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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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CATEGORY 1 REGULA Y INFORMATION DISTRIBUTI SYSTEM (RIDS)
ACCESSION NBR:9808060272 DOC.DATE: 98/07/31 NOTARIZED: NO , DOCKET FACIL:50-315 Donald C. Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 AUTH. NAME AUTHOR AFFILIATION PISARSKY,F. American Electric Power Co., Inc.
SAMPSON,J:R. American Electric Power Co., Inc.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 98-008-02:on 980112,inadecpxate contractor control during maint & surveillance activities resulted in ice basket damage. Procedures used to guide maint 6 surveillance
. activities have been upgraded & rewritten.W/980731 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), ncident Rpt,. etc. E NOTES:
RECIPIENT COPIES 'ECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-3 PD 1 1 STANG, J 1 1 INTERNAL: AEOD/SPD/RAB 2 2 AEOD/SPD/RRAB 1 1 1 1 NRR/DE/ECGB 1 1 R7'XG~ ELB 1 1 NRR/DE/EMEB 1 1.
NRR/DRCH/HICB 1 1 'RR/DRCH/HOHB 1 1 NRR/DRCH/HQMB 1 1 NRR/DRPM/PECB 1 1 NRR/DSSA/SPLB 1 1 RES/DET/EIB 1 1 RGN3 FILE 01 1 1 D
EXTERNAL: L. ST LOBBY WARD 1 1 LITCO BRYCE,J H 1 1 NOAC POORE,W. 1 1 NOAC QUEENER,DS 1 1 0 NRC PDR
~
1 1 NUDOCS FULL TXT 1 1 E
N NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE. TO HAVE YOUR NAME OR ORGANIZATION REMOVED FROM DISTRIBUTION LISTS OR REDUCE THE NUMBER OF COPIES RECEIVED BY YOU OR YOUR ORGANIZATION, CONTACT THE DOCUMENT CONTROL DESK (DCD) ON EXTENSION 415-2083 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 22 ENCL 22
American Electric Po r Cook Nuclear Plant One Cook Place Bridgrnan, MI49t06 6t6465590l AMERICAN a'CaCrR]C POWER July 31, 1998 United States Nuclear Regulatory Commission Document Control Desk Washington, DC 20555 Operating Licenses DPR-58 Docket No. 50-315 Document Control Manager:
~pfg igp In accordance with the criteria established by 10 CFR 50.73 entitled Licensee Event 98-008-02 igp Sincerely,
.~gg J. R. Sampson Site Vice President
/mbd Attachment C. J. Paperiello (Acting), Region III J. R. Sampson P. A. Barrett S. J. Brewer R. Whale D. Hahn Records Center, INPO NRC Resident Inspector 98080b0272 980732 PDR ADQCK 05000325 8 PDR
NRC Form 366 0 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMS NO. 51504H04
.I) (4-95) EXPIRES 04r)ol55 ESTSIATED BURDEN PER RESPONSE TO COMPLY 'ATTN THIS MANDATORY LICENSEE EVENT REPORT (LER) INFORMATIONCOLLECTION REOUKST: 50.0 HRS. REPORTED LESSONS IEARNEO ARE SICORPORATKO UITO THK UCENSING PROCESS AND FED SACK TO SIDVSTRY. FORWARD COMMENTS REGARIXNG BURDEN ESTIMATE TO THE INFORMATION AND RECORDS MANAGENIENT BRANCH (T4 F55). U.S. NVCLEAR REGVIATORY COMISSSION, WASHINGTON. DC 205554001. AND TO THE (See reverse for required number of PAPERWORK REDUCTION PROIKCT (51504104). OFFICE OF MANAGEMENT ANO SUDGKT, WASleNGTON. OC 20505 digits/characters for each block)
FACIUTY NAME (I) DOCKET NUMBER(2) PAGE(3)
Cook Nuclear Plant Unit 1 50-315 1 of6 TITLE (4)
Inadequate Contractor Control During Maintenance and Surveillance Activities Results in Ice Basket Damage EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(6)
MONTH DAY YEAR YEAR SEQUENTIAL REVISION MONTH DAY YEAR A ILI NAM NUMBE NUMBER NUMBER Cook - Unit 2 50-316 A ILITYNAM NUMB 02 12 98 98 008 02 07 31 . 98 OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR (I: (Check one or more) (11)
MODE (9) 20.2201 (b) 20.2203(a)(2)(v) 50.73(a)(2)(i) 50.73(a)(2)(viii)
POWER 20.2203(a)(1) 20.2203(a)(3)(i) 50.73(a)(2)(ii) 50.73(a)(2)(x)
LEVEL (10) 00 20.2203(a)(2)(i) 20.2203(a)(3)(ii) 50.73(a)(2)(iii) 73.71 20.2203(a)(2)(ii) 20.2203(a)(4) 50.73(a)(2)(iv) OTHER 20.2203(a)(2)(iii) 50.36(c)(1) peafy el Abslraol below or 50.73(a)(2)(v) M NRC Form 366A 20.2203(a)(2)(iv) 50.36(c)(2) 50.73(a)(2)(vii)
LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPKONE NUMBER (Irldvde Area Code)
Mr. Frank Pisarsky, Mechanical component Engineering Supervisor 616/465-5901, x2607 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TO CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE NPRDS TO NPRDS SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED M NTH DA YES NO SUBMISSION (If Yes, complete EXPECTED SUBMISSION DATE)
X DATE (15)
Abstract (Limitto 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On January 12, 1998, with Unit 1 in Mode. 5, a damaged ice condenser ice basket was removed from the Unit 1 ice condenser and a scoping test was performed to determine its ability to structurally withstand design basis loads. The scoping test results showed that the damaged ice basket failed with plastic deformation under less than design basis loads. This event was reported via ENS on January 12, 1998 at 1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br /> EST under 10CFR50.72(b)(2)(i), as an unanalyzed condition and a condition outside the plant's design basis. Prior to and subsequent to this notification, several forms of ice basket damage were identified including damaged upper rims, missing or tom ligaments, dents and folds.
This LER is therefore submitted in accordance with 10CFR50.72(a)(2)(i).
The root cause of this condition has been attributed to inadequate control of contractors, and inappropriate maintenance and surveillance practices that resulted in damage to the ice baskets. A decision was made to completely thaw both~nits ice condensers in order to address a variety of issues identified during the current unit outages, including basket damage.
The thaw of both units'ce condenser has now been completed. The procedures used to guide maintenance and surveillance activities for the ice condenser are being upgraded and rewritten for use within the Maintenance department,
'o whom supervisory oversight responsibility has been transferred.
The types of ice basket damage observed during the recent inspections has been consistent with the types of damage described in the previous revision of this LER. Therefore, the conclusion that the ice baskets would have functioned to prevent containment overpressure remains valid, and.the safety significance of the condition minimal.
NRC FORM 366 (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION Q (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET NUMBER(2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 2of6 98 008 02 TEXT (ifmole spaceis tequited, use additional copies of NRC Form (366A) (17)
CONDITIONS PRIOR TO OCCURRENCE Unit 1 was in Mode 5, Cold Shutdown Unit 2 was in Mode 5, Cold Shutdown DESCRIPTION OF EVENT On January 12, 1998, with Unit 1 in Mode 5, a damaged ice condenser ice basket was removed from the Unit 1 ice condenser and a scoping test was performed to determine its.ability to structurally withstand design basis loads. The scoping test results showed that the damaged ice basket failed with plastic deformation under less than design basis loads.
This event was reported to the NRC on January 12, 1998 as an unanalyzed condition. Prior to and subsequent to this notification, several forms of ice basket damage were identified including damaged upper rims, missing or tom ligaments, dents and folds.
Each ice condenser consists of 24 bays containing 81 ice baskets per bay, covering an arc of 300 degrees in the containment structure. Each ice basket is approximately 12 inches across and 48 feet long, filled with borated ice. To perform their design basis function, the ice baskets and columns are required to withstand design loads to ensure they do not eject upward out of the ice bed and open up bypass flow routes, or impact and damage other ice condenser equipment, or eject out of the ice condenser and become a missile inside containment. The baskets are designed to not collapse causing adjacent or additional ice basket columns to collapse, resulting in excessive flow passageway blockage, bypass flow routes, or undefinable heat transfer geometry.
During the current outages, damage was identiTied to ice condenser ice baskets during tours of the ice condenser.
Damage noted on ice baskets includes damaged top rims, tom/missing ligaments, dents and folds. Folds are considered to be the most significant damage, a result of the basket material undergoing plastic deformation in compression. The thaw of the Unit 1 and Unit 2 ice condensers has been completed. To date over 33 percent of the ice baskets in the Unit 1 ice condenser have been inspected, and repair /replacement activities are ongoing. The type of ice basket damage observed during these inspections has been consistent with the types of damage previously identified. Inspection and repairs for the Unit 2 ice condenser has not yet started, but it is anticipated that the same type of damage will be found.
CAUSE OF EVENT The observed damage can be attributed to improper handling of baskets during maintenance and surveillance activities.
Because damage occurred during basket maintenance and surveillance activities, and contract personnel perform the, majority of this work, inadequate control of contractors is considered a primary cause for the noted condition. Contributors to this cause include ineffective training for contract personnel and inadequate supervisory oversight by utility personnel.
Improper surveillance practices was another contributor, since some of the more significant basket damage occurred during attempts to move baskets from beneath during weighing.
Damaged top rims and folds in the baskets most likely occurred during the baskets weighing process. The process of weighing baskets requires lifting the basket from the top rim with a weigh rig. Over time, some baskets have become frozen in place. In order to free. frozen baskets for weighing, various techniques have been used. One technique used in the past was "jacking" of baskets from the bottom as the basket was pulled from above. Failure to control the jacking in the event the basket remained frozen sometimes resulted in deformation of the basket and produced a fold in the ligaments near the basket bottom. The practice of jacking baskets from the bottom was discontinued several years ago to preclude further basket damage.
NRC FORM 366A (4-95)
I NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET NUMBER(2) ~
LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL "REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 3of6 98 008 02 TEXT (Ifmore spaceis required, use additional copies of NRC Form (366A) (17)
CAUSE OF EVENT (cont'd)
Other types of damage can also occur to baskets during the weighing process if not carefully controlled. As previously noted, the weighing process requires lifting the basket by pulling from the top rim. Although limits are set on maximum lift forces, top rim damage can quickly occur if lift forces are not closely monitored, or if loading is applied asymmetrically.
Damage can also occur during the weighing process when a frozen basket is exercised in an attempt to free it.
Still other observed damage is considered to be the result of ice basket mishandling or inappropriate maintenance activities. Two examples of this type damage include inward dents in areas of basket ligaments and tom ligaments. Dents probably occurred during basket installation, or perhaps during clearing of flow passages. Tears in ligaments are most likely the result of prolonged contact with a pneumatic vibrator, which is used for emptying of ice baskets.
The vast majority of ice condenser work has been performed in the past by a contract labor force, with the contract being administered by the Engineering department and specifically, the System Engineer. The contract administration responsibility was in addition to the System Engineer's normal role of management of the technical scope of the ice condenser work and analysis of surveillance test results. This broad scope of responsibilities allowed only minimal time for field oversight of the contractor. Steps were not taken to make other utility personnel available for oversight of the contract labor force. Therefore, field supervision for contract workers was largely provided by contract supervisory personnel rather than by utility personnel. During the current outages, steps were taken to transfer responsibility for oversight of the ice labor force to the maintenance department, which retains personnel skilled in the supervision of production 'ondenser labor. These steps are aimed at addressing issues with poor control of contractors.
The System Engineer historically administers a training program to the ice condenser contract personnel. This training includes guidance on basket weighing techniques and on appropriate use of tools to avoid damage to baskets. However, this tiaining has apparently not been effective in preventing basket damage. Steps are being taken to overhaul this training, in part to reinforce appropriate techniques to preclude various types of ice basket damage.
Finally, the lack of a definition of what constitutes "detrimental damage" was also viewed as a contributor, since there was no benchmark for personnel to gage whether observed damage resulted in an unacceptable condition. Simplistically, damage sufficient to challenge the basket's ability to carry design. loads is considered detrimental damage any'asket Documentation of damage to Cook Plant ice baskets in previous corrective action documents provides evidence that the organization was able to recognize damaged ice baskets as a condition adverse to quality. In fact, the Technical Specifications (T/S) require periodic inspection of a sample of ice baskets for detrimental damage. However, a definition of detrimental damage does not exist, other than wording in T/S 4.6.5.1.d, which refer to detrimental damage as "structural wear, cracks, corrosion or other damage." This lack of an objective definition may have contributed to confusion about the significance of the damaged ice baskets.
ANALYSIS OF THE EVENT On January 12, 1998, at 1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br /> EST an ENS notification was made regarding damaged ice baskets in accordance with 10CFR50.72(b)(2)(i), as an unanalyzed condition and a condition outside the plant's design basis, following receipt of a scoping load test result on a damaged ice basket with buckling damage near the basket bottom rim. Baskets with buckling damage are considered to bound other types of ice basket damage identified during the current outages due to these baskets having undergone plastic deformation. This LER is submitted in accordance with 10CFR50.73(a)(2)(i).
This test examined the damaged basket's ability to structurally withstand static test loads equivalent to the Operational Basis Earthquake (OBE) and ice basket dead weight loads. The scoping test results showed that the damaged ice basket NRC FORM 366A (4-95)
i NRC FORM 366A (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION U.S. NUCLEAR REGULATORY COMMISSION FACILITYNAME (1) DOCKET NUMBER(2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 4of6 98 008 02 TEXT (Ifmote spaceis mquimd, use addilional copies of NRC Form (366A) (17)
ANALYSIS OF THE EVENT (cont'd) failed with plastic deformation under a distributed lateral load of approximately 400 Ibs in conjunction with a compressive load of approximately 2000 lbs. By comparison, WCAP-8304, Stress and Structural Analysis and Testing of Ice Baskets, specifies that the ice basket should be able to withstand a lateral load equivalent to approximately 2400 Ibs distributed over the bottom 6 feet of the basket in conjunction with a compressive vertical load of 4933 lbs. The failure of this basket under less than design loads was considered to be an unanalyzed condition and thus was reported to the NRC per 10CFR50.72.
Approximately 25 baskets in Unit 1 and 45 baskets in Unit 2 are currently know to exhibit similar damage.
The damaged ice baskets were evaluated as to compliance with the design basis, operability and functionality. Several types of ice basket damage were considered, including top rim damage, tom/missing ligaments, dents and folds.
With regard to design basis, the baskets and columns of baskets are designed to withstand certain design loads to provide assurance of ice bed geometry for proper thermal/hydraulic performance of the ice condenser during a LOCA and/or seismic transient events. To perform their design basis function, the baskets and basket columns are designed to not eject upward out of the ice bed and possibly open up bypass flow routes, or impact and damage other ice condenser equipment, or eject out of the ice condenser becoming a missile inside containment. Baskets must also not collapse causing adjacent baskets/columns to collapse, resulting in flow passageway blockage, bypass flow routes, or unanalyzed heat transfer geometries.
Top rim damage has been reviewed and determined to not be a condition that would challenge the design basis or make the ice condenser inoperable. Damage at the top end of the basket column will not promote the ejection of an ice basket or column from the ice bed or promote detrimental damage at any adjacent ice basket columns, interfacing structures or equipment. From the aspect of design basis loads, top rim damage may result in some localized deformation, but it will not cause or promote collapse of that column, or damage adjacent baskets, basket columns, interfacing structures, or equipment. Baskets with damaged top rims will meet design basis load conditions and do not represent a challenge to operability or functionality of the ice condenser.
Missing or tom ice basket ligaments are not represented or taken into consideration on any design drawings or documentation. However, missing ligaments will not promote the ejection of an ice basket or basket column from the ice bed or promote detrimental damage at any adjacent ice baskets; basket columns, interfacing structures, or equipment.
The ice basket includes substantial margin in its ability to resist tensile loads from potential LOCA blowdown forces. Ice baskets with missing ligaments will have reduced structural capacity to carry lateral and compressive loads imposed under design seismic load cases. The most common locations for missing ligaments are in the mid to upper elevations of the ice basket column due to ice bed maintenance operations with vibrators.
At these higher elevations, the vertical compressive loads are not structurally significant and if the basket material were overstressed in combination with lateral loads, it is probable that the basket failure would be a small localized lateral displacement or shift in the basket mesh ligaments around the area of the missing ligaments. This localized displacement of the ice basket section would not cause the damaged basket to impact on adjacent ice basket columns. Ice baskets with missing/damaged ligaments are considered to be outside the plant design basis, and equate to inoperability in the sense that the basket damage is detrimental, however, the damage does not result in the ice condenser being incapable of performing its design function to prevent containment overpressure following a high energy line break inside containment.
Dents and folds are considered to be the bounding (worst case) condition when evaluating safety significance. Ice baskets with dents and folds will have reduced structural capacity relative to their ability to carry lateral and compressive loads which would be imposed under design basis seismic load cases. The ice condenser design basis, as described in the FSAR, states that the ice condenser internal structures, including ice baskets, are designed to be capable of withstanding NRC FORM 366A (4-95)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET NUMBER(2) LER NUMBER (6) PAGE (3)
E YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 5 of 5 98 008 02 TEXT (ifmom spaceis required, use additional copies of NRC Form (366A) (17)
ANALYSIS OF THE EVENT (cont'd) various load combinations including deadweight (D) plus operating basis earthquake (OBE) loads, D+ design basis earthquake (DBE) loads, D+ design basis accident (DBA) loads, and D+ DBE+ DBA loads. As noted previously, a scoping test of a sample damaged basket with test loads less than D+ OBE resulted in a failure of the basket with plastic deformation. Therefore, the existence of damaged baskets that were unable to withstand design loads represented a condition outside the design basis. As noted previously, it is estimated that approximately 25 baskets in the Unit 1 ice condenser and 45 baskets in the Unit 2 ice condenser exhibit similar damage. Baskets with dents are estimated to be a similar quantity of baskets, with a final quantification to be made following inspections during the current outages.
With regard to operability, both unit's T/S require periodic inspections of ice baskets for "detrimental damage", to demonstrate operability. While the term "detrimental damage" has not been formally defined, damage, which results in a basket's inability to carry design loads, is considered detrimental. Therefore, the existence of these damaged ice baskets is considered to represent an inoperable condition for each ice condenser.
With regard to functionality, ice baskets with folds will have reduced structural capability relative to their ability to carry lateral and compressive loads, which would be imposed under design basis seismic load cases. The potential for continued ice basket failure under design basis seismic loading conditions at the fold is a function of the size of the damage, and the weight of the ice in the basket sections above the damage area. It may be postulated that the displacement of the damaged basket section under a seismic loading may be enough to cause the basket to displace laterally into an adjacent ice basket column. However, since basket sections with folds have been shown to have substantial strength as demonstrated in aforementioned testing (which bounds dents, where plastic deformation has not occurred), and since significant energy would be dissipated in the deformation of the ice basket sheet metal section and, enclosed ice, it is expected that ice basket structural integrity will be maintained, so as to preclude significant collateral ice basket damage and flow passage geometry degradation. Because of this and the fact that each ice basket column is supported laterally every six feet in elevation by a structural lattice frame grid, it is highly improbable that a significant domino type failure would occur where the damaged basket collapses into an adjacent basket and so forth. Therefore, ice baskets with dents and folds are considered to be out of the design basis, and inoperable from the standpoint of compliance with the surveillance requirement related to detrimental damage, however, the damage does not result in the ice condenser being incapable of performing its design function to prevent containment overpressure following a high energy line break inside containment.
Evaluation of the different types of damage identified to date supports the conclusion that the safety significance of the condition was minimal, and that the ice condenser was capable of performing its design function.
I CORRECTIVE ACTIONS Both unit's ice condensers have been completely thawed to allow inspection of the ice baskets for the purpose of identifying and correcting, by repair or replacement, damaged baskets.
A definition of "detrimental damage" has been developed to serve as a gage for judging whether observed ice basket damage needs repair. This definition has been incorporated into the special procedure being used to perform the current inspections. The definition will also be incorporated into design basis documents and procedures for surveillance of the ice condenser. Damage beyond the, threshold of detrimental damage will be repaired or replaced. These actions will be completed prior to startup for each unit.
NRC FORM 366A (4-95)
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NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION (4-95)
LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITYNAME (1) DOCKET NUMBER(2) LER NUMBER (6) PAGE (3)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 6of6 98 008 02 TEXT (lfmote space is tequited, use additional copies of NRC Form (366A) (17)
CORRECTIVE ACTIONS (cont'd)
After the thaw of each unit's ice condenser, a thorough inspection of ice baskets will be performed. Although these inspection activities will likely result in the identification of additional damaged baskets, the types of basket damage under consideration are not expected to change. This condition is applicable to both units.
Responsibility for oversight of production work - maintenance and surveillance activities - has been transferred from the Engineering department to the Maintenance department. This will allow personnel skilled in supervising production workers to provide oversight for the ice condenser labor force, including contract labor, if used in the future.
The procedures used to guide maintenance and surveillance activities for the ice condenser are being upgraded and rewritten for use within the Maintenance department. The upgraded procedures will contain improved guidance on maintenance and surveillance activities to preclude future damage to ice baskets. Ice condenser maintenance procedures are also being revised to require inspection of baskets emptied for maintenance prior to refilling during future outages. The basket inspection will specifically include provisions for identifying ice basket damage and correcting damage that exceeds the threshold of detrimental damage.
The training program for ice condenser workers is being upgraded. The upgraded training will include improved guidance on proper techniques to avoid basket damage.
These preventive actions will be in place prior to commencing relevant ice condenser activities during the cUrrent outages on each unit.
FAILED COMPONENT IDENTIFICATION Not applicable PREVIOUS SIMILAR EVENTS None NRC FORM 366A (4-95)