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LER-1978-002, /01T-0:on 780112,valve FS-V156 Closed to Modify Sprinkler Sys Piping to B Emergency Diesel Radiator Room & Continuous Fire Watch Not Established for 24-h.Caused by Personnel Error.Fire Protection Tech Specs to Be Reviewed |
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| 2891978002R01 - NRC Website |
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NAR?f"IVI 0F LICINSIE T7rr' RI?CET 78-02/1T Cn Januc y 10, 1978, at about 0500 hours0.00579 days <br />0.139 hours <br />8.267196e-4 weeks <br />1.9025e-4 months <br />, FS-7156 was closed isolating the fire sprinkler system piping to the "3" Energency Diesel Generator Eccm and the Ener-gency Diesel Generator Raciiater Rocm.
It was necessary to isolate this piping so that a system =odification could be =ade to allev filling the syste= piping with an anti-freece solutien to prevent system freese-up in the Diesel Generater Radiater Roc =. About 5h hours passed until a centinuous fire watch "ns estab-lished in accordance with Technical Specification 318.3 This incident was the result of a misunderstanding by the shift superviser cf the recently issued Fire Protection Technical Specifications.
On January lk, 1978, approxi=ately 18 hours2.083333e-4 days <br />0.005 hours <br />2.97619e-5 weeks <br />6.849e-6 months <br /> after FS-V156 had been opened and the continuous fire watch secured, it was discovered that an isolation va'.ve that had been installed as part of the modificatien was closed, isolating the fire sprinkler system piping to the "3" Inergency Diesel Generator Radiater Recm.
Upon this discovery, a continuous watch was established until the valve was opened.
This incident was the result of a failure to note that although FS-7156 had been opened allowing flov to the Energency Diesel Generater Room, the isolation valve installed as part of the =cdification had not been opened.
Continuous surveillance of the "3" Diesel Generator and Radiator Eccms during periods of "B" Diesel Generator operation and periodic inspection of the Diesel Generator and Radiator Roems provided adequate fire protection, and no threat to the health and safety of the ;ublic resulted.
In both incidents, a continuous fire watch was established i==ediately upon determination of the violations.
The shift supe.rvisors, shift fore =en, and their operaters shall review the requirements of the recently issued Fire Protection Technical Specification.
Since the Fire Service System is within the secpe of the Quality Assurance Fregrs=,
precedural guidance which shculd prevent recurrence of the above events is pro-vided in Ad=inistrative Procedure AP 1001.
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60 61 OOCK6T NUMBER 6a 69 EVENT OATE 14 75 REPORT Q ATE dJ EVENT DESCRIPTION AND PROBABLE CONSECUENCE3 h 1i FS-T 5o was closed to nedify the sprinkler system piping to the "3" Energency Diesel j ; Radiater Rect and a continuous fire vatch was not established until 5h hours later.
) ; Apprcximately 13 hours1.50463e-4 days <br />0.00361 hours <br />2.149471e-5 weeks <br />4.9465e-6 months <br /> after FS-7156 vas opened, and the centinucus fire vatch securei p
- ; it vcs disecvered that an isolation valve installed as part of the ncdification was closed, isolating the "3" EDR Foc=.
These incidents were in violation of T.S. 3.18.3 ;
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Precedural guidance, vnich shculd
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prevent recurrence of these events is provided in a%istrative precedure AP 1o01.
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| 05000320/LER-1978-001-03, /03L-0 on 780208:reactor Bldg Purge Supply Fans & Associated Purge Recirculation Damper Sys Were Inoperable. Caused by Incomplete Const | /03L-0 on 780208:reactor Bldg Purge Supply Fans & Associated Purge Recirculation Damper Sys Were Inoperable. Caused by Incomplete Const | | | 05000320/LER-1978-001, Forwards LER 78-001/03L-0 | Forwards LER 78-001/03L-0 | | | 05000312/LER-1978-001-01, /01T-0:on 780320,non-nuclear Instrumentation Dc Power Short Resulted in Reactor Trip & RCS Cooldown in Excess of Tech Spec Figure 3.1.2-2 Limits.Caused by Operator Changing Lightbulb.Conditions Imposed for Return to Power | /01T-0:on 780320,non-nuclear Instrumentation Dc Power Short Resulted in Reactor Trip & RCS Cooldown in Excess of Tech Spec Figure 3.1.2-2 Limits.Caused by Operator Changing Lightbulb.Conditions Imposed for Return to Power | | | 05000289/LER-1978-001-01, /01T-0:on 780106,B&W Informed Util That During Certain Plant Transients,Difference Between Reactor Power as Indicated by out-of-core Instrumentation & as Calculated by Heat Balance May Exceed 4% of Full Power | /01T-0:on 780106,B&W Informed Util That During Certain Plant Transients,Difference Between Reactor Power as Indicated by out-of-core Instrumentation & as Calculated by Heat Balance May Exceed 4% of Full Power | | | 05000289/LER-1978-001, Forwards LER 78-001/01T-0 | Forwards LER 78-001/01T-0 | | | 05000320/LER-1978-002, Forwards LER 78-002/03L-0 | Forwards LER 78-002/03L-0 | | | 05000320/LER-1978-002-03, /03L-0 on 780208:prior to Initial Refueling,Defect Found in Plate 6 of Seismic Instrumentation Triaxial Response Spectrum Recorder 714.Caused by Mfg Error | /03L-0 on 780208:prior to Initial Refueling,Defect Found in Plate 6 of Seismic Instrumentation Triaxial Response Spectrum Recorder 714.Caused by Mfg Error | | | 05000289/LER-1978-002-01, /01T-0:on 780112,valve FS-V156 Closed to Modify Sprinkler Sys Piping to B Emergency Diesel Radiator Room & Continuous Fire Watch Not Established for 24-h.Caused by Personnel Error.Fire Protection Tech Specs to Be Reviewed | /01T-0:on 780112,valve FS-V156 Closed to Modify Sprinkler Sys Piping to B Emergency Diesel Radiator Room & Continuous Fire Watch Not Established for 24-h.Caused by Personnel Error.Fire Protection Tech Specs to Be Reviewed | | | 05000289/LER-1978-002, Forwards LER 78-002/01T-0 | Forwards LER 78-002/01T-0 | | | 05000320/LER-1978-003, Forwards LER 78-003/01T-0 | Forwards LER 78-003/01T-0 | | | 05000320/LER-1978-003-01, /01T-0 on 780213:while in Mode 6,continuous Fire Watch Not Established When Cable Room Halon Sys Automatic Actuation Sys Was Inoperable.Caused by Misunderstanding | /01T-0 on 780213:while in Mode 6,continuous Fire Watch Not Established When Cable Room Halon Sys Automatic Actuation Sys Was Inoperable.Caused by Misunderstanding | | | 05000289/LER-1978-003, Forwards LER 78-003/03L-0 | Forwards LER 78-003/03L-0 | | | 05000289/LER-1978-003-03, /03L-0:on 780112,emergency Diesel Generator 1B Failed to Start on Simulated Test Signal During Procedure SP1305-5.2.Caused by Drifting Oil Pressure Limit Switch. Setting Adjusted,New Limit Switch Ordered | /03L-0:on 780112,emergency Diesel Generator 1B Failed to Start on Simulated Test Signal During Procedure SP1305-5.2.Caused by Drifting Oil Pressure Limit Switch. Setting Adjusted,New Limit Switch Ordered | | | 05000320/LER-1978-004, Forwards LER 78-004/01T-0 | Forwards LER 78-004/01T-0 | | | 05000320/LER-1978-004-01, /01T-0:on 780214,after Initial Fueling,Two Fuel Assemblies Were Loaded Into Reactor Vessel W/O Having Source Range Audible Counts in Containment Bldg | /01T-0:on 780214,after Initial Fueling,Two Fuel Assemblies Were Loaded Into Reactor Vessel W/O Having Source Range Audible Counts in Containment Bldg | | | 05000289/LER-1978-004-03, /03L-0:on 780117,while Closing Valve MU-V74A,22 Gallon Per Minute Packing Gland Leak Developed.Caused by Worn Packing in Valve.Valve Placed on Backseat.Packing Replaced 780118 | /03L-0:on 780117,while Closing Valve MU-V74A,22 Gallon Per Minute Packing Gland Leak Developed.Caused by Worn Packing in Valve.Valve Placed on Backseat.Packing Replaced 780118 | | | 05000289/LER-1978-004, Forwards LER 78-004/03L-0 | Forwards LER 78-004/03L-0 | | | 05000320/LER-1978-005-99, /99T-0 on 780208:during Surveillance of Dike,Noted That Area of Rock rip-rap Had Slid 15 Feet Down Slope.Caused by Ratio of incline.Rip-rap Repositioned | /99T-0 on 780208:during Surveillance of Dike,Noted That Area of Rock rip-rap Had Slid 15 Feet Down Slope.Caused by Ratio of incline.Rip-rap Repositioned | | | 05000320/LER-1978-005, Forwards LER 78-05l/01T | Forwards LER 78-05l/01T | | | 05000289/LER-1978-005-01, /01T-0:on 780119,Plant Operation Review Committee Found Containment Integrity Violated by Opening Valves BS-V47A & B During Pump Operability Test.Caused by Error in Operating Procedure OP 1104-5.Procedure to Be Revised | /01T-0:on 780119,Plant Operation Review Committee Found Containment Integrity Violated by Opening Valves BS-V47A & B During Pump Operability Test.Caused by Error in Operating Procedure OP 1104-5.Procedure to Be Revised | | | 05000289/LER-1978-005, Forwards LER 78-005/01T-0 | Forwards LER 78-005/01T-0 | | | 05000320/LER-1978-006-01, /01T-0 on 780217:core Alterations Made When Containment Integrity Had Been Broken & During Break in Communications W/Control Room | /01T-0 on 780217:core Alterations Made When Containment Integrity Had Been Broken & During Break in Communications W/Control Room | | | 05000320/LER-1978-006, Forwards LER 78-006/01T-0 | Forwards LER 78-006/01T-0 | | | 05000289/LER-1978-006-03, /03L-0:on 780124,during Normal Operation,Reactor Coolant Sample Isolation Valve CA-V13 Failed to Close When Actuated by Remote Signal.Caused by Valve Stem Thread Wear. Containment Isolation Valve CA-V2 Closed | /03L-0:on 780124,during Normal Operation,Reactor Coolant Sample Isolation Valve CA-V13 Failed to Close When Actuated by Remote Signal.Caused by Valve Stem Thread Wear. Containment Isolation Valve CA-V2 Closed | | | 05000289/LER-1978-006, Forwards LER 78-006/03L-0 | Forwards LER 78-006/03L-0 | | | 05000320/LER-1978-007, Forwards LER 78-007/03L-0 | Forwards LER 78-007/03L-0 | | | 05000320/LER-1978-007-03, /03L-0 on 780216:diesel Generator DF-X-1B Tripped. Caused by Spurious Actuation of Reverse Power Relay.Relay Reset & Surveillance Test on Diesel Generator Rerun | /03L-0 on 780216:diesel Generator DF-X-1B Tripped. Caused by Spurious Actuation of Reverse Power Relay.Relay Reset & Surveillance Test on Diesel Generator Rerun | | | 05000289/LER-1978-007, Forwards LER 78-007/03L-0 | Forwards LER 78-007/03L-0 | | | 05000289/LER-1978-007-03, /03L-0:on 780128,while at 50% of Full Power,Incore Quadrant Power Tilt Limit Exceeded.Transient Caused by Transient Power Operations & Maneuvering to all-rods-out Configuration.Xenon Burned Out & Tilt Returned to Limits | /03L-0:on 780128,while at 50% of Full Power,Incore Quadrant Power Tilt Limit Exceeded.Transient Caused by Transient Power Operations & Maneuvering to all-rods-out Configuration.Xenon Burned Out & Tilt Returned to Limits | | | 05000289/LER-1978-008, Forwards LER 78-008/01T-0 | Forwards LER 78-008/01T-0 | | | 05000289/LER-1978-008-01, /01T-0:on 780202,once-through Steam Generator Feedwater Nozzles Flooded During Operation Below 5% Full Power.Caused by Incorrect Procedure Due to Operating Inexperience.Shutdown & Cooldown Procedures Revised | /01T-0:on 780202,once-through Steam Generator Feedwater Nozzles Flooded During Operation Below 5% Full Power.Caused by Incorrect Procedure Due to Operating Inexperience.Shutdown & Cooldown Procedures Revised | | | 05000320/LER-1978-008-03, /03L-0 on 780224:during Final Turnover Insp Three Fire Penetration Seals Found Not Functional.Caused by Seals Being Breached During Const.Fire Watch Was Posted | /03L-0 on 780224:during Final Turnover Insp Three Fire Penetration Seals Found Not Functional.Caused by Seals Being Breached During Const.Fire Watch Was Posted | | | 05000320/LER-1978-008, Forwards LER 78-008/03L-0 | Forwards LER 78-008/03L-0 | | | 05000289/LER-1978-009-03, /03L-0 on 780315:dc Breaker CB3 Failed to Trip on One of Several Tests.Caused by Apparent Binding of Breaker Operating Linkage.Binding May Have Been Due to Insufficient Exercise of Breaker &/Or Lack of Maint | /03L-0 on 780315:dc Breaker CB3 Failed to Trip on One of Several Tests.Caused by Apparent Binding of Breaker Operating Linkage.Binding May Have Been Due to Insufficient Exercise of Breaker &/Or Lack of Maint | | | 05000320/LER-1978-009-03, /03L-0 on 780302:surveillance Requirements Re Control Rod Drive Mechanism Not Met.Failed to Realize Specific Submode Had Been Entered | /03L-0 on 780302:surveillance Requirements Re Control Rod Drive Mechanism Not Met.Failed to Realize Specific Submode Had Been Entered | | | 05000320/LER-1978-009, Forwards LER 78-009/03L-0 | Forwards LER 78-009/03L-0 | | | 05000289/LER-1978-009, Forwards LER 78-009/03L-0 | Forwards LER 78-009/03L-0 | | | 05000320/LER-1978-010-03, /03L-0 on 780307:river Water Pump Outlet & Prelube Valves & Redundant RCP Seal Injection Valves Not Functionally Tested Before Being Placed in Svc | /03L-0 on 780307:river Water Pump Outlet & Prelube Valves & Redundant RCP Seal Injection Valves Not Functionally Tested Before Being Placed in Svc | | | 05000320/LER-1978-010, Forwards LER 78-010/03L-0 | Forwards LER 78-010/03L-0 | | | 05000289/LER-1978-010, Forwards LER 78-010/01T-0 | Forwards LER 78-010/01T-0 | | | 05000289/LER-1978-010-01, /01T-0:on 780318,during Emergency Sequence & Power Transfer test,1A & 1C Makeup Pumps Tripped When Transferring to Onsite Source Due to Malfunctioning Time Delay Relay & Diesel Generators Failed to Start Due to Pressure Swit | /01T-0:on 780318,during Emergency Sequence & Power Transfer test,1A & 1C Makeup Pumps Tripped When Transferring to Onsite Source Due to Malfunctioning Time Delay Relay & Diesel Generators Failed to Start Due to Pressure Switches | | | 05000289/LER-1978-011-03, /03L-0:on 780318,snubber MS-201 Found W/No Fluid in Reservoir.Caused by Pinched Rod Wiper Seal | /03L-0:on 780318,snubber MS-201 Found W/No Fluid in Reservoir.Caused by Pinched Rod Wiper Seal | | | 05000320/LER-1978-011-03, /03L-0 on 780311:entered Mode 4 W/O Establishing Containment Integrity & Surveillance on Bldg Door Not Performed.Door Failure Caused by Damaged O Ring Seals | /03L-0 on 780311:entered Mode 4 W/O Establishing Containment Integrity & Surveillance on Bldg Door Not Performed.Door Failure Caused by Damaged O Ring Seals | | | 05000320/LER-1978-011, Forwards LER 78-011/03L-0 | Forwards LER 78-011/03L-0 | | | 05000289/LER-1978-011, Forwards LER 78-011/03L-0 | Forwards LER 78-011/03L-0 | | | 05000320/LER-1978-012, Forwards LER 78-012/03L-0 | Forwards LER 78-012/03L-0 | | | 05000289/LER-1978-012-03, /03L-0:on 780406,during Functional Tests,One Snubber DHH-187 Would Not Lock Up Upon Compression.Cause Undetermined.Valve Block Replaced & Satisfactory Test Made | /03L-0:on 780406,during Functional Tests,One Snubber DHH-187 Would Not Lock Up Upon Compression.Cause Undetermined.Valve Block Replaced & Satisfactory Test Made | | | 05000289/LER-1978-012, Forwards LER 78-012/03L-0 | Forwards LER 78-012/03L-0 | | | 05000320/LER-1978-012-03, /03L-0:on 780314,Unit 2 Entered Mode 4 with Only One Operable Bldg Spray Sys.Caused by Clerical Error | /03L-0:on 780314,Unit 2 Entered Mode 4 with Only One Operable Bldg Spray Sys.Caused by Clerical Error | | | 05000289/LER-1978-013-01, /01T-0:on 780413,B&W Informed Util That Small Break on Reactor Coolant Pump Discharge Had Not Been Analyzed in Fsar.Procedures to Be Revised & Operators to Be Trained in Response to Small Break LOCA | /01T-0:on 780413,B&W Informed Util That Small Break on Reactor Coolant Pump Discharge Had Not Been Analyzed in Fsar.Procedures to Be Revised & Operators to Be Trained in Response to Small Break LOCA | |
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