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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18065B1151997-12-0909 December 1997 LER 97-013-00:on 971110,failure to Closure Test Two Check Valves Resulted in Violation of TS 6.5.7 Occurred.Caused by Close Function for Check Valves.Check Valves Tested to Confirm Proper Closure Capability ML18067A7751997-11-11011 November 1997 LER 97-011-00:on 971012,primary Coolant Pump Was Started W/Sg Temperatures Greater than Cold Leg Temperature.Caused by Inadequate Procedures & Operator Decision Making.Critique of Event Conducted W/Operators Involved ML18067A7581997-10-30030 October 1997 LER 97-010-00:on 970930,determined That Inadequacy in App R Analysis Resulted in Condition Outside Design Basis of Plant.Caused by Missing Cable in Circuit & Raceway Schedule. Developed New Evaluation Re ASD Valves Validation ML18067A7461997-10-23023 October 1997 LER 97-009-00:on 970923,discovered Procedure Weakness Re Implementation of App R Shutdown Methodology.Caused by Human Error.Revised Off-Normal Procedure ONP-25.2, Alternate Safe Shutdown Procedure. ML18067A7191997-10-10010 October 1997 LER 97-008-00:on 970912,spurious Valve Operation Could Result in Loss of Shutdown Capabilities Per 10CFR50,App R, Section Iii.L,Was Discovered.Caused by Failure to Validate Info from App R.Design Bases for SW Backup Reviewed ML18067A6951997-09-24024 September 1997 LER 97-007-00:on 970826,discovered Inadequate Testing of DG Sequencer Control Relay Contacts.Caused by Oversight on Part of Personnel Involved in Installation of Facility Change FC-800.Tested 106D-1/XL & 106D-2/XL Relay Contacts ML18067A5651997-06-0303 June 1997 LER 96-013-01:on 961115,DC Breaker Failed During Testing for as-found Trip Setting.Failure Caused by Oversight within Preventive Maint Program.Breaker Was Replaced & Tested ML18067A5461997-05-12012 May 1997 LER 97-006-00:on 970412,overtime Limits Were Exceeded for Radiation Protection Technicians.Caused by Inadequate Design,Review & Proper Verifications of Overtime Work Schedule.Communicate Overtime Limitation Responsibilities ML18067A4431997-03-24024 March 1997 LER 97-004-00:on 970221,trip of High Pressure Safety Injection Pump Occurred While Filling Safety Injection Tank Resulting in TS Violation.Caused by Particle Lodged Between Surface of Indication disk.Y-phase Relay Was OOS ML18067A4391997-03-21021 March 1997 LER 97-005-00:on 961220,operation of Plant Outside Design Basis Occurred Due to an Unacceptable Repair on Main Steam Isolation Valves.Pipe Plugs Permanently Repaired ML18067A4401997-03-21021 March 1997 LER 97-003-00:on 961101,four Piping Lines Were Determined to Be Potentially Susceptible to Pressurization Due to Containment Temperature Increase During an Accident.Cac Discharge Piping Will Be verified.W/970321 Ltr ML18066A8931997-02-21021 February 1997 LER 97-002-00:on 970123,failure to Meet TSs 4.5.2d(1)(b) for Testing of Emergency Escape Airlock Occurred.Caused by Missed Surveillance.Emergency Escape Air Lock Testing Was Completed & Declared operable.W/970221 Ltr ML18066A8751997-02-0505 February 1997 LER 97-001-00:on 970106,TAVE Temp Dropped Below Minimum Temp for Criticality.Caused by Control Rod Withdrawal Rate to Increase Power Not Sufficient to Match Increase in Steam. Turbine Bypass Valve Actuator repaired.W/970205 Ltr ML18066A8041996-12-23023 December 1996 LER 96-014-00:on 961124,class 1E Raychem Cable Splices Were Installed Incorrectly.Caused by Incorrectly Made Electrical Splices.Total of 270 Splices Have Been Replaced within Containment ML18066A7831996-12-16016 December 1996 LER 96-013-00:on 961115,DC Breaker Failure During Testing for as-found Trip Setting Occurred.Cause Under Investigation.All molded-case Circuit Breakers in DC Distribution Panels Were Replaced ML18065A9951996-10-0404 October 1996 LER 96-002-01:on 960116,initiated TS Required Shutdown Due to Safeguards Cable Fault.Both Sets (Six Cables) of Cables Were Replaced & Installed Through Turbine Generator Bldg ML18065A9171996-09-0909 September 1996 LER 95-012-00:on 960809,TS Violation Occurred,Due to No Senior Reactor Operator in Cr.Caused by Extensive Remodeling.Cr Remodeling completed.W/960909 Ltr ML18065A8961996-08-29029 August 1996 LER 96-011-00:on 960730,CR Continuous Air Monitor Alarm Setpoint Improperly Established.Caused by Failure to Utilize Mod Process in 1988 Leading to Failure to Properly Select & Calibrate Instruments ML18065A8811996-08-20020 August 1996 LER 96-005-01:on 960207,determined Fuse on Main Supply to Two Safety Related DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Lack of Thorough Associated Circuits Analysis.Supply Fuse to Panels Replaced ML18065A8741996-08-16016 August 1996 LER 96-010-00:on 960717,high Pressure Safety Injection Pump Tripped While Filling Safety Injection Tank.Caused by Faulty 150/151Y-207 Time Overcurrent Relay.All Similar Relays in Time Overcurrent Application Have Been Inspected ML18065A8651996-08-12012 August 1996 LER 96-009-00:on 960712,identified Penetration Seal Deficiency on Fire Barriers Caused by Failure to Perform & Document Comprehensive Fire Barrier Evaluation.Developed Basis document.W/960812 Ltr ML18065A8601996-08-0202 August 1996 LER 96-006-01 on 960207,discovered Limits of Design Analysis Could Have Been Violated.Subsequent Tests & Analyses Facility Did Not Exceed Basis.Operating Procedures Have Been Revised to Treat 2530 Megawatts Limit as Absolute Limit ML18065A8321996-08-0101 August 1996 LER 96-003-01:on 960115,alternate Shutdown Panel Inverter Resulted in Unavailability of Panel.Replaced Defective Inverter Alarm Logic Board ML18065A7691996-06-12012 June 1996 LER 96-008-00:on 960513,fire Door Not Maintained Open in Accordance W/Design Basis.Cause Under Investigation. Engineering Evaluation Performed & Revised Documents, Surveillance & Test procedures.W/960612 Ltr ML18065A6901996-05-0101 May 1996 LER 95-001-01:on 950302,malfunction of Left Channel DBA Sequencer Resulted in Inadvertent Actuation of Left Channel Safeguards Equipment.Replaced microprocessor.W/960501 Ltr ML18065A6681996-04-22022 April 1996 LER 96-007-00:on 960321,inadequate Emergency Lighting & Ventilation in post-fire Safe Shutdown Areas.Caused by App R Program Documentation Insufficient to Demonstrate Regulatory Compliance.Lighting modified.W/960422 Ltr ML18065A5721996-03-11011 March 1996 LER 96-006-00:on 960207,average Reactor Power Level Exceeded License Limit Due to Insufficient Procedural Guidance. GOP-12 Revised to Treat 2,530 Mwt Limit as Absolute Limit Requiring Immediate Corrective Action If Exceeded ML18065A5261996-03-0101 March 1996 LER 96-005-00:on 960202,fuse on Main Supply to Two SR DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Inadequate Electrical/App R Design Review.Implemented Hourly Fire tours.W/960301 Ltr ML18065A5111996-02-19019 February 1996 LER 94-012-02:on 940427,determined That Internal Ground in Thermal Margin Monitor Causes Nonconformance W/Rps Design Basis.Incorporated RPS Failure Modes & Effects Analysis in Plant DBD.W/960219 Ltr ML18065A5061996-02-19019 February 1996 LER 96-004-00:on 960118,SIS Disabled W/Primary Coolant Sys Greater than 300 F.Caused by Personnel Error.Permanent Maint Procedure to Disable/Enable SIS Actuation on Low Pressurizer Pressure Will Be Revised to Align W/Ts ML18065A5021996-02-15015 February 1996 LER 96-003-00:on 960115,technicians Found Low Voltage cut- Off for Alternate Shutdown Panel Inverter Set That Resulted in Unavailability of Panel.Caused by Inadequate Post Mod. Readjusted Set Point to Minimum setting.W/960215 Ltr ML18065A4581996-01-31031 January 1996 LER 96-001-00:on 960103,failed to Test Duplicate Equipment. Caused by STS No Longer Containing Requirement for cross- Train Testing of Duplicate Components.Will Submit Request to Delete Subj Requirements from TS.W/960131 Ltr ML18065A4421996-01-19019 January 1996 LER 95-016-00:on 951226,did Not Analyze Primary Coolant Samples within 72 H.Caused by Belief Acceptability to Save Pcs Samples for Choride Analysis Past 72 H.Counseled Chemistry Supervision.W/960119 Ltr ML18065A4041996-01-15015 January 1996 LER 95-014-00:on 950119,PCP Oil Collection Deficiencies Created by FC-860 Piping Mod.Caused by Inadequate DBD for Sys & Lack of Review by Experienced Fire Protection Personnel.Updated Design Basis documentation.W/960115 Ltr ML18065A3291995-12-0404 December 1995 LER 95-013-00:on 951103,circuit Fuse Coordination Deficiency Which Affects App R Safe Shutdown Equipment Noted.Design of Fuse Coordination in Potential Transformer Circuits Will Be Evaluated & Modified as required.W/951204 Ltr ML18065A2361995-11-0202 November 1995 LER 95-012-00:on 950701,discovered Unqualified Electrical Connection in Containment SW Outlet Valve Controller.Caused by Failure of Assigned Engineers to Available Info.Replaced Wire Nuts W/Inline Butt connections.W/951102 Ltr ML18065A2051995-10-20020 October 1995 LER 95-008-01:on 950728,discovered That None of Four Containment High Pressure Channels Would Initiate Reactor Trip Due to Programmatic Deficiencies.Administrative Procedure (AP) 9.44,AP 9.45 & AP 10.44 Will Be Revised ML18065A0841995-09-18018 September 1995 LER 95-011-00:on 950817,CR 40 Withdrawal Occurred When Given Insertion Signal Due to skill-based Error in Crimping & Removing Foreign Matl from CRDM Motor Connection Box.Crd Package replaced.W/950918 Ltr ML18065A0681995-09-14014 September 1995 LER 95-010-00:on 950815,ESFA Resulted in Manual Rt Following Isolation of Pcs.Replaced Failed Instrument Line ML18065A0651995-09-0808 September 1995 LER 95-009-00:on 950728,discovered Lack of Procedural Guidance for Pump Repair Following Fire.Proposed Use of Power Supply Breaker Did Not Adequately Address Effect of Loss of Control Power.Performed Independent Assessment ML18064A8781995-08-28028 August 1995 LER 95-008-00:on 950728,discovered During Design Change Testing That None of Four Containment High Pressure Channels Would Initiate Rt.Caused by Programmatic Deficiencies. Reviewed Selected Tests & Mods from Recent Refueling Outage ML18064A8831995-08-21021 August 1995 LER 95-007-00:on 950720,discovered That 12 Instrument Loops Had V-bolted Type Qualified Cable Splices Connected to Wires W/Exposed Kapton Insulation.Caused by Human Error.All V- Bolted Splices Replaced w/in-line design.W/950821 Ltr 1999-09-02
[Table view] Category:RO)
MONTHYEARML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18065B1151997-12-0909 December 1997 LER 97-013-00:on 971110,failure to Closure Test Two Check Valves Resulted in Violation of TS 6.5.7 Occurred.Caused by Close Function for Check Valves.Check Valves Tested to Confirm Proper Closure Capability ML18067A7751997-11-11011 November 1997 LER 97-011-00:on 971012,primary Coolant Pump Was Started W/Sg Temperatures Greater than Cold Leg Temperature.Caused by Inadequate Procedures & Operator Decision Making.Critique of Event Conducted W/Operators Involved ML18067A7581997-10-30030 October 1997 LER 97-010-00:on 970930,determined That Inadequacy in App R Analysis Resulted in Condition Outside Design Basis of Plant.Caused by Missing Cable in Circuit & Raceway Schedule. Developed New Evaluation Re ASD Valves Validation ML18067A7461997-10-23023 October 1997 LER 97-009-00:on 970923,discovered Procedure Weakness Re Implementation of App R Shutdown Methodology.Caused by Human Error.Revised Off-Normal Procedure ONP-25.2, Alternate Safe Shutdown Procedure. ML18067A7191997-10-10010 October 1997 LER 97-008-00:on 970912,spurious Valve Operation Could Result in Loss of Shutdown Capabilities Per 10CFR50,App R, Section Iii.L,Was Discovered.Caused by Failure to Validate Info from App R.Design Bases for SW Backup Reviewed ML18067A6951997-09-24024 September 1997 LER 97-007-00:on 970826,discovered Inadequate Testing of DG Sequencer Control Relay Contacts.Caused by Oversight on Part of Personnel Involved in Installation of Facility Change FC-800.Tested 106D-1/XL & 106D-2/XL Relay Contacts ML18067A5651997-06-0303 June 1997 LER 96-013-01:on 961115,DC Breaker Failed During Testing for as-found Trip Setting.Failure Caused by Oversight within Preventive Maint Program.Breaker Was Replaced & Tested ML18067A5461997-05-12012 May 1997 LER 97-006-00:on 970412,overtime Limits Were Exceeded for Radiation Protection Technicians.Caused by Inadequate Design,Review & Proper Verifications of Overtime Work Schedule.Communicate Overtime Limitation Responsibilities ML18067A4431997-03-24024 March 1997 LER 97-004-00:on 970221,trip of High Pressure Safety Injection Pump Occurred While Filling Safety Injection Tank Resulting in TS Violation.Caused by Particle Lodged Between Surface of Indication disk.Y-phase Relay Was OOS ML18067A4391997-03-21021 March 1997 LER 97-005-00:on 961220,operation of Plant Outside Design Basis Occurred Due to an Unacceptable Repair on Main Steam Isolation Valves.Pipe Plugs Permanently Repaired ML18067A4401997-03-21021 March 1997 LER 97-003-00:on 961101,four Piping Lines Were Determined to Be Potentially Susceptible to Pressurization Due to Containment Temperature Increase During an Accident.Cac Discharge Piping Will Be verified.W/970321 Ltr ML18066A8931997-02-21021 February 1997 LER 97-002-00:on 970123,failure to Meet TSs 4.5.2d(1)(b) for Testing of Emergency Escape Airlock Occurred.Caused by Missed Surveillance.Emergency Escape Air Lock Testing Was Completed & Declared operable.W/970221 Ltr ML18066A8751997-02-0505 February 1997 LER 97-001-00:on 970106,TAVE Temp Dropped Below Minimum Temp for Criticality.Caused by Control Rod Withdrawal Rate to Increase Power Not Sufficient to Match Increase in Steam. Turbine Bypass Valve Actuator repaired.W/970205 Ltr ML18066A8041996-12-23023 December 1996 LER 96-014-00:on 961124,class 1E Raychem Cable Splices Were Installed Incorrectly.Caused by Incorrectly Made Electrical Splices.Total of 270 Splices Have Been Replaced within Containment ML18066A7831996-12-16016 December 1996 LER 96-013-00:on 961115,DC Breaker Failure During Testing for as-found Trip Setting Occurred.Cause Under Investigation.All molded-case Circuit Breakers in DC Distribution Panels Were Replaced ML18065A9951996-10-0404 October 1996 LER 96-002-01:on 960116,initiated TS Required Shutdown Due to Safeguards Cable Fault.Both Sets (Six Cables) of Cables Were Replaced & Installed Through Turbine Generator Bldg ML18065A9171996-09-0909 September 1996 LER 95-012-00:on 960809,TS Violation Occurred,Due to No Senior Reactor Operator in Cr.Caused by Extensive Remodeling.Cr Remodeling completed.W/960909 Ltr ML18065A8961996-08-29029 August 1996 LER 96-011-00:on 960730,CR Continuous Air Monitor Alarm Setpoint Improperly Established.Caused by Failure to Utilize Mod Process in 1988 Leading to Failure to Properly Select & Calibrate Instruments ML18065A8811996-08-20020 August 1996 LER 96-005-01:on 960207,determined Fuse on Main Supply to Two Safety Related DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Lack of Thorough Associated Circuits Analysis.Supply Fuse to Panels Replaced ML18065A8741996-08-16016 August 1996 LER 96-010-00:on 960717,high Pressure Safety Injection Pump Tripped While Filling Safety Injection Tank.Caused by Faulty 150/151Y-207 Time Overcurrent Relay.All Similar Relays in Time Overcurrent Application Have Been Inspected ML18065A8651996-08-12012 August 1996 LER 96-009-00:on 960712,identified Penetration Seal Deficiency on Fire Barriers Caused by Failure to Perform & Document Comprehensive Fire Barrier Evaluation.Developed Basis document.W/960812 Ltr ML18065A8601996-08-0202 August 1996 LER 96-006-01 on 960207,discovered Limits of Design Analysis Could Have Been Violated.Subsequent Tests & Analyses Facility Did Not Exceed Basis.Operating Procedures Have Been Revised to Treat 2530 Megawatts Limit as Absolute Limit ML18065A8321996-08-0101 August 1996 LER 96-003-01:on 960115,alternate Shutdown Panel Inverter Resulted in Unavailability of Panel.Replaced Defective Inverter Alarm Logic Board ML18065A7691996-06-12012 June 1996 LER 96-008-00:on 960513,fire Door Not Maintained Open in Accordance W/Design Basis.Cause Under Investigation. Engineering Evaluation Performed & Revised Documents, Surveillance & Test procedures.W/960612 Ltr ML18065A6901996-05-0101 May 1996 LER 95-001-01:on 950302,malfunction of Left Channel DBA Sequencer Resulted in Inadvertent Actuation of Left Channel Safeguards Equipment.Replaced microprocessor.W/960501 Ltr ML18065A6681996-04-22022 April 1996 LER 96-007-00:on 960321,inadequate Emergency Lighting & Ventilation in post-fire Safe Shutdown Areas.Caused by App R Program Documentation Insufficient to Demonstrate Regulatory Compliance.Lighting modified.W/960422 Ltr ML18065A5721996-03-11011 March 1996 LER 96-006-00:on 960207,average Reactor Power Level Exceeded License Limit Due to Insufficient Procedural Guidance. GOP-12 Revised to Treat 2,530 Mwt Limit as Absolute Limit Requiring Immediate Corrective Action If Exceeded ML18065A5261996-03-0101 March 1996 LER 96-005-00:on 960202,fuse on Main Supply to Two SR DC Panels & Panel Branch Circuit Breakers Not Properly Coordinated.Caused by Inadequate Electrical/App R Design Review.Implemented Hourly Fire tours.W/960301 Ltr ML18065A5111996-02-19019 February 1996 LER 94-012-02:on 940427,determined That Internal Ground in Thermal Margin Monitor Causes Nonconformance W/Rps Design Basis.Incorporated RPS Failure Modes & Effects Analysis in Plant DBD.W/960219 Ltr ML18065A5061996-02-19019 February 1996 LER 96-004-00:on 960118,SIS Disabled W/Primary Coolant Sys Greater than 300 F.Caused by Personnel Error.Permanent Maint Procedure to Disable/Enable SIS Actuation on Low Pressurizer Pressure Will Be Revised to Align W/Ts ML18065A5021996-02-15015 February 1996 LER 96-003-00:on 960115,technicians Found Low Voltage cut- Off for Alternate Shutdown Panel Inverter Set That Resulted in Unavailability of Panel.Caused by Inadequate Post Mod. Readjusted Set Point to Minimum setting.W/960215 Ltr ML18065A4581996-01-31031 January 1996 LER 96-001-00:on 960103,failed to Test Duplicate Equipment. Caused by STS No Longer Containing Requirement for cross- Train Testing of Duplicate Components.Will Submit Request to Delete Subj Requirements from TS.W/960131 Ltr ML18065A4421996-01-19019 January 1996 LER 95-016-00:on 951226,did Not Analyze Primary Coolant Samples within 72 H.Caused by Belief Acceptability to Save Pcs Samples for Choride Analysis Past 72 H.Counseled Chemistry Supervision.W/960119 Ltr ML18065A4041996-01-15015 January 1996 LER 95-014-00:on 950119,PCP Oil Collection Deficiencies Created by FC-860 Piping Mod.Caused by Inadequate DBD for Sys & Lack of Review by Experienced Fire Protection Personnel.Updated Design Basis documentation.W/960115 Ltr ML18065A3291995-12-0404 December 1995 LER 95-013-00:on 951103,circuit Fuse Coordination Deficiency Which Affects App R Safe Shutdown Equipment Noted.Design of Fuse Coordination in Potential Transformer Circuits Will Be Evaluated & Modified as required.W/951204 Ltr ML18065A2361995-11-0202 November 1995 LER 95-012-00:on 950701,discovered Unqualified Electrical Connection in Containment SW Outlet Valve Controller.Caused by Failure of Assigned Engineers to Available Info.Replaced Wire Nuts W/Inline Butt connections.W/951102 Ltr ML18065A2051995-10-20020 October 1995 LER 95-008-01:on 950728,discovered That None of Four Containment High Pressure Channels Would Initiate Reactor Trip Due to Programmatic Deficiencies.Administrative Procedure (AP) 9.44,AP 9.45 & AP 10.44 Will Be Revised ML18065A0841995-09-18018 September 1995 LER 95-011-00:on 950817,CR 40 Withdrawal Occurred When Given Insertion Signal Due to skill-based Error in Crimping & Removing Foreign Matl from CRDM Motor Connection Box.Crd Package replaced.W/950918 Ltr ML18065A0681995-09-14014 September 1995 LER 95-010-00:on 950815,ESFA Resulted in Manual Rt Following Isolation of Pcs.Replaced Failed Instrument Line ML18065A0651995-09-0808 September 1995 LER 95-009-00:on 950728,discovered Lack of Procedural Guidance for Pump Repair Following Fire.Proposed Use of Power Supply Breaker Did Not Adequately Address Effect of Loss of Control Power.Performed Independent Assessment ML18064A8781995-08-28028 August 1995 LER 95-008-00:on 950728,discovered During Design Change Testing That None of Four Containment High Pressure Channels Would Initiate Rt.Caused by Programmatic Deficiencies. Reviewed Selected Tests & Mods from Recent Refueling Outage ML18064A8831995-08-21021 August 1995 LER 95-007-00:on 950720,discovered That 12 Instrument Loops Had V-bolted Type Qualified Cable Splices Connected to Wires W/Exposed Kapton Insulation.Caused by Human Error.All V- Bolted Splices Replaced w/in-line design.W/950821 Ltr 1999-09-02
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18066A6901999-11-0101 November 1999 Rev 5 to Palisades Nuclear Plant Colr. ML18066A6761999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Palisades Nuclear Plant ML18066A6271999-09-0202 September 1999 LER 98-011-01:on 981217,inadequate Lube Oil Collection Sys for Primary Coolant Pumps Was Noted.Caused by Design Change Not Containing Appropriate Level of Rigor.Exemption from 10CFR50,App R Was Requested.With 990902 Ltr ML18066A6351999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Palisades Nuclear Plant ML18066A6771999-08-31031 August 1999 Operating Data Rept Page of MOR for Aug 1999 for Palisades Nuclear Plant ML18066A6221999-08-20020 August 1999 LER 99-002-00:on 990722,TS Surveillance Was Not Completed within Specified Frequency.Caused by Failure to Incorporate Revised Frequency Into Surveillance Schedule in Timely Manner.Verified Implementation.With 990820 Ltr ML18066A6061999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Palisades Nuclear Plant.With 990803 Ltr ML18066A5201999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Palisades Nuclear Plant.With 990702 Ltr ML18066A4841999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Palisades Nuclear Plant.With 990603 Ltr ML18066A6371999-04-30030 April 1999 Revised Monthly Operating Rept for Apr 1999 for Palisades Nuclear Plant ML18068A5941999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Palisades Nuclear Plant.With 990503 Ltr ML18066A4161999-04-0101 April 1999 Rev 4 to COLR, for Palisades Nuclear Plant ML18066A4501999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Palisades Nuclear Plant.With 990402 Ltr ML18066A4671999-03-31031 March 1999 Rev 0 to SIR-99-032, Flaw Tolerance & Leakage Evaluation Spent Fuel Pool Heat Exchanger E-53B Nozzle Palisades Nuclear Plant. ML18068A5351999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Palisades Nuclear Plant.With 990302 Ltr ML18066A3931999-01-31031 January 1999 Monthly Operating Rept for Jan 1999 for Palisades Nuclear Plant.With 990202 Ltr ML18066A3781999-01-20020 January 1999 LER 98-013-00:on 981222,safeguards Transfer Tap Changer Failure Caused Inadvertant DG Start.Caused by Failed Motor Contactor.Contactor Was Replaced.With 990120 Ltr ML20206F6131998-12-31031 December 1998 1998 Consumers Energy Co Annual Rept. with ML18066A3651998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Palisades Nuclear Plant.With 990105 Ltr ML18066A3421998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Palisades Nuclear Plant.With 981202 Ltr ML18066A3301998-11-11011 November 1998 Part 21 Rept Re Potential Safety Hazard Associated with Wrist Pin Assemblies for FM-Alco 251 Engines at Palisades Nuclear Power Plant.Caused by Insufficient Friction Fit Between Pin & Sleeve.Supplier of Pin Will No Longer Be Used ML18068A4921998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Palisades Nuclear Plant.With 981103 Ltr ML18068A4851998-10-29029 October 1998 LER 97-011-01:on 971012,starting of Primary Coolant Pump with SG Temps Greater than Cold Leg Temps Occurred.Caused by Inadequate Procedures & Operator Decision.Sop Used for Starting Primary Coolant Pump Enhanced ML18066A3181998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Palisades Nuclear Plant ML18066A2901998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Palisades Nuclear Power Plant.With 980903 Ltr ML18066A3191998-08-31031 August 1998 Revised Monthly Operating Rept Data for Aug 1998 for Palisades Nuclear Plant ML18066A2831998-08-18018 August 1998 LER 98-010-00:on 980721,reactor Manually Tripped.Caused by Failure of Coupling Which Drives Feedwater Pump Main Lube Oil Pump.Main Lube Oil Pump Coupling & Associated Components Replaced & Satisfactorily Tested ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML20237E0301998-07-31031 July 1998 ISI Rept 3-3 ML18066A2701998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Palisades Nuclear Plant.W/980803 Ltr ML18066A2311998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Palisades Nuclear Plant ML18066A2261998-06-30030 June 1998 LER 98-009-00:on 980531,small Pinhole Leak Found on One of Welds,During Leak Test Following Replacement of Pcs Sample Isolation Valves.Caused by Welder Error.Leaking Welds Repaired ML18066A3061998-06-18018 June 1998 SG Tube Inservice Insp. ML20249C4951998-06-17017 June 1998 Rev 1 to EA-GEJ-98-01, Palisades Cycle 14 Disposition of Events Review ML18066A1781998-06-0909 June 1998 LER 98-008-00:on 980511,noted That Procedure Did Not Fully Satisfy Requirement to Test High Startup Rate Trip Function. Caused by Misunderstanding of Testing Requirements.Revised TS Surveillance Test Procedure & Reviewed Other Procedures ML18066A1711998-06-0101 June 1998 Part 21 Rept Re Impact of RELAP4 Excessive Variability on Palisades Large Break LOCA ECCS Results.Change in PCT Between Cycle 13 & Cycle 14 Does Not Constitute Significant Change Per 10CFR50.46 ML18066A1741998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Palisades Nuclear Plant.W/980601 Ltr ML18066A2321998-05-31031 May 1998 Revised MOR for May 1998 for Palisades Nuclear Plant ML18068A4701998-05-31031 May 1998 Annual Rept of Changes in ECCS Models Per 10CFR50.46. ML18065B2451998-05-13013 May 1998 LER 98-007-00:on 980413,HPIS Sys Was Noted Inoperable During TS Surveillance Test.Caused by Performance of Flawed Procedure.Operators & Engineers Will Be Trained to Improve Operational Decision Making Through Resources & Knowledge ML18066A2331998-04-30030 April 1998 Revised MOR for Apr 1998 for Palisades Nuclear Plant ML18068A3461998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Palisades Nuclear Plant.W/980501 Ltr ML18066A3411998-04-22022 April 1998 Rev 0 to EMF-98-013, Palisades Cycle 14:Disposition & Analysis of SRP Chapter 15 Events. ML18065B2071998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Palisades Nuclear Plant.W/980403 Ltr ML20217C2741998-03-31031 March 1998 Independent Review - Is Consumers Energy Method (W Method) of Determining Palisades Nuclear Plant Best Estimate Fluence by Combining Transport Calculation & Dosimetry Measurements Technically Sound & Does It Meet Intent of Pts ML18066A2341998-03-31031 March 1998 Revised MOR for Mar 1998 for Palisades Nuclear Plant ML18068A3041998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for Palisades Nuclear Plant.W/980302 Ltr ML18066A2351998-02-28028 February 1998 Revised MOR for Feb 1998 for Palisades Nuclear Plant ML18065B1641998-02-0505 February 1998 Rev 0 to Regression Analysis for Containment Prestressing Sys at 25th Year Surveillance. ML18067A8211998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for Palisades Nuclear Plant.W/980203 Ltr 1999-09-30
[Table view] |
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NRC FORM 366 U.S. NUCLEAR REGULATORY COMMISSION APPROVED BY OMB NO. 3150-0104
.,.. (4195) EXPIRES 4130/98 ESTIM4TED IUU)0j PER RESPONSE TO COMPLY Willi THIS MANDATORY INfORMATIOH COU£CT10H REQUEST: 50.0 HRS. REPORTED LESSONS LEARNED ARE INCORPORATED LICENSEE EVENT REPORT (LER) 11'1"0 THE LICENSING PROCESS AND FED BACK TO INDUSTRY. FORWARD COMMEllTS REGARDING BURDEN ESTIMATE TO THE INfORMATIOH AND RECORDS llNW3EME1'T BRANCH (T.11 F33), U.S. NJCLEAR REGULATORY COMMISSION, WAS>ilNGTON, DC 20S55-0001, AND TO THE PAPERWORK REDUCTlOH PROJECT (31SB.011M, OFFICE OF (See reverse for required number of digits/characters for each block) llNWlEMEllT AND BUOGET, WA9GHGTOH, DC 20503 FACILITY NAME (1) CONSUMERSENERGYCOMPANY DOCKET NUMBER (2) Page (3)
PALISADES NUCLEAR PLANT 05000255 1of6 TITLE (4 )LICENSEE EVENT REPORT 97-007 - INADEQUATE TESTING OF DIESEL GENERATOR SEQUENCER CONTROL RELAY CONTACTS EVENT DATE (5) LER NUMBER (6) REPORT DATE (7) OTHER FACILITIES INVOLVED (8)
I SEQUENTIAL REVISION FACILITY NAME DOCKET NUMBER MONTH DAY YEAR YEAR NUMBER NUMBER MONTH DAY YEAR 05000 FACILITY NAME DOCKET NUMBER 08 26 97 97 - 007 - 00 09 24 97 05000 OPERATING THIS REPORT IS SUBMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR§: (Check one or more) (11)
MODE (9) N 20.2201(b) 20.2203(a)(2)(v) x 50.73(a)(2)(i) 50.73(a)(2)(iii)
POWER 20.2203(a)(1) 20.2203(a)(3)(i) 50.73(a)(2)(ii) 50.73(a)(2)(x)
LEVEL (10) 100 20.2203(a)(2)(i) 20.2203(a)(3)(ii) 50.73(a)(2)(iii) 73.71 li[lfll!! !f&!l1lll~
20.2203(a)(2)(ii) 20.2203(a)(4) 50. 73(a)(2)(iv) OTHER 20.2203(a)(2)(iii) 50.36(c)(1) 50.73(a)(2)(v) Specify in Abstract below or 20.2203(a)(2)(iv) 50.36(c)(2l 50.73(al(2l(viil in NRC Form 366A LICENSEE CONTACT FOR THIS LER (12)
NAME TELEPHONE NUMBER (Include Area Code)
William L. Roberts, Licensing Engineer (616) 764-2976 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE CAUSE SYSTEM COMPONENT MANUFACTURER REPORTABLE TONPRDS TONPRDS D EPS [EK,RLY]
SUPPLEMENTAL REPORT EXPECTED (14) MONTH. DAY YEAR I YES If yes COMPLETE EXPECTED COMPLETION DATE x I NO EXPECTED SUBMISSION DATE (15)
ABSTRACT (Limit to 1400 spaces, i.e., approximately 15 single-spaced typewritten lines) (16)
On August 26, 1997, at approximately 1200 hours0.0139 days <br />0.333 hours <br />0.00198 weeks <br />4.566e-4 months <br /> with the plant at 100% power, it was determined that contacts on the emergency diesel generator sequencer load control relays 1060-1 /XL and 1060-2/XL (one contact per relay per diesel generator) were not adequately tested as part of the Technical Specification Test Program. The function of these contacts is to provide a block signal to the SIS-X relays . Failure of this contact to open following a safety injection system actuation
.signal, coincident with. a Joss_of..off..,site.power,-would.result-in-simultar-ieously-loading *all- safety system loads onto the diesel generator as soon as the output breaker closed . This large load on the diesel generator would potentially result in the diesel generator breaker rapidly tripping on overcurrent. Based on failure to test these relay contacts in accordance with Technical Specification requirements, both diesel generators were declared inoperable. Testing of the subject relay contacts was successfully completed within the 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> allowed by T.S. 4.0.3. The controlling Technical Specification was exited and the equipment declared operable at approximately 2100 hours0.0243 days <br />0.583 hours <br />0.00347 weeks <br />7.9905e-4 months <br /> on August 26, 1997. Future Technical Specification testing will include testing of these relay contacts.
9709300385 970924 PDR ADOCK 05000255 S PDR
NRC F\JRM 366CI U.S. NUCLEAR REGULATORY COMMISSION
'** 4/95 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME 11 l DOCKET12l 05000255 YEAR I LER NUMBER '6\
SEQUENTIAL NUMBER REVISION NUMBER PAGE 2 OF6 PALISADES NUCLEAR PLANT 97 - 007 - 00 TEXT (If more space 1s required, use add11ional copies of NRC Form 366A) (17)
EVENT DESCRIPTION On August 26, 1997, at approximately 1200 hours0.0139 days <br />0.333 hours <br />0.00198 weeks <br />4.566e-4 months <br /> with the plant at 100% power, it was determined that contacts on the emergency diesel generator (EDG) sequencer load control relays 106D-1/XL and 106D-2/XL (one contact per relay per EDG) were not adequately tested as part of the Technical Specification Test Program. The Technical Specification Test Program does, however, effectively test the 106D-1 /XL and 106D-2/XL relay coils and other associated contacts. The function of the contacts which had not been tested prior to August 26, 1997, is to provide a block signal to the SIS-X relays. Failure of this contact in each EOG's loading circuit to open following a safety injection system actuation signal, coincident with a loss of off-site power, would result in simultaneously loading all safety system loads onto the EOG as soon as the output breaker closed. This large load on the EOG would potentially result in the EOG breaker rapidly tripping on overcurrent. Based on failure to test these relay contacts in accordance with Technical Specification (T.S.) requirements, both EOGs were declared inoperable.
Upon notification, control room personnel entered Technical Specification Limiting Condition for Operation (T.S. LCO) 3.0.3 due to noncompliance with the requirements of Technical Specification 4.7.1 b. Technical Specification 4.7.1 b requires demonstrating the overall automatic operation of the emergency power system when subjected to a simulated simultaneous loss of normal and standby power sources and a simulated SIS signal. Further, control room operators invoked the provisions of Technical Specification 4.0.3 which allows delaying technical specification actions up to 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> to complete the missed surveillance requirement. Testing of the subject relay contacts was successfully completed within the 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> allowed by T.S. 4.0 .. 3. Based on this testing, control room personnel exited T.S. LCO 3.0.3 at approximately 1950 hours0.0226 days <br />0.542 hours <br />0.00322 weeks <br />7.41975e-4 months <br /> on August 26, 1997, when EOG 1-1 was declared operable. EOG 1-2 was declared operable at 2057 hours0.0238 days <br />0.571 hours <br />0.0034 weeks <br />7.826885e-4 months <br /> on the same day.
The failure to test these relay contacts was identified as part of a Palisades ongoing program to review Technical Specification Testing as requested by Generic Letter 96-01, "Testing of Safety Related Logic Circuits." This Generic.Letter requested that electrical schematic drawings and logic diagrams for the reactor protection system, EOG load shedding and sequencing, and actuation logic for the engineered safety features be reviewed against plant surveillance test procedures.
This review is to ensure that all portions of the logic circuitry, including the parallel logic, interlocks, bypasses and inhibit circuits, are adequately covered in the surveillance procedures.
To perform this review, Palisades has prepared a data base that identifies each relay contact in the subject logic schemes. A cross reference to the procedure step that tests the contact is then provided. It was during the course of this review that it was determined that one contact on the sequencer control relay for each EOG was not adequately tested.
NRC FORM 366<1 U.S. NUCLEAR REGULATORY COMMISSION
- ' 4/95 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME (1 l DOCKET(2)
I LER NUMBER 16) PAGE YEAR SEQUENTIAL REVISION NUMBER NUMBER 05000255 3 OF 6 PALISADES NUCLEAR PLANT 97 - 007 - 00 TEXT (If more space 1s required, use additional copies of NRC Form 366A) (17)
ANALYSIS OF EVENT The Palisades emergency diesel generators (EOGs) *are designed to 1) provide power promptly to engineered safety features if loss of off-site power occurs and 2) provide power to equipment needed to safely shut down the plant and/or maintain the plant in a safe shutdown condition during the loss of off-site power event. If a design basis accident were to occur coincident with ,,
loss of off-site power, the appropriate emergency equipment would be loaded onto the associated EOG in a series of steps or sequence so as not to overload the EOG with simultaneous loading of all the equipment at once. In this condition, the SIS-X relays operate to block a simultaneous start of all loads. Simultaneous loading of all required post accident equipment does occur if off-site power is available.
The contacts used currently to block the SIS-X relays were added to the design by Facility Change 561 in late 1983. At that time, however, the contacts were not relied upon to block the SIS-X relays for a simultaneous SIS actuation with a loss of off-site power. Rather, the contacts were used to allow an orderly restoration of off-site power following a SIS actuation. At that time, a lockout relay on startup power transformer 1-2 prevented block lo~ding of the safety injection loads on each EOG.
In late 1989, Facility Change 800 was installed. This modification replaced the lockout relay contact in each SIS-X block circuit with non seal-in contacts from bus 1C and 10 undervoltage circuits. These contacts would close following reenergization of the safety buses by the EOGs.
Thus, the 1060 sequencer control relay contacts in the block SIS-X circuit were required to prevent block loading the EOGs. Prior to 1989, these contacts had not been required to perform this function.
While reviewing the electrical system surveillance test procedures, as requested by Generic Letter 96-01, *it was determined that a contact on each sequencer control relay 1060-1 /XL and 1060-2/XL was not adequately tested. Each contact is in its associated EOG circuit to prevent simultaneous JQading_oUhe_.safetyJoads_ontoJhe ..EDG inJhe..evenLota .desi.gn .basis. accident coincident with a loss of off-site power. These contacts are in series with other contacts which at various times in the EOG start sequence prevent the safety loads from being actuated (see Figure 1 ). The test procedure (RT-8C/O) for testing the circuitry simulates a bus undervoltage by pulling the bus Potential Transformer fuses. This action opens the bus undervoltage relay 127-1-X2 or the 127-2-X2 contact in the appropriate block SIS-X logic circuit. As the fuses are not reinstalled until SIS actuation is reset, the 127-1-X2 or 127-2-X2 contact remains open, and the action of the 1060 relay contact in the EOG circuit is not adequately verified. Thus, failure of the 1060 relay contact to open would not be detected during the test. Note that the testing that is in place verifies that all other contacts on the 1060 relays are properly tested.
NRC FORM 366a U.S. NUCLEAR REGULATORY COMMISSION 4/95 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME 11 l OOCKET12\ LER NUMBER I 6\ PAGE 05000255 YEAR I SEQUENTIAL NUMBER REVISION NUMBER 40F6 PALISADES NUCLEAR PLANT 97 - 007 - 00 TEXT (If more space 1s required, use add1t1onal copies of NRC Form 366A) (17)
The electrical test procedures have been revised and reviewed extensively over the years. The last extensive review of these procedures was performed in late July and early August 1995. This review was performed as part of the corrective action that was initiated due to a finding that the containment high pressure trips were inoperable. As documented in LER 95-008-01, this review was performed to verify that procedures used for testing safety related circuits completely test the design functions of the equipment. Further, LER 95-008-01 committed to reevaluate the responses to Industry Experience reports pertaining to inadequate circuit modification and testing.
Specifically, the commitment referred to a review of NRC Information Notices IN-88-83, "Inadequate Testing of Relay Contacts in Safety-Related Circuits," and IN-93-38, "Inadequate Testing of Engineered Safety Features Actuation Systems." These and other information notices taken together were the basis for the NRC issuing Generic Letter 96-01 on January 10, 1996; requiring comprehensive testing reviews.
Discussions with the engineer who, in mid 1995, reviewed those portions of the test containing sequencer control 1060 relays indicates that he missed the fact that these relay contacts were not tested. He stated that the evaluation performed at that time was based on the logic diagrams.
The fact that the 127 undervoltage relays would be open throughout the test, resulting in the subject 1060 relay contacts not being verified, would be difficult to discern as part of a review using logic diagrams.
The current review being performed to meet Generic Letter 96-01 is a more thorough review of the circuitry. This review is at the schematic level. Each relay and control switch contact is being individually identified and cross referenced to a procedure step which verifies the contact function.
This method of evaluating the testing is much more rigorous than reviews previously performed.
SAFETY SIGNIFICANCE The 1060 relay contacts associated with blocking SIS-X relay actuation were immediately tested satisfactorily following identification of the problem. The contacts were shown to properly open upon energization of the relay, and effectively _block the SIS-X relays to prevent EOG block loading. Based on this testing and a review of the history of the subject relays, it was determined that the relay contacts were always capable of performing their required safety function. Thus, failure to test this contact did not adversely affect the safe operation of the plant or the health and safety of the public.
PAST OPERABILITY A review of work order history did not identify any work being performed on these relays following the modification to put one 1060 contact in the block SIS-X circuit of each EOG.
NRC FORM 366:i U.S. NUCLEAR REGULATORY COMMISSION 4/95 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION FACILITY NAME 11 l DOCKETl2l LER NUMBER 16\ PAGE 05000255 YEAR I SEQUENTIAL NUMBER REVISION NUMBER
- 5 OF 6 PALISADES NUCLEAR PLANT 97 - 007 - 00 TEXT (If more space 1s required, use add1t1onal copies of NRC Form 366A) (17)
Also, since the relays and other adjacent contacts have been tested regularly as part of the technical specification test program, it is highly unlikely that any problem affecting these untested contacts would not have been discovered.
Based on the successful test of the untested relay contacts and past history revealing no documented work on the relays following implementation of FC-800, it is concluded that there was no time in the past where the relay contacts would not have performed their function. Thus, there are no past operability concerns related to the relay contacts not being tested.
CAUSE OF THE EVENT The root cause of this event was an oversight on the part of personnel involved in the installation of Facility Change FC-800. The change to the logic made by that modification was not adequately tested as part of the post-modification test. The personnel involved in installing that modification over relied on existing surveillance testing to verify design functions. It was wrongly believed that Technical Specification test procedures RT-BC and RT-80 would adequately test the modification.
Additional oversights occurred in later reviews of these tests which further contributed to the event. The non-tested condition of the subject 1060-1 /XL and 1060-2/XL relay contacts was a very subtle aspect within the approved test methodology and difficult to detect. The difficulty was due to opened contacts in series with the subject contacts.
We have reviewed this event and its potential implications against the Palisades Post-Modification Test Program. The modification that made the change to the plant that resulted in reliance on these particular contacts was completed in 1989 under Facility Change 800. As identified in LER 95-008, similar problems with post-modification testing were identified on modifications completed in 1993. We have implemented a series of corrective actions intended to address the post-modification test issues. These actions serve to concentrate and focus both engineering and operating expertise into a test authority responsible for the review of post-modification test.procedures. W.e..are__cootinuingJo__evaluate the_eff.e.ctiveoess of these actions.
The process of implementation of the Generic Letter 96-01 actions is, in itself, a learning experience as to how subtle these design testing conditions can be, and how detailed reviews must be to identify them. We will fold the lessons learned from the Generic Letter 96-01 program into our overall post modification testing program as appropriate.
NRC FORM 366'3 U.S. NUCLEAR REGULATORY COMMISSION 4/95 LICENSEE EVENT REPORT (LER)
TEXT CONTINUATION I
FACILITY NAME 111 DOCKET121
- LER NUMBER' 61 PAGE YEAR SEQUENTIAL REVISION NUMBER NUMBER 05000255 6 OF 6 PALISADES NUCLEAR PLANT 97 - 007 - 00 TEXT (If more space 1s required, use additional copies of NRC Form 366A) (17)
CORRECTIVE ACTION
- 1. Testing of the 106D-1 /XL and 106D-2/XL relay contacts to verify proper operation of these contacts was successfully completed on August 26, 1997, immediately following identification of the test discrepancy.
- 2. This incident was reviewed with engineering personnel responsible for developing and reviewing tests for safety related logic circuitry as well as the piant test authority personnel responsible for reviewing post-modification testing. This same group of people are also participating in the Generic Letter*96-01 review presently underway and, therefore, are all familiar with the tes.t requirements based on their knowledge of the Generic Letter.
- 3. The reviews requested by NRC Generic Letter 96-01 will be completed on the current schedule. The commitment to complete the Generic Letter review is provided in a letter to the NRC dated April 17, 1997, and commits to completing the reviews by the end of the 1998 refueling outage.
- 4. Prior to startup from the 1998 refueling outage, the Technical Specification Test Program will be revised and testing performed to verify that the 106D-1 /XL and 106D-2/XL relay contacts, which input to block actuation of the SIS-X relays, function as designed. The Technical Specification Test Program revision will assure that the subject relay contacts will be tested on a refueling basis thereafter.
ADDITIONAL INFORMATION A related testing issue was reported under LER 95-008.
- Figure 1 In our Refueling Technical Specification Test we simulate a LOOP (coincident with SIS) by pulling the primary PT fuses for the bus (channel) under test. This causes 127-l-X2 5-6 to open. Due to the order of test steps, the PT fuses are not reinstalled until after SIS is reset. Consequently. the function of contact 1060-1/XL 1-2 (block simultaneous starting of all safety loads on DG) was not verified.
Note: All other contacts on relay l 060-1/XL were verified by existing tests. *
- Not-Tested Contact* Cl3L 1060-1/XL Contact opens simultaneously with closure of DG Output Breaker SIS-5 Contact Closes on Safety Injection 3 (5) Test Circuit Contact TX-L 4 (6) Contact opens during select testing 4 Contact opens to drop-out SISX relays 62USIS (prevents lock-in of breaker anti-pump 6 circuits)
Cl3L (TOO 15 SEC)
Xl3 C04L f 62USIS Xl3 19400 s
127-l-X2 Bus undervoltage (auxiliary) relay 6 contacts. Contacts open upon 5 sensed undervoltage condition on 162-153-Xl safety related bus.
6 19400 SISX C04L f Safety Injection block loading relays. During SIS witb offsite SISX power ayailahle. relays pickup Cl3L to simultaneously start safety loads.
SIS-Xl SIS-X3 SIS-XS SIS-X7 Partial of Scheme E-20'J SH. 1