LER-1978-016, /01T-0:on 780310,in Mode 5 Operation,Unplanned Reactivity Insertion of 4.3% of Delta K/K.Caused by Dilution of RCS Upon Draining.Rcs Boron Sampling Surveillance Increased |
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| 3021978016R01 - NRC Website |
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,,..,,6.9.1.8.d.
No safety hazard as the shutdeva margin was greater than 10%
,,,,,,of Delta I/K at all ti=es.
Redundancy NA.
Secend occurrence of an event of this type, refer to LER 77-08.
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,' SUPilEMENTARY Di!ORMATION Report No.*:
50-302 /78-016/01T-0 Facili g:
Crystal River Unic #3 3.
Report Date:
17 March 1978 4
Occurrence Date:
10 March 1978 5.
Identification of Occurrence:
Unplanned reactivity insertion of more than.5% Delta I/K contrary to Technical Specification 6.9.1.8.d.
6.
Conditions Prior to Occurrence
7.
Description of Occurrence:
rtplanned reactivig insertien of 4.3% Delta K/K At 0900 it was determined that an had occurred during the period between 1015 en 9 March 1978 and 0520 on 10 March 1978.
The Reactor Coolant System had initially been drained to the 132 ft. level to facilitate
- the opening of "3 " Once Through Steam Generator for inspection en 7 March 1978. The f
boren concentration of the RCS at that ti== vas 1042 ppm.
The RCS samples are all taken at the Decay Heat ? ump discharge while the RCS is on the Decay Heat Syscam.
After entry into "3" OTSG, the detercation was nade that the Reactor Vessel Head would have t.o be removed and boren cencentration brought up to Ji925 ppm.
To facilitate
}
Reactor Vessel Head removal and boration of the RCS, the level was brought up to the
/
145 ft. level, using water from the Scrated Water Storage Tank, via the EH Systen.
v After reaching the 145 ft. level, the RCS boren cencentration was 1430 pps en 3 March 1978. At this time, approx 1=ately 2200 gallens of cencentrated boric acid were added to the RCS via the EH System. After parking the Axial ?cuer Shaping Rods in the RV head, the RCS was again drained to the 129 ft. 6 inch level. The "A" OTSG not being directly in ene RCS flev path while on the DH System, the boren concentratica in "A" OTSG was less than the RCS.
Consequently, upon final draining to the 129 ft. 6 inch leve:,
the water from the "A" OTSG drained back into the Reactor Vessel, causing a dilution of the RCS, creating a reactivity addition of 4.3% Delta K/K.
S.
Designation of Apparent Cause:
The apparent cause of this event has been deter =ined to be insufficient sa=pling frequene:
while draining the Raactor Coolant System.
9.
Analysis of Oc*urtence:
There was no safety hatard to the plant or general public as shutdown =argin remained greater than 10% Delta K/K.
'O*
Corrective Action
The Procedure for Draining & Nitrogen 31anketing of the Reactor Ceolant Systen (0?-203) has been revised to add increased sa=pling frequency during RC draining.
Failure Data:
This is the second occurrence of an event of this type, refer to LR2 77-08 of 26 January 1978.
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| 05000302/LER-1978-001, Forwards LER 78-001/03L-0 | Forwards LER 78-001/03L-0 | | | 05000302/LER-1978-001-03, /03L-0:on 780103,3B Emergency Diesel Failed to Start During Maint on 3A Emergency Diesel Generator.Caused by Foreign Matter in Servo Booster Preventing Governor to Function Properly.Servo Booster Cleaned & Tested | /03L-0:on 780103,3B Emergency Diesel Failed to Start During Maint on 3A Emergency Diesel Generator.Caused by Foreign Matter in Servo Booster Preventing Governor to Function Properly.Servo Booster Cleaned & Tested | | | 05000302/LER-1978-001-04, /04X-0:on 780112-13,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h ETS Levels. Partially Caused by Coal Barges Entering & Maneuvering in Intake Canal During Sampling | /04X-0:on 780112-13,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h ETS Levels. Partially Caused by Coal Barges Entering & Maneuvering in Intake Canal During Sampling | | | 05000302/LER-1978-002-03, /03L-0:on 780104,one Cable Tunnel Sump Pump Failed to Start During Operability Verification.Caused by Packaged Sump Pump Electric Motor Portion Failure.Pump Replaced | /03L-0:on 780104,one Cable Tunnel Sump Pump Failed to Start During Operability Verification.Caused by Packaged Sump Pump Electric Motor Portion Failure.Pump Replaced | | | 05000302/LER-1978-002, Forwards LER 78-002/03L-0 | Forwards LER 78-002/03L-0 | | | 05000302/LER-1978-002-04, /04X-0:on 780103-04,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h ETS Levels. Partially Caused by Oil Barge Entering Intake Canal During Sampling | /04X-0:on 780103-04,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h ETS Levels. Partially Caused by Oil Barge Entering Intake Canal During Sampling | | | 05000302/LER-1978-003-03, /03L-O:on 780104,Unit 2 Battery Failed to Meet Quarterly Battery Test SP-511 Criteria.Caused by Electrolyte Stratification Due to Battery No Lead Condition.Request for Engineering Info Initiated to Evaluate & Recommend Solut | /03L-O:on 780104,Unit 2 Battery Failed to Meet Quarterly Battery Test SP-511 Criteria.Caused by Electrolyte Stratification Due to Battery No Lead Condition.Request for Engineering Info Initiated to Evaluate & Recommend Solution | | | 05000302/LER-1978-003, Forwards LER 78-003/03L-0 | Forwards LER 78-003/03L-0 | | | 05000302/LER-1978-003-04, /04X-0:on 780119-20,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding ETS Levels.Cause Undetermined | /04X-0:on 780119-20,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding ETS Levels.Cause Undetermined | | | 05000302/LER-1978-004-04, /04X-0:on 780201,unplanned Radioactive Gas Release Occurred During Maint on Nitrogen Sys Header.Caused by Leaking MUV-141F & MUV-140 Makeup Tank Valves.Revisions Initiated to Consider Interconnecting Sys Impact | /04X-0:on 780201,unplanned Radioactive Gas Release Occurred During Maint on Nitrogen Sys Header.Caused by Leaking MUV-141F & MUV-140 Makeup Tank Valves.Revisions Initiated to Consider Interconnecting Sys Impact | | | 05000302/LER-1978-004, Forwards Supplemental Info to LER 78-004/04X-0 Re Unplanned Radioactive Gas Release During Maint.Personnel Associated W/Incident & Gaseous Pipe Contents List Encl.List Withheld Per Privacy Act | Forwards Supplemental Info to LER 78-004/04X-0 Re Unplanned Radioactive Gas Release During Maint.Personnel Associated W/Incident & Gaseous Pipe Contents List Encl.List Withheld Per Privacy Act | | | 05000302/LER-1978-004-03, /03L-0:on 780108,reactor Coolant Dose Equivalent I-131 Found Contrary to Tech Spec Limitations.Caused by Transient Spikes Following Reactor Trip & Known Leaking Fuel Pins.Corrective Action Unnecessary | /03L-0:on 780108,reactor Coolant Dose Equivalent I-131 Found Contrary to Tech Spec Limitations.Caused by Transient Spikes Following Reactor Trip & Known Leaking Fuel Pins.Corrective Action Unnecessary | | | 05000302/LER-1978-005-04, /04X-0:on 780127-28,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 51 kg/24-h Tech Spec Level.Partially Caused by Coal Barges Exciting Intake Canal During Sampling Period | /04X-0:on 780127-28,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 51 kg/24-h Tech Spec Level.Partially Caused by Coal Barges Exciting Intake Canal During Sampling Period | | | 05000302/LER-1978-005-03, /03L-0:on 780109,one Sump Pump Failed to Start During Cable Tunnel Sump Pump Operability Test SP-322 Performance.Caused by Failure of Start Control Bulb Switch Due to Inadequate Current Capacity | /03L-0:on 780109,one Sump Pump Failed to Start During Cable Tunnel Sump Pump Operability Test SP-322 Performance.Caused by Failure of Start Control Bulb Switch Due to Inadequate Current Capacity | | | 05000302/LER-1978-005, Forwards LER 78-005/03L-0 | Forwards LER 78-005/03L-0 | | | 05000302/LER-1978-006, Responds to NRC Re Violation Noted in IE Insp Rept 50-302/78-02.Corrective Actions:Problems Re Clearances Not Being Issued,Placed on Equipment or Released Per CP-115 Corrected.One Case Reported in LER 78-006/03L-0 | Responds to NRC Re Violation Noted in IE Insp Rept 50-302/78-02.Corrective Actions:Problems Re Clearances Not Being Issued,Placed on Equipment or Released Per CP-115 Corrected.One Case Reported in LER 78-006/03L-0 | | | 05000302/LER-1978-006-03, /03L-0:on 780111,HPI Isolation Valve MUV-25 Breaker Inadvertantly Opened & Red Tagged Out of Svc During Normal Mode 1 Operations.Clearance Procedure Reviewed W/Personnel | /03L-0:on 780111,HPI Isolation Valve MUV-25 Breaker Inadvertantly Opened & Red Tagged Out of Svc During Normal Mode 1 Operations.Clearance Procedure Reviewed W/Personnel | | | 05000302/LER-1978-006-04, /04X-0:on 780206-07,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Cause Unknown | /04X-0:on 780206-07,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Cause Unknown | | | 05000302/LER-1978-007-01, /01T-2:on 780204,valve Operator FWV-15 Not Changed as Required by Upgrading of Steam Line Rupture Matrix.Caused by Lack of Appropriate Engineering Change Notice.Mod Package Completed.(Supplementary Info Sheet Only.) | /01T-2:on 780204,valve Operator FWV-15 Not Changed as Required by Upgrading of Steam Line Rupture Matrix.Caused by Lack of Appropriate Engineering Change Notice.Mod Package Completed.(Supplementary Info Sheet Only.) | | | 05000302/LER-1978-007, Forwards Revision 2 to LER 78-007/01T-0,consisting of Supplementary Info | Forwards Revision 2 to LER 78-007/01T-0,consisting of Supplementary Info | | | 05000302/LER-1978-007-04, /04X-0:on 780216 & 17,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Coal Barge Exiting Intake Canal During Sampling May Have Been Partial Cause | /04X-0:on 780216 & 17,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Coal Barge Exiting Intake Canal During Sampling May Have Been Partial Cause | | | 05000302/LER-1978-008, Forwards LER 78-008/03L-0 | Forwards LER 78-008/03L-0 | | | 05000302/LER-1978-008-04, /04T-0:on 780305,waste Gas Header Overpressurized & Blew Auxiliary Bldg Loop Seals During RCS Degassing. Caused by Personnel Error.Personnel & Supervisors Instructed | /04T-0:on 780305,waste Gas Header Overpressurized & Blew Auxiliary Bldg Loop Seals During RCS Degassing. Caused by Personnel Error.Personnel & Supervisors Instructed | | | 05000302/LER-1978-008-03, /03L-0:on 780122 During Sampling,Reactor Coolant Dose Equivalent I-131 Found to Be 1.42 Uci Per Gram.Caused by Transient Spikes Following Trip & Leaking Fuel Pins.No Action Needed | /03L-0:on 780122 During Sampling,Reactor Coolant Dose Equivalent I-131 Found to Be 1.42 Uci Per Gram.Caused by Transient Spikes Following Trip & Leaking Fuel Pins.No Action Needed | | | 05000302/LER-1978-009-03, /03L-0:on 780122 Control Rod Driveline Breaker a Failed to Trip During Reactor Protection Sys Functional Test SP-110.Caused by Undercurrent Relay Failure.Breaker Replaced | /03L-0:on 780122 Control Rod Driveline Breaker a Failed to Trip During Reactor Protection Sys Functional Test SP-110.Caused by Undercurrent Relay Failure.Breaker Replaced | | | 05000302/LER-1978-009-04, /04X-0:on 780223-24,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h Reporting Level of Ets.Caused by Two Coal Barges Exiting & Coal Barge Entering Intake Canal During Sampling | /04X-0:on 780223-24,biomass of Fish & Shellfish Impinged on Intake Screens Exceeding 50 kg/24-h Reporting Level of Ets.Caused by Two Coal Barges Exiting & Coal Barge Entering Intake Canal During Sampling | | | 05000302/LER-1978-009, Forwards LER 78-009/04x-0 | Forwards LER 78-009/04x-0 | | | 05000302/LER-1978-010-03, /03L-0:on 780123,security Alarm Sounded an Unauthorized Entry Into Vital Area Through Unlocked Door. Locking Devices on Vital Area Doors Altered.Key Now Needed for Outside Opening.Doors Cannot Be Left Unlocked | /03L-0:on 780123,security Alarm Sounded an Unauthorized Entry Into Vital Area Through Unlocked Door. Locking Devices on Vital Area Doors Altered.Key Now Needed for Outside Opening.Doors Cannot Be Left Unlocked | | | 05000302/LER-1978-010-04, /04X-0:on 780307-08,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Oil Barge Entering Intake Canal During Sampling Period May Have Been Cause | /04X-0:on 780307-08,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2 & 3 Exceeded 50 Kg Per 24-h Reporting Level.Oil Barge Entering Intake Canal During Sampling Period May Have Been Cause | | | 05000302/LER-1978-010, Forwards LER 78-010/03L-0 | Forwards LER 78-010/03L-0 | | | 05000302/LER-1978-011-04, /04X:on 780303-04,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2, & 3 Exceeded 50 Kg Per 24-h Reporting Level.Cause Undetermined | /04X:on 780303-04,biomass of Fish & Shellfish Impinged on Intake Screens of Units 1,2, & 3 Exceeded 50 Kg Per 24-h Reporting Level.Cause Undetermined | | | 05000302/LER-1978-011, Forwards LER 78-011/03L-0 | Forwards LER 78-011/03L-0 | | | 05000302/LER-1978-011-03, /03L-0:on 780201,during Mode 3 Operation,Primary Containment Integrity Not Maintained When Nitrogen Valve NGV-81 Open for 3-h 42 Minutes.Caused by Oversight of Tech Spec 3.6.1 1 Requirements.Personnel Instructed | /03L-0:on 780201,during Mode 3 Operation,Primary Containment Integrity Not Maintained When Nitrogen Valve NGV-81 Open for 3-h 42 Minutes.Caused by Oversight of Tech Spec 3.6.1 1 Requirements.Personnel Instructed | | | 05000302/LER-1978-012, Forwards LER 78-012/03L-0 | Forwards LER 78-012/03L-0 | | | 05000302/LER-1978-012-03, /03L-0:on 780203,steamline Rupture Matrix Actuated During Heatup & Before Entry Into Operational Mode 2.Caused by Dead Band Shift of 600 Psig Pressure Switches MS-94,95- PS2.Switches Recalibr & Manual Bypass to Be Installed | /03L-0:on 780203,steamline Rupture Matrix Actuated During Heatup & Before Entry Into Operational Mode 2.Caused by Dead Band Shift of 600 Psig Pressure Switches MS-94,95- PS2.Switches Recalibr & Manual Bypass to Be Installed | | | 05000302/LER-1978-012-04, /04X-0:on 780101-0331,improper Procedures Used in Environ Sample Analyses.Procedures Revised & More Efficient Counting Configurations & Overnight Count Times Being Tested.(Supplementary Info Sheet Only.) | /04X-0:on 780101-0331,improper Procedures Used in Environ Sample Analyses.Procedures Revised & More Efficient Counting Configurations & Overnight Count Times Being Tested.(Supplementary Info Sheet Only.) | | | 05000302/LER-1978-013-03, /03L-0:on 780208,A & B Boric Acid Storage Tanks Found Inoperable While Performing Operability Check of Boron Injection Sources.Caused by Failure to Follow Procedures. Operators Instructed | /03L-0:on 780208,A & B Boric Acid Storage Tanks Found Inoperable While Performing Operability Check of Boron Injection Sources.Caused by Failure to Follow Procedures. Operators Instructed | | | 05000302/LER-1978-013-04, /04X-0:June 1977-Mar 1978 Contractor Environ Sample Analyses Used Incorrect Procedures.Possibly Caused by Insufficient Sample Size & Count Times.Count Times Being Tested.(Supplementary Info Sheet Only.) | /04X-0:June 1977-Mar 1978 Contractor Environ Sample Analyses Used Incorrect Procedures.Possibly Caused by Insufficient Sample Size & Count Times.Count Times Being Tested.(Supplementary Info Sheet Only.) | | | 05000302/LER-1978-013, Forwards LER 78-013/03L-0 | Forwards LER 78-013/03L-0 | | | 05000302/LER-1978-014-04, /04X-0:on 780101-0502,environ Samples Not Analyzed W/Procedures Providing LLDs Equal to or Less than ETS Requirements.Caused by Inadequate Techniques &/Or Equipment. Normal Samples Taken.(Supplementary Info Sheet Only.) | /04X-0:on 780101-0502,environ Samples Not Analyzed W/Procedures Providing LLDs Equal to or Less than ETS Requirements.Caused by Inadequate Techniques &/Or Equipment. Normal Samples Taken.(Supplementary Info Sheet Only.) | | | 05000302/LER-1978-014-03, /03L-0:on 780210,chemical Addition Valves CAV 1 & 2 Failed to Close on Completion of Pressurizer Steam Space Sampling.Caused by Incorrect Torque Switch Setting of Valve CAV-1.Operability restored.CAV-2 Corrective Action Pend | /03L-0:on 780210,chemical Addition Valves CAV 1 & 2 Failed to Close on Completion of Pressurizer Steam Space Sampling.Caused by Incorrect Torque Switch Setting of Valve CAV-1.Operability restored.CAV-2 Corrective Action Pending | | | 05000302/LER-1978-014, Forwards LER 78-014/03L-0 | Forwards LER 78-014/03L-0 | | | 05000302/LER-1978-015-04, /04T-0:on 780511,20 Uci Radioactive Liquid Released During Spent Resin Transfer to Vendor Vehicle. Caused by Line Rupture.Transfer Terminated & Radioactive Protection Measures Implemented.Corrective Action Pending | /04T-0:on 780511,20 Uci Radioactive Liquid Released During Spent Resin Transfer to Vendor Vehicle. Caused by Line Rupture.Transfer Terminated & Radioactive Protection Measures Implemented.Corrective Action Pending | | | 05000302/LER-1978-015-03, /03L-0:on 780215,during Reactor Trip Chemical/ Radiation Sampling Revealed Reactor Coolant Dose Equivalent Exceeded Limits.Caused by Expected Transient Spikes Following Trip & Leaking Fuel Pins.No Action Needed | /03L-0:on 780215,during Reactor Trip Chemical/ Radiation Sampling Revealed Reactor Coolant Dose Equivalent Exceeded Limits.Caused by Expected Transient Spikes Following Trip & Leaking Fuel Pins.No Action Needed | | | 05000302/LER-1978-015, Forwards LER 78-015/04T-1.LER 78-015/04T-0 Encl | Forwards LER 78-015/04T-1.LER 78-015/04T-0 Encl | | | 05000302/LER-1978-016, Forwards LER 78-016/01T-0 | Forwards LER 78-016/01T-0 | | | 05000302/LER-1978-016-01, /01T-0:on 780310,in Mode 5 Operation,Unplanned Reactivity Insertion of 4.3% of Delta K/K.Caused by Dilution of RCS Upon Draining.Rcs Boron Sampling Surveillance Increased | /01T-0:on 780310,in Mode 5 Operation,Unplanned Reactivity Insertion of 4.3% of Delta K/K.Caused by Dilution of RCS Upon Draining.Rcs Boron Sampling Surveillance Increased | | | 05000302/LER-1978-016-04, /04L-0 (Supplementary Info Sheet):On 780404, Sample Not Obtained from Test Well 5 for Months of Apr & May.Caused by Well Being Inadvertently Covered by Const Debris.Well to Be Available for June Sampling | /04L-0 (Supplementary Info Sheet):On 780404, Sample Not Obtained from Test Well 5 for Months of Apr & May.Caused by Well Being Inadvertently Covered by Const Debris.Well to Be Available for June Sampling | | | 05000302/LER-1978-017-01, /01T-0:on 780306,17 Loose Parts Identified as Coupling & Spider Assembly of BPR- B-47,discovered in B once-through Steam Generator.Caused by Assembly Failure. Corrective Action to Be Determined | /01T-0:on 780306,17 Loose Parts Identified as Coupling & Spider Assembly of BPR- B-47,discovered in B once-through Steam Generator.Caused by Assembly Failure. Corrective Action to Be Determined | | | 05000302/LER-1978-017, Forwards LER 78-017/01T-0 | Forwards LER 78-017/01T-0 | |
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