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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 DISTRIBUTION DEMONSTIQ TION SYSTEM
~
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9112240273 DOC.DATE: 91/12/13 NOTARIZED: NO DOCKET FACIL:STN-50-530 Palo Verde Nuclear Station, Unit 3, Arizona Publi 05000530 AUTH. NAME AUTHOR AFFILIATXON BRADISH,T.R. Arizona Public Service Co. (formerly Arizona Nuclear Power LEVINE,J.M. Arizona Public Service Co. (formerly Arizona Nuclear Power RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 91-008-00:on 911114,lighting induced electrical fault on A phase main transformer caused generator
& reactor power cutback. Caused by problem trip, turbine trip w/calculator D software. Evaluated lightning protection sys.W/911213 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ! ENCL TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc. + SIZE:
NOTES:Standardized plant. P5PPP53P A D
RECIPIENT COPIES .RECIPIENT COPIES ID CODE/NAME LTTR ENCL XD CODE/NAME LTTR ENCL D PD5 LA 1 . 1 PD5 PD 1 1 TRAMMELL,C 1 1 THOMPSON,M 1 1 $
INTERNAL: ACNW 2 2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P .2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB10 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/SICB8H3 1 1 N SPLB8D1 1 1 NRR/DST/SRXB 8E 1 1 EG F1LE 02 1 1 RES/DSIR/EIB 1 1 GN5 FILE Ol 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 R NSIC POOREiW ~ 1 1 NUDOCS FULL TXT 1 1 1 1 D
D D
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE iVASTE! CONTACT THE DOCUMENT C~NTPOL DESK, ROOivl Pl'37 (EXT. 20019) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 35 ENCL 35
Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O. BOX 52034 ~ PHOENIX, ARIZONA 85072-2034 192-00762-JML/TRB/RKR JAMES M. LEVINE VICE PRESIDENT December 13, 1991 NUCLEAR PRDDUCTIDN U. S. Nuclear Regulatory Commission Attention: Document Control Desk Mail Station Pl-37 Washington, D.C. 20555
Dear Sirs:
F Subj ect: Palo Verde Nuclear Generating Station (PVNGS)
Unit 3 Docket No. STN 50-530 (License No. NPF-74)
Licensee Event Report 91-008-00 File'1-020-404 Attached please find Licensee Event Report (LER) 91-008-00 prepared and submitted pursuant to 10CFR50.73. In accordance with 10CFR50.73(d), a copy of this LER is being forwarded to the Regional Administrator, NRC Region V.
If you have any questions, please contact T. R. Bradish, Compliance Manager, at (602) 393-2521.
Very truly yours, JML/TRB/RKR/nk Attachment cc: W. F. Conway (all with attachment)
J. B. Martin D. H. Coe INFO Records Center
0
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LICENSEE EVENT REPORT {LERI fACILIT'( kAME DOCKET NUMSER TITLE Palo Verde Unit 3 o s o 0 o530 toF08 Reactor Trip Due to Lightning Induced Electrical Fault EVENT DATE LER NVMSER RKFORT DATE OTHER FACILITIES INVOLVED MONTH OAY YEAR YEAR KKOUKNTIAL HI( Acvtclok MONTH NUMSK tv NUMCKIV OAY YEAR fACI LITY NAMES DOCKET NUM8ER(SI N/A 0 s 0 0 0 1 1 1 4 9 1 9 1 008 0 0 1 2 1 3 9 1 N/A 0 s 0 0 0 THIS REFORT IS SUSMITTKD FURSVANT T 0 THE REOUIRKMENTS OF 10 CFR gt ICpoco orvppr rttpro OI IPO Iottowiofl OtERATINQ MODE 10A01(OI 10AOS(cl 00.714)LTI(Ivl 71.71(i(
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~ OWER 10AOS I ~ I(1 )Ii) ~ OM(cl(I) S0.7141 (1 I ( ~ ) 71.7((cl 1 0 0 10AOS I ~ I (1 I I 8 I SO.SS(c)(1) 00.714) (SI(vSI OTHER Idpocttf id Apt(root Shoto pod irt Toctj 70A08( ~ l(I I(ISI S0.714)11) (I) S0.714((S)(v(S) (Al 10AOS 41(1)(I v ) S0.7141(S) (Sl ~ 0.7141(S)(HS(( ~ )
10AOS( ~ I(1)(vl 80.71(pl(1) (III) S0.714((1) (pl LICEIISEE CONTACT fOR THIS LER NAME TELKFHONE NUMSER AREA CODE Thomas R. Bradish, Compliance Manager 6 0 2 3 9 3 -2 5 2 1 COMtLETE ONK LINE fOR EACH COMtONENT FAILURE OESCRISEO IN THIS REFORT MANUF AC MAIIUFAC. EFORTASL
@N'" gA" CAUSE SYSTEM CDMFONKNT TURER TO NFROS jP+(+ CAUSE SYSTEM COMFONENT TURKR TO NFROS
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>av r N CELCONW120Y SVttLEMENTAL REfORT KXtECTE O MONTH DAY YEAR EXtECTED SUSMISSION DATE Yf8 IIIVvt. Ctctvprvtv EXPECTED SUE MISSION DA TEI X No ASSTRACT ILirort to tciX) tpccct. r.c., cpproviroctcry Ahvvn trrvtr>tpcco tvpcvvrrttco poocI At approximately 1449 MST on November 14, 1991, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION) at approximately 100 percent power when a lightning induced electrical fault on the A phase main transformer caused a generator trip, turbine trip, and reactor power cutback (RPCB). Approximately 35 seconds following these events, the reactor tripped on low Departure from Nucleate Boiling Ratio (DNBR) signals. The plant was stabilized in Mode 3 (HOT STANDBY) at normal operating temperature and pressure. The Control Room shift supervisor classified the event as an uncomplicated reactor trip in accordance with the emergency. plan implementing procedure. No other safety system responses occurred and none were required. The post trip review found that the low DNBR reactor trip was due to a control element assembly (CEA) subgroup deviation. During. the post trip investigation, APS engineering discovered that a problem with the control element assembly calculator (CEAC) software design may have delayed the reactor trip for up to 16 seconds when a second CPC time delay was initiated. At the time of the second time delay, one CEA subgroup was thought to be misaligned greater than the allowed limit in the CPCs.
The cause of the second time delay was that the CEAC software design did not anticipate that there would be CEA slips lasting less than 0.5 seconds.
There have been no previous similar events reported pursuant to 10CFR50.73.
PVC194SU Rtv 9-89
HIICSZMZLE LICENSEE EVENT REPORT {LER) TEXT CONTINUATION FACILITY IIAMS OOCII'ST IIVMIER LRII IIUMSS II FAOS YSAII Nlg SSQUSHTIAL,.'X;
>'~ IISYlSIQU UVUSSA UUUSSA Palo Verde Unit 3 53091 008 00 02oF 0 8 DESCRIPTION OF WHAT OCCURRED:
A. Initial Conditions:
At approximately 1449 MST on November 14, 1991, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION) at approximately 100 percent power.
B, Reportable Event Description (Including Dates and Approximate Times of Ma/or Occurrences):
Event Classification: An event that resulted in automatic actuation of the Reactor Protection System (RPS)(JC).
At approximately 1449 MST, on November 14, 1991, Palo Verde Unit 3 was operating at approximately 100 percent power and a severe thunderstorm was in progress in the local area, when a lightning induced electrical fault on the high voltage bushing (CON)(EL) of the A phase main transformer (XFMR)(EL) caused a generator (GEN)(TB) trip and subsequent turbine (TRB)(TA) trip. In response to this large load refection, the selected, .in-service steam bypass control valves (SBCV)(PCV)(SB) quick opened and a reactor power cutback (RPCB) (JD) occurred per design. The RPCB dropped control element assembly (CEA)(ROD)(AA) Regulating Group 5 into the core reducing reactor power to approximately 70 percent.
Concurrently, CEA Regulating Group 4 was automatically inserted into the core to further reduce reactor power and control reactor coolant .system (RCS)(AB) temperature. Approximately 22 seconds after the electrical fault, a Control Room operator (utility, licensed) took manual control of CEA Regulating Group 4.
Approximately 35 seconds after the electrical fault, the core protection calculators (CPC)(JC) sensed a CEA subgroup deviation, applied the appropriate penalty to the DNBR calculations and determined that the calculated DNBR was below the low DNBR limit.
The reactor protection system (RPS)(JC) then initiated a reactor (RCT)(AC) trip on low DNBR. The plant was stabilized in Mode 3 (HOT STANDBY) at normal operating temperature and pressure. The Control Room shift supervisor (utility, licensed) classified the event as an uncomplicated reactor trip in accordance with the emergency plan implementing procedure. No other safety system responses occurred and none were required.
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.
PV4l9.0SUA Rcv. 9 89
0 LlCENSEE EVENT REPORT {LER) TEXT CONTlNUATION FACILITY NAME OOCIIaT IIuMI8II LCII IIUM88ll FA48 ygAA II HUQFIA ~ i FCQU4HTIAI, 'MI Atyl5IO I NUUF41 Palo Verde Unit 3 o s o o o 53091 008 00 0 3 oF 0 8 Prior to this event, one of the control element assembly calculators (CEAC)(JC) was declared inoperable when it would not reset and troubleshooting was in progress. Channel A Core Protection Calculator (CPC)(JC) was inoperable due to receipt of spurious trips and pretrips and had been placed in trip. Channel B CPC had been placed in bypass for monthly surveillance testing.
A review of these conditions determined that they did not contribute to this event.
D. Cause of each component or system failure, if known; The A phase Main Transformer bushing failed when a lightning induced electrical potential increase caused the bushing to flashover to ground (i.e., the top of the bushing was grounded to the outside of the transformer), No other component or system failures were involved.
E. Failure mode, mechanism, and effect of each failed component, if known:
The lightning induced transformer bushing failure occurred when the bushing fl'ashed over to ground. This resulted in an electrical fault on the A phase main transformer causing a main generator protective trip and subsequent turbine trip. The loss of load resulted in the selected, in-service steam bypass control valves quick opening and a reactor power cutback per design as described in Section I.B.
For failures of components with multiple functions, list of systems or secondary functions that were also affected:
Not applicable - no failures of components with multiple functions 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 that rendered a train of a safety system inoperable were involved.
H. Method of discovery of each component or system failure or procedural error:
The lightning induced transformer bushing failure was discovered during inspection and troubleshooting after this event. There were no other component or system failures, or procedural errors which contributed to this event.
PV4 19. OSUA IIe Y. 9. 89
FACSIKKE 0 LICENSEE EVENT REPORT ILER) TEXT CONTINUATION PACILI1'Y NAME OOCKET NUIMKh Lail NUlNKII PAOE 5COvcHTIAg .cb AQVI5IOH gpss HUMID% NUIAQfA Palo Verde Unit 3 osooo5309 1 008 0 0 Q4OFQ8 Cause of Event:
The control element assembly calculators (CEAC) and core protection calculators (CPC) are part of the reactor protection system. The CEACs monitor the position of all control element assemblies (CEA). Each CEAC provides an input into each CPC channel. There are four (4) CPC channels. Each CPC channel monitors the CEA position in one (1) quadrant of the core. The CPCs use CEA position information as an input to determine the core radial peaking distribution and the core minimum DNBR. Each CPC channel also uses the CEA configuration information as an input to determine if the current core CEA configuration is permitted, The CPCs will impose a large penalty factor on the radial peaking distribution in the event of:
- 1) A subgroup deviation where the position of one of the subgroups deviates from the group position by more than 9.9 inches.
- 2) An out of sequence configuration involving a regulating group being inserted out of sequence (e.g.,-group 4 CEAs being below group 5).
The penalty factors for subgroup deviations are typically large because they are based on the most limiting subgroup deviation (drop of a complete subgroup from a fully withdrawn condition).
In the event of a subgroup deviation, the large penalty factors generally result in the CPCs conservatively calculating a DNBR that is less than the low DNBR setpoint. If two (2) or more of the four (4) CPC channels calculate a DNBR that is less than the low DNBR setpoint, a reactor trip will occur.
When a reactor power cutback (RPCB) occurs the designated RPCB CEA groups are automatically dropped into the core. The designated RPCB CEA groups are Regulating Groups 4 and 5. Regulating Group 4 consists of subgroups 5 and 22. The CEACs initially assume a RPCB is in progress when any of t'e designated RPCB CEAs appear to be dropping into the core. When the CEACs sense that a potential RPCB is underway, a RPCB signal is sent to the CPCs. This signal causes the CPCs to not use the position information for CEA Regulatory Groups 4 and 5 for a short time (approximately 16 seconds) for the purpose of updating the radial peaking factor, or determining if a subgroup deviation or out of sequence CEA configuration exists. The time delay is required during a RPCB since the concurrent drop of both RPCB CEA groups could result in a subgroup deviation during CEA free fall and an unnecessary reactor trip. During a RPCB all other CPC calculations are functional (except those based directly on CEA Regulatory Groups 4 and 5 position) and would cause a reactor trip if a condition PV419-OSUA Rev. 9.89
T l.lCENSEE EVENT REPORT tLER) TEXT CONTlNUATION FACILITY IIAMK OOCIIET ISUMIEII Ltll IIUMSS II FACE SKOUS HTIAg 'r, I AS Y l5 lO H UUUS f A NUUSf A Palo Verde Unit 3 osooo530 9 1 008 0 0 0 5o" 0 8 occurred (other than a CEA deviation=in Regulatory Groups 4 and 5) which required protective action.
If any of the CEAs in the designated RPCB groups fall into the core at a rate consistent with a free falling CEA, the CEACs determine that there is a potential RPCB and initiate the time delay in the CPCs. The CEACs are designed to wait 0.5 seconds after any of the RPCB CEAs are determined to be dropping into the core before performing additional checks to ensure that all CEAs in the group are also free falling. In this way, the CEACs can distinguish between the drop of a single CEA and the drop of an entire CEA group. During a RPCB, the 0.5 second delay allows for all CEAs in the RPCB group(s) to start moving before the validity of the assumed RPCB is evaluated. This is necessary since there is a finite amount of time required before all CEAs in a group will begin falling when the drop of a group is initiated. After the 0.5 second delay, if only part of the CEA group is moving then the time delay is reset to 0.0 seconds. However if no CEA movement is detected, the 16 second time delay will remain i' effect, Therefore, if any of the CEAs in Regulating Groups 4 or 5 are detected to be dropping into the core and after 0.5 seconds only part of the group is dropping, the CEACs will determine that this condition is not a valid RPCB and the CPC time delay will be reset to 0.0 seconds. Conversely, if a slip of a valid RPCB CEA or subgroup were to occur for less than 0,5 seconds, then the CEACs would not reset the CPC time delay. If the CEACs detect movement of a CEA not assigned to a RPCB CEA group, it resets the time delay to 0,0 seconds. The CEAC software design did not anticipate that there would be CEA slips lasting less than 0.5 seconds.
During this event, the CEACs correctly determined that a RPCB was underway when Regulating Group 5 dropped into the core following the turbine trip. After 16 seconds the CPC time delay was reset to 0.0 seconds as designed. However it is postulated that a few seconds after the CPC time delay reset, one of the subgroups in Regulating Group 4 slipped approximately 11 inches. Therefore the CEAC assumed that a second RPCB was underway since a Regulating Group 4 CEA was dropping. A second CPC time delay was then initiated. During the first 0.5 second period, the CEAC continued to monitor the CEA positions and determined that there was no longer any RPCB related CEA movement. Therefore, the 16 second time delay remained in effect. Approximately sixteen seconds later (approximately 35 seconds after the initial RPCB), the CPC time delay was reset to 0.0. The CPCs sensed the subgroup deviation and applied the required penalty factors to the DNBR calculation. The CPCs conservatively calculated a DNBR less than the DNBR setpoint and initiated a reactor protection system trip, PV419-OSUA Rev. 9.89
LICENSEE EVENT REPORT ILER) TEXT CONTINUATION FACILITY NAME TIOCEET NUMEEII LE II NUMEEII ~ ACE ggi" SSOUSNTIAL ':<II ASVISION UUMSSII ~ UUUSSA Pa1o Verde Unit 3 osooo53091 008 0 0 06 "08 The reactor trip described in Section I.B was caused by a low DNBR reactor protection system trip. The post trip review determined that the CPC calculated low DNBR was due to a CEA subgroup slipping and deviating approximately 11 inches from its CEA group.
The cause of the CEA subgroup slipping could not be determined (SALP Cause Code X: Other). Extensive investigation and.
troubleshooting could not identify the cause of the CEA subgroup slip. The reactor trip would have been expected after the RPCB due to the CEA subgroup deviation.
The cause of the second time delay was that the CEAC software design did not anticipate that there would be CEA slips lasting less than 0.5 seconds (SALP Cause Code B: Design, Manufacturing, Installation Error). A review of the CEAC software by APS engineering and ABB Combustion Engineering (CE) verified that this scenario would produce the results the plant experienced. APS engineering recreated this event by simulating this event in one (1) CEAC and one (1) CPC channel in Unit 3. CE also verified these results on their development system.
There were no procedural errors which contributed to this event.
There were no personnel errors which contributed to this event.
i Safety System Response:
Other than the reactor protection system actuation described in Section I.B, there were no other safety system responses and none were necessary.
Failed Component Information:
The failed transformer bushing was manufactured by Westinghouse and part number 233D503G02.
II. ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT:
The steam bypass control system (SBCS)(JI) controls the positioning of the SBCVs, through which steam is bypassed around the turbine into the condenser (SG). The SBCS is designed to increase plant availability by making full use of SBCV capacity to remove excess RCS thermal energy following turbine load rejections. This avoids unnecessary reactor trips and prevents the opening of pressurizer safety valves (PSV)(RV)(AB) or main steam safety valves (MSSV)(RV)(SB).
The RPCB system works in conjunction with the SBCS to avoid unnecessary reactor trips and prevent the opening of PSVs or MSSVs. The RPCB system allows for rapid reduction in reactor power at a rate faster than the normal CEA insertion. When the RPCB system senses a large load FV419.05VA RCY. 9-89
e II T '
PACSIMLE LICENSEE EVENT REPORT ILERI TEXT CONTINUATION FACILITY IIAM5 COCIIET IIUMSKII LlllIIVM5CII FACE TCAA iP'5QUTHTIAL Fr'.I +4Y~5IOH UUU ~ TA HUU5 5 A Pa1o Verde Unit 3 o so oo53091 008 0 0 070F08 re)ection it provides a step reduction in reactor. power. The step reduction in reactor power is accomplished by dropping one or more preselected CEA regulating groups into the core. Technical Specification (TS) 3.1.3.6 allows the insertion limits and the withdrawal sequence to be exceeded for up to two (2) hours following a RPCB.
The 16 second time delay imposed when a RPCB is initiated is based on a RPCB with a failure of the turbine to runback. This assumes that the secondary system is still demanding the pre-RPCB steam demand with the resultant RCS cooldown. The time delay ensures that the CPCs will, generate a reactor trip before DNBR limits are reached. The second time delay could occur if the subgroup slip lasted for less than 0.5 seconds.
APS engineering analyzed this event and determined that the CEA subgroup deviation of approximately ll inches along with the second time delay did not cause any violations of the specified acceptable fuel design limits (SAFDL). The analysis of this event determined that the effect of the actual subgroup deviation on the core power distribution was minimal.
APS has completed a preliminary evaluation of the safety consequences of this event under the most adverse postulated conditions for the software anomaly described in Section I.I. Any subgroup slipping for greater than 0 ' seconds would have reset the time delay to 0.0 seconds causing the CPCs to evaluate the deviation and insert penalty factors as appropriate. A subgroup slip lasting 0.5 seconds would result in a subgroup deviation of approximately 25 inches or less. With a deviation of 25 inches, the effect on the core power distribution would not be significantly different than the approximately ll inch deviation in this event. The final evaluation is expected to be completed by May 1992.
If the results of the final evaluation are significantly different than the preliminary evaluation, the final evaluation will be discussed in a supplement to this report.'he reactor trip at the end of the second time delay for the approximately 11 inch subgroup deviation described in Section I.I was both precautionary and generic. Any subgroup deviation greater than the allowed limit of 9.9 inches results in the CPCs applying a large, conservative penalty factor to the DNBR calculation which results in a reactor trip. Even though the CPCs were unable to detect the CEA subgroup slip during the second time delay, all remaining CEAC and CPC protective capabilities were functional and would have tripped the reactor if CEACs or CPCs sensed a condition, other than conditions based strictly on CEA subgro'up or group position, that required protective action.
Other than the second time delay described in Section I.I, the plant performed as expected in response to the event described in Section I.B.
PV419-OSUA Rcv. 9-S9
l LICENSEE EVENT REPORT (LERI TEXT CONTINUATION FACILITY IIAMK DOCKET IWMKKII LKII IIINAKKII ~ AOK S KO MS N T I A I. ASYISION HVM~ SA NgMSSA Palo Verde Unit 3 oooo o5 3091 008 00 08o" 08 APS engineering reviewed this event and determined that no safety limits were exceeded and that the event was bounded by current safety analyses.
The event did not result in any challenges to the 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 safe operation or the health and safety of the public.
III. CORRECTIVE ACTION:
A. Immediate:
Palo Verde Unit 3 was stabilized in Mode 3 (HOT STANDBY) at normal operating temperature and pressure. An investigation of this event was initiated in accordance with the PVNGS Incident Investigation Program.
- 2. The CPC and CEAC time delay was reset to 0.0 seconds in Units 1 and 3 The time delay will be reset to 0.0 seconds
~
in Unit 2 prior to startup from the current refueling outage. This will ensure that all subgroup deviations (including the subgroups in Regulatory Group 4) greater than 9.9 inches will result in a reactor trip.
B. Action to Prevent Recurrence:
The adequacy of the lightning protection system is being evaluated by APS engineering. This evaluation is expected to be completed by April 1992. An action plan and schedule will then be developed for any recommended improvements resulting from this study.
- 2. APS engineering is evaluating the CEAC software to ]ustify reinstating the time delay and to determine if any CEAC software modifications are required. The time delay will remain at 0.0 seconds until this evaluation is completed.
IV. . PREVIOUS SIMILAR EVENTS:
No other previous events have been reported pursuant to 10CFR50.73.
PV419 OSVA ReY. 9.8S