LER-1980-030, /01T-0:on 800418,contrary to Tech Spec 3.4.1,decay Heat Pump 1-2 Stopped When RCS Water Level Decreased to 37 Inches Above Hot Leg Piping Centerline.Caused by Valve Operator Component Failure.Work Order Issued for Adjustment |
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8 60 61 DOCAET NUMB ER 68 69 EVENT DATE 74 7b REPORT DATE 80 EVENT DESCRIPTION AND PROB ABLE CONSEQUENCES h O 2 l (NP-32-80-05) On 4/1S/80 at 1920 hours0.0222 days <br />0.533 hours <br />0.00317 weeks <br />7.3056e-4 months <br />, Decay IIcat (DH) Pump 1-2 was stopped when it l g was discovered that Reactor Coolant System (RCS) water level had decreased from 70" eq g g g 3, gl 37" above the hot leg piping centerline.
This placed the unit $n violation of action l statement (a) of Technical Specification 3.4.1 which requires that while in Mode 5, l
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33 J4 35 36 31 40 41 42 43 44 47 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h l This occurrence is attributed to component failure of the valve operator. The remote l i o ITTT1 I valve operator (Rv0) for DH62 was found to be out of adjustment causing the valve to I yl remain one to two turns open when the RVO was on its close stop.
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NAME OF PREPARER PHONE:
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TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-32-80-05 DATE OF EVENT: April 18, 1980 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Loss of Decay Heat Flow to the Reactor Coolant System (RCS) While the Unit is in Mode 5 Conditions Prior to occurrence: The unit was in Mode 5, with Power (MWT) = 0 and Load (Gross MWE) = 0.
Description of Occurrence: On April 18, 1980 at 1915 hours0.0222 days <br />0.532 hours <br />0.00317 weeks <br />7.286575e-4 months <br />, operations personnel dis-covered that the RCS water level had decreased from 70" to 37" above the hot leg piping centerline as read at the Refueling Level Indicator LI214.
(This lower level corres,
ponds to 78" above the top of the reactor core.) This low RCS level caused an erratic decay heat flowrate due to inadequate decay heat pump suction conditions. As a result, Decay Heat Pump 1-2 was stopped at 1920 hours0.0222 days <br />0.533 hours <br />0.00317 weeks <br />7.3056e-4 months <br />. At this time, the RCS level had dropped to 35" as read on LI214. Operations began to check their isolation and drain lineup for Decay Heat Loop 1 which was out of service and found water flowing from Decay Heat Cooler 1-1 Discharge,Line Leak Test Connection Isolation Valve DH73, which had been opened to facilitate draining of Decay Heat Loop 1.
DH73 was immediately closed.
Further investigation of the loop isolation lineup revealed that Decay Heat Cooler 1-2 Discharge to Makeup and Purification System Isolation Valve DH62 was two turns open.
This valve, normally operated by a manual remote valve operator, had to be closed at the valve stem.
RCS makeup water was transferred from the Borated Water Storage Tank (BWST) to the RCS via the Decay Heat System to restore the RCS level to 75".
Decay heat flow to the RCS was restored when Decay Heat Pump 1-2 was restarted at 1949 hours0.0226 days <br />0.541 hours <br />0.00322 weeks <br />7.415945e-4 months <br /> on April 18, 1980.
Tripping Decay Heat Pump 1-2 placed the unit in violation of action statement (a) of Technical Specification 3.4.1, which states that while in Mode 5 at least one reactor coolant loop must be in operation with an associated reactor coolant pump or decay heat pump. The decay heat pump was off for 29 minutes.
Designation of Apparent Cause of Occurrence: The occurrence is attributed to component failure of the valve operator. The remote valve operator (RVO) for DH62 was found to be out of adjustment causing the valve to remain one to two turns open when the RVO was on its close stop.
Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel.
Decay heat flow was off for less than a half hour and RCS temperature remained significantly below the saturation temperature, rising from approxi-mately 93 F to 103 F.
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LER #80-030 i
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n-TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE PAGE 2 SUPPLEMENTAL INFORMATION FOR LER NP-32-80-05 S
Corrective Action
Operations checked the Decay Heat Loop 1 drain and isolation Both valves were lineups and found water flowing from DH73 and leaking by DH62.
immediately closed. RCS level was re-established at 75" by filling with water from the BUST.
Decay Heat Pump 1-2 was restarted at 1949 hours0.0226 days <br />0.541 hours <br />0.00322 weeks <br />7.415945e-4 months <br /> on April 18, 1980.
Maintenance Work Order 80-2176 has bee.n written to have the RVO on DH62 adjusted for proper valve operation.
Failure Data: No previous failures of this type.
LER #80-030 4
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| 05000346/LER-1980-001, Forwards LER 80-001/01T-0 | Forwards LER 80-001/01T-0 | | | 05000346/LER-1980-001-01, /01T-0:on 800103,during Plant Heatup,Safety Features Actuation Sys Channels 1 & 3 Tripped at 1,600 Psig, Causing Level 2 Actuation.Operators Correctly Tripped Reactor Coolant Pumps.Caused by Procedural Deficiency | /01T-0:on 800103,during Plant Heatup,Safety Features Actuation Sys Channels 1 & 3 Tripped at 1,600 Psig, Causing Level 2 Actuation.Operators Correctly Tripped Reactor Coolant Pumps.Caused by Procedural Deficiency | | | 05000346/LER-1980-002, Forwards LER 80-002/03L-0 | Forwards LER 80-002/03L-0 | | | 05000346/LER-1980-002-03, /03L-0:on 800103,after Actuating of Safety Features Actuation Sys Level 2,demin Water Valve DW68318 Did Not Indicate Closed & Monitor Light Did Not Indicate Properly.Caused by Maladjusted Position Indicator Switch | /03L-0:on 800103,after Actuating of Safety Features Actuation Sys Level 2,demin Water Valve DW68318 Did Not Indicate Closed & Monitor Light Did Not Indicate Properly.Caused by Maladjusted Position Indicator Switch | | | 05000346/LER-1980-003-03, /03L-0:on 800103,during Auxiliary Feedwater Pump Test,Pump l-1 Was Declared Inoperable.Caused by Improperly Adjusted Slip Clutch Between Governor Manual Speed Adjustment Shaft & Remotely Controlled Speed Changer Motion | /03L-0:on 800103,during Auxiliary Feedwater Pump Test,Pump l-1 Was Declared Inoperable.Caused by Improperly Adjusted Slip Clutch Between Governor Manual Speed Adjustment Shaft & Remotely Controlled Speed Changer Motion | | | 05000346/LER-1980-003, Forwards LER 80-003/03L-0 | Forwards LER 80-003/03L-0 | | | 05000346/LER-1980-004-03, /03L-0:on 800107,control Rod 5-11 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals.Possibly Caused by Isolation of Position Indication Cabling & Electrical Penetration | /03L-0:on 800107,control Rod 5-11 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals.Possibly Caused by Isolation of Position Indication Cabling & Electrical Penetration | | | 05000346/LER-1980-004, Forwards LER 80-004/03L-0 | Forwards LER 80-004/03L-0 | | | 05000346/LER-1980-005, Forwards LER 80-005/03L-0 | Forwards LER 80-005/03L-0 | | | 05000346/LER-1980-005-03, /03L-0:on 800110,Tech Spec Late Date Passed W/O Performance of Boric Acid Flowpath Heat Tracing Weekly Test. Caused by Known Deficiency in Design of Sys Resulting in Inability to Maintain Min Temp Necessary During Startup | /03L-0:on 800110,Tech Spec Late Date Passed W/O Performance of Boric Acid Flowpath Heat Tracing Weekly Test. Caused by Known Deficiency in Design of Sys Resulting in Inability to Maintain Min Temp Necessary During Startup | | | 05000346/LER-1980-006-03, /03L-0:on 800112,found Fiberglass Insulation Stuffed Into Open Wall Ventilator Between Water Treatment Bldg & Svc Water Valve Room,Causing Fire Damper to Be Inoperable.Figerglass Removed | /03L-0:on 800112,found Fiberglass Insulation Stuffed Into Open Wall Ventilator Between Water Treatment Bldg & Svc Water Valve Room,Causing Fire Damper to Be Inoperable.Figerglass Removed | | | 05000346/LER-1980-006, Forwards LER 80-006/03L-0 | Forwards LER 80-006/03L-0 | | | 05000346/LER-1980-007, Forwards LER 80-007/03L-0 | Forwards LER 80-007/03L-0 | | | 05000346/LER-1980-007-03, /03L-0:on 800116,ref Position Verification for Group 5,rod 11,was Made 1-h & 40 Minutes Late.Caused by Operator Oversight Due to Lack of Adequate Reminder Sys. Multiple Timer Sys Will Prevent Recurrence | /03L-0:on 800116,ref Position Verification for Group 5,rod 11,was Made 1-h & 40 Minutes Late.Caused by Operator Oversight Due to Lack of Adequate Reminder Sys. Multiple Timer Sys Will Prevent Recurrence | | | 05000346/LER-1980-008-03, Gap Discovered in Wall Where Five two-inch Conduits Go from Electrical Penetration Room 2 to Cable room.Six-inch Gap Around Ventilation Duct Also Found.Caused by Improper Initial Installation | Gap Discovered in Wall Where Five two-inch Conduits Go from Electrical Penetration Room 2 to Cable room.Six-inch Gap Around Ventilation Duct Also Found.Caused by Improper Initial Installation | | | 05000346/LER-1980-008, Forwards Revised LER 80-008/03L-1 | Forwards Revised LER 80-008/03L-1 | | | 05000346/LER-1980-009, Forwards LER 80-009/03L-0 | Forwards LER 80-009/03L-0 | | | 05000346/LER-1980-009-03, /03L-0:on 800122,discovered That NI-7 Indication on Computer Group 38 Was Reading Less than Heat Balance Power,Putting NI-7 Below Instrumentation Operability Limit Line.Caused by Extremely Tight Calibr Band at 100% Power | /03L-0:on 800122,discovered That NI-7 Indication on Computer Group 38 Was Reading Less than Heat Balance Power,Putting NI-7 Below Instrumentation Operability Limit Line.Caused by Extremely Tight Calibr Band at 100% Power | | | 05000346/LER-1980-010-01, /01T-0:on 800214,reanalysis of RCS Pipe Restraints Per IE Insp Rept 50-346/79-23 Revealed Design Deficiency on Two Reactor Coolant Hot Leg Pipe Whip Restraints at Top of Each RCS Hot Leg.Caused by Design Error | /01T-0:on 800214,reanalysis of RCS Pipe Restraints Per IE Insp Rept 50-346/79-23 Revealed Design Deficiency on Two Reactor Coolant Hot Leg Pipe Whip Restraints at Top of Each RCS Hot Leg.Caused by Design Error | | | 05000346/LER-1980-010, Forwards LER 80-010/01T-0 | Forwards LER 80-010/01T-0 | | | 05000346/LER-1980-011, Forwards LER 80-011/03L-0 | Forwards LER 80-011/03L-0 | | | 05000346/LER-1980-011-03, /03L-0:on 800131,during Normal Operation, Operations Personnel Received Half Trip on Steam & Feedwater Rupture Control Sys Channels 1/3.Caused by Spurious Trip from +25 Volt Dc Power Supply PS03 in Sglic Channel 1 | /03L-0:on 800131,during Normal Operation, Operations Personnel Received Half Trip on Steam & Feedwater Rupture Control Sys Channels 1/3.Caused by Spurious Trip from +25 Volt Dc Power Supply PS03 in Sglic Channel 1 | | | 05000346/LER-1980-012-03, /03L-0:on 800201,operator Noticed Loss of Control Room Position Indication for Letdown Cooler Isolation Valve MU2A.Caused by Design Deficiency.Apparently,Someone Brushed Up Against Disconnect Breaker Switch.Switch Reposition | /03L-0:on 800201,operator Noticed Loss of Control Room Position Indication for Letdown Cooler Isolation Valve MU2A.Caused by Design Deficiency.Apparently,Someone Brushed Up Against Disconnect Breaker Switch.Switch Repositioned | | | 05000346/LER-1980-012, Forwards LER 80-012/03L-0 | Forwards LER 80-012/03L-0 | | | 05000346/LER-1980-013, Forwards LER 80-013/03L-0 | Forwards LER 80-013/03L-0 | | | 05000346/LER-1980-013-03, /03L-0:on 800208,w/reactor Startup in Progress, Personnel Noted Control Rod 5-11 Absolute Position Indication Was Not Responding.Caused by Blown Fuse F14 in Position Ref Panel | /03L-0:on 800208,w/reactor Startup in Progress, Personnel Noted Control Rod 5-11 Absolute Position Indication Was Not Responding.Caused by Blown Fuse F14 in Position Ref Panel | | | 05000346/LER-1980-014, Forwards LER 80-014/03L-0 | Forwards LER 80-014/03L-0 | | | 05000346/LER-1980-014-03, /03L-0:on 800208,pressurizer Sample Sys Containment Isolation Valve RC240B Failed to Close Twice. Caused by Improper Torque Switch Setting & Stripped Screw on Closing Contactor.Settings Readjusted & Switch Replaced | /03L-0:on 800208,pressurizer Sample Sys Containment Isolation Valve RC240B Failed to Close Twice. Caused by Improper Torque Switch Setting & Stripped Screw on Closing Contactor.Settings Readjusted & Switch Replaced | | | 05000346/LER-1980-015, Forwards LER 80-015/03L-0 | Forwards LER 80-015/03L-0 | | | 05000346/LER-1980-015-03, /03L-0:on 800210,during Normal Startup,Control Rod 5-11 Absolute Position Indication Declared Inoperable.Caused by Numerous Asymmetric Rod Alarms.Data from Current Failure Evaluated | /03L-0:on 800210,during Normal Startup,Control Rod 5-11 Absolute Position Indication Declared Inoperable.Caused by Numerous Asymmetric Rod Alarms.Data from Current Failure Evaluated | | | 05000346/LER-1980-016, Forwards LER 80-016/03L-0 | Forwards LER 80-016/03L-0 | | | 05000346/LER-1980-016-03, /03L-0:on 800213,while Reviewing Station Log,Shift Foreman Discovered That Containment Airlock Seal Leakage Test Had Not Been Performed After Last Entry Into Containment During Startup.Caused by Procedural Inadequacy | /03L-0:on 800213,while Reviewing Station Log,Shift Foreman Discovered That Containment Airlock Seal Leakage Test Had Not Been Performed After Last Entry Into Containment During Startup.Caused by Procedural Inadequacy | | | 05000346/LER-1980-017-03, /03L-0:on 800217,operations Personnel Noted That Safety Features Actuation Sys Channel 3 Borated Water Storage Tank Level Indication Was Six Feet Higher than Other Meters.Caused by Freezing of Transmitter Sensing Line | /03L-0:on 800217,operations Personnel Noted That Safety Features Actuation Sys Channel 3 Borated Water Storage Tank Level Indication Was Six Feet Higher than Other Meters.Caused by Freezing of Transmitter Sensing Line | | | 05000346/LER-1980-017, Forwards LER 80-017/03L-0 | Forwards LER 80-017/03L-0 | | | 05000346/LER-1980-018-03, /03L-0:on 800226,safety Features Actuation Sys Channel 3 Borated Water Storatge Tank Level Indication Was Discovered Reading Four Feet Higher than Other Three Channels.Caused by Inadequate Design of Freeze Protection | /03L-0:on 800226,safety Features Actuation Sys Channel 3 Borated Water Storatge Tank Level Indication Was Discovered Reading Four Feet Higher than Other Three Channels.Caused by Inadequate Design of Freeze Protection | | | 05000346/LER-1980-018, Forwards LER 80-018/03L-0 | Forwards LER 80-018/03L-0 | | | 05000346/LER-1980-019, Forwards LER 80-019/01T-0 | Forwards LER 80-019/01T-0 | | | 05000346/LER-1980-019-01, /01T-0:on 800325 Reactor Flux/Flow Trip Setpoints Were Not Verified to Be Properly Reset within 4-h of Manual Shutdown of Rcp.Caused by Attention Given to Feedwater Swings.Trip Setpoints Verified Later | /01T-0:on 800325 Reactor Flux/Flow Trip Setpoints Were Not Verified to Be Properly Reset within 4-h of Manual Shutdown of Rcp.Caused by Attention Given to Feedwater Swings.Trip Setpoints Verified Later | | | 05000346/LER-1980-020, Forwards LER 80-020/03L-0 | Forwards LER 80-020/03L-0 | | | 05000346/LER-1980-020-03, /03L-0:on 800306,control Operator Noted No Control Room Indication for Containment Vacuum Relief Isolation Valve CV5072.Caused by Breaker BE1139 Being Closed,Probably Resulting from Someone Bumping Into Breaker | /03L-0:on 800306,control Operator Noted No Control Room Indication for Containment Vacuum Relief Isolation Valve CV5072.Caused by Breaker BE1139 Being Closed,Probably Resulting from Someone Bumping Into Breaker | | | 05000346/LER-1980-021, Forwards LER 80-021/03L-0 | Forwards LER 80-021/03L-0 | | | 05000346/LER-1980-021-03, /03L-0:on 800313,during Diesel Fire Protection Pump Weekly Test,Pump Could Not Be Stopped W/Control Button. Once Stopped,Pump Could Not Be Started.Cause Not Determined by Scheme Check.Retrial of Pump Proved Successful | /03L-0:on 800313,during Diesel Fire Protection Pump Weekly Test,Pump Could Not Be Stopped W/Control Button. Once Stopped,Pump Could Not Be Started.Cause Not Determined by Scheme Check.Retrial of Pump Proved Successful | | | 05000346/LER-1980-022-03, /03L-0:on 800317,operations Personnel Noticed Loss of Control Room Indication for Containment Dihydrogen Analyzer 2 Discharge Line Valve CV5010E.Caused by Const Personnel Accidentally Opening Breaker | /03L-0:on 800317,operations Personnel Noticed Loss of Control Room Indication for Containment Dihydrogen Analyzer 2 Discharge Line Valve CV5010E.Caused by Const Personnel Accidentally Opening Breaker | | | 05000346/LER-1980-022, Forwards LER 80-022/03L-0 | Forwards LER 80-022/03L-0 | | | 05000346/LER-1980-023, Forwards LER 80-023/03L-0 | Forwards LER 80-023/03L-0 | | | 05000346/LER-1980-023-03, /03L-0:on 800327,discovered That Control Rod Groups 3 & 4 Were Moving in on Their Own.Group 3 Was 0% Withdrawn.Group 4 Was 90% Withdrawn.Caused by Component Failure.Component Replaced | /03L-0:on 800327,discovered That Control Rod Groups 3 & 4 Were Moving in on Their Own.Group 3 Was 0% Withdrawn.Group 4 Was 90% Withdrawn.Caused by Component Failure.Component Replaced | | | 05000346/LER-1980-024-03, /03L-0:on 800327,following Normally Initiated Reactor Trip,Auxiliary Feed Pump Turbine 1-2 Main Steam Isolation Valve MS-107 Closed.Cause Unknown.Further Investigation of Valve & Operator Will Be Pursued | /03L-0:on 800327,following Normally Initiated Reactor Trip,Auxiliary Feed Pump Turbine 1-2 Main Steam Isolation Valve MS-107 Closed.Cause Unknown.Further Investigation of Valve & Operator Will Be Pursued | | | 05000346/LER-1980-024, Forwards LER 80-024/03L-0 | Forwards LER 80-024/03L-0 | | | 05000346/LER-1980-025-03, /03X-1:on 800330,control Rod Group 5,rod 11 Absolute Position Indication Declared Inoperable.Caused by Fluctuating Signals Resulting in Numerous Asymmetric Rod Alarms Due to Defective Reed Switch Assemblies | /03X-1:on 800330,control Rod Group 5,rod 11 Absolute Position Indication Declared Inoperable.Caused by Fluctuating Signals Resulting in Numerous Asymmetric Rod Alarms Due to Defective Reed Switch Assemblies | | | 05000346/LER-1980-025, Forwards LER 80-025/03X-1 | Forwards LER 80-025/03X-1 | |
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