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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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,m ~+~ms i X (ACCELERATED RIDS PROCESSING REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9410040165 DOC.DATE: 94/09/24 NOTARIZED: NO DOCKET I FACIL:STN-50-530 Palo Verde Nuclear Station, Unit 3, Arizona Publi 05000530 AUTH. NAME AUTHOR AFFILIATION GRABO,B.A. Arizona Public Service Co. (formerly Arizona Nuclear Power P LEVINE,J.M. Arizona Public Service Co. (formerly Arizona Nuclear Power RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 94-007-00:on 940830,reactor trip occurred when steam generator 2 water level reached RPS trip setpoint.Caused by component failure.FWCS-2 master controller was replaced.
W/940924 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:Standardized plant. 05000530 i RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD4-2 PD 1 1 TRAN,L 1 1 INTERNAL: ACRS 1 1 ROQB/DSP 2 2 AEOD/SPD/RRAB 1 1 FIGE C NTER 02 1 1 NRR/DE/EELB 1 1 /DE EB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRSS/PRPB 2 2 NRR/DSSA/SPLB 1 1 NRR/DSSA/SRXB 1 1 NRR/PMAS/IRCB-E 1 1 D RES/DSIR/EIB 1 1 RGN4 FILE 01 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NOAC MURPHY,G.A 1 1 NOAC POORE,W. 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 u
E NOTE TO ALL"RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE KVASTE! CONTACTTHE DOCI:MENTCONTROL DESK. ROOM PI-37 (EXT. S04-2083 ) TO ELIMINATEYOUR NAME PRO%I DISTRIBUTION LISTS I'OR DOCI.'MENTS YOI 'ON"I'EED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 27 ENCL 27
Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O. 8OX 52034 ~ PHOENIX, ARIZONA 85072-2034 192-00908-JML/BAG/KR JAMES M. LEVINE VICE PRESIDENT September 24, 1994 NUCLEAR PRODUCTION U. S. Nuclear Regulatory Commission ATTN:"-Document.Control Desk Mail Station P1-37 Washington, D.C. 20555
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit 3 Docket No. STN 50-530 (License No. NPF-74)
Licensee Event Report 94-007-00 File: 94-020-404 Attached please find Licensee Event Report (LER) 94-007-00 prepared and submitted pursuant to 10CFR50,73. This LER reports an August 30, 1994 reactor trip on high steam generator water level caused by an increase in feedwater flow. The unit also received an Engineered Safety Feature Actuation System (ESFAS) actuation of the Main Steam Isolation System on high steam generator water level. In accordance with 10CFR50.73(d), a copy of this LER is being forwarded to the Regional Administrator, NRC Region IV. If you have any questions, please contact Burton A. Grabo, Section Leader, Nuclear Regulatory Affairs, at (602) 393-6492.
Sincerely, JMUBAG/KR/pv Attachment cc: L. J. Callan (all with attachment)
K. E. Perkins K. E. Johnston INPO Records Center 9410040165 940924 PDR ADOCK 05000530 S PDR
t I N
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LlCENSEE EVENT REPORT (LER)
ACIUTYNAME (I) DOCKET NUMBER (2) PAGE (3)
Palo Verde Unit 3 0 5 0 0 0 5 3 0 1
(<)
Reactor Tri Caused b an Increase in Main Feedwater Flow EVENT DATE 5 LER NUMBER 6 REPORT DATE OTHER FACILITIESINVOLVED 6 MONTH DAY YEAR MONTH NVMSERS t'ai/A 0 5 0 0 0 0 8 3 0 9 4 9 4 - 0 0 7 0 0 0 9 2 4 9 4 N/A 0 5 0 0 0 REPORT IS SUBMITTEDPURSUANT TO THE REOUIREMENTS OF 10 CFR D (Check one or more ol the tonorrtn6) (11) 20A02(b) 2'5(c) X 50.73(a)(2Kir) 73.71(b) 2a4xi(a)(1)(I) 50.36(c)(1) 50.73(a)(2)(ii) 73.71(c) lEVEL(10) 0 0 20 4$ (a)(1)(a) 50.35(c)(2) 5(L73(a)(2)(r6) OTHER (Specity In Abatiact 20.4)5(a)(T)Ã 50.73(a)(2)(i) 50.73(a)(2)(r5i)(A) belrnir and In TIDAL NRC Form 20.605(a)(1)(H 50.73(a)(2)(ii) 50.73(a)(2)(VI)(B) 20.a05(a)(1)M 50.73(a)(2)(iii) 50.73(a)(2)(ii)
UCENSEE CONTACT FOR MIS LER (1 2)
E Burton A. Grabo, Section Leader, Nuclear Regulatory Affairs COMPLETE ONE UNE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (1 3) 60 2 3 9 3 - 64 2 MANUFAC-TURER REPORTABLE " "~ -6 ~; CAUSE MANUFAC.
TURER REPORTABLE TO NPRDS S J MCB D F 1 8 0 N SUPPLEMENTAL REPORT EXPECTED (14) MONTH DAY YEAR
~
SUBMISSON YES 0f Yea. oompiate EXPECTED SUBMISSON DATE)
X No DATE (15) 4IIc D wN geme, ie rpelahly l~ lypeeoyl ~) ('Nr On August 30, 1994, at approximately 1500 MST, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION), operating at approximately 100 percent power when a reactor trip occurred when Steam Generator Number 2 (SG-2) water level reached the Reactor Protection System (RPS) trip setpoint for high steam generator water level caused by an increase in main feedwater (MFW) flow. In addition to the reactor trip, the unit received an Engineered Safety Feature Actuation System (ESFAS) actuation of the Main Steam Isolation System (MSIS A and MSIS B) on high steam generator water level for SG-2. The MSIS necessitated the use by Control Room personnel of the auxiliary feedwater pump (AFWP-B) and the atmospheric dump valves (ADVs) to control secondary heat removal (AFWP-B was used to feed the steam generators and the ADVs were used to stabilize secondary temperature and pressure). Required plant- equipment and safety systems responded to the event as designed. No other ESF actuations occurred and none were required. The Shift Supervisor diagnosed the event as an uncomplicated reactor trip. By approximately 1530 MST on August 30, 1994, the plant was stabilized in Mode 3 (HOT STANDBY).
The reactor trip on high SG-2 water level was initiated by a malfunction in the Feedwater Control System (FWCS-2) which was attributed to a failed FWCS-2 master controller power fuse. As corrective action, the master controller was replaced.
L LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACIUTY NAME DOCKETNUMBER LER NUMBER PAGE YEAR Sjz SEQUENCIAI. kgb REVISION Palo Verde Unit 3 +.'~
0 5 0 0 0 5 3 0 9 4 0 0 7 0 0 0 2oF 0 6 REPORTING REQUIREMENT'his LER 530/94-007-00 is being written to report an event that resulted in the automatic actuation of an Engineered Safety Feature, including the Reactor Protection System (RPS) as specified in 10 CFR 50.73(a)(2)(iv).
Specifically, at approximately 1500 MST on August 30, 1994, Palo Verde Unit 3 was in Mode 1 (POWER OPERATION) operating at approximately 100 percent power when a reactor (AC) trip occurred when Steam Generator Number 2 (SG-2) (AB) water level reached the RPS trip setpoint for high steam generator water level caused by an increase in main feedwater (MFW) (SJ) flow. In addition to the reactor trip, the unit received an Engineered Safety Feature Actuation System (ESFAS) actuation of the Main Steam Isolation System (MSIS A and MSIS B) (JE)(SG) on high steam generator water level for SG-2.
- 2. EVENT DESCRIPTION'n August 30, 1994, prior to the reactor trip and the MSIS actuation reported in this LER, at approximately 1500 MST, Unit 3 Control Room (NA) personnel (utility, licensed) received several feedwater control system (FWCS) (SJ) alarms indicating low suction pressure for the main feedwater pumps (MFWP A and MFWP B). The low suction pressure trip signals were initiated by an unwarranted speed increase of both MFWPs A and BE The secondary reactor operator recognized the symptoms of a FWCS malfunction (see 7. PREVIOUS SIMILAR EVENTS) and was able to take manual control of the FWCS-1 master controller. The Control Room Supervisor (CRS) took manual control of the FWCS-2 master controller. However, the attempt to manually reduce the FWCS-2 master controller's 100 percent output signal failed (i.e., the controller did not respond to the CLOSE signal).
Control Room personnel observed that SG-2 water level was increasing rapidly. Following an evaluation of plant conditions (i.e., SG-2 level was at 88 percent narrow range), the CRS directed Control Room personnel to manually trip the reactor. However, before Control Room personnel could complete the manual reactor trip directive, at approximately 1500 MST, an automatic reactor trip occurred when SG-2 water level reached the RPS trip setpoint for high steam generator water level (i.e., 91 percent narrow range). All control element assemblies (CEA) (AA) inserted as designed.
In addition to the reactor trip, an ESFAS actuation of the MSIS on high steam generator water level for SG-2 was initiated at 91 percent narrow range. One SG-1 main steam safety valve (MSSV) (SB) SGE-PSV-0572 lifted, mitigating further increase in secondary pressure. (By lifting in the lower end of the allowable band, SGE-PSV-0572 relieved enough
L LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILllYNAME OOCKETNUMBER LER NUMBER PAGE SEOVENCIAL RAISON NUMBER NUMBER Palo Verde Unit 3 0 5 0 0 0 5 3 0 9 4 0 0 7 0 0 0 3 OF 0 6 pressure to prevent its counterpart MSSV (SGE-PSV-579) from reaching its lift setpoint.) The MSIS necessitated the use by Control Room personnel of the auxiliary feedwater pump (AFWP-B) (BA) and the atmospheric dump valves (ADVs) (SB) to control secondary heat removal (AFWP-B was used to feed the steam generators and the ADVs were used to release steam and stabilize secondary temperatureand pressure). The MSSV seated after remaining open for approximately one minute and remained closed with no signs of residual leakage.
The reactor trip was followed by a Main Turbine/Main Generator (TA/TG) trip and the subsequent deenergization of the unit auxiliary transformer (MAN-X02). The startup transformer (NAN-XOl) was out-of-service for maintenance and therefore, by procedure, the fast bus transfer was disabled between the non-Class 1E 13.8 kV switchgear buses (NAN-S04 and NAN-S02) (EA). This resulted in the deenergization of NAN-S02 on the loss of the unit auxiliary transformer which resulted in the loss of two of four reactor coolant pumps (RCPs 1B and 2B) (AB)(P), two of four circulating water pumps (CWPs) (NN)(P), and non-essential load centers.
RCPs 1A and 2A maintained forced circulation of the reactor coolant system (RCS) throughout the event. The loss of non-Class 1E loads under these circumstances was as expected.
The Shift Supervisor diagnosed the event as an uncomplicated reactor trip. By approximately 1530 MST on August 30, 1994, the plant was stabilized in Mode 3 (HOT STANDBY). At approximately 1531 MST, NAN-S02 was reenergized. By approximately 1632 MST, MSIS A and B were reset.
No other ESF actuations occurred and none were required.
Required plant equipment and safety systems responded to the event as designed. As part of the automatic safety system response, the MSIS isolated the main steam, main feedwater, sample, and blowdown lines on both steam generators. For this event, the MSIS actuation prevented moisture carryover from the steam generators from reaching the main turbine and causing equipment damage.
ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATIONS OF THIS EVENT:
A safety limit evaluation was performed as part of the APS Incident Investigation Program. The evaluation determined that the plant responded as designed, that no safety limits were exceeded, and that the event was bounded by current safety analyses. The event reported by this LER is bounded by the Palo Verde Updated Final Safety Analysis Report (FSAR) Chapter 15 accident scenarios concerning increases in heat removal by the secondary system or an increase in normal feedwater flow event. In addition, the Updated FSAR Chapter 6 scenarios concerning loss of coolant accidents were not challenged by this event.
L LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE SEQUENCIAL REVISION NUMBER NUMBER Palo Verde UnIt 3 0 5 0 0 0 5 3 0 9 4 0 0 7 0 0 0 4 oFO 6 EXT The event did not result in a transient more severe than those already analyzed. The primary system pressure boundary limit was not approached, and the transient did not cause any violation of the Specified Acceptable Fuel Design Limits (SAFDL). Therefore, there were no safety consequences or implications as a result of this event. This event did not adversely affect the safe operation of the plant or health and safety of the public.
CAUSE OF THE EVENT'he reactor trip on high SG-2 water level was initiated by an unwarranted speed increase of both MFWPs caused by a failure of the FWCS-2 master controller power fuse (SALP Cause Code E: Component Failure). The cause of the component failure and the failure mode, mechanism, and effect of the failed component is discussed in Section 5.
No unusual characteristics of the work location (e.g., noise, heat, poor lighting) directly contributed to this event. There were no procedural errors or personnel errors which contributed to this event. The investigation determined that the action taken by Control Room personnel within the 40 second span between initiation of the event and the reactor trip were prompt and appropriate.
- 5. STRUCTURES, SYSTEMS, OR COMPONENTS INFORMATION:
The malfunction in FWCS-2 (i.e., unwarranted speed increase of both MFWPs A and B and the opening of the SG-2 economizer valve) was immediately recognized as the cause of the reactor trip. The rapid increase in SG-2 water level was due to the increased MFWP flow to SG-2 following the SG-1 economizer valve closure (manual control by Control Room personnel of FWCS-1). The reactor trip and the MSIS actuations were generated from a valid high level SG-2 signal of approximately 91 percent narrow range level. A high output signal from the FWCS-2 master controller would have caused the increase in both MFWP speeds and the above described scenario.
An independent investigation of this event is'being conducted in accordance with the APS Incident Investigation Program. Following the reactor trip, the FWCS (i.e., MFWPs, SG-2 economizer valve, and FWCS master controller) was quarantined. A troubleshooting plan was developed and implemented to determine the cause of the malfunction of the FWCS-2. As part of the investigation, an equipment root cause of failure analysis (ERCFA) of the FWCS-2 master controller is being performed by APS Engineering personnel. APS Engineering personnel determined that a FWCS master controller power fuse failed and that, the high output signal from the FWCS-2 master controller was the expected component response to the fuse failure. The failed component, FWCS master proportional integral controller, where the fuse is located, is
t LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACIUTY NAME DOCKET NUMBER LER NUMBER PAGE SEQUENCIAL ~., r~ REVISION NUMBER a,r. 'UMBER Palo Verde Unit 3 0 5 0 0 0 5 3 0 9 4 0 0 7 0 0 0 5O" 0 6 EXT manufactured by Foxboro, Inc. The model number of the card is 2AX+T4.
Foxboro was contacted regarding the fuse failure and specifically, for information related to their experience with fuse failures. The ERCFA is continuing to determine the specific root cause for the master controller power fuse failure.
A Combustion Engineering (ABB/CE) systems design engineer was consulted to support the troubleshooting effort and to evaluate both feedwater malfunction events (August 19, f994 and August 30, 1994 reactor trips) for similarities or common cause failures'. It was determined that the cause of two events were not related.
The maintenance history of the failed card is being researched by APS personnel. Following a completion of the ERCFA, the evaluation will include transportability issues and additional corrective actions, if any, The investigation determined that no maintenance or troubleshooting activities in progress could have contributed to this event.
There are no indications that any structures, systems, or components were inoperable at the start of the event which contributed to this event. No failures of components with multiple functions were involved.
No failures that rendered a train of a safety system inoperable were involved.
- 6. CORRECTIVE ACTIONS TO PREVENT RECURRENCE:
The FWCS-2 master controller was replaced.
As part of the investigation, an ERCFA of the FWCS-2 master controller is being performed by APS Engineering personnel. The preliminary evaluation identified a FWCS-2 master controller power fuse failure which caused the high output. The ERCFA is continuing to determine the specific root cause for the master controller power fuse failure.
Following a completion of the ERCFA, the evaluation will include transportability issues and additional corrective actions, if any. If information is developed which would significantly affect the or perception of this event, a supplement will be readers'nderstanding submitted.
PREVIOUS SIMILAR EVENTS:
Reactor trips attributed to an FWCS malfunction have been previously reported in LERs 529/92-001, 530/93-001, and 530/94-005. Eleven days prior to the event reported in this LER, a feedwater malfunction also occurred in Unit 3. On August 19, 1994, Unit 3 was in Mode 1 operating at approximately 100 percent power when a reactor trip occurred on low steam generator water level following the degradation of main feedwater
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE SEQUENCIAL I:sj~'EVISION
- ?~I NUMBER P
- ;. NUMBER Palo Verde Unit 3 0 5 0 0 0 5 3 0 9 4 0 0 7 0 0 0 6O" 0 6 flow. This event was reported in LER 530/94-005-00. The reactor trip was initiated by an unexplained and unwarranted closing of the economizer valve on SG-1 which was later determined to be caused by an intermittent component failure of the main feedwater control system (FWCS-1). In addition to installing recorders to monitor the FWCS-1 and to help determine the cause of the malfunction should it recur, Control Room personnel were briefed on the possibility of another FWCS-1 component failure and on actions required to mitigate a FWCS malfunction event. Based on the information available at this time, the cause and specific scenario of the event reported by this LER does not appear to be related to the previous FWCS malfunctions.
8.. ADDITIONAL INFORMATION'ased on the contingency action plan and on reviews by the Plant Review Board, the Management Response Team, and the Incident Investigation Team, unit restart was authorized by the Operations Director in accordance with approved procedures. At approximately 1822 MST on August 31, 1994, Unit 3 entered Mode 2 (STARTUP), at approximately 2154 MST on August 31, 1994, Unit 3 entered Mode 1, and at approximately 0112 MST on September 1, 1994, Unit 3 was synchronized on the grid.
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