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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors ML17335A5171999-02-11011 February 1999 LER 99-002-00:on 990112,determined That RCS Pressurizer PORVs Had Not Been Tested,Per Ts.Caused by Inadequate Scheduling Controls Allowing Personnel Error.Surveillance Procedure Was Completed & Updated LER Will Be Submitted ML17335A5141999-02-10010 February 1999 LER 99-001-00:on 990106,noted That GE Hfa Relays Installed in EDGs May Not Meet Seismic Qualification.Caused by Operating Experience Info Incorrectly Dispositioned in 1985. Updated LER Will Be Submitted by 990405 ML17335A5011999-02-0101 February 1999 LER 98-060-00:on 981231,identified That Rt Sys Response Time Testing Did Not Comply with TS Definition.Caused by Inadequate Procedures.Corrective Actions Will Be Developed & Update to LER Will Be Submitted by 990415.With 990201 Ltr ML17335A4951999-01-29029 January 1999 LER 98-059-00:on 981230,interim LER -single Failure in Containment Spray Sys Could Result in Containment Spray Ph Outside Design Occurred.Investigation Into Condition Continuing.Update Will Be Submitted by 990514 Ltr ML17335A4961999-01-27027 January 1999 LER 98-057-00:on 981228,discovered That AFW Valves Were Not Tested IAW Inservice Testing Program.Caused by Failure to Recognize Design Bases Features Re Afws by Personnel. Updated LER Will Be Submittted by 990415.With 990127 Ltr ML17335A4921999-01-19019 January 1999 LER 98-052-01:on 981128,no Analysis for NSR Sc Manual Loader for Tdafwp Could Be Found in Original Design.Cause Due to All Failure Modes Not Considered When Compressed Air Sys Originally Designed.Performed Review of Components ML17335A4721999-01-0606 January 1999 LER 98-055-00:on 981207,potential for Condition Outside of Design Bases for Rod Control Sys Was Noted.Caused by Calibration Error Coupled with Single Rod Failure.Condition Rept Investigation Is Ongoing ML17335A4691999-01-0606 January 1999 LER 98-056-00:on 981211,hot Leg Nozzle Gaps Resulted in Plant Being in Unanalyzed Condition.Analyses Are Being Performed by W to Resolve Problem.Updated LER Will Be Submitted by 990211.With 990106 Ltr ML17335A4661999-01-0505 January 1999 LER 98-049-00:on 981020,emergency Boron Injection Flow Path Was Inoperable.Caused by Original Design Deficiency. Engineering Evaluation of Event Is Continuing ML17335A4631999-01-0404 January 1999 LER 98-054-00:on 981202,discovered That at Least One MSSV Had Not Been Reset as Required by Ts.Engineering Is Continuing Review of Extent of Condition for Event.Updated LER Will Be Submitted by 990129.With 990104 Ltr ML17335A4481998-12-30030 December 1998 LER 98-053-00:on 981130,discovered Use of Inoperable Substitute Subcooling Margin Monitor.Caused by Condition Existing Since Installation of Plant Process Computer in 1992.Updated LER Will Be Submitted.With 981230 Ltr ML17335A4581998-12-28028 December 1998 LER 98-052-00:on 981128,turbine Driven AFW Pump Speed Controller Failure Mode Occurred.Caused Because Not All Failure Modes Were Considered When Compressed Air Sys Was Originally Designed.Verified Current Design Change Process ML17335A4281998-12-22022 December 1998 LER 98-051-00:on 981122,reactor Trip Signal from Manual Safety Injection Not Verified as Required by TS Surveillance,Was Discovered.Maintenance Currently Evaluating Significance & Cause of Event ML17335A4111998-12-17017 December 1998 LER 98-047-00:on 981117,potential for Increase Leakage from Reactor Coolant Pump Seals Was Identified.Util Is Working with W to Resolve Issue.Current Expectations Are to Submit Update to LER by 990215.With 981217 Ltr ML17335A4141998-12-16016 December 1998 LER 98-058-00:on 981216,postulated High Line Break Could Result in Condition Outside Design Bases for AF Occurred. Caused by Deficiencies Associated with Administration of HELB Program.Analysis of AF Will Be Completed by 990122 ML17335A4181998-12-16016 December 1998 LER 98-050-00:on 980814,ancillary Equipment Installed in Ice Condenser Was Not Designed to Withstand Design Basis Accident/Earthquake Loads.Caused by Lack of Established Design Criteria.Developed Design Criteria ML17335A3871998-12-11011 December 1998 LER 98-031-01:on 980610,potential Common Mode Failure of RHR Pumps Were Noted.Caused by Inaccurate Values.Accurate Miniflow Numbers Have Been Determined by Flow Testing ML17335A3821998-12-0808 December 1998 LER 98-039-01 Re EOP Step Conflicts with Small Break LOCA Analysis.Ler 98-039-00 Has Been Canceled.With 981208 Ltr ML17335A3781998-12-0707 December 1998 LER 98-007-00:on 981106,high Energy Line Break Effects in Auxiliary FW Sys Was Noted.Cause of Event Is Under Investigation & Will Be Completed by 990220.Updated LER Will Be Submitted by 990310.With 981207 Ltr ML17335A3771998-12-0303 December 1998 LER 98-046-00:on 981103,determined That Afs Was Unable to Meet Design Flow Requirements During Special Test.Caused by Failure to Consider All Aspects of Sys Operation in Design of Suction Basket Strainers.Sys Will Be Redesigned ML17335A3741998-12-0202 December 1998 LER 97-011-02:on 970822,operation Was Noted Outside Design Bases for ECCS & CSP for Switchover to Recirculation Sump Suction.Caused by Ineffective Change Mgt.Revised Procedure for Switchover 01(02) Ohp 4023.ES-1.3 1999-09-17
[Table view] Category:RO)
MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors ML17335A5171999-02-11011 February 1999 LER 99-002-00:on 990112,determined That RCS Pressurizer PORVs Had Not Been Tested,Per Ts.Caused by Inadequate Scheduling Controls Allowing Personnel Error.Surveillance Procedure Was Completed & Updated LER Will Be Submitted ML17335A5141999-02-10010 February 1999 LER 99-001-00:on 990106,noted That GE Hfa Relays Installed in EDGs May Not Meet Seismic Qualification.Caused by Operating Experience Info Incorrectly Dispositioned in 1985. Updated LER Will Be Submitted by 990405 ML17335A5011999-02-0101 February 1999 LER 98-060-00:on 981231,identified That Rt Sys Response Time Testing Did Not Comply with TS Definition.Caused by Inadequate Procedures.Corrective Actions Will Be Developed & Update to LER Will Be Submitted by 990415.With 990201 Ltr ML17335A4951999-01-29029 January 1999 LER 98-059-00:on 981230,interim LER -single Failure in Containment Spray Sys Could Result in Containment Spray Ph Outside Design Occurred.Investigation Into Condition Continuing.Update Will Be Submitted by 990514 Ltr ML17335A4961999-01-27027 January 1999 LER 98-057-00:on 981228,discovered That AFW Valves Were Not Tested IAW Inservice Testing Program.Caused by Failure to Recognize Design Bases Features Re Afws by Personnel. Updated LER Will Be Submittted by 990415.With 990127 Ltr ML17335A4921999-01-19019 January 1999 LER 98-052-01:on 981128,no Analysis for NSR Sc Manual Loader for Tdafwp Could Be Found in Original Design.Cause Due to All Failure Modes Not Considered When Compressed Air Sys Originally Designed.Performed Review of Components ML17335A4721999-01-0606 January 1999 LER 98-055-00:on 981207,potential for Condition Outside of Design Bases for Rod Control Sys Was Noted.Caused by Calibration Error Coupled with Single Rod Failure.Condition Rept Investigation Is Ongoing ML17335A4691999-01-0606 January 1999 LER 98-056-00:on 981211,hot Leg Nozzle Gaps Resulted in Plant Being in Unanalyzed Condition.Analyses Are Being Performed by W to Resolve Problem.Updated LER Will Be Submitted by 990211.With 990106 Ltr ML17335A4661999-01-0505 January 1999 LER 98-049-00:on 981020,emergency Boron Injection Flow Path Was Inoperable.Caused by Original Design Deficiency. Engineering Evaluation of Event Is Continuing ML17335A4631999-01-0404 January 1999 LER 98-054-00:on 981202,discovered That at Least One MSSV Had Not Been Reset as Required by Ts.Engineering Is Continuing Review of Extent of Condition for Event.Updated LER Will Be Submitted by 990129.With 990104 Ltr ML17335A4481998-12-30030 December 1998 LER 98-053-00:on 981130,discovered Use of Inoperable Substitute Subcooling Margin Monitor.Caused by Condition Existing Since Installation of Plant Process Computer in 1992.Updated LER Will Be Submitted.With 981230 Ltr ML17335A4581998-12-28028 December 1998 LER 98-052-00:on 981128,turbine Driven AFW Pump Speed Controller Failure Mode Occurred.Caused Because Not All Failure Modes Were Considered When Compressed Air Sys Was Originally Designed.Verified Current Design Change Process ML17335A4281998-12-22022 December 1998 LER 98-051-00:on 981122,reactor Trip Signal from Manual Safety Injection Not Verified as Required by TS Surveillance,Was Discovered.Maintenance Currently Evaluating Significance & Cause of Event ML17335A4111998-12-17017 December 1998 LER 98-047-00:on 981117,potential for Increase Leakage from Reactor Coolant Pump Seals Was Identified.Util Is Working with W to Resolve Issue.Current Expectations Are to Submit Update to LER by 990215.With 981217 Ltr ML17335A4141998-12-16016 December 1998 LER 98-058-00:on 981216,postulated High Line Break Could Result in Condition Outside Design Bases for AF Occurred. Caused by Deficiencies Associated with Administration of HELB Program.Analysis of AF Will Be Completed by 990122 ML17335A4181998-12-16016 December 1998 LER 98-050-00:on 980814,ancillary Equipment Installed in Ice Condenser Was Not Designed to Withstand Design Basis Accident/Earthquake Loads.Caused by Lack of Established Design Criteria.Developed Design Criteria ML17335A3871998-12-11011 December 1998 LER 98-031-01:on 980610,potential Common Mode Failure of RHR Pumps Were Noted.Caused by Inaccurate Values.Accurate Miniflow Numbers Have Been Determined by Flow Testing ML17335A3821998-12-0808 December 1998 LER 98-039-01 Re EOP Step Conflicts with Small Break LOCA Analysis.Ler 98-039-00 Has Been Canceled.With 981208 Ltr ML17335A3781998-12-0707 December 1998 LER 98-007-00:on 981106,high Energy Line Break Effects in Auxiliary FW Sys Was Noted.Cause of Event Is Under Investigation & Will Be Completed by 990220.Updated LER Will Be Submitted by 990310.With 981207 Ltr ML17335A3771998-12-0303 December 1998 LER 98-046-00:on 981103,determined That Afs Was Unable to Meet Design Flow Requirements During Special Test.Caused by Failure to Consider All Aspects of Sys Operation in Design of Suction Basket Strainers.Sys Will Be Redesigned ML17335A3741998-12-0202 December 1998 LER 97-011-02:on 970822,operation Was Noted Outside Design Bases for ECCS & CSP for Switchover to Recirculation Sump Suction.Caused by Ineffective Change Mgt.Revised Procedure for Switchover 01(02) Ohp 4023.ES-1.3 1999-09-17
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML17335A5641999-10-18018 October 1999 LER 99-024-00:on 990708,literal TS Requirements Were Not Met by Accumlator Valve Surveillance.Caused by Misjudgement Made in Conversion from Initial DC Cook TS to W Std Ts.Submitted License Amend Request.With 991018 Ltr ML17335A5531999-10-0707 October 1999 LER 99-023-00:on 990907,inadequate TS Surveillance Testing of ESW Pump ESF Response Time Noted.Caused by Inadequate Understanding of Plant Design Basis.Surveillance Tests Will Be Revised & Implemented ML17335A5631999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for DC Cook Nuclear Plant,Unit 1.With 991012 Ltr ML17335A5621999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for DC Cook Nuclear Plant,Unit 2.With 991012 Ltr ML17335A5481999-09-30030 September 1999 Non-proprietary DC Cook Nuclear Plant Units 1 & 2 Mods to Containment Sys W SE (Secl 99-076,Rev 3). ML17335A5451999-09-28028 September 1999 Rev 1 to Containment Sump Level Design Condition & Failure Effects Analysis for Potential Draindown Scenarios. ML17326A1291999-09-17017 September 1999 LER 99-022-00:on 990609,electrical Bus Degraded Voltage Setpoints Too Low for Safety Related Loads,Was Discovered. Caused by Lack of Understanding of Design of Plant.No Immediate Corrective Actions Necessary ML17326A1481999-09-17017 September 1999 Independent Review of Control Rod Insertion Following Cold Leg Lbloca,Dc Cook,Units 1 & 2. ML17326A1211999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Cook Nuclear Plant, Unit 2.With 990915 Ltr ML17326A1201999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Cook Nuclear Plant, Unit 1.With 990915 Ltr ML17326A1121999-08-27027 August 1999 LER 99-021-00:on 990728,determined That GL 96-01 Test Requirements Were Not Met in Surveillance Tests.Caused by Failure to Understand Full Extent of GL Requirements. Surveillance Procedures Will Be Revised or Developed ML17326A1011999-08-26026 August 1999 LER 99-020-00:on 990727,EDGs Were Declared Inoperable.Caused by Inadequate Protection of Air Intake,Exhaust & Room Ventilation Structures from Tornado Missile Hazards. Implemented Compensatory Measures in Form of ACs ML17326A0911999-08-16016 August 1999 LER 99-019-00:on 990716,noted Victoreen Containment Hrrms Not Environmentally Qualified to Withstand post-LOCA Conditions.Caused by Inadequate Design Control.Reviewing Options to Support Hrrms Operability in Modes 1-4 ML17326A0771999-08-0404 August 1999 LER 98-029-01:on 980422,noted That Fuel Handling Area Ventilation Sys Was Inoperable.Caused by Original Design Deficiency.Radiological Analysis for Spent Fuel Handling Accidents in Auxiliary Bldg Will Be Redone by 990830 ML17335A5461999-08-0202 August 1999 Rev 0 to Evaluation of Cook Recirculation Sump Level for Reduced Pump Flow Rates. ML17326A0871999-07-31031 July 1999 Monthly Operating Rept for July 1999 for DC Cook Nuclear Plant,Unit 1.With 990812 Ltr ML17326A0861999-07-31031 July 1999 Monthly Operating Rept for July 1999 for DC Cook Nuclear Plant,Units 2.With 990812 Ltr ML17326A0741999-07-29029 July 1999 LER 99-018-00:on 990629,determined That Valve Yokes May Yield Under Combined Stress of Seismic Event & Static,Valve Closed,Stem Thrust.Caused by Inadequate Design of Associated Movs.Operability Determinations Were Performed for Valves ML17326A0661999-07-26026 July 1999 LER 99-017-00:on 990625,noted That Improperly Installed Fuel Oil Return Relief Valve Rendered EDG Inoperable.Caused by Personnel Error.Fuel Oil Return Valve Was Replaced with Valve in Correct Orientation.With 990722 Ltr ML17326A0651999-07-22022 July 1999 LER 98-014-03:on 980310,noted That Response to high-high Containment Pressure Procedure Was Not Consistent with Analysis of Record.Caused by Inadequate Interface with W. FRZ-1 Will Be Revised to Be Consistent with New Analysis ML17326A0491999-07-13013 July 1999 LER 99-016-00:on 990615,TS Requirements for Source Range Neutron Flux Monitors Not Met.Caused by Failure to Understand Design Basis of Plant.Procedures Revised.With 990713 Ltr ML17326A0331999-07-0101 July 1999 LER 99-004-01:on 971030,failure to Perform TS Surveillance Analyses of Reactor Coolant Chemistry with Fuel Removed Was Noted.Caused by Ineffective Mgt of Tss.Chemistry Personnel Have Been Instructed on Requirement to Follow TS as Written ML17326A0511999-06-30030 June 1999 Monthly Operating Rept for June 1999 for DC Cook Nuclear Plant,Unit 2.With 990709 Ltr ML17326A0501999-06-30030 June 1999 Monthly Operating Rept for June 1999 for DC Cook Nuclear Plant,Unit 1.With 990709 Ltr ML17326A0151999-06-18018 June 1999 LER 99-014-00:on 990521,determined That Boron Injection Tank Manway Bolts Were Not Included in ISI Program,Creating Missed Exam for Previous ISI Interval.Caused by Programmatic Weakness.Isi Program & Associated ISI Database Modified ML17325B6421999-06-0101 June 1999 LER 99-013-00:on 990327,safety Injection & Centrifugal Charging Throttle Valve Cavitation During LOCA Could Have Led to ECCS Pump Failure.Caused by Inadequate Original Design Application of Si.Throttle Valves Will Be Developed ML17325B6311999-06-0101 June 1999 LER 99-S03-00:on 990430,vital Area Barrier Degradation Was Noted.Caused by Inadequate Insp & Maint of Vital Area Barrier.Repairs & Mods Were Made to Barriers to Eliminate Degraded & Nonconforming Conditions ML17326A0061999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Dcp.With 990609 Ltr ML17326A0071999-05-31031 May 1999 Monthly Operating Rept for May 1999 for DC Cook Nuclear Plant,Unit 2.With 990609 Ltr ML17325B6351999-05-28028 May 1999 LER 99-S02-00:on 990428,vulnerability in Safeguard Sys That Could Allow Unauthorized Access to Protected Area Was Noted. Caused by Inadequate Original Plant Design.Mods Were Made to Wall Opening to Eliminate Nonconforming Conditions ML17265A8231999-05-24024 May 1999 LER 98-037-01:on 990422,determined That Ice Condenser Bypass Leakage Exceeds Design Basis Limit.Caused by Pressure Seal Required by Revised W Design Not Incorporated Into Aep Design.Numerous Matl Condition Walkdowns & Assessments Made ML17325B6001999-05-20020 May 1999 LER 99-012-00:on 990420,concluded That Auxiliary Bldg ESF Ventilation Sys Not Capable of Maintaining ESF Room Temps post-accident.Caused by Inadequate Control of Sys Design Inputs.Comprehensive Action Plan Being Developed ML17325B5861999-05-10010 May 1999 LER 99-002-00:on 990415,discovered That TS 4.0.5 Requirements Were Not Met Due to Improperly Performed Test. Caused by Incorrect Interpretation of ASME Code.App J Testing Will Be Completed & Procedures Will Be Revised ML17325B5811999-05-0404 May 1999 LER 99-011-00:on 990407,air Sys for EDG Will Not Support Long Operability.Caused by Original Design Error.Temporary Mod to Supply Makeup Air Capability in Modes 5 & 6 Was Prepared ML17325B5771999-05-0303 May 1999 LER 99-010-00:on 990401,RCS Leak Detection Sys Sensitivity Not in Accordance with Design Requirements Occurred.Caused by Inadequate Original Design of Containment Sump Level. Evaluation Will Be Performed to Clearly Define Design ML17335A5301999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for DC Cook Nuclear Plant,Unit 1.With 990508 Ltr ML17335A5291999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for DC Cook Nuclear Plant,Unit 2.With 990508 Ltr ML17325B5581999-04-16016 April 1999 LER 99-006-00:on 990115,personnel Identified Discrepancy Between TS 3.9.7 Impact Energy Limit & Procedure 12 Ohp 4030.STP.046.Caused by Lack of Design Basis Control.Placed Procedure 12 Ohp 4030.STP.046 on Administrative Hold ML17325B5471999-04-12012 April 1999 LER 99-009-00:on 990304,as-found RHR Safety Relief Valve Lift Setpoint Greater than TS Limit Occurred.Cause Investigation for Condition Has Not Been Completed.Update to LER Will Be Submitted,Upon Completion of Investigation ML17325B5321999-04-0707 April 1999 LER 99-S01-00:on 990308,discovered That Lock for Vital Gate Leading to Plant 4KV Switchgear Area Was Nonconforming & Vulnerable to Unauthorized Access.Caused by Inadequate Gate Design & Inadequate Procedures.Mods Are Being Made to Gate ML17325B5161999-04-0101 April 1999 LER 99-007-00:on 981020,calculations Showed That Divider Barrier Between Upper & Lower Containment Vols Were Overstressed.Engineers Are Currently Working on Analyses of Loads & Stress on Enclosures ML17325B5491999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for DC Cook Nuclear Plant Unit 2.With 990408 Ltr ML17325B5441999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for DC Cook Nuclear Plant,Unit 1.With 990408 Ltr ML17325B5221999-03-29029 March 1999 LER 99-001-00:on 960610,degraded Component Cooling Water Flow to Containment Main Steam Line Penetrations,Identified on 990226.Caused by Inadequate Understanding of Design Basis.Additional Investigations Ongoing ML17325B4801999-03-18018 March 1999 LER 99-004-00:on 971030,failure to Perform TS Surveillance Analyses of Rc Chemistry with Fuel Removed Was Noted.Cause of Event Is Under Investigation.Corrected Written Job Order Activities Used to Control SD Chemistry Sampling ML17325B4741999-03-18018 March 1999 LER 99-005-00:on 940512,determined That Rt Breaker Manual Actuations During Rod Drop Testing Were Not Previously Reported.Caused by Lack of Training.Addl Corrective Actions,Including Preventative Actions May Be Developed ML17325B5671999-03-0202 March 1999 Summary of Unit 1 Steam Generator Layup Chemistry from 980101 to 990218. ML17325B4631999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for DC Cook Nuclear Power Station,Unit 2.With 990308 Ltr ML17325B4621999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for DC Cook Nuclear Plant,Unit 1.With 990308 Ltr ML17325B4571999-02-24024 February 1999 LER 99-003-00:on 990107,CR Pressurization Sys Surveillance Test Did Not Test Sys in Normal Operating Condition.Caused by Failure to Recognize Door 12DR-AUX415 as Part of CR Pressure Boundary.Performed Walkdown of Other Doors 1999-09-30
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Text
REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9010290037 DOC.DATE: 90/10/19 NOTARIZED: NO DOCKET FACIL:50-316 Donald C. Cook Nuclear Power Plant, Unit, 2; Indiana & 05000316 AUTH. NAME AUTHOR AFFILIATION BREWER,S.J. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele BLIND,A.A. Indiana Michigan Power Co. (formerly Indiana & Michigan Ele RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 90-009-00:on 900921,potential loss of control rroom NVAC during postulated fire w/o conpensatory action.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR I ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
NOTES:
'RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-1 LA 1 1 PD3-1 PD 1 1 COLBURN,T. 1 1 INTERNAL: ACNW 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DS P 2 2
-NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB11 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB 7E 1 1 ~NRR/J3~% PLB8 D 1 1 1 NRR/DST/SRXB 8E 1 1 G~LM FILE 01 02 1 1 RES/DSIR/EIB 1 1 RGN3 1 1 EXTERNAL EG&G BRYCE i J ~ H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHYgG A 1 1 NUDOCS FULL TXT 1 1 NOTE TO ALI "RIDS'ECIPIENTS:
PLEASE HELP US TO REDUCE O'AS1'E! CONTACT THE DOCUMENT CONTROL DESK, ROOiiI Pl-37 (EXT. 2N79) TO ELlihllNATEYOUR NAiXIE FROiv! DISTRIBUTION LISTS I'OR DOCUi~!ENTS YOU DOiN'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 30 ENCL 30
Indiana Michigan Power Company Cook Nuclear Plant PO. Box 458 Bridgman. Ml 49106 616 465 5901 INDIANA MICHIGAN POMfFR October 19, 1990 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-75 Docket No. 50-316 Document Control Manager:
In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re orting S stem, the following report is being submitted:
90-009-00 Sincerely, A.A. Blind Plant Manager AAB:clj Attachment cc: D.H. Williams, Jr.
A.B. Davis, Region III M.P. Alexich P.A. Barrett J.E. Borggren R.F. Kroeger B. Walters Ft. Wayne NRC Resident Inspector T. Colburn NRC J.G. Keppler M.R. Padgett
'..'.. G. Charnoff, Fsct.
Dottie Sherman, ANI Library D. Hahn INPO S.J. Brewer/B.P. Lauzau B.A. Svensson ~ E2-Z I))
NRC FORM 366 (64)9)
LICENSEE EVENT REPORT ILER)
U.S. NUCLEAR REGULATORY COMMISSION t APPROVED OMB NO. 31504))04 EXPIRES! 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEOUESTt 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. DC 20555, AND TO THE PAPERWORK. REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTAND BUDGET,WASHINGTON,OC20503.
FACILITYNAME (1) DOCKET NUMBER l2) PA E D. C. Cook Nuclear Plant, Unit 2 o 5 o o o 31 610F06 Potential Loss of Control Room HVAC during Postulated Fire,'ithout Com ensator Action, due to Pversi ht in A endix R Loss of HVAC Stu d EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (SI MONTH OAY YEAR YEAR IMI SEQUENTIAL :pyc REvstoN MONTH OAY YEAR FACILITYNAMES DOCKET NUMBERISI NUMBER NUMbER D. C. Cook, Unit 1 o so o o3 0 9 2 1 9 0 9 0 0 0 9 0 0 1 0 1 9 9 0 0 5 0 0 0 THIS REPOAT IS SUBMITTED PURSUANT T 0 THE REQUIREMENTS OF 10 CFR g: /Cnrclt onr or motr of tnr followinp) (1'll OPERATING MODE (0) 5 20. 402 (b) 20.405(c) 60.73( ~ )(2Hivl 73.7)(II)
POWER 20.405( ~ ) ll Ii)) 50.36(c))11 60.73NH2)(r) 7(L71(cl LEVEL (10) p p p 20.405 (e IllI(i)I 50.36(c)(2) 50.73(e)(2) (v)l) OTHER /SPrctfy tn Abtttrct priow rnd In Trrt. HRC Pofm 20.405(e ) (1)(ill) 60.73( ~ ) (2)(i) 60,73(el(2)(riii)IA) 36'SA/
20.405(e)(1)(iv) 50.73( ~ l(2)(e) 50,73(e I (2)(v ii)) I 8 I 20A05( ~ l(1) (v) 50.73( ~ l(2)(iii) 50.73( ~ ) l2) I e I LICENSEE CONTACT FOR THIS LER (12I NAME TELEPHONE NUMBER S. J. Brewer, Nuclear Safety and Licensing AREA CODE Section Manager 614 223 -2 020 COMPLETE ONE LINE FOR EACH COMPONENT FAILVAE DESCRIBED IN THIS REPORT (13I go MANUFAC qY' MANUFAC. EPOATABLE CAUSE SYSTEM COMPONENT TO NPRDS <nt 9 CAUSE SYSTEM COMPONENT TURER TVRER TO NPADS SUPPLEMENTAL REPORT EXPECTED l14) MONTH DAY YEAR EXPECTED SUBMISSION DATE (16)
YES /lf yrt, complrtr EXPECTED SIISMISSIOH DATE/ NO ABSTRACT ILimlt to /400 tprcrb Ir.. rpproeimrtrly fifNrn elnplr lprcr typrwnttrn linm/ (16)
On Se~xz 21, 1990 during an investigation concexning the need for Control Room Heating, Ventilation ard Air-Corditioning (HVAC) Systen for safe shutdown of either unit, it Fire Zones 44N/44S, 51/52 or 69 could cause a loss of both primary and was determined that a single fire in redundant HVAC Systems for both control rocans which is not currently covered by Plant procedures.
IacnaHately upon determination that the problem existed, fire watches were posted for the aff~ areas. 'Ihe long-tenn corrective action is to institute procedures to cope with fire-irduced loss of normal control rocan HVAC. lhe primary cause of the condition was an oversight in the HVAC Systems evaluated. for the Appendix R loss of HVAC study.
Without in-place procedures and training, the exact course of events for the postulated fire cannot be deten()ined. However, actions are taken to mitigate a rise in control rocan temperature following if reasonable operator a fire, the control room(s) would not require evacuation due to habitability or equipment operability concerns for a nun)ber of hours.
Based on this, we believe this cordition does not represent a significant hazard to the health ard safety of the public.
NAC Form 366 (669)
NRC F 0 RM 366A U.S. NUCLEAR REGULATORY COMMISSION (64)9) APPROVED OMB NO. 31504)104 EXPIRES: 4/30/92 LICENSEE EVENT REPORT ILER) ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 603) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P.530), U.S. NUCLEAR REGULATOR> COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3(504)104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON. 00 20503.
FACILITYNAME (ll DOCKET NUMBER (2)
I.ER NUMBER (6) PAGE (3)
D. C. Cook, Unit 2 YEAR BIO SSOUENTIAL NUMSSR REVISION NUM SR TEXT ///mors 4/rsso/s rsr/Ir/rsd, oss sddrr/oos//VRC Form 3r/SAB/(17) 0 5 0 0 0 3 9 0 009 00 02 OF 06 Conditions Prior to Occurrence Unit 1 in Node 1 at 100 percent Rated 'Ihermal Power.
Unit 2 in Mode 5 (Cold Shutdown) .
Descri ion of Event During an investigation concerning the need for control room Heating, Ventilation and Air-Conditioning (HVAC) System (EIIS/VI) for safe shutdown of either unit, it was determined that a single fire in either fire zone 44N/44S, 51/52 or 69 could cause a loss of both primary and redundant HVAC Systems for both control rooms. Calculations performed during the evaluation of the need for control room cooling following an Appendix R fire revealed that control room temperatures would increase to unacceptably high values within several hours unless the operator takes simple actions to mitigate the ten(perature rise. Even without operator action to restore cooling, the Plant'could have achieved Hot Standby before control room temperature increase became a co~.
The control rooms at. Cook Nuclear Plant are each provided with a control room ventilation system that includes two air-conditioning systen(s, each of which is capable of providing 100% of the capacity. Lhe two air-conditioning systems for each unit share a common r~ed airconditioning air distribution (duct) system. Each system includes a liquid chiller, air handling unit, circulating water pump, water piping, duct heaters, humidifier, mUang valves, duckwork, Ch((pers, and auto(matic controls.
In order to determine whether a fire posed a cc(mmon failure mode for the control room ventilation systems, the cable routings (EIIS/VI~) for the power and control cables associated with the air handling unit were determined. 'lhe cables associated with the remainder of the contxol roc(m ventilation system were not evaluated. 'Ihe reason for not including cables associated with chiller operation is that as long as an air handler ventilation fan (EZIS/VI-FAN) is running, the control room can be maintained below 120 degrees F by manually diverting essential service water (ESW) directly through the water coils of an air handling unit.
Present Plant procedures provide the control switch positions and manual valve operations necessary to establish this mode of control room cooling in the event that both chiller packages fail while the air handling units are functional.
'Lhe initial investigation of electrical cable routings associated with the control room air handling units reviewed the routing of: 1) the poorer cable for the ventilation fan motor between its motor control center (MCC) and the air handling unit'.; and 2) control cables associated with the air handling unit. A review of these cable routes determined that electrical NRC Form 366A (64)9)
NRC'FORM 366A V.S. NUCLEAR REGULATORY COIAMISSION APPROVED 0MB NO. 31504)104 (64)9)
E XP IR ES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REQUEST.'0D HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (PJ)30), V.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (31500104), OFFICE OF MANAGEMENTANO BUDGET, WASHINGTON. DC 20503.
FACILITYNAME (11 DOCKET NUMBER (2I LER NUMBER (6) PAGE I3)
YEAR SEQUENTIAL IIEVISION oXa NUMBESI NUMBEII D. C. Cook, Unit 2 0 5 0 0 0 3 I 9 0 009 00 03 oF 0 TEXT /llmort s/Mst is tsar/rtd, rrst tddr)r)rrMIAIRC Form 3664'4/ Ill) cables for the redundant air handling units for both control roams were located in Fire Zones 6M, 44N, 52 and 69.
Since Fire Zone 6M is cornl(an to both Units 1 and 2, the HVAC cable routing in adjacent fire zones was not needed for further analysis. In FZ's 44N/44S and 51/52, the cabling for all four of the HVAC units is within 20 feet of each other; and in FZ 69 the cabling for three of the four HVAC units is within 20 feet of each other. In addition, in FZ s 51/52 and 69, same of the Unit 1, Train A and B cables are routed in the same tray. Due to this lack of separation between these cables, even the low fixed combustible loadings for these areas could nat prevent a postulated fire from resulting in a loss of scane of the cables. In FZ 6M, it was deternuned that at least one HVAC unit fram Unit 1 and Unit 2 would survive. Iherefore, Fire Zone 6M was removed fram the unacceI<able list.
Fire Protection systems are provided in FZ's 44N/44S, 51/52 and 69. An ionization detection system is provided in each of these fire zones in the areas where the HVAC cables are routed. Khese detection systems would provide early warning fire detection in the Unit 1 Control Roam. Upon notification, the control room operators would initiate manual fire fighting activities. %he fire brigade would utilize the available manual fire fighting ectuipment to control and/or extinguish the fire. Ihe fire brigade's activities would assist the autcanatic fire suppression systems provided in FZ's 44N/44S, and 51/52.
Ihe sprinkler systems in FZ's 44N and 44S are located beneath the auctions caused by cable trays, corduits, piping, etc. Lhese sprinkler systems would control and/or extinguish a floor-based fire, but would not be able to control or extinguish a fire in the cable trays above. 'Xhese fire detection and suppression systems would be able to mitigate the extent of the fire's damage, but may not be able to prevent damage to all of the HVAC cables located in these fire zones.
Assuming a loss of ventilation to the control roams, an evaluation was needed to examine control roam temperature response. %he initial evaluation of loss of control roam cooling condition concluded that control room temperature would reach 120 degrees F in two hours, 135 degrees F in ten hours and 175 degrees F at the end of the 72-hour period evaluated. 'Ibis evaluation assumed normal control roam electrical heat gains without a count loss of off-site power. Upon discovery that a design basis fire could render the control roam cooling systems inoperable, the condition was reported to the NRC under 10 CFR 50.72 Section (b) (ii) (C), "In a condition not covered by the Plant's operating and emergency procedures," on Septen8m 21/ 1990 ~ Huis det(Q~ination was made because Plant procedures do not provide guidance for restoring control room cooling following the postulated scenario. Additionally, a roving fire watch was established in the fire areas of concern as an interim compensatory mea.~e.
NRC Form 366A (64)9)
NRC'FORM 366A US. NUCLEAR REGULATORY COIAMISSION APPROVED OM 8 NO. 3)500104 (686)
E XP I R ES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT (LER) INFORMATION COLLECTION REOUESTI 500 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P4)30), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PRO/ECT (31504104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503, FACILITYNAME (I) DOCKET NUMBER (2I LER NUMBER (6) PAGE (3) gg. SSOVSNTIAL a' R 6 V IS I 0N D. C. Cook, Unit 2 NVMSSII . cS NUMSSR 0 5 0 0 0 3 ]. 6 9 0 009 0 0. 0<oF0 6 TEXT /I/mori spiceis rtr/o/rtd, osi tdditr'or>>/NRC Form 366A'4/ (17)
Further control roam tett(perature evaluations were performed to deternune whether operator actions that could reasonably be expected to be taken would mitigate the control room tengperature rise.
One of the potential operator actions that would have had a significant effect on reducing the control roam heat-up rate would be to shut off normal control r(xm lighting.and rely on emergency lighting. 'Ihis action, ccimbined with propping open the control roam doors leading to the turbine building, is expE~d to delay the time to reach 120 degrees F to 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> and reduces the maximum control roam tengperature to 133t9 degrees F. It is noted that loss of normal control room lighting. would occur if the Plant ~mrienced a loss of off site power concurrent with the fire.
'Iherefore, a loss of off site power scenario is less severe with respect to fire-induced loss of control roce cooling.
A poll of operators revealed that most operators would try to mitigate the control room heat-up by propping open both the control roc'oors leading to the turbine building and the door leading to the auxiliary building and using portable fans to force air to circulate thrmxjh the control roam.
It is reasonable to expect that power will be available for povering portable electric fans during an Appendix R fire scenario when offmite pcarer is available. A control room temperature evaluation assuaung normal control room lighting and a 4000 cfm portable fan flow rate would delay the time to reaching 120 degrees F to ten hours and would aunimize the maximum control room temperature to 132.2 degrees F.
An almost infinite number of response models could have been evaluated.
Without in-place proccxhu.-es and training, the exact course of events for the postulated fire cannot be deternuned.
Cause of Event
'Ihe primary cause of the condition was an oversight in the HVAC Systems evaluated for the Appendix R loss of HVAC study. 'Ihe study did not include an evaluation of the susceptibility for loss of control room HVAC systems due to fire or analyze the resulting control room
. temperature increase for such a scenario. 'Ihe control roam HVAC Systems were omitted from the study due to the lack of high heat genexating equipmnt in the control roam, and because our station blackout study indicated that control room ten)perature would only increase to approximately 104 degrees F after four hours. In addition, every safety-related HVAC System normally considered to be required for safe shutdown should have either been evaluated for the effect of loss of HVAC, or should have been documented to have been protected from fire. 'Ihe control roam was a system identified with no evaluation performed; NRC Form 366A (64)S)
NRC'FORM 366A US. NUCLEAR REGULATORY COIAMISSION (649) APPROVED OMB NO. 3(500(04 EXPIRES: d/30/92 LICENSEE EVENT REPORT ILER) ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150410S), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME 11) DOCKE'T NUMBER (2)
LER NUMBER I6) PAGE (3)
YEAR SEQUENTIAL AEVISION D. C. Cook, Unit 2 NVMBEII NVMSEA o 5 o o o 316 9 0 009 0 0 0 5 oF06 1 ExT In'ars srrsss ls rsordrsd, uss sddr(rbrrsr ivRc Form 366sr'sl I )7)
Anal is of Event 10 CFR 50.73 Section (a) {2) {ii)(C) requires that conditions resulting in the Nuclear Pcarer Plant being in a condition not: covered by the Plant's operating and emergency procedures to be reported. Our investigation of control roam HUE revealed that certain fires have the ability to 'he disable the Control Rc)am Ventilation System for both control roan)s. It has been demonstrated that control roam cooling is needed to maintain control roam operability/habitability following such a fixe and that operator actions may be r~ed to mitigate control roam'heat-up. Since the actions required to restore control roam cooling capability have nat been incorporated into Plant reportable per 10 CFR 50.73 Section (a) (2) (ii) (C);
pries, the condition described is An almost infinite number of response models cauld have been evaluated.
With in-place p~ures and training, the exact course of events for the postulated taken fire cannot be determined. However, to mitigate a rise in control roam tetnperature following a design if operator actions are basis fire, the control roam(s) would not require evacuation due to habitability or equipment operability concexm for a number of hours. We believe that this would have allawed the Plant to proceed to cold shutdcm conditions while additional control room ventilation restoration actions are taken to ensure that long-term contxol roam temperatures are limited to acceptable values. Based on this, we believe this condition does not represent a significant hazard to the health and safety of the public.
Corrective Actions Immediately upon detmx6nation of the problem, fire watches were posted for the affect~ area. %he roving fire watch will continue to be posted in the areas of concern until: 1) Plant procedures are revised to incorporate actions for restoration of control roam cooling capability in the event of fire-induced loss of this capability; 2) the necessary repair equipment is made available and MCC poorer supplies called for in the restoration. procedure have been cammitted for Apperdix R use; and
- 3) cognizant personnel are made aware of the actions required to mitigate the loss of control roam cooling during a fire. 'Ihe long-term corrective action is to institute procedures to cope with fire-induced loss of normal Control Roam HVAC. 'Ihe procedure will provide detailed steps necessary to te(nporarily repowex the fans in case of fire-,induced failure. 'Ihe procedural changes will be coupled with: 1) assuring that MCC's are available and controlled; ard 2) assuring that wiring necessary to make the temporary ~es is dedicated and conveniently available. In addition to the above actions, additional documentation changes are
%he wall between the control roam machine roams (HVAC equipment rooms) is NRC Farm 366A (649)
NRC FOAM 366A" US, NUCLEAR REGULATORY COMMISSION APPROVEO OMB NOi 3(500104 (649) EXPIRES: O/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT ILER) INFORMATION COLLECTION REQUEST: SOS) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION., AND REPORTS MANAGEMENT BRANCH IP430). U.S. NUCLEAR REGULATORY COMMISSION WASHINGTON, OC 20555 AND TO THE PAPERWORK REDUCTION PROJECT (315041(M). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, OC 20503.
FACILITY NAME (I) DOCKET NUMBER (2) LFR NUMBER (6) PAGE (3)
SEQUENTIAL +EYISION YEAR NUMB( A NVMSS II D. C. Cook, Unit. 2 o s o o o 316 9 0 009 00 06 OF 0 6 TEXT /I/ rrroro J/roco /s ror/rr/rod, oso oddrteno/ NRC Form 3//SAS / (17) currently maintained as a three-hour barrier. The following documents need to be revised to reflect the need for this barrier to remain intact follmring a fire in either machine r(xm:
Fire Protection Program Manual Safe Shutdown Capability Assessment Fire Hazard Analysis Safe Shutdown System Analysis We are also considering protecting or rerouting the HVAC cables of concern as a long-term corrective action.
At the time the loss of HVAC evaluation was performed, there were no formal proc(xIures requiring documented information for such evaluations.
Since this evaluation was performed, we have reorganized. New procedures developed after the reorganization include r~ements to document information such as the safe shutdown equipment list for Appenlhc R. It is unlikely that a similar situation would recur. Iherefore, preventative actions have already been taken and no further actions are required.
Failed nent Identified Not Applicable Previous Similar Events 050-315/90-6 050-315/90-8 050-315/90-10 050-315/88-14 NRC Form 366A (SJ)9)