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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML18152B4411999-08-27027 August 1999 LER 99-005-00:on 990731,effluent Radiation Monitors Were Declared Inoperable.Caused by Degraded Heat Trace Circuits for Monitors Sample Suction Line.Degraded Heat Trace Circuit Was Replaced & Addl Heat Trace Is Being Installed ML18152B4421999-08-27027 August 1999 LER 99-006-00:on 990802,determined That Plant Was Outside of App R Design Basis Due to Fire Barrier Deficiencies. Caused by Original Plant Design Deficiencies.Fire Watches Were Established & Mods Have Been Completed.With 990827 Ltr ML18152B3771999-08-13013 August 1999 LER 99-004-00:on 990714,TS Violation Due to non-safety Related Fans Effect on CR Boundary Was Noted.Cause of Event Has Not Yet Been Determined.Cable Spreading Room Doors Were Operned to Reduce Pressure in Rooms ML18152B4181999-05-18018 May 1999 LER 99-002-00:on 990425,MSSVs Tested Out of Tolerance for as Found Setpoint.Caused by Minor Setpoint Drift.No Immediate Action Required.Deviation Rept Submitted for Each Valve.With 990518 Ltr ML18152B4111999-04-28028 April 1999 LER 99-003-00:on 990331,potential Loss of Charging Pumps Was Noted.Caused by Main CR Fire.Station Deviation Was Issued on 990331.With 990428 Ltr ML18153A2741999-03-29029 March 1999 LER 99-002-00:on 990301,prematurely Released Fire Watches Resulted in Violation of TS 3.21.B.7.Caused by Inadequate Procedure.Procedure for Opening & Sealing Fire Stops Was Revised on 990212 ML18153A2681999-03-19019 March 1999 LER 98-013-01:on 981122,turbine/reactor Tripped on High Due to Short Circuit in Summator for MSL C Loop Channel III Flow Transmitter.Replaced 1-MS-FT1494 Summator & Module Repair Procedure Revised.With 9903190 Ltr ML18152B7261999-01-21021 January 1999 LER 99-001-00:on 981222,auxiliary Feedwater Pipe Support Missed Surveillance.Caused by Personnel Error.Station Deviation Rept Was Submitted.Two Supports in Question Received Required Code Insp & Were Found Acceptable ML18152B5811998-12-16016 December 1998 LER 98-013-00:on 981122,turbine/reactor Trip on High SG Level Occurred.Caused by Instrument Failure.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B5781998-12-16016 December 1998 LER 98-014-00:on 981126,manual Reactor Trip in Response to Main Feedwater Regulating Valve Failure Occurred.Caused by Dislocation of Retaining Clip in Positioner.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B7121998-12-0404 December 1998 LER 98-S01-00:on 981105,noted Failure to Deactivate Station Access Badge.Caused by Human Error.Licensee Will Now Deactivate Station Badges Before Clearance Is Revoked & Process for Badge Deactivations Have Been Strengthened ML18152B7041998-12-0101 December 1998 LER 98-012-00:on 981102,noted That EDGs Were Concurrently Inoperable.Caused by Required Testing Per TS 3.16.B.1.a.2. Redundant EDG Was Returned to Svc within Two Hour Period, Following Satisfactory Testing.With 981201 Ltr ML18152B6161998-11-0606 November 1998 LER 98-011-00:on 981008,diesel Driven Fire Pump Failed to Start During Performance of Monthly Operability Test.Caused by Faulty Overspeed Trip Device Failure.Diesel Driven Fire Pump Declared Inoperable ML18152B6081998-10-23023 October 1998 LER 98-010-01:on 980715,intake Canal Level Probes Were Inoperable Due to Marine Growth.Caused by Design of Canal Level Instrumentation.Canal Level Probes Will Continue to Be Monitored More Closely ML18152B7811998-07-31031 July 1998 LER 98-010-00:on 980715,low Intake Canal Level Instrument Channel I Was Declared Inoperable to Allow Testing of Intake Canal Level Probe 1-CW-LE-102.Subject Probe Was Cleaned by Diver,Tested & Channel I Was Returned to Operable Status ML18153A2581998-06-0303 June 1998 LER 98-009-00:on 980509,nonisolable Leak of Reactor Coolant Pump Seal Injection Line Weld,Was Discovered.Caused by Lack of Fusion or Thermal Fatigue Coupled W/Vibration Stress Due to Loose Rod Hanger.Rcp Seal Injection Line Removed ML18152B8241998-05-22022 May 1998 LER 98-008-00:on 980228,auxiliary Ventilation Fans Were Noted in Condition Outside of Design Basis.Caused by Failure to Recognize Potential Impact of Certain Design Basis Accident Scenarios.No Corrective Actions Needed ML18152B7951998-04-29029 April 1998 LER 98-007-00:on 980330,radiation Monitors Were Declared Inoperable.Caused by Change in Operating Temperature Range. Preplanned Alternate Method of Monitoring Was Initiated IAW TS Table 3.7-6 ML18153A2521998-04-22022 April 1998 LER 98-005-01:on 980212,fire Watch Insp Exceeded One Hour. Caused by Lack of Attention to Detail by Individual Involved.Individual Involved Was Coached on Requirement to Perform Fire Watch Patrols within Required Time Frame ML18153A2511998-04-22022 April 1998 LER 98-006-00:on 980324,unisolable Through Wall Leak of RCP Thermowell Was Noted.Cause of Leak Is Unknown.Rtd Will Be Replaced ML18153A2391998-03-13013 March 1998 LER 98-005-00:on 980212,fire Watch Insp Frequency Exceeded One H Occurred.Category 2 Root Cause Evaluation Being Conducted to Determine Cause of Event.Station Deviation Issued ML18153A2341998-03-0909 March 1998 LER 98-003-00:on 980226,no Procedural Guidance for Maintaining EDG Minimum Fuel Supply During Loop,Was Identified.Caused by Absence of Procedural Instructions. Deviation Rept Submitted to Document Deviating Condition ML18153A2301998-03-0606 March 1998 LER 98-004-00:on 980206,fire Watch Was Released Prematurely Resulting in Violation of Ts.Caused by Inadequate Planning of Repair Activity.Work Orders Will Include Ref to Applicable Procedures Developed to Assist in Repairs ML18153A2251998-03-0404 March 1998 LER 98-002-00:on 980202,automatic Turbine Trip Resulted in Automatic Reactor Trip.Caused Degraded Generator Voltage Regulator sub-component Failure.Placed Plant in Safe Hot SD & Replaced Intermittent Relay & Relay Socket ML18153A2201998-02-0606 February 1998 LER 98-001-00:on 980108,deficient Test Due to Faulty Test Equipment Resulted in TS Violation.Caused by Faulty Vibration Analyzer Cable or Loose Connection.Station Deviation Rept Was submitted.W/980206 Ltr ML18153A2071998-01-13013 January 1998 LER 97-012-01:on 971028,loss of Power to Latching Mechanism on Several Doors Occurred.Caused by Tripping of Two Breakers in Security Distribution Panel.Reset Affected Breakers Which Restored Power to Security Systems & Affected Doors ML18153A2101998-01-13013 January 1998 LER 97-009-01:on 971014,declared Intake Canal Level Probes Inoperable Due to Marine Growth.Caused by Inadequate Maint of Intake Canal Level Probes.Subject Probes Were Cleaned, Tested Satisfactorily & Returned to Operable Status ML18153A1911997-11-26026 November 1997 LER 97-011-00:on 971030,determined That Periodic Test Procedures for Testing Reactor Trip Bypass Breakers Did Not Test Manual Undervoltage Trip.Caused by mis-interpretation of Term in-service. Procedures Revised ML18153A1971997-11-26026 November 1997 LER 97-012-00:on 971028,loss of Power to Latching Mechanism on Several Doors Occurred.Caused by Tripping of Breaker in Security Distribution Panel in Central Alarm Station (CAS) Panel.Breakers in Affected CAS Panel Reset ML18153A1921997-11-25025 November 1997 LER 97-010-00:on 971028,discovered Missed Fire Protection Surveillance Pt.Caused by Personnel Error.Satisfactorily Completed PT Procedure 0-OPT-FP-009 & Diesel Driven Fire Pump 1-FP-P-2 Declared operable.W/971125 Ltr ML18153A1831997-11-12012 November 1997 LER 97-009-00:on 971014,declared Intake Canal Level Probes Inoperable Due to Marine Growth.Cause Indeterminate.Divers Inspected,Cleaned & Returned Probes to Operable Status & Initiated Interdepartmental Team to Investigate Cause ML18153A1791997-11-0707 November 1997 LER 97-008-00:on 971011,invalid Actuation of ESF Occurred. Caused by Personnel Errors.Main CR Bottled Air Sys Isolated & Containment Hydrogen Analyzer Heat Tracing Actuation Signal Reset ML18153A1721997-10-30030 October 1997 LER 97-007-00:on 970930,determined That Plant Was Outside App R Design Basis Due to Vital Bus Isolation Issue.Caused by Personnel Error.Installed Circuit Protective Device During Oct 1997 Refueling Outage ML18153A1421997-06-10010 June 1997 LER 97-001-01:on 970123,shutdown Occurred Due to Drain Line Weld Leak.Inspected & Tested Turbine Trip Actuation circuitry.W/970610 Ltr ML18153A1391997-05-28028 May 1997 LER 97-005-00:on 970502,Unit 1 Power Range Nuclear Instrumentation Was Inoperable Due to Personnel Error.Sro & STA That Were Involved in Event Were Counseled ML18153A1291997-04-18018 April 1997 LER 97-006-00:on 970320,loss of Refueling Integrity Due to Inadequate Containment Closure Process & Verification.Fuel Movement Stopped IAW Action Statement Requirements of TS 3.10.B.W/970418 Ltr ML18153A1281997-04-15015 April 1997 LER 97-004-00:on 970317,main Steam Safety Valve Was Outside as Found Setpoint Tolerance.Specific Cause Unknown,However, Minor Setpoint Drift Can Be Expected.No Immediate Corrective Actions performed.W/970415 Ltr ML18153A1241997-04-0808 April 1997 LER 97-002-01:on 970116,one Train of Auxiliary Ventilation Sys Was Inoperable Outside of Ts.Caused by Personnel Error. Submitted Deviation Rept Re Reverse Rotation of Fan & Work Request to Adjust linkage.W/970408 Ltr ML18153A1191997-03-19019 March 1997 LER 97-001-00:on 970218,manual Reactor Trip & ESF Actuation Occurred Due to Loss of EHC Control Power.Caused by Momentary Short.Relay Card Was replaced.W/970319 Ltr ML18153A1201997-03-19019 March 1997 LER 97-003-00:on 970219,loss of Pressurizer Heaters Resulted in Manual U1 Trip & U2 ESF Actuation.Caused by Loss of Group C Pressurizer Proportional Heaters.Reactor Trip Breakers Were Verified open.W/970319 Ltr ML18153A1131997-02-20020 February 1997 LER 97-001-00:on 970123,shutdown Occurred Due to Steam Drain Line Weld Leak.Management Was Notified & Shift Supervisor Invoked Requirements of TS 4.15.C.1.W/undtd Ltr ML18153A1101997-02-13013 February 1997 LER 97-002-00:on 970116,one Train of Auxiliary Ventilation Sys Declared Inoperable.Caused by Personnel Error.Properly Adjusted Damper 1-VS-MOD-58B & Exited Seven Day LCO on 970116.W/970214 Ltr ML18153A0951997-01-0202 January 1997 LER 97-002-00:on 961213,automatic Reactor Trip Occurred During Planned Shutdown.Caused by Steam Flow/Feedwater Flow Mismatch.Rps Functioned as Designed & Plant Placed in Hot Shutdown ML18153A0931996-12-12012 December 1996 LER 96-008-00:on 961112,water Gas Decay Tank Oxygen Analyzer Pressure Sensors Inoperable Due to Vendor Supplied Equipment Not Meeting Procurement specifications.Post-implementation Procedures Revised & Transducers replaced.W/961212 Ltr ML18153A0691996-09-19019 September 1996 LER 96-007-00:on 960821,failed to Complete Fire Detection Zone Inspections within Required Time Period.Caused by Personnel Error.Counseled Personnel Re Fire Detection Zone Inspections & Revised Fire Watch training.W/960920 Ltr ML18153A0481996-08-26026 August 1996 LER 96-005-00:on 960803,manual Reactor Trip.Caused by Loss of Electro Hydraulic Control Pressure.Repaired Two Compression Fitting Union Connections on Leaking Fitting & Performed Evaluations on Other tubing.W/960826 Ltr ML18153A0521996-08-20020 August 1996 LER 96-004-01:on 960510,discovered Hydrogen Analyzers Inoperable.Caused by Procedural Deficiencies.Implemented Permanent Changes to Hydrogen Analyzer Instrument Calibr Procedures.W/960820 Ltr ML18153A0321996-07-30030 July 1996 LER 96-006-01:on 960618,anti-corrosion Coating Had Not Been Reapplied to Station Battery 2B.Caused by Procedural Error in That Verbatim TS Compliance Not Reflected in Procedures. Coating Was Applied to batteries.W/960730 Ltr ML18153A0281996-07-17017 July 1996 LER 96-006-00:on 960618,failed to Apply anti-corrosion Coating to Station Battery 2B.Caused by Procedural Error. Applied anti-corrosion Coating to Batteries & Revised TS 4.6.C.1.f Re Battery Coating requirements.W/960717 Ltr ML18153A0141996-07-0202 July 1996 LER 96-004-00:on 960606,turbine/reactor Trip Occurred.Caused by High Level in Steam Generator B.Placed Plant in Hot Shutdown Condition,Calculated Shutdown Margin & Monitored Critical Safety Function Status trees.W/960702 Ltr 1999-08-27
[Table view] Category:RO)
MONTHYEARML18152B4411999-08-27027 August 1999 LER 99-005-00:on 990731,effluent Radiation Monitors Were Declared Inoperable.Caused by Degraded Heat Trace Circuits for Monitors Sample Suction Line.Degraded Heat Trace Circuit Was Replaced & Addl Heat Trace Is Being Installed ML18152B4421999-08-27027 August 1999 LER 99-006-00:on 990802,determined That Plant Was Outside of App R Design Basis Due to Fire Barrier Deficiencies. Caused by Original Plant Design Deficiencies.Fire Watches Were Established & Mods Have Been Completed.With 990827 Ltr ML18152B3771999-08-13013 August 1999 LER 99-004-00:on 990714,TS Violation Due to non-safety Related Fans Effect on CR Boundary Was Noted.Cause of Event Has Not Yet Been Determined.Cable Spreading Room Doors Were Operned to Reduce Pressure in Rooms ML18152B4181999-05-18018 May 1999 LER 99-002-00:on 990425,MSSVs Tested Out of Tolerance for as Found Setpoint.Caused by Minor Setpoint Drift.No Immediate Action Required.Deviation Rept Submitted for Each Valve.With 990518 Ltr ML18152B4111999-04-28028 April 1999 LER 99-003-00:on 990331,potential Loss of Charging Pumps Was Noted.Caused by Main CR Fire.Station Deviation Was Issued on 990331.With 990428 Ltr ML18153A2741999-03-29029 March 1999 LER 99-002-00:on 990301,prematurely Released Fire Watches Resulted in Violation of TS 3.21.B.7.Caused by Inadequate Procedure.Procedure for Opening & Sealing Fire Stops Was Revised on 990212 ML18153A2681999-03-19019 March 1999 LER 98-013-01:on 981122,turbine/reactor Tripped on High Due to Short Circuit in Summator for MSL C Loop Channel III Flow Transmitter.Replaced 1-MS-FT1494 Summator & Module Repair Procedure Revised.With 9903190 Ltr ML18152B7261999-01-21021 January 1999 LER 99-001-00:on 981222,auxiliary Feedwater Pipe Support Missed Surveillance.Caused by Personnel Error.Station Deviation Rept Was Submitted.Two Supports in Question Received Required Code Insp & Were Found Acceptable ML18152B5811998-12-16016 December 1998 LER 98-013-00:on 981122,turbine/reactor Trip on High SG Level Occurred.Caused by Instrument Failure.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B5781998-12-16016 December 1998 LER 98-014-00:on 981126,manual Reactor Trip in Response to Main Feedwater Regulating Valve Failure Occurred.Caused by Dislocation of Retaining Clip in Positioner.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B7121998-12-0404 December 1998 LER 98-S01-00:on 981105,noted Failure to Deactivate Station Access Badge.Caused by Human Error.Licensee Will Now Deactivate Station Badges Before Clearance Is Revoked & Process for Badge Deactivations Have Been Strengthened ML18152B7041998-12-0101 December 1998 LER 98-012-00:on 981102,noted That EDGs Were Concurrently Inoperable.Caused by Required Testing Per TS 3.16.B.1.a.2. Redundant EDG Was Returned to Svc within Two Hour Period, Following Satisfactory Testing.With 981201 Ltr ML18152B6161998-11-0606 November 1998 LER 98-011-00:on 981008,diesel Driven Fire Pump Failed to Start During Performance of Monthly Operability Test.Caused by Faulty Overspeed Trip Device Failure.Diesel Driven Fire Pump Declared Inoperable ML18152B6081998-10-23023 October 1998 LER 98-010-01:on 980715,intake Canal Level Probes Were Inoperable Due to Marine Growth.Caused by Design of Canal Level Instrumentation.Canal Level Probes Will Continue to Be Monitored More Closely ML18152B7811998-07-31031 July 1998 LER 98-010-00:on 980715,low Intake Canal Level Instrument Channel I Was Declared Inoperable to Allow Testing of Intake Canal Level Probe 1-CW-LE-102.Subject Probe Was Cleaned by Diver,Tested & Channel I Was Returned to Operable Status ML18153A2581998-06-0303 June 1998 LER 98-009-00:on 980509,nonisolable Leak of Reactor Coolant Pump Seal Injection Line Weld,Was Discovered.Caused by Lack of Fusion or Thermal Fatigue Coupled W/Vibration Stress Due to Loose Rod Hanger.Rcp Seal Injection Line Removed ML18152B8241998-05-22022 May 1998 LER 98-008-00:on 980228,auxiliary Ventilation Fans Were Noted in Condition Outside of Design Basis.Caused by Failure to Recognize Potential Impact of Certain Design Basis Accident Scenarios.No Corrective Actions Needed ML18152B7951998-04-29029 April 1998 LER 98-007-00:on 980330,radiation Monitors Were Declared Inoperable.Caused by Change in Operating Temperature Range. Preplanned Alternate Method of Monitoring Was Initiated IAW TS Table 3.7-6 ML18153A2521998-04-22022 April 1998 LER 98-005-01:on 980212,fire Watch Insp Exceeded One Hour. Caused by Lack of Attention to Detail by Individual Involved.Individual Involved Was Coached on Requirement to Perform Fire Watch Patrols within Required Time Frame ML18153A2511998-04-22022 April 1998 LER 98-006-00:on 980324,unisolable Through Wall Leak of RCP Thermowell Was Noted.Cause of Leak Is Unknown.Rtd Will Be Replaced ML18153A2391998-03-13013 March 1998 LER 98-005-00:on 980212,fire Watch Insp Frequency Exceeded One H Occurred.Category 2 Root Cause Evaluation Being Conducted to Determine Cause of Event.Station Deviation Issued ML18153A2341998-03-0909 March 1998 LER 98-003-00:on 980226,no Procedural Guidance for Maintaining EDG Minimum Fuel Supply During Loop,Was Identified.Caused by Absence of Procedural Instructions. Deviation Rept Submitted to Document Deviating Condition ML18153A2301998-03-0606 March 1998 LER 98-004-00:on 980206,fire Watch Was Released Prematurely Resulting in Violation of Ts.Caused by Inadequate Planning of Repair Activity.Work Orders Will Include Ref to Applicable Procedures Developed to Assist in Repairs ML18153A2251998-03-0404 March 1998 LER 98-002-00:on 980202,automatic Turbine Trip Resulted in Automatic Reactor Trip.Caused Degraded Generator Voltage Regulator sub-component Failure.Placed Plant in Safe Hot SD & Replaced Intermittent Relay & Relay Socket ML18153A2201998-02-0606 February 1998 LER 98-001-00:on 980108,deficient Test Due to Faulty Test Equipment Resulted in TS Violation.Caused by Faulty Vibration Analyzer Cable or Loose Connection.Station Deviation Rept Was submitted.W/980206 Ltr ML18153A2071998-01-13013 January 1998 LER 97-012-01:on 971028,loss of Power to Latching Mechanism on Several Doors Occurred.Caused by Tripping of Two Breakers in Security Distribution Panel.Reset Affected Breakers Which Restored Power to Security Systems & Affected Doors ML18153A2101998-01-13013 January 1998 LER 97-009-01:on 971014,declared Intake Canal Level Probes Inoperable Due to Marine Growth.Caused by Inadequate Maint of Intake Canal Level Probes.Subject Probes Were Cleaned, Tested Satisfactorily & Returned to Operable Status ML18153A1911997-11-26026 November 1997 LER 97-011-00:on 971030,determined That Periodic Test Procedures for Testing Reactor Trip Bypass Breakers Did Not Test Manual Undervoltage Trip.Caused by mis-interpretation of Term in-service. Procedures Revised ML18153A1971997-11-26026 November 1997 LER 97-012-00:on 971028,loss of Power to Latching Mechanism on Several Doors Occurred.Caused by Tripping of Breaker in Security Distribution Panel in Central Alarm Station (CAS) Panel.Breakers in Affected CAS Panel Reset ML18153A1921997-11-25025 November 1997 LER 97-010-00:on 971028,discovered Missed Fire Protection Surveillance Pt.Caused by Personnel Error.Satisfactorily Completed PT Procedure 0-OPT-FP-009 & Diesel Driven Fire Pump 1-FP-P-2 Declared operable.W/971125 Ltr ML18153A1831997-11-12012 November 1997 LER 97-009-00:on 971014,declared Intake Canal Level Probes Inoperable Due to Marine Growth.Cause Indeterminate.Divers Inspected,Cleaned & Returned Probes to Operable Status & Initiated Interdepartmental Team to Investigate Cause ML18153A1791997-11-0707 November 1997 LER 97-008-00:on 971011,invalid Actuation of ESF Occurred. Caused by Personnel Errors.Main CR Bottled Air Sys Isolated & Containment Hydrogen Analyzer Heat Tracing Actuation Signal Reset ML18153A1721997-10-30030 October 1997 LER 97-007-00:on 970930,determined That Plant Was Outside App R Design Basis Due to Vital Bus Isolation Issue.Caused by Personnel Error.Installed Circuit Protective Device During Oct 1997 Refueling Outage ML18153A1421997-06-10010 June 1997 LER 97-001-01:on 970123,shutdown Occurred Due to Drain Line Weld Leak.Inspected & Tested Turbine Trip Actuation circuitry.W/970610 Ltr ML18153A1391997-05-28028 May 1997 LER 97-005-00:on 970502,Unit 1 Power Range Nuclear Instrumentation Was Inoperable Due to Personnel Error.Sro & STA That Were Involved in Event Were Counseled ML18153A1291997-04-18018 April 1997 LER 97-006-00:on 970320,loss of Refueling Integrity Due to Inadequate Containment Closure Process & Verification.Fuel Movement Stopped IAW Action Statement Requirements of TS 3.10.B.W/970418 Ltr ML18153A1281997-04-15015 April 1997 LER 97-004-00:on 970317,main Steam Safety Valve Was Outside as Found Setpoint Tolerance.Specific Cause Unknown,However, Minor Setpoint Drift Can Be Expected.No Immediate Corrective Actions performed.W/970415 Ltr ML18153A1241997-04-0808 April 1997 LER 97-002-01:on 970116,one Train of Auxiliary Ventilation Sys Was Inoperable Outside of Ts.Caused by Personnel Error. Submitted Deviation Rept Re Reverse Rotation of Fan & Work Request to Adjust linkage.W/970408 Ltr ML18153A1191997-03-19019 March 1997 LER 97-001-00:on 970218,manual Reactor Trip & ESF Actuation Occurred Due to Loss of EHC Control Power.Caused by Momentary Short.Relay Card Was replaced.W/970319 Ltr ML18153A1201997-03-19019 March 1997 LER 97-003-00:on 970219,loss of Pressurizer Heaters Resulted in Manual U1 Trip & U2 ESF Actuation.Caused by Loss of Group C Pressurizer Proportional Heaters.Reactor Trip Breakers Were Verified open.W/970319 Ltr ML18153A1131997-02-20020 February 1997 LER 97-001-00:on 970123,shutdown Occurred Due to Steam Drain Line Weld Leak.Management Was Notified & Shift Supervisor Invoked Requirements of TS 4.15.C.1.W/undtd Ltr ML18153A1101997-02-13013 February 1997 LER 97-002-00:on 970116,one Train of Auxiliary Ventilation Sys Declared Inoperable.Caused by Personnel Error.Properly Adjusted Damper 1-VS-MOD-58B & Exited Seven Day LCO on 970116.W/970214 Ltr ML18153A0951997-01-0202 January 1997 LER 97-002-00:on 961213,automatic Reactor Trip Occurred During Planned Shutdown.Caused by Steam Flow/Feedwater Flow Mismatch.Rps Functioned as Designed & Plant Placed in Hot Shutdown ML18153A0931996-12-12012 December 1996 LER 96-008-00:on 961112,water Gas Decay Tank Oxygen Analyzer Pressure Sensors Inoperable Due to Vendor Supplied Equipment Not Meeting Procurement specifications.Post-implementation Procedures Revised & Transducers replaced.W/961212 Ltr ML18153A0691996-09-19019 September 1996 LER 96-007-00:on 960821,failed to Complete Fire Detection Zone Inspections within Required Time Period.Caused by Personnel Error.Counseled Personnel Re Fire Detection Zone Inspections & Revised Fire Watch training.W/960920 Ltr ML18153A0481996-08-26026 August 1996 LER 96-005-00:on 960803,manual Reactor Trip.Caused by Loss of Electro Hydraulic Control Pressure.Repaired Two Compression Fitting Union Connections on Leaking Fitting & Performed Evaluations on Other tubing.W/960826 Ltr ML18153A0521996-08-20020 August 1996 LER 96-004-01:on 960510,discovered Hydrogen Analyzers Inoperable.Caused by Procedural Deficiencies.Implemented Permanent Changes to Hydrogen Analyzer Instrument Calibr Procedures.W/960820 Ltr ML18153A0321996-07-30030 July 1996 LER 96-006-01:on 960618,anti-corrosion Coating Had Not Been Reapplied to Station Battery 2B.Caused by Procedural Error in That Verbatim TS Compliance Not Reflected in Procedures. Coating Was Applied to batteries.W/960730 Ltr ML18153A0281996-07-17017 July 1996 LER 96-006-00:on 960618,failed to Apply anti-corrosion Coating to Station Battery 2B.Caused by Procedural Error. Applied anti-corrosion Coating to Batteries & Revised TS 4.6.C.1.f Re Battery Coating requirements.W/960717 Ltr ML18153A0141996-07-0202 July 1996 LER 96-004-00:on 960606,turbine/reactor Trip Occurred.Caused by High Level in Steam Generator B.Placed Plant in Hot Shutdown Condition,Calculated Shutdown Margin & Monitored Critical Safety Function Status trees.W/960702 Ltr 1999-08-27
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML18152A2811999-10-12012 October 1999 Technical Basis for Elimination of Nozzle Inner Radius Insps (for Nozzles Other than Reactor Vessel),Technical Basis for ASME Section XI Code Case N-619. ML18152B3531999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Surry Power Station,Units 1 & 2.With 991012 Ltr ML18152B6651999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Surry Power Station Units 1 & 2.With 990915 Ltr ML18152B4421999-08-27027 August 1999 LER 99-006-00:on 990802,determined That Plant Was Outside of App R Design Basis Due to Fire Barrier Deficiencies. Caused by Original Plant Design Deficiencies.Fire Watches Were Established & Mods Have Been Completed.With 990827 Ltr ML18152B4411999-08-27027 August 1999 LER 99-005-00:on 990731,effluent Radiation Monitors Were Declared Inoperable.Caused by Degraded Heat Trace Circuits for Monitors Sample Suction Line.Degraded Heat Trace Circuit Was Replaced & Addl Heat Trace Is Being Installed ML18151A3981999-08-13013 August 1999 SPS Unit 2 ISI Summary Rept for 1999 Refueling Outage. ML18152B3771999-08-13013 August 1999 LER 99-004-00:on 990714,TS Violation Due to non-safety Related Fans Effect on CR Boundary Was Noted.Cause of Event Has Not Yet Been Determined.Cable Spreading Room Doors Were Operned to Reduce Pressure in Rooms ML18152B3791999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Surry Power Station,Units 1 & 2.With 990811 Ltr ML18152B3911999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Surry Power Station,Units 1 & 2.With 990713 Ltr ML18152B4341999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Surry Power Station,Units 1 & 2.With 990614 Ltr ML20195E2401999-05-31031 May 1999 Rev 2 to COLR for SPS Unit 2 Cycle 16 Pattern Ag ML18152B4181999-05-18018 May 1999 LER 99-002-00:on 990425,MSSVs Tested Out of Tolerance for as Found Setpoint.Caused by Minor Setpoint Drift.No Immediate Action Required.Deviation Rept Submitted for Each Valve.With 990518 Ltr ML18152B4161999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Surry Power Station Units 1 & 2.With 990512 Ltr ML18152B4111999-04-28028 April 1999 LER 99-003-00:on 990331,potential Loss of Charging Pumps Was Noted.Caused by Main CR Fire.Station Deviation Was Issued on 990331.With 990428 Ltr ML18152B6511999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Surry Power Station Units 1 & 2 ML18153A2741999-03-29029 March 1999 LER 99-002-00:on 990301,prematurely Released Fire Watches Resulted in Violation of TS 3.21.B.7.Caused by Inadequate Procedure.Procedure for Opening & Sealing Fire Stops Was Revised on 990212 ML18153A2681999-03-19019 March 1999 LER 98-013-01:on 981122,turbine/reactor Tripped on High Due to Short Circuit in Summator for MSL C Loop Channel III Flow Transmitter.Replaced 1-MS-FT1494 Summator & Module Repair Procedure Revised.With 9903190 Ltr ML18152B7331999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Surry Power Station,Units 1 & 2.With 990310 Ltr ML18152B5421999-01-31031 January 1999 Monthly Operating Repts for Jan 1999 for Surry Power Station,Units 1 & 2.With 990210 Ltr ML18151A3031999-01-29029 January 1999 ISI Summary Rept for 1998 Refueling Outage,Including Form NIS-1, Owners Rept for ISIs & Form NIS-2, Owners Rept for Repairs & Replacements. ML18152B7261999-01-21021 January 1999 LER 99-001-00:on 981222,auxiliary Feedwater Pipe Support Missed Surveillance.Caused by Personnel Error.Station Deviation Rept Was Submitted.Two Supports in Question Received Required Code Insp & Were Found Acceptable ML18152B6011998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Surry Power Station,Units 1 & 2.With 990115 Ltr ML18152B5781998-12-16016 December 1998 LER 98-014-00:on 981126,manual Reactor Trip in Response to Main Feedwater Regulating Valve Failure Occurred.Caused by Dislocation of Retaining Clip in Positioner.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B5811998-12-16016 December 1998 LER 98-013-00:on 981122,turbine/reactor Trip on High SG Level Occurred.Caused by Instrument Failure.Control Room Operators Placed Unit in Safe,Shutdown Condition ML18152B7121998-12-0404 December 1998 LER 98-S01-00:on 981105,noted Failure to Deactivate Station Access Badge.Caused by Human Error.Licensee Will Now Deactivate Station Badges Before Clearance Is Revoked & Process for Badge Deactivations Have Been Strengthened ML18152B7041998-12-0101 December 1998 LER 98-012-00:on 981102,noted That EDGs Were Concurrently Inoperable.Caused by Required Testing Per TS 3.16.B.1.a.2. Redundant EDG Was Returned to Svc within Two Hour Period, Following Satisfactory Testing.With 981201 Ltr ML18152B7081998-11-30030 November 1998 Rev 0 to COLR for Surry 1 Cycle 16,Pattern Un. ML18152B5721998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Surry Power Station,Units 1 & 2.With 981214 Ltr ML18152B6161998-11-0606 November 1998 LER 98-011-00:on 981008,diesel Driven Fire Pump Failed to Start During Performance of Monthly Operability Test.Caused by Faulty Overspeed Trip Device Failure.Diesel Driven Fire Pump Declared Inoperable ML18152B6241998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Surry Power Station Units 1 & 2.With 981111 Ltr ML18152B6081998-10-23023 October 1998 LER 98-010-01:on 980715,intake Canal Level Probes Were Inoperable Due to Marine Growth.Caused by Design of Canal Level Instrumentation.Canal Level Probes Will Continue to Be Monitored More Closely ML18152B6881998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Surry Power Station Units 1 & 2.With 981012 Ltr ML18153A3271998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Surry Power Station,Units 1 & 2 ML18152B7811998-07-31031 July 1998 LER 98-010-00:on 980715,low Intake Canal Level Instrument Channel I Was Declared Inoperable to Allow Testing of Intake Canal Level Probe 1-CW-LE-102.Subject Probe Was Cleaned by Diver,Tested & Channel I Was Returned to Operable Status ML18153A3161998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Surry Power Station Units 1 & 2.W/980807 Ltr ML18152B7621998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Surry Power Station,Units 1 & 2.W/980707 Ltr ML18153A2581998-06-0303 June 1998 LER 98-009-00:on 980509,nonisolable Leak of Reactor Coolant Pump Seal Injection Line Weld,Was Discovered.Caused by Lack of Fusion or Thermal Fatigue Coupled W/Vibration Stress Due to Loose Rod Hanger.Rcp Seal Injection Line Removed ML20248F7441998-05-31031 May 1998 Reactor Vessel Working Group,Response to RAI Regarding Reactor Pressure Vessel Integrity ML18153A3141998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Surry Power Station,Units 1 & 2.W/980610 ML18152B8241998-05-22022 May 1998 LER 98-008-00:on 980228,auxiliary Ventilation Fans Were Noted in Condition Outside of Design Basis.Caused by Failure to Recognize Potential Impact of Certain Design Basis Accident Scenarios.No Corrective Actions Needed ML18152B8161998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Surry Power Station Units 1 & 2.W/980508 Ltr ML18152B7951998-04-29029 April 1998 LER 98-007-00:on 980330,radiation Monitors Were Declared Inoperable.Caused by Change in Operating Temperature Range. Preplanned Alternate Method of Monitoring Was Initiated IAW TS Table 3.7-6 ML18153A2511998-04-22022 April 1998 LER 98-006-00:on 980324,unisolable Through Wall Leak of RCP Thermowell Was Noted.Cause of Leak Is Unknown.Rtd Will Be Replaced ML18153A2521998-04-22022 April 1998 LER 98-005-01:on 980212,fire Watch Insp Exceeded One Hour. Caused by Lack of Attention to Detail by Individual Involved.Individual Involved Was Coached on Requirement to Perform Fire Watch Patrols within Required Time Frame ML20217P9941998-04-0707 April 1998 Safety Evaluation Granting Licensee Third 10-yr Inservice Insp Program Relief Requests SR-018 - Sr-024 ML18153A2951998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Sps,Units 1 & 2.W/ 980408 Ltr ML18153A2391998-03-13013 March 1998 LER 98-005-00:on 980212,fire Watch Insp Frequency Exceeded One H Occurred.Category 2 Root Cause Evaluation Being Conducted to Determine Cause of Event.Station Deviation Issued ML18153A2341998-03-0909 March 1998 LER 98-003-00:on 980226,no Procedural Guidance for Maintaining EDG Minimum Fuel Supply During Loop,Was Identified.Caused by Absence of Procedural Instructions. Deviation Rept Submitted to Document Deviating Condition ML18153A2301998-03-0606 March 1998 LER 98-004-00:on 980206,fire Watch Was Released Prematurely Resulting in Violation of Ts.Caused by Inadequate Planning of Repair Activity.Work Orders Will Include Ref to Applicable Procedures Developed to Assist in Repairs ML18153A2251998-03-0404 March 1998 LER 98-002-00:on 980202,automatic Turbine Trip Resulted in Automatic Reactor Trip.Caused Degraded Generator Voltage Regulator sub-component Failure.Placed Plant in Safe Hot SD & Replaced Intermittent Relay & Relay Socket 1999-09-30
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~ ACCELERATED DliRIBUTION DEMONSTVTION SYSTEM REGULATORY INFORMATION DISTRIBUTION SYSTEM (RIDS)
ACCESSION NBR:9110070353 DOC.DATE: 91/09/30 NOTARIZED: NO DOCKET#
FACIL:50-281 Surry Power Station, Unit 2, Virginia*Electric & Powe 05000281 AUTH.NAME AUTHOR AFFILIATION KANSLER,M.R. Virginia Power (Virginia Electric & Power Co.)
RECIP.NAM'E RECIPIENT AFFILIATION R
SUBJECT:
LER 91-009-00:on 910903,determined that check valve 2-RH-47 not full flow tested during Cycle 10 refueling I outage.caused by personnel/procedural error.Procedure changed & testing performed on 910908.W/910930 ltr. D DISTRIBUTION CODE: IE22T COPIES RECEIVED:LTR _l ENCL j_ SIZE:_S _ _ __ s TITLE: 50.73/50.9 Licensee Event Report (LER), Incident Rpt, etc.
I NOTES:lcy NMSS/IMSB/PM. 05000281 A
RECIPIENT COPIES RECIPIENT COPIES D ID CODE/NAME LTTR ENCL ID CODE/NAME LTTR ENCL PD2-2 LA 1 1 PD2-2 PD 1 1 D BUCKLEY,B 1 1 INTERNAL: ACNW 2 2 ACRS 2 2 s 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/LHFBlO 1 1 NRR/DLPQ/LPEBlO 1 1 NRR/DOEA/OEAB 1 1 NRR/DREP/PRPBll 2 2 NRR/DST/SELB 8D 1 1 NRR/DST/SICB8H3 1 1 1 1 NRR/DST/SRXB 8E 1 1 ~~/D~iF~:-aP-1 1 1 RES/DSIR/EIB 1 1 RG~-*-**-~ 1 1 EXTERNAL: EG&G BRYCE,J.H 3 3 L ST LOBBY WARD 1 1 NRC PDR 1 1 NSIC MURPHY,G.A 1 1 NSIC POORE,W. 1 1 NUDOCS FULL TXT 1 1 R NOTES: 1 1 I D
s I
A D
D NOTE TO ALL "RIDS" RECIPIENTS:
s PLEASE HELP US TO REDUCE WASTE! CONTACT THE DOCUMENT CONTROL DESK, ROOM P!-37 (EXT. 20079) TO ELIMINATE YOUR NAME FROM DISTRIBUTION LISTS FOR DOCUMENTS YOU DON'T NEED!
FULL TEXT CONVERSION REQUIRED TOTAL NUMBER OF COPIES REQUIRED: LTTR 34 ENCL 34
Virginia Electric and Power Company Surry Power Station P. 0.Box315 Surry, Virginia 23883 September 30, 1991 U. S. Nuc:lear Regulatory Commission Serial No.: 91-575 Document Control Desk Docket No.: 50-281 Washingfan, D. C. 20555 License No.: DPR-37 Gentlemen:
Pursuant to Surry Power Station Technical Specifications, Virginia Electric and Power Company hereby submits the following Licensee Event Report for Unit 2.
REPORT NUMBER 91-009-00 This report has been reviewed by the Station Nuclear Safety and Operating Committee and will be reviewed by the Corporate Management Safety Review Committee.
Very truly yours, Enclosure cc: Regional Administrator Suite 2:900 101 Marietta Street, NW Atlanta, Georgia 30323 9110070353 910930 F,_'DR Ar-11.J1"'_.1.*.*.
1 r rJ._,(1(10281 c:-
.::, PDR
NRC FORM 366 (6-89) e U.S. NUCLEAR REGULATORY COMMISSION e APPROVED 0MB NO. 3150-0104 EXPIRES: 4/30/92 ESTIMATED BURDEN PER RESPONSE TO COMPLY WTH THIS INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD LICENSEE EVENT REPORT (LERI COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER 12) I PAGE 131 TITLE 141 Surry Power Station, Unit 2 Io I s I o I o I o 12 I 8 1l 1 loF O I 4 Failure to Full Flow Test 2-RH-47 Due to Procedure Deficiency EVENT DATE (5) LER NUMBER 161 REPORT DATE 17) OTHER FACILITIES INVOLVED 18)
MONTH DAY YEAR YEAR f[:{ sEie~~~~~AL (j ~~~~~~ MONTH DAY YEAR FACILITY NAMES DOCKET NUMBERIS)
THIS REPORT IS SUBMITTED PURSUANT TO THE R~QUIREMENTS OF 10 CFR §: (Ch*ck on* or more of th* following/ 111)
OPERATING MODE IBl N
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- 50.38lcll1l 50.38lcll2l 50.73(all2lM 50.73lall2llviil 73.71(cl OTHER (Specify in Abstract
- -x - .....- bt1/ow and in Texr, NRC Form
- 50.731all2)(i)
- 50.73(all2llviiil1Al 366A}
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60.73l*ll2llii) 50.73(all2lliiil LICENSEE CONTACT FOR THIS LER (121
- 50.731all2llvlill1Bl 50.731all2llxl NAME TELEPHONE NUMBER M. R. Kansler, Station Manager AREA CODE 8 10 I 4 3 I 51 7 I -1 3 1l 1 8( 4 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (131 CAUSE SYSTEM COMPONENT MANUFAC* REPORTABLE r=:r=::\:)):\\\\\\: CAUSE SYSTEM COMPONENT MANUFAC-TURER TO NPRDS :-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:-:*:*:*:*:*:-:*:*:-:* TURER 11 111 11 I I I I I I I ::li!i1:iiii ii i!il:::i ! 1!11!!1i::ii i :ii:li!i:: I I I I I I I
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I I I I I I I I I I I I I I SUPPLEMENTAL REPORT EXPECTED 1141 MONTH DAY YEAR EXPECTED I YES /If yes, compl*to EXPECTED SUBMISSION DA TEI ABSTRACT (Limit to 1400 spaces, i.e., spproximt1ttJly fiftt1t1n sing/6-spaca typewritten lines) 1161 rxi NO SUBMISSION DATE 1151 I I I On September 3, 1991, with Unit 2 at 59% reactor power, it was determined that check valve 2-RH-47 had not been full flow tested during the Unit 2 Cycle 10 refueling outage as required by the Unit 2 ASME Section XI Inservice Testing Program Revision 2. This determination was made during the station inservice inspection group's independent review of the implementation of the Surry ASME Section XI Program. This event occurred as the result of personnel procedural error in that the test procedure used to satisfy the full flow testing requirement contained an improper valve lineup. Following this discovery, the affected procedure was changed and full flow testing was satisfactorily performed on September 8, 1991 during a forced outage. Because the system had been verified capable of delivering design basis flow during the Unit 2 Cycle 10 refueling outage and subsequent valve testing determined that 2-RH-47 was operable, no safety implications were posed by this event. This missed surveillance test was determined to be a violation of Technical Specification 4.0.3 and is being reported pursuant to 10CFR50.73(a)(2)(i)(B).
NRC Form 366 (6-89)
ij NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION APPROVED 0MB NO. 3150-0104
EXPIRES: 4/30/92 ES* TED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE,,REPORT (LER) INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104). OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME 11) DOCKET NUMBER 12) PAGE 13)
J LEA NUMBER 16)
Surry Power Station, Unit 2 TEXT /ff mom lf/NJt:e i.s n,quimd, use additional NRC Form .1151iA 'a) 117) 1.o DESCRIPTION OF THE EVENT On September 3, 1991, with Unit 2 at 59% reactor power, it was determined that check valve 2-RH-47 [EIIS-BP,V] had not been full flow tested during the Unit 2 Cycle 10 refueling outage as required by the Unit 2 ASME Section XI Inservice Testing (1ST) Program Revision 2. This determination was made during the station inservice inspection group's independent review of the implementation of the Surry ASME Section XI Program.
The Surry Unit 2 Residual Heat Removal (RH) system has a common discharge header which splits into separate discharge headers at RH loop isolation valves. Flow in one loop passes through a loop discharge check valve, 2-RH-47, before discharging to the B reactor coolant loop, whereas flow in the other loop discharges directly into the C reactor coolant loop. The normal RH system operating procedures specify both RH loop isolation valves be in the open position when the RH system is in operation.
I 1---~:TORCSLOOPB 1
2-RH-MOV-2720A 2-RH-47 FROMRH-_.....i 1------------ ro RCS LCXJP c 2-RH-MOV-27208 The requirement to full flow test 2-RH-47 was added to the 1ST Program during Revision 2 and was scheduled to be performed for the first time during the Unit 2 Cycle 10 refueling outage. An existing RH system test procedure, which verified full flow with both RH loop isolation valves open, was revised to include additional steps for full flow testing 2-RH-
- 47. It was intended that these steps shut the RH loop isolation valve to the C reactor coolant loop (2-RH-MOV-2720B), thereby directing full system flow through 2-RH-47. With full flow directed through 2-RH-47, an observed flow rate of greater than or equal to 4,000 gpm was NRC Farm 366A 16-89)
U.S. NUCLEAR REGULATORY COMMISSION APPROVED 0MB NO. 3150-0104 EXPIRES: 4/30/92 E* ATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE' REPORT (LEA) INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO 1"HE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) LER NUMBER (6) PAGE (3)
Surry Power Station, Unit 2 TEXT (ff mom /I/JIIC8 ,. fWIUimd,. UIS(J additional NRC Fann .11515A '*) (17) established as the acceptance
- criteria to indicate the valve had fully opened.
Due to a transposition error in valve mark numbers which occurred during preparation of the revision to the implementing procedure, these steps did not provide the proper valve lineup for directing system flow through 2-RH-47. The flow path specified isolated 2-RH-47 (shut 2-RH-MOV-2720A) and directed flow through the header discharging to the C reactor coolant loop. Due to the system configuration and the specified acceptance criteria, the acceptance criteria for this test could be satisfied with the improper lineup without actually full flow testing the valve. Consequently, when the test was performed during the Unit 2 Cycle 10 refueling outage, 2-RH-47 was recorded as having been full flow tested satisfactorily.
This occurrence was determined to be a violation of Technical Specification 4.-0.3 and is being reported pursuant to 10CFR50. 73(a)(2)(i)(B).
2 *O SIGNIFICANT SAFETY CQNSEOUENCES AND IMPLICATIONS No safety implications were posed by this event. Full flow had been verified with both RH loop isolation valves open and with only the RH loop isolation valve to the C reactor coolant loop open, during the Unit 2 Cycle 10 refueling outage. In addition, full flow testing performed on September 8, 1991 demonstrated that 2-RH-47 was operable. Since the RH system had been verified capable of meeting its design basis, the health and safety of the public were not affected.
3.0 CAUSE OF THE EVENT This event was caused by a personnel procedural error in that an improper flow path for conducting the full flow testing was specified during preparation of the implementing test procedure.
- 4. O JrMMEDIATE CORRECTIVE ACTION<Sl A station deviation was submitted and previous operations during shutdown conditions were reviewed. Based upon these reviews, which i:ncluded evaluation of the test data taken during the refueling outage, it was determined that required system flow rate was achieved and thus system operability was not affected.
NRC Form 366A (6-89)
NRC FORM 366A U.S. NUCLEAR REGULATORY COMMISSION II (6-89) APPROVED 0MB NO. 3150-0104 EXPIRES: 4/30/92 E* ATED BURDEN PER RESPONSE TO COMPLY WTH THIS LICENSEE EVE' REPORT (LERI INFORMATION COLLECTION REQUEST: 50.0 HRS. FORWARD COMMENTS REGARDING BURDEN ESTIMATE TO THE RECORDS TEXT CONTINUATION AND REPORTS MANAGEMENT BRANCH (P-530), U.S. NUCLEAR REGULATORY COMMISSION, WASHINGTON, DC 20555, AND TO THE PAPERWORK REDUCTION PROJECT (3150-0104), OFFICE OF MANAGEMENT AND BUDGET, WASHINGTON, DC 20503.
FACILITY NAME (1) DOCKET NUMBER (2) PAGE (3)
LEA NUMBER (6)
- ,:,:-:,:,: SEQUENTIAL ,;,:,;,;,:, REVISION Surry Powe:r Station, Unit 2 YE,AR ::::::::::: NUMBER ::,:::::::' NUMBER TEXT '" mon 8{J/JC9 a raquimd, UM additiotllll NRC Form 316&<1 's) (17) 5.0 ADDITIONAL CORRECTIVE ACTION<Sl The test procedure was changed and full flow testing of 2-RH-47 was performed satisfactorily September 8, 1991.
Station deviation trends were reviewed which indicated that the occurrence of personnel procedural deficiencies had declined approximately 61 percent over the past year. Additionally, this occurrence was discussed with quality assurance personnel who indicated that procedural deficiencies were rarely identified during the review of upgraded procedures. Consequently, it was concluded that this event was an isolated occurrence.
- 6. O ACTIONS TO PREVENT RECURRENCE The individuals involved in the preparation of the procedure change with responsibility for its technical content, were counseled on their preparation and review responsibilities.
The independent review of IST Program implementation will continue to completion.
7.0 SIMILAR EVENTS LER 89-019-00: Unplanned Engineered Safety Features Component Actuation, Feedwater Bypass Valve Closure and Main Feed Pump Trip, Due to Personnel Error and Procedure Deficiency.
LER 90-005-00: Containment Pressure Channel Rendered Inoperable and Not Placed in Trip Condition Due to Procedure Inadequacy.
LER 90-018-00: Unplanned Engineered Safety Features Actuation Due to Inadequate Procedures
- 8. O ADDITIONAL INFORMATION None.
NRC Form 366A (6-89)