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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 DI TRIBUTION DEMONST ATION SYSTEM REGULATORY XNFORMATION DISTRXBUTION SYSTEM (RIDS)
ACCESSION NBR:9102200280 DOC-DATE- 91/02/11 NOTARIZED:'NO DOCKET I FACIL:STN-50-528 Palo Verde Nuclear Station, Unit 1, Arizona Publi 05000528 AUTHOR AFFILIATION AUTH. NAME BRADISH,.T.R.
LEVINE,J.M.
'rizona Arizona Public Service Public Service Co.
Co.
(formerly Arizona Nuclear Power (formerly Arizona Nuclear Power RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 91-001-00:on 910110.determined that postulated break in reactor coolant pump high pressure seal cooler could result D in RCS leak outside containment. Caused by tube rupture in seal cooler.RCS activity monitored.W/910211 ltr.
DISTRIBUTION CODE: XE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50;73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:STANDARDIZED PLANT 05000528 A D
RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD5 LA 1 1 PD5 PD 1 1 TRAMMELL,C 1 1 TRAMMELL,C. 1 1 INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB11 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB 7E 1 1 Ngg/QSZ~B 1 1 NRR/DST/SRXB 8E RES/DSIR/EIB 1
1 1
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FILE FILE '1 1 1 1 1
EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHY,G.A 1 1 NUDOCS FULL TXT 1 1 NOTES 1 1 D
A D
D NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE O'ASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM P 1-37 (EXT. 20079) TO ELli%11NATE YOUR NAivIE FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEEDI FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 35 ENCL 35
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Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O, BOX 52034 ~ PHOENIX, ARIZONA85072-2034 192-00713-JML/TRB/RKR JAMES M. LEVINE VICE PRESIDENT February 1.1, 1991 NUCLEAR PRODUCTION U. S. Nuclear Regulatory Commission Attention: Document Control Desk Mail Station Pl-37 Washington, DC 20555
Dear Sirs:
Sub) ect: Palo Verde Nuclear Generating Station (PVNGS)
Unit 1 Docket No. STN 50-528 (License No. NPF-41)
Licensee Event Report 91-001-00 File: 91-020-404 Attached please find Licensee Event Report (LER) No. 91-001-00 prepared and submitted pursuant to 10CFR50.73. In accordance with 10CFR50.73(d), we are forwarding a copy of the LER to the Regional Administrator of the Region V office.
If you have any questions, please contact T. R. Bradish, Compliance Manager at (602) 393-2521.
Very truly yours, JML/TRB/RKR/dmn Attachment CC: W. F. Conway (all with attachment)
J. B. Martin D. H. Coe A. C. Gehr A. H. Gutterman INPO Records Center 9102200280 910 '1 l PETER ADOCK 05000528 S PbR
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NRC FOAM 366 U.S. NUCLEAR REGULATORY COMMISSION (609) APPROVED OMB NO. 31504)104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEOUESTr 50/) HRS. FORWARD LICENSEE EVENT REPORT {LER) COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (Pe)30). V.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTAND BUDGET,WASHINGTON, DC 20503.
FACILITY NAME (I) DOCKET NUMBER l2) PA E Palo Verde Unit 1 0 5 0 0 0 1 OFp 8 TITLE (4)
EVENT DATE I5)
Postulated Reactor'Coolant LER NUMBER (6)
S stem Leak Not Included REPOAT DATE (7)
In Desi n OTHER FACILITIES INVOLVED (6) i MONTH DAY YEAR YEp R ITS sEQUENTIAL ver IIEvrcrQN MONTH DAY YEAR FACI LITY NAMES DOCKET NUMBER(SI NUMBER rebec NUMBER Palo V 0 5 0 0 0 5 0 1 1 0 0 1' 0 0 2 9 1 Palo Verde Unit 3 o 5 o o o 5 3. 0 OPERATING THIS REPORT IS SUBMITTED PURSUANT T0 THE RLOU)REMENTS OF 10 CFR (It /Check one or more of rne foiiowinP/ ill)
MODE (9) 20.402(b) 20.405(c) 50.73(el(2)(iv) 73.71(b)
POWER 20A05(el(i)(i) ill(lv) 50.36(el)1) 50.73(el(2) lr) 73.71(cl LEVEL 1 p p 20A05(sill)(ill S0.36 lc) (2) 50.73(e) l2) (vBI OTHER ISpecifyin Abrrrsct below end in TEL HRC Form 20.405( ~ )ill(ill) 50.73le) (2) li) 60.73(e 1 (2 l(rill)lA) 366A/
20A05(e) 50.73(e) (2)(ID 50.73(el(2) lrliil(BI
~,".~N ., ~ed%'rr;i 20A05( ~ )ll)(v) 50.73( ~ ) (2 1 Bit) 50.73(e) (2) (el LICENSEE CONTACT FOR THIS LER (12I NAME TELFPHONE NUMBER AREA CODE Thomas R. Bradish Com liance Mana er 3 3 2 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPOAT 113)
MANVFAC REPORTABLE MANUFAC EPORTABLE CAUSE SYSTEM COMPONENT CAUSE SYSTEM COMPONENT TVRER TURER TO NPADS W>@%PNk jr MoQ> v(c
~'
vc Ya w4:cA SUPPLEMENTAL REPORT EXPECTED 114) MONTH DAY YEAR EXP EClED SUBMISSION DATE I'ISI YES Iffyet, compiere EXPECTED SV64//SSIOH DATE/
ABSTRACT ILimit to ter/0 rpeceL I e, epproeimereiy fifteen rfnpre.specs typewritren lined (16)
At approximately 1500 MST on January 10, 1991, Palo Verde Units 1, 2, and 3 were in MODE 1 (POWER OPERATION) at approximately 100 percent power when PVNGS Engineering determined that a postulated break in a Reactor Coolant Pump (RCP) high pressure seal cooler could result 'in a reactor coolant system (RCS) leak outside containment. A conservative evaluation of this postulated event based on assumptions used in the Standard Review Plan (NUREG 0800) determined that the Exclusion Area Boundary cumulative thyroid dose could exceed 10CFR100 limits. An evaluation based on existing RCS activity showed that doses would be a small fract:ion of 10CFR100 limits.
The cause was that a tube rupt:ure in the seal cooler and its effect was not considered in the original plant design.
Immediate corrective actions were taken to: 1) monitor RCS act'ivity to ensure 10CFR100 limits would not be exceeded as a result .of this postulated event and.
- 2) monitor the Nuclear Cooling Water System to provide early detection of a seal cooler leak. A design change is being developed to mitigate the postulated event described in this LER. The design change is expected to be completed in Units 1, 2, and 3 by July 1993.
No previous similar events have been reported in accordance with 10CFR50.73.
NAC Form 366 (649)
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NRC FORM368A US. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 31500108 (SS9)
EXPIRES! 8/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REOUESTI 50J> HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P430). U.S. NUCLEAR REGULATORY COMMISSION. WASHINGTON. DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504108>, OFFICE OF MANAGEMENTAND BUDGET,WASHINGTON, DC 20503.
FACILITYNAME (11 DOCKET NUMBER (21 LER NUMBER (8) PAGE (3)
YEAR SEOUSNTIAL REVISION rgp NUM88R NUM SII Palo Verde Unit 1 0 5 0 0 0 5 OF TEXT IIImoro oporo II mordrod, Ir(o odds/onoIHRC Form 35643/ ((7)
I. DESCRIPTION OF WHAT OCCURRED:
A. Initial Conditions:
At approximately 1500 MST on January 10, 1991, Palo Verde Units 1, 2, and 3 were in MODE 1 (POWER OPERATION) at approximately 100 percent power.
B. Reportable Event Description (Including Dates and Approximate Times of Major Occurrences):
Event Classification: A condition that was outside the design basis of the plant.
At approximately 1500 MST on January 10, 1991, PVNGS Engineering determined that a postulated break in the Reactor Coolant Pump (RCP)(P)(AB) high pressure seal cooler (SEAL)(CLR)(AB) could result in a reactor coolant system (RCS)(AB) leak outside the Containment building (NH). A conservative evaluation of this postulated event based on the assumptions used in NUREG 0800, Standard Review Plan (SRP) determined that the Exclusion Area Boundary (EAB) cumulative thyroid dose could exceed 10CFR100 limits. An evaluation of this postulated event based on existing RCS activity showed that doses would be a small fraction of 10CFR100 limits. The evaluation also showed that this postulated event would not result in any fuel damage.
During an evaluation based on the recommendations in NRC Information Notice 89-54, "Potential Overpressurization of the Component Cooling Water System," PVNGS Engineering identified a postulated scenario in which a double ended guillotine break of a RCP seal cooler tube could result in overpressurization of the Nuclear Cooling Water System (NCWS) (CC) and therefore, the potential existed for a leakage path outside of Containment. This failure could result in high pressure, high temperature RCS fluid entering the low pressure, low temperature NCWS piping, Most of the RCS leakage would flow from the RCP body through clearances between the impeller hub and bearing sleeve, through a clearance between the bearing sleeve and stop seal, into a flow passage in the bearing sleeve, and through drilled clearances in the RCP seal housing. This leakage would then proceed to the RCP seal cooler via the seal cooler inlet valve (ISV)(AB), A parallel flowpath would also be established past the journal bearing and the RCP seal cooler outlet valve (ISV)(AB).
NRC Form 368A (SJ>9)
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NRC FORM 355A US. NUCLEAR REGULATORY COMMISSION (SZ9) APPROVED 0M B NO. 31500)oi EXP IR ES: 0/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT (LERI INfORMATION COLLECTION REQUEST: 60A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (F430). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150OIOE). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITYNAME (I I DOCKET NUMBER (2) LER NUMBER (Sl PAGE (3)
YEAR
'> SEQUENTIAL 'PISI REVISION
- ,.W NUMBER %4 NUMSER Palo Verde Unit 1 o s o o o 528 91 001 0 0 030" 0 8 TEXT /// moro spoco tr roEII/rod, IrJo odd/I/ono/HRC form 3SSAS/ OT)
Calculations using two-phase choked flow models, assuming only the hydraulic resistance of the limiting restriction in the flow path, indicate the initial leakage flow rate through a doubled ended guillotine break of the tube would be approximately 58 pounds mass per second (ibm/sec). Since NCWS containment .isolation valves (ISV)(CC) are not designed to isolate or remain isolated against pressures that could result from this RCS leakage, RCS fluid from the tube failure 'is postulated to flow into the NCWS providing a potential release path outside Containment through the NCWS surge tank pressure relief valve (TK)(RV)(CC) on the Auxiliary Building (NF) roof. This relief valve [set at 10 pounds per square inch gauge (psig)j discharges to an open atmospheric scupper on the Auxiliary Building roof. Since the magnitude of the break exceeds the capacity of the pressure relief valve, the design pressure of the surge tank (15 psig) could be exceeded.
In addition to the above, a postulated catastrophic high pressure cooler tube rupture may simultaneously initiate degradation of the RCP seals of the affected pump because cooling and lubricating flow would be diverted to the break and any residual fluid remaining in the seal housing would be evacuated via t'e auxiliary impeller in the RCP seal housing. However, this degradation does not increase the radiological consequences of this postulated event since the leakage would be confined to Containment.
The NCWS is a closed loop cooling system which provides cooling water to numerous heat exchangers that contain radioactive water.
The NCWS is constantly monitored by an on-line radiation monitor (MON)(IL) which alarms in the Control Room (NA) when the cooling water activity reaches a maximum preset level. The radiation monitor is capable of detecting RCS in-leakage of 0.08 gallons per minute (gpm) within one hour after the leak begins.
An evaluation of the radiological consequences of this scenario using postulated design basis conditions fi.e, constant, continuous reactor coolant leakage rate and accident dose parameters (iodine spiking factors, reactor coolant activities corresponding to one-percent failed fuel and no operator actions) as specified in the SRP for Chapter 15 FSAR analysis] indicates that EAB cumulative thyroid dose could exceed 10CFR100 limits within 30 minutes. An evaluation using existing conditions at PVNGS showed that EAB dose will be limited to a small fraction of 10CFR100 limits.
Evaluations of limiting design basis events also show that this postulated event would not result in fuel failure.
NRC Form 355A (SS9)
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NRC FORM 388A U S. NUCLEAR REGULATORY COMMISSION (689) APPROVED 0MB NO. 31500108 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REQUEST. 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (F430). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504108), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL ~>> O II8 V IS KIN g@ NUM 8 II NVM SII Palo. Verde Unit 1 o e o o o OF 0 8 TEXT /Ifmore e/reoe /e r))or/red, oee edd)r)rne/PORC Form 3//84'e/(17)
C. Status of structures, systems, or components that were inoperable at the start of the event that contributed to the event:
Not applicable - no structures, systems, or components were inoperable at the start of the event which contributed to this event.
D. Cause of each component or syst: em failure, if known:
Not applicable - no component or system failures were involved.
E. Failure mode, mechanism, and effect of each failed component, if known:
Not applicable - no component failures were involved.
For failures of components with multiple functions, list of systems or secondary functions that were also affected:
Not applicable - no component failures were involved.
G. For a failure that rendered a train of a safety system inoperable, estimated time elapsed from the discovery of the failure until the train was returned to service:
Not applicable - no failures were involved which rendered a train of a safety system inoperable.
H. Method of discovery of each component or system failure or procedural error:
Not applicable - there have been no component or system failures or procedural errors identified.
Cause of event The postulated event discussed in Section I.B was not considered in t:he original design of t:he plant (SALP Cause Code B: Design, Manufacturing, Installation Error). The design basis of the RCP seal coolers described in the Combustion Engineering Standard Safety Analysis Report (CESSAR) and the NRC Safety Evaluation Report for Palo Verde was that any leakage from the RCS would be detected by a combination of the NCWS radiation monitors and the high surge tank level switches which alarm in the Control Room.
Once leakage is detected it would be isolated using the RCP seal cooler isolation valves. The possibility of a tube rupture in the seal cooler and its subsequent effect on the NCWS was not considered in the original plant design.
NRC Form 368A (8 89)
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NRC FORM SSSA U.S. NUCLEAR REGULATORY COMMISSION (54)9) APPROVED 0MB NO. 31504)104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REOUEST: 50A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P4)30). U.S, NUCLEAR REGULATORY COMMISSION, WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31504)104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON. DC 20503.
FACILI1'Y NAME (1) DOCKET NUMBER LT) LER NUMBER (S) PAGE (3)
'ix, saavarrTIAL i~" rravrsiorr g2<
NUM Err r/UM 44 Palo Verde Unit 1 0 5 0 0 0 0 0 0 50F 0 8 TEXT ///moro 4/roro /4 ror/rrood, oro oddr)/ooo/NRC Form 36S43/ (17)
No unusual characteristics of the work location (e.g., noise, heat, poor lighting) contributed to this postulated'event. The postulated event was not a result of personnel errors nor procedural errors.
J. Safety System Response:
Not applicable - there were no safety system responses and none were necessary.
K. Failed Component Information:
Not applicable - no component failures were involved.
II. ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT The postulated event discussed in Section I.B would be a small break loss of coolant accident (LOCA) based on the criteria specified in operating procedures. Control Room personnel would respond by entering and executing the actions for a small break LOCA...RCP alarm response procedures would direct the operators to close the seal cooler isolation valves to terminate the event. The valves are designed to operate against full differential RCS pressure, however they do not receive emergency power. If the affected seal cooler could not be isolated,,the RCS would be depressurized to allow the NCWS containment isolation valves to be closed to isolate the leak.
A conservative evaluation of the radiological consequences of a postulated guillotine break of the RCP seal cooler tubing was performed.
This evaluation used a constant, continuous reactor coolant leakage rate to the atmosphere of 58 ibm/sec and accident dose parameters (i.e.,
iodine spiking factors, reactor coolant activities corresponding to one percent failed fuel, no operator action to isolate the break, etc.)
assumed in the SRP for Chapter 15 accident analyses. The evaluation assumed all of the leakage was released to atmosphere and took no credit for iodine partitioning factors. This evaluation indicates the EAB cumulative dose would exceed 10CFR100 limits for dose to the thyroid within 30 minutes of the 'postulated event. If iodine partitioning factors, flashing and time dependent leakage were considered in this analysis, the results would be less than 10CFR100 limits.
An evaluation of the consequences of the postulated guillotine break of the seal cooler tubing was also performed using existing conditions at PVNGS rather than the conservative parameters specified in the SRP. The evaluation used an iodine spiking factor of 40, iodine 131 dose equivalent concentration of S.OE-2 microcuries per milliliter (uci/ml) and eight failed fuel pins, all based on actual worst case data for NRC Form 368A (54)9)
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NRC FORM 365A U.S. NUCLEAR REGULATORY COMMISSION (669) APPROVED OMB NO,31504104 E XP I R ES: O/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REOUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3(6041(M), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITYNAME (I) DOCKET NUMBER (2) LER NUMBER (5) PAGE (3)
SEOVSNTIAL AovrsroN NUMsorl N v M 8 o rr Palo Verde Unit 1 0 5 0 0 0 OF p TEXT ///moro o/roco /J ror/ckat, ooo oddr)/orro/HRC Forrrr 366AS/(Il)
PVNGS Units 1, 2, and 3. An initial, continuous reactor coolant leak rate to the atmosphere of 58 ibm/sec (i.e., no credit taken for reduced leak rate due to system depressurization), no operator action, no partition factor, and accident (SRP specified) Chi/Q values were conservatively used. This evaluation resulted in radiological consequences which are a small fraction of 10CFR100 limits. The EAB 2 hour2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> cumulative thyroid dose would be 10.2 Rem and the Low Population Zone (LPZ) 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, cumulative thyroid dose would be less than 13 Rem.
The 30 day Control Room thyroid dose was calculated to be 1.9 Rem.
The potential leak was also evaluated based on 'leak before break criteria, If a leak were to develop by some preexisting flaw or unidentified mechanism, the low stresses in the piping would result in a stable crack up to a. leak rate of approximately 1.3 gpm. This stable crack size was determined using the methodology of NUREG/CR-4572 HNRC Leak Before Break (LBB.NRC) Analysis Method for Circumferential Through-Wall Cracked Pipes Under Axial Plus Bending Loads," which includes loads during normal operation and a safe shutdown earthquake. NUREG 1061 "Evaluation of Potential for Pipe Breaks " requires the application of a factor of safety of two to the critical crack size to arrive at a leakage crack size. The resulting leak rate including this safety factor is 0.8 gpm. Recognizing that the tubing would leak before breaking, NUREG 1061 requires that the leak detection system used be capable of detecting a leak equivalent to one tenth of the leak rate expected from the leakage crack size. In this case that value would be 0.08 gpm. On-line radiation monitoring and chemical sampling are capable of detecting leakage at this level.
An evaluation of the radiological consequences of small leakage through the high pressure seal cooler tubing was performed based on leak before break criteria. This evaluation was based on a constant leak rate of 1.3 gpm to conservatively bound the maximum stable crack size leak rate analyses. The evaluation assumed reactor coolant activity corresponding to one percent failed fuel, a partition factor coefficient for iodine species of 0.01, and accident Chi/Q values. The results show that for this scenario, the radiological consequences are well below 10CFR100 limits. 'The EAB 2 hour2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br /> cumulative thyroid dose would be approximately 1.7E-5 Rem and the LPZ 8 hour9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> thyroid dose would be approximately 4.1E- '
Rem.
Due to uncertainties in the failed fuel predictions and the spiking factor, PVNGS will monitor RCS I-131 dose equivalent concentration levels. If these values exceed a level of 2E-1 uci/cc RCS I-131 dose equivalent, EAB doses will be reevaluated and additional actions will be taken if required. With the activity at or below this level, offsite doses will be limited to a small fraction of 10CFR100 limits.
The double ended guillotine break of RCP seal cooler tubing was NRC Form 366A (649)
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NRC FORM SSSA UA. NUCLEAR REGULATORY COMMISSION APPROVEO 0MB NO. 31500)0O (SJIS)
EXPIRES OI30(IJ2 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REOUESTI 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, 00 20503.
FACILITYNAME ('I) DOCKET NUMBER (2) LER NUMBER IS) PAGE (3)
SEQUENTIAL REVISION NVM TR NVMSOR Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 0 1 0 0 0 7 oFO 8 TEXT Illmoro opooo lo roOrdrod. VTO oddldorrol lVRC Form 3()r)A BI (17) evaluated to assess the potential for causing fuel failure by examining the spectrum of break sizes for a small break LOCA.' failure of the RCP seal cooler would correspond to a break size of 0.0043 square feet.
The smallest. break size evaluated for small break LOCA analysis is 0.02 square feet, and does not result in fuel failure. This break size bounds all break sizes less than 0.02 square feet, and is considered .
bounding for this postulated event. Based on this analysis, the RCP seal cooler tube failure postulated event would not result in fuel failure.
The capability of the Refueling Water Tank (RWT)(TK)(BP) to provide makeup water for this postulated event was evaluated and the RWT inventory demand was determined to be approximately 487,600 gallons.
Technical Specification 3.1.2.6 specifies a minimum RWT inventory of 600,000 gallons, based on an RCS average temperature of 565 degrees Fahrenheit. Therefore, the RWT inventory is adequate for this postulated event.
Based on these evaluations, it is concluded that although the consequences =of a postulated guillotine break of the seal cooler tubing using SRP specified parameters exceeds regulatory limits, an evaluation of this postulated event using existing PVNGS data demonstrates radiological consequences below 10CFR100 limits. An evaluation of the small leakage that might occur before identification and isolation based on the application of leak before break criteria also demonstrates radiological consequences below 10CFR100 limits.
III'ORRECTIVE ACTION:
A. Immediate:
'he consequences of this postulated event were, evaluated and a Justification for Continued Operations (JCO) was developed and submitted to the NRC (161-03709-WSC/JST, dated January 18, 1991).
To ensure that any leak of the RCP seal cooler will be detected in a timely fashion the following compensatory measures (only applicable in Modes 1 through 4, POWER OPERATION through HOT SHUTDOWN). have been put in place:
Chemistry sampling and abnormal occurrence procedures have been changed to provide for backup grab samples to be taken at least every 14 hours with the NCWS radiation monitor (RU-
- 6) operable'his method will detect in-leakage lower than 0.08 gpm and also provide a confirmation of RU-6 operation.
If RU-6 is out of service the Chemistry samples will be taken at least every 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br />, NRC Form 35SA (BJIB)
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NRC FORM366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 31600)04 (669)
E xp I 8 E s: 6/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLL'ECTION REQUEST: SOA) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20655, AND TO THE PAPERWORK REDUCTION PROJECT (31600)Be). OFFICE OF MANAGEMENTAND BUDG ET, WASHINGTON, DC 20603.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6I PAGE (3)
YEAR N::.I SEQUENTIAL
'oi NVMeeII m~1 Reve)IQN gpS NUMeeo Palo Verde Unit I 0 5 0 0 0 5 8 9 0 0 I 0 0 QF 0 8 TEXT ///moro <<reoe /e rer/v/red. Iree eddie'aoe/HRC farm 3664'e/((7)
- 2. The radiation monitor RU-6 alarm response procedure and chemistry sampling procedure have been revised to require specific actions be taken quickly to identify the source of any in-leakage to the NCWS.
- 3. In the event manual sampling detects short lived fission product activity (indicative of Reactor Coolant Leakage into the NCWS) or a radiation monitor alarm is received and manual sampling detects short lived fission product activity, an orderly plant shutdown to Mode 5 (COLD SHUTDOWN) will commence. Sampling will continue during shutdown to monitor the leakage and to determine the source of the leakage.
If RCS in-leakage through the seal cooler is determined not to be the source, the plant will not be shutdown and sampling shall continue. Manual samples will be taken at least every 5 hours5.787037e-5 days <br />0.00139 hours <br />8.267196e-6 weeks <br />1.9025e-6 months <br /> to ensure that no RCS leakage in the NCWS would go undetected by the radiation monitor due to higher background activity.
4, RCS I-131 dose equivalent concentration levels will be monitored. If these values exceed a level of 2E-1 uci/cc, RCS I-131 dose equivalent, offsite doses will be reevaluated and additional actions will be taken if required.
B. Action to Prevent Recurrence:
A design change is being developed to mitigate the postulated event described in this LER. Implementation of this design change is expected to be completed in Units 1, 2, and 3 by July 1993.
IV. PREVIOUS SIMILAR EVENTS:
No previous similar events have been reported in accordance with 10CFR50,73.
NRC Form 366A (669)
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