ML17334B488

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LER 93-003-01:on 930702,noted That Fire Detection Monitor Alarm Switch Placed & Left in Off Position.Caused by Personnel Error.C/As Included Discussions of Event W/ Personnel Involved Re Attention to detail.W/930902 Ltr
ML17334B488
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 09/02/1993
From: Blind A, Richardson S
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
References
LER-93-003, LER-93-3, NUDOCS 9309090071
Download: ML17334B488 (7)


Text

ACCELERAT~ DOCUMENT DISTRIBUTION SYSTEM REGULAT~ INFORMATION DISTRIBUTIO YSTEM (RIDE)

ACCESSION NBR:9309090071 DOC.DATE: 93/09/02 NOTARIZED: NO DOCKET ¹ FACIL-50-315 Donald C. Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 AUTH. NAME AUTHOR AFFILIATION RICHARDSON,S.A. 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 93-003-01:on 930702,noted that fire detection monitor alarm switch placed & left in "Off" position. Caused by personnel error.C/As included discussions of event w/

personnel involved re attention to detail.W/930902 ltr.

DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:

TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.

NOTES:

A RECIPIENT. COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-1 LA 1 1 PD3-1 PD 1 1 DEANFW 1 1 D

INTERNAL: ACNW 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DE/EELB 1 1 NRR/DE/EMEB 1 1 NRR/DORS/OEAB 1 1 NRR/DRCH/HHFB 1 1 NRR/DRCH/HICB 1 1 NRR/DRCH/HOLB 1 1 NRR/DRIL/RPEB 1 1 NRR/DRSS/PRPB 2 2 1 1 NRR/DSSA/SRXB 1 1 1 1 RES/DSIR/EIB 1 1 1 1 EXTERNAL: EG&G BRYCE,J.H 2 2 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHYFG.A 1 1 NSIC POOREFW. 1 1 NUDOCS FULL TXT 1 1 D

D NOTE TO ALL"RIDS" RECIPIENTS:

PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMEHT CONTROL DI:SV, ROOM Pl-37 (EXT. 504-2065) TO ELIMINATEYOUR NAME Fl<OM DISTRIDUTIOH LISTS FOR DOCUMENTS YOU DON'T HEED!

FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 30 ENCL 30

Indiana Michigan Power Company Cook Nuclear Plant One Cook Place Bridgman, Ml 49106 616 465 5901 INDINA NlCHIGAM POWM September'2, 1993 United States Nuclear Regulatory Commission Document Control Desk Rockville, Maryland 20852 Operating Licenses DPR-58 Docket No. 50-315 Document Control Manager:

In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event Re ort S stem the

,following report is being submitted:

93-003-01 Sincerely, A. A. Blind Plant Manager

/sb Attachment c J. B. Martin, Region E. E. Fitzpatrick III P. A. Barrett R. F. Kroeger M. A. Bailey Ft. Wayne NRC Resident Inspector B. A. Wetzel NRC M. R. Padgett G. Charnoff, Esq.

D. Hahn INPO S. J. Brewer B. A; -Svensson 080057 9309090071 930902 PDR ADOCK 05000315 S PDR (

NRC FOAM 366 (669)

LICENSEE EVENT REPORT (LER)

U.S. NUCLEAR REGULATORY COMMISSION t APPROVED OMB NO. 31500104 EXPIAES: 4(30(92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEQVESTt 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P630). U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON. OC 20555. AND TO THE PAPERWORK REDUCTION PROJECT (31500104). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, OC 20503.

DOCKET NUMBER l2) PA E 3 FACILITY NAME (I)

Donald C. Cook Nuclear Plant 0 5 0 0 0 3 1 5 1 OF 0 3 TITLE (4)

Fire Watch Patrols not Established per Plant Technical Specifications Due to Personnel Error

~ EVENT DATE (5) LFR NUMBER (6) REPORT DATE (7) OTHER FACII.ITIES INVOLVED Bl)

MONTH OAY YEAR YEAR ~2 SEOVENTIAL NVMSER REVISION MONTH NVMSER OAY YEAR FACILITYNAMES DOCKET NUMBER(SI 0 5 0 0 0 0 7 0 2 9 3 9 3 0 0 3 0 1 0 '9 0 2 9 3 0 5 0 0 0 THIS REPORT IS SUBMITTED PURSUANT T 0 THE RLGUIREMENTS OF 10 CFA (I: (Chrch onr or mori Ot thr fOIIOtrrrnp/ (11 OPERATING MODE (9) 20A02(S) 20.405(cl 60,73(e)l2)(iv) 73.71(S) 20.405(e l(1) (il SOM(c) III 50.73(el(2) Iv) 73.71(cl POWER LEYEL 50.73(e) (2) (rill OTHER (Sprclty /n Aht trier 1 p p 20.405(e) (1)(S) 50.36(cl(2)

Orloyr end In Teer, FIRC Form ill 60.73( ~ I (2 I (vill)IAI 366A/

20A05(el(1) (iiil X 50,73(el(2) 20A05(e) (1)(iv) 50.73(e I (2) I ii) 50.73 (e) (2) (riii)(6 I 20 A05 ( ~ I (1)(v) 60.7 3(e l(2)(iii) 60,73( ~ ) (2) (el LICENSEE CONTACT FOR THIS LER (12)

TELEPHONE NUMBER NAME AREA CODE S.A. Richardson Operations Department Superintendent 6164655901 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)

CAUSE SYSTEM COMPONENT MANUFAC.

TVRER FPORTABLE TO NPRDS

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SYSTEM COMPONENT MANUFAC.

TVRER EPOR TAB L ~~JIE54%

) nylw SW&m SUPPLEMENTAL REPOAT EXPECTED (14) MONTH DAY YEAR EXPECTED SUBMISSION DATE (15)

YES (II ym, C<<nprrrr fXPECTfD SVBh(ISSIOIV OAtf/ X NO ABSTRACT /Llmlt ro tc00 rprcrt, I i., rpproelmitrly tilriine/nplr.corer typrrrilrtrn liner/ (15)

On- July 2, 1993 at approximately 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br />, the Unie 1 fire detection monitor alarm switch was placed and left in the NoffN position. The fire detection monitor alarm swiech is a cut out switch for the pyrotronics fire detection system installed throughout the unit and within various site office buildings.

In the "off" position, visual and audible alarms associated with the pyrotronic fire detection zones will not alarm in the conerol room. However, in ehe event of a fire, a fire system actuation or C02 header pressurized alarm would still annunciaee in the control room for the areas provided with fire suppression capabilities.

Spurious fire alarms had been received and reset throughout the day. The fire system is reset by turning the fire detection system control switch to "off" and chen back to the "on" position. At approximately 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br /> while resetting the fire detection system, the fire detection system control switch was inadvertently left in the "off" position. Compensatory actions required by Technical Specificat'ions were not taken auEI'to the control Toom operators .being'unaware of the switch being mispositioned.

The cause of this event is personnel error. 'dministrative actions have been taken with the involved personnel.

NRC Form 366 (669)

NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED OMB NO. 3'I 504)104 (64)9) EXPIRES: 4/30/92 I

IMATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVENT REPORT (LER) INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION. WASHINGTON, DC 20555, AND TO

'I'HE PAPERWORK REDUCTION PROJECT (31504)104), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.

FACILITY NAME (I) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)

SEQUENTIAL REVISION YEAR NUMBER NUMBER Donald C. Cook Nuclear Plant o s o o o 3 1 5'9 3 0 0 30 1 02 oF0 3 TEXT /I/more epeoe /4 ee/v/red, vee eddr)/one///RC Form 3664'4/ (17)

Conditions Prior to Occurrence Unit one (U-1) in mode one at 100X power.

Unit two (U-2) in mode one at 70X power.

Descri tion of Event On July 2, 1993 at approximately 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br /> during shift turnover, the Unit "off" 1

fire detection monitor alarm switch (EIIS/IC-HS) was turned and left in the position. The fire detection monitor alarm switch is a cut out'witch for the pyiotronics fire detection system installed throughout the unit and within various site office buildings. In the "off" position, visual and audible alarms associated with the pyrotronic fire detection zones will not alarm in the control room. However, a fire system actuation or C02 header pressurized alarm would still annunciate in the control room for the areas provided with fire suppression capabilities.

Fire alarms verified as spurious, had been received from Zone 28, Non Essential Service Mater (NESW) area,'hroughout the day shift. Control room operators had routinely reset the fire system by turning the fire detection system control switch to "off" and then back to the "on" position, which would clear the spurious alarm.

At approximately 1800 hours0.0208 days <br />0.5 hours <br />0.00298 weeks <br />6.849e-4 months <br /> the Reactor Operator (RO) noted that the white light indicating Zone 28 trouble had cleared, and reset the standing "Unit Pyro Abn "offR.

or Fire" annunciator by turning the fire detection monitor alarm switch to The RO believed that he placed the switch back to "on". However, since the night shift didn't receive fire/trouble alarms until the security guard contacted 1800 the control room, evidence points to the RO who reset the alarm at approximately hours as the operator who left the alarm in the "off" position.

At approximately 0130 hours0.0015 days <br />0.0361 hours <br />2.149471e-4 weeks <br />4.9465e-5 months <br /> on July 3, 1993 a Security Officer called the Unit 1 control room to report an alarm on the pyrotronics panel in the Unit 1 NESW area. The RO proceeded to fire panel EF in the control room and identified at this time that the fire detection monitor alarm switch was in the "off" position. The RO turned the switch to the "on" position and the white light for Zone 28 and Zone 23 (Aux Bldg Access Control Area) illuminated and the "Unit Pyro Abn or Fire" annunciator came in. Both zones 23 and 28 were toured and no fires were found. The panels were reset and no abnormalities were noted with the local 'panels or equipment.

Cause of Event The cause of this event is personnel error. The offgoing RO did not ensure that the fire detection monitor alarm switch was returned to the "on" position after resetting the fire detection system.

NRC Forin 366A (BBB)

NRC FORM 366A (64) 9) t LICENSEE EVENT REPORT ILER)

TEXT CONTINUATION U.S NUCLEAR REGULATORY COMMISSION APPROVED 0MB NO. 31504)104 E XP I R ES: 4/30/92 MATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUEST: 50A) HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1HE PAPERWORK REDUCTION PROJECT (31504))04), OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503.

FACILITY NAME u) DOCKET NUMBER (21 LER NUMBER (6) PAGE (3)

YEAR (SEE SEQUENTIAL i~Ai REVISION NUMBER '>~: NUMBER Donald C. Cook Nuclear Plant o s o o o 315 0 0 3 0 1 0 3 QF 0 3 TEXT ///mme 4Poco /4 mEIdRN/ Ilso Eddie'ooo/NRC FBI 36549/ (I7)

~nal sls This event is considered reportable pursuant to 10CFR50.73(a)(2)(i)(B) as operation prohibited by the Plant's Technical Specifications. Technical Specification 3.3.3.7 (Fire Detection Instrumentation) requires that within one hour, an hourly fire watch patrol be established if more than in one-half of the Function A fire detectors in any Eire detection zone shown Table 3.3.10 are inoperable. With the Eire detection monitor alarm switch in the "off" position, no fire or trouble alarms could be received in the control room.

In the event of a fire, a Eire system actuation or C02 header pressurized alarm would still annunciate in the control room for the areas provided with fire suppression capabilities. In addition, routine security guard patrols and operator tours were conducted in the areas that are monitored by the fire detection system but do not have fire suppression capabilities. Based on the above, this event did not represent a significant safety concern.

Corrective Action This event was discussed with the personnel involved and their supervisor. Self checking and attention to detail were reinforced during this discussion.

Failed Com onent Identification None Previous Similar Events None NRC Foml 366A (689)