LER-1979-015, /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 |
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NRC FORM 366 (7 77)
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EVENT DESCRIPTION AND PROBABLE CONSEQUtNCES h f5TF1 1 On 1/17/79, Core Flood (CF) Tank 1-2 Isolation Valve CFlA would not close by remote j
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The valve was closed manually and reactor shutdown continued.
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The primary pur-l j no danger to the health and safety of the public or unit personnel.
lo l4 j l o l 3 l l pose of the power operation of valve CF1A is to act as a backup for cperator actions l
The valve was opened prior to reaching 800 psig Reactor Coolant Sys-l o e lduring startup.
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TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT 7NE SUPPLEMENTAL INFORMATION FOR LER NP-33-79-18 DATE OF EVENT:
January 17, 1979 FACILITY: Davis-Besse Unit 1 Failure of Core Flooding Isolation Valve CF1A motor IDENTIFICATION OF OCCURRENCE:
operator The unit was in Mode 3, with Power (MWT) = 0, and Conditions Prior to Occurrence:
Load (Gross MWE) = 0.
Description of Occurrence: During a unit shutdown on January 17, 1979, operations personnel attempted to close the Core Flood (CF) Tank 1-2 Isolation Valve CFLA The valve could not be closed with the motor operator using the motor operator. During the investigation into the f ailure of the motor and was manually closed.
1545 hours0.0179 days <br />0.429 hours <br />0.00255 weeks <br />5.878725e-4 months <br /> on December it was determined that during a unit startup at the valve CFIA would not open using the motor operator and had been
- operator, 29, 1978, Technical Specification 3.5.1 requires both Core Flood Isolation manually opened.
increasing Reactor Coolant System (RCS) pres-Valves to be open prior to the unitThe valve was manually opened prior to RCS pressure exceedi sure above 800 PSIG.
800 PSIG on December 29, 1978.
The Core Flood Tanks Isolation Valves are opened the entire tbne RCS pressure is above 800 PSIG, and the power removed from the motor operators to prevent an in-Whenever RCS pressure is advertent closure f rom rendering the CF Tank inoperable.
the Core Flood Tanks Isolation Valves are closed, and the power below 700 PSIG, inadvertently opening the valve and removed fran the motor operators to prevent discharging from the Core Flood Tank.
the failure of the motor operator had was to render the backup The only ef f ect This report is automatic opening of the Core Flood Isolation Valve inoperable.
being submitted as documentation of a component failure.
The apparent cause of the failure of Designation of Apparent Cause of Occurrence:
The motor operator of CFlA was the motor operator for CFIA is a fabrication error.This is a small gear on the end of the found to have a cracked motor pinion gear.
The set screw which motor shaft which supplies the initial torque to the operator.
This allowed the key which keeps the near holds the gear to the shaf t came loose.to travel downward and catch on the casting of the housi rotating with the shaf t The crack in the gear This in turn bent the key and caused the gear to crack.
then permitted the key to fall completely out and prohibited the pinion gear from turning with the motor shaf t.
This caused the operator to be inoperative in either direction.
LER #79-015
TOLEDO EDISON CO*1PANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE PAGE 2 SUPPLEMENTAL INFORMATION FOR LER NP-33-79-18 Analysis of Occurrence: There was no danger to the health and safety of the public or to unit personnel.
Since CF LA could be operated manually, the Core Flooding System remained operable.
Corrective Action
Under Maintenance Work Order 78-2928, the pinion gear and the associated key were replaced. At 1445 hours0.0167 days <br />0.401 hours <br />0.00239 weeks <br />5.498225e-4 months <br /> on January 26, 1979, CF 1A was cycled using the motor operator and proper operation verified.
Failure Data: There have been no previously reported similar occurrences.
LER #79-015 e
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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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