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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E1891994-05-13013 May 1994 LER 94-007-00:on 940418,meter Lead Inadvertently Touched Adjacent Terminal Resulting in RCIC Inboard Steam Valve Closure.Caused by Personnel Error.Corrective Action:Meetings Were Held & self-assessments in progress.W/940513 Ltr ML20029D6171994-04-29029 April 1994 LER 94-005-01:on 940330,potential Use of Less Conservative pressure-temp Limit Curves Identified.Caused by Inadequate Procedural Guidance.Corrective Actions:Adverse Condition Rept initiated.W/940429 Ltr ML20029D0051994-04-28028 April 1994 LER 94-005-00:on 940404,two PCIS Group 6 RIP Valves Had Dual Open/Closed (Red/Green) Indications.Cause Was Personnel Error.Corrective Action:Individuals Involved Counseled on event.W/940428 Ltr ML20029C8491994-04-25025 April 1994 LER 94-004-00:on 940329,penetration Leakage in Excess of TS Allowable Limit During Local Leak Rate Testing Identified. Troubleshooting & Analysis of Failure Mechanism in Progress. Suppl to Rept Will Be submitted.W/940425 Ltr ML20046B5601993-07-30030 July 1993 LER 92-004-01:on 920730,RWCU Sys Isolated During Substation E7 de-energization Due to Personnel Error.Preparation of Project Plan for Development of Electrical Load List Using Plant Staff Resources underway.W/930730 Ltr ML20045G5821993-07-0808 July 1993 LER 93-003-00:on 930608,RPS MG a Tripped,Resulting in Successful ESF Actuations & Isolations Due to Defective Procedure.Voltage Adjust Potentiometer for MG a Voltage Regulator Replaced on 930617.W/930708 Ltr ML20045F5201993-07-0202 July 1993 LER 93-010-00:on 930604,hourly Fire Watch TS Surveillance Missed During Radiography Due to HP & Operations Failed to Establish Other Means of Communication W/Radiographers. W/930702 Ltr ML20045D6371993-06-30030 June 1993 LER 93-005-01:on 930214,testing of SBGT Showed That Unthrottled Flow of Single Train Would Exceed TS Rated Flow Limit of 3,330 Cfm.Caused by Design Deficiency.Existing SBGT Heaters Upgraded & Rewired ML20045D7601993-06-30030 June 1993 LER 93-008-01:on 930313,spurious ESF Actuations Occurred Due to on-site Electrical Distribution Sys Voltage Depressions. Design of cross-over Points of Transmission Lines Emanating from Plant Being reviewed.W/930624 Ltr ML20045D1531993-06-21021 June 1993 LER-93-007-00:on 930522,discovered That MSL D High Flow Trip Unit Failed Downscale Due to Personnel Error.Appropriate Operations Personnel counselled.W/930617 Ltr ML20045D5881993-06-17017 June 1993 LER 93-006-00:on 930521,HCU 06-31 Declared Inoperable When CRD Accumulator Low Pressure/High Level Alarm Received in Cr.Hcu 02-23 Inoperable at Time.Hcu 02-23 Restored to Svc & Excess Water Drained from HCU 06-31.W/930617 Ltr ML20044E5241993-05-24024 May 1993 LER 93-007-00:on 930424,discovered That Sampling of Rv Coolant Conductivity Not Performed Due to Misinterpretation of RCS Chemistry Ts.Chemistry Sampling of Rv Coolant re-established.W/930521 Ltr ML20044E5411993-05-20020 May 1993 LER 93-009-00:on 930421,found That Design of SBGTS Would Allow Operation That Would Result in Sys Damage If Containment Venting in Progress & Experience Loca.Operating Procedures 1-OP-10 & 1-OP-24 revised.W/930520 Ltr ML20044B6761993-02-22022 February 1993 LER 93-001-00:on 930121,determined That Containment Atmospheric Control Airborne Particulate & Gaseous Radioactivity Monitors Not Seismically Qualified.Suppl to Rept Will Be submitted.W/930227 Ltr ML20029A9111991-02-25025 February 1991 LER 91-001-00:on 910125,reactor Scram Occurred During Calibr of Feedwater Computer Point.Caused by Incorrect Procedure in Summary Sheet.Maint Procedures Reviewed & revised.W/910225 Ltr ML20028H7141991-01-24024 January 1991 LER 90-019-00:on 901226,isolation Signal Caused Reactor Water Cleanup Inlet Inboard Isolation Valve to Automatically Close.Caused by de-energized HPCI Isolation Relay.Riley Scam Temp Switch Units Will Be replaced.W/910124 Ltr ML20024F7461990-12-13013 December 1990 LER 90-020-00:on 901117,primary & Secondary Containment Isolation Signals Received & Standby Gas Treatment Sys auto- Started.Caused by Scan Overload on Microprocessor.Updated Microprocessor Will Be obtained.W/901213 Ltr ML20028H0421990-09-28028 September 1990 LER 90-012-00:on 900830,Unit 2 Reactor Scram Occurred During Reactor Startup.Investigation Continuing.Level Recovered W/O Need for Safety Sys Injection & Unit Designed for Level Transient from Full power.W/900928 Ltr ML20028H0431990-09-28028 September 1990 LER 90-011-00:on 900830,RWCU Sys G31 Received Leak Hi & RWCU Leak Hi Hi Annunciators Although Actual Leak Had Not Occurred.Caused by Air in Instrument 2-G31-FT-N012 Sensing Lines.Investigation to Be conducted.W/900928 Ltr ML20043G0981990-06-15015 June 1990 LER 88-001-06:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Cause Still Undetermined.Vendor Insp Revealed Presence of Oil Base Film in Solenoid Valves.Determination Due by 900801.W/900615 Ltr ML20043G0711990-06-13013 June 1990 LER 90-005-00:on 900514,unplanned Closure of HPCI Isolation Valve Occurred During Maint Surveillance Test.Caused by Technician Placing RCIC Instead of HPCI Test Switch to Test Position.Personnel Counseled & trained.W/900613 Ltr ML20043F6291990-06-11011 June 1990 LER 90-008-00:on 900514,HPCI Sys Rendered Inoperable When Control Power Lost to Min Flow Bypass Valve to Suppression Pool.Probably Caused by Design Problem W/Ge Model CR2940 Sockets.Light Bulb & Fuse replaced.W/900611 Ltr ML20043F6181990-06-0808 June 1990 LER 90-007-00:on 900511,identified That Damper Would Fail to Close on Loss of Power to Solenoid Valve & on 900526,damper Found Approx 30 Degrees Open.Caused by Failure of Design to Include Fail Safe Damper.Damper modified.W/900608 Ltr ML20043C9001990-06-0101 June 1990 LER 90-009-00:on 900507,determined That Tech Spec 4.6.1.1 Requirements Not Met After Performing Monthly Periodic Test 2.2.4a.Caused by Inadequate Procedure.Recommended Procedure Revs to Prevent Recurrence Being evaluated.W/900601 Ltr ML20043B7971990-05-25025 May 1990 LER 90-006-00:on 900426,hydraulic Perturbation Occurred on Variable Leg of Instrumentation Used to Sense Reactor Water Level,Causing Isolation of RWCU Sys & Initiation of Standby Gas Treatment Sys.Diaphragm Assembly recalibr.W/900525 Ltr ML20043A6121990-05-11011 May 1990 LER 90-003-01:on 900312,full Group 1 Isolation Signal Received,Resulting in Automatic Closure of Msivs.Caused by Personnel Failing to Follow Procedures.Personnel Counseled & Procedure Separated Into Two tests.W/900511 Ltr ML20012E0581990-03-23023 March 1990 LER 90-002-00:on 900224,Group I Isolation Occurred When Undervoltage Relay Replaced.Caused by Lack of Recognition of Significance of Having Turbine Reset While Performing Electro Hydraulic Control evolutions.W/900323 Ltr ML20012B8071990-03-0909 March 1990 LER 90-001-00:on 900210,determined That Core Spray Loops a & B Inoperable Due to Missed Surveillance.Cause Not Stated. Investigation continuing.W/900309 Ltr ML20012A1671990-03-0202 March 1990 LER 89-013-01:on 890909,HPCI Turbine Auxiliary Oil Pump Developed Shaft Seal Leak of Approx 1 Gpm.Caused by Failure of Shaft Seal.Root Cause of Seal Failure Initiated.Pump Seal replaced.W/900302 Ltr ML20011F5541990-02-22022 February 1990 LER 90-002-00:on 900127,common Control Bldg HVAC Sys Isolated & Transferred to Recirculation Mode as Result of Spurious Actuation of Chlorine Detector.Sensor Connection checked.W/900222 Ltr ML20006E7751990-02-19019 February 1990 LER 88-001-05:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Caused by Numerous Leaks on Main Turbine & Main Steam Reheat Interconnecting Piping.Seating Matl installed.W/900219 Ltr ML20011F5311990-02-16016 February 1990 LER 89-026-01:on 891210,common Emergency Bus E3 Unexpectedly Deenergized,Causing Standby Gas Treatment Sys Isolation & Reactor Scram Signal.Caused by Procedural Inadequacy.Isolation Reset & Power restored.W/900216 Ltr ML20006E3681990-02-0909 February 1990 LER 88-006-02:on 880219,numerous Bolt Head Failures of 5/16- Inch X 1/2-inch Silicon Bronze Carriage Bolts Noted in Bus/ Bar Connections of Electrical Switchboards.Caused by Igscc. Bolts Replaced.Reportable Per Part 21.W/900209 Ltr ML20011E1601990-02-0101 February 1990 LER 90-001-00:on 900102,RCIC Removed from Svc & HPCI Rendered Inoperable,Placing Unit in Tech Spec 3.0.3.Caused by Personnel Error.Individual Counseled & Standing Instruction 90-003 issued.W/900201 Ltr ML19354E5651990-01-24024 January 1990 LER 89-021-00:on 891225,electrical Protection Assembly Output Breakers Associated W/Bus a of Reactor Protection Sys Tripped Open.Cause of Trip Unknown.Voltage & Frequency Output of Motor Generator a monitored.W/900124 Ltr ML19354E5611990-01-19019 January 1990 LER 89-025-00:on 891223,sample Lines for Stack Radiation Monitor Froze,Resulting in Samples Not Indicative of Ongoing Releases.Caused by Lack of Insulation on Lines Exiting Stack.Sample Lines insulated.W/900119 Ltr ML19354D8951990-01-16016 January 1990 LER 89-020-00:on 891217,relay in Reactor Protection Sys B Motor Generator Set Control Panel Burned Out,Resulting in Logic Trip of Bus B & Isolation of Standby Gas Treatment Sys.Caused by Circuit malfunction.W/900116 Ltr ML20005F0501990-01-0404 January 1990 LER 89-026-00:on 891210,loss of E3 Bus While Deenergizing Bus 2D for Scheduled Maint Occurred.Caused by Procedural Inadequacy of Plant Electric Sys Operating Procedures.Unit Reset & Sys Returned to normal.W/900104 Ltr ML20042D3551990-01-0202 January 1990 LER 89-019-00:on 891208,Group 6 Isolation Occurred W/Standby Gas Treatment Sys Auto Start During Performance of MST-SCIS21R.Caused by Inadequate Work Practices.Work Crew Counseled.Calibr Procedures May Be revised.W/900102 Ltr ML20005E3461989-12-27027 December 1989 LER 89-024-00:on 891127,17 Primary Containment Isolation Valves Not Tested Per Tech Spec Surveillance Requirement 4.6.1.1.a.Caused by Failure to Recognize Applicability of Testing.Test Rev completed.W/891227 Ltr ML20011D8411989-12-15015 December 1989 LER 89-009-01:on 890617,manual Reactor Scram Initiated Per NRC Bulletin 88-007 Due to Loss of Recirculation Pumps, Causing Loss of Offsite Power & Containment Isolation. Caused by Personnel Error.Hpci Sys secured.W/891215 Ltr ML20011D2251989-12-14014 December 1989 LER 89-023-00:on 891116,reactor Shutdown When Drywell to Suppression Chamber Vacuum Breaker Opened.Caused by Excessive Vibration & Lack of Proper Space Between Actuator Arm & Piston.Procedures Will Be revised.W/891214 Ltr ML19332E9001989-12-0707 December 1989 LER 89-022-00:on 891110,automatic Isolation of Units 1 & 2 Common Control Bldg HVAC & Emergency Air Filtration Sys Occurred.Cause Not Determined.Detectors auto-reset & Sys Returned to Normal svc.W/891207 Ltr ML19332D5791989-11-27027 November 1989 LER 89-018-00:on 891101,determined That Safety Relief Valves Did Not Actuate within Required +/- 1.0% of Setpoints.Cause Not Determined.Setpoints recertified.W/891127 Ltr ML19332C3861989-11-21021 November 1989 LER 89-021-00:on 891022,inadvertent LOCA Initiation Signal Occurred During Monthly Channel Calibr & Functional Test. Caused by Technician Miscommunication.Involved Technicians counseled.W/891121 Ltr ML19327C2021989-11-14014 November 1989 LER 89-019-01:on 890914,determined That Svc Water Sys May Not Have Met Design Requirements Under worst-case Conditions.Caused by Inadequate Component design.Cross-tie Valves Installed.Also Reported Per Part 21.W/891114 Ltr ML19324C3171989-11-0707 November 1989 LER 89-020-00:on 891011,HPCI F006 Valve Motor Control Ctr Indicating Light Socket Shorted & Blew Control Power Fuse for Valve.Caused by Inward Force Applied to Bulb During Removal.Lamp,Socket & Fuse replaced.W/891107 Ltr ML19324C1041989-11-0606 November 1989 LER 89-017-00:on 891010,low Level Signals Occurred,Causing Group 1 Isolation,Core Spray Initiation Signal & auto-start of Common Emergency Diesel Generators.Caused by Perturbation of Ref Leg.Procedures revised.W/891106 Ltr ML19327B9861989-11-0606 November 1989 LER 89-017-01:on 890624,HPCI Sys,Steam Line Break Delta Pressure High Signal,Channel A,Isolation Occurred.Root Cause Investigation Underway.Work Request/Job Order Initiated Requesting Verification of readings.W/891106 Ltr ML19354D4401989-11-0101 November 1989 LER 89-016-01:on 890614,determined That Some Valves Listed in Table 1 of LER Not Tested Per Tech Specs.Caused by Failure to Establish Proper Procedural Controls.Valve Acceptance Criteria Basis Sheets updated.W/891101 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20029E1891994-05-13013 May 1994 LER 94-007-00:on 940418,meter Lead Inadvertently Touched Adjacent Terminal Resulting in RCIC Inboard Steam Valve Closure.Caused by Personnel Error.Corrective Action:Meetings Were Held & self-assessments in progress.W/940513 Ltr ML20029D6171994-04-29029 April 1994 LER 94-005-01:on 940330,potential Use of Less Conservative pressure-temp Limit Curves Identified.Caused by Inadequate Procedural Guidance.Corrective Actions:Adverse Condition Rept initiated.W/940429 Ltr ML20029D0051994-04-28028 April 1994 LER 94-005-00:on 940404,two PCIS Group 6 RIP Valves Had Dual Open/Closed (Red/Green) Indications.Cause Was Personnel Error.Corrective Action:Individuals Involved Counseled on event.W/940428 Ltr ML20029C8491994-04-25025 April 1994 LER 94-004-00:on 940329,penetration Leakage in Excess of TS Allowable Limit During Local Leak Rate Testing Identified. Troubleshooting & Analysis of Failure Mechanism in Progress. Suppl to Rept Will Be submitted.W/940425 Ltr ML20046B5601993-07-30030 July 1993 LER 92-004-01:on 920730,RWCU Sys Isolated During Substation E7 de-energization Due to Personnel Error.Preparation of Project Plan for Development of Electrical Load List Using Plant Staff Resources underway.W/930730 Ltr ML20045G5821993-07-0808 July 1993 LER 93-003-00:on 930608,RPS MG a Tripped,Resulting in Successful ESF Actuations & Isolations Due to Defective Procedure.Voltage Adjust Potentiometer for MG a Voltage Regulator Replaced on 930617.W/930708 Ltr ML20045F5201993-07-0202 July 1993 LER 93-010-00:on 930604,hourly Fire Watch TS Surveillance Missed During Radiography Due to HP & Operations Failed to Establish Other Means of Communication W/Radiographers. W/930702 Ltr ML20045D6371993-06-30030 June 1993 LER 93-005-01:on 930214,testing of SBGT Showed That Unthrottled Flow of Single Train Would Exceed TS Rated Flow Limit of 3,330 Cfm.Caused by Design Deficiency.Existing SBGT Heaters Upgraded & Rewired ML20045D7601993-06-30030 June 1993 LER 93-008-01:on 930313,spurious ESF Actuations Occurred Due to on-site Electrical Distribution Sys Voltage Depressions. Design of cross-over Points of Transmission Lines Emanating from Plant Being reviewed.W/930624 Ltr ML20045D1531993-06-21021 June 1993 LER-93-007-00:on 930522,discovered That MSL D High Flow Trip Unit Failed Downscale Due to Personnel Error.Appropriate Operations Personnel counselled.W/930617 Ltr ML20045D5881993-06-17017 June 1993 LER 93-006-00:on 930521,HCU 06-31 Declared Inoperable When CRD Accumulator Low Pressure/High Level Alarm Received in Cr.Hcu 02-23 Inoperable at Time.Hcu 02-23 Restored to Svc & Excess Water Drained from HCU 06-31.W/930617 Ltr ML20044E5241993-05-24024 May 1993 LER 93-007-00:on 930424,discovered That Sampling of Rv Coolant Conductivity Not Performed Due to Misinterpretation of RCS Chemistry Ts.Chemistry Sampling of Rv Coolant re-established.W/930521 Ltr ML20044E5411993-05-20020 May 1993 LER 93-009-00:on 930421,found That Design of SBGTS Would Allow Operation That Would Result in Sys Damage If Containment Venting in Progress & Experience Loca.Operating Procedures 1-OP-10 & 1-OP-24 revised.W/930520 Ltr ML20044B6761993-02-22022 February 1993 LER 93-001-00:on 930121,determined That Containment Atmospheric Control Airborne Particulate & Gaseous Radioactivity Monitors Not Seismically Qualified.Suppl to Rept Will Be submitted.W/930227 Ltr ML20029A9111991-02-25025 February 1991 LER 91-001-00:on 910125,reactor Scram Occurred During Calibr of Feedwater Computer Point.Caused by Incorrect Procedure in Summary Sheet.Maint Procedures Reviewed & revised.W/910225 Ltr ML20028H7141991-01-24024 January 1991 LER 90-019-00:on 901226,isolation Signal Caused Reactor Water Cleanup Inlet Inboard Isolation Valve to Automatically Close.Caused by de-energized HPCI Isolation Relay.Riley Scam Temp Switch Units Will Be replaced.W/910124 Ltr ML20024F7461990-12-13013 December 1990 LER 90-020-00:on 901117,primary & Secondary Containment Isolation Signals Received & Standby Gas Treatment Sys auto- Started.Caused by Scan Overload on Microprocessor.Updated Microprocessor Will Be obtained.W/901213 Ltr ML20028H0421990-09-28028 September 1990 LER 90-012-00:on 900830,Unit 2 Reactor Scram Occurred During Reactor Startup.Investigation Continuing.Level Recovered W/O Need for Safety Sys Injection & Unit Designed for Level Transient from Full power.W/900928 Ltr ML20028H0431990-09-28028 September 1990 LER 90-011-00:on 900830,RWCU Sys G31 Received Leak Hi & RWCU Leak Hi Hi Annunciators Although Actual Leak Had Not Occurred.Caused by Air in Instrument 2-G31-FT-N012 Sensing Lines.Investigation to Be conducted.W/900928 Ltr ML20043G0981990-06-15015 June 1990 LER 88-001-06:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Cause Still Undetermined.Vendor Insp Revealed Presence of Oil Base Film in Solenoid Valves.Determination Due by 900801.W/900615 Ltr ML20043G0711990-06-13013 June 1990 LER 90-005-00:on 900514,unplanned Closure of HPCI Isolation Valve Occurred During Maint Surveillance Test.Caused by Technician Placing RCIC Instead of HPCI Test Switch to Test Position.Personnel Counseled & trained.W/900613 Ltr ML20043F6291990-06-11011 June 1990 LER 90-008-00:on 900514,HPCI Sys Rendered Inoperable When Control Power Lost to Min Flow Bypass Valve to Suppression Pool.Probably Caused by Design Problem W/Ge Model CR2940 Sockets.Light Bulb & Fuse replaced.W/900611 Ltr ML20043F6181990-06-0808 June 1990 LER 90-007-00:on 900511,identified That Damper Would Fail to Close on Loss of Power to Solenoid Valve & on 900526,damper Found Approx 30 Degrees Open.Caused by Failure of Design to Include Fail Safe Damper.Damper modified.W/900608 Ltr ML20043C9001990-06-0101 June 1990 LER 90-009-00:on 900507,determined That Tech Spec 4.6.1.1 Requirements Not Met After Performing Monthly Periodic Test 2.2.4a.Caused by Inadequate Procedure.Recommended Procedure Revs to Prevent Recurrence Being evaluated.W/900601 Ltr ML20043B7971990-05-25025 May 1990 LER 90-006-00:on 900426,hydraulic Perturbation Occurred on Variable Leg of Instrumentation Used to Sense Reactor Water Level,Causing Isolation of RWCU Sys & Initiation of Standby Gas Treatment Sys.Diaphragm Assembly recalibr.W/900525 Ltr ML20043A6121990-05-11011 May 1990 LER 90-003-01:on 900312,full Group 1 Isolation Signal Received,Resulting in Automatic Closure of Msivs.Caused by Personnel Failing to Follow Procedures.Personnel Counseled & Procedure Separated Into Two tests.W/900511 Ltr ML20012E0581990-03-23023 March 1990 LER 90-002-00:on 900224,Group I Isolation Occurred When Undervoltage Relay Replaced.Caused by Lack of Recognition of Significance of Having Turbine Reset While Performing Electro Hydraulic Control evolutions.W/900323 Ltr ML20012B8071990-03-0909 March 1990 LER 90-001-00:on 900210,determined That Core Spray Loops a & B Inoperable Due to Missed Surveillance.Cause Not Stated. Investigation continuing.W/900309 Ltr ML20012A1671990-03-0202 March 1990 LER 89-013-01:on 890909,HPCI Turbine Auxiliary Oil Pump Developed Shaft Seal Leak of Approx 1 Gpm.Caused by Failure of Shaft Seal.Root Cause of Seal Failure Initiated.Pump Seal replaced.W/900302 Ltr ML20011F5541990-02-22022 February 1990 LER 90-002-00:on 900127,common Control Bldg HVAC Sys Isolated & Transferred to Recirculation Mode as Result of Spurious Actuation of Chlorine Detector.Sensor Connection checked.W/900222 Ltr ML20006E7751990-02-19019 February 1990 LER 88-001-05:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Caused by Numerous Leaks on Main Turbine & Main Steam Reheat Interconnecting Piping.Seating Matl installed.W/900219 Ltr ML20011F5311990-02-16016 February 1990 LER 89-026-01:on 891210,common Emergency Bus E3 Unexpectedly Deenergized,Causing Standby Gas Treatment Sys Isolation & Reactor Scram Signal.Caused by Procedural Inadequacy.Isolation Reset & Power restored.W/900216 Ltr ML20006E3681990-02-0909 February 1990 LER 88-006-02:on 880219,numerous Bolt Head Failures of 5/16- Inch X 1/2-inch Silicon Bronze Carriage Bolts Noted in Bus/ Bar Connections of Electrical Switchboards.Caused by Igscc. Bolts Replaced.Reportable Per Part 21.W/900209 Ltr ML20011E1601990-02-0101 February 1990 LER 90-001-00:on 900102,RCIC Removed from Svc & HPCI Rendered Inoperable,Placing Unit in Tech Spec 3.0.3.Caused by Personnel Error.Individual Counseled & Standing Instruction 90-003 issued.W/900201 Ltr ML19354E5651990-01-24024 January 1990 LER 89-021-00:on 891225,electrical Protection Assembly Output Breakers Associated W/Bus a of Reactor Protection Sys Tripped Open.Cause of Trip Unknown.Voltage & Frequency Output of Motor Generator a monitored.W/900124 Ltr ML19354E5611990-01-19019 January 1990 LER 89-025-00:on 891223,sample Lines for Stack Radiation Monitor Froze,Resulting in Samples Not Indicative of Ongoing Releases.Caused by Lack of Insulation on Lines Exiting Stack.Sample Lines insulated.W/900119 Ltr ML19354D8951990-01-16016 January 1990 LER 89-020-00:on 891217,relay in Reactor Protection Sys B Motor Generator Set Control Panel Burned Out,Resulting in Logic Trip of Bus B & Isolation of Standby Gas Treatment Sys.Caused by Circuit malfunction.W/900116 Ltr ML20005F0501990-01-0404 January 1990 LER 89-026-00:on 891210,loss of E3 Bus While Deenergizing Bus 2D for Scheduled Maint Occurred.Caused by Procedural Inadequacy of Plant Electric Sys Operating Procedures.Unit Reset & Sys Returned to normal.W/900104 Ltr ML20042D3551990-01-0202 January 1990 LER 89-019-00:on 891208,Group 6 Isolation Occurred W/Standby Gas Treatment Sys Auto Start During Performance of MST-SCIS21R.Caused by Inadequate Work Practices.Work Crew Counseled.Calibr Procedures May Be revised.W/900102 Ltr ML20005E3461989-12-27027 December 1989 LER 89-024-00:on 891127,17 Primary Containment Isolation Valves Not Tested Per Tech Spec Surveillance Requirement 4.6.1.1.a.Caused by Failure to Recognize Applicability of Testing.Test Rev completed.W/891227 Ltr ML20011D8411989-12-15015 December 1989 LER 89-009-01:on 890617,manual Reactor Scram Initiated Per NRC Bulletin 88-007 Due to Loss of Recirculation Pumps, Causing Loss of Offsite Power & Containment Isolation. Caused by Personnel Error.Hpci Sys secured.W/891215 Ltr ML20011D2251989-12-14014 December 1989 LER 89-023-00:on 891116,reactor Shutdown When Drywell to Suppression Chamber Vacuum Breaker Opened.Caused by Excessive Vibration & Lack of Proper Space Between Actuator Arm & Piston.Procedures Will Be revised.W/891214 Ltr ML19332E9001989-12-0707 December 1989 LER 89-022-00:on 891110,automatic Isolation of Units 1 & 2 Common Control Bldg HVAC & Emergency Air Filtration Sys Occurred.Cause Not Determined.Detectors auto-reset & Sys Returned to Normal svc.W/891207 Ltr ML19332D5791989-11-27027 November 1989 LER 89-018-00:on 891101,determined That Safety Relief Valves Did Not Actuate within Required +/- 1.0% of Setpoints.Cause Not Determined.Setpoints recertified.W/891127 Ltr ML19332C3861989-11-21021 November 1989 LER 89-021-00:on 891022,inadvertent LOCA Initiation Signal Occurred During Monthly Channel Calibr & Functional Test. Caused by Technician Miscommunication.Involved Technicians counseled.W/891121 Ltr ML19327C2021989-11-14014 November 1989 LER 89-019-01:on 890914,determined That Svc Water Sys May Not Have Met Design Requirements Under worst-case Conditions.Caused by Inadequate Component design.Cross-tie Valves Installed.Also Reported Per Part 21.W/891114 Ltr ML19324C3171989-11-0707 November 1989 LER 89-020-00:on 891011,HPCI F006 Valve Motor Control Ctr Indicating Light Socket Shorted & Blew Control Power Fuse for Valve.Caused by Inward Force Applied to Bulb During Removal.Lamp,Socket & Fuse replaced.W/891107 Ltr ML19324C1041989-11-0606 November 1989 LER 89-017-00:on 891010,low Level Signals Occurred,Causing Group 1 Isolation,Core Spray Initiation Signal & auto-start of Common Emergency Diesel Generators.Caused by Perturbation of Ref Leg.Procedures revised.W/891106 Ltr ML19327B9861989-11-0606 November 1989 LER 89-017-01:on 890624,HPCI Sys,Steam Line Break Delta Pressure High Signal,Channel A,Isolation Occurred.Root Cause Investigation Underway.Work Request/Job Order Initiated Requesting Verification of readings.W/891106 Ltr ML19354D4401989-11-0101 November 1989 LER 89-016-01:on 890614,determined That Some Valves Listed in Table 1 of LER Not Tested Per Tech Specs.Caused by Failure to Establish Proper Procedural Controls.Valve Acceptance Criteria Basis Sheets updated.W/891101 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217N3271999-10-21021 October 1999 Part 21 Rept Re non-linear Oxygen Readings with Two (2) Model 225 CMA-X Containment Monitoring Sys at Bsep.Caused by High Gain Produced by 10K Resistor Across Second Stage Amplifier.Engineering Drawings Will Be Revised BSEP-99-0168, Monthly Operating Repts for Sept 1999 for Bsep,Units 1 & 2. with1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Bsep,Units 1 & 2. with ML20212D0431999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Brunswick Steam Electric Plant,Units 1 & 2 ML20210P9441999-08-10010 August 1999 Safety Evaluation Accepting Licensee Assessment of Impact on Operation of Plant,Unit 1,with Crack Indications of 2.11, 6.36 & 1.74 Inches in Three Separate Jet Pump Risers ML20210P9181999-08-10010 August 1999 Safety Evaluation Authorizing Request for Reliefs CIP-01,02, 06,07,08,09,10 & 11 (with Certain Exceptions) & 12-18,for Second 10-year ISI Interval.Request CIP-04 & 05 Would Result in hardship,CIP-03 Not Required & CIP-11 Denied in Part ML20210N2341999-08-0505 August 1999 SER Accepting Response to NRC GL 87-02, Verification of Seismic Adequacy of Mechanical & Electrical Equipment in Operating Reactors,Unresolved Safety Issues (USI) A-46 ML20210R1191999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Bsep,Units 1 & 2 ML20210R1311999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Bsep,Unit 2 BSEP-99-0118, Monthly Operating Repts for June 1999 for Bsep,Units 1 & 2. with1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Bsep,Units 1 & 2. with BSEP-99-0095, Monthly Operating Repts for May 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20210M8581999-05-14014 May 1999 B214R1 RPV Hydrotest Bolted Connection Corrective Action Evaluation, Rev 0 ML20211L3711999-05-10010 May 1999 Rev 0 to ESR 98-00333, Unit 2 Invessel Feedwater Sparger Evaluation ML20206G1871999-05-0404 May 1999 Safety Evaluation Approving Third 10-year ISI Program Requests for Relief (RR) RR-08,RR-15 & RR-17 BSEP-99-0075, Monthly Operating Repts for Apr 1999 for Brunswick Steam Electric Plant,Unit 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Brunswick Steam Electric Plant,Unit 1 & 2.With ML20206N1791999-04-23023 April 1999 Rev 0 to 2B21-0554, Brunswick Unit 2,Cycle 14 Colr BSEP-99-0059, Monthly Operating Repts for Mar 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20205F9031999-03-30030 March 1999 Safety Evaluation Supporting Proposed Rev to BSEP RERP to Licenses DPR-62 & DPR-71,respectively ML20206N1831999-02-28028 February 1999 Rev 0 to Suppl Reload Licensing Rept for Bsep,Unit 2 Reload 13 Cycle 14 BSEP-99-0043, Monthly Operating Repts for Feb 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20203D7061999-02-0909 February 1999 SER Accepting Proposed Alternatives Contained in Relief Requests PRR-04,VRR-04,VRR-13,PRR-01,PRR-03,VRR-01.VRR-07, VRR-08 & VRR-09 Denied BSEP-99-0005, Monthly Operating Repts for Dec 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With BSEP-98-0231, Monthly Operating Repts for Nov 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With BSEP-98-0218, Monthly Operating Repts for Oct 1998 for Bsep,Units 1 & 2. with1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Bsep,Units 1 & 2. with BSEP-98-0210, Special Rept:On 980824,temp Element 2-CAC-TE-1258-22 Failed. Cause of Failed Temp Element Cannot Be Conclusively Determined.Temp Element Will Be Replaced & Cable Connections Repaired1998-10-30030 October 1998 Special Rept:On 980824,temp Element 2-CAC-TE-1258-22 Failed. Cause of Failed Temp Element Cannot Be Conclusively Determined.Temp Element Will Be Replaced & Cable Connections Repaired ML20154P8151998-10-16016 October 1998 SER Accepting Revised Safety Analysis of Operational Transient of 920117,for Plant,Unit 1 ML20154P8591998-10-16016 October 1998 SER Accepting Equivalent Margins Analysis for N-16A/B Instrument Nozzles for Plant,Units 1 & 2 BSEP-98-0202, Monthly Operating Repts for Sept 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20151Y6211998-09-14014 September 1998 BSEP Rept Describing Changes,Tests & Experiments, for Bsep,Units 1 & 2 ML20151Y6371998-09-14014 September 1998 Changes to QA Program, for Bsep,Units 1 & 2 BSEP-98-0185, Monthly Operating Repts for Aug 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20151T5021998-08-0505 August 1998 Project Implementation Plan, Ngg Yr 2000 Readiness Program, Rev 2 BSEP-98-0164, Monthly Operating Repts for July 1998 for BSEP Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for BSEP Units 1 & 2 ML20236T1961998-07-0101 July 1998 Rev 1 to 2B21-0088, Brunswick Unit 2,Cycle 13 Colr ML20236T1921998-07-0101 July 1998 Rev 1 to 1B21-0537, Brunswick Unit 1,Cycle 12 Colr BSEP-98-0142, Monthly Operating Repts for June 1998 for BSEP Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for BSEP Units 1 & 2 ML20236T1971998-06-30030 June 1998 Rev 2 to 24A5412, Supplemental Reload Licensing Rept for Brunswick Steam Electric Plant Unit 2 Reload 12 Cycle 13 ML20249B9691998-06-11011 June 1998 Rev 1 to VC44.F02, Brunswick Steam Electric Plant,Units 1 & 2,ECCS Suction Strainers Replacement Project,Nrc Bulletin 96-003 Final Rept BSEP-98-0129, Monthly Operating Repts for May 1998 for Bsep,Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Bsep,Units 1 & 2 ML20151S9041998-05-31031 May 1998 Revised Pages to Monthly Operating Rept for May 1998 for Brunswick Steam Electric Plant,Unit 1 BSEP-98-0104, Monthly Operating Repts for Apr 1998 for Brunswick Steam Electric Plant,Units 1 & 21998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Brunswick Steam Electric Plant,Units 1 & 2 ML20151S8991998-04-30030 April 1998 Revised Pages to Monthly Operating Rept for Apr 1998 for Brunswick Steam Electric Plant,Unit 1 ML20247N7501998-04-30030 April 1998 Rev 0 to BSEP Unit 1,Cycle 12 Colr ML20247N7721998-04-30030 April 1998 Rev 0 to J1103244SRLR, Supplemental Reload Licensing Rept for BSEP Unit 1,Reload 11,Cycle 12 ML20217K8461998-04-24024 April 1998 Safety Evaluation Approving Proposed Use of Code Case N-535 at Brunswick Unit 1 During Second 10-yr Interval,Pursuant to 10CFR50.55a(a)(3)(i).Authorizes Use of Code Case N-535 Until Code Case Included in Future Rev of RG 1.147 ML20217K3941998-04-24024 April 1998 SER Approving Relief Request for Pump Vibration Monitoring, Brunswick Steam Electric Plant,Units 1 & 2 ML20217E6841998-04-23023 April 1998 Safety Evaluation Accepting Code Case N-547, Alternative Exam Requirements for Pressure Retaining Bolting of CRD Housings ML20217E7471998-04-21021 April 1998 Safety Evaluation Accepting Alternative to Insp of Reactor Pressure Vessel Circumferential Welds ML20217B5241998-04-20020 April 1998 SE Accepting Licensee Request for Approval to Use Alternative Exam Requirement for Brunswick,Unit 1,reactor Vessel Stud & Bushing During Second 10-yr ISI Interval Per 10CFR50.55a(a)(3)(ii) BSEP-98-0080, Monthly Operating Repts for Mar 1998 for Bsep,Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Bsep,Units 1 & 2 ML20216B1041998-03-0404 March 1998 SER Approving Alternative to Insp of Reactor Pressure Vessel Circumferential Welds for Brunswick Steam Electric Plant, Unit 1 1999-09-30
[Table view] |
Text
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CSS &
- ) ' Carolina Power & Light Company Brunswick Nuclear Project P. O. Box 10429
.'s Southport, NC 28461-0429 November 6, 1989 p
. FI LE : - B09-13510C 10CFR50.73 i' SERIAL: BSEP/89-0997
,. U.S, Nuclear Regulatory Commission L ATfN: Document Control Desk
-Washington,.DC. 20555
., BRUNSWICK STEAM ELECTRIC PLANT UNIT 2
, DOCKET NO. 50-324 LICENSE NO. DPR-62 LICENSEE EVENT REPORT 2-89-017 Gentlemen:
In accordance with Title 10 to the Code of Federal Regulations,.the enclosed This report fulfills the requirement for
'l Licensee Event Report is submitted.
a written report within thirty (30) days of a reportable occurrence and is in '
accordance with the format set forth in NUREG-1022, September 1983.
Very truly yours, W
J.'L. Harness, G no 1 Manager ,
Brunswick Nuclear Project -
HJP/ meg t
Enclosure cc: Mr. S. D. Ebneter Mr. E. G. Tourigny BSEP NRC Resident Office 4 1
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LICENSEE EVENT REPORT (LER) '
1 00cetti sevangen (3) raus as PAJitsTV seamst M Brunswick Steam Electric Plant Unit 2 015 l 0 l 0 l 0 l 31214 1 l0Fl Ol 7 1 TIT'svUnplanned Actuation of Reactor Low Level Instrumentation Due to Suspected Perturbation af Rnctor Instrumentation Lines While Returnine C32-PT-N008 to Service Fn11new Calibration Ov9eet DAf t IS LtR counesen ISI RSPORT oaf t spi OTHER F ACILITits sNvoLvt0 lei DOCILET NvuotRisi MONTH CAV YLAR YEAR MN,'6 ",'f,*,$ MONTH DAt vtAR #acistiv haute 015101010 I I I
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1l0' 1l 0 8 9 8l9 G l 1l7 O!0 1l 1 0l6 8 l9 0 isto l0 toi 1 i THIS RSPORT IS SUOMITTto PURSUANT TO THE DEQUIREMENTS OF 10 CFR R- (Cneca one e, more er >=e ressew.ael Hu Aflaae opt'.it Me m 5 ,,,,,,,, ,,,,,,, ,, ,,, n, n,,, ,,,,,,,
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LICEN$lt CONTACT FOR TMIS LER Off gy,yg TELEPHONE NUMetR ARE A CQDS M. J. Pastva Jr., Regulatory Compliance Specialist 91 1 19 415171-12 131115
, COMPLif t ONE LING 90R E Ach COMPONENT F AILURt OtsCRitt0 IN TMit REPORT (13)
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SUPPttMEN.'AL S APORT IRPECTIO f14 SUBMi$$ ION 188 LII yes, ter nosete LKPRCTfD SVOhrIS$10N DA ffl NO l l l Auf a ACT tri,~r to r<w < . te.. . wrsea one.. o.<e evo ~ tr*~ *"* i e'ei At 1525 hours0.0177 days <br />0.424 hours <br />0.00252 weeks <br />5.802625e-4 months <br /> on 10/10/89 inadvertent Unit 2 low water Icvel (LL) No. 2 and 3 signals occurred causing a Group 1 isolation, Core Spray (CS) initiation l signal, and auto-starting of the Units 1 and 2 common emergency diesel generators (DGs). The Unit 2 1989-1990 refuel / maintenance outage was ongoing with the Reactor (Rx) defueled. The CS, Residual lleat Removal (RIIR), Rx Water Cleanup (RWCU), Standby Gas Treatment, and the Rx Building ventilation systems l were under equipment clearance. Return to service of Rx feedwater/Rx pressure transmitter (PT) C32-PT-N008 was ongoing. The Control Operator became aware '
of this event through Control Room indication / alarm annunciation. An RilR/ Low Pressure Coolant Injection (LPCI) initiation signal and a Group 3 of the RWCU l System were not confirmed. The isolation / initiation signals were reset and by l 1818 hours0.021 days <br />0.505 hours <br />0.00301 weeks <br />6.91749e-4 months <br /> the DGs were returned to standby. This event had minimal safety I
significance.
1.
l The LL signals are attributed to perturbation of the instrument sensing leg common to N008 and Rx LL instrumentation when N008 was returned to service, por OPIC-PT001. An instruction /precautlonary statement was not provided with the procedure to ensure the test pressure on NOO8 was equal to the system pressure conditions prior to return to service.
l In addition to OPIC-PT001, two similar procedural problems will be resolved by l 12/20/89. Prior to subsequent startup, appropriate testing will assure operability of the Rl!R/LPCI and RWCU Group 3 functions.
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0l0 0l2 0F 0l7 w . a e,samenwanc==mamm Event Inadvertent Reactor low water level No. 2 and 3 signals caused a Unit 2 Primary Containment (PC) Group 1 isolation of Reactor water sample PC outboard isolation valve 2-B32-F020 Reactor Core Spray initiation sf3nal, and automatic starting of the Units 1 and 2 common emergency alternating current diesel generators Nos. 1-4. The low level signal is attributed to unplanned actuatica of Reactor level instrumentation due to a suspected perturbation of Reactor instrumentation lines during the return of Reactor feedwater/ Reactor pressure instrument C32-PT-N008 to service following routine instrumentation calibration.
Initial Conditions i The Unit 2 1989-1990 refueling / maintenance outage was in progress with the Reactor (EIIS/AC) defueled and the Reactor cavity (EIIS/DF/**) flooded. The Reactor Core Spray Sy' stem (EIIS/BM), Residual llent Removal (RHR) (Ell) System (EIIS/BO), Reactor Water Cleanup (RWCU) System (G31) (EIIS/CE) Standby Gas Treatment System (EIIS/BH), and the Reactor Building Ventilation System (E1IS/VA) were under equipment clearance for ongoing outage activities. In addition, the Units 1 and 2 common emergency alternating current (AC) diesel generators (DGs) (EIIS/EK/DG) acre in standby readiness and normal off-site ;
power was available. Maintenance technicians were in the process of returning Reactor feedwater (C32) (EIIS/SJ)/ Reactor pressure transmitter (PT), !
2-C32-PT-N008 (EliS/SJ/PT) to service following a periodic preventative maintenance calibration of the instrument in accordance with the process i instrument calibration (PIC) of General Electric type 551 and 552 pts, OPIC-PT001. !
- E11S component description unavalloole Event Description !
At 1525 hours0.0177 days <br />0.424 hours <br />0.00252 weeks <br />5.802625e-4 months <br /> on October 10, 1989, when the technicians opened the instrument ,
isolation valvo, 2-C32-PT-N008-3 (EIIS/SJ/ISV) in accardance with Step 7.4.3 of- l the procedure, Reactor low water level Nos. 2 and 3 signals occurred. These low level signals initiated a Primary Containment Group 1 isolation signal, a l Core Spray initiation signal, and automatic starting of the units' emergency l
I AC DGs. Per design, the DGs did not tie onto their respective emergency (E) 1.
buses, El-E4 (EIIS/EK/BU) as normal off-site power remained available. The 1 Unit 2 Control Operator (CO) became aware of this event through appropriate l Control Room indication and alarm annunciation. Following this event it was verified that the Reactor water sample outboard primary containment isolation valve (PCIV), 2-B32-F020 (Ells /AC/ISV), which had been opened prior to the l
event, had closed as required due to the Group 1 signal. At 1533 hours0.0177 days <br />0.426 hours <br />0.00253 weeks <br />5.833065e-4 months <br />, following verification that the Reactor low level alarm annunciations were raise, the isolation / initiation signals were reset. In addition, the DGs were
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secured from operation and returned to standby readiness (DGs Nos. I and 2 at 1610 ho2rs) (DGs Nos. 3 and 4 at 1818 hours0.021 days <br />0.505 hours <br />0.00301 weeks <br />6.91749e-4 months <br />). It could not be determined if the Wir4/LPCI signal had been received at the time of the event. In addition, as the WCU Sys6cm was unae q"ipment clearance with the System inlet outboard PCIV, 2-G31-F004 (EIIS/CE/ISV) closed, visual confirmation of the required closure signal to the valve, due to the incurred low level No. 2, was unavailable.
Event Investigation Following the event, interviews with the involved maintenance technicians were conducted in order to reconstruct their actions relative to the event. Based upon those interviews, it was concluded that the technicians had properly adhered to the procedure. Therefore, personnel error by the involved technicians was ruled out as a root cause or contributing factor to the event.
The procedure isolates the instrument from its respective instrument sensing line (EIIS/SJ/PSX) through closure of the instrument isolation valve, 2-C32-PT-N008-3 (EIIS/SJ/ISV), in order to perform a five point (0*., 25%, 50%,
75*., and 200'i,) calibration of the instrument at corresponding ' applied test pressures ranging from 814-1114 pounds per square inch gauge (psig). At the time of the event, with only the preexisting static hydraulic head pressure on the instrument sensing line, the instrument had been satisfactorily calibrated following application of the 1114 psig test pressure and the technicians were in the process of reopening 2-C32-PT N008-3 in order to return the instrument to service in accordance with Step 7.4.3 of the procedure.
An adequacy review of OPIC-PT001 determined the procedure did not provide for the contingency of valving in the transmitter to a depressurized reference icg. Consequently, when 2-C32-PT-N008 was valved back into service the calibration test pressure was applied to the already depressurized instrument sensing leg.
The investigation concluded the low level signals resulted from actuation of Reactor low level instrumentation on the common referencing Icg with 2-C32-PT-N008, due to a momentary perturbation of the leg when the instrument was returned to service. Instrumentation, which shares this common reference sensing Icg, is listed in Table 1.
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sxPines; awe F451b4TT014A8 On Docat? NVM8th us LER NUMB 4R tes Paot tal B'runswick Steam Electric Plant 'f'" " M a" M*siE Unit 2 menans.
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-During a review of plant documentation to c.samine the applicability of prior j similar occurrences to this event, the appropriateness of corrective actions for LER l-87-017 as they relate to this. event were evaluated. The event ,
E reported in LER i-87-017, which occurred on June 12, 1987, involved valving-in }
depressurized test equipment to the p.esaurized instrument reference leg common j to 2-C32-PT-N008. The investigation of the event in 1987 determined it had ,
resulted from a momentary perturbation of the reference leg which caused an i automatic Reactor Scram due to. actuation of the affected Reactor level instru-montation. As part of corrective action to the event, a review / revision was conducted of plant procedures involving valving-in instruments on a common reference sensing leg. This effort was focused to ensure the 4.nstruments are properly pressurized prior to valving-in during Reactor power operation.-
- Reexamination of the approach taken in achieving the corrective actions of LER 1-87-017 has determined the actions did not address restoration to a depres-surized reference leg, in that only procedures for valving-in devices to a pressurized Reactor S'ystem were considered.
The investigation determined that the most probable rocson why an RHR/LPCI initiation signal was not received as a result of this event is the suspected relatively short duration of the Reactor low level signal, which did not allow both the RHR Reactor low level channel relays, 2-Ell-K7B and K8B (EIIS/B0/RLY), and the RHR/LPCI seal-in relay, 2-Ell-K9B (EIIS/B0/RLY), to energize for a sufficient time to allow the normally open K6B seal-in contacts to close.
Action Taken The failure to review procedures in order to provide for return to service condition regardleas of Reactor pressure, should be corrected through improved I root cause/ corrective action determinations at the Brunswick station. The
! corrective action program is viewed as an appropriate measi.re to ensure that adequate attention is devoted to ensure the proper identification and focus of corrective action.
l.
l As a result of this event, a review was conducted to identify Reactor instru-l mentation and maintenance procedures involving instrument sensing lines which l are sensitive to pressure porturbations, in order to ensure adequate procedural controls are provided regarding a pressurized or depressurized Reactor System.
I
- This effort revealed two additional instrumentation calibration instructions were inadequate to ensure the Reactor System pressure is taken into account l
l during return of the involved instruments to service.
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i Actions to be Taken By December 20, 1989, OPIC-PT001, as well as the two additional procedures identified during the subject procedural review, will be appropriately revised to provide for consideration of the state of the Reactor System (depressurized or pressurized) during valving-in of instrumentation or other test equipment /
devices. ,
In additien, prior to startup of Unit 2 from the current refueling /msintenance outage, appropriate testing will be performed to ensure operability of the RHR/LPCI actuation instrumentation. It is felt the Group 3 isolation capability of the RWCU System will be verified through postmaintenance testing
! requirements which follow the cancellation of the involved equipment clearance on the system.
Event Assessment The occurrence of this event under other credible alternative conditions would not have been more severe.
In addition to LER 1-87-017, prior events involving instrument perturbations while valving-in instrumentation have been reported in LERs 1-85-039, 1-35-047, and 2-86-020.
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EXPentS. S/31/03 paggEpry eneass fll 00CMlfNVMD4R W (ggg,yggggqq) p (g (33 Brunswick Steam Electric Plant 'f*" "UA' a - 7 02
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'n TABLE 1 Instrument No. Function B21-LT-N025A-1 Initiates signal for closure of main steam
'(EIIS/SB/LT) isolation valves (MSIVs) (EIIS/SB/ISV),
2-B32-F020, main steam line drain outboard PCIV !
2-B21-F019 (F.IIS/SB/ISV), RWCU System inlet l vutboard PCIV, G31-F004 (EIIS/CE/ISV), isolation l' ,
of the Reactor Building Ventilation System, and ,
automatic starting of the SBGT trains A and B j (EIIS/BII/**). ;
B21-LT-N025B-1 '
Initiates signal for closure of MSIVs, (EIIS/SB/LT) 2-B32-F020, 2-B21-F019, G31-F004, isolation of ;
the Reactor Building Ventilation System, and automatic starting of the SBGT Trains A and B. ;
i B21-LT-N025A-2 Initiates an anticipated transient without a
'(EIIS/SB/LT) scram (A'IVS) (EIIS/JC) trip of. reactor recirculation pump A (EIIS/AD/P).
B21-LT-N025B-2 Initiates an ATWS trip of reactor recirculation (EIIS/SB/LT) pump B (EIIS/AD/P).
B21-LT-N031B Initiates automatic initiation of the Reactor (EIIS/SB/LT) Core Isolation Cooling (RCIC) System (EIIS/BN), l permissive for actuation of the Automatic Depressurization (ADS) System (EIIS/*),
initiation of the RHR low pressure coolant injection (LPCI) mode, Reactor Core Spray System, and automatic starting of units' common emergency AC DGs.
B21-LT-N031D Initiates RCIC System automatic initiation, (EIIS/SB/LT) permissive for actuation of the ADS, initiation of the RilR/LPCI mode, Reactor Core Spray System, and automatic starting of the units' common emergency AC DGs.
B21-PT-N021B *** Provides 410 psig Core Spray injection (EIIS/SB/PT) permissive as well as permissive for the 310 psig Reactor Recirculation pump discharge valve closure.
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- LICENSEE EVENT REPORT (LER) TEXT CONTINUATION u*aoveo o o. w-oio4 i , sx,,au. sous
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1 Brunswick Steam Electric Plant '
Unit 2
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l TABLE 1 (Cont'd)
B21-IT-N0230 *** Initiates the Reactor Vessel liigh pressure !
(EIIS/SB/PT) automatic scram B21-PT-N023D *** Initiate;/ the Reactor Vessel liigh pressure
.(EIIS/SB/PT) automatic scram
- EIIS system description not available .
- 5'EIIS component description not available
- It is believed the magnitude of the incurred sensing leg perturbation was
'not sufficient to have affected this instrument. ,
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