LER-1979-112, /03L-0:on 791119,valve MS106 Failed to Open During Surveillance Testing.Caused by Improper Installation of Worm Gear Spacer.Drive Sleeve Machined & Worm Gear Spacer Reinstalled |
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| 3461979112R03 - NRC Website |
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U.S. NUCLEAR REGULATORY COMMISSION NRC FORM 366 (7]7) -
LICENSEE EVENT REPORT CONTROL BLOCK: l l
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CON'T 6d 63 EVENT OATE 74 76 REPORT DATE 80 7
8 60 61 DOCKET NUMB ER EVEN1 DESCRIPTION AND PROBABLE CONSEQUENCES h l At 2030 hours0.0235 days <br />0.564 hours <br />0.00336 weeks <br />7.72415e-4 months <br /> on November 19, 1979 while performing surveillance testing, valve MS106 l o
2 This placed the unit in the action statement of Technical Specifica-l l failed to open.
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the inoperable pump be re-l l tion 3.7.1.2 which requires that with one pump inoperable, lo ;4 j Thercq g g l paired within 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> or the pnit be in hot shutdown within the next 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />.
I was no danger to the health and safety of the public or station personnel. Auxiliary l o lc l o l 7 ] l Feed Pump (AFP) 1-2 was operable during the inoperability of AFP l-1.
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40 41 42 43 44 47 33 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h l The motor operator torque switches were adjusted and surveillance testing successfull3 i
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sembly of the motor operator revealed that the cause was actually the worm gear spacey g,,7; l l 113 l l was installed upside down.
The drive sleeve was machined and the worm gear spacer l
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DVR 79-172 NAME OF PREPAHEH
e TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-79-130 DATE OF EVENT: November 19, 1979 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Auxiliary Feed Pump 1-1 inoperable Conditions Prior to Occurrence: The unit was in Mode 3, with Power (MNT) = 0, and Load (Gross MWE) = 0.
Description of Occurrence: At 2030 hours0.0235 days <br />0.564 hours <br />0.00336 weeks <br />7.72415e-4 months <br /> on November 19, 1979 while performing Sur-veillance Test ST 5071.01, " Auxiliary Feedwater System Monthly Test", valve main steam (MS) 106 failed to open.
This placed the unit in the action statement of Technical Specification 3.7.1.2 which requires that with one pump inoperable, the inoperable pump be repaired with-in 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> or the unit be in hot shutdown within the next 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br />. The technical specification requires operability of both Auxiliary Feed Pumps (AFPs) while in Modes 1, 2, and 3.
Designation of Apparent Cause of Occurrence: The cause of this occurrence was ini-tially thraught to be the torque switch being set too light. However, after taking the limitorque apart, it was found that the worm gear spacer was installed upside down causing a mushrooming ef f ect on the drive sleeve. This mushroomed area was dragging on the worm gear causing it to turn harder, requiring more torque. This caused the limitorque to torque out prior to opening the valve.
Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel. Auxiliary Feed Pump 1-2 was operable during the inoperabi-lity of AFP l-1.
Corrective Action
Under Maintenance Work Order (MWO) 79-3546,. the torque settings were adjusted.
Surveillance Test ST 5071.01 was successfully performed on November 20, 1979, and the AFP l-1 was declared operable. The unit was then removed from the action statement of Technical Specification 3.7.1.2.
Under MWO 79-3704, which was completed on December 12, 1979, the mushroomed drive sleeve was machined for proper tolerance and the worm gear spacer was reinstalled correctly.
Surveillance Test ST 5071.01 will be performed to ensure operability of AFP l-1 as soon as the plant is in Mode 3.
A modification will be made to maintenance procedure MP 1410.32, " Removal and Repair of Limitorque Valve Controls", to ensure the worm gear spacer on all similar limitor-ques will be installed correctly.
Failure Data: There has been one other similar occurrence reported under Licensee Event Raport NP-33-79-85.
LER #79-112 lfl[[
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| 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 | |
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