LER-1979-068, /03L-0 on 790623:during Performance of Svc Water Sys Monthly Test ST 5075.01,component Cooling Water Heat Exchanger 1-3 Outlet Valve Failed to Close Fully.Caused by Vibrational Loosening of Retaining Nut |
| Event date: |
|
|---|
| Report date: |
|
|---|
| 3461979068R03 - NRC Website |
|
text
U. S. NUCLE AR REGUL ATo81Y COMMISSloN NRC FORM 306 U 77)
LICENSEE EVENT REPORT CONTHOL BLOCK: l l
l l
l l
l (PLEASE PRINT OR TYPE ALL REQUIRED !NFORMAllON) 1 6
@l j@
l 0 0 Nl P! F 0l 3l@l4 1
1 l1 1
l Ol 11 D jB lS l1 @l0l0 Io i
8 3 LICENSEE CODE 14 la LICE %E NUYeEH 16 26 L IC t ".)E TvPE JJ
$1 LAI 'A CON'T
[",' l L @l 0 l 5 l 0 l-l 0 l 3 l 4 l 6 Ql 0 ] 6 l 2 3 ]7 19 l@l 0 l 7 l I l o l 7 l 9 j@
lo i
S 60 61 COC k. E T ' s '. S E R M
6)
EVENT DATE I4 lb HEP 0HTT 60 EVENT DESCRIPTION AND PROB ABLE CONSEQUENCES h oi2 l On June 23, 1979, at 0355 hours0.00411 days <br />0.0986 hours <br />5.869709e-4 weeks <br />1.350775e-4 months <br /> during the performance of the Service Water (SW) SYs-1
- o i l ten Monthly Test ST 5075.01, it was found that SW 1429, the Component Cooling Water I
o l (CCW) llea t Exchanger 1-3 SW Outlet Valve, f ailed to consistently go to the f u l lv__c_Innj d po s i t io n.
As the unit was in Mode 5 at the ti:,e of the occurrence, no action state-I
- g ;s y o
6 l ment was applicable. This report is being submitted as documentation of a comganent 1 0
7 l failure. There was no danger to the health and sa.ety of the public or station per-l lo a l sonnel.
There were two loops of CCW available for operation at the time of occurroned.
n 7
8 9 C O*.' P VALVE (SP-33 74)
SYST E M C AUS E
CAUSE
CODE CODE SU9CCOE COYPONENT CcDE SUCCODE SUBuCCE lolol I W I B l@ l al@ l n @ l v l a l t i v i o l e l@ l nl@ LnJ @
7 8
9 to 11 12 13 18 13 20 SEQUEN TI AL OCCUP AE NCE REFOHT REVICON EVENT (E AR REPORT NO CODE TYPE No.
@ ay.=Ha 17191
- - l 1016 81 l/l 10131 L'J I-1 101 LE R 21 22 23 24 26 21 23 2'J Ju 31 32 ACTION FUTUHE ErrE
e
' " ^ ^ -
^
av, W 'FNT NP84n 4 PD I Y E CO*.'P t'O U PO*; E *i T TA<EN ACTION ON Pt A *,7
rTHQ3 HOURS 1R1 SUHYtTTED FOHMaub SU PP LI C H MANUFACTLREH R
31 4Q 41 42 43 44 4/
24 a
33 cAUSE DESCRIP TION AND CORRECTIVE ACTIONS h l Slippage and misalign-ent of the valve linkage of 5414;9 was due to a vibrational i
o ji I,j loosening of a retaining nut.
A visual iTisnection of the service water outlet valverI i,
7 l on all three CCW heat exchangers was made and,alve SW 1424 was realiened and recali-1 i
3 l brated in addition'to SW 1429 as a precautiona y mersure.
Previously nrenared Faci-l yil4; l lity Change Request 79-151..a s ?plemented_c i al l three valves to nrevent r e en t r e n c e._.]
i s o METHOD OF F ActLITY STATUS NPOAEH OTHE R ST ATUS 015CO VE H Y DISCU /f RY DESCH'P TION n
l B l@! Surveillance Test ST 5075.01 l
lG @l0 0l 0]@l NA i
s AC. T iVI T Y CO" TENT RE LE AsED Of HELEASE AVOUNT OF ACTivlTV L OC ATION Cr ret E ASE i
6 2
l2I NA NA f
PO I
8
'J 10 11 44 45 h
.tE
< E DE;;HipflON feg i M (S. f S.
!i 5 h @
l lil7l 0l0 2l lNA II ' t ',.
'd PEHSON NE L INJu ES
%;veEn CEER PTION l0l0l0 @ NA j
i
$F'Nbd!"""@
7 907 310W
- _J l ' I o f Lz J@l N^
gc 1
H
')
10
" " w' "3
,; % " ECH,PraN @
NA I
IIIIIIIIIi l ll I21oIULj31 a co a.2 a 2 io g
DVR 79- 090 N AYE OF PHEPARE R'
_Deakvne b b) # !
- ) IL PHONE- 039-250-5(309-I' "
210
e TOLEDO EDIS05 CO."PANY DAVIS-EESSE NULLEAR POUER STATION UNIT ONE SUPPLEMENTAL INFOR'uTION FOR LER NP-33-79-74 DAT'i 0F EVENT: June 23, 1979 FACILITY:
Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE:
Component Cooling Uater Heat Exchanger 1-3 Service Water Outlet Valve SW 1429 operating imptcperly Conditions Prior to Occurrence: The unit was in Mode 5, with Power (MUT) =
0, and Load (Gross MWE) = 0.
Description of occu ence: On June 23, 1979, at 0355 hours0.00411 days <br />0.0986 hours <br />5.869709e-4 weeks <br />1.350775e-4 months <br />, during the perf ormance of Service Uater Systen Monthly Surveillance Test ST 5075.01, SW 1429, Conponent Cool ing Uater (CCU) Heat Exchanger 1-3 Service Water (SU) Outlo-Valve failed to consistently provide a close indication. Visual inspection revealed the valve was not going to the fully closed position. The operator suspeneded the surveillance test, and submitted a work request. As the unit was in Mode 5 at the t:.me of the occurrence, no action statement was
,+11 cable. This report is being submitted as documentation of a com-ponent failure.
Designation of Apparent Cause of Occurrence:
ine improper operation of valve 5W 1429 was attributed to slippaae and misalignment oi the valve linkage. This was caused by a design deficiency which allowed vibrations to 1 cosen the bolt that re ta ins the twc linkage anns tecether.
Analysis of Occurrence: There was no dangc_ to the health and saf ety of the public or station personnel.
There were two loops of component cooling water available for opera-tion at the time of occurrence.
Corrective Action
' The valve linkage was realigned and calibrated under Maintenance Work Order IC-309-79.
As a precautionary measure, the linkage for SU 1424, CCU Heat Exchanger 1-1 SU Outlet Valve, uas recalibrated under the same maintenance work order.
A visual inspection of T.
1434, CCW Heat Exchanger 1-2 SW Outlet Valve, was performed and it was determined that recalibration would not be necessary due to a recent cali-bration performed on April 4, 1979 under Maintenance Work Order IC-223-79.
The applicable sections of ST 5075.J1 vere successfully performed to verify the opera-bility of the valves.
On July 3, 1979 implementation of previously prepared Facility Change Request (FCR)79-151 was completed.
This FCR modified the linkages to prevent vibrations f rom loosening the retaining bolt on all three valves.
Failure Data: There have been three previously reported occurrences of actuator inoperabilities of a service water valve. The inoperabilities reported in Licensee Event Report NP-33-78-120 were caused by a nut missing on the actuator.
Licensee LER #79-068
/* I
l TOLEDO EDISO:: COMPA'iY I
DAVIS-EESSE !!UCLEAR P0b'ER STATIO: I";IT 0 JE 5
SUPPLEME::TAL I:;FOR:tATIO:i FOR LER !!P-33-79 -74 PAGE 2 Event Report :;P-33-78-ll was caused by a failure of a solenoid valve, and Licensee Even t Report ! P-33-78-147 was caused by vibrations loosening the bolt retaining the two linkage arns.
LER #79-068 s
I yd
^{ [3
\\
ie
- j
|
|---|
|
|
| | | Reporting criterion |
|---|
| 05000346/LER-1979-001-03, /03L-0 on 790102:monthly Functional Test Not Performed on Reactor Protection Sys Channel 2 within Allowable Time.Caused by Breakdown in Communications Between Testing Personnel & Test Coordinator | /03L-0 on 790102:monthly Functional Test Not Performed on Reactor Protection Sys Channel 2 within Allowable Time.Caused by Breakdown in Communications Between Testing Personnel & Test Coordinator | | | 05000346/LER-1979-001, Forwards LER 79-001/03L-0 | Forwards LER 79-001/03L-0 | | | 05000346/LER-1979-002-03, /03L-1 on 790102:main Steam Valves 106 & 106A Failed to Open,Resulting in Auxiliary Feed Pump Afp 1-1 Being Taken Out of Operation.Caused by Dirt Buildup on Valve Stems as Result of New Const | /03L-1 on 790102:main Steam Valves 106 & 106A Failed to Open,Resulting in Auxiliary Feed Pump Afp 1-1 Being Taken Out of Operation.Caused by Dirt Buildup on Valve Stems as Result of New Const | | | 05000346/LER-1979-002, Forwards LER 79-002/03L-1 | Forwards LER 79-002/03L-1 | | | 05000346/LER-1979-003-03, /03L-0 on 790104:control Room Emergency Ventilation Sys Damper HV5311E Inoperable.Caused by Leaking Pneumatic Operator.New Operator Installed.Damper Operated & Tested for Response Time & Declared Operable | /03L-0 on 790104:control Room Emergency Ventilation Sys Damper HV5311E Inoperable.Caused by Leaking Pneumatic Operator.New Operator Installed.Damper Operated & Tested for Response Time & Declared Operable | | | 05000346/LER-1979-003, Forwards LER 79-003/03L-0 | Forwards LER 79-003/03L-0 | | | 05000346/LER-1979-004, Forwards LER 79-004/03L-0 | Forwards LER 79-004/03L-0 | | | 05000346/LER-1979-004-03, /03L-0 on 790105:failure to Post Guards at Entrance to Containment During Periods of Free Access. Caused by Personnel Error.Special Order 84 Revised to Require Posting of Guards | /03L-0 on 790105:failure to Post Guards at Entrance to Containment During Periods of Free Access. Caused by Personnel Error.Special Order 84 Revised to Require Posting of Guards | | | 05000346/LER-1979-005, Forwards LER 79-005/03L-0 | Forwards LER 79-005/03L-0 | | | 05000346/LER-1979-005-03, /03L-0 on 790106:during Surveillance Testing, Borated Water Storage Tank Level Bistable Was Tripped;Valves DH9A Opened & DH7A Closed.Caused by Component Failure of Output Relay K51A & Instrument Drift | /03L-0 on 790106:during Surveillance Testing, Borated Water Storage Tank Level Bistable Was Tripped;Valves DH9A Opened & DH7A Closed.Caused by Component Failure of Output Relay K51A & Instrument Drift | | | 05000346/LER-1979-006-03, /03L-0:on 790105,reviewer Noted 781228 Record of Continuous Alarm at Contact Data Record Point F018.Panel C4705 Not Reset.Caused by Failure of Indicator Lights on Panel C4705.Panel Reset,Clearing F018.Surveillance Modified | /03L-0:on 790105,reviewer Noted 781228 Record of Continuous Alarm at Contact Data Record Point F018.Panel C4705 Not Reset.Caused by Failure of Indicator Lights on Panel C4705.Panel Reset,Clearing F018.Surveillance Modified | | | 05000346/LER-1979-006, Forwards LER 79-006/03L-0 | Forwards LER 79-006/03L-0 | | | 05000346/LER-1979-007-03, /03L-0 on 790110:during Performance of Surveillance Test,Channel 2 of Containment Hydrogen Analyzer Was Found Inoperable.Caused by Defective Zener Diode in Millivolt Converter | /03L-0 on 790110:during Performance of Surveillance Test,Channel 2 of Containment Hydrogen Analyzer Was Found Inoperable.Caused by Defective Zener Diode in Millivolt Converter | | | 05000346/LER-1979-007, Forwards LER 79-007/03L-0 | Forwards LER 79-007/03L-0 | | | 05000346/LER-1979-008, Forwards LER 79-008/03L-0 | Forwards LER 79-008/03L-0 | | | 05000346/LER-1979-008-03, /03L-0 on 790109:during Surveillance Testing, Containment Recirculation Fan 1-1 Failed to Run.Cause Attributed to Buildup of non-conductive Film on Auxiliary Controller Contacts | /03L-0 on 790109:during Surveillance Testing, Containment Recirculation Fan 1-1 Failed to Run.Cause Attributed to Buildup of non-conductive Film on Auxiliary Controller Contacts | | | 05000346/LER-1979-009, Forwards LER 79-009/03L-0 | Forwards LER 79-009/03L-0 | | | 05000346/LER-1979-009-03, /03L-0:on 790112,power to Vital Bus Y2 Lost. False Integrated Control Sys Signal Resulted in Reactor & Full Steam & Feedwater Rupture Control Sys Trip.Caused by Blown 125 Volt DC Fuse to Inverter | /03L-0:on 790112,power to Vital Bus Y2 Lost. False Integrated Control Sys Signal Resulted in Reactor & Full Steam & Feedwater Rupture Control Sys Trip.Caused by Blown 125 Volt DC Fuse to Inverter | | | 05000346/LER-1979-010-03, /03L-0:on 790112,Sys 7 Data Logger Experienced Core Dump,Voiding Computer Memory Bank Which Rendered Remote Monitoring of Fire Detection Sys Inoperable & Placed Unit in Action Statement of Tech Spec 3.3.3.8.Cause Unknown | /03L-0:on 790112,Sys 7 Data Logger Experienced Core Dump,Voiding Computer Memory Bank Which Rendered Remote Monitoring of Fire Detection Sys Inoperable & Placed Unit in Action Statement of Tech Spec 3.3.3.8.Cause Unknown | | | 05000346/LER-1979-010, Forwards LER 79-010/03L-0 | Forwards LER 79-010/03L-0 | | | 05000346/LER-1979-011-03, /03L-0:on 790115,reactor Coolant Pump 1-2-2 Started W/Incorrect Breaker Alignment,Causing Low Voltage Relays to Trip Which de-energized Both 4.16 Kv Essential Buses C1 & D1.Caused by Personnel Error | /03L-0:on 790115,reactor Coolant Pump 1-2-2 Started W/Incorrect Breaker Alignment,Causing Low Voltage Relays to Trip Which de-energized Both 4.16 Kv Essential Buses C1 & D1.Caused by Personnel Error | | | 05000346/LER-1979-011, Forwards LER 79-011/03L-0 | Forwards LER 79-011/03L-0 | | | 05000346/LER-1979-012-03, /03L-0:on 790116,during Surveillance Testing,Heat Traced Line Temp Measurement Points Below 105 F Limit.Caused by Injection of Makeup (Flush) Water After Boron Injection at Temp Lower than 105 F.Tests Rerun Satisfactorily | /03L-0:on 790116,during Surveillance Testing,Heat Traced Line Temp Measurement Points Below 105 F Limit.Caused by Injection of Makeup (Flush) Water After Boron Injection at Temp Lower than 105 F.Tests Rerun Satisfactorily | | | 05000346/LER-1979-012, Forwards LER 79-012/03L-0 | Forwards LER 79-012/03L-0 | | | 05000346/LER-1979-013, Forwards LER 79-013/03L-0 | Forwards LER 79-013/03L-0 | | | 05000346/LER-1979-013-03, /03L-0:on 790116,when Makeup Pump 1 Started for Surveillance testing,1/2 Inch Nipple at Discharge of Attached Gear Driven Lube Oil Pump Failed,Resulting in Oil Spray Which Required Pump Shutdown | /03L-0:on 790116,when Makeup Pump 1 Started for Surveillance testing,1/2 Inch Nipple at Discharge of Attached Gear Driven Lube Oil Pump Failed,Resulting in Oil Spray Which Required Pump Shutdown | | | 05000346/LER-1979-014-03, /03L-0:on 790116,during Shutdown,Boric Acid Addition Tanks (Baat) Total Vol 3-1/3% Below Tech Spec 3.1.2.9 Requirements.Caused by Reduced Baat Vol After Completion of Required Testing Followed by RCS Boration | /03L-0:on 790116,during Shutdown,Boric Acid Addition Tanks (Baat) Total Vol 3-1/3% Below Tech Spec 3.1.2.9 Requirements.Caused by Reduced Baat Vol After Completion of Required Testing Followed by RCS Boration | | | 05000346/LER-1979-014, Forwards LER 79-014/03L-0 | Forwards LER 79-014/03L-0 | | | 05000346/LER-1979-015-03, /03L-0:on 790117,core Flood Tank 1-2 Isolation Valve CF1A Would Not Close by Remote Operation.Caused by Loose Set Screw.Cracked Pinion Gear & Associated Key Replaced Per Maint Work Order 78-2928 | /03L-0:on 790117,core Flood Tank 1-2 Isolation Valve CF1A Would Not Close by Remote Operation.Caused by Loose Set Screw.Cracked Pinion Gear & Associated Key Replaced Per Maint Work Order 78-2928 | | | 05000346/LER-1979-015, Forwards LER 79-015/03L-0 | Forwards LER 79-015/03L-0 | | | 05000346/LER-1979-016-03, /03L-0:on 790124,emergency Lock Failed Leak Rate Test While Unit in Mode 5.Caused by Loosening of Shaft Seal (Teflon Packing) Due to Routine Use of Escape Lock.Packing Will Be Replaced During Next Convenient Outage | /03L-0:on 790124,emergency Lock Failed Leak Rate Test While Unit in Mode 5.Caused by Loosening of Shaft Seal (Teflon Packing) Due to Routine Use of Escape Lock.Packing Will Be Replaced During Next Convenient Outage | | | 05000346/LER-1979-016, Forwards LER 79-016/03L-0 | Forwards LER 79-016/03L-0 | | | 05000346/LER-1979-017-03, /03L-0:on 790130,photoelectric Smoke Detector Ds 8605-E in Emergency Diesel Generator 1-1 Area Not Functional.Caused by Failure of Detector.New Detector Ordered & Fire Watch Patrol Established in Area | /03L-0:on 790130,photoelectric Smoke Detector Ds 8605-E in Emergency Diesel Generator 1-1 Area Not Functional.Caused by Failure of Detector.New Detector Ordered & Fire Watch Patrol Established in Area | | | 05000346/LER-1979-017, Forwards LER 79-017/03L-0 | Forwards LER 79-017/03L-0 | | | 05000346/LER-1979-018, Forwards LER 79-018/03L-0 | Forwards LER 79-018/03L-0 | | | 05000346/LER-1979-018-03, /03L-0:on 790130,valves SP17A2 & SP17B2 Lifted Below Setpoint Range & Declared Inoperable.Caused by Loose Spindle on Main Steam Line Code Safety Valve SP17A2.Valve SP17A2 Gagged & SP17B2 Tested Satisfactorily | /03L-0:on 790130,valves SP17A2 & SP17B2 Lifted Below Setpoint Range & Declared Inoperable.Caused by Loose Spindle on Main Steam Line Code Safety Valve SP17A2.Valve SP17A2 Gagged & SP17B2 Tested Satisfactorily | | | 05000346/LER-1979-019-03, /03L-0 on 790129:suction & Discharge Valves on Containment Spray Pump Were Closed.Caused by Personnel Error | /03L-0 on 790129:suction & Discharge Valves on Containment Spray Pump Were Closed.Caused by Personnel Error | | | 05000346/LER-1979-019, Forwards LER 79-019/03L-0 | Forwards LER 79-019/03L-0 | | | 05000346/LER-1979-020-03, /03L-0 on 790205:10 of 18 Main Steam Safety Valves Found Outside Setpoint Range.Believed Caused by Changing Ambient Conditions at Valve Locations.Valves Adjusted & Retested Satisfactorily | /03L-0 on 790205:10 of 18 Main Steam Safety Valves Found Outside Setpoint Range.Believed Caused by Changing Ambient Conditions at Valve Locations.Valves Adjusted & Retested Satisfactorily | | | 05000346/LER-1979-020, Forwards LER 79-020/03L-0 | Forwards LER 79-020/03L-0 | | | 05000346/LER-1979-021-03, /03L-0 on 790205:containment High Pressure Alarms Were Received & Safety Features Actuation Sys Channel 2 Erroneously Tripped.Cause Unknown.No Deficiencies Found from Surveillance Tests.Channel Returned to Operation | /03L-0 on 790205:containment High Pressure Alarms Were Received & Safety Features Actuation Sys Channel 2 Erroneously Tripped.Cause Unknown.No Deficiencies Found from Surveillance Tests.Channel Returned to Operation | | | 05000346/LER-1979-021, Forwards LER 79-021/03L-0 | Forwards LER 79-021/03L-0 | | | 05000346/LER-1979-022, Forwards LER 79-022/03L-0 | Forwards LER 79-022/03L-0 | | | 05000346/LER-1979-022-03, /03L-0 on 790208:diesel Fire Pump Battery Electrolyte Level in Four Cells Was Below Top of Cell Plates.Caused by Procedural Error.Levels Restored,Pump Declared Operable & Unit Removed from Action Statement | /03L-0 on 790208:diesel Fire Pump Battery Electrolyte Level in Four Cells Was Below Top of Cell Plates.Caused by Procedural Error.Levels Restored,Pump Declared Operable & Unit Removed from Action Statement | | | 05000346/LER-1979-023, Forwards LER 79-023/01T-0 | Forwards LER 79-023/01T-0 | | | 05000346/LER-1979-023-01, /01T-0 on 790228:Startup Transformer 01 Taken Out of Svc;Surveillance Tests Not Performed within One Hour, Contrary to Tech Spec Requirements.Caused by Personnel Error.Testing Completed as Soon as Error Realized | /01T-0 on 790228:Startup Transformer 01 Taken Out of Svc;Surveillance Tests Not Performed within One Hour, Contrary to Tech Spec Requirements.Caused by Personnel Error.Testing Completed as Soon as Error Realized | | | 05000346/LER-1979-024, Forwards LER 79-024/03L-0 | Forwards LER 79-024/03L-0 | | | 05000346/LER-1979-024-03, /03L-0 on 790214:fire Alarm Panel C4706 Signaled, Indicating Laundry Room Detector DS8630 as Source.Detector Declared Inoperable as No Cause for Signal Found.Cause of Event Undetermined.Possibly Due to Gases or Dust | /03L-0 on 790214:fire Alarm Panel C4706 Signaled, Indicating Laundry Room Detector DS8630 as Source.Detector Declared Inoperable as No Cause for Signal Found.Cause of Event Undetermined.Possibly Due to Gases or Dust | | | 05000346/LER-1979-025-03, /03L-0 on 790213:Ohio Edison Relay Testing Actuated Transfer Trip Receiving Relay & Tripped Switchyard Breakers.Caused by Failure of Util to Notify Toledo Edison Before Performing Relay Testing | /03L-0 on 790213:Ohio Edison Relay Testing Actuated Transfer Trip Receiving Relay & Tripped Switchyard Breakers.Caused by Failure of Util to Notify Toledo Edison Before Performing Relay Testing | | | 05000346/LER-1979-025, Forwards LER 79-025/03L-0 | Forwards LER 79-025/03L-0 | |
|