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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:RO)
MONTHYEARML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 ML17313A3131998-03-21021 March 1998 LER 98-001-00:on 980301,surveillance Test Deficiency Found During Qaa Leads to TS 3.0.3/4.0.3 Entry.Caused by Personnel Error.Personnel Responsible for Inadequately Performed SR Were Coached ML17313A2251998-03-0505 March 1998 LER 93-005-00:on 930309,CR Personnel Discovered Missed TS LCO Action & Subsequently Performed Surveillance Satisfactorily.Caused by Personnel Error.Appropriate Disciplinary Action issued.W/980305 Ltr ML17313A2241998-02-26026 February 1998 LER 98-001-00:on 980130,reactor Protection & ESFAS Instrumentation Not Bypassed within one-hour Allowed by TS Occurred.Caused by Inadequate Procedures.Expectation to Detect Alarm Conditions Was Emphasized to CR Personnel ML17313A2081998-02-10010 February 1998 LER 97-007-00:on 971006,TS Violation Occurred Due to Inadequate Shutdown Cooling Flow During Modes 5 & 6 Operation.Independent Investigation of Event Was Conducted IAW APS CA program.W/980210 Ltr ML17313A2041998-02-0505 February 1998 LER 97-006-00:on 971028,missed TS 4.0.5 SR Was Noted.Caused by Personnel Error.Independent Investigation of Event Is Being Conducted IAW W/Aps Corrective Action Program ML17313A1201997-11-12012 November 1997 LER 97-006-00:on 971020,manual Reactor Trip Occurred Due to Vibration & Bearing Temp Increases in Reactor Coolant Pump. Caused by Failed Lower Journal Bearing.Bearing Assembly Was Disassembled,Inspected & Rebuilt ML17312B7181997-10-0707 October 1997 LER 97-003-00:on 970907,inadvertent Loss of Power & EDG Start Occurred Due to Procedural Error.Changed Train a & Train B Edg/Ist ST Procedures to Consistently Reflect Proper Pretest Staging Hand switches.W/971007 Ltr ML17312B7051997-09-26026 September 1997 LER 97-003-01:on 970215,seven Main Steam Safety Valves Were Found Out of Tolerance Prior to Refueling Outage.Safety Analysis Performed Based Upon as-found MSSV Data Which Demonstrated That MSSVs Would Perform Safety Functions ML17312B5531997-07-0707 July 1997 LER 97-002-00:on 970528,SR for Core Protection Was Not Performed Due to Inadequate Procedures.Revised Procedures ML17312B5501997-07-0707 July 1997 LER 97-003-00:on 970211,notified of Trevitest Activities Indicating That Total of Seven MSSVs Had as-found Lift Set Pressures Greater than 3 Percent Allowed by TS 3.7.1.1. Investigation Conducted.Seven MSSVs replaced.W/970707 Ltr ML17312B4971997-06-13013 June 1997 LER 97-002-00:on 970531,RT Occurred.Caused by Spurious Opening of All Four Rt Switchgear Breakers.Independent Investigation of Event Being Conducted in Accordance W/Util Corrective Action Program ML17312B1461996-12-17017 December 1996 LER 96-007-00:on 961119,surveillance Test Deficiencies Were Found During GL 96-01 Review Leading to TS 3.0.3 Entries. Caused by Increase in Scope of Required Testing.Supplement Will Be submitted.W/961217 Ltr ML17312A9511996-09-0404 September 1996 LER 96-003-00:on 960809,open Auxiliary Bldg Door Caused Full Bldg Essential Filtration Inoperability.Caused by Personnel Error.C/As Under consideration.W/960904 Ltr ML17312A8641996-07-17017 July 1996 LER 96-001-00:on 960621,inaccurate Gas Calculations for Post Accident Sampling Sys Occurred.Caused by Surveillance Test Worksheet Errors.Independent Investigation of Event Being conducted.W/960717 Ltr ML17300B2541996-06-11011 June 1996 LER 96-001-01:on 960404,inappropriate Grounding of Equipment Resulted in Condition Outside Design Basis of Plant. Established Fire Watches Required for Affected Areas ML17312A8081996-06-0909 June 1996 LER 96-002-00:on 960514,Tech Spec Violation Occurred Due to Erroneous Surveillance Requirement.Caused by Incorporation of C-E Generic Ts.Investigation Being conducted.W/960609 Ltr ML17312A7751996-05-17017 May 1996 LER 96-003-00:on 960122,missed Surveillance for Logic Check of Logs 1 & 2 Safety Excore Bypasses.Caused by Procedural Error.Log Power Functional Test Revised to Check Logs 1 & 2 Bypasses Regardless of Power level.W/960517 Ltr ML17312A7511996-05-0606 May 1996 LER 96-001-00:on 960404,smoke Discovered in Back Boards Area of CR by Security Officer,Performing Hourly Fire Watch Tour. Caused by Improperly Grounded Circuit.Investigation for Inappropriate Grounding of Low Voltage Power Sys Initiated ML17312A7241996-04-25025 April 1996 LER 96-002-00:on 960401,inappropriate Work Practice Resulted in Esfa of Train B Edg.Night Order Was Issued to All Three Units Describing event.W/960425 Ltr ML17312A6861996-04-0606 April 1996 LER 95-007-01:on 950512,determined That Bench Settings of air-operated Letdown & Containment Isolation Valves Adversely Affected Ability of Valves to Perform 10CFR50 App R Safety Function.Affected Valves Modified ML17312A5631996-02-22022 February 1996 LER 95-016-00:on 951212,containment Spray TS Violation Occurred Due to Unrecognized Valve Failure.Shim/Band Was Placed Around Stator of 1JSIBUV665 Motor Operator to Maintain Stator in Correct position.W/960222 Ltr ML17311B3381996-01-0909 January 1996 LER 95-014-00:on 951209,reactor Tripped Following Degradation of Main FW Flow.Caused by Malfunction of Fwcs Power supply,NNN-D11,transfer switch.NNN-D11 Aligned to Normal Power supply.W/960109 Ltr ML17311B3331995-12-31031 December 1995 LER 95-013-00:on 951201,AFW Sys Was Outside Design Basis of Plant.Caused by Design Error.Performed Assessment to Demonstrate That Existing Condition Does Not Pose Addl Safety concerns.W/951231 Ltr ML17311B2801995-11-23023 November 1995 LER 95-011-00:on 951018,identified Procedural Deficiency W/Msiv & FWIV ISTs Due to Personnel Error.Verified Operability of MSIVs & FWIVs.W/951123 Ltr ML17311B2531995-10-20020 October 1995 LER 95-002-00:on 950924,identified That Abnormal Blowdown Valves to Blowdown Flash Tank (Bft) Isolated,Resulting in Reactor Core Power Exceeding 3,800 Mwt Due to Personnel Error.Procedure for Aligning Blowdown to Bft Revised ML17311B1991995-09-21021 September 1995 LER 95-010-00:on 950727,equipment Qualification of Air Handling Unit Caused Essential Cw Pump to Be Inoperable. Used Work Orders to Drill Weep Holes in Motor Lead Connection boxes.W/950921 Ltr ML17311B1741995-09-0404 September 1995 LER 95-004-01:on 950329,containment Electrical Penetration Overcurrent Protective Devices Found Outside Design Basis. Caused by Error on Part of Original Architect Engineer. Modified Affected Circuits Critical to Normal Operational ML17311B1561995-08-27027 August 1995 LER 95-003-00:on 950729,switchyard Voltage Dropped Below Administratively Imposed Limit of 524 Kv for Approx 10 Seconds Due to Transient Grid Voltage.No C/A Taken Since Transmission Sys Transient Short duration.W/950827 Ltr ML17311B1551995-08-25025 August 1995 LER 95-002-01:on 950303,identified That Slb Analyses Failed to Consider as Initial Condition One Percent SDM for All Rods in (ARI) Due to Lack of Coordination & Unclear Div of Responsibilities.Ari Core Data Book SDM Curves Modified ML17311B1211995-08-16016 August 1995 LER 95-005-00:on 950717,RT on Low SG Water Level Was Result Following Degradation of MFW Flow.Completed Evaluation of Event ML17311B0841995-07-28028 July 1995 LER 94-005-01:on 941019,completed TS Required Shutdown Due to Expiration of LCO Time Limit.Design Change Options Identified & Will Be Reviewed to Determine If Valve &/Or Motor Operator Replacement or Mod Necessary ML17311B0721995-07-20020 July 1995 LER 95-004-00:on 950706,identified Four Occassions Between 950407 & 0630 When Conditional Surveillance in TS LCO 3.8.4.1 Action a Not Performed Due to Inattention to Detail. CR Copy of Temporary Procedure 40TP-9ZZ04 Corrected ML17311B0081995-07-0606 July 1995 LER 95-003-00:on 950613,TS LCO 3.0.3 Entered Following Loss of Both Trains of Essential Cw Sys & Both Hydrogen Recombiners.Caused by Spurious Actuations Due to Broken EDG Speed Probe Connector.Connector replaced.W/950706 Ltr 1999-08-27
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17300B3811999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Pvngs,Units 1,2 & 3.With 991007 Ltr ML17300B3271999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Pvngs,Units 1,2 & 3 ML17313B0751999-08-27027 August 1999 LER 99-002-00:on 990730,test Mode Trip Bypass for EDG Output Breakers Not Surveilled.Cause Under Investigation.Operations Personnel Conservatively Invoked SR 3.0.3 for SR 3.8.1.13. with 990827 Ltr ML17313B0611999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Pvngs,Units 1,2 & 3.With 990810 Ltr ML17313B0191999-07-16016 July 1999 LER 99-005-00:on 990618,RT on Low DNBR Was Noted.Caused by Hardware Induced Calculation Error.Cr Operator Was Taken to Place Reactor in Stable Condition IAW Appropriate Operating Procedure ML17300B3151999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Pvngs,Units 1,2 & 3.With 990714 Ltr ML17313A9921999-06-21021 June 1999 Special Rept:On 990525,RMS mini-computer Was Removed from Service to Implement Yr 2000 Mod & Was OOS Longer than 72 H Allowed.Caused by Planned Y2K Mods.Preplanned Alternate Sampling Program Was Initiated ML17313A9911999-06-18018 June 1999 Special Rept:On 990510,loose-part Detection Sys Channel 2 Was Declared Inoperable.Caused by Malfunction of Mineral Cable Connector to Accelerometer.Licensee Will Implement Modifications Which Will Enhance loose-part Detection Sys ML17313A9731999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Pvngs,Units 1,2 & 3.With 990608 Ltr ML17313A9281999-05-0707 May 1999 LER 99-004-00:on 990408,PSV Lift Pressures Were Outside of TS Limits.Caused by Lift Pressure Setpoint Drift.Psvs Have Been Tested,Disassembled,Inspected,Reassembled & Certified at Wyle Labs ML17313A9201999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Pvngs,Units 1,2 & 3.With 990512 Ltr ML17313A8951999-04-14014 April 1999 LER 99-003-00:on 990317,required Surveillance Requirement Not Completed Due to Deficient Procedure,Was Determined. Caused by Cognitive Personnel Error.St Procedures Revised to Require Chiller to Be Operating & Oil Temperature Checked ML17313A8921999-04-13013 April 1999 LER 98-003-01:on 980902,discovered That MSSV as-found Lift Pressures Were Outside TS Limits.Caused by Bonding of Valve Disc to Nozzle Seat.Affected Valves Were Adjusted,Retested & Returned to Svc ML17313A8891999-04-0909 April 1999 LER 99-001-00:on 990310,RT on High Pressurizer Pressure Was Noted.Caused by Loss of Heat Removal.Cr Supervisor Was Removed from Shift Duties for Diagnostics Skills Training. with 990409 Ltr ML17300B3071999-03-31031 March 1999 Seismic Portion of Submittal-Only Screening Review of Palo Verde Nuclear Generating Station Units Ipeee. ML17313A8801999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Pvngs,Units 1,2 & 3.With 990412 Ltr ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207H7471999-03-10010 March 1999 1999 Emergency Preparedness Exercise 99-E-AEV-03003 ML17313A8361999-03-0101 March 1999 LER 99-001-00:on 990103,TS Violation for Power Dependent Insertion Limit Alarm Being Inoperable.Caused by Personnel Error.Revised Procedure to Clarify How Computer Point Is to Be Returned to Scan Mode.With 990302 Ltr ML17313A8501999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Palo Verde Nuclear Generating Station.With 990311 Ltr ML17313A7791999-02-0505 February 1999 Safety Evaluation Accepting Licensee Rev to Emergency Plan That Would Result in Two Less Radiation Protection Positions Immediatelu Available During Emergencies ML17313A8061999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for Pvngs,Units 1,2 & 3.With 990218 Ltr ML17313A7701999-01-15015 January 1999 LER 96-008-00:on 960507,inadequate Procedure Results in Nuclear Power Channels Not Calibrated During Power Ascension Tests Occurred.Caused by Deficient Procedure.Procedure Revised ML17313A7381998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.With 990113 Ltr ML20206H2101998-12-31031 December 1998 SCE 1998 Annual Rept ML17313A7031998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Pvngs,Unit 1,2 & 3. with 981209 Ltr ML17313A6701998-11-0404 November 1998 Rev 2 to PVNGS Unit 2 Colr. ML17313A6741998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Pvngs,Units 1,2 & 3.With 981109 Ltr ML17313A6611998-10-24024 October 1998 LER 98-008-00:on 980729,EQ of Electrical Connectors Were Not Adequately Demonstrated.Caused Because Test Was Conducted with Only Single Lv Connector & Without Fully Ranged Inputs. Revised EQ Requirements ML17313A6561998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for PVNGS Units 1,2 & 3.With 981007 Ltr ML17313A5961998-09-14014 September 1998 LER 98-002-00:on 980814,B Train H Recombiner Was Noted Inoperable Due to cross-wired Power Receptacle.Cause of Event Is Under investigation.Cross-wired Power Supply Receptacle for B Train H Recombiner Was re-wired ML17313A5761998-09-0808 September 1998 LER 98-003-01:on 980113,discovered That One Channel of RWT Level Sys Had Failed High.Caused by Water Intrusion Into Electrical Termination Pull Box.Weep Holes Were Drilled Into Bottoms of Pull Boxes Nearest Level Transmitters ML17313A5591998-08-28028 August 1998 LER 98-001-00:on 980730,entered TS 3.0.3 Due to Safety Injection Flow Instruments Being Removed from Svc.Caused by Personnel Error.Transmitters Were Unisolated & Returned to svc.W/980828 Ltr ML20151S0941998-08-21021 August 1998 Rev 6 to COLR for PVNGS Unit 3 ML20151S0861998-08-21021 August 1998 Rev 4 to COLR for PVNGS Unit 1 ML20151S0901998-08-21021 August 1998 Rev 1 to COLR for PVNGS Unit 2 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML17313A5401998-08-13013 August 1998 Special Rept:On 980715,declared PASS Inoperable.Caused by Failure of Offgas Flush/Purge Control Handswitch HS0101. Handswitch Replaced & Post Maintenance Retesting Was Initiated ML17313A5301998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Pvgns,Units 1,2 & 3.W/980812 Ltr ML17313A5201998-07-30030 July 1998 LER 98-004-00:on 980630,personnel Discovered That Pressure Safety Valve Had Not Received Periodic Set Pressure Test for ASME Class 1 Pressure Safety Valve.Caused by Personnel Error.Pressure Safety Valve reviewed.W/980730 Ltr ML17313A5791998-07-0707 July 1998 to PVNGS SG Tube ISI Results for Seventh Refueling Outage Mar & Apr 1998. ML17313A5001998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Palo Verde Nuclear Generating Station,Units 1,2 & 3.W/980710 Ltr ML17313A4671998-06-19019 June 1998 LER 98-007-00:on 980520,CR Personnel Observed Flow & Pressure Perturbations on Chemical & Vol Control Sys Letdown Sys.Caused by Cyclic Fatigue Due to Dynamic Pressure Transients.Unit Letdown Piping Replaced ML17313A4521998-06-19019 June 1998 Rev 5 to COLR for Pvngs,Unit 3. ML17313A4501998-06-19019 June 1998 Rev 4 to COLR for Pvngs,Unit 3. ML17313A4131998-06-0505 June 1998 LER 98-006-00:on 980507,determined That Plant Was Outside Design Basis Due to SI Discharge Check Valve Reverse Flow. Check Valve Was Disassembled,Examined & Reassembled, Whereupon Valve Met Acceptance Criteria ML17313A4211998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Pvngs,Units 1,2 & 3.W/980609 Ltr ML17313A3951998-05-26026 May 1998 LER 98-005-00:on 980428,noted That Required Response Time Testing Had Not Been Performed.Caused by Personnel Error. Coached I&C Personnel Responsible for Reviewing Work Authorization Documentation ML17313A3691998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for PVNGS.W/980412 Ltr ML17313A3251998-04-0101 April 1998 LER 98-004-00:on 980304,safety Valves as-found Pressures Out of Tolerance.Cause of Event Is Under Investigation.Three Mssv'S & Psv Will Be Replaced W/Refurbished & Recertified Valves During Refueling Outage U1R7 1999-09-30
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Text
I ACCELERATED DlRIBUTION DEMOYSWQTIO.'i SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:8908010124 DOC.DATE: 89/07/25 NOTARIZED: NO DOCKET FACIL:STN-50-530 Palo Verde Nuclear Station, Unit 3, Arizona Publi 05000530 AUTH. NAME AUTHOR AFFILIATION SHRIVER,T.D. Arizona Public Service Co. (formerly Arizona Nuclear Power HAYNES,J.G. Arizona Public Service Co. (formerly Arizona Nuclear Power RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 89-007-01:on 890503,Potter & Brumfield relay malfunctions.
W/8 DISTRIBUTION CODE: IE28T COPIES RECEIVED:LTR ( E'NCL i SIZE:
TITLE: Licensee Event Report (LER) & Part 21 Rept Combination (50 D t)
NOTES:Standardized plant.. 05000530 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME ,LTTR ENCL PD5 LA 1 1 PD5 PD 1 1 DAVIS,M. 1 1 INTERNAL ACRS MICHELSON 1 1 ACRS MOELLER 2 2 ACRS WYLIE 1 1 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 1 AEOD/ROAB/DSP 2 2 DEDRO 1 1 IRM TECH ADV 1 1 IRM/DCTS/DAB 1 1 NRR/ADSP DIR 1 1 NRR/DEST/ADE 8H 1 1 NRR/DEST/ADS 7E 1 0 NRR/DEST/CEB 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 '
NRR/DEST/PSB 8D 1 1 NRR/DEST/RSB 8E NRR/DLPQ/HFB 10 1
1 1
1 NRR/DEST/SGB NRR/DLPQ/PEB '0 8D 1 1
1 1
NRR/DOEA/EAB 11 1 1 NRR/DOEA/GCB 1 1 NRR/DREP/RAB 10 1 1 NRR/DREP/RPB 10 2 2 NRR/DRIS/SIB 9A 1 1 NRR/DRIS/VIB 1 1 R NRR/DRP/1-2 DIR 1 1 VER, E 1 1 NUDOCS-ABSTRACT 1 1 REG FILE 02 1 1 I REGION 1 1 1 0 2 1 1 REGION 3 1 1 REGION 4 1 1 REGION 5 1 1 RES MORISSEAU,D 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,A 1 1 INPO RECORD CTR 1 1' L ST LOBBY WARD 1 1 LPDR 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHYIG A 1 1 NOTES 1 1 NCtXE K) ALL "RIDS" RECIPIENIS PLEASE HELP US IO REDOCZ HASTE CDÃIACr IHE DOCUMENZ COVET DES KI RQCN Pl-37 (EÃZ. 20079) K) EZJMQXB YOUR MME PKN DZPHGBDTICN ZZSXS FOR DOCUMEMI'8 KRJ DON'T NEZDt FULL TEXT CONVERSION 59 ENCL 58 REQUIRED'OTAL NUMBER OF COPIES REQUIRED: LTTR
Arizona Public Service Company P.O, BOX 53999 ~ PHOENIX, ARIZONA 85072-3999 192-00501-JGH/TDS/DAJ July 25, 1989 U~ ST Nuclear Regulatory Commission NRC Document Control Desk Washington, D.C. 20555
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 3 Docket No. STN 50-530 (License No. NPF-74)
Licensee Event Report 89-007-01 File: 89-020-404 Attached please find Supplement Number 1 to Licensee Event Report (LER) No.
89-007-00 prepared and submitted pursuant to 10CFR50.73. In accordance with 10CFR50.73(d), we are herewith forwarding a copy of the LER to the Regional Administrator of the Region V office.
This report is also being submitted pursuant to 10CFR21 and includes information requested in 10CFR21.21(b)(3). In accordance with 10CFR21.21(b)(2), three copies of this report are being provided to the Director, Office of Nuclear Reactor. Regulation.
If you have any questions, please contact T. D. Shriver, Compliance Hana'ger at (602) 393-2521.
Very tru y yours, J. G. Haynes Vice President Nuclear Production JGH/TDS/DAJ/kj Attachment cc: W. F. Conway (all w/a)
D. B. Karner E, E. Van Brunt, Jr.
T. E. Hurley (3 copies).
J. B. Hartin T. J. Polich H. J. Davis A. C. Gehr INPO Records Center Potter 8 Brumfield
- ~5oeoio}24 8907~.'5 -0 FDIC ADCICK 0 OOI.I I-'DC
II NRC Form 344 U.S. NUCLEAR REGULATORY COMMISSION I(t 53/
APPROVED OMB NO. 31400104 LICENSEE EVENT REPORT {LER) EXPIRES: 4/31/SS (II PA 4 3/
05000530ior07 FACILITY NAME DOCKFT NUMBER (2)
Palo Verde Unit 3 TITLE Ici Potter and Brumfield Relay Malfunctions EVENT DATE ISI LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (4)
MONTH OAY YEAR YEAR 44QVctvTIAI. ,: neve~ OAY YEAR FACILITYNAMES DOCKET NUMBER(S)
NVMSER NVMSErt MONT N/A 0 5 0 0 0 0 503 89 8 9 0 0 7 01 07 2 5 8 9 N/A 0 5 0 0 0 OPE RAT I NO THIS REPORT IS SUBMITTED PURSUANT T 0 THE REOUIREMENTS OF 10 cFR (lt ICnrctt onr or morr o/ tnr Ioiiowinpi Ill MODE (SI 20,402(4) 20.405(c) 50.7 3(c I (2) I w) 73.71(SI POWER 20,405 ( ~ II I I (0 50.34(c) Ill 50,73(r) (2)(r) 73.71(cl I.EYEL 0 0 0 20,405 (~ I I I I (41 50.34(c) (2) 50.73 (4)(2)(riiI OTHER ISprciry in Apttrrct priow mr/in Tort /IIIC Form 20.40SN) ill(iii) 50.73(rl(2)(i) 50,73( ~ ) (2 l(rii))I A) 366AI 20,405( ~ All(iv) 50.73( ~ )I2)IS) 50.73( ~ l(2) (r(ii)(S) 20.405(cl(l l(v) 50 7 3(c) (2) I iii) 50.73( ~ )(2)(c) 10CFR21 LICENSEE CONTACT FOA THIS LER (12)
NAME TELEPHONE NUMBER AREA CODE Timothy D. Shriver, Compliance Manager 602393 2521 COMPLETE ONE LINE FOR EACH COMPONEN'7 FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANVFAC REPORTABLE MANUFAC.
TVAEA TO NPROS CAUSE SYSTEM COMPONENT TVRER JE RL Y P 2 9 7 N ,%@ryr.g..."ijyiFA'ot
.F<<2nrr'v cPv SUPPLEMENTAL REPORT EXPECTED Ilci MONTH OAY YEAR EXPECTED SUBMISSION DATE HS)
YES /II ycL comprrtr EIIPECFEO $ VdMISSIOiY DATE/ NO ABETRAcT ILrmrt to /400 coven r ~, rooroiimrtrry A/tron <<noir corer typrwnttrn /iiirU (14I On May 3, 1989 at approximately 0730 MST, Palo Verde Unit 3 was in a refueling outage with the core off-loaded when APS determined that deficiencies discovered during the installation of Potter and Brumfield (P&B) relays constituted a reportable condition pursuant to 10CFR21 and 10CFR50.73. The P&B relays are utilized in the PVNGS Engineered Safety Features Actuation Systems and cause safety-related components to actuate when de-energized.
On August 3, 1988, APS reported a deficiency in the P&B MDR series relays (Reference LER 528/88-018). As a result, APS and P&B re-designed the relays for installation during the PVNGS Unit 1, 2, and 3 refueling outages. During post installation testing of the relays in Unit 3 on April 24 and 25, 1989 and prior to declaring the relays operable, it was discovered that approximately twenty-five percent of the new model relays malfunctioned.
The cause of the relay malfunctions has been determined to be an inadequate methodology of applying an epoxy material to the relay coils to preclude contamination of the rotor and stator mating surfaces in the relay internals.
The epoxy causes the rotor and stator to bond which results in the relay failing to operate.
NRC r rim 344
II NRC form 3SSA U,S, NUCLEAR REOULATORY COMM/SS/ON
)883)
LICENSEE EVENT REPORT (LERI TEXT CONTINUATION APPROVED OM8 NO 3)50-0)CS EXP)RES/ 8/3l /88 OOCKET NUMEER l?)
LER NUMEER (8) ~ ACE,)3)
SEQUENTIAL idly rl S V IS IO N NUM S/I NUM S/I Palo Verde Unit TEXT /// moro looco I/ roo//mN/, vso ~ 3 P/f/C form 38)LS'p/ I l 7) o This report is also being provi'ded pursuant to the provisions of 10CFR21. The s o o o 5 3 0 8 9 0 0 701 02 oF 07 narrative below includes the information requested by 10CFR21.21(b)(3);
however, it is being formatted to report this event in accordance with the requirements of 10CFR50.73.
DESCRIPTION OF WHAT OCCURRED'.
Initial, Conditions:
The following plant conditions existed when the event described in this LER was determined to be reportable at approximately 0730 HST on Hay 3, 1989.
Palo Verde Unit 3 was in a refueling outage with the core (AC) off-loaded to the Spent Fuel Pool (ND).
Reportable Event Description (Including Dates and Approximate Times of Hajor Occurrences):
Event .Classification: Condition which could 'have prevented the fulfillment of a safety function.
I Note: This section includes information requested by '10CFR21 concerning the nature of the defect and dates on which information was obtained/developed.
On Hay 3, 1989 at approximately 0730 HST, APS determined that deficiencies discovered'uring the installation of Potter and Brumfield relays (RLY) in Unit 3 constituted a reportable condition.
pursuant to 10CFR21 and consequently 10CFR50.73.
Prior to the event described in .this LER, on August 3, 1988 APS reported a defect in Potter and Brumfield HDR series relays being utilized at PVNGS (Reference LER 528/88-018). As corrective action to prevent recurrence, APS and Potter and Brumfield designed replacement HDR series relays to be installed during each Unit's refueling outage. The re-designed relays were being installed during the Unit 3 first refueling outage. During the post installation testing of the replacement relays on April 24 and 25, 1989, several of the relays would not rotate to their de-energized position. Of forty-two (42) relays tested in Unit 3, ten (10) relays did not operate properly. Five (5) of the malfunctioning relays seized and the other five (5) operated slowly. The malfunctioning relays were installed in the "B" Train Nuclear Steam Supply System Engineered Safety Features Actuation System (NSSS ESFAS)(JE).
NAC ~ /IAM SSSA I9 83 ~
0 NRC Ferrrr 3SSA U.S. NUCLEAR REGULATORY COMMISSION r943l LICENSEE EVENT REPORT ILER) TEXT CONTINUATION APPROVED OM8 NO 3150 010l EXPIRES: 8I31/88 FACILITY NAME III OOCXET NVMSER l?l LER NUMSER ISI PAGE ISI SEQUENTIAL RAI REVISION NVMSEII NVM Palo Verde Unit TEXT IIF INFIF NMce II NEvrrrNE vw C.
~ 3 HRC Forrrr 38SA 3I I IT) o s o o o 5 3 0 8 9 Status of structures, systems, or components that were inoperable. at 0 0 701 0 3 OF07 the start of the event that contributed to the event:
Prior to the installation of the replacement relays in Unit 3, the "B" Train NSSS ESFAS system was inoperable for the scheduled performance of a "B" Train electrical (EB) outage.
D. Cause of each component or system failure, if known:
Note: This section includes information requested by 10CFR21 concerning the nature of the defect and dates on which information was developed.
An extensive investigation. of the Potter and Brumfield (P&B) relay failures was conducted. Personnel from P&B and an independent testing laboratory (HI-REL Labs) assisted APS engineering personnel with the investigation.
The relay failures do not appear to be isolated to a particular model number, which would suggest a common mode failure. P&B Engineering and guality Control management personnel inspected the failed relays at PVNGS while they were installed in the NSSS ESFAS cabinet (CAS). Following the in situ inspection, the failed relays were removed. Five (5) relays were provided to P&B for their failure analysis. HI-REL Labs management inspected several relays at PVNGS. HI-REL was provided two (2) relays for an independent verification of the failure mechanism.
During the investigation of the cause of the relay malfunctions, APS and HI-REL Labs personnel discovered the presence of an, epoxy material on some of the coil rotor and stator metallic surfaces.
The epoxy material, which is utilized for coil insulation, was determined by APS and HI-REL Labs personnel to have caused the rotor and stator surfaces to bond together preventing the free rotation of the rotor by spring pressure when the coil is de-energized. (See Section I.E and I.K for further information concerning the operation of the relays.) The epoxy material was confirmed to be present on the samples inspected by P&B on April 27, 1989. The material was confirmed to be epoxy by HI-REL Labs and P&B on April 28, 1989.
E. Failure known:
mode, mechanism, and effect of each failed component, if The HDR relay malfunctions occur when the relays do not change position after they are de-energized. Normally, when the coils are de-energized, the rotor rotates approximately 30 degrees due to spring force. However, during the identified failures, the spring
~ AC ~ ONM ESSA I9 83 ~
0~
NRC Form 348A U.S. NUCLEAR REGULATORY COMMISSION 18 83 I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OM8 NO 3150 0104 EXPIRES: 8/31/88 FACILITY NAME 111 POCKET NUMEER l1)
LER NUMEER l8> ~ AGE 13I yEAR,@ SEQUENT/AL NUM EA
<~+:. REVAK)N L< NUM44/4 Palo Verde Uni t 3 o s o o o 5 3 0 89 00 7 0 1 04oF 0 7 TEXT /// moro Fooco o /oooood. VFP dddoooo/H/IC Form 3//8A8/113) force was not able to return the rotor to its de-energized position. The relays were "sticking" in their energized position.
This condition resulted in the relay contacts not properly changing state. The consequence of the relay failures is that the related safety equipment would not be actuated as required.
F. For failures of components with multiple functions, li'st of systems or secondary functions that were also affected:
The information concerning the function of the relays is discussed in Section I.K.
G. For 'failures 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:
The information required above is not considered appropriate for the particular event being reported in this LER. However, in general, it takes approximately 8-12 hours to replace a failed relay and conduct appropriate retests to return safety systems to full operability.
H. Method of discovery of each component or system failure or procedural error:
The relay failures were discovered during post installation testing of the relays as discussed in Section I.B.
Cause of Event:
Based on Potter and Brumfield's evaluation of the relays from Palo Verde, the manufacturing process led to the relay failures. The manufacturing process required epoxy to be used in touch up applications without the epoxy being cured. The uncured epoxy flowed onto the rotor and stator mating surfaces. The heat from the normally energized relays cured the epoxy, binding the relays in the energized position.
Safety System'esponse:
Not applicable - there were no safety system responses and none were necessary.
K. Failed Component Information:
Note: This section includes information requested by IOCFR21 concerning the identification of the firm supplying the basic component and the number and location of the relays at Palo Verde.
'yoC I DAM 3444
<9 83<
0 NRC Pol~ 355A U.S. NUCLEAR AEOULATOAY COMMISSION 19.831 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OM8 ND 3)SO OII)e EXPIRES', 8)31)88 FACILITY NAME III DOCKET NUMEEA 13)
LEA NUMEER Ie) PACE LTI
.P'1'- 55OUENTlAL ll5 V l5 lO N ssUMPTR NUMPSR Palo Verde Unit 3 o s o o o 5 3 0 8 9 0 7 0 1 0 5oF 0 7 TExT iis sls<<p Fosse is sp<<ssesE ssse sspss<<M) HRc F<<sss 385A'si I IT)
The malfunctioning relays are manufactured by Potter & Brumfield and are used in equipment supplied to Palo Verde by Combustion Engineering (CE) and General Atomics (GA). The relays consist of a rotary actuator mechanism with the contact sections mounted in insulating rings on top. The actuator mechanism embodies a stator assembly on which two relay coils are mounted. The two coils are connected in series inside the relay. When the coils are energized, a rotor turns through an arc of approximately 30 degrees. This operates the contact section on the extension of the rotor shaft. The travel of the rotor is confined to a 30-degree arc between the stator faces and the stop ring. Two springs return the rotor to the stop ring when the coils are de-energized. This also returns the contacts to their normal position. Thus, the relays provide an energized and a de-energized position. When the relay repositions to the de-energized position, various valves (V),
pumps (P), motors (MTR), etc. would be actuated.
The relays are supplied in a variety of sizes, coil voltage ratings, and contact numbers. At Palo Verde, nine (9) different re-designed relays are being utilized. The relays that failed in Unit 3 were Models MDR-7061, 7062, and 7063 in the NSSS ESFAS cabinet. However, due to the similarities in construction and materials, all Potter and Brumfield models could be subject to the same failure mechanism. No new model relays have been installed in Palo Verde Units 1 and 2.
The MDR relays are used in three systems at PVNGS. These systems are:
i) The Nuclear Steam Supply System Engineered Safety Features Actuation System (NSSS ESFAS)(JE).
ii) The Balance of Plant Engineered Safety Features Actuation System (BOP ESFAS)(JE).
iii) The Reactor Trip Switchgear (RTSG)(AA)(JD).
The NSSS ESFAS uses the MDR relays as actuation relays. They are used to control valves and motors and to provide indication. There is a total of 62 relays used in each NSSS ESFAS train. At two trains per unit, this adds up to a total of 372 relays used in the NSSS ESFAS systems for the three Palo Verde units.
The BOP ESFAS uses the MDR relays as .actuation relays to provide control of motors, valves, dampers (DMP), and emergency diesel generators (EK) (DG) fo1lowing an. actuation signal. Each BOP ESFAS train has 30 MDR relays. At two trains per unit, this adds up to a total of 180 relays in the BOP ESFAS systems for the three 'PVNGS units.
lssC ~ Oiv )eee s9 $ )i
41 NRC Form 344A U,S, NUCLEAR REGULATORY COMM/$$ ION I9 83I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMS NO 3150&104 EXPIRES/ 8/31/88 FACILITY NAME III OOCKET NUMSER l21 LER NUMSER I4)
SEQUENT/AL QP> rlEVrSION NVM44A rer NVM44A Palo Verde Unit,3 o s o o o 53 08 9 0 0 7 0 1 06 oF 0 7 TEXT lllmore oooce ro no//rror/. //oo /oreooo//YRC Form 3%AS/ II2 I The reactor trip switchgear uses one HDR relay for each reactor trip breaker. The relay is used to provide an indication signal to the Plant Protection System (PPS)(JC) after a reactor trip breaker has opened. Failure of an HDR relay in this application would not prevent the reactor trip breaker from performing its safety function of opening. There are 4 reactor trip breakers in each unit. This leads to,a total of 12 HDR relays used in the reactor trip switchgear (RTSG) systems (AA) at PVNGS.
II. ASSESSMENT OF THE SAFETY.CONSEQUENCES AND IHPLICATIONS OF THIS EVENT:
Note: This section contains the information requested by IOCFR21 concerning the nature of the safety hazard which is created or could be created.
It should be noted that the malfunctioning relays were discovered during post installation testing in Unit 3 prior to their being returned to service. There are no new model relays installed in Palo Verde Units 1 and 2. Therefore, the relays were never relied upon to perform a safety-related function., However, the failure of a relay in the ESF to properly rotate by spring tension upon being de-energized by a valid safety system actuation signal would have prevented the associated valves, pump motors, etc. from operating as required for a safe plant shutdown. The failure of the relays in the RTSG to properly rotate results in erroneous, indication of reactor trip breaker (BKR) position to the PPS and in the Control Room. There are no other components which perform the same function as the relays that would be available during an event.
III. CORRECTIVE ACTIONS:
This section contains the information requested by 10CFR21 concerning the corrective action which has been, is being, and will be taken; the organizations responsible for the corrective action; and the length of time for accomplishing the corrective action.
A. Immediate:
As immediate corrective action, replacement of the Potter and Brumfield relays in Unit 3 was stopped in order to investigate the problem.
B. Action to Prevent Recurrence:
APS is returning all potentially defective replacement relays to PEB for dissassembly, inspection, and testing. Potter and Brumfield has corrected their manufacturing process to control the use of epoxy and ensure epoxy is applied and cured prior to assembly of the coil assembly and stator assembly. All assemblies NAC ~ Ilorrr EOOA 19 43 ~
0 NRC Form 844A V.S. NUCLEAR REOVLATORY COMMISSION I9 8S I LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO S)50 0)04 EXPIRES: 8/8)/88 FACILITY NAME )1) DOCKET NVMSER IS)
LER NVMSER )4) ~ AOE ISI YEAR .'XII SSOVSNTIAL:..o> oooco II /4)Iooed, 4>> d///m/mo/I H/Ic FomI sRs48/ I)1) will be inspected by Potter and Brumfield to ensure there is no evidence of epoxy on mating. surfaces prior to final assembly.
IV. PREVIOUS SIMILAR EVENTS:
A previous similar event was reported in LER 528/88-018. Since the failure mechanism previously reported was different than the failure mechanism reported in this LER, the, previous corrective action would not have prevented this event.
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