on valves and fittings associated with all condensing chambers. At the time of the inspection no visible leakage was observed on equipment associated with MS-CU-4A. Those areas that had the potential for significant leakage were bagged in an effort to quantify the leak. Measured leakage from equipment associated with MS-CU-4B was 41 milliliters over 98 hours0.00113 days <br />0.0272 hours <br />1.62037e-4 weeks <br />3.7289e-5 months <br />. Leakage from devices associated with MS-CU-4C was 10 milliliters over 117 hours0.00135 days <br />0.0325 hours <br />1.934524e-4 weeks <br />4.45185e-5 months <br /> and leakage from MS-CU-4D was 15 milliliters over 99 hours0.00115 days <br />0.0275 hours <br />1.636905e-4 weeks <br />3.76695e-5 months <br />.
D. F her rrec ive Acti n
- 1. Procedures are being developed to backfill in Mode 4 while depressurized. These will be completed by April 15, 1993.
- 2. Procedures and methods are being evaluated for instrument line backfilling while pressurized. This evaluation will be completed by April 1, 1993.
- 3. An evaluation will be performed to identify any maintenance that can be implemented in the near term to minimize the RPV level inaccuracies. This evaluation will be completed by April 15, 1993.
- 4. A walkdown will be performed to identify areas in the reference leg piping where line slope could cause noncondensible gases to accumulate. This will be completed by the end'of refuel outage Number 8 (approximately June 15, 1993).
LICENSEE EVENT REPORT (4)
TEXT CONTINUATION ACILITY NAHE (I) OOCKET NUHBER (2) LER NUHBER (8) AGE (3)
Number ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 009 00 9 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION
- 5. The Supply System will continue to participate in BWROG activities associated with this subject.
Recommendations made by the BWROG are expected to provide both short term maintenance and long-term resolution to this issue.
EEEE i~
Previous plant operation without knowledge of the importance of eliminating gasses from the instrument lines could have resulted in nonconservative biased indication of the instrumentation. However, information was available to assist plant operators in responding to plant emergencies with inaccurate instrumentation. With regard to the shutdown cooling isolation, the existence of the safety related room flood monitor provides a backup to the Level 3 trip. Even with the failure of this second device the analysis shows the plant can be safely shutdown. Therefore, the Supply System concludes the specific event described in this LER involving a Level 3 trip is not safety significant. However, the general issue of noncondensible gases in the reference leg of RPV instrumentation is safety significant.
E~tf TxRf n E~Ef
/~/em g~om linen Reach Pressure Vessel (RPV) VSL Nuclear Steam Supply System (NS4) BD Residual Heat Removal System (RHR) BO RHR Shutdown Cooling Supply Valves BO (RHR-V-8 & RHR-V-9)
Level Indicating Switches SB LIS (MS-LIS-24A, B) C and D)
Condensing Chambers SB COND (MS-CU-4A, B, C and D)
High Pressure Core Spray System (HPCS) BG Reactor Core Isolation Cooling System (RCIC) BN Safety Relief Valves (SRV) SB Main Steam Leakage Control (MSCC) SB Transient Data Acquisition System (TDAS) IP
LICENSEE EVENT REPORT ( )
TEXT CONTINUATION AGILITY NAME (1) OOCKET NUMBER (2) LER NOMOER (e) AGE (3)
Year umber ev. No.
Washington Nuclear Plant - Unit 2 0 5 0 0 0 3 9 7 009 10 F 10 ITLE (4)
EXISTENCE OF NONCONDENSABLE GASES IN THE REFERENCE LEG OF REACTOR PRESSURE VESSEL INSTRUMENTATION RFM~T ItFWMT HS~eA Chtnnel 8 Ch<<met 0 RFM~'T IIFMMT Ch<<met A Cbrit C I I
~ pots dawn et ttttterent
~ twetlons tor ctertty I I I HS <IS-2ee HSM-2IA I I HUIS-2eC HUIS 2ee I I I I I I I I I I OR-VW Ctoars I I I +At+6 I I I I
I I I I I OR.V4 Ctoare L
Gth<<'ree 5 Ond e ISOletlcn oR VR RPV Narrow Range Level