LER-1979-046, Forwards LER 79-046/03L-0 |
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November 9,1979 Fort St. Vrain Unit No. 1 P-79267 Mr. Karl V. Seyfrit, Director Nuclear Regulatory Comission Region IV Office of Inspection and Enforcement 611 Ryan Plaza Drive Suite 1000 Arlington, Texas 76012 REF: Facility Operating License No. DPR-34 Docket No. 50-267
Dear Mr. Jeyfrit:
Enclosed please find a copy of Reportable Occurrence Report No. 50-267/79-46/03-L-0, Final, submitted per the requirements of Technical Specification AC 7.5.2(b)3.
Also, please find enclosed one copy of the Licensee Event Report for Reportable Occurrence Report No. 50-26 7/ 79-46 /03-L-0.
Very truly yours, D~ 4)-%/n Don Wareebourg Manager, Nuclear Production DW/alk cc:
Director, MIPC 1343 182 YK\\
791119036 7
' REPORT DATE:
November 9,1979 REPORTABLE OCCURRENCE 79-46 ISSUE O OCCURRENCE DATE:
October 11, 1979 Page 1 of 4 FORT ST. VRAIN NUCLEAR GENERATING STATION PUBLIC SERVICE COMPANY OF COLORADO 16805 WELD COUNTY ROAD 19 1/2 PLATTEVILLE, COLORADO 80651 REPORT No. 50-267/ 79-46/03-L-0 Final IDENTIFICATION OF OCCURRENCE :
On October 11, 1979, it was determined that due to procedural inadequacies, a particular sequence of manual switching of the primary coolant low level dew point moisture monitors could have resulted in a degraded mode of LCO 4.4.1.
This is reportable per Fort St. Vrain Technical Specification AC
- 7. 5. 2 (b) 3.
EVENT
DESCRIPTION
On October 11, 1979, with the plant operating at 60% thermal power and 190 MW electrical power, plant instrumentation personnel determined that it was pos-sible to inhibit moisture monitor trip actions without putting the inoperable channels in a tripped condition. This had inadvertantly been done while using the primary coolant moisture monitors to indicate primary coolant moisture levels.
See Figure 1.
The normal operation of a moisture monitor on high moisture in the primary coolant would be a low reflected light level at the moisture trans-mitter
- 07), (l'), which would transmit a trip ignal to the moisture monitor (HM),
, m 1sture indicating switch (MIS),
3
, and the moistuve switch high (
),
4 This trip signal then goes to "and" circuits, 5
, where if no i ibits are present the signal passes to the first in with ockout cir-cuit, 6
, which will allow the first trip signal to pass, but locks out any subseq uent trip signals from the other loop instrumentation. This circuit pre-vents both loops from tripping on high moi ure in the primary coolant. The trip signal then passes t rough an "or",
, circuit and ir.to the "two out of three" trip circuit, 8
If two out o three signals r.re present the trip signal is transmitted to t e "and", 9, circuit where a cwo out of three low level moisture monitor trip and a hi level moisture monitor trip is required to transmit a trip signal to the XCR's for a loop shutdown.
When using the moisture monitors to indicate the primary coolant moisture levels, the usual method was to trip the moisture monitor, normally MM-1118 and/or MM-1122, by going to light ground on the light control circuit, which simulated a low reficeted light level and tripped the instrument channel by the above action. This locked out the complementary moisture monitor (the complementary monitors are those which share the same first in with lockout circuit). With one moisture monitor in the other loop locked out it would now require two of the remaining two moisture monitors to trip for a protective action to occur.
This is not acceptable as LCO 4.4.1 requires a minimum degree of redundancy of one for these moisture monitor trips.
1343 183
REPORTABLE OCCURRENCE 79-46 ISSUE O Page 2 of 4 EVENT DESCRIPTION (continued):
This situation did occur during power operation because of problems experienced with analytical moisture monitors, MM-9306 and MM-9307, which did require the other moisture monitors to be used to follow primary coolant moisture levels.
During this period there were no moisture ingresses that required the operation of the moisture monitor protective circuits.
CAUSE
DESCRIPTION:
An approved change (Field Change Notice 3738B) made the automatic trip upon moisture monitor system failure a manual action and revised the logic to per-mit individual manual trip of the associated moisture monitor (as opposed to disabling by pairs). This change added a switch to the system failure and test module which in the Plant Protective System trip position, (1), (see Figure 1) would place an inhibit on the " firs in with lockout" circuit, 5
, and a trip into the 2 out of 3 trip circuit, 8 This would prevent the complimentary monitor from being locked out when monitor was in the tripped condition.
However, with the revised circuit configuration, if the monitor was tripped before the sys tem failure and test switch was placed in the Plant Protective Sys tem trip position, the complimentary monitor would be locked out.
CORRECTIVE ACTION :
To correct this problem the system operating procedure was revised to show the correct switching sequence to trip the moisture monitor and prevent the first in with lockout circuit from locking out the other loop's instrument.
See Figure 1.
The system failure switch, C1, for whichever moisture monitor is to be tripped, is put in the Pla e Protective System trip position which puts an in-hibit on the "and" gate, 5
, preventing the trip signal from locking ut the co=plimentary monitor whi e putting a trip signal into the "or" gate, 7, and then into the 2/3 trip circuit.
No other corrective action is anticipated or required.
1343 184
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REPORTABLE OCCURRENCE 79-46 ISSUE O Page 4 of 4 Prepared by:
4d4 Asa B. Reed Technical Services Technician Reviewed by:
. W. Gahm Technical Services Supervisor Reviewed by:
Frank M. Mathie Operations Manager Approved by:
Don Warembourg N/
Manager, Nuclear Production 1343 186
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| 05000267/LER-1979-001, Forwards LER 79-001/03L-0 | Forwards LER 79-001/03L-0 | | | 05000267/LER-1979-001-03, /03L-0 on 790102:total Primary Coolant Oxidant Concentration Exceeded 10 Vol Ppm While Core Average Outlet Temp Was Greater than 1200 F.Caused by Low Temp Absorber Heatup,Releasing Oxidant to Primary Coolant | /03L-0 on 790102:total Primary Coolant Oxidant Concentration Exceeded 10 Vol Ppm While Core Average Outlet Temp Was Greater than 1200 F.Caused by Low Temp Absorber Heatup,Releasing Oxidant to Primary Coolant | | | 05000267/LER-1979-002, Forwards LER 79-002/03L-0 | Forwards LER 79-002/03L-0 | | | 05000267/LER-1979-002-03, /03L-0 on 790127:operation in Degraded Mode Resulted from Repairs to Seat of Buffer Helium Purge Valve. Bypass of Buffer Helium Dryer Caused by Leakage Past Valve Seat Insert of Velan Model P-33876-N/78R Valve | /03L-0 on 790127:operation in Degraded Mode Resulted from Repairs to Seat of Buffer Helium Purge Valve. Bypass of Buffer Helium Dryer Caused by Leakage Past Valve Seat Insert of Velan Model P-33876-N/78R Valve | | | 05000267/LER-1979-004-03, /03L-0 on 790203:during Normal Operation,Cooling Tower Blowdown Exceeded Limit But Was Not Reported.Caused by Incorrect Completion of Surveillance Forms.Forms Changed & Personnel Instructed | /03L-0 on 790203:during Normal Operation,Cooling Tower Blowdown Exceeded Limit But Was Not Reported.Caused by Incorrect Completion of Surveillance Forms.Forms Changed & Personnel Instructed | | | 05000267/LER-1979-004, Forwards LER 79-004/03L-0 | Forwards LER 79-004/03L-0 | | | 05000267/LER-1979-005-03, /03L-0 on 790209:during Semiannual Loss of Outside Electrical Power Test,Output Circuit Breaker Did Not Close.Cause Unknown.Breaker Replaced W/Equivalent Spare | /03L-0 on 790209:during Semiannual Loss of Outside Electrical Power Test,Output Circuit Breaker Did Not Close.Cause Unknown.Breaker Replaced W/Equivalent Spare | | | 05000267/LER-1979-005, Forwards LER 79-005/03L-0 | Forwards LER 79-005/03L-0 | | | 05000267/LER-1979-013, Forwards RO 50-267/79-13/03-L-O & LER 79-013/03L-0 | Forwards RO 50-267/79-13/03-L-O & LER 79-013/03L-0 | | | 05000267/LER-1979-013-03, /03L-0 on 790412:during Test of Snubbers Many Found Inoperable Due to Unacceptable Lockup & Bleed Characteristics.Caused by Setpoint Drift,Dirty Oil & Clogged Valves.All Snubbers Repaired & Adjusted | /03L-0 on 790412:during Test of Snubbers Many Found Inoperable Due to Unacceptable Lockup & Bleed Characteristics.Caused by Setpoint Drift,Dirty Oil & Clogged Valves.All Snubbers Repaired & Adjusted | | | 05000267/LER-1979-015, Forwards LER 79-015/03L-0 | Forwards LER 79-015/03L-0 | | | 05000267/LER-1979-015-03, /03L-0 on 790507:during Routine Surveillance Testing,Setpoint of Pcrv Rupture Disc M-11702 Found to Be 826 Psig.Caused by Calibr Drift.Disc Recalbr | /03L-0 on 790507:during Routine Surveillance Testing,Setpoint of Pcrv Rupture Disc M-11702 Found to Be 826 Psig.Caused by Calibr Drift.Disc Recalbr | | | 05000267/LER-1979-016, Forwards LER 79-016/01T-0 | Forwards LER 79-016/01T-0 | | | 05000267/LER-1979-016-01, /01T-0 on 790521:punch Gap of Pcrv Rupture Disc M-11702 Found Out of Tolerance W/Vendor Specs.Caused by Undocumented Change of Punch Gap Specs.Tolerances Returned to Original Specs | /01T-0 on 790521:punch Gap of Pcrv Rupture Disc M-11702 Found Out of Tolerance W/Vendor Specs.Caused by Undocumented Change of Punch Gap Specs.Tolerances Returned to Original Specs | | | 05000267/LER-1979-017, Forwards LER 79-017/01T-0 | Forwards LER 79-017/01T-0 | | | 05000267/LER-1979-017-01, /01T-0 on 790626:fault Current Trip Occurred, Causing Reactor Scram & Interrupted Reactor Cooling.Caused by Water Spray in Switchgear,Resulting in Short Circuit Due to Voltage Perturbation | /01T-0 on 790626:fault Current Trip Occurred, Causing Reactor Scram & Interrupted Reactor Cooling.Caused by Water Spray in Switchgear,Resulting in Short Circuit Due to Voltage Perturbation | | | 05000267/LER-1979-018, Forwards LER 79-018/03L-0 | Forwards LER 79-018/03L-0 | | | 05000267/LER-1979-018-03, /03L-0 on 790630:one motor-operated Butterfly Valve Found Inoperable by Remote Manual Control.Cause Is Unknown.Cause & Corrective Action to Be Reported in Future Suppl | /03L-0 on 790630:one motor-operated Butterfly Valve Found Inoperable by Remote Manual Control.Cause Is Unknown.Cause & Corrective Action to Be Reported in Future Suppl | | | 05000267/LER-1979-019-03, /03L-0 on 790711:during Normal Operation,Weekly Functional Test of Area Radiation Monitors Not Performed for 1 Wk.Caused by Misfiling of Card for Surveillance Test. Computer Readout Will Be Used as Cross Check on Card Sys | /03L-0 on 790711:during Normal Operation,Weekly Functional Test of Area Radiation Monitors Not Performed for 1 Wk.Caused by Misfiling of Card for Surveillance Test. Computer Readout Will Be Used as Cross Check on Card Sys | | | 05000267/LER-1979-020-03, /03L-0 on 790717:during Normal Plant Operation, Engine Failed to Start.Caused by Failure of Emergency Diesel Temp Switch C.Switch Replaced | /03L-0 on 790717:during Normal Plant Operation, Engine Failed to Start.Caused by Failure of Emergency Diesel Temp Switch C.Switch Replaced | | | 05000267/LER-1979-021-03, /03L-1 on 790720:during Review of Surveillance Tests,Discovered That Halon Fire Suppression Sys Surveillance Test for Second Quarter Not Performed.Caused by Inadequate Control & Direction Re Refueling Work Load | /03L-1 on 790720:during Review of Surveillance Tests,Discovered That Halon Fire Suppression Sys Surveillance Test for Second Quarter Not Performed.Caused by Inadequate Control & Direction Re Refueling Work Load | | | 05000267/LER-1979-021, Forwards LER 79-021/03L-0 | Forwards LER 79-021/03L-0 | | | 05000267/LER-1979-022-03, /03L-0 on 790720:lack of Aquatic Macroinvertebrate Sample Collection.Caused by Oversight of Field Sampling Personnel Employed by Contract Agent.Agent Indicated Program Was Resumed & Will Continue Biweekly | /03L-0 on 790720:lack of Aquatic Macroinvertebrate Sample Collection.Caused by Oversight of Field Sampling Personnel Employed by Contract Agent.Agent Indicated Program Was Resumed & Will Continue Biweekly | | | 05000267/LER-1979-023-03, /03L-0 on 790727:while Performing Normal Surveillance,Fixed Feedwater Low Flow Switch Found Inoperable. Caused by Component Failure from Normal Wear. Module Was Repaired,Reinstalled & Retested Satisfactorily | /03L-0 on 790727:while Performing Normal Surveillance,Fixed Feedwater Low Flow Switch Found Inoperable. Caused by Component Failure from Normal Wear. Module Was Repaired,Reinstalled & Retested Satisfactorily | | | 05000267/LER-1979-024, Forwards LER 79-024/03L-0 | Forwards LER 79-024/03L-0 | | | 05000267/LER-1979-024-03, /03L-0:on 790804,on Three Occasions Between 790804-16,total Primary Coolant Oxidants Exceeded 10 Ppm W/Core Average Outlet Temp Greater than 1,200 F.Caused by Dryer Bypass Resulting in Water Ingress to Core | /03L-0:on 790804,on Three Occasions Between 790804-16,total Primary Coolant Oxidants Exceeded 10 Ppm W/Core Average Outlet Temp Greater than 1,200 F.Caused by Dryer Bypass Resulting in Water Ingress to Core | | | 05000267/LER-1979-025-03, /03X-0:on 790806,during Steady State Operation at 45% Thermal Power,Emergency Diesel Generator a Found in Degraded Mode, & B Engine Also Declutched.Caused by Relay Failure Due to Normal End of Life.Relay Replaced | /03X-0:on 790806,during Steady State Operation at 45% Thermal Power,Emergency Diesel Generator a Found in Degraded Mode, & B Engine Also Declutched.Caused by Relay Failure Due to Normal End of Life.Relay Replaced | | | 05000267/LER-1979-026-03, /03L-0:on 790807,bearing Water Makeup Pump P-2105 Removed from Svc to Perform Line Repair W/Reactor at 65% Power.Caused by Hole in Recirculation Line of Pump,Requiring Removal from Svc.Line Repaired.Pump Returned to Svc | /03L-0:on 790807,bearing Water Makeup Pump P-2105 Removed from Svc to Perform Line Repair W/Reactor at 65% Power.Caused by Hole in Recirculation Line of Pump,Requiring Removal from Svc.Line Repaired.Pump Returned to Svc | | | 05000267/LER-1979-027-01, /01T-0:on 790817,noted That Recent Pipe Hanger Installation Power Operated Relief Valve Cooling Water Lines Would Have Prevented Proper Installation of Pipe Spools. Caused by Pipe Ends Changing Alignment | /01T-0:on 790817,noted That Recent Pipe Hanger Installation Power Operated Relief Valve Cooling Water Lines Would Have Prevented Proper Installation of Pipe Spools. Caused by Pipe Ends Changing Alignment | | | 05000267/LER-1979-028-01, Plant Personnel Inadvertently Grounded Instrument Panel I-36,blowing Panel Fuses & Causing Voltage Perturbation on Bus 2.Caused by Personnel Error.Ground Corrected | Plant Personnel Inadvertently Grounded Instrument Panel I-36,blowing Panel Fuses & Causing Voltage Perturbation on Bus 2.Caused by Personnel Error.Ground Corrected | | | 05000267/LER-1979-029-03, /03L-0:on 790819,during Plant Startup,B Instrument Air Compressor Became Inoperable.Caused by Failure of Discharge Feather Valve.All Discharge Valves on Compressor Replaced & C Air Compressor Returned to Svc | /03L-0:on 790819,during Plant Startup,B Instrument Air Compressor Became Inoperable.Caused by Failure of Discharge Feather Valve.All Discharge Valves on Compressor Replaced & C Air Compressor Returned to Svc | | | 05000267/LER-1979-029, Forwards LER 79-029/03L-0 | Forwards LER 79-029/03L-0 | | | 05000267/LER-1979-030, Forwards LER 79-030/03L-0 | Forwards LER 79-030/03L-0 | | | 05000267/LER-1979-030-03, /03L-0:on 790821,primary Coolant Oxidants Exceeded Limiting Condition for Operation.Caused by Offline Helium Dryer Drying Out Operations & Extended Regeneration Period. Core Outlet Temps Reduced Whenever Oxidant Limits Excee | /03L-0:on 790821,primary Coolant Oxidants Exceeded Limiting Condition for Operation.Caused by Offline Helium Dryer Drying Out Operations & Extended Regeneration Period. Core Outlet Temps Reduced Whenever Oxidant Limits Exceeded | | | 05000267/LER-1979-031-03, /03L-0:on 790821 & 0830,plant Operated W/Reactor Dewpoint Outside Tech Spec Limits.Caused by Helium Dryer Bypass,Due to Faulty Time Delay Relay.No Cause for 790821 Event.Relay Replaced & Tested | /03L-0:on 790821 & 0830,plant Operated W/Reactor Dewpoint Outside Tech Spec Limits.Caused by Helium Dryer Bypass,Due to Faulty Time Delay Relay.No Cause for 790821 Event.Relay Replaced & Tested | | | 05000267/LER-1979-031, Forwards LER 79-031/03L-0 | Forwards LER 79-031/03L-0 | | | 05000267/LER-1979-032, Forwards LER 79-032/03X-1 | Forwards LER 79-032/03X-1 | | | 05000267/LER-1979-032-03, During Testing,Four of 12 Helium Circulator Seal Malfunction Pressure Differential Switch Units Would Not Trip.Caused by Dirt Accumulation in Electrical Switches.Switches Replaced | During Testing,Four of 12 Helium Circulator Seal Malfunction Pressure Differential Switch Units Would Not Trip.Caused by Dirt Accumulation in Electrical Switches.Switches Replaced | | | 05000267/LER-1979-033, Forwards LER 79-033/03L-0 | Forwards LER 79-033/03L-0 | | | 05000267/LER-1979-033-03, /03L-0:on 790828,unauthorized Release Made from 1A Gas Waste Surge Tank.Caused by Wrong Valve Lineup.Valve Checkoff Sheets Revised to Require Operator Initials for Each Valve.Personnel Admonished | /03L-0:on 790828,unauthorized Release Made from 1A Gas Waste Surge Tank.Caused by Wrong Valve Lineup.Valve Checkoff Sheets Revised to Require Operator Initials for Each Valve.Personnel Admonished | | | 05000267/LER-1979-034-03, /03L-0:on 790830,while Operating at 36% Thermal Power,Emergency Diesel Generator Day Tanks Did Not Have 500 Gallons of Fuel Oil as Required Per Tech Specs.Caused by Inoperable High Level Switch Which Controls Pump Operations | /03L-0:on 790830,while Operating at 36% Thermal Power,Emergency Diesel Generator Day Tanks Did Not Have 500 Gallons of Fuel Oil as Required Per Tech Specs.Caused by Inoperable High Level Switch Which Controls Pump Operations | | | 05000267/LER-1979-034, Forwards LER 79-034/03L-0 | Forwards LER 79-034/03L-0 | | | 05000267/LER-1979-035-01, /01X-1:on 790831,field Audit & Preliminary Engineering Analysis of Random Sample of as-built safety-related Piping Drawings Showed Several Hangers W/Inconsistencies.Caused by Design Inconsistencies | /01X-1:on 790831,field Audit & Preliminary Engineering Analysis of Random Sample of as-built safety-related Piping Drawings Showed Several Hangers W/Inconsistencies.Caused by Design Inconsistencies | | | 05000267/LER-1979-036-03, /03L-0:on 790910,cold Reheat Snubber CRS-262 Inoperable W/Reactor in Shutdown Condition.Caused by Missing Pin That Kept Snubber from Being Properly Attached to Pipe. New Pin Fabricated & Installed.Snubber Returned to Svc | /03L-0:on 790910,cold Reheat Snubber CRS-262 Inoperable W/Reactor in Shutdown Condition.Caused by Missing Pin That Kept Snubber from Being Properly Attached to Pipe. New Pin Fabricated & Installed.Snubber Returned to Svc | | | 05000267/LER-1979-037, Forwards LER 79-037/03L-0 | Forwards LER 79-037/03L-0 | | | 05000267/LER-1979-037-03, /03L-0:on 790919,during Normal Operation,Liquid Radwaste Release Was Made in Noncompliance W/Limiting Conditions for Operation.Caused by Operator Failure to Reset Flow Switch to New Required Flow Rate.Operators Admonished | /03L-0:on 790919,during Normal Operation,Liquid Radwaste Release Was Made in Noncompliance W/Limiting Conditions for Operation.Caused by Operator Failure to Reset Flow Switch to New Required Flow Rate.Operators Admonished | | | 05000267/LER-1979-038-03, /03L-0:on 790921,analytical Sys Primary Coolant Moisture Monitor ME-9307 Became Inoperable W/Reactor at Less than 2% Power.Caused by Burned Out Thermal Electric Heater/Cooler & Two Faulty Relays.Head & Relays Replaced | /03L-0:on 790921,analytical Sys Primary Coolant Moisture Monitor ME-9307 Became Inoperable W/Reactor at Less than 2% Power.Caused by Burned Out Thermal Electric Heater/Cooler & Two Faulty Relays.Head & Relays Replaced | | | 05000267/LER-1979-038, Forwards LER 79-038/03L-0 | Forwards LER 79-038/03L-0 | | | 05000267/LER-1979-039-03, /03L-0:on 790924,authorized Liquid Waste Release Was Made,Requiring Raising Setpoints on Liquid Waste Activity Monitors Above Normal.Caused by Failure to Return Monitors to Normal Setpoints Prior to Starting Release | /03L-0:on 790924,authorized Liquid Waste Release Was Made,Requiring Raising Setpoints on Liquid Waste Activity Monitors Above Normal.Caused by Failure to Return Monitors to Normal Setpoints Prior to Starting Release | | | 05000267/LER-1979-040-03, Ler 79-040/03L-0:on 791001,two Snubbers Required During Power Operation Found Inoperable.Caused by Oil Reservoir Leak in HRS-194 & Loose Lock Nut on HOS-29.Reservoir Refilled & Lock Nut Tightened | Ler 79-040/03L-0:on 791001,two Snubbers Required During Power Operation Found Inoperable.Caused by Oil Reservoir Leak in HRS-194 & Loose Lock Nut on HOS-29.Reservoir Refilled & Lock Nut Tightened | |
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