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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
[Table view] |
Text
NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION (6-1996)
APPROVED BY OMB NO. 31504104 EXPIRES 06/30/2001 Estimated burden oer response lo comply with this mandatory Information collection request: 50 hrs. Reported lessons loamed aro incorporated into the LICENSEE EVENT REPORT (LER) licensing process and fed back to indushy. Forward comments regarding burden estimate to the Records Management Bmnch (T4 F33), U.S. Nudear (See reverse for required number of Regulatory Commission, Wastington, DC 20555400Pand to the Paperwork Reduction Projecl f31504104) Office of Management and Budgel, digits/characters for each block) Washington, DC 20503. If an information coltectbn does not display a currenuy valid CMB control number tho NRC may not conduct or sponsor, and a person is not required to respond to, tho Information collection.
FACILITYNAME (1) DOCKET NUMBER (2) PAGE (3)
Palo Verde Nuclear Generating Station - Unit 3 05000530 1 OF 10 TITLE Ie)
Main Steam Safety Valve As-Found Lift Pressures Outside of Technical Specification Limits EVENT DATE (6) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(61 FACILrlYNAME DOCKET NUMBER SEQUENTIAL REVISION MONTH DAY YEAR YEAR NUMBER NUMBER DAY YEAR PVNGS Unit 1 05000528 FACILRYNAME DOCKET NUMBER 09 02 1998 1998 - 003 - 01 04 13 1999 PVNGS Unit 2 05000529 OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQ UIREMENTS OF 10 CFR: Check one or more 11 MODE (6) 20.2201 b 20.22038 2 v X 50.738 2 i 50.73 a 2 vlii POWER 20.2203 8 1 20.22038 3 i 50.738 2 ii 50.73a 2 x LEVEL (10) 95 20.22038 2 20.22038 3 I II 50.738 2 iii 73.71 20.22038 2 ii 20.2203 8 4 50.738 2 iv OTHER 20.22038 2 EI 50.36 c 1 50.738 2 v Spocify fn Abstract below or 20.22038 2 IV 50.36c 2 X 50.73a 2 vii in NRC Form 366A LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER grrcirrde Area Code)
Daniel G. Marks, Section Leader, Nuclear Regulatory Affairs 602-393-6492 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DES CRIBED IN THIS REPORT 13 CAUSE SYSTEM COMPONENT MANUFACTURER CAUSE SYSTEM REPORTABLE To EPIX COMPONENT MANUFACTURER
<Y I TO EPIX SB RV D243 e
SUPPLEMENTAL REPORT EXPECTED 14 EXPECTED MONTH DAY YEs SUBMISSION (Ifyes, complete EXPECTED SUBMISSION DATE). X No DATE (15)
ABSTRACT (Limit to 1400 spaces, I.e., approximately 15 single-spaced typewritten lines) (16) ~
On September 1, 1998, prior to Unit 3's seventh refueling outage, the Unit 3 main steam safety valves (MSSVS) were tested for lift pressure verification per surveillance procedure requirements.
The testing revealed that as-found lift pressures for four Unit 3 MSSVs were outside of the Technical limits of+/- 3 percent of design lift pressure and three failed to open on the first attempt. 'pecification Based on an engineering evaluation of the Unit 3 conditions, additional Unit 1 and 2 MSSVs were also tested.
The out of tolerance as-found MSSV setpoints have been attributed to the bonding of the valve disc to the nozzle seat which occurs during extended periods of valve operation. The disc bonding phenomena predominately affects valves which have been in service less than one operating cycle and although APS has not conclusively determined the causes of the disc b'onding phenomenon, evidence suggests that it occurs as a result of the valves being heated up and remaining at relatively constant temperatures for extended periods of time.
Previous similar events have been reported in LERs 528/98-004, 529/97-001, and 530/97-003.
9904220i69 9904i3 PDR ADOCK 05000530 S PDR
NRC FORM 666A (6-1996)
U.S. NUCLEAR RFGULATORY COMMISSION LlCENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET FACILITYNAME (1) LER NUMBER (6) PAGE (3)
NUMBER (2)
SEQUENTIAL REVISION NUMBER NUMBER Palo Verde Nuclear Generating Station 05000530 2 oF 10 1998 003 01 TEXT (Ifmore spaceis required, use additional copies of NRC Form 366A) (17)
NOTE: THIS SUPPLEMENT IS A SUBSTANTIAL REWRITE OF THE ORIGINAL LER AND THEREFORE NO REVISION BARS HAVE BEEN INCLUDED.
I. REPORTING REQUIREMENT(S):
During the 18 month frequency Unit 3 main steam safety valve (MSSV) (EIIS: RV, SB) surveillance testing which began on September 1, 1998, as-found lift pressures for seven of the twenty Unit 3 MSSVs were found to be outside of Technical Specification (TS) limits. Subsequent testing to determine transportability of the Unit 3 condition was performed in Units 1 and 2 from September 5, 1998 through September 9, 1998 and revealed additional instances where as-found results were outside of the +/- 3 percent Technical Specification limit. As part of the corrective actions for this condition, additional augmented testing was commenced on February 24, 1999 and additional instances where as-found testing results were outside of the+/- 3 percent Technical Specification limit were identified.
This LER is being submitted because the existence of similar out-of-tolerance conditions in multiple MSSVs is an indication that the condition developed over a period of time and it is reasonable to assume the condition existed during plant operation in excess of TS 3.7.1 completion times. Therefore, the condition is reportable under 10 CFR 50.73(a)(2)(i)(B) "Any operation or condition prohibited by the plant's Technical Specifications."
In addition, this LER is being submitted pursuant to 10 CFR 50.73 (a)(2)(vii) because it is reasonable to assume that a single cause or mechanism served as a common input to the multiple MSSV out-of -tolerance conditions in a single system designed to mitigate the consequences of an accident.
II. DESCRIPTION OF STRUCTURE(S), SYSTEM(S) OR COMPONENT(S):
There were no structures, systems, or components that were inoperable that contributed to this condition. There were no failures that rendered a train of a safety system inoperable and no failures of components with multiple functions were involved.
The MSSVs are Dresser/Consolidated 3700 series valves designed for nuclear service and certified under Section III, class 2, of the ASME Code. Palo Verde's specific valves are Maxiflow, spring-loaded, direct acting, model No. 3707-R with 6" 1500 pound inlet and a 10" 300 pound outlet. Five MSSVs are located on each of the four main steam lines, outside containment (EIIS:
NH), upstream of the main steam isolation valves (EIIS: ISV, SB).
NRC FORM 366A (6-1998)
U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET FACILITYNAME (1) LER NUMBER (6) PAGE (3)
NUMBER (2)
SEQUENTIAL REVISION NVMSER NUMBER Palo Verde Nuctear Generating Station 05000530 3 oF 10 1998 - 003 - 01 TEXT pt more spece is required, use edditionel cop'es of NRC Form 366A) (17)
The total relieving capacity of the MSSVs is divided equally between the main steam lines and is sufficient to pass the steam fiow equivalent to 105% of the plant's maximum steam flow. The MSSV design includes staggered setpoints, so that only the number of valves needed will actuate.
The primary purpose of the MSSVs is to provide overpressure protection for the secondaiy system. The MSSVs also provide protection against overpressurizing the reactor coolant pressure boundary (EIIS: AB) by providing a heat sink for the removal of energy from the reactor coolant system (EIIS: AB) if the preferred heat sink, provided by the condenser (EIIS: SG) and circulating water system (EIIS: Kl, KE), is not available.
MSSVs are required to be tested once per five years by Technical Specification (TS) Surveillance Requirement (SR) 3.7.1.1 and the ASME Code requirements, however, Palo Verde has committed to test the valves prior to each refueling outage in accordance with previously specified corrective actions. The MSSVs are tested in accordance with approved procedures under normal operating pressure and temperature conditions. SR 3.7.1.1 requires that each MSSV lift setpoint must be within+/- 3 percent of the design lift setting. Upon completion of valve testing, the MSSVs mu'st be returned to+/- 1 percent of the design lift setting.
III. INITIALPLANT CONDITIONS:
On September 1, 1998, Palo Verde Unit 3 was in Mode 1 (Power Operation) at approximately 95 percent power, coasting down in power in preparation for the seventh refueling outage (3R7).
Units 1 and 2 were in Mode 1 (Power Operation) at approximately 100 percent power.
IV. EVENT DESCRIPTION:
During the period of September 1, 1998 through September 4, 1998 (prior to Unit 3's seventh refueling outage) the Unit 3 main steam safety valves were tested for lift pressure verification per surveillance procedure requirements. The testing revealed that the as-found lift pressures for four Unit 3 MSSVs were outside of the TS limits of+/- 3 percent of design lift pressure and three failed to open on the first attempt. A corrective action document was initiated to document the seven out-of-tolerance conditions and to initiate action to determine operability during the cycle, to determine reportability, and to determine the root cause of the failures. During the Unit 3 seventh refueling outage, on October 2-3. 1998, off-site testing of the pressurizer safety valves (PSV)
(EIIS: AB, RV) as-found testing demonstrated all four Unit 3 PSVs were within the Technical ~
Specification limit of+3/-1 percent of the design lift setting.
NRC FORM 666A (6-1996)
U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET LER NUMBER (6) PAGE (3),
FACILITYNAME (1) NUMBER (2)
SEQUENTIAL REVISION NUMBER NUMBER Palo Verde Nuclear Generating Station 05000530 4 oF 10 1998 - 003 01 TEXT (lfmore space is required, use addIII'onal coax'es of NRC Form 366A) (1T)
Upon review of the Unit 3 MSSV testing results, APS engineering observed that the subject valves had been replaced during the previous refueling outage. Four of the seven MSSVs had been procured from the PVNGS warehouse and the other three had been refurbished at Wyle Western Service Center just prior to being installed. Based on this observation, a potentially transportable condition existed with six MSSVs that had been replaced in Unit 1 and two MSSVs that had been replaced in Unit 2. APS engineering promptly tested the eight susceptible MSSVs and one of the six Unit 1 MSSVs and one of the two Unit 2 MSSVs exceeded the +/- 3 percent TS limit.
As part of the ongoing investigation into the cause of the MSSV high as-found lift condition, APS engineering personnel hypothesized that the MSSVs which had been replaced during the previous outages would be susceptible to the disc bonding phenomena that occurs sometime after refurbished MSSVs are put into service. The phenomena was believed to be the result of refurbished MSSVs being installed and remaining at relatively constant'temperatures for extended periods of time. Uninterrupted plant operating cycles was believed to contribute to the phenomena by exposing the MSSVs to longer periods of constant temperatures.
Subsequent to the initial MSSV testing in September, 1998, APS engineering formulated a plan to perform augmented testing of the recently refurbished MSSVs. Eight Unit 3 MSSVs were targeted and tested under the augmented testing plan; two lifted above the TS limit of+/- 3 percent of design lift setting on the initial lift, one MSSV did not lift on the initial test, and one initially lifted within limits but subsequently lifted 4.3 percent below the design lift pressure. The six Unit 1 MSSVs targeted and tested as part of the augmented testing plan all demonstrated as-found lift pressures within the TS limit.
The following sections chronologically describe the initial Unit 3 seventh refueling outage MSSV testing, the Unit 1 and Unit 2 testing initiated as part of the transportability review from the Unit 3 testing, and the augmented testing conducted as part of the ongoing corrective actions from the Unit 3 refueling outage testing.
On September 1, 1998, APS maintenance, APS engineering and Furmanite personnel began on-line testing of the Unit 3 MSSVs using the Furmanite Digital Trevitest method. Per SR 3.7.1.1 the allowable lift setting for all PVNGS MSSVs is +/- 3 percent of the designed lift setting (which is specified in TS Table 3.7.1-2). During the initial Unit 3 seventh refueling outage MSSV testing, the Unit 1 and Unit 2 testing initiated as part of the transportability review from the Unit 3 testing, and the augmented testing conducted as part of the ongoing corrective actions from the Unit 3 refueling outage testing, there were no safety system actuations and none were required.
NRC FORM 366A (6-1998)
U.S. NUCLEAR REGULATORY COMMISSION LlCENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET PAGE (3)
FACILITYNAME (1) LER NUMBER (6)
NUMBER (2)
SEQUENTIAL REVISION NUMBER NUMBER Palo Verde Nuclear Generating Station 05000530 5 oF 10 1998 - 003 01 TEXT (lfmore speceis required, use eddidonel copies of NRC Form 366A) (17)
On September 2, 1998 at approximately 0829 MST, Unit 3 control room personnel declared SGE-PSV-573 inoperable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift setting was greater than 7.0 percent above the 1290 pounds per square inch gauge (psig) design lift setting. During subsequent lift tests the valve lifted at 1304 psig, 1299 psig and the as-left setting was 1302 psig or 0.9 percent above the design lift pressure (1290 psig). After successful testing, SGE-PSV-573 was declared operable at approximately 0859 MST on September 2, 1998 and TS LCO 3.7.1 CONDITION A was exited and MSSV testing continued.
On September 2, 1998 at approximately 1012 MST, Unit 3 Control Room personnel declared SGE-PSV-691 inoperable and entered TS LCO 3.7.1 CONDITION A, because the valve did not lift when subjected to an upward force equivalent to 5 percent above the design lift setting of 1315 psig. The valve was tested again, without adjusting the valve lift settings, and it lifted at 1.7 percent above the design lift pressure. During subsequent lift tests the valve lifted at 1308 psig and 1311 psig and the as-left setting was 1313 psig or 0.2 percent below the design lift pressure.
After successful testing, SGE-PSV-691 was declared operable at approximately 1118 MST on September 2, 1998 and TS LCO 3.7.1 CONDITION A was exited.
On September 2, 1998 at approximately 1322 MST, Unit 3 Control Room personnel declared SGE-PSV-576 inoperable and entered TS LCO 3.7.1 CONDITION A, because the valve did not lift during the first and second attempt when subjected to an upward force equivalent to 5 percent above the design lift setting. During the third attempt, SGE-PSV-576 lifted at 1.2 percent above the design lift pressure of 1315 psig. During subsequent lift tests the valve lifted at 1317 psig, 1321 psig and the as-left setting was 1313 psig, or 0.2 percent below the design lift pressure.
After successful testing, SGE-PSV-576 was declared operable at approximately 1409 MST on September 2, 1998 and TS LCO 3.7.1 CONDITION A was exited.
On September 3, 1998 at approximately 1517 MST, Unit 3 Control Room personnel declared SGE-PSV-560 inoperable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift pressure was 6.9 percent above the design lift pressure of 1290 psig. Adjustments were made to the valve and during subsequent testing the valve lifted at 1288 psig, 1286 psig and the as-left setting was 1285 psig or 0.4 percent below the design lift pressure. After successful testing, SGE-PSV-560 was declared operable at approximately 1549 MST on September 3, 1998 and TS LCO 3.7.1 CONDITION A was exited.
NRC FORM 666A (6-1996)
U.S. NUCLEAR REGULATORY COMMISSION LlcENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET LER NUMBER (6) PAGE (3)
FACILITYNAME (1) NUMBER (2)
S EQUENTIAL REVISION NUMBER NUMBER Palo Verde Nuclear Generating Station 05000530 6 oF 10 1998 - 003 - 01 TEXT Pf more spaceis required, use adrNonal cop'es of NRC Form 366A) (17)
On September 3, 1998 at approximately 1735 MST, Unit 3 Control Room personnel declared SGE-PSV-555 inoperable and entered TS LCO 3.7.1 CONDITION A, because the valve did not lift when subjected to an upward force equivalent to 7 percent above the 1290 psig design lift pressure. SGE-PSV-555 was tested again, without adjusting the valve, and lifted at 1327 psig,
.1295 psig and the as-left setting was 1300 psig or 0.8 percent above the design lift pressure. After successful testing, SGE-PSV-555 was declared operable at approximately 1802 MST on September 3, 1998 and TS LCO 3.7.1 CONDITION A was exited.
On September 4, 1998 at approximately 0927 MST, Unit 3 Control Room personnel declared SGE-PSV-557 inoperable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift
'setting was 1379 psig or 4.9 percent above the design lift pressure of 1315 psig. During subsequent lift tests the valve lifted at 1291 psig, 1285 psig and the as-left setting was 1300 psig or 1.1 percent below the design lift pressure. After successful testing, SGE-PSV-557 was declared operable at approximately 0959 MST on September 4, 1998 and TS LCO 3.7.1 CONDITION A was exited.
On September 4, 1998 at approximately 1020 MST, Unit 3 Control Room personnel declared SGE-PSV-695 inopeiable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift setting was 1364 psig or 3.7 percent above the design lift pressure of 1315 psig. The valve was adjusted and during subsequent lift tests the valve lifted at 1280 psig, 1314 psig and the as-left setting was 1311 psig or 0.3 percent below the design lift pressure. After successful testing, SGE-PSV-695 was declared operable at approximately 1129 MST on September 4, 1998 and TS LCO 3.7.1 CONDITION A was exited.
During the engineering review of the Unit 3 MSSVs testing results it was discovered that each of the seven valves that did not initially lift within+I- 3 percent of the design lift pressure had been replaced during the last Unit 3 refueling outage. Additionally, four of the seven valves which had been replaced had been taken from warehouse stock. Based upon the potential that a transportable condition existed, a decision was made to re-test six Unit 1 and two Unit 2 MSSVs that had been replaced during their most recent outages.
During transportability testing on September 5, 1998 at approximately 1806 MST, Unit 2 Control Room personnel declared SGE-PSV-556 inoperable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift setting was 1361 psig or 3.5 percent above the design lift pressure of 1315. The valve was adjusted and during subsequent tests the valve lifted at 1321 psig, 1326 psig and the as-left setting was 1317 psig or 0.2 percent above the design lift pressure. After successful testing, SGE-PSV-556 was declared operable at approximately 2058 MST on September 5, 1998 and TS LCO 3.7.1 CONDITION A was exited.
0 NRC FORM 666A (6-1998)
U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET FACILITYNAME (1) LER NUMBER (6) PAGE (3)
NUMBER (2)
SEQUENTIAL REVISION NUMBER NUMSER Palo Verde Nuclear Generating Station 05000530 7 oF 10 1998 003 01 TEXT (Ifmore space is required, use additional cop'es of NRC Form 366A) (17)
During transportability testing on September 9, 1998 at approximately 1611 MST, Unit 1 Control Room personnel declared SGE-PSV-695 inoperable and entered TS LCO 3.7.1 CONDITION A, because the as-found lift setting was 1371 psig or 4.3 percent above the design lift pressure of 1315 psig. The valve was adjusted and during subsequent tests the valve lifted at 1306 psig, 1307 psig and the as-left setting was 1309 psig or 0.5 percent below the design lift pressure. After successful testing, SGE-PSV-695 was declared operable at approximately 1739 MST on September 9, 1998 and TS LCO 3.7.1 CONDITION A was exited.
As a result of the Unit 1, 2 and 3 MSSV as-found conditions, actions were commenced in accordance with the APS corrective action program to determine the cause of the high out-of-tolerance lift pressures and to take actions to prevent recurrence. Based upon the as-found MSSV testing data, APS engineering personnel hypothesized that the refurbished MSSVs which had been replaced during the previous outages would be susceptible to a disc bonding phenomena that occurs sometime after the valves are put into service. APS engineeririg believed the phenomena resulted from refurbished MSSVs remaining at relatively constant temperatures for extended periods of time. Improved plant performance and extended plant operating cycles was believed to contribute to the phenomena by exposing the MSSVs to longer periods of relatively constant temperatures.
APS engineering developed a plan to perform augmented testing of the recently refurbished MSSVs to confirm their hypothesis and gather additional data points to gauge the progression of the disc bonding. The plan called for a Trevitest of each of the target MSSVs using a method similar to the 18 month surveillance test, however, acceptable results achieved during the augmented testing would not be used to reset the normal surveillance testing schedule. By performing the augm'ented testing, APS engineering believed that the MSSVs would be less susceptible to the disc bonding phenomena. The augmented testing plan was commenced on February 23, 1999 and was completed on February 25, 1999.
Eight MSSVs had been replaced during the Unit 3 seventh refueling outage and were targeted for augmented testing (the seven out-of-tolerance valves described above and one additional valve which had met as-found acceptance criteria but had observable leakage). Of the eight Unit 3 MSSVs tested under the augmented testing plan, two MSSVs initially lifted above the TS limit, one MSSV did not lift on the initial test, and one MSSV initially lifted within limits but subsequently lifted 4.3 percent below the design lift pressure. Specifically, SGE-PSV-695 lifted at 1386 psig (5.4 percent above setpoint), SGE-PSV-557 lifted at 1372 psig (4.3 percent above setpoint) and SGE-PSV-555 did not lift during the initial lift test and lifted at 1348 psig (4.5 percent above setpoint) on the second attempt. The as-found lift setting for SGE-PSV-573 was 1298 psig (0.6 percent above setpoint), however the third lift was at 1235 psig (4.3 percent below setpoint). The remaining four Unit 3 MSSVs as-founds were: 1329 psig (1.1 percent above setpoint) for
t NRC FORM 366A (6-1 996)
U.S. NUCLEAR REGULATORY COMMISSION LlCENSEE EVENT REPORT (LER)
TEXT CONTINUATION DOCKET FACILITYNAME (1) LER NUMBER (6) PAGE (3)
NUMBER (2)
SEQUENTIAL REVISION NUMBER NUMBER Palo Verde Nuclear Generating Station 05000530 8 oF 10 1998 003 01 TEXT pf more spece is required, use eddt'6'encl copies of NRC Form 366A) (17)
SGE-PSV-691; 1309 psig (0.5 percent below setpoint) for SGE-PSV-576; 1297 psig (0.5 percent above setpoint) for SGE-PSV-560; and 1270 psig (1.6 percent above setpoint) for SGE-PSV-561.
The as-left settings for all eight Unit 3 MSSVs were within +/-1 percent of setpoint.
Six MSSVs had been replaced during the Unit 1 seventh refueling outage and were targeted for augmented testing. All six of the refurbished Unit 1 MSSVs tested under the augmented testing plan demonstrated acceptable as-found lift settings within Technical Specification limits of+/- 3 percent-of setpoint. Unit 2 MSSVs were excluded from the augmented testing because they were already scheduled to be tested prior to the Unit 2 eight refueling outage, which was to begin on March 28, 1999.
Based upon the findings from the augmented testing and industry operating experience, APS engineering concluded that performing a number of lifts at normal operating pressures reduces the likelihood that subsequent disc bonding will occur.
V. SAFETY CONSEQUENCES:
During the Unit 3 seventh refueling outage, on October 2 and 3, 1998, off-site testing of the Pressurizer Safety Valves (PSV) (EIIS: AB, RV) demonstrated all four Unit 3 PSVs were within the Technical Specification limit of +3/-1 percent of the design lift setting. The PSV as-found data was used in conjunction with the Unit 3 seventh refueling outage as-found data and a "Safety Valve As-Found Setpoint Analysis" was generated to evaluate the operability of the Unit 3 MSSVs. The analysis demonstrated that Unit 3, under accident conditions, would not have exceeded the overpressure protection limits for the primary and secondary systems and would not have violated the steam-only acceptance criteria for PSV operability.
The as-found MSSV results from the Unit 1 and Unit 2 transportability testing, conducted September 5 through September 9, 1998, yielded analysis results which were bounded by previous acceptable evaluation results and therefore no further analysis was required.
The as-found MSSV results from the Unit 1 augmented testing were within TS limits and therefore no analysis was required for these findings.
A preliminary safety analysis has been performed to evaluate the as-found results from the Unit 3 augmented testing. This analysis included the two MSSVs that initially lifted above the TS limit, the one MSSV that did not lift during the initial test, and the one MSSV that lifted below the TS limit on the third lift. The analysis has found that the as-found condition of the Unit 3 MSSVs would not, under accident conditions, have resulted in peak pressures that would have exceeded the overpressure protection limits for the primary or secondary systems.
NRC FORM 366A (6-1698)
U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION
,DOCKET FACILITYNAME (1) LER NUMBER (6) PAGE (3)
NUMBER (2)
SEQUENTIAL REVISION NUMSER NUMSER Palo Verde Nuclear Generating Station 05000530 9 oF 1Q 1998 003 - 01 TEXT (lfmore space is required, use addifional copies of NRC Form 366A) (17)
Therefore, the MSSV as-found out-of-tolerance conditions discovered prior to the Unit 3 seventh refueling outage, the as-found conditions discovered during the Units 1 and 2 transportability testing, and the as-found conditions discovered during the Unit 3 augmented testing, would not have resulted in a condition where the overpressure protection limits for the primary or secondary systems would have been exceeded. There were no adverse safety consequences or implications as a result of this event; this condition did not adversely affect the safe operation of the plant or health and safety of the public; and there were no challenges to fission product barriers or any releases of radioactive materials as a result of this condition.
VI. CAUSE OF THE EVENT:
The out of tolerance as-found MSSV setpoint condition has been attributed to the valve disc bonding with the nozzle seat. The disc bonding phenomena predominately affects valves which have been in service less than one operating cycle and although APS has not conclusively determined the root causes of the disc bonding phenomenon, evidence suggests that it occurs as a result of the MSSVs being heated up and remaining at relatively constant temperatures for extended periods of time. It is believed that improved plant performance has contributed to the phenomena by exposing the MSSVs to longer run cycles.
APS is continuing to investigate the root cause of this condition and based upon the findings from the augmented testing and industry operating experience, APS engineering has reasonable indication that by performing a number of lifts at normal operating pressure and temperature reduces the likelihood that subsequent disc bonding will occur.
No unusual characteristics of the work location (e.g., noise, heat, poor lighting) directly contributed to this event. No personnel or procedural errors contributed to this event.
VII. CORRECTIVE ACTIONS:
n Unit 3 MSSVs (SGE-PSV-555, SGE-PSV-557, SGE-PSV-560, SGE-PSV-573, SGE-PSV-576, SGE-PSV-691 and SGE-PSV-695) discovered to have as-found lift pressures outside of the TS limit prior to the seventh refueling outage were either adjusted and retested or simply retested and successfully completed testing and were returned to service. Each Unit 3 MSSV which had as-found lift pressures outside of the TS limit was replaced with a refurbished and re-certified MSSV prior to completion of the seventh refueling outage.
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