LER-1979-122, /03L-0:on 791201,reactor Protection Sys Channel 2 Thorium Indication Failed Low.During 791203 Investigation of Failure,Water Found in Termination Box.Caused by Failed Extension Piece on Resistance Temp Detectors |
| Event date: |
|
|---|
| Report date: |
|
|---|
| 3461979122R03 - NRC Website |
|
text
NRC F ORM 306 (7 71)
LICENSEE EVENT REPORT CONTROL BLOCK: l l
l l
l l
l (PLE ASE PRIN T OR TYPE ALL REQUIRED INFORMATION)
I 6
l-l0 l3 l@l 4l 1l 1l 1l 1l@[
l@
lo lil l0 l11 lD lB lS l1 l@l0 l0 l-l0 l0 lN lP F
7 8 9 UCEN3tE CODE 14 15 LICENSE N /.'BE H h
2ti LICt%E. T Y PE JO t l G A I bd
%,] l L l@l 0 l 5 l 0 l-l0 l 3 l 4 l6 l@l1 l2 l0 l1 l7 l9l@l1 l2 l2 l8 l7 l9 l@
CON'T o
i i
8 LJ b1 DOCK E T NU'.iBER bd 63 EVENT DATE 74 13 HEPORT DATE 80 EVENT DESCRIPTION AND PRC9 ABLE CONSEQUENCES h l On 12/1/79 at 1125 hours0.013 days <br />0.313 hours <br />0.00186 weeks <br />4.280625e-4 months <br />, it was discovered that the Reactor Protection System (RPS) l 0
2
[ o j ; j l Channel 2 Th indication was f ailed low.
Being in Mode 2, the unit was placed in the l action statement of T.S. 3.3.1.1 which required the failed channel be placed in the l
o 4
lo lsl l tripped condition. On 12/3/79, water was found in the termination box,apparently a
]
I pressure boundary leak through the assembly.
This placed the unit in the action statq-o c There was no danger to the health l
l ment of T.S. 3.4.6.2 and cooldown was initiated.
0 7
and safety of the public or station personnel. The redundant channels were operable.
o a
8J 7
8 9
~
'#$E SueCSI)E Cor.iPONENT CODE SUBC DE SU DE Cc 11l^]@ b @ lBl@ lI NlSlTjRjU[@ g @ g @
0 9 7
8 9
10 11 12 13 1H 19 20 REVISION SEQUENTI AL oCCURREN',E REFORT
,. EVENT YE AR REPORT NO.
CODE TYPE Np.
@ y"(oi/g ldi7l9l b
l1 2 l2 l y
l0l3l l Lj
___ I lDl g p p3 f"
22 23 24 26 21 28 23 30 31 32 8 iT FOR isuu.
SUPPtiE 91A FAr pen T Ef A T.
O PLA T ETH HOURS 22 S
I c l@l Z @
W@
I Z i@
l 016 Oi i
g g g g lNlg lRl3l6l9 g 33 34 J5 36 J#
40 41 42 43 44 41 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h lilcj l The occurrence was caused by a failed extension piece on the RTDs (resistance tempera--l ture detectors) which allowed a small primarv leak to the wiring which shorted out t t,d Li j t J l clement. The extension was cracked when thermal expansion caused an attached Furman- !
, 7 restraint. New well-type 1
[ ite enclosure to come in contact with a seismic pipe whip i
l RTDs were installed per FCR 79-349 which should prevent similar failures.
li14l 80 7
8 9 STA S
- ', PO?tE R CTHER STATUS SCO RY DISCOVEHY DESCRIPTION NA l
Al@lOperatorobservation l
l l5j B@ l 0l 0 01@l ACTIVI T Y CO T E '. T RELE AEED OF RELE A3E A'.'OUNT OF ACTIVITY LOCATION OF RELEASE l1 I6I W @ lZ l g l NA l
NA l
80 7
8 9 to tt 44 45 PERSONNEL F xPOSURES N UP.* B E R TYPE
DESCRIPTION
1010101@lzl@l NA i 7
' En 0,..a'IN;u'AS DesCniPmN@
j 67j 313 l
No m 10 l 010 @l NA i -
80 7
3 9 11 12
'fal 'if"C%?tio'N '^"' " " @
8oo1030 F 2 /
l bhJlZl@l NA 60 7
8 9 10 ggydE @DESCHIPTION l
l ll llllll1l}
u NA 2 o 63 69 6J &
7 8 9 IJ DVR 79-183, @}9 PnEPARER
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-79-139 DATE OF EVENT: December 1,1979 FACILITY: Davis-besse Unit 1 IDENTIFICATION OF OCCURRENCE: Reactor Coolant Th Resistance Temperature Detector (RTD) failure Conditions Prior to Occurrence: The unit was in Mode 2 with Power (MWT) = 30 and Load (Gross MWE) = 0 on December 1,1979; The unit was in Mode 3 with Power (MRT)
= 0 and Load (Cross MWE) = 0 on December 3,1979.
Description of Occurrence:
On December 1, 1979 at about 1125 hours0.013 days <br />0.313 hours <br />0.00186 weeks <br />4.280625e-4 months <br /> while performing ST 5099.01, " Miscellaneous Instrument Shif t Checks", it was discovered that the Reac-tor Protection System (RPS) Channel 2 Th indication was failed low.
This put the unit in the action statement of Technical Specification 3.3.1.1 which required that the inoperable channel be placed in a tripped condition. RPS Channel 2 was tripped at about 1137 hours0.0132 days <br />0.316 hours <br />0.00188 weeks <br />4.326285e-4 months <br />.
On December 3, 1979 with the unit in Mode 3 to investigate the RPS Th failure under Maintenance Work Order (MRO) IC-537-79 at about 1815 hours0.021 days <br />0.504 hours <br />0.003 weeks <br />6.906075e-4 months <br /> the cap on the head of the RTD was removed and water was found in the termination box, apparently a pressure boundary leak through the RTD assembly. This placed the unit in Action Statement "a" of Technical Specification 3.4.6.2 which required the unit be in cold shutdown within 30 hours3.472222e-4 days <br />0.00833 hours <br />4.960317e-5 weeks <br />1.1415e-5 months <br />. Cooldown of the plant was immediately initiated.
Designaticn of Apparent Cause of Occurrence:
Failure was apparently due to component failure of the RTD extension piece resulting in a small primary leak to the wiring causing one element to open and shorting out the other element. The extension piece was cracked by a bending force caused by a Furmanite enclosure, installed to stop a gasket leak which came into contact with a seismic pipe whip restraint due to thermal expansion. The leakage was not a primary pressure boundary leak but leakage through the gasket joint to the RTD Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel.
Reactor protection functions were available through redun-dant channels at all times.
Corrective Action
Following the unit shutdown on December 3,1979, and the subsc-quent drain down, all four direct immersion Th RTDs were removed, including the failed RTD,and new well-type RTDs were installed per FCR 79-349. The installation of the well-type RTD and removal of the Furmanite enclosure should prevent ac/
similar failure in the future. The bosses for the wells for three of the icur RTDs were also replaced due to damage on two bosses incurred by the Furmanite enclosure and due to thread damage from galling on the third boss.
Failure Data: There have been no previous occurrences of this type.
k LER #79-122
|
|---|
|
|
| | | 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 | |
|