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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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PRIORITY (ACCELERATED RIDS PROCESSIi' REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION 'NBR:9502160155 DOC.DATE: 95/02/07'OTARIZED: NO DOCKET FACIL:STN-50-528 Palo Verde Nuclear Station, Unit 1, Arizona Publi 05000528 AUTH. NAME AUTHOR AFFILIATION GRABO,B.A. 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 94-010-00:on 930409,misalignment of limitorque torque switch contact bar prevented remote operation of MOVs.
Evaluation of all flex wedge gate valves & SB type MOVs was
,performed.W/950207 ltr.
DISTRIBUTION CODE IE22T COPIES'ECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:STANDARDIZED PLANT 05000528 RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD4-2 PD 1 1 HOLIAN, B 1 1 TRAN, L 1 1 I
INTERNAL: ACRS 1 1 AEOD/SPD/RAB 1 1 AEOD/SPD/RRAB 1 1 ~FIL'E CENTE~R- 02 1 1 NRR/DE/ECGB 1 1 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DIS P/PI PB 1 1 NRR/DOPS/OECB 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 RES/DSIR/EIB 1 1 RGN4 FILE 01 1 1 EXTERNAL: L ST LOBBY WARD 1 1 LITCO BRYCE,J H 2 2 NOAC MURPHY,G.A 1 1 NOAC POORE,W. 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 VOTE TO ALL"Rl DS" RECIPIENTS:
PLEASE HELP US TO REDUCE iVASTE! COVTACTTHE DOCl:MEVTCONTROL DESK, ROOM Pl-37 (EXT. 504-2083 ) TO ELIXIIN'ATEW'OI 'R NAME FROM DISTRIBUTION LISTS I'OR DOCL'MEV'I'S YOL'Oi "I'L'I'-D!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 28 ENCL 28
t V
Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O. BOX 52034 ~ PHOENIX, ARIZONA85072-2034 JAMES M.'EVINE 192-00920-JML/BAG/BE VICE PRESIDENT NUCLEAR PRODUCTION February. 7, 1995 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Mail,Station P1-37 Washington, DC 20555
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Units 1,.2, and 3 Docket Nos. STN 50428, 50429, 50430 License Nos. NPFX1, NPF-51, NPF-74 Licensee Event Report 9441040 File: 9520<04 Attached please find Licensee Event Report (L'ER) 94-:010'repared and submitted pursuant'to 10CFR50.73. This LER reports the identification of a condition that resulted in the Unit 3 changing Modes.and not satisfying TS 3.0;4. Also, this LER reports the identification of a generic failure with MOVs that alone could have prevented the fulfillment of the safety function of systems, needed to remove residual heat and mitigate the consequences of, an accident. 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,.
~~ /U~ ~/
JML/BAG/BE/pv Attachment cc: L. J. Callan (all with attachment)
K.E. Perkins K E. Johnston INPO Records Center 9502160155 950207 PDR ADOCK, 05000528 S PDR
il
'I P
LICENSEE EVENT REPORT (LER)
FACILITYNAME (1) DOCKET NUMBER (2) PAGE (3) 5 2 8 oF Palo Verde Unit 1 0 5 0 0 0 0 8
~
1 TLE (4)
Misali nmentof Limitor ue Tor ue Switch Contact Bar Prevented Remote 0 eration of MOVs EVENT DATE 5 LER NUMBER 6 REPORT DATE OTHER FACIUTIES INVOLVED 6 MONTH DAY YEAR YEAR SEQUENTIAL REVISON MONTH DAY YEAR FAQLITYNAMES NUMBERS NUMBER NUMBER Palo Verde Unit 2 0 5 0 0 0 5 2 9 0 4 0 9 9 3 9 4 0 1 0 0 0 0 2 0 7 9.5 Palo Verde Unit 3 0 5 0 0 0 5 3 0 REPORT IS SUBMITTED PURSUANT To THE REQUIREMENTS OF 10 CFR Q (Check one or more of tbe fobovvin6) (11) 20.402(b) 20.405(c) 50.73(a)(2)(iv) 73.71 (b) 20.405(a)(1)(() 50.36(c) (1) 5(L73(a)(2)(v) 73.71(c)
LEVEL(to) P P P 20.405(a) (1)(ii) 50.36(c)(2) 5(k73(a)(2)(vb) OTHER (Specify in Abstract 20.405(a)(1)(iii) 5073(a)(2)(0 50.73(a)(2)(vei)(A) bekrvv an(f in Te((L NRC Form 20.405(a)(1) Ov) '50.73(a)(2)(ii) 50.73(a)(2) (VIIB(B) 366A) 20.405(a)(1) (v) 50.73(a)(2)(iii) 5073(a)(2)(r)
LICENSEE CONTACT FOR THIS LER (12)
EPHONE NUMBER Burton A. Grabo, Section Leader, Nuclear Regulatory Affairs REA CODE COMPLETE ONE UNE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPOR T(13) 602393-6492 CAUSE SYSTEM COMPONENT MANUFAG. CAUSE MANUFAC. REPORTABLE TURER TVRER To NPRDS B B P 2 0 L 2 0 0 Y SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED DAY YEAR
~
SUBMISSION YES 0f yes. complete EXPECTED SUBNSSON DATE) )( No DATE (1 5) sr((Icr grid H N00 wtcol. I ~ (~ wlpMcNco Igewcell @el) (1()
At approximately 1900 MST on April 9, 1993, Palo Verde Unit 2 was DEFUELED, when it was identified by Valve Services personnel that the close torque switch contact bar for Shutdown Cooling suction isolation valve 2JSIAUV0655, was misaligned. The evaluation at the time determined the misalignment of the close torque switch contact bar to be an isolated incident.
Similar events happened on January 27, 1994 (Unit 1), and June 7, 1994 (Unit 3). Based upon further evaluation, the above events were determined to have a common-mode failure. On January 10, 1995, the above events were determined to be reportable per 10CFR 50.73.
There have been no previously similar events reported pursuant to 10CFR 50.73,.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE YEAR SEQUENTIAL X .<<8 EVISIO NUMBER NUMBER PALO VERDE UNIT 1 .'y,'5 0 5 0'0 0 5 2 8 9 4 0 1 0 0 0 0 2 OF 0 8 EXT 1 REPORTING REQUIREMENT:
This LER 528/529/530/94-010 is being written to report events that resulted in a condition prohibited by the plant's Technical Specifications (TS) as specified in 10 CFR 50.73(a)(2)(i)(B). Also, these events identified a condition that alone could have prevented the fulfillment of the safety function of structures or systems that are needed to: (B)
Remove residual heat, and (D) Mitigate the consequences of an accident as specified in 10 CFR 50.73(a)(2)(v).
Specifically, at approximately 1900 MST on April 9, 1993, APS Valve Services personnel (utility, non-licensed) identified that during the performance of a preventive maintenance (PM) task for Shutdown Cooling suction isolation valve 2JSIAUV0655, the close torque switch contact bar was found to be mi.saligned.
On January 27, 1994, at approximately 0500 MST, identified it was by Operations personnel, that Containment Spray valve 1JSIAUV0672 would not close after being, opened for Surveillance Testing (ST). Troubleshooting of the valve identified that the contact bar was found to be on its side between the contact spring and bracket at a 90 degree angle.
No indication of degradation to the torque switch other than the flipped contact bar was identified.
On June 6, 1994, Unit 3 Operations was performing procedure Lineup". During performance of step 4.3.4 ',
430P-3SI02 "Recovery from Shutdown Cooling to Normal Operating Shutdown Cooling suction isolation valve 3JSIAUV0655 was given a closing signal by the control room hand .switch in an effort to lineup Safety Injection (SI) Train A for power operation. The valve stroked partially closed and then stopped. Troubleshooting of the valve identified that the contact bar was found to be on its side between the contact spring and 'bracket at a 90 degree angle. No visible signs of damage or degradation were noted other than the spread retaining brackets Upon further investigation and evaluating the above events combined a common-mode failure existed. Also, on June 6, 1994, Unit 3 changed from Mode 5 (COLD SHUTDOWN) to Mode 4 (HOT SHUTDOWN) with valve 3JSIAUV0655 inoperable as determined by post event analysis. This condition is in violation of TS 3.0.4.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE YEAR SEQUENTIAL EVISIO NUMBER NUMBER PALO VERDE UNIT 1 0 5 0 0 0 5 2 8 9 4 0 1 0 0 0 0 3 OF 0 8 EXT
- 2. EVENT DESCRIPTION:
On April 9, 1993, Unit 2 was DEFUELED, when it by Valve Services personnel that the close torque switch was identified contact bar for valve 2JSIAUV0655 was misaligned.
The functional requirement of 2JSIAUV0655 is to provide containment isolation in Modes 1-4 and tertiary isolation between the Reactor Coolant System (RCS) and Shutdown Cooling suction line during Modes 1-3. During power operation, the valve is normally closed (passive) and must remain in its closed position for these functions..
As part of the evaluation, queries of the national Nuclear Plant Reliability Data System (NPRDS) and Palo Verde's Failure Data Trending were performed. Neither of the two queries produced any evidence that the problem had occurred before at PVNGS or nationwide. Also, Limitorque Corporation had no prior knowledge of the problem occurring before with any other Limitorque torque switch.
The investigation concluded that the misalignment of the close torque switch contact bar was an isolated incident. Because the problem has never before been encountered, and since the condition could not be duplicated during testing. The apparent cause of the misalignment of the close torque switch contact bar was its impact against the close torque switch contact posts during unseating.
On January 27, 1994, Unit 1 was in Mode 1 (POWER OPERATIONS) at approximately 85 percent power, when it was identified by Operations personnel, that 1JSIAUV0672 would not close after being opened for Surveillance Testing (ST) . Troubleshooting of the valve identified that the contact bar was found to be on its side between the contact spring and bracket at a 90 degree angle. No indication of degradation to the torque switch other than the flipped contact bar was identified.
The functional requirement of 1JSIAUV0672 is to provide containment spray header isolation during power operation and shutdown cooling. The valve is normally closed (passive) and must remain in its closed position for these functions. The valve must open on receipt of a containment spray, actuation signal (CSAS) and must close on control room demand to terminate containment spray.
il C LICENSEE EVENT REPORT (LER) TEXT CONTINUATION I'ACIUTYNAME LER NUMBER PAGE DOCKET NUMBER YEAR SEOUENTIAL EVISIO
$$; NUMBER NUMBER PALO VERDE UNIT 1 0 5 0 0 0 5 2 8 9 4 '0,1 0 0 0 0 4 oF0 8 Procedure 36ST-9SA01, "ESFAS Train A Subgroup Relay Monthly Functional Test", has been performed seven times during, the course of the year prior to the MOV's latest static diagnostic test.
Because this valve is required to be left in the closed position following completion of this relay tests, and the closing. valve stroke is controlled remotely via control room handswitch, it can be concluded that the close torque switch contact bar must have flipped on its side during the opening stroke just prior to the closing stroke on January 27, 1994 it had done so during any relay test prior to January 1994, the valve, would not have been able to close.
27, Thus, MOV
'f 1JSIAUV0672 was fully operational prior to the relay test during which the .failure occurred.
On June 6, 1994, Unit 3 Operations was performing procedure 43OP-3SI02 "Recovery from Shutdown Cooling to Normal Operating Lineup". During performance of step 4.3.4.3, valve 3JSIAUV0655 was given a closing signal by the control room hand switch in an effort to lineup Safety Injection (SI) Train A for power operation. The valve stroked partially closed and then stopped. Troubleshooting of the valve identified that the contact bar was found to be on its side between the contact spring and bracket at a 90 degree angle. No visible signs of damage or degradation were noted other than the spread retaining bracket.
'I The functional requirement of 3JSIAUV0655 is to provide containment isolation in Modes 1-4 and tertiary isolation between the Reactor Coolant System (RCS) and Shutdown Cooling suction line during Modes 1-3. During power operation, the valve is normally closed (passive) and must remain in its closed position for these functions.
Because the torque switch failure occurs during unseating of the valve, the torque switch failure happened during the last open stroke prior to the failure discovery. The last open stroke prior to the failure discovery must have occurred when 3JSIAUV0655 was cycled open to lineup Train A SDC for service because 3JSIAUV0655 cannot be cycled with Train A SDC in service.
It is therefore, determined that 3JSIAUV0655 was not capable of remote manual closure from the time at which the valve was opened to place Train A SDC in service to the time that the failure was discovered and corrected. Therefore, 3JSIAUV0655 was inoperable from May 31, 1994 (last time Train A SDC was placed in service), to June 6, 1994 (the discovery date) .
il LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACIUTYNAME DOCKET. NUMBER LER NUMBER PAGE
, YEAR SEQUENTIAL;,'.P.:EVISIO NUMBER.:'~~:.'UMBER PALO VERDE UNIT 1 0 5 0 0 0 5 2 8 9 4 0 1 0 0 0 0 50F 0 8 Unit 3 entered Mode 4 at 2036 MST on June 6, 1994. The valve was discovered inoperable at 2253 MST and Limiting Condition of Operations (LCO) 3.6.3 Action b was met at 0118 MST on June 7, 1994. The Operations staff was timely in complying with TS, however, according to the above evaluation 3JSIAUV0655 was inoperable prior to going into Mode 4. Therefore, TS 3.0.4 was not satisfied unbeknown to the Operations. staff.
- 3. ASSESSMENT OF THE 'SAFETY CONSEQUENCES AND IMPLICATION OF THIS EVENT:
An Equipment Root Cause of Failure Analysis (ERCFA) was performed on 1JSIAUV0672 and 3JSIAUV0655. As part of this evaluation test data on the torque switch springs from 1JSIAUV0672 and 3JSIAUV0655 were compared to the springs removed from 2JAFBUV0035 and new springs from the warehouse.
The springs from 1JSIAUV0672 and 3JSIAUV0655 were determined not to be in a degraded or out of design condition. Further, it is reasonable to assume that the same springs are present in other PVNGS MOVs and may be susceptible to the same failure.
A Probabilistic Risk Assessment (PRA) was performed to determine if a known deficient condition has a significant impact on the reliability of certain motor operated gate valves (MOVs). This study calculated the fail to close (FTC) probability for all MOVs susceptible to this condition in addition to a smaller grouping of MOVs whose static diagnostic displacement measuring transducer (DMT) signature may indicate a higher susceptibility to this type of failure.
Of the 52 valves identified only 2 are currently credited in the PVNGS PRA for any type of FTC function. Valves that are included in the PRA are 1) SIA/BHV0699/698 (HPSI cold leg injection isolation valves) and 2) CHA/BHV0531/530 (RWT to SI isolation valves). SIA/BHV0699/698 are credited in the PRA to reduce the HPSI flow via the cold legs to allow for HPSI flow via the hot legs (hot leg injection) within 2-3 hours following a Loss of Coolant Accident (LOCA). CHA/BHV0531/530 are credited to isolate the RWT post LOCA once a Refueling Water Tank (RWT) low level is reached and containment recirculation occurs.
There are a number of additional valves however, that due to operational concerns or due to postulated events which may require a need for valve closure. The calculated FTC probabilities from industry data, which range from 1.08 E-03 to 1.91 E-02, for all susceptible MOVs with a weighted average value of 7.69 E-03.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACIUTY NAME PAGE DOCKET NUMBER LER NUMBER SEQUENTIAL EVISIO NUMBER NUMBER PALO VERDE UNIT 1 0 5 0 0 0 5 2 8 9 4 0 1 0 0 0 0 6 OF 0 8 EXT The calculated FTC probabilities for PVNGS specific failures (flipped torque switch bar) range from 1.71 E-04 to 5.41 E-04, with the 1.71 E-04 value representing all susceptible MOVs and 5.41 E-04 representing MOVs whose static diagnostic DMT signatures indicate a potentially higher susceptibility.
The results indicate that the failures associated with the failed torque switches are bounded and represent a small increase (FTC mean demand rate value) to the total MOV estimated failure probabilities. However, the .study recommended that corrective action for 'SGA/BUV0134/138 not be deferred until the next unit outage since the calculated .FTC probability shows an additional 50 percent increase in that valve's FTC probability along with the valve's safety related function to close on a steam line break. Corrective action to replace the torque switch contact bar springs on select MOVs may be prudent from an operational or deterministic standpoint, however, based upon examining the FTC demand failure probability, justification exists from a probabilistic standpoint to defer corrective action until the next refueling outage.
This event did not result in any challenges to the fission product barriers or result in any releases of radioactive materials. Therefore, there were no adverse safety consequences or implications as a result of this event. This event did not adversely affect the safe operation of the plant or the health and safety of the public.
CAUSE OF THE EVENT:
An evaluation for each event was performed in accordance with the APS Incident Investigation Program. The evaluation for the second and third events determined that the root cause of the torque switch contact flipping on its side is attributed to a combination of torque loads experienced by the operator during the unseating of the valve disk, the resiliency of the spring pack dampening those loads and the sudden release of those loads as the disk unseats. During unseating, the torque switch relaxes towards the open direction from its closed rotation and remains in its relaxed state until the valve stem starts to pull on the disk.
Once the stem starts to pull on the disk, the torque .switch rotates in the open direction until the disk breaks its static friction with the valve seat and starts to move in the open direction.
il 0 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FACILITYNAME DOCKET NUMBER LER NUMBER PAGE YEAR SEOUENTNIL NUMBER .:.:"",'";'UMBER PALO VERDE UNIT 1 0 5 0 0 0 5 2 8 9 4 0 1 0 0 0 0 70F 0 8 EXT At the instant that the disk breaks its static friction with the guides, the open torque .switch contacts snap closed and the shock from this action rapidly rotates open the closing contacts which then snap back closed. It is possible that the rotational acceleration of the close torque switch contact block assembly from this rapid oscillatory action caused the torque switch contact bar to become misaligned (SALP Cause Code B Design, Manufacturing or Installation Error). As a result of this misalignment, continuity is broken across the close torque switch contact posts .and the surface of the contact bar, therefore, the valve cannot be'ycled closed.
- 5. STRUCTURES, SYSTEMS, OR COMPONENTS INFORMATION:
MOV 1JSIAUV0672 is comprised of a Limitorque SB-0 actuator mounted on an eight inch Borg Warner flex wedge gate valve.
The actuator and the valve are oriented vertically to the piping through which flow is controlled. The MOV is driven by a 25 FT-LB, 3400 RPM AC motor.
MOVs 2JSIAUV0655 and 3JSIAUV0655 are comprised of a Limitorque SMB-1 actuator mounted on a Borg Warner flex wedge gate valve.
The actuator and the valve are oriented horizontally to the piping through which flow is controlled. The MOVs are driven by a 40 FT-LB, 1800 RPM AC motor.
- 6. CORRECTIVE ACTIONS TO PREVENT RECURRENCE:
As part of the evaluation for the torque switch failures, an evaluation of all flex wedge gate valves and SB type MOVs was performed and identified valves that were susceptible to this type of failure. To prevent reccurrence of the torque switch failure, the contact bar compression springs will be replaced in all of the identified valves. These replacements are to be done no later than their next scheduled maintenance.
To date all of the contact bar compression springs for valves identified in Unit 3 have been replaced. The majority of valves identified for, Units 1 and 2 will be replaced in their up coming refueling outages (April and February, 1995, respectively). These actions are being tracked under the APS Commitment Action Tracking System.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION FAG IUTY NAME DOCKET NUMBER LER NUMBER PAGE YEAR 'Q> SEQUENTIAL::;::.:;:@'.. EVISIO NUMBER NUMBER .
PALO VERDE'UNIT 1 .>iP'; :I':."";
0 5 0 0 0 5'2 8 9 4 :0 1 0 0'0 0 8 oF0 8 EXT
- 7. PREVIOUS SIMILAR EVENTS:
There have been no similar events to this type of failure reported pursuant to 10CFR50.73 where misalignment of the torque switch contact .bar have affected MOV operability in the past three years. LER 1-93-010 was submitted on January 26, 1994, however, this LER dealt with performance criteria established in Generic Letter 89-10.
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