LER-1979-142, /01T-0:on 791015,channel IV Steam Line Pressure Protection for Loop C Was Discovered to Be Swapped W/ Protection for Loop A.Caused by Incorrectly Connected Sensing Lines from Root Valves to Transmitters |
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NRC FoHM 366 U. S. NUCLE AR HEGULATORY COMMISSION i1-73*
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8 00 61 DOCKET NUVUEH 08 03 EVENT DATE 74 lb RE PO7T DATE 80 EVENT DESCRIPHON AND PROBABLE CONSEQUENCES h lo l 2 l l 0n October 15, 1979, while in refueling mode, the Channel IV Steam line Pressure Pro-l o
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43 41 42 43 44 47 CAusE DESCRIPTION AND CORRECTIVE ACTIONS h lThe cause for the swapped protection channels was that durina plant construction, the l i
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from the root valve to the transmitter, for steam l ine C. Channel IV. was !
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The piping to the two transmitters has been physically chanced to connect l l steam lines A and C with tneir proper cressore transmitter.
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DISCOVERY DESCHIPTION li l 5 l [ Hj@ l 0 l 0 ] 0 ]@l NA l
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Virginia Electric and Power Company North Anna Power Station, Unit #1 Attachment: Page 1 of 1 Docket No. 50-339 Report No. LER 79-142/01T-0
Description of Event
On October 15, 1979, while in Mode 6, the Channel IV Steamline Pressure Protec-tion for Loop C was discovered to be swapped with the Channel IV Steamline Press-ure Protection for Loop A.
This discrepancy was found while pressurizing the "C" Steam Generator to check for tube leaks.
Probable Consequences of Occurrence The consequences of this event were limited because the redundant steanline press-ure channels ll and ll1 remained operable to provide protection in both affected steamlines. As a result, the health and safety of the general public were not affected.
However, the swapped steamline pressure channels did in effect reduce the protection for steamlines A and C from a 2 out of 3 logic to a 2 out of 2 logic.
There are no generic implications associated with this event.
Cause of Occurrence The cause for the swapped protection channels was tnat during plant construction, the sensing line from the Steamline C Channel IV root valve was inadvertently connected to the pressure transmitter for Steamline A Channel IV and the sensing line f rom the root valve for Steamline A, Channel IV was inadvertently connected to the pressure transmitter for Steamline C, Channel IV.
Immediate Corrective Action
The piping from the root valves to the two transmitters has been physically changed to connect steamlines A and C with their proper pressure trai.smitter.
Scheduled Corrective Action No scheduled corrective action is required.
Actions Taken to Prevent Recurrence Sensing lines for protection channels will be reviewed to ensure that connections are made to the correct transmitters.
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| 05000338/LER-1979-001-01, /01T-0 on 790115:non-conservatism Identified in Calculations Performed in Monitoring Axial Power Distribution Fj(Z).Caused by Omission of Sys & Procedures Used to Monitor Fj(Z) | /01T-0 on 790115:non-conservatism Identified in Calculations Performed in Monitoring Axial Power Distribution Fj(Z).Caused by Omission of Sys & Procedures Used to Monitor Fj(Z) | | | 05000338/LER-1979-001, Forwards LER 79-001/01T-0 | Forwards LER 79-001/01T-0 | | | 05000338/LER-1979-002, Forwards LER 79-002/03L-0 & 79-003/03L-0 | Forwards LER 79-002/03L-0 & 79-003/03L-0 | | | 05000338/LER-1979-002-03, /03L-0 on 790101:during Normal Operation,Pump 1-RM-P-159A Tripped on Overload.Containment Particulate Sample Flow Was Lost,Rendering Inoperable 1 Reactor Coolant Leak Detection Sys,Due to Deficient Federal 1206LLT Bearing | /03L-0 on 790101:during Normal Operation,Pump 1-RM-P-159A Tripped on Overload.Containment Particulate Sample Flow Was Lost,Rendering Inoperable 1 Reactor Coolant Leak Detection Sys,Due to Deficient Federal 1206LLT Bearing | | | 05000338/LER-1979-003-03, /03L-0 on 790102:during Periodic Test,Noted That Containment Isolation Valve TV-SV-102-1 Would Not Shut Fully.Cause Undetermined | /03L-0 on 790102:during Periodic Test,Noted That Containment Isolation Valve TV-SV-102-1 Would Not Shut Fully.Cause Undetermined | | | 05000338/LER-1979-004-03, /03L-0 on 790108:during 1-PT-36-1(A) Found That Steam Generator 3 Hi Hi Level Test Panel Was Faulty, Preventing Test of This Channel.Caused by Faulty Universal Logic Card on Test Panel | /03L-0 on 790108:during 1-PT-36-1(A) Found That Steam Generator 3 Hi Hi Level Test Panel Was Faulty, Preventing Test of This Channel.Caused by Faulty Universal Logic Card on Test Panel | | | 05000338/LER-1979-005-01, /01T-0 on 790129:mufflers for Emergency Diesel Generators Not Seismically Supported Nor Missile Protected as Required by Fsar.Caused by Const Error | /01T-0 on 790129:mufflers for Emergency Diesel Generators Not Seismically Supported Nor Missile Protected as Required by Fsar.Caused by Const Error | | | 05000338/LER-1979-005, Forwards LER 79-005/01T-0 & 79-008/01T-0 | Forwards LER 79-005/01T-0 & 79-008/01T-0 | | | 05000338/LER-1979-006-03, /03L-0 on 790111:damaged Wiper Seal Found on Hydraulic Suppressor 1-FW-HSS-233.Caused by Poppet Valves Which Control Lock Up Rate Being Improperly Set.Suppressor Replaced W/Operable Spare Suppressor.No Danger to Public | /03L-0 on 790111:damaged Wiper Seal Found on Hydraulic Suppressor 1-FW-HSS-233.Caused by Poppet Valves Which Control Lock Up Rate Being Improperly Set.Suppressor Replaced W/Operable Spare Suppressor.No Danger to Public | | | 05000338/LER-1979-006, Forwards LER 79-006/03L-0 | Forwards LER 79-006/03L-0 | | | 05000338/LER-1979-007-03, /03L-0 on 781116:during Normal Operation,Fire Door S54-5 Between Unit 1 Emergency Switchgear Room & Cable Vault Was Sprung & Would Not Make a Tight Seal,Evidently Due to Attempt to Free It While Stuck | /03L-0 on 781116:during Normal Operation,Fire Door S54-5 Between Unit 1 Emergency Switchgear Room & Cable Vault Was Sprung & Would Not Make a Tight Seal,Evidently Due to Attempt to Free It While Stuck | | | 05000338/LER-1979-008-01, /01T-0 on 790129:design Flow of 37 Gpm to Charging Pump Coolers Could Not Be Met.Caused by 2 Inch Carbon Steel Piping & Charging Pump Skid Piping Being Too Large to Allow Adequate Flow | /01T-0 on 790129:design Flow of 37 Gpm to Charging Pump Coolers Could Not Be Met.Caused by 2 Inch Carbon Steel Piping & Charging Pump Skid Piping Being Too Large to Allow Adequate Flow | | | 05000338/LER-1979-009, Forwards LER 79-009/03L-0 | Forwards LER 79-009/03L-0 | | | 05000338/LER-1979-009-03, /03L-0 on 790212:during Normal Operation,Snubber Support for C Steam Generator Atmosphere Discharge Line Found Damaged.Caused by Use of Support as Anchor for Chain Fall.Support Replaced | /03L-0 on 790212:during Normal Operation,Snubber Support for C Steam Generator Atmosphere Discharge Line Found Damaged.Caused by Use of Support as Anchor for Chain Fall.Support Replaced | | | 05000338/LER-1979-010-03, /03L-0 on 790127: During Calibr of Containment Particulate Monitor RMS159 in Mode 1, Instrument Read Low for Known Radiation Level. Caused by Detector High Voltage Setting Being Set Too Low | /03L-0 on 790127: During Calibr of Containment Particulate Monitor RMS159 in Mode 1, Instrument Read Low for Known Radiation Level. Caused by Detector High Voltage Setting Being Set Too Low | | | 05000338/LER-1979-011, Forwards LER 79-011/03L-0 | Forwards LER 79-011/03L-0 | | | 05000338/LER-1979-011-03, /03L-0 on 790126:fire Door SS54-9 Was Nonfunctional.Caused by Removal of Latch from Door by Person or Persons Unknown | /03L-0 on 790126:fire Door SS54-9 Was Nonfunctional.Caused by Removal of Latch from Door by Person or Persons Unknown | | | 05000338/LER-1979-012-03, /03L-0 on 790127: Unidentified Primary Coolant Leakage Greater than 5 Gpm Noted. Caused by Blown Packing on Residual Heat Removal Isolation Valve MOV-1700 & Packing Leak on Pressurizer Spray Valve PCV-1455A | /03L-0 on 790127: Unidentified Primary Coolant Leakage Greater than 5 Gpm Noted. Caused by Blown Packing on Residual Heat Removal Isolation Valve MOV-1700 & Packing Leak on Pressurizer Spray Valve PCV-1455A | | | 05000338/LER-1979-013-03, /03L-0 on 790214:during Normal Operation,Fire Door S71-7 Between Auxiliary Bldg & Health Physics Found non- Functional.Caused by Bent Phaser on Left Door.Phaser Taped Out of Way & New Phaser Installed | /03L-0 on 790214:during Normal Operation,Fire Door S71-7 Between Auxiliary Bldg & Health Physics Found non- Functional.Caused by Bent Phaser on Left Door.Phaser Taped Out of Way & New Phaser Installed | | | 05000338/LER-1979-014-03, /03L-0 on 790202:pressurizer Level Indicator Indicated High Over Allowable Range.Caused by Voltage Drift in Associated Level Transmitter.Appropriate Channel Placed in Trip Condition & Transmitter Recalibr | /03L-0 on 790202:pressurizer Level Indicator Indicated High Over Allowable Range.Caused by Voltage Drift in Associated Level Transmitter.Appropriate Channel Placed in Trip Condition & Transmitter Recalibr | | | 05000338/LER-1979-014, Forwards LER 79-014/03L-0 | Forwards LER 79-014/03L-0 | | | 05000338/LER-1979-015-03, /03L-0 on 790204:rod F08 Indicators in Disagreement.Caused by Voltage Drift in Signal Conditioning Card.Card Recalibrated & Functional Checks Performed Satisfactorily | /03L-0 on 790204:rod F08 Indicators in Disagreement.Caused by Voltage Drift in Signal Conditioning Card.Card Recalibrated & Functional Checks Performed Satisfactorily | | | 05000338/LER-1979-015, Forwards LER 79-015/03L-0 | Forwards LER 79-015/03L-0 | | | 05000338/LER-1979-016, Forwards LER 79-016/03L-0 | Forwards LER 79-016/03L-0 | | | 05000338/LER-1979-016-03, /03L-0 on 790213:main Steam trip,TV-MS-111A,valve Opened to Only 75% Capacity.Caused by Improperly Positioned Needle Valve Which Supplied Air to Valve Actuator.Valve Repositioned & Operation Restored | /03L-0 on 790213:main Steam trip,TV-MS-111A,valve Opened to Only 75% Capacity.Caused by Improperly Positioned Needle Valve Which Supplied Air to Valve Actuator.Valve Repositioned & Operation Restored | | | 05000338/LER-1979-017, Forwards LER 79-017/01T-0 | Forwards LER 79-017/01T-0 | | | 05000338/LER-1979-017-01, /01T-0 on 790212:during Axial Power Distribution Monitoring Sys Failure on 790206,FQ Survey Computer Program Could Not Monitor Axial Power Distribution.Caused by Incorrect Power Inputs from Process Computer | /01T-0 on 790212:during Axial Power Distribution Monitoring Sys Failure on 790206,FQ Survey Computer Program Could Not Monitor Axial Power Distribution.Caused by Incorrect Power Inputs from Process Computer | | | 05000338/LER-1979-018-03, /03L-0 on 790214:during Mode 1 Operation at 98% Power,Main Steam Trip Valve 1-TV-MS-111B Leaked Excessively & Was Isolated for Repair.Caused by Deteriorated Internal Gasket.Valve Isolated & Gasket Replaced | /03L-0 on 790214:during Mode 1 Operation at 98% Power,Main Steam Trip Valve 1-TV-MS-111B Leaked Excessively & Was Isolated for Repair.Caused by Deteriorated Internal Gasket.Valve Isolated & Gasket Replaced | | | 05000338/LER-1979-019-03, /03L-0 on 790216:during Surveillance,Emergency Diesel Generator 1H Did Not Reach 900 Revolutions Per Minute in Required 10-s.Probable Cause Was Low Ambient Air Temp. Conditions of First Start Were Not Reproducible | /03L-0 on 790216:during Surveillance,Emergency Diesel Generator 1H Did Not Reach 900 Revolutions Per Minute in Required 10-s.Probable Cause Was Low Ambient Air Temp. Conditions of First Start Were Not Reproducible | | | 05000338/LER-1979-020-03, /03L-0 on 790131:fire Door S54-9 Was Found to Be non-functional.Caused by Recently Installed Electric Door Strike Slipping Out of Adjustment | /03L-0 on 790131:fire Door S54-9 Was Found to Be non-functional.Caused by Recently Installed Electric Door Strike Slipping Out of Adjustment | | | 05000338/LER-1979-020, Forwards LER 79-020/03L-0 | Forwards LER 79-020/03L-0 | | | 05000338/LER-1979-021-99, /99T-0 on 790212:meterological Air Temp Change in Temp Indication Was Observed to Be off-scale Low.Caused by Faulty Resistance Temp Detector.Temp Element Replaced | /99T-0 on 790212:meterological Air Temp Change in Temp Indication Was Observed to Be off-scale Low.Caused by Faulty Resistance Temp Detector.Temp Element Replaced | | | 05000338/LER-1979-021, Forwards LER 79-021/99T-0 | Forwards LER 79-021/99T-0 | | | 05000338/LER-1979-022-03, /03L-0 on 790227:power Supply to Post DBA H Recombiner Deenergized Rendering Recombiner Inoperable for 4-h.Caused by Deenergizing of Motor Control Center to Perform Voltage Measurements | /03L-0 on 790227:power Supply to Post DBA H Recombiner Deenergized Rendering Recombiner Inoperable for 4-h.Caused by Deenergizing of Motor Control Center to Perform Voltage Measurements | | | 05000338/LER-1979-023, Forwards LER 79-023/03L-0,79-025/03L-0 & 79-031/03L-0 | Forwards LER 79-023/03L-0,79-025/03L-0 & 79-031/03L-0 | | | 05000338/LER-1979-023-03, /03L-0 on 790303:disagreement Noted Between Group & Individual Indication for Rod D-10.Caused by Voltage Drift in Conditioning Card.Calibr & Functional Checks Were Performed | /03L-0 on 790303:disagreement Noted Between Group & Individual Indication for Rod D-10.Caused by Voltage Drift in Conditioning Card.Calibr & Functional Checks Were Performed | | | 05000338/LER-1979-024, Forwards LER 79-024/43X-1 | Forwards LER 79-024/43X-1 | | | 05000338/LER-1979-024-43, /43X-1:on 790228,radwaste Release Occurred Unexpectedly During Pumping of Unit 2 Containment Sump Via Temporary Pump to Storm Drain Sys.Caused by Pressure Relief Valve Leaks in Units 1 & 2 Purge Headers | /43X-1:on 790228,radwaste Release Occurred Unexpectedly During Pumping of Unit 2 Containment Sump Via Temporary Pump to Storm Drain Sys.Caused by Pressure Relief Valve Leaks in Units 1 & 2 Purge Headers | | | 05000338/LER-1979-025-03, /03L-0 on 790228:power Range Channel N42 Placed in Tripped Condition.Caused to Allow Replacement of Erratic Delta Flux Indicator.Indicator Replaced & Power Range Detector Returned to Svc | /03L-0 on 790228:power Range Channel N42 Placed in Tripped Condition.Caused to Allow Replacement of Erratic Delta Flux Indicator.Indicator Replaced & Power Range Detector Returned to Svc | | | 05000338/LER-1979-026-03, /03L-0 on 790306:RHR Discharge Valve Opened Accidentally Causing Loop C Accumulator Level to Drop Below Min Volume Required.Caused by Accidental Operation of MOV-1720B.Valve Closed & Loop Accumulator Level Restored | /03L-0 on 790306:RHR Discharge Valve Opened Accidentally Causing Loop C Accumulator Level to Drop Below Min Volume Required.Caused by Accidental Operation of MOV-1720B.Valve Closed & Loop Accumulator Level Restored | | | 05000338/LER-1979-027-03, /03L-0 on 790225:axial Flux Difference Deviated Greater than 5% from Target.Caused by Xenon Transient Occurring During Startup Operation.Corrected by Boration by Reactor Operator | /03L-0 on 790225:axial Flux Difference Deviated Greater than 5% from Target.Caused by Xenon Transient Occurring During Startup Operation.Corrected by Boration by Reactor Operator | | | 05000338/LER-1979-027, Forwards LER 79-027/03L-0 | Forwards LER 79-027/03L-0 | | | 05000338/LER-1979-028-03, /03L-0 on 790225:greater than 12-step Disagreement Noted Among Rod Position Indication,Computer Position Indication & Demand Signal Indication for Rod 9.Caused by Voltage Drift in Signal Conditioning Card | /03L-0 on 790225:greater than 12-step Disagreement Noted Among Rod Position Indication,Computer Position Indication & Demand Signal Indication for Rod 9.Caused by Voltage Drift in Signal Conditioning Card | | | 05000338/LER-1979-030-03, /03X-1 on 790308:nonconservative Gain Setting on delta-flux Signal Feeding Overpower Delta T Protection Circuitry Observed.Caused by Improper Setting of delta-flux Gain.Signal Recalibr | /03X-1 on 790308:nonconservative Gain Setting on delta-flux Signal Feeding Overpower Delta T Protection Circuitry Observed.Caused by Improper Setting of delta-flux Gain.Signal Recalibr | | | 05000245/LER-1979-030-03, /03L-0 on 790308:calibr Procedure Revealed Nonconservative Gain Setting on delta-flux Signal Feeding Overpower Delta T Protection Circuitry.Caused by Improper Setting of delta-flux Gain.Signal Recalibrated | /03L-0 on 790308:calibr Procedure Revealed Nonconservative Gain Setting on delta-flux Signal Feeding Overpower Delta T Protection Circuitry.Caused by Improper Setting of delta-flux Gain.Signal Recalibrated | | | 05000338/LER-1979-031-03, /03L-0 on 790302:surveillances of Engineered Safety Feature Pumps Not Performed within Interval.Caused by Personnel Error Due to Long Period from Preoperational Tests to Operation.Surveillances Will Be Performed | /03L-0 on 790302:surveillances of Engineered Safety Feature Pumps Not Performed within Interval.Caused by Personnel Error Due to Long Period from Preoperational Tests to Operation.Surveillances Will Be Performed | | | 05000338/LER-1979-032-03, /03L-0 on 790312:containment Vacuum Pump Suction Valve TV-CV150A Would Not Remain Closed When Operated from Control Room.Caused by Relay Sticking in Energized Position.Relay Repaired & Tested Satisfactorily | /03L-0 on 790312:containment Vacuum Pump Suction Valve TV-CV150A Would Not Remain Closed When Operated from Control Room.Caused by Relay Sticking in Energized Position.Relay Repaired & Tested Satisfactorily | | | 05000338/LER-1979-032, Forwards LER 79-032/03L-0 | Forwards LER 79-032/03L-0 | | | 05000338/LER-1979-033, Forwards LER 79-033/03L-0,79-036/03L-0,79-037/03L-0 & 79-038/03L-0 | Forwards LER 79-033/03L-0,79-036/03L-0,79-037/03L-0 & 79-038/03L-0 | | | 05000338/LER-1979-033-03, /03L-0 on 790321: C Steam Generator Narrow Range Level Indicator LI-1496 Gave Readings w/20% Disagreement W/Two Other Channels.Caused by Steam Leak in One Sensing Line Isolation Valve | /03L-0 on 790321: C Steam Generator Narrow Range Level Indicator LI-1496 Gave Readings w/20% Disagreement W/Two Other Channels.Caused by Steam Leak in One Sensing Line Isolation Valve | |
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