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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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PRXORXTX 1 (ACCELERATED RIDS PROCESSING) fv REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9509260109 DOC.DATE: 95/09/21 NOTARIZED: 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 95-010-00:on 950727,equipment .qualificati'on of air handling unit caused essential CW pump to be inoperable. 0 Used work orders to drill weep holes zn motor lead connection boxes.W/950921 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:STANDARDIZED PLANT 05000528 T
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 INTERNAL: ACRS 1 1 OD/S RD/RAB '2 2 AEOD/SPD/RRAB 1 1 CONTE~ 1
'1 1
NRR/DE/ECGB 1 1 NRR/DE/EELB 1 NRR/DE/EMEB 1 1 NRR/DISP/PIPB 1 1 D' NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB, 1 1 NRR/DRCH/HOLB 1 1 NRR/DRPM/PECB 1 1 NRR/DSSA/SPLB 1 1 NRR/DSSA/SPSB/B 1 1 NRR/DSSA/SRXB 1 '1 RES/DSIR/EIB 1 1 RGN4 FILE, 01 1 1 EXTERNAL: L ST LOBBY WARD 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 E.
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$C
Arizona Public Service Company PALO VERDE NUCLEAR GENERATING STATION P.O. BOX 52034 ~ PHOENIX, ARIZONA 85072-2034 192-00948-JML/BAG/BE JAMES M. LEVINE September 21, 1995 VICE PRESIDENT NUCLEAR PRODUCTION U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Mail Station P1-37 Washington, DC 20555-0001
Dear Sirs:
Subject:
Palo Verde Nuclear Generating Station (PVNGS)
Unit1 Docket No. STN 50-528 (License No. NPFQ1)
Licensee. Event Report'95-010-00 Attached please find Licensee Event Report (LER) 95-010-00 prepared and submitted pursuant to 10CFR50.73. This LER reports a condition where equipment qualification of an air handling unit (AHU) caused the Train A Essential Cooling Water pump to become inoperable. This resulted in the following Train A systems becoming inoperable: Essential Chilled Water, Emergency Core Cooling, Containment Spray, Control Room Essential Filtration, Shutdown Cooling, and the Train A Auxiliary Feedwater pump.
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,
/L(
JM L/BAG/BE/pv Attachment cc: L. J. Callan (all with attachment)
K. E. Perkins K. E. Johnston INPO Records Center CQ' 9509260109 'TI5092i PDR ADOCK 05000528 S PDR
')I LICENSEE EVENT REPORT (LER ACIUTYNAME (1) DOCKET NUMBER (2) PAGE (3)
Palo Verde Unit 1 p 5 p p 0 5 2 8 1 o" 0 7 TLE (4)
Equipment Qualification of air handling unit causes Essential Cooling Water pump to become inoperable EVENT DATE 6 LERNUMBER 6 REPORT DATE 7 OTHER FACIUTIES INVOLVED 6 MONfH DAY YEAR YEAR i'gb SEQUENTIAL I@ REVISION MONTH FACIUTYNAMES KET NUMBERS NUMBER N/A 0 7 2 7 9 5 9 5 0 1 0 0 0 0 9 2 1 9 5 N/A OPERATING HIS REPORT IS SUBMITTED PUR UANT TO THE REQUIREMENTS OF 10 CFR E: (Check one or more of the foaoweo) (11)
MODE (6) 20.402(b) 20.405(c) 50.73(s)(2)(rv) 73.71(b)
POWER 20.405(a)(1)(i) 50.36(c)(1) 50.73(s)(2)(v) 73.71(c) 20.405(s)(t)(S) 50.36(c)(2) 50.73(s)(2)(vs/ OTHER (Specify in Abstract LEvEL(to) 1 p p 20.405(a)(1)($ ) 50.73(s)(2)(i) 50.73(a)(2)(vE)(A) bekxw snd in Text, NRC Fom 20.405(s)(1)(iv) 50.73(s)(2)(ii) 50.73(s)(2)(vE)(B) 20.405(a)(1)(v) 50.73(a)(2)(is' 50.73(s)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
E ELEPHONE NUMBER EA CODE Burton A. Grabo, Section Leader, Nuclear Regulatory Affairs 6 0 2 3 9 3 - 6 4 9 2 COMPLETE ONE UNE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFAC- REPORTABLE CAUSE SYSTEM COMPONENT MANUFAC TURER TO NPRDS TURER
<,?4 's.,'.: ".
SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED MONTH DAY YEAR SUBMISSION YES (If yes, complete EXPECTED SUBMISSION DATE) NO DATE (15)
BsTRAOT (Lena to 1400 spaces, l.e.. epproxsnstely frlteen seoieepace typewntten lees) (16)
On July 27, 1995, at approximately 0830 MST, Palo Verde Unit 1 was in Mode 1 (POWER OPERATION), operating at approximately 100 percent power, when APS System Engineering personnel (utility, nonlicensed) identified that the air handling unit (AHU) motor for the Train A Essential Cooling Water (EW) pump room would not remain operable during a high energy line break (HELB) due to submergence of the Raychem splice in the motor lead connection box (MLCB).
The cause of the event was attributed to personnel error in the 1991 evaluation of IEN 89-63. The error was misinterpreting the definition of terminal box as applying to all enclosures and concluding that weep holes were in all enclosures including MLCBs.
On July 27, 1995, weep holes were drilled in the AHU's motor lead connection boxes, the Train A EW pump room AHU motors in all three units were now in a qualified condition, and the EW pumps were declared operable. By December 31, 1995, corrective maintenance will be completed on all sixty-six components (total, all three units) to prevent moisture accumulation in the end device.
There have been no previous similar events reported pursuant to 10CFR50.73.
0 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AGILITY NAME DOCKETNUMBER LER NUMBER PAGE SEQUENTIAL ~~~/ EVISIO YEAR eI NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 2 of 0 7
- 1. REPORTING REQUIREMENT:
This LER 528/95-010-00 is being written to report a condition where a single condition caused at least one independent train or channel to become inoperable in multiple systems as specified in 10 CFR 50. 73 (a) (2) (vii) .
Specifically, at approximately 0830 MST on July 27, 1995, Palo Verde Unit 1 was in Mode 1 (POWER OPERATION), operating at approximately 100 percent power when APS System Engineering personnel (utility, nonlicensed) identified that the air handling unit (AHU) motor for the Train A Essential Cooling Water (EW)(BZ) pump room would not remain operable (all three units) during a high energy line break (HELB) due to submergence of the Raychem splice in the motor lead connection box.
- 2. EVENT DESCRIPTION:
On May 17, 1991, APS Nuclear Assurance personnel (utility, nonlicensed) identified inconsistencies between the results of the original pressure-temperature calculations for a HELB and the environmental qualification (EQ) design requirements provided in the Updated Final Safety Analysis (UFSAR) .
Zn order to resolve the identified EQ concerns, APS'uclear Engineering (NED) personnel (utility, nonlicensed) performed calculations 13-NC-ZA-211, rev 0, 13-NC-ZA-212, rev 0, and 13-NC-ZA-213, rev 0. These calculations provide temperature-pressure-humidity versus time histories for the Auxiliary Building (AB)(NF) and adjacent compartments in the Main Steam Support Structure (MSSS)(NM) following a postulated auxiliary steam (SA) line break or reactor coolant system (RCS)(AB) letdown line break.
The calculations used the multi-compartment, time dependent, thermal hydraulics code PCFLUD version 3.1. Study 13-MS-A69 showed that critical safe-shutdown equipment would survive a postulated HELB in the AB. (The calculations and study were the basis for the environmental parameters in the AB during a HELB and were used for APS'Q Program Manual.)
During this time frame APS was evaluating IE Notice (1N) 89-63, "Possible Submergence Of Electrical Circuits Located Above The Flood Level Because Of Water Intrusion And Lack of Drainage," for applicability to APS. On June 28, 1991, APS Procurement Engineering (PED) personnel (utility, nonlicensed) determined that APS's design basis as specified provides
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LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AGILITYNAME DOCKET NUMBER PAGE LER NUMBER YEAR: 4 SEQUENTIAL ~:, EVISIO NUMBER 'jap~
NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 3 of 0 7 EXT necessary provisions for drainage, sealing, and weep holes. As such, the submergence concerns identified by 1N 89-63 were addressed during the initial design and construction phase of Palo Verde. This evaluation misinterpreted the definition of terminal box as applying to all enclosures and concluding that weep holes were in all enclosures.
As a follow-up action to the 1991 EQ audit and as a part of the EQ Enhancement Project, walkdowns of all EQ electrical components in the AB and MSSS were performed. On September 3, 1993, EQ Engineering personnel (utility, nonlicensed) questioned the lack of "T" drains installed on Limitorque motor operated valves (MOVs) and if weep holes are required in all junction boxes regardless of location. On January 4, 1994, study 13-ES-A23 was completed and reviewed a total of 1470 EQ installations (all three units) . Of these installations 695 were recommended for modification to ensure proper condensate drainage. Study 13-ES-A23 identified that a 0.125 inch weep hole needed to be added to the motor lead connection box for the AHU in the Train A EW pump room (all three units) to ensure proper condensate drainage.
Study 13-ES-A23 defined the optimum configuration for conduit to ensure proper condensate drainage. The study did not determine if condensation would occur or quantify the amount of condensation that would develop as a result of a HELB. A new calculation was initiated to determine the amount of condensation and determine if the recommendations in Study 13-ES-A23 were warranted.
On June 9, 1995, a new analysis (13-MC-ZA-202, rev 0) was completed that provided a more realistic prediction of the environmental parameters in the AB as a result of the postulated HELB. Also, this calculation provided a quantitative analysis of condensation in conduits to be used in conjunction with study 13-ES-A23 and plant walkdowns. This calculation was performed using PCFLUD version 3.7. PCFLUD version 3.1 did not have the capability of modeling as many compartments as allowed in version 3.7.
Calculations 13-NC-ZA-211 and 212 over-predicted the amount of pressure that would be expected as a result of the RCS letdown and auxiliary steam line breaks. This was conservative for the purpose of qualifying equipment or for subcompartment structural design basis; however, it was not conservative for the assumption when the isolation of an auxiliary steam line break would occur.
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LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AGILITYNAME DOCKET NUMBER PAGE LER NUMBER YEAR i::w";": SEQUENTIAL I~i'~I EVISIO NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 4 of 0 7 EXT An evaluation of the impact of this new calculation and plant walkdowns were commenced. Study 13-QS-A03 documented the walkdown results and was able to reduce the 695 components identified in Study 13-ES-A23 as needing modification to sixty-six components (total all three units). On July 27, 1995, it was determined that the essential AHU motor for the Train A EW pump room would not remain operable during a HELB.
The essential AHU is required to ensure that the EW pump remains operable under accident condition heat loads. Therefore, with the essential AHU inoperable, the EW pump was declared inoperable on July 27, 1995. The EW pump provides cooling water to the essential chilled water (EC)(KM) and shutdown cooling (SDC)(BP) heat exchangers. With the Train A EW pump inoperable, the Train A EC and SDC heat exchangers were inoperable.
This resulted in the Train A high pressure safety injection (HPSI)(BQ),
low pressure safety injection (LPSI)(BP), containment spray (CS)(BE),
auxiliary feedwater (AF) (BA) pumps, and control room essential filtration becoming inoperable.
On August 21, 1995, this condition was reviewed by APS Nuclear Regulatory Affairs personnel (utility, nonlicensed) and was determined to be reportable.
- 3. ASSESSMENT OF THE SAFETY CONSEQUENCES AND THE IMPLICATIONS OF THIS EVENT:
The EW System is a closed-loop system which acts as a buffer between contaminated or potentially contaminated components and the Essential Spray Pond (SP)(BS) System. The EW system consists of two separate, independent, redundant, safety-related flow trains. One is designated Train A and serves Safety Train A equipment, and the other is designated Train B and serves Safety Train B equipment. Either flow train can supply sufficient cooling water to allow a safe plant shutdown independent of the other flow train.
The heat loads normally supplied by the EW System are the EC and SDC heat exchangers. The EC system supplies chilled water to the essential air cooling units (ACUs) and AHUs in the Control and Auxiliary Buildings during essential equipment operation. The EC System consists of two 100 percent capacity, redundant, safety-related flow trains (Train A and Train B) which cannot be cross-connected.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACIMTYNAME DOCKET NUMBER LER NUMBER PAGE i'4?': SEQUENTIAI K~><< EVISIO Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 5 of 0 7 EXT The loss of the AHU motor for the Train A EW pump room during a postulated HELB would not have significantly compromised plant safety. A second 100 percent capacity independent, redundant, safety-related flow train (Train B) would be operable during a postulated HELB for the safe operation of the plant.
A HELB accident has not occurred at PVNGS; therefore, this event did not result in any challenges to the fission product barriers or result in any releases of radioactive materials. This event did not adversely affect the safe operation of the plant or the health and safety of the public.
A probabilistic risk assessment (PRA) was performed to evaluate the pipe rupture frequency associated with a failure of the RCS letdown line and auxiliary steam line. The failure frequencies were 1.5 E-4/yr and 3.8 E-5/yr (RCS letdown and auxiliary steam line respectively). Based on the low frequency for occurrence of a pipe rupture, from a probabilistic perspective, there was a negligible safety risk associated with the Train A EW essential AHU being inoperable.
- 4. CAUSE OF THE EVENT:
An independent investigation of this event is being conducted in accordance with the APS Corrective Action Program. Based on the results of the independent investigation to date, the cause of the Train A AHU becoming inoperable during a postulated HELB was the inability to isolate an auxiliary steam line break within 60.78 seconds since the predicted pressures are lower than the current pressure sensors setpoint and the lack of weep holes to prevent excessive accumulation of moisture. The misinterpretation of the definition of terminal box as applying to all enclosures including MLCBs and the lack of plant walkdowns did not ensure that condensation would not collect in the end devise (SALP Cause Code A:
Personnel Error). The design drawing did not specify weep holes in MLCBs. Therefore, this assumption resulted in a missed opportunity to ensure that the original design was sufficient during a HELB.
No unusual characteristics of the work location (e.g., noise, heat, poor lighting) directly contributed to this event.
0 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AC IUTY NAME DOCKET NUMBER LER NUMBER PAGE YEAR SEOUENIIAI. EVISIO NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 6 of 0 7 5 ~ STRUCTURE, SYSTEM, OR COMPONENT INFORMATION:
Although the Train A EW pump was declared inoperable because the EQ of the pump room's AHU motor could not be assured during a postulated HELB, there were no component or system failures involved in this event. No failures of components with multiple functions were involved. No failures that rendered a train of safety system inoperable were involved. There were no safety system responses and none were necessary.
- 6. CORRECTIVE ACTIONS TO PREVENT RECURRENCE:
On July 27, 1995, work orders were used to drill weep holes in the motor lead connection boxes and the Train A EW pump room AHU motors (all three units). The corrective maintenance on the AHUs qualified the AHUs, all equipment was declared operable and their associated TS LCOs were exited.
On August 3, 1995, a Justification for Continued Operation (JCO) was approved by the Plant Review Board (PRB). Twenty-nine components were identified by the JCO that needed corrective maintenance to prevent moisture in the AB conduit system following a postulated HELB. This JCO only addressed Unit 1 concerns until walkdowns could be completed in Units 2 and 3.
On August 18, 1995, a JCO was approved by the PRB. Sixty-six components were identified by the JCO that needed corrective maintenance to prevent moisture in the AB conduit system following a postulated HELB (29 Unit 1, 22 Unit 2, and 15 Unit 3).
By October 20, 1995, an action plan will be developed for completing the required work on all sixty-six components (total, all three units) to prevent moisture accumulation from submerging EQ components.
A design change evaluation for isolation of the auxiliary steam line break within 60.78 seconds is proposed to be completed by December 30, 1995.
Actions required from the above investigations will be tracked by Action Tracking System (CATS) . If the evaluation results APS'ommitment if differ from this determination or information is developed which would affect the readers understanding or perception of this event, a supplement to this report will be submitted.
0 C
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACILITYNAME DOCKET NUMBER LER NUMBER PAGE YEAR SEQUENTIAL j+gp, EVISI0 NUMBER g~+j NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 0 0 0 0 7of0 7 EXT PREVIOUS SIMILAR EVENTS:
There have been no previous similar events reported pursuant to 10CFR50.73 in the last three years attributed to personnel error resulting EQ problems. A voluntary LER 528/94-003 was written because the high voltage Raychem heat shri:nkable motor splice kit installation instructions did not ensure that the ribbon adhesive would thoroughly melt with each application, potentially impacting a uniform moisture seal. Corrective actions taken for the previous event would not have prevented this event.
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