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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:RO)
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18022B0551998-05-20020 May 1998 LER 98-005-00:on 980420,TS Verbatim non-compliance Was Determined.Caused by Misinterpretation of TS Requirements. Issued Memo to Reemphasize Need to Comply W/Literal Meaning of TS Requirements in Verbatim manner.W/980520 Ltr ML18016A4061998-04-30030 April 1998 LER 98-002-01:on 980121,determined Ssps (P-11 Permissive) Testing Deficiency.Caused by Inadequate Review of Initial Ts.Will Revise & Perform Surveillance Test Procedures to Verify Operability of P-11 Permissive ML18016A3841998-04-13013 April 1998 LER 98-004-00:on 980313,design Deficiency Related to Indequate Runout Protection for Turbine Driven AFW Pump Was Identified.Caused by Inadequate Original AFW Sys Design. Evaluation (ESR 98-00100) Will Be completed.W/980409 Ltr ML18016A3441998-03-12012 March 1998 LER 97-021-02:on 980210,identified Failure to Properly Test non-safety Related Pressurizer Porv.Caused by Inadequate Surveillance Test Procedures.Revised Operations Surveillance Test OST-1117 to Include Testing of Subject PORV ML18016A3291998-02-27027 February 1998 LER 98-003-00:on 980129,failure to Perform Shutdown Margin Calculation Required by TS Surveillance Requirements Occurred.Caused by Ambiguity in TS 3.1.3.1.c.Procedures revised.W/980227 Ltr ML18016A3211998-02-20020 February 1998 LER 98-002-00:on 980121,solid State Protection Sys Testing Deficiency Occurred.Caused by Inadequate Review of Initial Tech Specs.Ts Testing Frequency for P-11 Permissive Revised. W/980217 Ltr ML18016A3131998-02-0909 February 1998 LER 98-001-00:on 980109,potential Condition Outside Design Basis Related to Instrument Air Sys Leak Causing SG pre- Heater Bypass Isolation Valves to Be Inoperable Was Noted. Caused by Inadequate Design Control.Generated Jco 98-01 ML18016A2641997-12-18018 December 1997 LER 97-024-00:on 971118,SSPS Testing Deficiency Was Noted. Caused by Inadequate Testing Scheme Provided by Ssps Vendor. Revised procedure.W/971218 Ltr ML18016A2501997-11-24024 November 1997 LER 97-023-00:on 920721,RCS PIV Testing Deficiency Was Noted.Caused by Failure to Consider All Testing Variables During Initial Sp Development.Surveillance Tp OST-1506 Was Revised to Incorporate Correction factor.W/971124 Ltr ML18016A2201997-10-22022 October 1997 LER 97-021-01:on 970922,discovered That Spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements.Revised Daily Surveillance Procedures ML18016A2081997-10-14014 October 1997 LER 97-016-01:on 970608,reactor Trip Occurred,Due to Personnel Error While Attempting to Adjust Power Range Nuclear Instrumentation Channel Following Performance of Calorimetric.Procedures revised.W/971014 Ltr ML18016A2111997-10-14014 October 1997 LER 96-008-02:on 960425,turbine Trip/Reactor Trip Occurred. Caused by High Resistance Connection Resulting from a Phase Switch Jaw & Blade Contacts.Failed a Phase Disconnect Switch on Breaker 52-7 Replaced ML18016A1931997-09-29029 September 1997 LER 97-022-00:on 970829,TS Required Shutdown Due to Expiration of AFW Lco.Caused by Personnel Error.Completed Repairs TDAFW Pump & Returned Plant to Svc on 970831. W/970926 Ltr ML18016A1891997-09-12012 September 1997 LER 97-020-00:on 970814,inadequate Fire Protection Provided for safety-related EDG Fuel Oil Transfer Pump Cables Resulted in Operation Outside Design Basis.Caused by Engineering Oversight.Established Fire watches.W/970912 Ltr ML18016A1881997-09-12012 September 1997 LER 97-021-00:on 970814,spent Fuel Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Misinterpretation of Ts.Directions Provided to Operations.W/970912 Ltr ML18012A8641997-08-18018 August 1997 LER 97-019-00:on 970720,turbine Trip/Reactor Trip Occurred. Caused by Three Phase Fault That Collapsed Excitation Field in Main Generator,Resulting in Generator Lockout.Exciter Rotor Assembly Was replaced.W/970818 Ltr ML18012A8581997-08-0808 August 1997 LER 96-018-01:on 960903,manual Reactor Trip Occurred Due to Loss of Normal Sw.Caused by Mechanical Failure of B Water Pump & a Normal SW to Remain Running Once Manually Started.Restored a Normal SW Pump to Svc ML18012A8551997-08-0808 August 1997 LER 96-013-02:on 961028,condition Outside of Design Basis Where RWST Had Been Aligned w/non-seismically Qualified Sys Was Identified.Caused by Failure to Reconcile Operating Procedure Lineups.Established Administrative Controls ML18012A8471997-07-31031 July 1997 LER 97-018-00:on 970701,determined That Plant Procedures Had Not Received Proper Reviews & Approvals.Caused by Failure to Comply W/Plant Administrative Procedure AP-006.Counseled Involved individuals.W/970731 Ltr ML18012A8371997-07-24024 July 1997 LER 97-S01-00:on 970405,unescorted Access Inappropriately Granted to Contract Outage Workers Was Determined.Caused by Personnel Error.Access Files for Individuals Inappropriately Granted Unescorted Access Were Placed on Access Hold ML18012A8291997-07-11011 July 1997 LER 97-017-00:on 970612,failed to Recognize Inoperable Reactor Afd Monitor.Caused by Personnel Error.Operators Involved in Event Will Be Counseled Prior to Assuming Shift duties.W/970711 Ltr ML18012A8301997-07-0808 July 1997 LER 97-016-00:on 970608,reactor Trip Occurred Due to Personnel Error in Adjusting Power Range (Pr) Nuclear Instrumentation (Ni).Issued Night Order Prohibiting Pr Ni Adjustment When Redundant Channel inoperable.W/970708 Ltr ML18012A8241997-07-0202 July 1997 LER 97-015-00:on 970602,inadequate Auxiliary Feedwater Sys Flow Control Valve Surveillance Testing Deficiency Was Identified.Caused by Failure to Recognize Impact on TS 4.7.1.2.1.Readjusted AFW FCV Actuator spring.W/970702 Ltr ML18022B0181997-06-13013 June 1997 LER 97-014-00:on 970514,SI Occurred During Ssps Surveillance Testing.Caused by Inattention to Detail During Recent Rev to Surveillance Test Procedure Being Used.Revised Deficient Surveillance procedures.W/970613 Ltr ML18012A8081997-06-0909 June 1997 LER 97-013-00:on 970508,entry Into Mode-6 Without Operable Components,Resulting in TS 3.0.4 Violation Occurred.Caused by Personnel Error.Personnel Involved counseled.W/970609 Ltr ML18012A8021997-06-0606 June 1997 LER 97-023-02:on 961114,design Deficiency Was Identified in Emergency DG Protection Circuitry.Caused by Inadequate Plant Design.Revised Surveillance Test Procedures OST-1013 & OST-1073.W/970606 Ltr ML18012A8011997-06-0404 June 1997 LER 97-012-00:on 970505,determined That Previous Auxiliary Control Panel Had Not Verified Operability of Interposing Relays.Caused by Misinterpretation of Tss.Reviewed Other Remote Shutdown Panel Transfer circuitry.W/970604 Ltr ML18012A7951997-05-29029 May 1997 LER 96-023-01:on 961114,design Deficiency in EDG Protection Circuitry Was Identified.Caused by Inadequate Original Plant Design.Surveillance Test Procedures OST-1013 & OST-1073 revised.W/970529 Ltr ML18012A7891997-05-22022 May 1997 LER 97-011-00:on 970422,inappropriate TS Interpretation Resulted in Violations of ECCS Accumulator TS & Entry Into TS 3.0.3.Caused by Procedural Inadequacy.Tsi 88-001 Cancelled 970508 & Procedures revised.W/970522 Ltr ML18012A7871997-05-19019 May 1997 LER 97-010-00:on 970418,design Deficiency Determined Re Reactor Coolant Pump Motor Oil Collection Sys.Caused by RCP Ocs Design Detail.Rcp Ocs Enclosures for Each of Three Installed RCP Motors Have Been modified.W/970519 Ltr ML18012A7761997-05-0707 May 1997 LER 97-009-00:on 970407,fuse Was Removed from CR Ventilation Isolation Signal Power Supply Circuitry Due to Personnel Error.Individuals Involved Were counseled.W/970507 Ltr ML18012A7751997-05-0505 May 1997 LER 97-008-00:on 970404,safety-related AHU Not Declared Inoperable During Maintenance on Associated Temperature Switches Resulting in Violation of Ts.Caused by Incorrect Interpretation.Operations Night Order issued.W/970505 Ltr ML18012A6291997-04-24024 April 1997 LER 97-007-00:on 970325,inoperable CCW Sys TS 3.0.3 Entry Made.Caused by Combination of Procedural Inadequacies, Improper Use of Procedure Guidance & Poor Communication. Applicable Individuals counseled.W/970423 Ltr ML18022B0151997-04-17017 April 1997 LER 97-006-00:on 970318,breach Was Identified in Thermo-Lag Fire Barrier Wall Due to Inadequate Initial Design,Poor Construction Methods & Incomplete as-built Design.Visual Insp of Thermo-Lag Barrier Walls performed.W/970417 Ltr ML18012A6041997-04-0303 April 1997 LER 97-004-00:on 970304,in-plant Spent Fuel Cask Handling Activities Conducted Outside Design Basis.Caused by Lack of Understanding of Requirements.Operations Placed on Hold Pending NRC Review & Approval of procedures.W/970331 Ltr ML18012A6031997-03-31031 March 1997 LER 97-003-00:on 970227,steam Generator Low Level Protection Circuitry Outside Design Basis Occurred.Caused by Inadequate Failure Modes & Effects Analysis Performed as-built Piping Configuration for S/G Level.Review performed.W/970331 Ltr 1999-09-10
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18017A9181999-10-0808 October 1999 LER 99-008-00:on 991008,CR Emergency Filtration Sys Tech Specs Occurred.Caused by Site Personnel Failed to Recognize That Blocking Open CR Emergency Filtration Sys.Procedures Revised.With 991008 Ltr ML18017A9151999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Shearon Harris Npp. with 991012 Ltr ML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data ML18017A8671999-09-10010 September 1999 LER 99-007-00:on 990811,determined That Cvis ARMs High Alarm Setpoints Were Not within TS Limit.Caused by Not Having Procedure to Verify If Cvis ARM High Alarm Setpoints Were within TS Requirements.Revised Procedures.With 990910 Ltr ML18017A8621999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Harris Nuclear Plant.With 990908 Ltr ML18016B0481999-08-0404 August 1999 LER 99-006-01:on 981124,noted Failure to Comply with TS 4.0.4 & TS 3/4.6.3, Civs. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Was Revised ML18017A8361999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Shearon Harris Nuclear Power Plant.With 990811 Ltr ML18016B0151999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Shearon Harris Npp. with 990713 Ltr ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML18016A9801999-06-0404 June 1999 LER 99-006-00:on 981124,failed to Comply with TS 4.0.4 & TS 3/4.6.3, Civ. Caused by post-maint Testing That Did Not Adequately Test Control Circuitry & Verify Isolation Time Following Maint.Procedure Will Be Revised.With 990604 Ltr ML18016A9851999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990614 Ltr ML18017A8981999-05-12012 May 1999 Technical Rept Entitled, Harris Nuclear Plant-Bacteria Detection in Water from C&D Spent Fuel Pool Cooling Lines. ML18016A9581999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Shearon Harris Nuclear Plant,Unit 1.With 990513 Ltr ML18016A9011999-04-12012 April 1999 Part 21 Rept Re Defect in Component of DSRV-16-4,Enterprise DG Sys.Caused by Potential Problem with Connecting Rod Assemblies Built Since 1986,that Have Been Converted to Use Prestressed Fasteners.Affected Rods Should Be Inspected ML18016A9111999-04-12012 April 1999 LER 99-005-00:on 990313,plant Exceeded ESFAS TS 3.3.2,Action 21.Caused by Inadequate Procedure Rev Preparation.Licensee Revised Applicable Maint Surveillance Test Procedure (MST-10072) to Identify TS Required Actions.With 990412 Ltr ML18016A8971999-04-0808 April 1999 LER 99-004-00:on 990312,unit Trip Was Noted.Caused by Degraded Condition of SG Water Level Flow Control Valve. Replaced Positioners on All Three FW Regulating Valves.With 990408 Ltr ML18016A8941999-04-0505 April 1999 Revised Pages 20-25 to App 4A of non-proprietary Version of Rev 3 to HI-971760 ML18016A9101999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Shearon Harris Nuclear Power Plant.With 990413 Ltr ML18016A8661999-03-31031 March 1999 Shnpp Operator Training Simulator,Simulator Certification Quadrennial Rept. ML18017A8931999-02-28028 February 1999 Risks & Alternative Options Associated with Spent Fuel Storage at Shearon Harris Nuclear Power Plant. ML18016A8551999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Shearon Harris Npp. with 990312 Ltr ML18016A8261999-02-22022 February 1999 LER 99-003-00:on 990123,noted That Plant Was Outside Design Basis Due to Isolation of Fire Protection Containment Sprinkler Sys.Caused by Human Error.Restored Containment Sprinkler Sys to Operable Status.With 990222 Ltr ML18016A8531999-02-18018 February 1999 Non-proprietary Rev 3 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris SFP 'C' & 'D'. ML18016A8111999-02-12012 February 1999 LER 99-002-00:on 990114,RT Due to Not Removing Temporary Device from Relay Following Calibration Was Noted.Caused by Human Error.Counseled Personnel Involved in Event.With 990212 Ltr ML18016A7971999-02-0505 February 1999 LER 99-001-00:on 990106,SF Pool Water Level Was Not Maintained Greater than 23 Feet Above Stored BWR Fuel Assemblies.Caused by Fasteners Bending Under Specific Circumstances.Increased Water Level.With 990205 Ltr ML18022B0631999-02-0404 February 1999 Rev 0 to Nuclear NDE Manual. with 28 Oversize Uncodable Drawings of Alternative Plan Scope & 4 Oversize Codable Drawings ML20202J1161999-02-0101 February 1999 SER Accepting Relief Requests Associated with Second 10-year Interval Inservice Testing Program ML18016A8041999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Shearon Harris Nuclear Power Plant.With 990211 Ltr ML18016A7941999-01-29029 January 1999 LER 98-004-01:on 980313,identified Design Deficiency Re Potential Runout of Tdafwp.Caused by Inadequate Original AFW Sys Design.Operability Evaluation Was Completed on 980313 & Addl Engineering Analysis Was Performed by Vendor ML18016A7801998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Shearon Harris Npp. with 990113 Ltr ML18016A7671998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Shnpp,Unit 1.With 981215 Ltr ML18016A9731998-11-28028 November 1998 Changes,Tests & Experiments, for Harris Nuclear Plant.Rept Provides Brief Description of Changes to Facility & Summary & of SE for Each Item That Was Implemented Under 10CFR50.59 Between 970608-981128.With 990527 Ltr ML18016A8351998-11-28028 November 1998 ISI Summary 8th Refueling Outage for Shearon Harris Power Plant,Unit 1. ML18016A7411998-11-25025 November 1998 Rev 1 to Shnpp Cycle 9 Colr. ML18016A7211998-11-17017 November 1998 LER 98-007-00:on 981023,turbine Control Anomaly Caused Manual Rt.Caused by Failure to Incorporate Verbal Vendor Guidance in Operating Procedures.Addl Vendor Guidance Will Be Verified & Added to Procedures.With 981117 Ltr ML18016A7071998-11-0303 November 1998 Rev 0 to Harris Unit 1 Cycle 9 Colr. ML18016A7201998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Shearon Harris Nuclear Power Plant.With 981113 Ltr ML20154F8701998-10-0606 October 1998 Safety Evaluation Authorizing Proposed Alternative to Requirements of OMa-1988,Part 10,Section 4.2.2.3 for 21 Category a Reactor Coolant Sys Pressure Isolation Valves ML18016A6201998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Harris Nuclear Power Plant.With 981012 Ltr ML18016A5971998-09-21021 September 1998 Rev 1 to Harris Unit 1 Cycle 8 Colr. ML18016A5881998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Shnpp,Unit 1.With 980914 Ltr ML18016A5071998-07-31031 July 1998 Monthly Operating Rept for Jul 1998 for Shearon Harris Nuclear Plant.W/980811 Ltr ML18016A9431998-07-0707 July 1998 Rev 1 to QAP Manual. ML18016A4841998-07-0707 July 1998 LER 97-002-01:on 970207,determined That Cold Weather Conditions Resulted in Mfiv Being Potentially Inoperable During Period 970117-20.Caused by Inadequate Design of HVAC Sys.Implemented Mods to Steam Tunnel HVAC Sys ML18016A9371998-06-30030 June 1998 Technical Rept on Matl Identification of Spent Fuel Piping Welds at Hnp. ML18016A4861998-06-30030 June 1998 Monthly Operating Rept for June 1998 for SHNPP.W/980715 Ltr ML18016A4701998-06-30030 June 1998 LER 97-021-03:on 980210,discovered That SFP Water Level Had Not Been Verified Greater than 23 Feet Above BWR Fuel Assemblies.Caused by Misinterpretation of TS Requirements. Will Submit TS Change Request to Revise TS 3.9.1.11 ML18016A4491998-06-0808 June 1998 LER 98-006-00:on 980508,failure to Perform Insp & Preventive Maint on MCCB as Required by TS Was Noted.Caused by Inadequate Sps.Tested 9 Pressurizer Heater Bank Breakers by Cycling each.W/980608 Ltr ML18016A4521998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Shearon Harris Nuclear Power Plant.W/980612 Ltr ML18016A7711998-05-26026 May 1998 Non-proprietary Rev 2 to HI-971760, Licensing Rept for Expanding Storage Capacity in Harris Spent Fuel Pools 'C' & 'D'. 1999-09-30
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ACCELERATED Dg RIBUTION DEMONSTXTION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9102080132 DOC.DATE: 91/02/04 NOTARIZED: NO DOCKET g FACIL:50-400 Shearon Harris Nuclear Power Plant, Unit 1, Carolina 05000400 AUTH. NAME AUTHOR AFFILIATION VERRILLI,M. Carolina Power & Light Co'.
RICHEY,R.B. Carolina Power & Light Co.
RECIP.NAME RECIPIENT AFFILIATION
SUBJECT:
'ER 90-001-00:on 910103,operations personnel identified procedural deficiency that resulted in check valves not D being tested as required.Caused by procedural deficiency.
Procedure revised to incorporate testing.W/910204 ltr.
DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR L TITLE: 50.73/50.9 Licensee Event Report (LER), IncidentJ Rpt, etc.
ENCL SIZE:
NOTES:Application for permit renewal filed. =05000400 COPIES RECIPIENT COPIES D'ECIPIENT ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL D PD2-1 LA 1 1 PD2-1 PD 1 1 BECKER,D 1 1 INTERNAL: ACNW 2 '2 ACRS 2 2 AEOD/DOA 1 1 AEOD/DSP/TPAB 1 1 AEOD/ROAB/DSP 2 2 NRR/DET/ECMB 9H 1 1 NRR/DET/EMEB 7E 1 1 NRR/DLPQ/LHFB11 1 1 NRR/DLPQ/LPEB10 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPB11 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB 7E 1 1 NRR T/.S.PLB8 D- 1 1 NRR/DST/SRXB 8E 1 1 REG' E 02 1 1 RES/DSIR/EIB 1 1 RG~N2
' - 1'LE=- 02 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MAYS,G 1' NSIC MURPHYPG A 1 1 NUDOCS FULL TXT 1 1 D.
D D
NOTE TO ALL "RIDS" RECIPIENTS:
PLEASE HELP US TO REDUCE iVASTE! 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 33 ENCL 33
0 Fl
Caroljna Power 8 Light Company P. O. Box 165 ~ New Hill, N. C. 27562 HARRIS NUCLEAR PROJECT R. B. RICHEY P. 0. Box 165 Vice President New Hill, NC 27562 Harris Nuclear Project FEB 0 419S1 Letter Number.'HO-910016 (0)
U.S. Nuclear Regulatory Commission ATTN: NRC Document Control Desk Washington, DC 20555 SHEARON HARRIS NUCLEAR POWER PLANT UNIT 1 DOCKET NO. 50-400 LICENSE NO. NPF-63 LICENSEE EVENT REPORT 91-001-00 Gentlemen:
In accordance with Title 10 to the Code of Federal Regulations, the enclosed Licensee Event Report is submitted. This report fulfills the requirement for a written report within thirty (30) days of a reportable occurrence and is in accordance with the format set forth in NUREG-1022, September 1983.
Very truly yours, R. B. Richey Vice President Harris Nuclear Project RBR:gcm Enclosure cc: Mr. R. A. Becker (NRR)
Mr. S. D. Ebneter (NRC RII)
Mr. J. E. Tedrow (NRC SHNPP)
MEM/HO-9100160/1/OS1 9i02080i32 9i0204 PDR ADOCK 05000400 S &eh W
NRC FOAM 366 U.S. NUCLEAR AEGULATOAYCOMMISSION (64)9) APPROVED OMB NO. 31504)(04 EXPIAESI 4(30IS2 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION AEOUESTI 50.0 HRS. FORWARD LICENSEE EVENT REPORT (LER) COMMENTS REGARDING BURDEN ESTIMATE TO THE AECORDS AND REPOATS MANAGEMENT BRANCH (F430), U.S. NUCLEAR REGULATORY COMMISSION. WASHINGTON, OC 20555, AND TO THE PAPERWORK REDUCTION PRO3ECT (31500104). OFFICE OF MANAGEMENTAND BUDGET. WASHINGTON. DC 20503.
FACILITYNAME (1) DOCKET NUMBER (2) PA E 3 Shearon Harris Nuclear Plant Unit I1 0 5 0 0 0 4 Q Q 1 OF P TITLE Ie)
Technical Specification violation due ta missed surveillance testing for Control Room EVENT DATE (SI LE R NUMBER (6) REPOR'r DATE (7) OTHER FACILITIES INVOLVED IS)
MONTH OAY YEAR YEAR SEDUENTIAL REVISION OAY FACILITYNAMES DOCKET NUMBERIS)
)sm NUMBER NUMBER MONTH YEAR 0 5 0 0 0 0 1 3 91 91 0 0 1 0 0 0 2 0 4 9 1 0 5 0 0 0 THIS REPORT IS SUBMITTED PURSUANT T0 THE REQUIREMENTS OF 10 CFR ()I ICnrck onr oi more ol tne Iollowingl (11 OPERATING MODE (6) 20A02(BI 20AOS(cl 50.73(ew2) (ivl 73.71(III POWER 20.405(e) (1)(il 60.36(c)(ll 50.73(IHEHvl 73.7((c)
LFvEL (10 I 1 P 20.406(e HI)(4) 60.35(c)(2 I 50.73(ew2)(v4) DTHER Isnrclty En Aostirct Below rsvd In Test, HRc Form 20.405( ~ HIHml 50.73(e) (2) (I) 50,73(r)(2HvBI)(AI 35(IAI E RIE EPPES. ~
20AOS(el(IH(vl 50.73(e)(2)(4) 50.73(el(2HvBI)ml
)IE 20.405 (e I (I H v) 50.734II2)(BI) 50.73(e) (2 H xl LICENSEE CONTACT FOR THIS LER (12I NAME TELEPHONE NUMBER Michael Verrilli, Specialist Reg. Compliance AREA CODE 9 19 362- 23 03 COMPLETE ONE LINE FOA EACH COMPONENT FAILURE DESCRISEO IN THIS REPORT (13)
$~4)(y CAUSE SYSTEM COMPONENT MANUFAC. EPEETEEEE MANUFAC. EPORTABLE TURER E VEE SYSTEM COMPONENT TURER TO NPRDS SKM~S%. k%5%%
SUPPLEMENTAL REPORT EXPECTFD (14) MONTH DAY YEAR EXPECTED SUBMISSION YES IIIyrA coinPlrtr EXPECTED SVSEIISSIOH DA TEI DATE (15)
NO ABsTRAcT ILlmlt to 1400 sprees, I r., eppioslmrtrly Iiftern single sneer typewritten llnNI (16)
On I/3/91 the plant was operating in Mode-1 at 100 percent, power. During a procedure review of OST-1131 (Control Room Area HVAC System Inservice Test - punrterly Interval), Operations personnel identified a procedural deficiency that resulted in two check valves not being tested as required.
Inservice Inspection Test (ISI-203) implements the requirements of Technical Specification (TS)
Section 4,0,5, which in turn implements ASME Section XI testing. Check valves SICZ-15 and ICZ-16 are required to be full forward flow tested, per ISI-203, on a quarterly basis'uring the aforementioned review of OST-1131, it was revealed that the acceptance criteria of the procedure erraneously took credit for testing these check valves, but in actuality, did not conduct or document, an independent I rs forward flow test for these check valves.
The cause of this event was procedural deficiency. OST-1131 has never included steps to properly test these two check valves. This procedure was immediately revised to incorporate the required testing and was successfully performed on I/18/91 were no significant safety cansequences as a result of this procedural deficiency. This is
'here based on the following evidence that validates the functional status of these valves nnd the fact that the systems safety function hns never been challenged by radiological conditions. Forward flaw is tested through at least one of these check valves once per 18 months by the performance of OST-1231 (Control Room Emergency Filtration Operability Test) ~ This test hns consistently verified forward flow and wns last performed satisfactorily on 10/I/90. This provides n high degree of confidence that the valves would have functioned as designed if needed'his is being reported in accordance with IOCFR50.73 (a) (2) .(i) (8) as a TS violation.
NRC Fosin 366 (664)
NRC FOR)51 368A UN. NUCLEAR REGULATORY COMMISSION (84)9) APPROVED OMB NO. 31500104 EXPIRES: 4/30/92 LICENSEE EVENT REPORT ILERI ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REOUESTI 600 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH IP4301. U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3(500(04). OFFICE OF MANAGEMENTAND BUDGET, WASHINGTON, DC 20503, FACILITYNAME (ll DOCKET NUMBER 12)
LER NUMBER (6) PAGE (3)
Sg SEOVENTIAL REVISION Shearon Harris Nuclear Plant YEAR NUMSE R NUMSE R Unit I/1 o so o 04 00 9 1 0 0 1 00 02 OF 0 2 TEXT ///mfm fpff8 lf /88 uied. 848 ~/VRC lomI 3MAB/ ((2)
EVENI DESCR I PT I ON:
On I/3/91 the plant was operating in Mode-1 at 100 percent power. During a procedure review of OST-1131, Operations personnel identified a procedural deficiency that resulted in two check valves not being tested as required, Inservice Inspection Test (ISI-203) implements the requirements of TS Section 4.0.5, which in turn implements ASME Section XI testing. Check valves llCZ-15 and ICZ-16 are required to be full forward flow tested, per ISI-203, on a quarterly basis. During the aforementioned review of OST-1131, it was revealed that the acceptance criteria of the procedure did in fact take credit for testing these check valves, but i'n actuality, did not conduct or document an independent forward flow test for these check valves.
There has been one previous similar event, in regards to IST program/procedure deficiencies. This was submitted on LER 90-011, CAUSE:
The cause of this event is procedural deficiency, OST-1131 has never included steps to properly test these two check valves.
SAFETY S I GN IF I CANCE:
There were no significant safety consequences as a result of this procedural deficiency. This is based on the following evidence that validates the functional status of these valves and the fact that the systems safety function has never been challenged by radiological conditions. Forward flow is tested through at least one of these check valves once per 18 months by the performance of OST-1231 (Control Room Emergency f iltration Operability Test). This test has consistently verified forward flow and was last performed satisfactorily on 10/I/90. This provides a high degree of confidence that the valves would have functioned as designed if needed, CORRECT I VE ACTIONS:
- 1. EPT-I72 was specifically developed to perform a forward flow test for check valves ICZ-15 and ICZ-16 'his test was successfully completed on I/16/91 to verify system operability.
- 2. OST-1131 was revised to incorporate this testing and was performed satisfactorily on I/18/91 '
~ Operations procedure group will review this event to enhance their awareness of potential problems related to ISI program requirements contained in OST procedures.
4~ ISI personnel will perform a comprehensive procedure review to identify similar IST program problems, related to the testing of parallel flow through check valves E I SS CODE I tFORMATION:
N/A NRC Form 388A (889)