|
---|
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
[Table view] |
Text
CATEGORY 3y
~
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9601160443 DOC.DATE: 96/01/09 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 RECIE . NAME RECIPIENT AFFILIATION
SUBJECT:
LER 95-014-00:on 951209,reactor tripped'ollowing degradation of main FW flow. Caused by malfunction of FWCS power supply,NNN-Dll,transfer switch.NNN-D11 aligned to "Normal" power supply.W/960109 ltr.
DISTRIBUTION CODE: ZE227 COPIES RECEIVED:LTR )
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt,. etc.
ENCI L SIZE:
NOTES:STANDARDIZED PLANT 05000528 G RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD4-2 PD 1 1 HOLIANP B 1 1 INTERNAL: ACRS 1 1 'PD/2RABE 2 2 AEOD/SPD/RRAB 1 1 E CE 1 1 NRR/DE/ECGB 1 1 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRCH/HQMB 1 1 NRR/DRPM/PECB 1 1 1' NRR/DSSA/SRXB 1 1 D NRR/DSSA/SPLB RES/DSIR/EIB 1 1 RGN4 FILE 01 1 1 EXTERNAL: L ST LOBBY WARD 1' LITCO BRYCE,J H 2 2 MURPHY,G.A 'OAC 1 1 NOAC POOREPW. 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 N
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTEI CONTACT THE DOCUMENT CONTROL DESK, ROOM OWFN 5D-5(EXT. 415-2083) TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSZON REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 26 ENCL 26
Arizona Public Service Company
'PALO VERDE NUCLEAR GENERATING STATION P.O, BOX 52034 ~ PHOENIX. ARIZONA85072-2034 192-00956-JIL/IL/BAG/BE JAMES M. LEVINE January 9, 1996 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)
Unit 1 Docket No. STN 50-528 (License No. NPFP1)
Licensee Event Report 95-014-00 Attached please find Licensee Event Report (LER) 95-014-00 prepared and submitted pursuant to 10CFR50.73. This LER reports a December 9, 1995, reactor trip on low water level in Steam Generator Number 2. and the automatic actuation of an Engineered Safety Feature, Emergency Diesel Generator (EDG) Train A in Unit 1 and EDG Train B in Unit 2. 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,
/ . (Ii.f JML/BAG/BE/pv Attachment cc: L. J. Callan (all with attachment)
K. E. Perkins K. E. Johnston INPO Records Center III60'L 160443 'II60 109 PDR ADOCK 05000528 S PDR gbPy1 ~
LICENSEE EVENT REPORT (LER)
ACIUlYNAME (1) DOCKET NUMBER (2) PAGE (3)
DF Palo Verde Unit 1 0 5 0 0 0 5 2 8 1 0 7 TLE (4)
Reactor Trip Following, the Degradation of Main Feedwater Flow EVENT DA16 5 LER NUMBER 6 REPORT DATE 7 OTHER FACIUTIES INVOLVED 6 MONTH DAY YEAR YEAR SEQUENTIAL ,
REVISION MONTH DAY YEAR FACI UTY NAMES NUMBERS NUMBER rv) NUMBER Palo Verde Unit 2 0 5 0 0 0 5 2 9 1 2 0 9 9 5 9 5 0 1 4 0 0 0 1 0 9 9 6 teal/A 0 5, 0 0 0 OPERATING HIS REPORT S SUBMITTED P URSUANT TO THE REQUIREMENTs oF 10 cFR 5: (check one or more of the IINown9) (11)
MODE (9) 20.402(b) 20.405(c) 50 73(aX2Xrv) 73.71(b)
POWER 20.45(a)(1)(i) 50.36(c)(1) 50.73(aX2Xv) 73.71(c)
LEVEL(fo) 4 0 20.45(a)(1)(ij 50.36(cX2) 50.73(aX2Xvi) OTHER (Specify M Abetletf 20.405(aXIXeq 50.73(aX2)gi 50.73(a)(2Xv~aA) below arvf M TexL NRC Form 20.45(aXIXN) 5IL73(aX2X9) 50.73(aX2Xve~8) 20.405(aX1)(v) 50.73(a)(2XE) 50.73(aX2Xx)
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 LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPOR T (13)
CAUSE SYSTEM COMPONENT MANUFAC TURER REPORTABLE TO NPRDS
J~ CAUSE SYSTEM COMPONENT MANUFAC TURER REPORTABLE TO NPRDS B E E ASU G 0 8 0 Yes ';;1;:I ',
';," <~.fft .jP:>A,'-.',
SUPPLEMENTAL REPORT EXPECTED (I4) EXPECTED MONTH DAY YEAR SUBMISSION YES (If yea. oomplete EXPECTED SUBMISSION DATE) X NO DATE (15)
~ ear O>>
On December 9, 1995, at approximately 0320 MST, Palo Verde Unit 1 was in Mode 1 (POWER OPERATZON), operating at approximately 40 percent power when a native desert animal (Ringtail Cat) caused a momentary phase to ground path on startup transformer NAN-X03 (non-class 1E) causing the Transformer Differential relay to trigger from a phase imbalance. This resulted in deenergization of non-class 13.8 kV buses NAN-S05, NAN-S03, and class 1E 4.16 kV bus PBA-S03 in Unit 1. Also, NAN-X03 has a second set of windings supplying Unit ;- when the transformer was isolated from the fault, this resulted in deenergizing non-class 13.8 kV buses NAN-S06 and NAN-S04, and class 1E 4.16 kV bus PBB-S04 in Unit 2. The loss of power to the class 1E 4.16 kV buses resulted in a valid ESFAS signal starting the EDGs. The loss of PBA-S03, in Unit 1, also resulted in the loss of non-class 1E instrument power to the feedwater and steam bypass control systems (FWCS and SBCS).
At approximately 0322 MST, a reactor trip occurred in Unit 1 when Steam Generator Number 2 (SG-2) water level reached the Reactor Protection System (RPS) trip setpoint for low SG water level following the degradation of main feedwater (FW) flow.
The root cause for the Unit 1 reactor trip was determined to be a malfunction of the FWCS'ower supply, NNN-D11, transfer switch. An evaluation of the adequacy of NNN-D11 to support the FWCS and SBCS during power losses is ongoing. Any corrective actions identified will be tracked under the APS Commitment Action Tracking System.
Previous similar events were reported pursuant to 10 CFR 50.73 in LERs 529/95-005, 528/95-008, 530/94-007, 530/94-005, 530/93-001 and 529/92-001.
Cl II LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACIUTYNAME DOCKET NUMBER LER NUMBER PAGE YEAR SEQUENTIAL EVISIO NUMBER . NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 4 0 0 020f 0 7
- 1. REPORTING REQUIREMENT:
This LER 528/95-014 is being written to report an event that resulted in an automatic actuation of an Engineered Safety Feature (ESF) including the Reactor Protection System (RPS) as specified in 10 CFR 50.73(a)(2)(iv).
Specifically, on December 9, 1995, at approximately 0320 MST, Palo Verde Unit 1 was in Mode 1 (POWER OPERATION), operating at approximately 40 percent power when a native desert animal (Ringtail Cat) caused a momentary phase to ground path on start-up transformer NAN-X03 (non-class 1E) causing the Transformer Differential relay to trigger from a phase imbalance, and deenergizing non-Class 13.8 kV buses (EA) NAN-S05, NAN-S03, and class 1E (EB) 4.16 kV bus PBA-S03 in Unit 1. Additionally, non-class 13.8 kV buses NAN-S06 and NAN-S04 and class 1E 4.16 kV bus PBB-S04 in Unit 2 (which are also feed from startup transformer NAN-X03) were deenergized. The loss of power to the class 1E 4.16 kV buses resulted in a valid ESFAS (JE) signal starting the Unit 1 Train A Emergency Diesel Generator (1EDG-A)(EK) and the Unit 2 EDG-B (2EDG-B). No further impacts were noted in Unit 2.
When Unit 1 PBA-S03 deenergized, the control power (NNN-Dll) to the Feedwater Control System (FWCS)(JB) and Steam Bypass Control System (SBCS)(JI) was lost when the automatic bus transfer (ABT) switch did not transfer to its "Normal" (non-class) power supply (NAN-S01).
Subsequently, Main Feedwater Pump A (MFP-A)(SG) went to minimum speed, causing water levels in both steam generators (SG)(AB) to decrease. Steam Generator Number 2 (SG-2) water level reached the Reactor Protection System (RPS)(JC) trip setpoint resulting in a reactor trip at 0322 MST.
Required plant equipment and safety systems responded to the event as designed. No other safety actuations occurred and none were required.
The plant was stabilized in Mode 3 (HOT STANDBY) at approximately 0348 'MST on December 9, 1995.
- 2. EVENT DESCRIPTION:
On December 9, 1995, at approximately 0320 MST, Unit 1 was in Mode 1 (POWER OPERATION) at approximately 40 percent power. Condenser hotwell (SG) leak detection activities were in progress in condenser shell C when a momentary phase to ground occurred on the Z winding of NAN-X03, phase C, causing relay 386-T1,, Transfer Differential, to trigger from a phase imbalance which deenergized the non-Class 1E 13.8 kV buses NAN-SOS,
il
'LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACILAYNAME DOCKETNUMBER LER NUMBER PAGE SEQUENTIAl EVISIO NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 4 0 .0 0 3 of 0 7 NAN-S03, and the Class 1E, 4.16 kV bus (PBA-S03)in Unit 1. Also, non-class 13.8 kV buses NAN-S06, NAN-S04, and class 1E 4.16 kV bus PBB-S04 in Unit 2 were deenergized.
The loss of power to the class 1E 4.16 kV buses resulted in a valid ESFAS signal starting EDG-A in Unit 1 and EDG-B in Unit 2. There were no other actions required in Unit 2, and the remainder of the event description is for Unit 1 only.
When PBA-S03 ("Emergency" power supply) was deenergized, the ABT for NNN-Dll responded to the undervoltage condition and attempted to transfer to the "Normal" power source (NHM13). (Note: NNN-Dll was lined up to the "Emergency" power supply per Operations'rocedures as the preferred power source.)
The ABT switch is a break-before-make switch which causes output voltage to drop for approximately 0.5 seconds on a transfer. During the event, the ABT switch attempted to transfer to the "Normal" power source; however, the Normal" breaker did not close, leaving both supply breakers open at the same time. This resulted in the deenergization of bus NNN-Dll for approximately ninety seconds.
The deenergization of bus NNN-D11 resulted in a loss of power to the FWCS.
With the loss of power to the FWCS and its components, the economizer valves failed "as is," MFP-A went to the governor minimum speed, and .the master controllers reverted to manual with no output. Non-safety related control room indications of valve positions, flows, and SG levels were lost. Annunciation of the loss of FWCS power was received. All of the above is expected on a loss of power to the FWCS. (Note: MFP-B was not in service at the time because the plant was at 40,percent power and a second MFP is not required at this power level.)
At approximately 0322 MST on December 9, 1995, the Unit 1 reactor (AC) tripped when SG-2 water level reached the RPS trip setpoint for low SG water level following the degradation of main FW flow.
With the loss of power, the SBCS went to Emergency Off, all SBCVs failed closed as designed, and annunciation of loss of SBCS, rack power was received. Without any automatic functions, reactor coolant system (RCS) temperature and SG pressure were controlled by a main steam safety valve (MSSV) (SB, RV) and atmospheric dump valves, (ADVs) (SB) until the SBCS was
II V'C LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACiLITYNAME OOCKETNUMBER LER NUMBER PAGE YEAR -:-i SEQUENTNL SIO NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 S 5 0 1 4 0 0 0 4 0 7 available for use. Required plant equipment and safety systems responded to the event as designed. No other safety system actuations occurred and none were required.
The Shift Supervisor diagnosed the event as an uncomplicated reactor trip.
At approximately 0348 MST on December 9, 1995, the plant was stabilized in Mode 3 (HOT STANDBY).
- 3. ASSESSMENT OF THE SAFETY CONSEQUENCES AND IMPLICATION OF THIS EVENT:
This Unit 1 reactor trip can be classified as a Loss of Feedwater which is a moderate frequency event. Equipment and systems assumed in Safety Analysis were functional, and plant response was normal for the situation that occurred. Scenarios defined in Updated Final Safety Analysis Report (UFSAR) Chapter 15 and design assumptions of the reactor protection system are bounding for this event. Scenarios defined in UFSAR Chapter 6, concerning Loss of Coolant Accidents (LOCA), were not challenged during this transient.
The reactor coolant system (RCS)(AB) pressure peak was below 2275 pounds per square inch absolute (psia) during this event. The peak pressure criteria of 110 percent of design (2750 psia) was not challenged during this RCS pressure transient. The steam generator peak pressure was approximately 1246 psia. A main steam safety valve operated as designed to maintain SG pressure until the ADVs were used to maintain SG pressure.
The ADVs were used until the SBCS became available to maintain SG pressure.
The transient did not cause any violation of the Specified Acceptable Fuel Design Limits (SAFDLs). 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.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AC IUlYNAME DOCKETNUMBER LER NUMBER PAGE SEOUENTIAL EVISIO NUMBER . NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 6 gl5 0 1 4 - 0 0 0 5 of 0 7
- 4. CAUSE OF THE EVENT:
An incident investigation for the Unit 1 reactor trip is being performed in accordance-,with the APS Corrective Action Program. The cause for the Unit 1 reactor trip was that the transfer switch malfunctioned by not transferring to its "Normal" power source (SALP Cause Code B: Design).
APS'esign does not provide immediate uninterrupted transfer of power for the FWCS upon loss of power. The current plant configuration is in accordance with design; however, the 500 milliseconds that it takes to transfer power is not adequate to ensure that the FWCS control power is not interrupted.
No unusual characteristics of the work location (e.g., noise, heat, or poor lighting) directly contributed to this event. There were no procedural errors which contributed to this event.
Zf the incident investigation results differ from this determination or if information is developed which would affect the readers understanding or perception of this event, a supplement to this report will .be submitted'.
- 5. STRUCTURES, SYSTEMS, OR COMPONENTS INFORMATZONI On December 9, 1995, while Unit 1 Control Room personnel were changing the breaker configuration of NNN-Dll to .the "Normal" power source, the "Normal" breaker would not close. Upon investigation, Electrical Maintenance personnel (utility, nonlicensed) determined that NNN-Dll would not transfer from "Emergency" to "Normal" and that it had not transferred during the reactor trip.
NNN-Dll's transfer switch is manufactured by General Electric and the model number is CR160TC. The switch's operating voltage is 120 VAC and has a current rating of 400 amps.
- 6. CORRECTIVE ACTIONS TO PREVENT RECURRENCE:
The incident investigation of the event has not been completed to date.
Any corrective actions identified will be tracked under the APS Commitment Action Tracking System.
On December 9, 1995, Electrical Maintenance performed an as-found visual inspection of the breakers and ABT for NNN-Dll; no obvious problems were
0 LICENSEE EVENT REPORT (LER) TEXT CONTINUATION ACILllYNAME DOCKET NUMBER LER NUMBER PAGE YEAR ";:.': SEQUENTIAL SIO NUMBER NUMBER Palo Verde Unit 1 0 5 0 0 0 5 2 8 9 5 0 1 4 - 0 0 06of 0 7 noted. Upon testing, NNN-Dll would not automatically transfer to the "Normal" from the "Emergency" power supply but would consistently automatically transfer from the "Normal" to the "Emergency" power supply.
On December 10, 1995, the operating mechanism was removed from NNN-Dll and was tested in a spare breaker assembly. The alignment was satisfactory, and the operating mechanism would operate in both manual positions. The operating mechanism was being reinstalled in NNN-Dll when it was identified that the support bracket on the left side of the "Normal" source breaker had a gap of approximately one-eighth .of an inch. All of the other support brackets were flush against their respective breakers.
Visual inspection revealed that a micarta clipboard was. used as a, shim.
The shim was removed, and the operating mechanism was reinstalled on the breaker assembly with satisfactory alignment. However, when tested, the operating mechanism would not close in the "Normal" position without manual assistance.
Review of the work history for NNN-Dll did not reveal the time period, that the shim was installed. Electrical Maintenance personnel involved in troubleshooting NNN-Dll during the refueling outage (1RS) did not notice that a shim was installed nor did they install a shim.
On December 10, 1995, Plant Management decided to leave the work order open and to replace the supply breakers during the next refueling outage.
This decision .was reviewed and concurred by the Plant Review Board. This decision was based. on the following two facts:
- 1. If power is lost while in the "Normal" position, the fast bus transfer can swap power to the motor control center that feeds NNN-Dll faster than the ABT could transfer if on the "Emergency" source. (Refer to Section 8, Additional 1nformation)
- 2. If the fast bus transfer failed and total power was lost to the "Normal" power supply, the unit would trip anyway because of the loss of power to two reactor coolant pumps.
On December 9, 1995, a night order was issued to all three units detailing the power configuration for NNN-Dll and NNN-D12 in Unit 1 and a brief history and explanation for the change.
II LICENSEE EVENT REPORT (LER) TEXT CONTINUATION AGILITYNAME DOCKETNUMBER YEAR i,;
LER NUMBER SEOUENTIAL NUMBER
'IO NUMBER PAGE Palo Verde Unit 1 0'5 0 0 0 5 2 8 9 5 0 1 4 - 0 0 0 70f0 7 EXT By December 21, 1995, Unit 1 Operation procedures were revised to reflect the Plant Management decision to align NNN-Dll to the "Normal" power supply. This decision was reviewed and concurred by the Plant Review Board. LER 529/95-005 identified a Unit 2 reactor trip,due to low level in SG-2. The cause of the trip was that the FWCS did not consider momentary power interruptions. The evaluations of this event to improve the FWCS have not been completed to date. The corrective. actions taken for LER 529/95-005 would not have prevented this event because the ABT did not automatically transfer.
If the evaluation results differ from this determination or if information is developed which would affect the readers understanding or perception of this event, a supplement to this report will be submitted.
- 7. PREVIOUS SIMILAR EVENTS:
Reactor trips attributed to a Feedwater Control System (FWCS) malfunction have been previously reported in LERs 528/95-008, 530/94-007, 530/94-005, 530/93-001 and 529/92-001. The corrective actions taken in these previous events would not hav= prevented this event from occurring.
- 8. ADDITIONAL INFORMATION:
Figure 1.0 provides a simplified electrical drawing of the non-Class 1E AC distribution system for Unit 1. The three startup transformers (NAN-X01, NAN-X02, and NAN-X03) connect to the switchyard through two 525 kV switchyard breakers each and feed six 13.8 kV intermediate buses (NAN-S05 and NAN-S06). These buses are arranged in three pairs, each feeding only one unit.
Each startup transformer is capable of supplying 100 percent of the startup or normally operating loads of one unit simultaneously with the ESF loads associated with two load groups of another unit. The non-Class 1E AC:buses normally are supplied through the startup transformers. In the event of failure of the unit auxiliary transformer, turbine trip, or reactor trip, an automatic fast transfer of the 13.8 kV buses to the startup transformers is initiated to provide power to the auxiliary loads.
During power operation, the unit auxiliary transformers (MAN-X02) supply two 13.8 kV buses (NAN-X01 and NAN-X02) which provide the'majority of the power to the non-Class 1E loads.
Il 0 r Simplifie Electrical Braving, Unit 1, Igure 1.0 WESTW1NG GRID STARTUP 3TARTUP AE-NAN-X03 AE-NAN-X01 YARD BRK
)NC
@QUAN XFMR 2ENANS06 525-22.8KV NORM. AL IE-~-X01 IE-NANZ05 ) NC NO )
3'8KV
) NC GENERATOR
~ Unit Aux 24- 13.8KV IE-MAN-X02 Fast Bus Transfer
) NC IE-NAN-S03 2 IE-NAN-SOI
) NC NO )"""".
P 13800-480V 13.8 - 4.160KV I E-NGN-L25 ESF XFMR )NC I E-NBN-X03 1E-NHN-M13
)NC 1E-NNN-V11 120 VAC, Non-Class 1E 416OV Ne I E-PBA-S03 480:120V 1E-NNN-DII Normal
) NO 4160-480V FWCS/
SBCS V13'mergency AUTO
> NC EhIERG. DG A 4803 l 20V XFR
- I E PGA.~L3-I SWITCH 0NC lE-NN
- IE-PHA-M31 Nore: Dl l & DI2 are
)NC Normally kft on Emer8ency source.
il 41 J