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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 10 REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9808100153 DOC.DATE: 98/08/03 NOTARIZED: NO DOCKET ¹ FACIL:50-315 Donald C. Cook Nuclear Power Plant, Unit 1, Indiana M 05000315 AUTH. NAME AUTHOR AFFILIAT1ON SCHOEPF,P. Indiana Michigan Power Co. (formerly Indiana S Michigan Ele SAMPSON,J.R. Indiana Michigan Pow'er Co. (formerly Indiana 6 Michigan Ele RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
LER 98-035-00:on 980702>identified that potentially impacted c ability of shock absorbingwork bumpers to perform intended functions. Caused by poor practices. Bumpers will be replaced by newer design shock absorber.W/980803 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR ENCL SIZE:
TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc. E NOTES: G RECIPIENT COPIES RECIPIENT COPIES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD3-3 PD 1 1 STANG, J 1 1 INTERNAL: AEOD S RAB 2 2 AEOD/SPD/RRAB 1 1 F E CRNT 1 1 NRR/DE/ECGB 1 1 DE EELB 1 1 NRR/DE/EMEB 1 1 NRR/DRCH/HICB 1 1 NRR/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 'ITCO BRYCE, J H 1 1 NOAC POORE,W. 1 1 NOAC QUEENER, DS 1 1 NRC PDR 1 1 NUDOCS FULL TXT 1 1 U
E N
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE. TO HAVE YOUR NAME OR ORGANIZATION REMOVED FROM DISTRIBUTZON LISTS OR REDUCE THE NUMBER OF COPZES RECEIVED BY YOU OR YOUR ORGANIZATIONi CONTACT THE DOCUMENT CONTROL DESK tDCD) ON EXTENSION 415-2083 FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 22 ENCL 22
I k
Cook NUdear Plant One Cook Place Bridgman. Ml 49t06
~
American Electric Power 616465590t ANERICAN ELECTRIC POWER August 3, 1998 United States Nuclear Regulatory Commission.
Document Control Desk Washington, DC 20555 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 fl i hibigbiltd.'8-035-00 Sincerely, J. R. Sampson Site Vice President
/mbd Attachment J. L. Caldwell (Acting), Region III J. R. Sampson P. A. Barrett S. J. Brewer R. Whale D. Hahn Records Center, INPO NRC Resident Inspector 9808100153 980803 PDR ADOCK 05000315 S PDR
APPROYED BY OMB NO. 315005 04 NRC Form 366 U.S. NUCLEAR REGULATORY COMMISSION ExpIREs 04r50r$ 4 (4-95)
EST84ATEO BVRDEN PER RESPONSE TO CO~Y WITH TISS MANDATORY INFORMATIONCOILECTION REOVEST: 50.0 HRS, REPORTED LESSONS LEARNED LICENSEE EVENT REPORT (LER) ARE INCORPORATED INTO THE IJCENSNO PROCESS ANO FED BACK TO INDVSTRY. FORWARD COMMENTS RECARDINO BURDEN ESTNATE TO THE (See reverse for required number of digits/characters for each block)
P~
INFORMATION ANO RECORDS MANACEMENT BRANCH IT% F35). V.S. NVCIEAR RECIXATORY COMMSSIOIL WASHINCTON. DC 205554001. AND TO THE REDVCTION PROJECT (51500104). OFFICE OF MANACEMENTAND BVOCET, WASISNCTON. DC 2050$
DOCKET NUMBER (2) PAGE(3)
FACIUTYNAME (1)
Cook Nuclear Plant Unit 1, 50-315 1 of6 TITLE (4)
Ice Condenser Lower Inlet Door Shock Absorber Equipment Found Damaged Due to Poor Work Practices EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED(8)
A ILITYNAM NUMB R MONTH DAY YEAR YEAR SEQUENTIAL REVISION MONTH DAY YEAR NUMBER Cook- Unit 2 50-316 NUMBER A ILI NAM NUMB 07 02 98 98 035 00 08 03 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) 20.2203(a)(3)(i) 50.73(a)(2)(ii) 50.73(a)(2)(x)
POWER 20.2203(a)(1)
LEVEL (10) 20.2203(a)(3)(ii) 50.73(a)(2)(iii) 73.71 20.2203(a)(2)(i) 20.2203(a)(4) 50.73(a)(2)(iv) OTHER 20.2203(a)(2)(ii)
SI e>>Iree DSXNr Or 20.2203(a)(2)(iii) 50.36(c)(1) 50.73(a)(2)(v) eI NRC Form 366A 20.2203(a)(2)(iv) 50.36(c)(2) 50.73(a)(2)(vii)
LICENSEE CONTACT FOR THIS LER (12)
TELEPHONE NUMBER (BK5vde Area Code)
Mr. Paul Schoepf, Mechanical Systems Manager 616 / 465-5901, x2408 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
REPORTABLETO CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER NPRDS To NPRDS AY SUPPLEMENTAL REPORT EXPECTED (14) EXPECTED SUBMISSION YES X NO DATE (15)
(If Yes, complete EXPECTED SUBMISSION DATE)
Abstract (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On July 2, 1998, during an inspection of the condition of Ice Condenser Lower Inlet Door Shock Absorber equipment, damage was identified that potentially impacted the ability of the shock absorbing bumpers to perform their intended functions. Deficient shock absorbing bumpers could lead to damage of the lower inlet doors and excess debris in the Containment Recirculation Sump following a postulated accident. An ENS notification was made on July 2, 1998, in accordance with 10CFR50.72(b)(2)(i) for an unanalyzed condition, and this LER is submitted in accordance with 10CFR50.73(a)(2)(ii)(A) for an unanalyzed condition.
The root cause of damaged shock absorbing bumpers was determined to be poor work practices, with contributing causes of written communications, environmental conditions, training/qualification, and supervisory methods. The bumpers will be replaced by a newer design shock absorber, the procedure has been revised to address inspection activities, the shock absorbers will be protected during maintenance evolutions, training will be provided to Ice Condenser maintenance and oversight responsibility of Ice Condenser work will be transferred from Engineering to the Maintenance 'orkers, Department to access a larger staff skilled in production supervision.
The safety significance of the event is negligible. The condition of damaged bumpers did not represent a credible threat to the proportioning function of the lower inlet doors or to Containment Recirculation Sump operability. However, taken in aggregate, the additional foam debris from the'Ice Condenser shock absorbers could have exacerbated the fibrous material condition described in LER 50-315/97-024, further degrading the ability of the Containment Recirculation Sump to perform its function.
NRC FORM 366 (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)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 2of6 98 035 00 TEXT (Ifmote spece is required, use additionel copies of NRC Fotm (366A) (17)
CONDITIONS PRIOR TO EVENT Unit 1 was in Mode 5, Cold Shutdown Unit 2 was in Mode 5, Cold Shutdown DESCRIPTION OF EVENT During an inspection of the condition of Ice Condenser Lower Inlet Door Shock Absorber equipment, damage was identified that potentially impacted the ability of the shock absorbers to perform their intended functions.
The safety-related Ice Condenser system absorbs thermal energy released during a postulated Loss of Coolant Accident (LOCA) or Main Steam Line break (MSLB) inside Coiitainment, to limit initial peak Containment pressure. The system includes a completely enclosed annular compartment located around approximately 300 degrees of the Containment perimeter. A mass of sodium tetraborate'ice is stored inside the compartment within an array of 1944 ice baskets, with each basket measuring 48 feet tall and having a diameter of 12 inches. The vertical portion of the basket is substantially open to accommodate heat transfer. The borated water from the melted ice passes through the Ice Condenser floor drains and into the Containment Recirculation Sump. The Ice Condenser plays no role in normal plant operation; Hinged doors at the lower (inlet) and upper (vent) portions of the Ice Condenser connect the Ice Condenser to the Containment. During a postulated LOCA or MSLB inside Containment, pressure buildup in lower Containment causes the Ice Condenser inlet doors to open. The arrangement of the inlet doors distributes the steam and warm Containment air proportionately across the ice beds. Steam flowing through the ice compartments would be condensed, limiting peak Containment pressure. The upper vent doors open to provide a return, path for the cooled Containment air.
The Ice Condenser lower inlet doors are designed to open when needed. Shock absorbers, called bumper bags, are installed to dissipate kinetic energy from the opening inlet doors without damaging the doors. The bumper bags are a foam wedge contained inside of polyethylene/fiberglass (plastic) bags, which are enclosed and protected by stainless steel mesh bags. Stainless steel panels cover the top, bottom, and one side of the bumpers.
The door energy is absorbed when the inlet doors open and crush the foam wedges. The plastic bags are designed with volume to completely enclose and contain the expanded volume of the crushed foam wedges. The stainless 'ufficient steel mesh bags are designed to provide redundant containment of the crushed foam and provide some protection for the plastic bags. The metal covers are designed to protect the bags and to help preserve the foam geometry during crushing.
The crushed foam is contained to prevent its discharge into Containment, which could block floor drains or the Containment Recirculation Sump screens.
After damaged shock absorbers were found in December, 1997, Cook management made a decision to replace them with a later generation design "air box." Removal of the bag-style shock absorbers allowed a more thorough inspection, and the bags were observed to have significant wear areas, tears and punctures, damaged foam wedges, and foam wedges dislodged from their mountings.
The aggregate effect of the deficient conditions of the lce Condenser shock absorbers was such that the bumpers, following a postulated accident, may not have been capable of performing their intended functions to cushion the lower inlet door opening and contain the crushed foam. Crushed foam that may have escaped from the damaged bags had the potential to reach the Containment Recirculation Sump and block the sump screens.
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)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 3of6 98 035 00 TEXT (Ifmore spaceis required, use additional copies of NRC Form /366A) {17)
CAUSE OF EVENT The root cause of this condition is work practices. Plant personnel failed to prevent damaging the bumpers during Ice Condenser maintenance evolutions. Ice accumulated around the bumpers and would freeze into blocks that required removal. The use of tools to chop, scrape, and shovel the ice away from the bumpers very likely contributed to bag damage. In addition, falling ice or dropped tools from above the bumpers may have struck the bags, also causing damage.
Contributing causes included the following:
Work practices due to a lack of awareness of the fragile nature of the bumper bags; Written communication due to a failure to incorporate adequate bumper bag inspection requirements and acceptable damage criteria in the Ice.Condenser maintenance procedures; Environmental conditions because workers were not sensitive to the physical proximity of the bumpers to the ice bed maintenance work area, which allowed damage from falling ice or tools; Training/qualification due to a lack of adequate training of ice maintenance personnel; and Supervisory methods due to a lack of control of ice maintenance personnel.
ANALYSIS OF EVENT On July 2, 1998, after review of Ice Condenser Lower Inlet Door Shock Absorber damage in the aggregate, an ENS notification (EN 34468) was made in accordance with 10CFR50.72(b)(2)(i), for an unanalyzed condition found while the reactor was shutdown. This LER is therefore submitted in accordance with 10CFR50.73(a)(2)(ii)(A), for an unanalyzed condition.
The condition of damaged Inlet Door Shock Absorbers raises two main concerns:
Damaged Lower Inlet Doors the damaged/dislodged foam could have caused the lower inlet doors to become damaged upon opening, disrupting proportional steam/air flow across the ice beds, which would reduce the effectiveness of the Ice Condenser in limiting peak Containment pressure; and, Debris in Containment the tom bags could have allowed crushed foam particles to escape and be washed to the Containment Recirculation Sump, thereby blocking the sump screens during the recirculation mode of the Emergency Core Cooling Systems following a postulated accident.
Damaged Doors For the lower inlet doors to become damaged upon opening, the foam wedges would have had to be significantly dislocated and/or significantly reduced in volume. However, this level of foam damage was not evident. The plastic bags and the stainless steel covers held the loose foam wedges very close to their originally installed locations. Therefore, the aggregate condition of damaged bumpers did not represent a credible threat to the proportioning function of the inlet doors.
Debris in Containment To assess the significance of crushed foam in containment that may have caused blockage of the Containment Recirculation Sump screens, three key considerations were evaluated:
The likelihood that the foam would escape bumper bags during a LOCA; The route that the foam must take to be delivered to the entrance of the recirculation sump; and The buoyancy of the foam.
During normal conditions the foam is one solid piece. According to Westinghouse Scientific Paper 74-1B5-TAPSC-P3 (and others), mockup tests of the bumpers in 1973/1974 indicated that the foam was crushed, during simulated openings of a tower inlet door, to sizes ranging from 0.17 inch in diameter up to one cubic foot in volume. The foam was also noted to be very buoyant.
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)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 4of6 98 035 00 TEXT (Ifmore space is required, use addiiional copies of NRC Form (366A) (17)
ANALYSIS OF EVENT, cont.
For bumpers where the mesh bags and the underlying plastic bags were both cut/toro, it was possible that the foam could have escaped and become loose debris following a postulated accident. The plastic bags were sized and folded to have sufficient excess volume to accommodate all the crushed shock absorber material after the impact of a tower inlet door, and the bags were not pressurized under normal conditions. Many of the cuts on the bags were found directly adjacent to the foam, while the remaining cuts were found on folded portions.(not adjacent to the foam).
One extreme case of bag damage was found on the U1 Bay 14 left bumper, with the sheet metal cover tom on top, large (two foot) tears at the top and bottom of the bags, and some missing foam. A significant amount of foam could have escaped this particular bag, due to the size of the tears, and also because the resulting ice melt would have likely entered the bag from the top and then washed'foam out through the bottom.
The bumpers were not in the direct path of the blowMown steam, but foam may have escaped due to the possibility of a "back<raft" steam effect. Also, submersion of the bottom of the bags in the ice melt water would have likely washed out some foam. It would be very difficult to determine, with any degree of certainty, the amount of foam that could have escaped during an accident, due to the following factors:
The varied sizes and arrangements (locations) of the foam particles in the bag; The amount of water that may wash out foam; and,,
The sizes of the holes in the bags.
The volume of foam in a typical bumper is approximately 30 cubic feet, so the amount of foam that could be expected to be blown out of a cut bag during an accident may vary from a few cubic inches (for a 1/2 inch cut) up to perhaps 100-200 cubic inches (for a 4 inch cut). These estimates are reasonable judgments and take into account the location and sizes of the cuts, as well as their proximity to the foam. Therefore, the postulated amount of foam that could have escaped the U2 bags during an accident would be approximately one cubic foot.
For the Unit 1 bay 14 left bumper, perhaps as much as 1/3 of the foam, or about 10 cubic feet, could have escaped due to the size of the tears in the bag. Therefore, the postulated amount of foam that could have escaped the U1 bags during an accident would be approximately 10.5 cubic feet.
Foam that escapes the bumper bags in the tower ice condenser could have reached the recirculation sump screens through either of two tortuous pathways.
- 1. The blow-down forces due to an accident would have to force the foam to travel up and around the ice baskets (48 feet), through the upper deck grating (another.17 feet), and over to and down the refueling cavity drains; or,
- 2. The foam would have to travel down through the inlet door openings a'gainst the flow of steam/air, or be washed down through the floor drain grating (1.75 inch openings), and through 12 inch flapper valve drains to the lower Containment.
There are no models to study debris transport for this type of material, but if the noted quantities of foam are present, some would likely transport to the Recirculation Sump. Consequently, the release of foam particles during an accident and resulting transport to the recirculation sump would be limited by the following:
The nearcomplete enclosure of exposed foam by the plastic bags, mesh bags, and the stainless steel sheet metal in 95 of the 96 inspected bumpers; The foam would have been exposed to a back-draft steam flow, rather than direct steam flow;,
The tortuous paths the foam would have to travel from the lower ice condenser to reach the sump; The buoyancy of the foam, which would result in the foam floating on the surface of the water adjacent to an active sump, thereby limiting sump blockage; and, 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)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 5of6 98 035 00 TEXT (Ifmore spece is required, use edditionel copies of NRC Form (366A) (17)
ANALYSIS OF EVENT, cont.
The need for the foam to cover approximately 50 percent (42 square feet) of the recirculation sump screens before sump operability would have been challenged.
Therefore, the condition of damaged bumpers did not represent a credible threat to Containment Recirculation Sump operability.
When assessed independent of other recent Ice Condenser and Containment deficiencies identified in previous Licensee Event Reports (LER), the safety significance of the conditions described in this LER are negligible. The condition of damaged bumpers did not represent a credible threat to the proportioning function of the lower inlet doors or Containment Recirculation Sump operability.
A previous Licensee Event Report (LER) (LER 50-315/97-024-04), addressed degradation of the Containment Recirculation Sump due to fibrous material found in Containment, which could have potentially caused excessive blockage of the sump screen. The issue of Containment Recirculation Sump screen blockage discussed in LER 97-024-04 is relevant to this'LER because, taken in aggregate, the additional foam debris from the Ice Condenser Lower Inlet Door Shock Absorbers could have exacerbated the condition described in LER 97-024, further degrading the ability of the Recirculation Sump to perform its function.
CORRECTIV4 ACTIONS The Ice Condensers have been declared inoperable due to other issues, but are not required to be operable in the current plant mode.
The bumper style shock absorbers are being replaced with a stainless steel air box design, which is considered more durable than the plastic/mesh bags and foam wedges, and does not have the potential to create a debris problem in Containment. These air boxes will be installed in all bays except on the entrance wall in bay 24 for each unit, which requires a smaller bumper device. The new design air boxes are too large for the entrance wall in Bay 24, therefore the existing bumpers in Bay 24 will be restored with new bumper components. Bumper installation and refurbishment will be completed prior to each unit's startup.
PREVENTIVE ACTIONS Replacement of the bumpers with a new, design addresses several of the causes of the event, including work practices (simpler design, easy to inspect and maintain, more durable), and environmental conditions (more durable).
Written communication is addressed by a procedure change which requires periodic inspections of the bumpers and documentation of any degraded conditions on a Condition Report.
Environmental conditions for the bumper bag style shock absorbers (Bay 24) are addressed by a new requirement to cover and protect the bumpers with plywood covers during Ice Condenser maintenance. Protection of the new style air box is under consideration pending evaluation of the strength of the air boxes.
Training of personnel performing work in the ice condenser will provide focused information to raise the sensitivity of workers on limiting damage to plant components, particularly any future plastic bag/wire mesh bumpers (Bay 24 entrance wall bumpers).
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)
YEAR SEQUENTIAL REVISION Cook Nuclear Plant Unit 1 50-315 NUMBER NUMBER 6of6 98 035 00 TEXT (lfmore spaceis required, use addilional copies of NRC Form (366A) (17)
PREVENTIVE ACTIONS, cont.
To address poor supervisory methods, responsibility for oversight of Ice Condenser production workers is being realigned from the Engineering department to the Maintenance department. The Maintenance department has more production supervisors with the skills necessary to provide thorough supervisory oversight to workers compared to the Engineering department. Therefore, this realignment of responsibilities is expected to result in improved worker performance during ice Condenser maintenance activities.
FAILED COMPONENT IDENTIFICATION Not applicable.
PREVIOUS SIMILAR EVENTS LER 50-315/97-024-04 LER 50-315/98-017-01 NRC FORM 366A (4-95)