LER-1979-014, /01T-0:on 790828,during Performance of Evaluation to Place Spent Fuel Pit Purification Demineralizer in Svc, 3,000 Gallon Overflow Occurred.Caused by Incomplete Communication & Failure to Follow Procedure.Unit Cleaned |
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NRC FORM 388 (7.77)
LICENSEE. EV.FIXITREPORT U. S. NUCI.EAR AEQUI.'ATORYCOPrIMISSIOi4
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4 15 RKPQAY OA 8 JSQ EVENT DESCRIPTION ANO PRQBASI CONSECUENCES Go During power o eration',
an evolution was ezfozmed to lace the s ent fu pit '(SFP).purification deminezalizer in service.
incomplete communication and. failure to fo~ow a procedure resul.ted in an unanticipated. flow ath from the. refueling water storage tanR (RMST) to the SFP.
Appzo2tt.matel Q
8 8,000 gal. of watex were transferred..
This resulted. in a reduction of the 7 'EST vo1ume to,be 1ow that zequired. by te chnica1 specifications and in an overflow of'bout 3,000 ga1.
fzom the SFP.,
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o Upon discovery,,
a unit shutdown was initiated. -and.
uzsued. until the re uired RUST volume was reestablished..
The spill was confined to..the immediate ~rea P
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'2 adjacent to the SFP.and.
a~ system.
Control and. cleanup of'he contaad.nated area was promptly initiated.
Long term corrective action items I
are discussed. in the attachment.
7 8'9 FACILITY ST*iUS
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7 3.9 I0 12 44 ACTIVITY CCNTSNT RKI EASED OF RKlEASK AMOUNTOF ACTIVITYQSS s
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~2. Q,,fY IQ4 Miami Herald Se tember 1, 3
'IO D. K. James rNARIE OF PREPARER 1979 PI4ONE SC NRC USE ONI.Y
.58 54 48 552-3813, 0 9 I 0 0 90~5>
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REPORTABr,E OCCURRENCE 251-7 LICENSEE EVKfT REPORT PAGE
'BLO'dditional Event, Descxi tion and, Probable Conse uences:
,P During power operation, an evolution was performed.'o. place the Unit No. 0 spent.
. fuel pi't (SFP) purification.demineralizer in service.
Because of'.incomplete communication and. faQ.ure to, follow,a pxocedure, 'it was not recognized, that this shazed. deminexalizer was already in, service in the refueling water. storage tank (EST) puxification mode..
Consequently, when the correct va1ve alignment was made to establish the spent, fuel -pit.puxification flow path, an unanticipated flow.path was inadveztently'zovvided which allowed. the refueling, water purification pump to transfer.,water fxom, the refueling water storage tarik to the spent fuel p'it.. Prior to discovexy and, coxxection of this improper configuration, approximately 8,000 gallons of water weze transferred..
This. resulted. in (1) a reduction of the. volume in the refueling, water storage tank to appxoxi.mately 317,000 gallons (TS minimum: 320,000'allons) and. (2) overflow of about 3,000 gallons;, fxom the spent fuel pit,.
J Additiona1 Cause Descxi tion and. Corrective Actions:
Upon.discovery of this occurrence, a Unit No. 4 shutdown was initiated and pursued. for 45-minutes until the, required volume was zeestablished.
in the zefueling water storage tank.
This was; accomplished.
by tzmsfexxing water from the spent fuel pit to the refueling water storage tank.
Water spilled as a result'f the ovexflow was confined to the immediate area adjacent to the. spent fuel pit and.'
drain sys'em within. the pxotected area.
The total activity of the spill was calculated. to be 1.091.curies.
(This activity is based on spent fuel pit sample. data.)
Control and; cleanup of the contaminated.
area.
was promptly initiated.
Management actions have been scheduled..and. initiated. to pxovide a high degree of assurance that an event of this nature will not zeoccur.
These actions, are detailed, in Mr. J.
P. O'Reilly's. facsimile tzansmissions regaxdf.ng."Confirmation of Action".
Refezence RII:JPO, -'50-'251, dated
'August 31, 1979 and. September 5, 1979.
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| 05000251/LER-1979-001, Forwards LER 79-001/03L-0 | Forwards LER 79-001/03L-0 | | | 05000251/LER-1979-001-03, /03L-0 on 790125:4A Boric Acid Transfer Pump Tripper on Thermal Overload Inoperable.Caused by Incomplete Reinstallation of Recirculation Line Insulation.New Recirculation Line Installed | /03L-0 on 790125:4A Boric Acid Transfer Pump Tripper on Thermal Overload Inoperable.Caused by Incomplete Reinstallation of Recirculation Line Insulation.New Recirculation Line Installed | | | 05000250/LER-1979-001-31, /031-0 on 790213:A Fire Pump Found to Be Inoperable.Caused by Improper Operation of Power Supply Breaker.Procedural Methods Implemented to Ensure That Fire Pump Power Is Verified After Each Shift | /031-0 on 790213:A Fire Pump Found to Be Inoperable.Caused by Improper Operation of Power Supply Breaker.Procedural Methods Implemented to Ensure That Fire Pump Power Is Verified After Each Shift | | | 05000250/LER-1979-001, Forwards LER 79-001/031-0 | Forwards LER 79-001/031-0 | | | 05000250/LER-1979-002, Update to LER 79-002/03X-1 on 790226:during Refueling Shutdown,Crack Found in Weld on Drain Line in B Accumulator Discharge Piping.Caused by Stress Due to Line Vibration. Elbows & Welds Replaced | Update to LER 79-002/03X-1 on 790226:during Refueling Shutdown,Crack Found in Weld on Drain Line in B Accumulator Discharge Piping.Caused by Stress Due to Line Vibration. Elbows & Welds Replaced | | | 05000251/LER-1979-002, Forwards LER 79-002/03L-0 | Forwards LER 79-002/03L-0 | | | 05000251/LER-1979-002-03, /03L-0 on 790310:during Cold Shutdown,Cracks Observed in 4B Charging Pump Suction Piping.Probably Caused by Design/Installation of Positive Displacement Pumps. Welds Repaired & Mods Made to Reduce Stresses | /03L-0 on 790310:during Cold Shutdown,Cracks Observed in 4B Charging Pump Suction Piping.Probably Caused by Design/Installation of Positive Displacement Pumps. Welds Repaired & Mods Made to Reduce Stresses | | | 05000251/LER-1979-003, Forwards LER 79-003/03L-0 | Forwards LER 79-003/03L-0 | | | 05000250/LER-1979-003-01, /01T-0:on 791101,NSSS Vendor Identified & Corrected Input Error in Two LOCA Analyses.Caused by Use of Incorrect Method.Procedures Revised | /01T-0:on 791101,NSSS Vendor Identified & Corrected Input Error in Two LOCA Analyses.Caused by Use of Incorrect Method.Procedures Revised | | | 05000251/LER-1979-003-03, /03L-0 on 790315:during Normal Operation,Crack Observed in 4C Charging Pump Suction Piping.Caused by Design/Installation of Pumps Resulting in Operational Pressure Pulsation/Vibration Effects.Weld Repaired | /03L-0 on 790315:during Normal Operation,Crack Observed in 4C Charging Pump Suction Piping.Caused by Design/Installation of Pumps Resulting in Operational Pressure Pulsation/Vibration Effects.Weld Repaired | | | 05000251/LER-1979-004, Forwards LER 79-004/03L-0 | Forwards LER 79-004/03L-0 | | | 05000251/LER-1979-004-03, /03L-0 on 790315:vendor Reported Main Steam Line Mechanical Snubber,Returned for Routine Testing,Was in locked-up Condition.Caused by Damaged Thrust Bearing. X-stop Adjusted | /03L-0 on 790315:vendor Reported Main Steam Line Mechanical Snubber,Returned for Routine Testing,Was in locked-up Condition.Caused by Damaged Thrust Bearing. X-stop Adjusted | | | 05000251/LER-1979-005-03, /03L-0 on 790322:process Radiation Monitors R-11 & R-12 Were Out of Svc.Caused by Failure of Air Sampling Blower Which Supplies Monitors.Blower Replaced & Monitors Returned to Svc | /03L-0 on 790322:process Radiation Monitors R-11 & R-12 Were Out of Svc.Caused by Failure of Air Sampling Blower Which Supplies Monitors.Blower Replaced & Monitors Returned to Svc | | | 05000251/LER-1979-005, Forwards LER 79-005/03L-0 | Forwards LER 79-005/03L-0 | | | 05000251/LER-1979-006, Forwards LER 79-006/03L-0 | Forwards LER 79-006/03L-0 | | | 05000251/LER-1979-006-03, /03L-0 on 790322:packing leak-off Observed on Three Valves.Cause Undetermined for Two Valves.Leaking Packing on Third Due to Broken Bellows Seal.Unit in Reeling Shutdown;Repairs Will Be Made Before Return to Power | /03L-0 on 790322:packing leak-off Observed on Three Valves.Cause Undetermined for Two Valves.Leaking Packing on Third Due to Broken Bellows Seal.Unit in Reeling Shutdown;Repairs Will Be Made Before Return to Power | | | 05000251/LER-1979-007-01, /01T-0 on 790519:inoperable Pipe Support 4-VCH-105 Reported by Insp Team.Cause Unknown.Pipe Support to Be Restored Per Approved Procedures | /01T-0 on 790519:inoperable Pipe Support 4-VCH-105 Reported by Insp Team.Cause Unknown.Pipe Support to Be Restored Per Approved Procedures | | | 05000251/LER-1979-008-03, /03X-1 on 790526:while Safeguards Sys Was Being tested,4A 4,160-volt Bus Failed to Strip in Required Time, Causing Emergency Diesel Generator to Stop.Cause Not Determined.Testing Procedures Revised | /03X-1 on 790526:while Safeguards Sys Was Being tested,4A 4,160-volt Bus Failed to Strip in Required Time, Causing Emergency Diesel Generator to Stop.Cause Not Determined.Testing Procedures Revised | | | 05000251/LER-1979-008, Forwards LER 79-008/03X-1 | Forwards LER 79-008/03X-1 | | | 05000251/LER-1979-009, Forwards LER 79-009/03L-1 | Forwards LER 79-009/03L-1 | | | 05000250/LER-1979-009-03, During Refueling Shutdown,Leak Observed from Temporary Level Indication Line Near Base of Refueling Water Storage Tank.Cause Undetermined.Integrity of Piping & Instrumentation Verified | During Refueling Shutdown,Leak Observed from Temporary Level Indication Line Near Base of Refueling Water Storage Tank.Cause Undetermined.Integrity of Piping & Instrumentation Verified | | | 05000250/LER-1979-009, Forwards Updated LER 79-009/03X-1 | Forwards Updated LER 79-009/03X-1 | | | 05000251/LER-1979-009-03, /03L-1:on 790611,mechanical Snubber on Steam Generator C Feedwater Line Found in locked-up Condition. Caused by Snubber Overload Resulting in Damage to Thrust Bearing.Snubber Will Be Replaced w/50,000 Lb Rated Snubber | /03L-1:on 790611,mechanical Snubber on Steam Generator C Feedwater Line Found in locked-up Condition. Caused by Snubber Overload Resulting in Damage to Thrust Bearing.Snubber Will Be Replaced w/50,000 Lb Rated Snubber | | | 05000251/LER-1979-010-01, /01T-0 on 790626:NSSS Vendor Notified Util of Potential Level Bias Which Could Delay Reactor Trip & Feedwater Initiation or Cause False Level Indications. License Amend Will Be Proposed to Increase Sys Setpoint | /01T-0 on 790626:NSSS Vendor Notified Util of Potential Level Bias Which Could Delay Reactor Trip & Feedwater Initiation or Cause False Level Indications. License Amend Will Be Proposed to Increase Sys Setpoint | | | 05000251/LER-1979-010, Forwards LER 79-010/01T-0 | Forwards LER 79-010/01T-0 | | | 05000250/LER-1979-010-03, /03X-1 on 790319:excessive Leakage Noted at Inner Personnel Airlock Door/Bulkhead.Caused by Packing Leak Along Operating Shaft at Inner Bulkhead.Local Leak Test Completed Successfully | /03X-1 on 790319:excessive Leakage Noted at Inner Personnel Airlock Door/Bulkhead.Caused by Packing Leak Along Operating Shaft at Inner Bulkhead.Local Leak Test Completed Successfully | | | 05000250/LER-1979-010, Forwards LER 79-010/03X-1 | Forwards LER 79-010/03X-1 | | | 05000251/LER-1979-011-03, Charging Sys Performance Noted to Be Degraded During Routine Startup Operation.Caused by Ruptured Diaphragm & Damaged O-ring on Valve.Valve Repaired & Pumps Vented | Charging Sys Performance Noted to Be Degraded During Routine Startup Operation.Caused by Ruptured Diaphragm & Damaged O-ring on Valve.Valve Repaired & Pumps Vented | | | 05000251/LER-1979-011, Forwards Updated LER 79-011/03X-1 | Forwards Updated LER 79-011/03X-1 | | | 05000251/LER-1979-012, Forwards LER 79-012/03L-0 | Forwards LER 79-012/03L-0 | | | 05000251/LER-1979-012-03, /03L-0:on 790806,periodic Test of T & delta-T Not Completed within Required Time Limit Due to Investigation of Unit Trip.Surveillance Completed Following Recovery from Unit Trip | /03L-0:on 790806,periodic Test of T & delta-T Not Completed within Required Time Limit Due to Investigation of Unit Trip.Surveillance Completed Following Recovery from Unit Trip | | | 05000251/LER-1979-013-03, /03L-0:on 790815,charging Pump 4A Removed from Svc Due to Excessive Seal Leakage.Cause Under Investigation. Seal Was Replaced & Pump Tested & Returned to Svc | /03L-0:on 790815,charging Pump 4A Removed from Svc Due to Excessive Seal Leakage.Cause Under Investigation. Seal Was Replaced & Pump Tested & Returned to Svc | | | 05000251/LER-1979-013, Forwards LER 79-013/03L-0 | Forwards LER 79-013/03L-0 | | | 05000251/LER-1979-014-01, /01T-0:on 790828,during Performance of Evaluation to Place Spent Fuel Pit Purification Demineralizer in Svc, 3,000 Gallon Overflow Occurred.Caused by Incomplete Communication & Failure to Follow Procedure.Unit Cleaned | /01T-0:on 790828,during Performance of Evaluation to Place Spent Fuel Pit Purification Demineralizer in Svc, 3,000 Gallon Overflow Occurred.Caused by Incomplete Communication & Failure to Follow Procedure.Unit Cleaned | | | 05000251/LER-1979-014, Forwards LER 79-014/01T-0 | Forwards LER 79-014/01T-0 | | | 05000250/LER-1979-014, Forwards LER 79-014/03L-0 | Forwards LER 79-014/03L-0 | | | 05000250/LER-1979-014-03, /03L-0 on 790424:ready to Start Light on B Emergency Diesel Generator Engine Control Panel Failed. Caused by Vibration of Lamp Socket.Tests Under Way to Determine If Neon Unit Would Be Better Suited | /03L-0 on 790424:ready to Start Light on B Emergency Diesel Generator Engine Control Panel Failed. Caused by Vibration of Lamp Socket.Tests Under Way to Determine If Neon Unit Would Be Better Suited | | | 05000251/LER-1979-015-03, /03L-0:on 790829,during Power operation,4A Boric Acid Transfer Pump Tripped on Thermal Overload & Declared Inoperable.Caused by Boric Acid Solidification in Recirculation Line.Recirculation Line Insulated | /03L-0:on 790829,during Power operation,4A Boric Acid Transfer Pump Tripped on Thermal Overload & Declared Inoperable.Caused by Boric Acid Solidification in Recirculation Line.Recirculation Line Insulated | | | 05000250/LER-1979-015-03, /03L-0 on 790426:B Emergency Diesel Generator Failed Loading Acceptance Criteria.Caused by Cracked half-inch Nipple to Fuel Pump Which Resulted in Partial Fuel Starvation.Nipple Replaced & Old Nipple Reanalyzed | /03L-0 on 790426:B Emergency Diesel Generator Failed Loading Acceptance Criteria.Caused by Cracked half-inch Nipple to Fuel Pump Which Resulted in Partial Fuel Starvation.Nipple Replaced & Old Nipple Reanalyzed | | | 05000250/LER-1979-015, Forwards LER 79-015/03L-0 | Forwards LER 79-015/03L-0 | | | 05000251/LER-1979-015, Forwards LER 79-015/03L-0 | Forwards LER 79-015/03L-0 | | | 05000251/LER-1979-016, Forwards LER 79-016/03L-0 | Forwards LER 79-016/03L-0 | | | 05000251/LER-1979-016-03, /03L-0:on 790830,boric Acid Transfer Pump Failed to Start.Caused by Malfunction of Line Starter.Contacts Were Cleaned & Pump Was Returned to Svc | /03L-0:on 790830,boric Acid Transfer Pump Failed to Start.Caused by Malfunction of Line Starter.Contacts Were Cleaned & Pump Was Returned to Svc | | | 05000250/LER-1979-016, Forwards LER 79-016/03L-0 | Forwards LER 79-016/03L-0 | | | 05000250/LER-1979-016-03, /03L-0 on 790429:high Level Alarm Annunciated. Caused by Instrument Drift of Tech Spec Min & High Level Alarms & Digital Level Indicator Transducer.Instruments Recalibr | /03L-0 on 790429:high Level Alarm Annunciated. Caused by Instrument Drift of Tech Spec Min & High Level Alarms & Digital Level Indicator Transducer.Instruments Recalibr | | | 05000251/LER-1979-017-03, /03L-0:on 790903,condensate Water Tank Contained Less than 185,000 Gallons Required by Tech Specs.Caused by Increased Water Demand for Steam Generator Blowdown & Reduced Water Treatment Plant Output | /03L-0:on 790903,condensate Water Tank Contained Less than 185,000 Gallons Required by Tech Specs.Caused by Increased Water Demand for Steam Generator Blowdown & Reduced Water Treatment Plant Output | | | 05000251/LER-1979-017, Forwards LER 79-017/03L-0 | Forwards LER 79-017/03L-0 | | | 05000250/LER-1979-017-03, /03X-1 on 781218:during Normal Operation,Efforts Were Made to Determine Source of Intermittent Radioactive Gas Leak.Caused by Possible Deformation of Small Section of Tank Shell.Defect Will Be Repaired | /03X-1 on 781218:during Normal Operation,Efforts Were Made to Determine Source of Intermittent Radioactive Gas Leak.Caused by Possible Deformation of Small Section of Tank Shell.Defect Will Be Repaired | | | 05000251/LER-1979-018-03, /03L-0:on 790911,charging Pump 4C Removed from Svc Due to Excessive Seal Leakage.Cause Not Given.Seal Was Replaced & Pump Returned to Svc.Evaluation Continues | /03L-0:on 790911,charging Pump 4C Removed from Svc Due to Excessive Seal Leakage.Cause Not Given.Seal Was Replaced & Pump Returned to Svc.Evaluation Continues | | | 05000251/LER-1979-018, Forwards LER 79-018/03L-0 | Forwards LER 79-018/03L-0 | |
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