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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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ACCELERATED DES+BUTlON SYSTEM DEMONSTRATION REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:8908180269 DOC.DATE: 89/08/14 NOTARIZED: NO DOCKET FACIL:STN-50-529 Palo Verde Nuclear Station, Unit 2, Arizona Publi 05000529 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 89-009-00:on 890712,reactor forced flow.
trip due to partial loss of W/8 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR i ENCL TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt,L SIZE:
etc.
/0 NOTES:Standardized plant. 05000529 l RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD5 LA 1 1 PD5 PD 1 1 CHAN,T 1 1 DAVIS,M. 1 1 INTERNAL: ACRS MICHELSON 1 1 ACRS MOELLER 2 2 ACRS WYLIE 1 1 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 DEDRO 1 1 IRM/DCTS/DAB 1 1 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 1 1 NRR/DLPQ/PEB 10 1 1 NRR/DOEA/EAB 11 1 1 QR&j DRE~ B 10 2 2 NUDOCS-ABSTRACT 1 1 REG FILE 02 1 1 RES/DSIR/EIB 1 1 ILE 01 1 1 EXTERNAL: EG&G WILLIAMS,S 4 4 FORD BLDG HOY I A 1 1 L ST LOBBY WARD 1 1 LPDR 1 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHY,G.A 1 1 NOTES: 1 1 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 42 ENCL 42
II Arizona Public Service Company P.O. BOX 53999 ~ PHOENIX, ARIZONA 85072.3999 192-00507-JGH/TDS/RKR August 14, 1989 U. S. Nuclear Regulatory Commission NRC Document Control Desk Washington, D.C. 20555
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 2 Docket No, STN 50-529 (License No. NPF-51)
Licensee Event Report 89-009-00 File: 89-020-404 Attached please find Licensee Event Report (LER) No. 89-009-00 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 truly yours, J. G. Haynes Vice President Nuclear Product,ion JGH/TDS/RKR/kj Attachment cc: W. F. Conway (all w/a)
D. B. Karner E. E. Van Brunt, Jr.
J. B. Hartin T. J. Polich M. J. Davis A. C. Gehr INPO Records Center 8908f80269 8908f4 PDR 8
ADOCK 0 000529 PDC ~Q? 2.
I/I
II NAC For(h 244 UA. NUCLEAR AEOULATOAYCOANCISSION (Ml2)
APPAOVED OMS NO. 2150010l LICENSEE EVENT REPORT (LER) EXPIRES: SI21/SS FACILITYNAME (II DOCKET NUMSER (1l TITLE Ill Pal o Verde Uni t 2 0 5 00 0 529ioF09 Reactor Tri Due to Partial Loss of Forced Flow EVEN'7 DATE ISI LER NUMSER 14) REPOAT DATE (7) OTHER FACILITIES INVOLVED (Sl MONTH DAY YEAR SEQVENTIAL DAY YEAR FACILITYNAMES DOCKET NUMSER(S)
YEAR NVM4ER rRS NUMSEII MONTH N/A 0 5 0 0 0 0 7 1 2 8 9 8 9 0 0 9 00 08 14 8 9 N/A 0 5 0 0 0 THIS REPORT IS SUSMITTED PVASVANT TO THE AEOUIREMENTS OF 10 CFA g IChech one or more of the IOIIOwinpl (11)
OPERATINO MODE ( ~ I 20A02(4) 1 20AOS(c) X 50;724)(2)(>> ,
72.71(4)
POWE R LEYEL 20A05 le l(IIIII 50.24(el((I 50,72(el(2)(v) 72.71(cl 1 0 0 20.4054) (1)(ill 50.24(c) (2) 50.72(el(2)(rE I OTHER ISpeclfy In Aotoect Oeiow entf In Tert, Hii(C Form 20A05(e) (1)(ill) 50.71(e I (1) (I) 50.714) (2) (rl illIAI 256'Al 10A05(el(1) Dr) 50.7 24 l(1) (4) 50,724) (2) (vlE I(~ I 20A05( ~ ) I I )4) 50.72(cl(2) I illI 50.72(c I (2) I cl Special Report LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMSER AREA CODE Timothy D. Shriver, Compliance Manager 60 23 93 2 52 1 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRI ~ EO IN THIS REPORT (11)
CAUSE SYSTEM COMPONENT MANVFAC. EPORTASLE MANUFAC EPOR'TASL CAUSE COMPONENT TURER TO NPRDS SYSTEM TUREA TO NPRDS
%%%M X E B FU GO 80 X S J V P032 Y SUPPLEMENTAL REPORT EXPECTED (Ill MONTH DAY YEAR EXPECTED SUSMISSION YES IffyN, coinpiete FA'PECPED SVFMISSION DilTEI NO DATE (ISI 12 0'j. 89 ASSTRACT ILimit to IC00 tpecet. I e., epproeimetefy ftfteen tinple.tpece typewritten IinNI (14)
On July 12, 1989 at approximately 2212 HST Palo Verde Unit 2 was operating at approximately 100 percent power when 2 of the 4 reactor coolant pumps were load shed from their power supply (Bus 2E-NAN-S02), resulting in a reactor trip on calculated low DNBR due to low reactor coolant flow. Immediately following the trip, a Safety Injection Actuation Signal (SIAS) and Containment Isolation Actuation Signal (CIAS) Engineered Safety Features occurred, on low Reactor Coolant System (RCS) pressure. Following the event, at approximately 1529 HST on July 13, 1989, a portion of the main feedwater system (HFWS) was overpressurized.
The cause of the load shed was a failed fuse in the bus potential transformer. The cause of the SIAS/CIAS was RCS depressurization due to improper Steam Bypass Control System (SBCS) response and leaking pressurizer spray valves. The cause of the HFWS overpressurization was a failed check valve.
Immediate corrective action taken was to replace the fuse. An independent investigation is being conducted to determine the causes of the incidents which occurred during this event.
This submittal also provides a Special Report in accordance with Technical Specification 3.5.2 ACTION b.
NRC cairn 244
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U.S. NUCLEAR RECULATORY COMMISSIOIS 19SS I ~
LICENSEE EVENT REPORT {LERI TEXT CONTINUATION. APPROVED OMS NO SISOMIOS EXPIRES'. SISI/88:
f ACILITY NAME (11 DOCKET NUMSER LTI LER NUMSER IS) ~ AOE ISI SSQVSrr TIAL ~
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DESCRIPTION. OF WHAT OCCURRED:
'. Initial. Conditions:
At approximately, 2212 MST on .July 12, 1989, Palo Verde, Unit 2,was in Mode 1 (POWER OPERATION) at approximately 100 percent power.
B. Reportable Event:Description (Including Dates and Approximate Times of Major Occurrences):
Event Classification: Any event or condition that resulted in manual or automatic actuation of any Engineered Safety Feature (ESF)(JE),
including the Reactor Protection System (RPS)(JC)'.
At approximately 2212 MST on July 12; 1989, a reactor (RCT)(AC) trip on low Departure from Nucleate Boiling Ratio (DNBR) occurred due to a partial loss of reactor coolant (AB) flow. The partial loss of,flow occurred when two (2) of the four'(4) Reactor Coolant
.Pumps (RCP)(AB) were load shed from their power supply (Bus 2E-NAN-S02)(BU)(EA). Following the reactor trip, at approximately 2213 HST a Safety Injection Actuation Signal (SIAS)(JE) and a Containment Isolation Actuation Signal (CIAS)(JE) occurred when the Reactor Coolant System (RCS)(AB) pressure decreased to approximately 1823 psia (approximately 14 psi below .the actuation setpoint). All safety .system components actuated as designed. The plant was stabilized at approximately 2322 HST and the event was terminated.
Prior to the event, at approximately 2001 HST on July 12, 1989, the Control Room received a trouble alarm annunciator (ALM)(ANN), for Bus 2E-NAN-S02. Operati.ons 'personnel (uti.lity, non-licensed) investigated and inspected Bus 2E-NAN-S02. They could not determine the reason for,the alarm on Bus 2E-NAN-S02. At approximately 2020 MST a control room annunc'iator alarm indicated that the unit oscillograph (OSG)'ad operated. Operations personnel (utility, licensed) responded to the annunciator alarm.
The oscillograph indicated that there had been an-:undervoltage condi,tion on Bus 2E-NAN'-S02. Also, the digital fault recorder (XR) printout indicated a disturbance on Bus 2E-NAN-S02. Since no apparent problems were identified with Bus 2E-NAN-S02, personnel'utility, licensed) continued to investigate unit'perations the .problem. From approximately, 2206 HST to approximately 2212 HST the Oscillograph alarmed three more times. Operations personnel were responding to the alarms when at approximatel'y 2212 HST, a load shed actuation occurred on 'Bus 2E-NAN-S02 even though 'Bus 2E-NAN-S02 remained energized. The load shed caused the loads on Bus 2E-NAN-S02 to be deenergized.
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'41 NRC frrrIII 444A 19441. V.S. NUCLEAR RECULATORT COMMsSSION LICENSEE EVENT REPORT ILER) TEXT CONTINUATION AffROVEO OMS NO SSSOW144 ExfrREs: Srll/44 4 ACILITT NAME I'11 OOCXET NVMSER 141 LER N1SMSER 141 SEQUENTIAL R 4 V IS IQ II
~ IUMOTR ~ IUMSSA Pal o Verde Uni TExT iss sr>>ru sos>>
t 2 ir rsuusssE u>> riess>>s h'pC Assr!I srsss'sl o so oo 529 8 9 0 0 9 0 0 03oF 0 9 11T1 The RCPs are powered from non-class 1E 13.8 kv Busses 2E-NAN-S01 (BU)(EA) and 2E-NAN-S02. RCPs 1A and 2A are powered from Bus 2E-NAN-S01 and RCPs 1B and 2B are powered from Bus 2E-NAN-S02. Bus 2E-NAN-S01 was being supplied by a Startup Transformer (XFHR)(EA)
,and Bus 2E-NAN-S02,was .being supplied by the Unit 2 Auxiliary Transformer (XFHR)(EA). Since RCP's 1B and 2B were being. supplied from Bus 2E-NAN-S02, the RCP's were deenergized and a partial loss of flow occurred resulting in a reactor trip on low DNBR.
Approximately one minute after the reactor trip; Reactor Coolant System pressure dropped lower than normal due to improper Steam Bypass Control System (SBCS)(SG) response and leaking pressurizer spray valves (PZR)(AB)(V). This resulted in concurrent safety injection and containment isolation Engineered Safety Features
.(ESF) actuations (JE) when the RCS pressure decreased to approximately 1823 psia, which is 14 psi below the low actuation pressure setpoint of 1837 psia and 1 psi above the minimum allowable trip setpoint value of 1822 psia. Immediately following the safety injection, pressurizer level and pressure stabilized.
Pressure then began to trend toward steady state Hode 3 (HOT STANDBY) conditions (approximately 2250 psia).
At approximately 2223 HST on July 12, 1989, a Notification of Unusual Event (NUE) was declared. The NUE was declared pursuant to EPIP-02, "Emergency Classification" as a result of the SIAS on low pressurizer pressure.
Operations personnel (utility, licensed and non-licensed) investigated the protective relay targets (RLY) on Bus 2E-NAN-S02 and could find no reason for the protective relay actuation. At approximately 2234 HST on July 12, 1989, the load centers powered from Bus 2E-NAN-S02 were reenergized in accordance with an approved procedure. Eight minutes later at approximately 2242 HST, a load shed signal again deenergized the load centers on Bus 2E-NAN-S02.
At approximately 2302 HST, Bus 2E-NAN-S02 was deenergized and taken out of service in order to perform further troubleshooting in accordance with the PVNGS Work Control Program.
At approximately 2322 HST on July 12, 1989 the SIAS/CIAS ESF actuations were secured, plant conditions were stabilized, and the NUE was terminated.
At approximately 0300 HST on July 13, 1989, Protection Relaying and Control (PR&C), the APS group responsible'for investigating the oscillograph operated alarm, reset the alarm in accordance with procedure 42AL-2RKlB, "Panel BOIB Alarm Response".
Following the event, at approximately 1529 HST on July 13, 1989, the secondary plant was being placed in the long path recirculation NAC srs1M )99A
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15RC Form 944A 15 4 RVCLKAR RKOOLATORY COMMIKSIOR 19451 I.ICENSEE EVENT REPORT ILER) TEXT CONTINUATION APPROVEO OMS I/O SIKO&195 EXPIRES: 4/SI/IKI FACILITY I/AMK (11 OOCKET NI/MSER (11 LER NI/MSER 141 ~ AOE IS)
YEAR 5KQVKRT/AL ~~r NKV/5rOR NVM45A rr IJ M 4 5 o Pal o Verde Uni t 2 o 5 o o o 5 2 9 8 9 0 0 9 0 0 0 4 OF 0 9 TEXT ///more loe/e /I el/re'er/ 4>> edseonelN//IC For/I/ 9/ISAS/117)
(LPR) mode in accordance with normal operating procedures. Steam generator levels (SG)(AB) were being maintained using the.
Non-essential Auxiliary Feedwater Pump (P)(BA). Due to back-leakage through a check valve, Auxiliary Feedwater System (AFW)(BA) pressure of approximately 1580 psia was applied to a portion of the 'Hain 'Feedwater System (HFWS)'(SJ). This portion of the Main Feedwater System was rated for at least 1580 psia. When the manual isolation valve (ISV) on the Main Feedwater Pump (HFP)
RBR accord with an approved~rocedure, Hain Feedwater Pumps raAd for 500 psia.
~
bypass line was opened to establish long path recirculation in rpressurized.
the suction piping to the The suction piping is Concurrent with the HFP bypass valve being opened, a low suction RAR and RB" was received in pressure trip for Hain Feedwater Pumps the Control Room. Immediately following the low suction pressure trip, operations personnel (utility,feedwater non-licensed) observed an heater (SN) outlet abnormal decrease in seventh point temperature. To prevent thermal shocking of the feedwater heater, operations personnel 'isolated the Non-essential Auxiliary Feedwater System from the Hain Feedwater System. At approximately 1545 HST, the overpressurization event was terminated.
C. Status of structures, systems, or components that were inoperable at the start of the event that contributed to the event:
There were no structures, systems, or components inoperable at the start of the event which contributed to the event.
D. Cause of each component or system failure, if known:
The cause of the Bus 2E-NAN-S02 load shed malfunction described in Section I.B has been determined to be RCR a failed potential transformer (PT) primary fuse on the phase. The cause of the fuse failure is still under investigation and is expected to be completed by November 1, 1989. The cause will be described in a supplement to this report which is expected to be submitted by December 1, 1989.
The cause of the back-leakage through the MFP bypass check valve (SGN-V431) described .in Section I.B has been determined to be loose fasteners which allowed the check valve disc to drop and not seat on its seating surface. The fastener locking devices required by the Technical Manual were not installed. The cause for the locking device not being installed cannot be determined since our records show no work has been performed on this valve since initial startup of Unit 2. This valve is a "non-safety related" component.
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Oi NAC PS/M SSSA I989 I U.S. NUCLEAR AEOVLATOAYCOMMISSION LICENSEE EVENT REPORT ILER) TEXT CONTINUATION APPAOVEO OM8 NO SI50 OIOS EXPIRES: 8/11/88 PACILITY NAME III OOCKET NUMSER 11I LEA NVMSEA ISI AOE IS)
YEAR ',..y SEOVENS/AL ~ A 1 v IS IO //
NVMSSA MVMPS' Palo Verde Unit TEXT /// ///s/9 s//Pss is /PPMss/8 s/ss 2
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. E Failure mode, mechanism, and effect of each failed component, if known:
The failure of the potential transformer (PT) primary ACA .phase
,fuse resul,ted in a load, shed of,Bus 2E-NAN-S02 .including deenergization of reactor coolant pumps (RCP) 1B and 2B. This resulted in a reactor trip and turbine trip as described in Section I.B. Shortly before the reactor trip, there was indication of a problem with Bus 2E-NAN-S02 by a trouble alarm annunciation for the bus, an oscillograph operated annunciator alarm, oscillograph indication of an undervoltage condition on the bus, and a digital fault recorder indicating a fault on the bus. Operations personnel (utility, licensed and non-licensed) were attempting to identify the problem when the reactor trip occurred. The root cause of failure of the fuse is under investigation and will be included in a supplement to this report.
The failure of check valve SGN-V431 resulted in overpressurizing a portion of the main feedwater system as described in Section I.B.
The cause of the check valve failure is described in Section I.C.
F. For failures of components with multiple functions, list of systems or secondary functions that were also affected:
Not applicable - No component failures had multiple functions which affected other systems or components.
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:
Not applicable - There were no failures that rendered a train of a safety system inoperable.
H. Method of discovery of each component or system failure or procedural error:
The failed potential transformer primary "CA phase fuse was discovered as a result of troubleshooting performed after the event.
The failed check valve SGN-V431 was discovered as a result of troubleshooting performed after the event.
The overpressurization of the MFW,pump suction piping was discovered when troubleshooting the feedwater pump low suction pressure trips as described in Section I.B. The bellows in all six low suction pressure switches were found to be deformed due to the pressure transient.
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LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVEO OMd HO 3150WIOS EXPIREE: d/31/dd FACILITY NAME 111 OOCKET NUMEEA Ill LER NUMeER lel PACE IS)
VEA/I seovsNT/*L F /9 RIY/s/oN
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NVMSSR 'VMSSR Palo Verde Unit TEXT /// /RS//9 S/MSP /I /POS/nd, S/Ss 2
//9///M//V/ICFO//R JISIIA'SI 113) o 5 o o o 5 298 9 009. 00 06 QF 0 9 I. Cause of Event:
The cause of the reactor trip discussed in Section I.B was a failed fuse which caused a load shed signal on Bus 2E-NAN-S02 resulting in a partial loss of flow. The RCR phase potential transformer (PT) is connected to 'Bus 2-NAN-S02. 'The fuse is located between the PT and the bus. Relay 227-S monitors the bus voltage through the PT. The relay load sheds the bus when the voltage is less than or equal to 77 percent of the bus voltage (13.8 kv). When the fuse failed, the relay saw no voltage from the PT and actuated the load shed relays.
- 2. The cause of the SIAS/CIAS ESF actuation described'.~n Section I.B. was RCS depressurization due to improper Steam Bypass Control System (SBCS) response and excessive leaRage past the pressurizer spray valves.
- a. The SBCS response was caused by the method of calibration used for the Proportional Integral (PI) Controller in the SBCS quick open controllers. This allowed the SBCS valves to remain open longer than was required. PVNGS calibrates the PI controller using the dial settings provided by the Combustion-Engineering (CE) setpoint document. The CE setpoint document also provides calibration curves for optimizing the quick open controller response. However, the CE setpoint document did not clearly indicate that these curves were to be used as part of the PI controller calibration.
Therefore, PVNGS calibration procedures only required use of the dial settings and did not require use of the calibration curves to optimize the SBCS response.
- b. The cause of the pressurizer spray valve leakage was due to both valves positioners being out of ~libration.
PVNGS was aware that these valves were ldhking prior to this event. However, because these valves are located in containment and inaccessible during power operation, they were scheduled to be recalibrated during the next plant shutdowns The final root cause analysis is not complete for the positioners. The root cause analysis is expected to be completed by November 1, 1989. The results of the root cause will be included in a supplement to this report which is expected to be submitted by December 1, 1989.
- 3. The cause of the overpressurization of the Hain Feedwater Pump suction piping was due to back-leakage through a check valve as described in Section I.D. This check valve is not safety related and is not currently included in any testing 4RC ~ S/RM SSSR 19 93/
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SACILITY NAME lll OOCKET NVMEER (1l LER NVMEER IE) SACE IEI YE*II SEQUENTIAL ~ye AEYNIOaa
~aUMSYA 'aUaatt4 Palo Verde Unit 00 00 07oF 0 9 TExT Its aaatat Nattt at ~. IatS 2
aMakootl Hale fonaa %CA'tt till o s o o o 5 2 9 9 or maintenance programs. Therefore there were no procedures for maintenance or testing of these check valves at the time of this event. A separate engineering evaluation is ofbeing this conducted on this overpressurization event. A copy evaluation will be provided to the NRC resident inspector at
'PVNGS .and the 'Regional 'Administrator.
J. Safety System Response:
following automatic and manual safety system responses occurred The during this event:
- 1. Containment Isolation System (automatic)(JH). RBR
- 2. Low. Pressure Safety Injection 'Trains RAR and (automatic)(BP)
Safety Injection Trains "AR and RBR
- 3. High Pressure (automatic)(BQ) RAR and RBR Emergency Diesel Generators Trains (automatic)(DG)(EK)
- 5. Essential Spray Pond System Trains RAR "AR and RBR (automatic)(BS)
- 6. Essential Chilled Water System Trains and "Bv (automatic)(KH) RAR and RBR
- 7. Essential Cooling Water System Trains (automatic)(BI) RAR and RBR (automatic)(KA)
- 8. Condensate Transfer System Trains
- 9. Containment Spray Trains RAR and RBR,(automatic)(BE)
RA" and "BR
- 10. Control Room Essential HVAC Trains (automatic)(AHU) RAR and Control Building Essential Ventilation System Trains "Bv (automatic)(AHU)
"AR and RB"
- 12. Auxiliary Building Essential HVAC System Trains (automatic)(AHU)
K. Failed Component Information:
The failed fuse was manufactured by General. Electric. It is a type EJl, size B, rated at 15.5 kv and 0.5 amps.
The leaking check valve was manufactured by number Pacific Valves. It is 58809-7-WE(20) an 8 inch one-way flow check valve, figure ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT:
The Palo Verde Updated Final Safety Analysis Report (UFSAR) accident analysis for loss of reactor coolant system (RCS) flow assumes a total loss of offsite power resulting in a coastdown of a
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1; NRC Porm SSIA 19891. U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LERI TEXT CONTINUATION APPROVEO OMS NO 9150WIOO EXPIRES: 8/SI/88 P A OIL I T Y N AME 111 OOCKET NUMSER I?I LER NUMSER ISI PAGE ISI YEAR r,",g STOVE NT>>AL A1 y IE>>Q N N I/ M e $ A >>>>vMoeo Palo Verde Unit 2 o 5 o,o o 52 9 89 0 09 00 08 OF 0 9 TEXT /// more I/>>PIe>>I e>>>>iire>>E>>roe>>oeloon>>o/ H/IC /rorm JRKAS/117) all four reactor coolant pumps (RCP's). The accident analysis transient is Departure from Nucleate Boiling Ratio (DNBR) limiting. The reduced RCS flow results in an initial rise in RCS average temperature and a reduction in DNBR. Based on this analysis, a reactor trip on low DNBR mitigates this transient and maintains DNBR above the safety limit. For this event, only two RCPs tripped .and coasted down. The Steam Bypass Control System (SBCS) reduced RCS average. temperature following the reactor trip. The accident analysis bounds this event. Based on this, DNBR limits were not exceeded.
Depressurization of the RCS resulted in a SIAS. The primary function of the SIAS for this event type is to maintain RCS inventory and maintain shutdown margin. In this event all control element assemblies (CEA)(AA)(ROD) inserted and RCS average temperature decreased to 551'F.
Adequate shutdown margin was maintained and,pressurizer level remained on scale throughout the event. Therefore adequate RCS inventory was, maintained throughout this event.
The check valve SGN-V431 leakage resulted in overpressurization of a portion of the Main Feedwater System pump suction piping. This portion of the Hain Feedwater System performs no safety function.
All safety systems required to operate performed as designed. The event did not result in any challenges to fission product barriers or result in any releases of radioactive materials. Therefore, there were no safety consequences or implications as a result of this event. This event did not adversely affect the safe operation of the plant or health and safety of the public.
III. CORRECTIVE ACTIONS:
A. Immediate:
The failed fuse was replaced in the potential transformer for Bus 2E-NAN-S02. >>
B. Action to Prevent Recurrence:
The failed fuse's being evaluated by General Electric for the root cause of failure determination. B'ased on the root cause of failure, PVNGS will determine if any additional actions are required to prevent recurrence. Additional actions will be described in a supplement to this report.
- 2. The SBCS calibration procedure was revised and the SBCS quick open modules were optimized using the nominal setpoint values and the controller performance curve. The SBCS calibration procedure is being reviewed to ensure that all SBCS modules are calibrated using the technique, setpoints and tolerances 'n the Combustion Engineering setpoint document.
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FACILITY NAME ITI DOCKET NUMSEII lll LER NUMSEII IS) PACE ISI YEAII SSOVENTaAL AEYISION aaVMtf A NVMFEA Palo Verde Unit 2 o s o o o 5 2 9 8 9 0 09 00 09 OF 0 9;.
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- 3. The pressurizer spray valves were recalibrated in accordance with an, approved procedure to correct the excessive. leakage condition. The final root cause determination has not been completed. Additional actions will be described in a supplement to this report.
- 4. The leaking HFP bypass check valve was repaired. Check valves SGN-V431 and SGN-V432 were pressure tested and no leakage was identified. The overpressurization event was evaluated and Hain Feedwater Pump suction piping was walked down. It was determined to be acceptable for continued plant operation.
C. Corrective Actions by Other Units:
Units 1 and 3 will complete the following actions prior to startup from their current outages:
- 1. Check the optimization of the SBCS quick open modules.
- 2. Check the calibration of the pressurizer spray valves.
- 3. Inspect check valves SGN-V431 and SGN-V432.
An independent investigation of this event is also being conducted. Additional actions to prevent recurrence may be developed based upon the results of this independent'valuation. A supplement to this report will be provided to describe additional corrective actions to be taken. The supplement to this report is expected to be submitted by December 1, 1989.
IV. PREVIOUS SIHILAR EVENTS:
There have been:no previous similar occurrences reported pursuant to 10CFR50.73.
'There have been previous reactor trips reported. However, none of,the previous reactor trips were attributable to. the same root cause described in Section I. I. Therefore none of the'previous corrective actions would have been expected. to prevent this event.
V. ADDITIONAL INFORMATION There have been 5 total .accumulated actuation cycles of the Emergency Core Cooling System to date.. This report satisfies the requirements of Technical Specification 3.5.2 ACTION b.
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