LER-1979-057, To LER 79-057/01T-1:on 790518,determined Some Hydraulic Snubbers May Not Have Fulfilled Functional Requirements.Caused by Improper Installation & Restrictive Performance Limits |
| Event date: |
|
|---|
| Report date: |
|
|---|
| 3461979057R00 - NRC Website |
|
text
U. S. NUCLE AR REGUL ATORY COMMISSION NRC r0RM 366 (7 71)
LICENSEE EVENT REPORT CONTROL BLOCK: l l
l l
l l
(PLEASE PRINT OR TYPE ALL REQUIRED INFORMATION!
l0lHlDlBlSl1l@l0l0 -l0 0lNlP F
- - l0 l3 @l 4 l1 l 1 ( 1 l 1 l@l l
l@
Io 1
3 8 3 LICE %EE LUSE 14 15 LIC E *.SE N v"/ s t H h
2t>
LICtNSE T4FE JO 57 LAT Sd 3 E lL}@l0l5l0l-l0 3 l 4 l 6 j@l 015 l1 1817 9 l@l0 i s 3 l 017 l9 l@
CON'T le 1
M 63 EV ENT DATE 14 h
REPURT DATE EJ 60 ta l
- ZKETN/.hsEH 8
EVENT DESCRIPTION AND PROBADLE CONSEQUE*JCES h LI_t was determined a reportable event existed in that some hydraulic snubbers may not l
o 2
There was no danger to the health and l
0 3i t have filfilled their functional requirements.
No seismic event was experienced during j
j saf ety of the public or station personnel.
o 4
c s I this period.
(NP-32-79-07) l I
10 le 1 I l
foI4 I 1
0 H
l 80 7
8 9 COY 8 VALVE SYSTEM
CAUSE
CAUSE CODE CODE SUBCODE COUPONENT CODE SU8 CODE SUBCODE IX lX l@ Wh Wh Sl Ul Pl 0l Rl Tlh l Dl@ W @
o 9
?
8 9
10 11 12 13 18 13
.V SE QUENT I AL OCCU R R E P.C E REPORT REVISION
_kVENT VE AR REPORT NO.
CODE TYPE NO 11 1 LE R AO
@,agg; 17 19 l-l 10 s 17 I I/1 10111 Tl
_ 21 23 24 26 21 24 29 3J 31 32 ACT ION FUTLuE FFFECT SH U f DO /.N ATT ACHY E NT NPR D-4 PRlYE COYP.
COYPONENT TAKEN ACTtON oN P L A*.T YETWCD HOURS SUBVITTED FORM duts LLPP LIE H YAN:#ACTURER lHl@lXi@
WQ 12 j@
[1]l l 5 j {Q [Y @
l Al@
lI l2 l0 l7 l@
33 34 d5 26 31 40 41 42 43 44 4/
CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h i lo j l The cause of this occurrence has been determif.ed to be due in part to both improper initial installation and self-imposed performance limits uhich were too restrictive.
l TJT]l 1
been tested and ;
,j q l All safety related snubbers of less than 50,000 pounds capacity have 29, 1979.
l y l all deficiencies corrected as of June l
i 4 l
H0 7
8 3 STA 5
' PO'/. E R OTHER STATUS DI SC O HV OlSCOVERY DESCRIPTION 5044.01 l
]@
0l0l0l@l NA l
l B l@l Surveillance Test ST i 5 80 7
8 9 17 12 11 44 d5 46 ACTIVITY CONTENT RELE ASED OF AE LE ASE AYOUNT OF ACTIVITY LOCATION OF RELEASE NA l
l NA l
l1 l6l g lzl 80 44 45 1
8 9 10 It PEHSONNE L E XPOSURE S NUYMEH DE SCRIP TION LLLI I 010101@lzTYPF@lN^
l 80 7
8 9 11 12 13 PERSONNE L INJURIE S NUveE H CESCRIPflON I
~ fT1101010@lNA 80 J
8 9 11 12 LOSS OF on OAVAGE TO F ACILITY 8002290 57 l
TYPE DE SC RIPT ION o n11 zi@l NA tic 7
U 9 to NRC USE ONLY Punt act TY ISSU E p@lDE SCniPTION lllllllllllll2 l Ni NA 2 o 68 69 80 5 7
8 9 10 2s2 {
419-259-5000. Nr.
Mn J. 0 % m pyoys DVR 79-074 NAME OF PnEPAnER
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR P0h'ER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-32-79-07 DATE OF EVENT: May 18, 1979 FACILITY:
Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Hydraulic snubbers deficiency Conditions Prior to Occurrence: The unit was in Mode 5, with Power (ETT) = 0, and Load (Gross $$'C) = 0.
Description of Occurrence: At 1000 hours0.0116 days <br />0.278 hours <br />0.00165 weeks <br />3.805e-4 months <br /> on May 18, 1979, it was determined a repor-table event existed in that some hydraulic snubbers may not have fulfilled their functional requirements.
Plant snubbers, nuclear safety related with a capacity of less than 50.000 pounds, were in the process of being tested per Surveillance Test ST 5044.01, " Inspection of Safety Related Snubbers", which removes each snubber from its field location and tests the snubber on a test stand.
1l The following is a list of some of the deficiencies which existed:
(A)
Some snubbers had fittings installed which may not have provided seal, and may have permitted air in-leakage to degrada snubber performance.
(B)
Fluid reservoirs were installed on some snubbers with orientations which may not have allowed the reservoir to perform properly and/or allowed air in-leakage.
(C)
Installation of brackets mounting the local reservoirs for three snubbers were not per design and required removal of cap head body bolts which could have allowed air into the hydraulic cylinders and possibly disturbed the o-ring seals.
(D) Two snubbers had non-ethylene-propylene gasket material.
(E) Failure to meet lockup and biced rate requirements 1
A total of 288 snubbers were removed and functionally tested.
Of these, 152 did not meet all of the acceptance criteria.
This report is being submitted in accordance with Technical Specification 6.9.1.8.f.
Designa tion of Apparent Cause of Occurrence: The snubbers not meeting their accep-tance criteria has been attributed to the following causes:
1.
Improper handling, installation, and modifications made to snubbers 1
during plant construction 2.
Self-imposed performance limits which were too restrictive LER #79-057
TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE PAGE 2 SUPPLEMENTAL INFORMATION FOR LER NP-32-79-07 Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel. No seismic event was experienced during the period.
Corrective Action
Under R11ntenance Work order 79-2009, and as per Surveillance Test ST 5044.01, safety related snubbers with capacity of less than 50,000 pounds have been tested and deficient snubbers returned to original specifications.
During the time period between May 12, 1979 and June 29, 1979, 288 snubbers were removed and functionally tested.
Of these, 152 failed and were rebuilt by ITT Grinnell at their Warren, Ohio facility, by Wyle Engineering Laboratories, or onsite.
1 When the snubbers were returned, they were tested onsite and reinstalled.
Surveil-lance Test ST 5044.01 was performed on the snubbers and a separate inspection com-pleted by Toledo Edison Quality Control personnel. All non-conformances from these inspections were cleared, and all snubbers were operable on June 29, 1979.
Engineering is re-evaluating the acceptance criteria for snubbers to establish realistic perf ormance limits.
Failure Data: There have been no previously reported similar occurrences.
LER #79-057
|
|---|
|
|
| | | 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 | |
|