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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17355A3891999-07-20020 July 1999 LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr ML17354B1921998-11-18018 November 1998 LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr ML17354B1361998-10-16016 October 1998 LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr ML17354B0341998-07-15015 July 1998 LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves ML17354A9841998-06-18018 June 1998 LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps ML17354A9741998-06-0909 June 1998 LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays ML17354A8511998-03-24024 March 1998 LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR ML17354A8441998-03-18018 March 1998 LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr ML17354A7361997-12-12012 December 1997 LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr ML17354A6801997-10-0808 October 1997 LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr ML17354A6121997-08-29029 August 1997 LER 97-007-00:on 970730,automatic Reactor Trip Occurred. Caused by Closure of B Main Steam Isolation Valve.Failed W Relay & Equivalent Relays Were replaced.W/970829 Ltr ML17354A6081997-08-18018 August 1997 LER 97-006-00:on 970722,manual Reactor Trip Occurred Due to Failed Rod Control Power Supplies.Replaced Twelve Power Supplies in Rod Control Logic & Power cabinets.W/970818 Ltr ML17354A5801997-07-14014 July 1997 LER 97-005-00:on 970618,RCP Oil Collection Sys Was Found Outside Design Basis.Caused Because Design Did Not Consider Component Parts to Be Potential Leakage Sources.Entire RCP Oil Collection Sys Was reviewed.W/970714 Ltr ML17354A5141997-05-22022 May 1997 LER 97-002-00:on 970423,automatic Reactor Tripped.Caused by Actuation of Turbine Overspeed Protection Circuit. Administrative Procedures Governing Inadequate Work Controls Will Be Revised to Capture Lessons learned.W/970522 Ltr ML17354A5061997-05-0909 May 1997 LER 97-003-00:on 970410,mode Changed W/O Meeting Requirements of TS 3.0.4 Due to Inadequate Procedural Guidance.Night Order Was Issued to Inform Personnel That S/G Blowdown Keylock Switches Were Left in drain.W/970509 Ltr ML17354A5051997-05-0909 May 1997 LER 97-004-00:on 970411,auxiliary Feedwater Automatic Start Upon Trip of All Main Feedwater Pumps,Occurred.Caused by Mispositioned Valve Closing.Valves Listed as Inappropriately Positioned Were repositioned.W/970509 Ltr ML17354A4781997-04-25025 April 1997 LER 97-001-00:on 970327,ECCS Recirculation Loop Leakage Was Found to Be in Condition Outside Design Basis Due to Gasket Movement During Installation During Spring 1966 Reassembly. Gasket Replaced & Pump tested.W/970425 Ltr ML17354A4581997-03-28028 March 1997 LER 97-002-00:on 970303,manual Reactor Trip Following Rod Control Urgent Failure Alarm Occurred.Caused by Phase Failure Detection on Stationary a Circuits of 2BD Rod Control Cabinet.Air Conditioning replaced.W/970328 Ltr ML17354A4511997-03-26026 March 1997 LER 97-001-00:on 970118,missed Surveillance on CR Position Verification Occurred Due to Inoperable Rod Deviation Monitor.Faulty Circuit Common Connection Was Corrected & Rdm Operability Was restored.W/970326 Ltr ML17354A4061997-02-0303 February 1997 LER 96-004-03:on 970107,identified Three Instances of Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Surveillance Procedures Revised ML17354A3771996-12-27027 December 1996 LER 96-012-00:on 961204,determined Containment Average Temp Being Determined Based on Only Two Temp Elements Instead of Three as Required by Tss.Caused by Log Only Requiring One Entry.Log revised.W/961227 Ltr ML17354A3261996-11-0606 November 1996 LER 96-011-00:on 961009,potential for Overpressurizing Post Accident Containment Vent Filter Housings Occurred.Caused by Improper Change Mgt.Monitoring Sys Operating Procedures revised.W/961106 Ltr ML17354A3071996-10-22022 October 1996 LER 96-010-00:on 960924,manual Reactor Shutdown Occurred. Caused by Failed Rod Control Sys Regulation Card in 2AC Power cabinet.2AC Power Cabinet DC Power Supplies,Cabling & Connectors checked.W/961022 Ltr ML17353A8711996-08-27027 August 1996 LER 96-009-00:on 960729,failed to Reflect Heavy Load Design Info in Procedural Controls.Caused by Failure to Incorporate 1982 Procedure Changes.Suspended Lifting of Heavy Loads & Took Turbine Bldg Crane OOS.W/960827 Ltr ML17353A7411996-06-18018 June 1996 LER 96-008-00:on 960521,surveillance Method for Testing Emergency Diesel Generators (EDG) Determined Inadequate. Caused by Personnel Error.All Four EDGs Rapid Start Tested & EDG Surveillance Procedures modified.W/960618 Ltr ML17353A7401996-06-18018 June 1996 LER 96-004-02:on 960524,identified Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Entered Tech Spec Statements,Tested Required Instruments Functions & Revised Plant procedure.W/960618 Ltr ML17353A6901996-05-13013 May 1996 LER 96-004-01:on 960220,identified Potential Tech Spec non-compliance Associated W/Surveillance Testing of AFW Actuation Circuitry on Sg.Caused by Inadequate Surveillance Procedures.Procedures revised.W/960513 Ltr ML17353A6741996-05-0606 May 1996 LER 96-001-00:on 960409,manual Rt Occurred Due to Turbine Governer Control Oil Perturbation.Disassembled & Inspected Governor Valve for Cleanliness & Corrosion products.W/960506 Ltr ML17353A6651996-04-29029 April 1996 LER 96-007-00:on 960329,inadvertent ESF Actuation Occurred During Refueling Outage Due to Cognitive Personnel Error. Personnel Involved Counseled & Integrated Safeguards Test Procedures Being revised.W/960429 Ltr ML17353A6601996-04-25025 April 1996 LER 96-006-00:on 960327,manual Rt Occurred Due to 3C Transformer Lockout & Loss of 3B SG Mfp.Replaced SAM Timer Relay in 3AC16.W/960425 Ltr ML17353A6491996-04-23023 April 1996 LER 96-005-00:on 960326,certain Safety Injection Accumulator Filled Evolutions Resulted in cross-tied Configuration.C/A: Night Order Written & Operations Procedure 3/4-OP-064 revised.W/960423 Ltr ML17353A6051996-03-18018 March 1996 LER 96-003-00:on 960222,two Arpi Inoperable & TS 3.0.3 Entered.Proposed License Amend Submitted to Revise Allowed Misalignment from +/-12 Steps to =/-18 Steps Between Arpi & Dpi at Less than 90% power.W/960318 Ltr ML17353A6041996-03-18018 March 1996 LER 96-004-00:on 960220,surveillance Testing of AFW Actuation Circuitry Was Inadequate.Caused by Inadequate Surveillance Procedures.Tested Untested Portions of Actuation Logic for AFW Automatic Start signal.W/960318 Ltr ML17353A5861996-03-0606 March 1996 LER 96-002-00:on 960209,automatic Turbine Trip/Rt Occurred Due to High SG Level.Caused by Personnel Error.Replaced Both Hinge Pins on B Sgfp Discharge Check valve.W/960306 Ltr ML17353A5761996-03-0101 March 1996 LER 96-001-00:on 960131,intake CWS Flow Rates Found W/ Potential to Be Less than Required by Design Basis.Caused by Influx of Aquatic Grass & Algae Onto Basket Strainers of Icw Flow Path.Mechanically Cleaned strainers.W/960301 Ltr ML17353A4451995-11-0909 November 1995 LER 95-007-00:on 951017,manual Rt Occurred Following Drop of Four Control Rods.Caused by Water Intrusion Into Rod Control Power Cabinet 2BD.Inspected Control Power Cabinet 2BD for Other Water damage.W/951109 Ltr ML17353A4241995-10-12012 October 1995 LER 95-006-00:on 950913,analysis Showed That CCW Exchangers Susceptible to Damage Due to flow-induced Vibration.Ccw Sys Has Been Flow Balanced to Closer tolerances.W/951012 Ltr ML17353A3601995-09-13013 September 1995 LER 95-005-00:on 950818,containment Pressure Testing Procedure Resulted in Inhibiting Both Trains of Containment Pressure from Initiated Esf.Revised Procedure to Require Testing of Each Train separately.W/950913 Ltr ML17353A2951995-07-17017 July 1995 LER 94-005-02:on 941103,both Units Outside Design Basis Due to Design Defect in Safeguards Bus Sequencer Test Logic. Resumed Monthly Manual Testing of Sequencer ML17352B1581995-05-0505 May 1995 LER 95-004-00:on 950407,unit Being Shutdown to Investigate Recurring non-urgent Failure Alarms from Redundant Rod Control Power Supplies.Reactor Manually Tripped.All Four PS-3 Power Supplies replaced.W/950505 Ltr ML17352B1181995-04-0707 April 1995 LER 95-003-00:on 950309,intake Cooling Water Flow Rate Through CCW Heat Exchangers Fell Below Assumed Design Basis. Caused by an Influx of Aquatic Grass & Algae Onto Basket Strainers.Strainers cleaned.W/950407 Ltr ML17352B0701995-03-13013 March 1995 LER 95-002-00:on 950215,inadequate Definition of Loops Filled Resulted in Units in Condition Prohibited by Ts. Issued TS Position Statement to Define Term Loops Filled as Used in TS 6.4.1.1.4.W/950313 Ltr ML17352B0321995-02-0909 February 1995 LER 94-005-01:on 941103,design Defect Found in Safeguards Bus Sequencer Test Logic,Placing Facility Outside Design Basis.Design Mods to Eliminate Software Logic Problems Will Be Implemented During Next Refueling outages.W/950209 Ltr ML17352B0101995-01-20020 January 1995 LER 94-006-00:on 941226,C Main Feedwater Control Valve Failed Closed,Causing Reactor & Turbine Trips.Caused by Loose Screw Terminal Connection.I/P Transducers Replaced W/ New Model W/Different Design Wire connection.W/950120 Ltr ML17352A9511994-12-13013 December 1994 LER 94-006-00:on 941130,Unit 4 Tripped Automatically.Caused by Failure of Flexible Link Connection Between Main Generator B Phase Bus & Associated Isolated Phase Bus Bar. All Bolts on Flexible Link checked.W/941213 Ltr ML17352A8871994-11-10010 November 1994 LER 94-005-00:on 941103,design Defect in Safeguards Bus Sequencer Test Logic Places Both Units Outside Design Basis. Caused by 3A Sequencer Failed to Respond as Expected to Opposite Unit SI signal.W/941110 Ltr ML17352A8851994-11-10010 November 1994 LER 94-004-00:on 941103,Unit 3 Outside Design Basis Due to Two of Three Required Safety Injection Pumps Inoperable. Control Switches for 3A & 3B Safety Injection Pumps Immediately Returned to automatic.W/941110 Ltr ML17352A8421994-10-21021 October 1994 LER 94-004-00:on 940923,Unit 4 Tripped Automatically from Rated Power.Caused by Faulty Regulator Transistor.Faulty Backup Power Supply Replaced & Maint History for Power Supplies reviewed.W/941021 Ltr ML17352A8431994-10-20020 October 1994 LER 94-005-00:on 940924,Unit 4 Manually Tripped.Caused by Manual Actuation.Light Bulb & Socket replaced.W/941020 Ltr ML17352B1671994-08-16016 August 1994 LER 94-003-00:on 940720 & 21,util Discovered That Several Required Valve Stroke Time Surveillances Had Not Been Performed.Caused by Personnel Error.Personnel Reassigned & Procedures and Surveillance Tracking Software Enhanced 1999-07-20
[Table view] Category:RO)
MONTHYEARML17355A3891999-07-20020 July 1999 LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr ML17354B1921998-11-18018 November 1998 LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr ML17354B1361998-10-16016 October 1998 LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr ML17354B0341998-07-15015 July 1998 LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves ML17354A9841998-06-18018 June 1998 LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps ML17354A9741998-06-0909 June 1998 LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays ML17354A8511998-03-24024 March 1998 LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR ML17354A8441998-03-18018 March 1998 LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr ML17354A7361997-12-12012 December 1997 LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr ML17354A6801997-10-0808 October 1997 LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr ML17354A6121997-08-29029 August 1997 LER 97-007-00:on 970730,automatic Reactor Trip Occurred. Caused by Closure of B Main Steam Isolation Valve.Failed W Relay & Equivalent Relays Were replaced.W/970829 Ltr ML17354A6081997-08-18018 August 1997 LER 97-006-00:on 970722,manual Reactor Trip Occurred Due to Failed Rod Control Power Supplies.Replaced Twelve Power Supplies in Rod Control Logic & Power cabinets.W/970818 Ltr ML17354A5801997-07-14014 July 1997 LER 97-005-00:on 970618,RCP Oil Collection Sys Was Found Outside Design Basis.Caused Because Design Did Not Consider Component Parts to Be Potential Leakage Sources.Entire RCP Oil Collection Sys Was reviewed.W/970714 Ltr ML17354A5141997-05-22022 May 1997 LER 97-002-00:on 970423,automatic Reactor Tripped.Caused by Actuation of Turbine Overspeed Protection Circuit. Administrative Procedures Governing Inadequate Work Controls Will Be Revised to Capture Lessons learned.W/970522 Ltr ML17354A5061997-05-0909 May 1997 LER 97-003-00:on 970410,mode Changed W/O Meeting Requirements of TS 3.0.4 Due to Inadequate Procedural Guidance.Night Order Was Issued to Inform Personnel That S/G Blowdown Keylock Switches Were Left in drain.W/970509 Ltr ML17354A5051997-05-0909 May 1997 LER 97-004-00:on 970411,auxiliary Feedwater Automatic Start Upon Trip of All Main Feedwater Pumps,Occurred.Caused by Mispositioned Valve Closing.Valves Listed as Inappropriately Positioned Were repositioned.W/970509 Ltr ML17354A4781997-04-25025 April 1997 LER 97-001-00:on 970327,ECCS Recirculation Loop Leakage Was Found to Be in Condition Outside Design Basis Due to Gasket Movement During Installation During Spring 1966 Reassembly. Gasket Replaced & Pump tested.W/970425 Ltr ML17354A4581997-03-28028 March 1997 LER 97-002-00:on 970303,manual Reactor Trip Following Rod Control Urgent Failure Alarm Occurred.Caused by Phase Failure Detection on Stationary a Circuits of 2BD Rod Control Cabinet.Air Conditioning replaced.W/970328 Ltr ML17354A4511997-03-26026 March 1997 LER 97-001-00:on 970118,missed Surveillance on CR Position Verification Occurred Due to Inoperable Rod Deviation Monitor.Faulty Circuit Common Connection Was Corrected & Rdm Operability Was restored.W/970326 Ltr ML17354A4061997-02-0303 February 1997 LER 96-004-03:on 970107,identified Three Instances of Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Surveillance Procedures Revised ML17354A3771996-12-27027 December 1996 LER 96-012-00:on 961204,determined Containment Average Temp Being Determined Based on Only Two Temp Elements Instead of Three as Required by Tss.Caused by Log Only Requiring One Entry.Log revised.W/961227 Ltr ML17354A3261996-11-0606 November 1996 LER 96-011-00:on 961009,potential for Overpressurizing Post Accident Containment Vent Filter Housings Occurred.Caused by Improper Change Mgt.Monitoring Sys Operating Procedures revised.W/961106 Ltr ML17354A3071996-10-22022 October 1996 LER 96-010-00:on 960924,manual Reactor Shutdown Occurred. Caused by Failed Rod Control Sys Regulation Card in 2AC Power cabinet.2AC Power Cabinet DC Power Supplies,Cabling & Connectors checked.W/961022 Ltr ML17353A8711996-08-27027 August 1996 LER 96-009-00:on 960729,failed to Reflect Heavy Load Design Info in Procedural Controls.Caused by Failure to Incorporate 1982 Procedure Changes.Suspended Lifting of Heavy Loads & Took Turbine Bldg Crane OOS.W/960827 Ltr ML17353A7411996-06-18018 June 1996 LER 96-008-00:on 960521,surveillance Method for Testing Emergency Diesel Generators (EDG) Determined Inadequate. Caused by Personnel Error.All Four EDGs Rapid Start Tested & EDG Surveillance Procedures modified.W/960618 Ltr ML17353A7401996-06-18018 June 1996 LER 96-004-02:on 960524,identified Inadequate Surveillance Testing.Caused by Inadequate Surveillance Procedures.Entered Tech Spec Statements,Tested Required Instruments Functions & Revised Plant procedure.W/960618 Ltr ML17353A6901996-05-13013 May 1996 LER 96-004-01:on 960220,identified Potential Tech Spec non-compliance Associated W/Surveillance Testing of AFW Actuation Circuitry on Sg.Caused by Inadequate Surveillance Procedures.Procedures revised.W/960513 Ltr ML17353A6741996-05-0606 May 1996 LER 96-001-00:on 960409,manual Rt Occurred Due to Turbine Governer Control Oil Perturbation.Disassembled & Inspected Governor Valve for Cleanliness & Corrosion products.W/960506 Ltr ML17353A6651996-04-29029 April 1996 LER 96-007-00:on 960329,inadvertent ESF Actuation Occurred During Refueling Outage Due to Cognitive Personnel Error. Personnel Involved Counseled & Integrated Safeguards Test Procedures Being revised.W/960429 Ltr ML17353A6601996-04-25025 April 1996 LER 96-006-00:on 960327,manual Rt Occurred Due to 3C Transformer Lockout & Loss of 3B SG Mfp.Replaced SAM Timer Relay in 3AC16.W/960425 Ltr ML17353A6491996-04-23023 April 1996 LER 96-005-00:on 960326,certain Safety Injection Accumulator Filled Evolutions Resulted in cross-tied Configuration.C/A: Night Order Written & Operations Procedure 3/4-OP-064 revised.W/960423 Ltr ML17353A6051996-03-18018 March 1996 LER 96-003-00:on 960222,two Arpi Inoperable & TS 3.0.3 Entered.Proposed License Amend Submitted to Revise Allowed Misalignment from +/-12 Steps to =/-18 Steps Between Arpi & Dpi at Less than 90% power.W/960318 Ltr ML17353A6041996-03-18018 March 1996 LER 96-004-00:on 960220,surveillance Testing of AFW Actuation Circuitry Was Inadequate.Caused by Inadequate Surveillance Procedures.Tested Untested Portions of Actuation Logic for AFW Automatic Start signal.W/960318 Ltr ML17353A5861996-03-0606 March 1996 LER 96-002-00:on 960209,automatic Turbine Trip/Rt Occurred Due to High SG Level.Caused by Personnel Error.Replaced Both Hinge Pins on B Sgfp Discharge Check valve.W/960306 Ltr ML17353A5761996-03-0101 March 1996 LER 96-001-00:on 960131,intake CWS Flow Rates Found W/ Potential to Be Less than Required by Design Basis.Caused by Influx of Aquatic Grass & Algae Onto Basket Strainers of Icw Flow Path.Mechanically Cleaned strainers.W/960301 Ltr ML17353A4451995-11-0909 November 1995 LER 95-007-00:on 951017,manual Rt Occurred Following Drop of Four Control Rods.Caused by Water Intrusion Into Rod Control Power Cabinet 2BD.Inspected Control Power Cabinet 2BD for Other Water damage.W/951109 Ltr ML17353A4241995-10-12012 October 1995 LER 95-006-00:on 950913,analysis Showed That CCW Exchangers Susceptible to Damage Due to flow-induced Vibration.Ccw Sys Has Been Flow Balanced to Closer tolerances.W/951012 Ltr ML17353A3601995-09-13013 September 1995 LER 95-005-00:on 950818,containment Pressure Testing Procedure Resulted in Inhibiting Both Trains of Containment Pressure from Initiated Esf.Revised Procedure to Require Testing of Each Train separately.W/950913 Ltr ML17353A2951995-07-17017 July 1995 LER 94-005-02:on 941103,both Units Outside Design Basis Due to Design Defect in Safeguards Bus Sequencer Test Logic. Resumed Monthly Manual Testing of Sequencer ML17352B1581995-05-0505 May 1995 LER 95-004-00:on 950407,unit Being Shutdown to Investigate Recurring non-urgent Failure Alarms from Redundant Rod Control Power Supplies.Reactor Manually Tripped.All Four PS-3 Power Supplies replaced.W/950505 Ltr ML17352B1181995-04-0707 April 1995 LER 95-003-00:on 950309,intake Cooling Water Flow Rate Through CCW Heat Exchangers Fell Below Assumed Design Basis. Caused by an Influx of Aquatic Grass & Algae Onto Basket Strainers.Strainers cleaned.W/950407 Ltr ML17352B0701995-03-13013 March 1995 LER 95-002-00:on 950215,inadequate Definition of Loops Filled Resulted in Units in Condition Prohibited by Ts. Issued TS Position Statement to Define Term Loops Filled as Used in TS 6.4.1.1.4.W/950313 Ltr ML17352B0321995-02-0909 February 1995 LER 94-005-01:on 941103,design Defect Found in Safeguards Bus Sequencer Test Logic,Placing Facility Outside Design Basis.Design Mods to Eliminate Software Logic Problems Will Be Implemented During Next Refueling outages.W/950209 Ltr ML17352B0101995-01-20020 January 1995 LER 94-006-00:on 941226,C Main Feedwater Control Valve Failed Closed,Causing Reactor & Turbine Trips.Caused by Loose Screw Terminal Connection.I/P Transducers Replaced W/ New Model W/Different Design Wire connection.W/950120 Ltr ML17352A9511994-12-13013 December 1994 LER 94-006-00:on 941130,Unit 4 Tripped Automatically.Caused by Failure of Flexible Link Connection Between Main Generator B Phase Bus & Associated Isolated Phase Bus Bar. All Bolts on Flexible Link checked.W/941213 Ltr ML17352A8871994-11-10010 November 1994 LER 94-005-00:on 941103,design Defect in Safeguards Bus Sequencer Test Logic Places Both Units Outside Design Basis. Caused by 3A Sequencer Failed to Respond as Expected to Opposite Unit SI signal.W/941110 Ltr ML17352A8851994-11-10010 November 1994 LER 94-004-00:on 941103,Unit 3 Outside Design Basis Due to Two of Three Required Safety Injection Pumps Inoperable. Control Switches for 3A & 3B Safety Injection Pumps Immediately Returned to automatic.W/941110 Ltr ML17352A8421994-10-21021 October 1994 LER 94-004-00:on 940923,Unit 4 Tripped Automatically from Rated Power.Caused by Faulty Regulator Transistor.Faulty Backup Power Supply Replaced & Maint History for Power Supplies reviewed.W/941021 Ltr ML17352A8431994-10-20020 October 1994 LER 94-005-00:on 940924,Unit 4 Manually Tripped.Caused by Manual Actuation.Light Bulb & Socket replaced.W/941020 Ltr ML17352B1671994-08-16016 August 1994 LER 94-003-00:on 940720 & 21,util Discovered That Several Required Valve Stroke Time Surveillances Had Not Been Performed.Caused by Personnel Error.Personnel Reassigned & Procedures and Surveillance Tracking Software Enhanced 1999-07-20
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217L9371999-10-20020 October 1999 Safety Evaluation Supporting Licensee Proposed Alternative from Certain Requirements of ASME Code,Section XI for First 10-Yr Interval Request for Relief for Containment Inservice Insp Program ML17355A4471999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Turkey Point,Units 3 & 4.With 991008 Ltr ML17355A4121999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Turkey Point,Units 3 & 4.With 990909 Ltr ML17355A3981999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Turkey Point,Units 3 & 4.With 990809 Ltr ML17355A3891999-07-20020 July 1999 LER 99-001-00:on 990623,manual Rt from 100% Power Following Multiple Control Rod Drops Was Noted.Caused by Manual Action Taken by Reactor Control Operator.Inspected & Repaired Stationary Gripper Regulating Cards.With 990720 Ltr ML17355A3841999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Turkey Point,Units 3 & 4.With 990713 Ltr ML17355A3681999-06-30030 June 1999 Revised Update to Topical QA Rept, Dtd June 1999 ML17355A3611999-06-30030 June 1999 Refueling Outage ISI Rept. ML17355A3511999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Turkey Point,Units 3 & 4.With 990609 Ltr ML17355A3331999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Turkey Point,Units 3 & 4.With 990511 Ltr ML20217B9871999-04-0808 April 1999 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period Covering 971014-990408 ML17355A2881999-04-0505 April 1999 COLR for Turkey Point Unit 4 Cycle 18. ML17355A2911999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Turkey Point,Units 3 & 4.With 990414 Ltr ML17355A2551999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Turkey Point Nuclear Power Plant,Units 3 & 4.With 990315 Ltr ML17355A2261999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for Turkey Point,Units 3 & 4.With 990211 Ltr ML17355A2201999-01-20020 January 1999 Refueling Outage ISI Rept. ML17355A1911998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Turkey Point,Units 3 & 4.With 990112 Ltr ML18008A0461998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Turkey Point,Units 3 & 4.With 981209 Ltr ML17354B1921998-11-18018 November 1998 LER 98-007-00:on 981020,containment Purge Supply,Valve Opened Wider than TS Limit.Caused by Improper Setting of Mechanical Stops.Incorporated Improved Standard Method of Measuring Angular Valve Position Into Sp.With 981118 Ltr ML17354B1891998-11-0909 November 1998 Simulatory Certification Update 2. ML17354B1901998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Turkey Point,Units 3 & 4.With 981112 Ltr ML17354B1591998-10-23023 October 1998 COLR for Turkey Point Unit 3 Cycle 17. ML17354B1361998-10-16016 October 1998 LER 98-004-00:on 980921,automatic Reactor Trip Occurred. Caused by Inadequate re-correlation of Intermediate Range Neutron Flux Instrumentation Reactor Trip Bistable. Enhanced Applicable Plant Procedures.With 981016 Ltr ML17354B1311998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Turkey Point Unit 3 & 4.With 981012 Ltr ML17354B0971998-09-0909 September 1998 Part 21 Rept Re Possible Machining Defect in Certain One Inch Stainless Steel Swagelok Front Ferrules,Part Number SS-1613-1.Caused by Tubing Slipping Out of Fitting at Three Times Working Pressure of Tubing.Notified Affected Utils ML17354B0981998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Turkey Points,Units 3 & 4.With 980915 Ltr ML17354B0771998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Turkey Point,Units 3 & 4.W/980810 Ltr ML17354B0341998-07-15015 July 1998 LER 98-003-00:on 980619,discovered That Auxiliary Feedwater Sys Was Inoperable Due to Inadequate Inservice Testing of Valves.Caused by Misunderstanding of Testing Criteria.Util Revised Procedures & Verified Operability of Valves ML17354B0241998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Turkey Point,Units 3 & 4.W/980709 Ltr ML17354B0171998-06-29029 June 1998 Rev 1 to PTN-FPER-97-013, Evaluation of Turbine Lube Oil Fire. ML17354A9841998-06-18018 June 1998 LER 97-007-01:on 970730,automatic Reactor Trip Occurred Due to Closure of B Msiv.Caused by Failed BFD22S Relay.Six Relays on 3A,3B & 3C MSIVs Were Replaced & Implemented Plant Change to Disable Electronic Trip Function on 3 AFW Pumps ML17354A9741998-06-0909 June 1998 LER 98-002-00:on 980513,discovered Potential LOCA-initiated Electrical Fault Which Places ECCS Outside Design Basis. Caused by Inadequate Review of Effect on non-safety Circuit failures.Re-powered PC-*-600A Relays ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML17354A9711998-05-31031 May 1998 Monthly Operating Repts for Turkey Point,Units 3 & 4. W/980611 Ltr ML17354A9231998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Turkey Point,Units 3 & 4.W/980511 Ltr ML17354A8821998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Turkey Point,Units 3 & 4.W/980409 Ltr ML17354A8511998-03-24024 March 1998 LER 97-009-01:on 971114,discovered That CR Console Switch for 3B Sgfp Was Not in Start Position.Caused by Inadequate Procedural Guidance.Revised Procedures 3/4-OP-074,informed Personnel of Event & Performed Walkdown of CR ML17354B0001998-03-18018 March 1998 Florida Power & Light Topical Quality Asurance Rept, Dtd June 1998 ML17354A8441998-03-18018 March 1998 LER 98-001-00:on 980216,manual Reactor Trip Occurred Due to Loss of Turbine Control Oil Pressure W/Steam Leak in Auxiliary Feedwater Steam Supply Piping.Auxiliary Governor Maint Instructions Will Be revised.W/980318 Ltr ML17354A8311998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for Turkey Point,Units 3 & 4.W/980311 Ltr ML17354A7871998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for Turkey Point,Units 3 & 4.W/980209 Ltr ML17354A7581997-12-31031 December 1997 Monthly Operating Repts for Dec 1997 for Turkey Point,Unit 3 & 4.W/980112 Ltr ML17354A7361997-12-12012 December 1997 LER 97-009-01:on 971114,identified That CR Console Switch for 3B SG Feedwater Pump Was Not in Start Position.Caused by Inadequate Procedural Guidance.Procedures 3/4-OP-074,SGFP Were revised.W/971212 Ltr ML17354A7381997-11-30030 November 1997 Monthly Operating Repts for Nov 1997 for Turkey Point,Units 3 & 4.W/971215 Ltr ML17354A7211997-10-31031 October 1997 Monthly Operating Repts for Oct 1997 for Turkey Point,Units 3 & 4.W/971114 Ltr ML17354A7491997-10-13013 October 1997 SG Insp Rept. ML17354A8851997-10-13013 October 1997 FPL Units 3 & 4 Changes,Tests & Experiments Made as Allowed by 10CFR50.59 for Period Covering 960408-971013. ML17354A6801997-10-0808 October 1997 LER 97-008-00:on 970909,containment Sump Debris Screens Outside Design Basis Due to Stress Damage Was Discovered. Caused by Inadequate Procedural Guidance & Personnel Error. Discrepancies Found on Screens corrected.W/971008 Ltr ML17354A6791997-10-0606 October 1997 COLR Unit 4 Cycle 17, for Turkey Point ML17354A6811997-09-30030 September 1997 Monthly Operating Repts for Sept 1997 for Turkey Point,Units 3 & 4.W/971009 Ltr 1999-09-30
[Table view] |
Text
ACCELERATED DI~cBUTION DEMONSTPQTION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9011190343 DOC.DATE: 90/11/13 NOTARIZED: NO DOCKET FACIL:50-250 Turkey Point Plant, Unit 3, Florida Power and Light C, 05000250g AUTH. NAME AUTHOR AFFILIATION POWELL,D.R. Florida Power & Light Co.
PLUNKETT,T.F. Florida Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION R
SUBJECT:
LER 90-021-00:on 901018,component cooling water sys split header configuration existed longer than permitted by TS.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR TITLE: 50.73/50.9 Licensee Event Report (LER), J Incident Rpt, etc.
ENCL J SIZE:
NOTES RECIPIENT COPIES RECIPXENT COPXES ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 D EDXSON,G 1 1 INTERNAL: ACNW D 2 AEOD/DOA 1 1 AEOD/DS P/TPAB 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB11 1 NRR/DLPQ/LPEB1 0 1 1 NRR/DREP/PRPB11 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB 7E 1 LB8D1 1 1 NRR/DST/SRXB'E 1 REG 02 1 1 RES/DSIR/EIB 1 RGN2 FILE 01 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MAYS,G 1 1 NSIC MURPHY,G.A 1 1 NUDOCS FULL TXT 1 1 D
D D
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM Pl-37 (EXT. 20079) TO ELIMINATEYOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 30 ENCL 30
P.O. Box 14000, Juno Beach, FL 33408-0420 NOV 13 1990 L-90-389 10 CFR 50.73 U. S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, D. C. 20555 Gentlemen:
Re: Turkey Point Units 3 and 4 Docket Nos. 50-250 and 50-251 Reportable Event: 90-021 Date of Event: October 18, 1990 Component Cooling Water System Split Header Configuration Existed Lon er Than Allowed B Technical S ecifications Tho attached Licensee Event Report is being provided pursuant to the requirements of 10CFR50.73 to provide information on the subject event.
Very truly yours, T. F. Plunkett Vice President Turkey Point Nuclear Plant TFP/DRP/dwh Attachment cc: Stewart D. Ebneter, Regional Administrator, Region II, USNRC Senior Resident Inspector, USNRC, Turkey Point Plant P011190 <0-f' 901l l PDR ADOC 0002. 0 ggP PDC an FPL Group company
NRC Form 388 V.S. NUCLEAR REGULATORY COMMISSION (84)3)
APPROVE D 0MB NO. 3(50-0104 LICENSEE EVENT REPORT (LER) fX PIRE 5( 8/31/SS FACII.ITY NAME (11 DOCKET NUMBER (21 PA E Turkey Point Unit 3 0 s 000 250 ioFO COMPONENT COOLING WATER SYSTEM SPLIT HEADER CONFIGURATION EXISTED LONGER THAN ALLOWED BY TECHNICAL SPECIFICATIONS EVENT DATE (5) LER NUMBER IS) REPORT DATE (7I OTHER FACILITIFS INVOLVED (81 MONTH DAY YEAR YEAR SEQUENvrAI AEVG~ MONT DAY YEAR FAc/Lt'Tv NAMEs DOCKET NUMBER(SI NVMBESS NUM88/t TURKEY POINT UNIT 4 0 s 0 0 0 2 5 1 1 0 1 8 909 0 2 1 0011 1 3 9 0 0 5 0 0 0 OPERATING
'THIS R'EPORT IS SUBMITTFO PURSUANT TO THE REOUIREMENTS OF 10 CFR (); /Check one or moie o/ tne /oi/owinp/ (ll)
MODE (1) 20.402(O) 20.405(cl 50,73(e) (2)(w) 73.71(OI POWER 20AOS(cl(1)(il 80.38(cl(1) 50.73M)(SIN) 73.71(c)
LFYEL 1 0 20,405 (e l(1) Oil S0.38 (cl (2) 50.73( ~ l(2)(vri) OTHER /Speci/y in Aosrrett Oe/Ow enr/in Tert. N/IC FOrm 20.405(e) (1)(riil 50,73(el(2)(i) 50.73( ~ I(2)(vriil(AI 366AI 20AOS(e l(1)(iv) 50.7 3( ~ I (2)(ii) 50,73( ~ ) (2)(vrii)(BI 20.408(e) (1)HI 50.7 3 4 l(2) Bii) 50.73( ~ ) (2)(el LICENSEE CONTACT FOR THIS LER I12)
NAME TE(.EPHONE NUMBER AREA COOF.
DAVID R. POWELL, LICENSING SUPERINTENDENT COMPLETE ONE LINE FOR EACH COMPONEN1'AILURE DESCRIBED IN THIS REPORT (13I 30 524 6-6 59 k
CAUSE SYSTEM COMPONE'NT MANUFAC REPORTABLE CAUSE SYSTEM COMPONENT MANU F AC. EPORTABLE 's~
TURfR TP NPROS TURER TO NPROS r'UPPLEMENTAL REPORT EXPECTED (14) MONTrr DAY YfAR EXPECTED SUBMISSION DAZE IISI YES Ii/ yn. Comp/etc EXPECTED SVSM/$$ /ON DATE/ NO ABSTRACT ILrmrt to I400 sprees i.e., epprornmere/y 5/teen tinpie specs typewntren /r es/ (18)
On October 11, 1990, Turkey Point management raised a question to FPL Engineering as to whether a Technical Specification (TS)
Limiting Condition for Operation (LCO) action statement should be entered prior to splitting the Component Cooling Water (CCW) headers in Modes 1-4. At 1610, on October 18, 1990, with Units 3 and 4 in Mode 1 at 100 percent power, the preliminary FPL Engineering evaluation was reviewed by plant personnel. The evaluation showed that the normal CCW split header configuration could result in the loss of all three Emergency Containment Coolers (ECCs) during a design basis accident, assuming a single failure. At 1701, on October 18, 1990, FPL notified the NRC Operations Center of a significant event in accordance with 10CFR50.72 (b) (2) (iii) (D) . Although TS do not address an inoperable CCW header, an appropriate LCO action statement should have been entered prior to splitting the CCW headers. Subsequently, FPL determined that the length of time the CCW headers were split for the movement of heavy loads exceeded the appropriate action statement time limit that should have been imposed. This condition is prohibited by TS and outside the plant's design basis. FPL personnel failed to recognize that splitting the CCW headers in Modes 1-4 would result in the plant being outside its design basis. On-The-Spot-Changes have been issued against appropriate CCW System operating and inservice test procedures.
NRC Form 388
/9 83 ~
NRC Form 3SSA U rL NUCLEAR REOULATORY COMMISSION (943)
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO. 3(50M104 EXPIRES: 8/31/88 FACILITY NAME (1) DOCKET NUMBER (2)
LER NUMBER (81 PACE (3)
SEClVENTIAL REVISION YEAR pe NUMBER 'i~d/8 NVMSEII TURKEY POINT UNIT 3 o s o o o 2 5 0 0 021 00 02 OF 0 7 TEXT ///moro Epooo /T ror/rr/rod. Ir/o odd/dooo/HRC Forrrr 38//43/ (IT)
DESCRIPTION OF THE EVENT On October 11, 1990, a proposed On-The-Spot-Change (OTSC) to Operations Surveillance Procedure 3-0SP-030.1, "Component Cooling Water Pump Inservice Test,",was under review. The OTSC required that the 3B Emergency Containment Cooler (ECC)
(EIIS:BK, Component:CLR) be taken out of service in accordance with Technical Specification (TS) Limiting Condition for
,Operation (LCO) Action Statement 3.4.2.b.1. A question was raised as to whether a TS LCO action statement should be entered each time the Component Cooling Water (CCW) System headers (EIIS:CC) were split for CCW pump inservice testing in Modes 1-4. If no LCO action statement is entered, then the single failure of an active component must be assumed as part of the accident scenario for meeting the plant design basis.
If an LCO action statement is entered, then the system is required to meet design basis requirements, but the system is acknowledged to be (in most cases) 'ncapab"e of accommodating single active failures. FPL Engineering was asked to evaluate splitting the CCW headers in Modes 1-4 without entering an LCO action statement during inservice testing.
Subsequently, management personnel were notified that the Unit 3 CCW System headers were split between the 3A and 3B CCW pumps in accordance with Section 7.1 of Operating Procedure 3-0P-030, "Component Cooling Water System." The CCW headers had been split since 0200, on October 9, 1990, for a Spent Fuel Pool bridge crane had been entered. The heavy load lift. No LCO action statement for the CCW System lift operation was suspended.
Control Room personnel were instructed to cross-tie the CCW
'System headers and not to split the CCW headers for Unit 3 or Unit 4 until further notice. At 2130, on October 11, 1990, the normal CCW System configuration for plant operations (i.e.,
cross-tied) was re-established.
At 1610, on October 18, 1990, a preliminary FPL Engineering operability assessment was reviewed by management personnel.
The operability assessment included a Failure Modes and Effects Analysis (FMEA) for the normal CCW split header configuration allowed by procedures 3/4-OP-030 and 3/4-0SP-030.1. The configuration was evaluated for a Large Break Loss of Coolant Accident (LBLOCA) concurrent with a loss of offsite power and the single failure of either Emergency Diesel Generator (EDG) .
In the current emergency power system design, the A and C CCW pumps are powered from the same 4160 Volt AC bus. The C CCW pump is prevented from starting during EDG sequencing on a loss
NRC Foim 3ddA U.S. NUCLEAR REOULATORY COMMISSION (043 l
~
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMB NO. 3150W104 EXPIRfB: 8/31/BB FACILITYNAME (11 DOCKET NUMBER (2) LER NUMBER fd) PACE (3)
SSOUSNTIAL REVISION NUMBER NUMB~ R TUPKE'i POINT UNIT 3 o s o o o 50 90 0 2 I 0 0 0 3 QF 0 7 TEXT /i/ moIo o/Moo /t nguked, II>> odd/oooo/NRC %%dfRI JQR4'o/(17) of offsite power unless the A CCW pump breaker is open and racked out. No credit was taken for the C CCW pump in the FMEA.
For the worst case single failure (i.e., loss of the B EDG) power is lost to one ECC fan, the B CCW pump, one Containment Spray (CS) pump and one train of Emergency Core Cooling Systems (ECCS) . Loss of power to the CCW pump results in a loss of
. flow to the two remaining ECCs. Because of a loss of all three ECCs, this scenario would place the plant outside of its design
~
basis during such a postulated design basis event, appropriate TS LCO action statement was not entered.
if the At 1701, on October 18, 1990, FPL notified the NRC Operations Center of a significant event in accordance with 10CFRS0.72(b) (2) (iii) (D) as any event or condition that alone could have prevented fulfillment of the safety function of a "ystem that is needed to mitigate the consequences of an accident. Upon further review, FPL determined that the NRC notification should have been made in accordance with 10CFR50. 72 (b) (1) (ii) (B) as a condition that was outside the design basis of the plant. The NRC notification occurred within one hour, as required by 10CFR50.72(b) (1) (ii) (B) .
FPL conducted a further review of the CCW split header configurations which included a 'review of the Intake Cooling Water (ICW) split header configurations allowed by Operating Surveillance procedures 3/4-0SP-019.1, "Intake Cooling Water Pump Inservice Test." The ICW and CCW inservice tests, performed in accordance with procedures 3/4-0SP-019.1 and 3/4-OSP-030.1, were conducted without entering an LCO action statement. The length of time the ICW and CCW split header configurations existed for pump inservice testing was less than the appropriate LCO action statement time limits that should have been imposed. Additionally, procedures 3/4-0SP-019.1 and 3/4-0SP-030.1 require that the split header configurations be maintained under operator control in order to restore the system configuration to its normal alignment in the case of an emergency. FPL considers this condition to be a failure to administratively enter TS LCO action statements. Splitting the ICW and CCW headers is allowed by TS and is in accordance with the FPL License, when performed within applicable LCO action statement time limits.
During the above review, some split header configurations not normally used for inservice testing, but allowed by procedures 3/4-0SP-019.1 and 3/4-0SP-030.1, would have required entry into
P NRC Form 3EBA US. NUCLEAR REOULATORY COMMISSION (943)
LICENSEE EVENT REPORT (LERI TEXT CONTINUATION APPROVED OMS NO. 3150M)04 EX PIR )SI 8/31/88 FACILITYNAME (1) DOCKET NUMBER (2) LER NUMSER (8) PACE (3)
SEQUENTIAL REVISION NUMBER ~UMBER TURKEY POINT UNIT 3 o s o o o 2 5 0 0 0 2 1 0 4 oF0 7 TEXT /// more epeoe /e e/vtrerL vee atd B'one NRC Fomr 3//SA8/ (I7)
TS 3.0.1. These split header configurations did not exist at the time of this event, but the potential for entering one of these abnormal system configurations did exist.
The CCW System split header configuration for fuel cask handling allowed by procedures 3/4-OP-'030 was conducted without entering an LCO action statement. Procedures 3/4-OP-030 do not require this CCW split header configuration- to be maintained
.under operator control. The CCW split header configurations lasted for relatively long periods of time: (e.g., days or weeks) . Since the CCW System TS do not address inoperable headers, an appropriate TS LCO action statement should have been entered for the CCW header split. Because the CCW headers were split for movement of heavy loads much longer than that allowed by the appropriate TS LCO action statement time limit, this condition is considered to be outside the plant's design basis.
'AUSE OF THE EVENT
-Failure to enter an LCO action statement prior to splitting the ICW and CCW headers in accordance with procedures 3/4-0SP-019.1 and 3/4-OSP-030.1 was caused by inadequate administrative controls. No policy had been established to provide guidance for entering TS LCO action statements during inservice testing at the Turkey Point Nuclear Plants.
Failure to enter an LCO action statement prior to splitting the CCW headers in accordance with procedures 3/4-OP-030 was caused by non-cognitive errors by licensed and non-licensed utility personnel. TS for the CCW System do not address an inoperable header. Splitting the CCW headers was not recognized as a condition that would place the plant in a condition outside its design basis.
Operating Procedure OP 3100.1, "Component Cooling System-Normal Operation," was revised on June 23, 1976 to allow splitting the CCW headers during movement of heavy loads over the cask wash area. This administrative control was implemented in response to an NRC concern that was raised during a license amendment review allowing transfer of spent fuel casks between units.
When procedure OP 3100.1 was superceded by procedures 3/4-OP-030 in 1988, the practice of splitting the CCW headers was retained. Furthermore, the CCW split header configuration, as defined within procedures 3/4-0P-030, has been used for other heavy load lifts in the cask wash area (e.g., Spent Fuel Bridge
NRC Form 3SSA U.S. NUCLEAR REOULATORY COMMISSION (943)
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMS NO. 3150M(04 EXPIR(S: 8l31(8S FACILITY NAME O) DOCKET NUMSER (31 LER NUMBER (8) PACE (3)
~i~j SEOUENTIAI REVISION e'UMSER NUMSEII TURKEY POINT UNIT 3 o s o o o 2 5 0 0 021 0 0 05oF 07 TEXT IIIrrrors Sosso ls rsr)ulrsd, u>> sddrdoosl ltll(C %%drrrr 3SSA'sl ((7)
Crane) as a means of satisfying FPL commitments relative to NUREG 0612, "Control of Heavy Loads at Nuclear Power Plants."
ANALYSIS OF THE EVENT Following a Large Break LOCA, the resulting containment temperature/pressure peaks are initially mitigated by the
.passive structural heat sinks. The subsequent cooling provided by Containment Spray System flows and the heat removal of the ECCs ensure that the containment temperatures/pressures are steadily reduced, thereby ensuring that sufficient margin exists to protect electrical equipment from the effects of continuously elevated containment temperatures. Based on previous sensitivity studies performed to quantify the containment pressure/temperature response, the maximum containment design pressure is not predicted to be exceeded, even with n" ECC" cpcrat'ng. Long term exposure of equlpmrent inside containment to temperatures and pressures in excess of those for which they were qualified would be expected to shorten the service life of equipment.
In order to assist in evaluating the safety significance of losing all ECCs, a risk based methodology developed during the design basis reconstitution program was applied. A review of required safety functions was conducted for the long term post-LOCA period. The most dominant scenarios were established and quantified. The quantified scenarios lead to a core melt based on the ultimate failure of the emergency core cooling systems (ECCS) postulated as the result of exceeding the qualification of components required for extendedenvironmental ECCS operation. The evaluation demonstrates that the probability of a core melt (5. 0 X 10 -16 per year) is very low. The core melt probability is low enough to demonstrate that the failure scenario is insensitive to the amount of time in which the system was in a split header configuration. Therefore, FPL concludes that the probability of such an event is extremely low and not a significant contributor to the overall risk of core melt.
The loss of all ECCs is dependent on a loss of offsite power, the failure of a specific EDG (i.e., the B EDG), and the CCW System being in a split header configuration. Recovery of a source of power for the de-energized bus(es) would allow full containment cooling capacity to be regained by operators. An examination was performed of the availability of AC power sources as a function of time after design basis events,
NRC Form 355A UN. NUCLEAR REOULATORY COMMISSION (943)
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION APPROVED OMS NO, 3150W104 EXPIRES: 8/31/SS FACILITY NAME (1) OOCKET NUMBER (3)
LER NUMBER (5) PAGE (3)
YEAR SEOUENTIAL RevrsloN PS n'o'UMBER NuMSER TURKEY POINT UNIT 3 o s o o o 2 5 0 9 0 2 I 00 06 OF 0 7 TEXT illmort t/root /t tt/O/rtd. o>> tddr)rorrt/NRC Form 3()5/(3) OT) subsequent to a loss of offsite power. Following a loss of offsite power coincident with a loss of an EDG, three power sources to re-energize buses are available to plant operators:
(1) repair or restore the faulted EDG; restore or regain offsite power; and (3) power de-energized (2)buses using at least two of five blackstart diesel generators., The restoration of power using any or all of the above sources is specifically addressed by plant Emergency Operating Procedures and/or Off-
. Normal Operating Procedures.
CORRECTIVE ACTIONS On-The-Spot-Changes have been issued against procedures 3/4-OP-030. These changes add a caution statement that the applicable LCO action statement for an ECC is required to be entered prior to splitting the CCW headers.
- 2. On-The-Spot-Changes have been issued against procedures 3/4-0SP-030.1. These changes added notes requiring the Plant Supervisor-Nuclear to be notified that the applicable LCO action statement for an ECC is required to be entered prior to splitting the CCW headers.
splitting the CCW headers between the B and Additionally, C CCW pumps, where the C CCW pump is alone aligned to two ECCs, is no longer permitted.
- 3. On-The-Spot-Changes have been issued against procedures 3/4-0SP-019.1. These changes added notes requiring the Plant Supervisor-Nuclear to be notified that the appropriate LCO action statement for an ICW header is required to be entered prior to splitting the ICW headers.
Additionally, splitting the ICW headers between the B and C ICW pumps, where the C ICW pump is alone aligned to two CCW heat exchangers, is no longer permitted.
- 4. A Final Safety Analysis Report (FSAR) change package has been initiated. The change package includes clarifications to those FSAR sections addressing ICW and CCW, based on this event. Appropriate clarification statements will be included in the next 10CFR50.71(e) annual FSAR update.
- 5. Changes have been initiated to the CCW Design Basis Document (DBD) and the ICW DBD. Thes'e changes provide clarification that the ICW System and CCW System must be maintained as open systems during unit operation to accommodate single failure criterion.
NRC Form 3SSA U.S, NUCLEAR REOULATORY COMMISSION (943)
LICENSEE EVENT REPORT ILER) TEXT CONTINUATION APPROVED OMB NO. 3150M)04 EXPIRljSI 8/31/88 FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (61 PACE (3)
YEAR SEQUENTIAL REVISION
@g NUMBER '?&". NUMBER TURKEY POINT UNIT 3 o2 50 90 2 10 0 0 7 OF 0 7 TEXT ///more e/>>oe /e reh)rh/red, Iree edChdor>>/HRC Forrrr 3SSII'e/ (17)
- 6. Training Brief No. 276, "CCW and ICW Split Header Operations," has been issued. The training brief includes a copy of the final FPL Engineering operability assessment performed for the ICW and CCW split header configuration event.
- 7. A policy statement is being developed to address LCO action statement entries for surveillance testing, equipment maintenance, or other activities resulting in abnormal system configurations. This policy statement will be approved by November 30, 1990.
ADDXTZONAL INFORMATION No similar events have been identified.