LER-1979-005, /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 |
| Event date: |
|
|---|
| Report date: |
|
|---|
| 3461979005R03 - NRC Website |
|
text
U. S. NUCLE AR REGUL ATORY CO.1. I NRC F pnM 366 (7 77).
LICENSEE EVENT REPORT CONTROL BLOCK: l l
l l
l l
lh (PLE ASE PRINT OR TYPE ALL REQUIRED INFORMATION) 1 o
l0 l11 ! D l B l S l 1 l@l 01 0l -l Oi 0 Nl Pl Fl -l 0l 3 @l4 1 l1 l1l1 @l l@
o 1
23 26 LICENSE TYPE JJ bl CAT Sd 7
8 9 LICE *.SE E CGJE 14 15 LICENSE'..W 3ER lolil lL @l0 5 l0 l-l0 l3 l4 l6 @0 ll l0 l6 l7 l9 l@l 0] 1l 3l 117 l 9 j@
CON'T RE C 6a 63 EVENT DATE 14 75 REPORT DATE dJ
,g 60 61 Con ET *.wY3 E R 7
8 EVENT DESCRIPTION AND PROBABLE CC'.SECUENCES h of surveillance testing when the Borated Water Storage Tank (BWST)]
l o 12 l l During the conduct fo 13 l l level bistable was tripped, Decay Heat (DH) Valves DH9A opened and DH7A closed. The [
l Lvalves were returned to nornal and the breakers for these valves were opened to pre-o
.i further inadvertent actuations and thus naintain the flowpath fron the BWST to l
o 3 l vent 3 6 l Energency Core Cooling Systen (ECCS) Train 2.
It was also found that the setpoint of[
o 7
l B'. ST level bistable was in excess of the Tech Spec linic.
ECCS Train 1 was fully I
o a
i operable throughout the occurrence.
(NP-33-79-06) 80 7
8 9 COVP.
VALVE SYSTE*9
CAUSE
CAUSE CODE CODE SUSCOCE COYPONENT CODE SUSCCOE SUSCODE O 9 lIl Bl@ lE @ [E l@ l Il Nl S l Tl Rl Ulh S l@ lZ l@
7 8
9 10 11 12 12 Id 19 20 AEVISION OCCURRENCE PEFORT SE QUENTI AL b
b lYl
/
3l
_ 28 22 23 2-3 26 27 28 29 30 31 32 U'
ATT ACwYENT N P R O-4 PRIVE COYp COVPONE'JT T AW. r.N 4.C T C N GN PLANT E i-JD
> %, R G 2,:
SLEVfTTED FOR" SUS.
SUPPLI E R.
M ANUF ACT URE R ACTION FUTLAE EFFECT S-U T OW.N I Al@LzJ@
Iz l@
l zi@
l 01 01 01 I
W@
l 'lO l ^ 1@
lC S i 6 i O jg 33 34 3a b
31 40 41 42 43 44 4/
CAUSE DE3CRIPTION AND CORRECTIVE ACTIONS h failure of output relay
[
l The cause of the actuation of DH9A and DH7A was component i
o Instrument drift is l
l, j i j l K51A in Safety Features Actuation Systea (SFAS) Channel 4.
The output j
l believed to be the cause of BWST level bistable being out of tolerance.
3 l relay was replaced.
The bistable was recalibrated as per the test procedure to withig i.
l the Tech Spec limits. The bistable will be replaced during an upconing outage.
J E3 7
8 9 VET-OD OF ST ATL.S
. PO?.E R CTHER ST ATUS O!5COLERY DISCOVERY DESCR:PTlO'J s
F ActLITY ST 5031.01 l
NA l
l B l@l Surveillance Test lE j@ l 0l 9l 9l@l i
5 ACTIVITY CO TENT LOCATION OF RELEASE li Is l LZJ @ i zl@l N^
l I N^
l AELEASED 05 EELF ASE AVOUNT of ACTIVITY 8J 44 45 7
8 9 to 11 PER$0NNEL EXPOSURES NUYSE R TYPE DESCntPTION -
l l 0 l 0 f h_
El NA 1 7 PE RSONNF L INJURt ES NL-?E E 4 DESCnioTION j
101010 l@l NA i
80 7
3 9 11
?2 LUG P Ca C Ar.;CE TO F ACILITY l
T**i C E L WTION h l u l LZJ@L';^
790206d323 x
N R C USE ON L Y g, m * ',
l llilIlll l illf [l[l
'!A J
.419-259-5000, Ext. 033 Jin Nelson PHCNE 3
DVR 70-007
/E Of PDEP AH 4_
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POLER STATION UNIT ONE SUPPLEMENTAL INFOPJ1ATION FOR LER NP-33-79-06 DATE OF EVENT: January 6, 1979 i
FACILITY: Davis-Besse Unit 1 Saf ety Features Actuation System (SFAS) Channel 4 IDENTIFICATION OF OCCURRENCE:
output relay f ailure and Channel 2 Borated Water Storage Tank (BWST) level setpoint out of tolerance f
The unit was in Mode 1, with Power (MWT) = 2747, Conditions Prior to Occurrence:
and Load (Gross MWE) = 915.
Description of Occurrence: During the conduct of Step 6.5 of Surveillance Test ST 5031.01, "SFAS Monthly Test" on January 6, 1979, at 1400 hours0.0162 days <br />0.389 hours <br />0.00231 weeks <br />5.327e-4 months <br />, BNST level bi-stable BA212 was tripped as per the test procedure. Upon tripping BA212, Decay Heat (DH) Valve DH9A, " Emergency Sump Outlet Line 2 Isolation Valve", opened and DH7A, "BWST Outlet Isolation Valve" closed. The bistable was reset as per the procedure of ST 5031.01, and DH9A was reclosed and DH7A, "BWST Outlet Isolation Valve" (which is interlocked with DH9A tc close when DH9A opens) was reopened.
investigation into the cause of DH9A opening (and DH7A closing)
During the subsequent further inadvertent actua-the breakers for these two valves were opened to prevent tions and thus maintain the flowpath from the BWST to Emergency Core Cooling System (ECCS) Train 2.
However, removing power from the operators of these valves also disables the automatic transfer to the caergency sump.
This placed the unit in the Action Statement of Technical Specification 3.5.2, which requires two (2) operable ECCS trains in Mode 1.
After the problem which caused the actuation of DH9A was found and resolved, Step 6.5 of ST 5031.01 was re-performed unsuccessfully.
It was found that the setpoint of BWST level bistable BA212 was in excess of the Technical Specification limit of 4.725 feet of BWST level. This placed the unit in Action Statement 9 of Technical Specification 3.3.2.1.
Designation of Apparent Cause of Occurrence:
The cause of the actuation of DH9A and DH7A was component f ailure of output relay K51A in SFAS Channel 4.
Tripping BA212 in addition to the f ailare of relay K51A caused the two out of four logic to be satisfied and thus actuate DH9A and DH7A.
Instrument drift is believed to be the cause of BWST level bistable BA 212 being out of tolerance.
LER //79-005
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE PAGE 2 SUPPLEMENTAL INFOMRATION FOR LER NP-33-79-06 There was no danger to the health and safety of the public Analysis of Occurrence:
or to unit personnel. The flowpath from the BWST to ECCS Train 2 was returned to Thus ECCS Train 2 was capable of operability when DH9A was closed and DH7A opened.
performing its safety function in the event of an accident until the BWST was emptied.
ECCS Train 1 was fully operable throughout the occurrence.
Under Maintenance Work Order (MWO) IC-119-79, Instrument and
Corrective Action
Control personnel investigated, found, and corrected the cause of DH9A and DH7A actuation.
An output relay, K51A in SFAS Channel 4 was defective and was replaced.
Upon finding the BWST level bistable BA212 out of calibration, it was immediately (ST 5031.01) procedure, to within the Technical Speci-recalibrated as per the test The breakers to DH9A and DH7A were cl' sed, restoring ECCS Train 2 o
fication limits.
to full operability.
SEAS Channel 2, BWST level trip was declared operable at 0100 hours0.00116 days <br />0.0278 hours <br />1.653439e-4 weeks <br />3.805e-5 months <br /> on January 6, 1979, thus removing the unit from the Action Statement of Technical Specification 3.5.2 and Technical Specification 3.3.2.1.
Since bistable BA212 has jrifted in the the same direction on a previous occasion (see Licensee Event Report NP-33-78-133),
bistable will be replaced during an upcoming maintenance outage.
It is estimated that approximately 6300 gallons of water flowed into the containment energency sump during the time DH9A was open.
This water flowed through the contain-ment and emergency suap drains to the containment normal sump uhere it was pumped to the Miscellaneous Waste Drain Tank. The area surrounding the emergency sump was inspected and no execssive contamination was present. The post accident boric acid neutralizinn baskets were inspected and no evidence of penetration was discovered.
Failure Data: There have been no previous f ailures of output relays.
Two previous incidents of BUST level bistables being out of tolerance were reported in Licensee Event Reports NP-33-78-84 and NP-33-78-13.
LER #79-005
|
|---|
|
|
| | | 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 | |
|