ML17304A721

LER 86-063-00:on 860920,discovered That Error in Radioactive Source Tracking Sys Resulted in Radioactive Sealed Source Not Being Leak Tested Once Per 6 Months.Caused by Personnel Error.Entries verified.W/881031 Ltr

ML17304A721
Person / Time
Site:	Palo Verde
Issue date:	10/31/1988
From:	Haynes J, Shriver T ARIZONA PUBLIC SERVICE CO. (FORMERLY ARIZONA NUCLEAR
To:	NRC OFFICE OF ADMINISTRATION & RESOURCES MANAGEMENT (ARM)
References
192-00427-JGH-T, 192-427-JGH-T, LER-86-063-01, LER-86-63-1, NUDOCS 8811090216
Download: ML17304A721 (12)

Text

gc CELE RATED I7RIBUTION DEMONS'JTION SYSI'EM REGUL'ATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)

ACCESSION NBR: 8811090216 DOC. DATE: 88/10/51 NOTARIZED: NO FACIL:STN-50-528 Palo Verde Nuclear Station, Unit 1, Arizona Publi 05000528

'OCKET' NAME AUTHOR AFFILIATION .'UTH.

SHRIVER,T.D. 'Arizona Nucl'ear Power Project (formerly Arizona Public Serv ii HAYNES,J.G. Arizona Nuclear Power Prospect (formerly Arizona Public Serv>.

RECIP.NAME RECIPIENT AFFILIATION

SUBJECT:

LER 86-063-00:on 860920,radioactive sealed source not I surveillance tested.

W/8 DISTRIBUTION CODE: IE22D COPIES RECEIVED:LTR TITLE: 50.73 Licensee Event Report (LER), .Incident Rpt, 2 ENCL 0etc.SIZE:

NOTES:Standardized plant. 05000528 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D l

PD5 LA 1 1 PD5 1 1 CHAN,T 1 1 PD'AVIS,M 1 1 D INTERNAL: ACRS MICHELSON 1 1 ACRS MOELLER 2 2 ACRS WYLIE 1 1 AEOD/DOA 1 1 AEOD/DS P/TPAB, 1 1 ARM/DCTS/DAB 1 1 DEDRO 1 1 NRR/DEST/ADS 7E 1 0 NRR/DEST/CEB 8H 1 1 NRR/DEST/ESB 8D 1 1 NRR/DEST/ICSB 7 1 1 NRR/DEST/MEB 9H 1 1 NRR/DEST/MTB 9H 1 1 NRR/DEST/PSB 8D 1 1 NRR/DEST/RSB 8E 1 1 NRR/DEST/SGB 8D 1 1 NRR/DLPQ/HFB 10 NRR/DOEA/EAB NRR/DREP/RPB 10 ll 1 1

2 1

1 2

NRR/DLPQ/QAB 10 NRR/DREP/RAB 10 RR%J3REG/SIB 9A 1

1 1

1 1

1 NUDOCS-ABSTRACT 1 1 GMZLM 02 1 1 RES/DSIR/EIB 1 1 RES/DSR/PRAB 1 1 RGN5 FILE 01 1 1 EXTERNAL: EG&G WILLIAMS,S 4 4 FORD BLDG HOY I A 1 1 H ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 1 NSIC HARRIS,J 1 1 D NSIC MAYS,G 1 1 S

NOTES: 1 1 NVZE IO ALL "RIDS" D

RECIPIEFK'LEASE S

HELP US 10 ROICE WASTE.'GPZACT 'lHE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) KO ELIMINATE KH3R NAME FROM DISTRZKITIGN LISTS H)R DOCEGRI8 KRJ D0INiT NEED)

TOTAL NUMBER OF COPIES REQUIRED: LTTR 44 ENCL 43

NRC Form 355 U J. NUCLEAR REOULATOAY COMMISSION (9031 APPROVED 0MB NO. 31500101 LICENSEE EVENT REPORT ILER) EXPIRES: 5/31/45 FACILITY NAME OI DOCKET NUMSER (21 I'A Palo Verde Uni t 1 0 s 0 0 0 52 8 g oF TITLE I ~ I

,Radioactive Sealed Source Not Surveillance Tested EVENT DATE (51 LER NUMBER (51 REPORT DATE (71 OTHER FACILITIES INVOLVED ISI MONTH OAY YEAR YEAR SEOVONT!AL OAY YEAR FAC! LITY NAMES DOCKET NUMBER(SI n, NVMSE!l NVM4EA MONTH Palo Verde Unit 2 0 so 0 0 529 0 9 2 0 8 6 8 6 063 00 10 3 1 8 8 Palo Verde Unit 3 0 so 0 0 530 OPERATINO THIS AEPORT IS SUSMI'TTED PURSUANT T 0 THE REDUHIEMENTs oF 10 cFR (I: Ichno one or more ol the lotto>>inII (11 MODE (4) ] 20.402(4) 20.405(cl 50.734) (2) Or) 73.71(41 POIYER 20.405( ~ l(111! I 50.35(cl(11 50.7341(2)(vl 73.71(cl

] 0 0 20.405(e 1(1)(el 50.35(e) (2) 50.7341(21(vE) oTHER Ispecily in Aottrect Octo>>end ln Tert, IIRC Form 20.405(e) I( l(n!I X 50734)12)OI 50.734) (21(vIII)(Al SFSAI 20.405 (e I (I) Ov) 50.7341(2)(4) 50.73( ~ )(2)(vlS)(S)

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LICENSEE CONTACT FOR THIS LER (121 NAME TELEPHONE NUMSER AREA CODE Timothy D. Shriver, Compliance Manager 6 02 39 3- 25 21 COMIILETE ONE LINE FOR EACH COMPONENT FAILVAE DESCRISEO IN THIS REPORT I131 CAUSE SYSTEM COMPONENT MANVFAC EPORTABLE '5(!)!!r(!I(/pe:j[43r MANUFAC EPOATASI.E TVREA TO NPADS CAUSE SYSTEM COMPONENT TVRER TO NPRDS SUPPLEMENTAL REPOR'7 EXPECTED IIOI MONTH OAY YEAR EXPECTED SUSMISSION DATE (15)

YES Illyn, COmpiete EXPECTED S(ISIIISSIDII DA TEI NO ASSTRACT (Limit to ie00 tpecn, Ie., epproeimereiy lilteen tinoie tpece type>>ritten linnl (ISI On October 6, 1988 at approximately 1600 MST it was discovered that an error in ANPP's Radioactive Source Tracking System resulted in a radioactive sealed source not being leak tested once per six (6) months as required by Technical Specification 4.7. 10.2(a). Upon discovery, a satisfactory leak test was performed and completed at approximately 1630 MST on October 6, 1988.

The cause of this event was a cognitive personnel error on the part of an ANPP Technician in that he inadvertently identified a 97.7 millicurie source as being a 97.7 microcurie source for surveillance tracking purposes.

As corrective action, all other entries in the Source Tracking System were verified to be correct. Information entered into the Source Tracking System will be independently verified. This event will be reviewed by personnel responsible for maintaining the Source Tracking System.

There have been no previous similar events reported pursuant to 10CFR50.73.

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N/IC Form SSSA U.S. NUCLEAR REOULATORY COMM/SS/ON

/943/

LICENSEE EVENT REPORT {LER) TEXT CONTINUATION APPROVEO OM8 NO 3I50 010<

EXPIRES: 8/31/88 FACILITY NAME III DOCKET NUMSER ISI LER NUMSER ISl

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Pal o Verde Uni t 1 0 5 0 0 0 52 88 6 06 3 0 0 02oF 0 4 TEXT ////ooro N/oce /o r/rroo/E rr>> orooooro/P///C Form 3/EIA8/(IT/

DESCRIPTION OF WHAT OCCURRED:

A. Initial Conditions:

At the time of the event on September 20, 1986, Palo Verde Units 1 and 2 were in Mode 1 (POWER OPERATION) at approximately 100 percent power. The event occurred in Unit 3 on March 25, 1987 when the Operating License was issued.

B. Reportable Event Description (Including Dates and Approximate Times of Major Occurrences):

Event Classification: Condition Prohibited by the Plant's Technical Specifications At approximately 1600 MST on October 6, 1988, an ANPP Radiation Protection (RP) Technician (utility, non-licensed) discovered that a clerical error in ANPP's Source Tracking System resulted in a radioactive sealed source not being leak tested pursuant to Specification requirements. This leak testing was 'echnical required to have been performed by September 20, 1986. A satisfactory leak test was performed and completed at approximately 1630 MST on October 6, 1988.

Technical Specification 3.7. 10 requires that each sealed source containing radioactive material in excess of 100 microcuries of beta and/or gamma emitting material be free of greater than or equal to 0.005 microcurie of removable contamination. Associated Surveillance Requirement 4.7. 10 '(a) requires that sources in use be surveillance tested at least once per six (6) months.

On October 6, 1988, Unit 2 Radiation Protection personnel (utility, non-licensed) returned a radioactive sealed source to the ANPP Central Radiation Protection Calibration Lab. The source had been stored in Unit 2 and was periodically used by. Unit 2 personnel for Radiation Monitoring System (IL) operational checks. However, due to the infrequency of use, Unit 2 personnel decided to transfer the source to the Central RP Calibration Lab for storage. When the source was delivered to the Central RP Calibration Lab, the individual (utility, non-licensed) updating the computerized Source Tracking System noted that the source was improperly listed as a 97.7 microcurie source. The source is actually a 97.7 millicurie source. Because the source was improperly listed as being less than 100 microcuries, no surveillance testing had been performed since the source was delivered to ANPP on February 2; 1986 (appropriate leak testing was satisfactorily performed upon delivery).

Following the discovery that the source had not been properly surveillance tested, appropriate leak testing was immediately o med 'ccordance with a roved rocedural controls.

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/943) U.S, NUCLEAR REOULATO/IY COMMISSION LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVEO OMS NO 3I SOLIDI EXPIRES: 8/31/88 FACILITY NAME II) DOCKET NUMSE/I )3)

LER NUMSER l4) ~ AOE )3)

YEAR gL+i 55QVENT>AL NVM 51

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C. Status of structures, systems, or components that were inoperable at the start of the event that contributed to the event:

Not applicable - no structures, systems, or components were inoperable which contributed to this event. However, the sealed source leak testing was performed upon receipt on February 2, 1986 and subsequently on October 6, 1988. The .surveillance interval for the sealed source expired on September 20, 1986.

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D. Cause of each component or system failure, if known:

Not applicable - no component or system failures occurred.

E. Failure known:

mode, mechanism, and effect of each failed component, if Not applicable - no component failures occurred.

F. For failures of components with multiple functions, list of systems or secondary functions, that were also affected:

Not applicable - no component failures occurred.

G. For failure that rendered a train of a safety system inoperable, estimated time elapsed from the discovery of the failure until the train was returned to service:

Not applicable - no failures occurred.

H. Method of discovery of each component or system failure or procedural error:

Not applicable - there were no component or system failures or procedural errors.

Cause of Event:

The root cause of this event was a cognitive personnel error on the part of an ANPP Technician (contractor, non-licensed) responsible for maintaining and updating the Source Tracking System. The source was delivered to ANPP on February 2, 1986, and upon receipt inspection, information concerning the source was entered into the Source Tracking System. The individual completing the documents utilized for source tracking inadvertently identified the 97.7 millicurie source as being a 97.7 microcurie source. Since it was perceived that the source was less than 100 microcuries, no tracking of the source was required for surveillance purposes.

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NRC Perm 3SIA V.S. NUCLEAR RECVLATORY COMMISSIOk (993I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO 3ISO-OI/M EXPIRES: 8/31/SS FACILITY NAME 11) DOCKET NUMSER l1)

LER NUMSER ISI ~ AOE ISI YEAR rr'r,~g SIOVINT/AL AIvrsrnk NVMPIa NVMeea Palo Verde Unit 1 o s o o o 5 2 8 8 60 6 3 00 04 oF0 4 TEXT I// more ance II /eeeierE ow /Oro'one/HRC Arm 3SSA EV (1)l The personnel error was a result of .not adequately following approved procedural controls. The error was not a result of an error in an approved procedure and was not a result of an activity or task not covered by an approved procedure. There were no unusual characteristics of the work location that directly contributed to the event.

J. Safety System Response:

There were no safety system responses and none were necessary.

K. Failed Component Information:

Not applicable - there were no failed components.

II. ASSESSHENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT:

There were no safety consequences or implications resulting from this event as there was no impact on the safe operation of the plant or the health and safety of the public. Leak Testing performed as a result of this event determined that source leakage in excess of Technical Specification limits had not occurred.

I I I. CORRECTIVE ACTIONS:

A. Immediate:

The radioactive source was appropriately leak tested satisfactorily and the Source Tracking System was updated with the correct information.

B. Action to Prevent Recurrence:

Information contained within the Source Tracking System was reviewed and verified to be accurate. Additionally, an independent verification will be performed on new information entered into the Source Tracking System to ensure that the data is accurate. The individual responsible for maintaining the computerized Source Tracking System in February 1986 is no longer employed at PVNGS.

This event will be reviewed by personnel currently maintaining the Source Tracking System.

IV. PREVIOUS SIMILAR EVENTS:

There have been no previous similar events reported pursuant to 10CFR50.73.

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Arizona Nuclear Power Project ~

P.O. BOX 52034 ~ PHOENIX. ARIZONA85072-2034 192-00427-JGH/TDS/DAJ October 31, 1988 U. S. Nuclear Regulatory COIIIIission NRC Document Control Desk Washington, D.C. 20555 Deal Sirs:

Subject:

Palo Verde Nuclear Generating Station (PVNGS)

Unit 1 Docket No. STN 50-528 (License No. NPF-41)

Licensee Event Report 86-063-00 File: 88-020-404 Attached please find Licensee Event Report (LER) No. 86-063-00 prepared and submitted pursuant to 10CFR 50.73. In accordance'with 10CFR 50.73(d), we are herewith forwarding a copy of the LER to the Regional Administrator of the Region V office.

If you have any questions, please contact T. D. Shriver, Compliance Hanager at (602) 393-2521.

Very tr ly yours, i'.

G. Haynes Vice President Nuclear Production JGH/TDS/DAJ/kj Attachment CC: D. B. Karner (all w/a)

E. E. Van Brunt, Jr.

J. B. Hartin T. J. Polich H. J. Davis A. C. Gehr INPO Records Center

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