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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20045B3021993-06-11011 June 1993 LER 93-001-00:on 930513,discovered That One Channel of Rvlms Inoperable Since Probe Replaced in Oct 1992.On 930507, Discovered That Two Sensors in Rvlms Indicating Wet.Caused by Design Error.Wiring Polarity corrected.W/930611 Ltr ML20024H2281991-05-21021 May 1991 LER 91-003-00:on 910421,actuation of EFW Sys During Plant Heatup Occurred Due to Low Once Through Steam Generator Level.Caused by Leaking Feedwater Recirculation Valve.Plant Startup Procedure OP 1102.02 Will Be revised.W/910521 Ltr ML20024H0861991-05-10010 May 1991 LER 91-002-00:on 910410,inadvertent Actuations of Combined Control Emergency Ventilation Sys Occurred.Caused by Transient Noise Spike.Mod Will Be Completed by 910531 to Install Time Delay in Actuation circuitry.W/910510 Ltr ML20024G9781991-05-10010 May 1991 LER 90-004-01:on 900531,discovered Degraded Fire Barrier Penetration During Insp Per Generic Ltr 86-10.Caused by Failure to Identify Adequate Fire Barrier Seal During 1983 Plant Walkdown.Fire Watch posted.W/910510 Ltr ML20029C3771991-03-22022 March 1991 LER 91-006-00:on 910222,core Protection Calculator Reactor Coolant Sys Flow Channels Not Being Calibrated within Tech Spec.Caused by Personnel Error.Operations Manager Counseled Operators Involved in event.W/910322 Ltr ML20029B1331991-02-27027 February 1991 LER 91-004-00:on 910125,control Room Radiation Monitor Alarm/Trip Setpoint Greater than Normal.Caused by Personnel Error.Operations Manager Will Counsel Shift Supervisors & Night Order Will Be posted.W/910227 Ltr ML20028H6841991-01-21021 January 1991 LER 90-021-00:on 901222,potential RCS Leak Noted in Area of Pressurizer Upper Level Instrument Nozzle.Caused by Pure Water Stress Corrosion Cracking.New Nozzle Installed Into Penetration from Shell OD.W/910121 Ltr ML20043C6801990-05-31031 May 1990 LER 89-025-01:on 891221,identified That Portion of Wall Located in Auxiliary Bldg Had Not Been Previously Identified as Tech Spec Fire Barrier.Caused by Personnel Error.Wall Being Upgraded to Tech Spec status.W/900531 Ltr ML20043C3781990-05-30030 May 1990 LER 90-012-00:on 900430,18 Month Channel Calibr of Liquid Radwaste Effluent Line Flow Monitor Not Performed as Required.Caused by Inadequate Controls to Ensure Followup Actions Taken in Timely Manner.Amends revised.W/900530 Ltr ML20043C0361990-05-23023 May 1990 LER 90-003-01:on 900423,discovered That Incorrect Monitoring Instrumentation for Radiological Effluent Ventilation Sys Utilized to Comply W/Tech Specs.Caused by Mgt Oversight.Logs Process Monitors Will Not Be used.W/900523 Ltr ML20043A7411990-05-17017 May 1990 LER 90-004-01:on 900212,discovered That Backwater Valve in Floor Drain Pipe in Emergency Feedwater Pump Room Missing. Caused by Inadequate Configuration Control.Backwater Pumps Installed & Will Be Included in Maint program.W/900517 Ltr ML20042F7751990-05-0101 May 1990 LER 90-010-00:on 900401,personnel Failed to Complete Control Element Assembly Position Log.Caused by Surveillance Program Deficiencies & Lack of Mgt Involvement.Shift Briefing Completed & Procedure Change incorporated.W/900501 Ltr ML20042F7681990-05-0101 May 1990 LER 90-002-01:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Errors in Original Calculation Not Identified.Calibr Procedures revised.W/900501 Ltr ML20042E1981990-04-10010 April 1990 LER 90-008-00:on 900311,determined That Seal Leakage Test for Containment Personnel Air Lock Had Not Been Performed, Per Tech Specs.Caused by Personnel Error.Procedure Revs Initiated & Personnel counseled.W/900410 Ltr ML20012F5051990-04-0505 April 1990 LER 89-027-00:on 891005,determined That Leakage Rate for Containment Isolation Check Valve in Excess of Leakage Rate Allowed Per Tech Specs.Caused by Loose Weld Slag in Valve Seat Area.Valve Cleaned & reassembled.W/900405 Ltr ML20012F5031990-04-0505 April 1990 LER 90-007-00:on 900306,RCS Charging Line Rendered Inoperable Due to Deficient Piping Support Weld.Caused by Inadequate Work Controls & post-installation Insp Processes. Field Walkdowns & Weld Insps initiated.W/900405 Ltr ML20012F5741990-04-0404 April 1990 LER 90-006-00:on 900305,instrumentation Channels Declared Inoperable,Resulting in Manual Actuation of Reactor Protection Sys.Caused by Procedural Deficiencies.Functional Tests of Log Power Level Channels performed.W/900404 Ltr ML20012C7221990-03-14014 March 1990 LER 90-004-00:on 900212,identified That No Backwater Valve Located in Floor Drain Pipe in One of Emergency Feedwater Pump Rooms.Caused by Inadequate Configuration Control. Valves Installed on 900215.W/900314 Ltr ML20012C1821990-03-12012 March 1990 LER 85-029-00:on 850520,unusual Motor Vibrations Identified on Svc Water Pump 2PM4A.On 861028,high Vibrations Noted on Upper Motor Bearings of Pump 2PM4B.Caused by Improper Installation.New Bearings installed.W/900312 Ltr ML20012B7271990-03-0808 March 1990 LER 89-049-01:on 891220,discovered That Okonite T-95 Tape Not Used to Tape Internal Motor Lead Connections for Main Feedwater Containment Isolation Valves.Caused by Personnel Error.Valves Taped According to Design drawing.W/900308 Ltr ML20012B5701990-03-0505 March 1990 LER 90-003-00:on 900201,failure to Perform Monthly Source Check Surveillance on Three Radiation Process Monitors Occurred.Caused by Inadequate Procedure Change by Personnel. Source Check on Monthly Basis implemented.W/900305 Ltr ML20011F6741990-03-0202 March 1990 LER 90-002-00:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Caused by Incorrect Static Pressure Assumption.Trip Setpoint Bistable increased.W/900302 Ltr ML20011F6781990-03-0101 March 1990 LER 89-026-00:on 891112,gaps in Piping Supports on Supply & Return Piping for Containment Coolers Identified.Caused by Inadequate Design Technique Used in Original Support Design. Shims Added Before Restart from outage.W/900301 Ltr ML20011F5831990-02-27027 February 1990 LER 89-022-01:on 891114,normal Offsite Power Feeder Breaker to 4,160-volt Ac ESF Bus Opened,Resulting in Loss of Power to Bus 2A3.Caused by Inadequate post-maint Test Controls. Test Switch Opened & Job Order changed.W/900227 Ltr ML20011F7311990-02-23023 February 1990 LER 90-001-00:on 900126,identified That Required Visual Insps of Containment Bldg After Entry Made Not Documented as Being Performed.Caused by Inadequate Procedural Guidance. Administrative Controls to Be established.W/900226 Ltr ML20006D7391990-02-0606 February 1990 LER 89-034-01:on 891031,determined That Tech Spec 3.9.1 Had Likely Been Violated Re Independent Circuits of Control Room Emergency Air Conditioning Sys.Caused by Inadequate Guidance Re Equipment Svc Removal.Procedures revised.W/900206 Ltr ML20011E2371990-01-31031 January 1990 LER 89-012-01:on 890626,RCS Backleakage Through Safety Injection Sys Check Valve Occurred Three Times.Caused by Missing Rollpins Which Connect Valve Disc to Valve Disc Shaft.Rollpins Replaced & Valves reassembled.W/900131 Ltr ML20011E2291990-01-31031 January 1990 LER 89-039-01:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Latch Mechanism Missing. Caused by Abnormally High Differential Pressure Across Door. Ventilation Sys Flow Balance performed.W/900131 Ltr ML20011E1451990-01-30030 January 1990 LER 89-024-00:on 891231,loose Terminal in Feedwater Control Sys Cabinet Resulted in Reactor Trip.Caused by Loose Connection on Terminal.Loose Connection Reterminated properly.W/900130 Ltr ML20006C1451990-01-29029 January 1990 LER 89-048-00:on 891228,automatic Reactor Trip & ESF Actuation Occurred as Result of Loss of All Main Feedwater Flow Due to Inadvertent Tripping of Main Feedwater Pump. Caused by Personnel error.O-rings replaced.W/900129 Ltr ML20006A8671990-01-22022 January 1990 LER 89-042-01:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900122 Ltr ML20006A8661990-01-22022 January 1990 LER 89-041-00:on 891221,automatic Actuation of Emergency Feedwater Sys Initiated.Caused by Lack of Adequate Procedural Guidance.Valve Positioners CV-2623 & CV-2673 Adjusted & Guidance Procedures developed.W/900122 Ltr ML19354E3331990-01-22022 January 1990 LER 89-025-00:on 891221,two Piping Penetrations Located in Barrier Not Surveilled as Required by Tech Specs.Caused by Personnel Error.Fire Watch Posted When Necessary Per Tech Spec.W/900122 Ltr ML20006B6461990-01-18018 January 1990 LER 89-047-00:on 891219,RCS Temp Increased Above 250 F W/ Oxygen Concentration Greater than Tech Specs Limit.Caused by Inadequate Procedural Guidance.Plant Startup Procedure Revised to Require Chemistry Dept signoff.W/900118 Ltr ML20005F1551990-01-18018 January 1990 LER 89-023-01:on 891117,noted That Channel a Not Responding to Change in Power Level & Declared Inoperable.Caused by Defective Preamplifier.Evaluation of Sys Design & Channel Functional Test initiated.W/900108 Ltr ML19354D8291990-01-15015 January 1990 LER 89-044-00:on 891214,incorrect Assumptions & Calculational Errors Identified for Low Pressure Injection & Reactor Bldg Spray Pumps When Aligned to Take Suction from Reactor Bldg sump.W/900115 Ltr ML20005G1681990-01-0909 January 1990 LER 89-045-00:on 891210,discovered That U-bolt Supports on Two Containment Isolation Valves in Containment Bldg Not Installed & Pressurizer Sample Lines & Valves Considered Inoperable.Missing U-bolts installed.W/900109 Ltr ML20005F1481990-01-0808 January 1990 LER 89-042-00:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900108 Ltr ML20005F1571990-01-0808 January 1990 LER 89-043-00:on 891208,discovered That Approx 50% of One Nut Ring Half Beneath Reactor Vessel Nozzle Flange Corroded Away.Caused by Gradual Deterioration of Gasket Matl.Design Change implemented.W/900108 Ltr ML20005F2071990-01-0404 January 1990 LER 89-040-00:on 891205 & 06,automatic Actuations of Emergency Diesel Generator Occurred as Result of Loss of Power to 480-volt ESF Bus.Caused by Personnel Error During Bus Transfer.Mgt Briefings conducted.W/900104 Ltr ML20005F0471990-01-0303 January 1990 LER 89-046-00:on 891204,reactor Bldg Isolation Valves Rendered Inoperable Due to Deficient Welds on Piping Supports Which Were Installed During Initial Plant Const. Deficient Supports Repaired Prior to restart.W/900103 Ltr ML20011D2521989-12-18018 December 1989 LER 89-039-00:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Missing Latch Mechanism. Caused by Extensive Use During 56-day Refueling Outage.More Frequent Insps of Door Condition to Be done.W/891218 Ltr ML20011D2501989-12-18018 December 1989 LER 89-023-00:on 891117,approach to Criticality Commenced After Seventh Refueling Outage W/Logarithmic Power Level Channels Inoperable.Caused by Electrical Noise in Circuitry. Defective Preamplifier replaced.W/891218 Ltr ML19354D5521989-12-14014 December 1989 LER 89-038-00:on 891114,reactor Trip Occurred as Result of Inadvertent Closure of Main Feedwater Isolation Valve.Caused by Personnel Error.Disciplinary Action Taken Against Individual & Senior Mgt Personnel Put on shift.W/891214 Ltr ML19351A6731989-12-14014 December 1989 LER 89-022-00:on 891114,inadequate post-maint Test Controls Resulted in de-energizing 4,160 Volt Ac ESFs Electric Bus Uexpectedly.Caused by Inadequate post-maint Test Controls. Job Order Instructions changed.W/891214 Ltr ML19351A4651989-12-11011 December 1989 LER 89-021-00:on 891111,when Low Level Radwaste Water in Waste Condensate Tank Aligned to Be Released,Discovered That Radiation Monitor Inoperable for Duration of Release.Caused by Personnel Error.Procedure revised.W/891211 Ltr ML19332F6171989-12-11011 December 1989 LER 89-037-00:on 891110,reactor Trip Occurred as Result of Inadvertent Grounding of Reactor Protection Sys Power Supply During Surveillance Testing.Caused by Inadequate Procedure. Procedures revised.W/891211 Ltr ML20005D6821989-12-0101 December 1989 LER 89-005-01:on 890518 & 25,damping Board Removed from Penetration Containing Cable Tray.On 890531,voids Noted in Penetration Seals.Caused by Erroneous Vendor Procedures. Penetrations Restored & Procedures revised.W/891201 Ltr ML19332E4821989-11-30030 November 1989 LER 89-019-00:on 890927,identified That Closing Torque on Valves May Be Insufficient Against Postulated Worst Case Differential Pressure.Caused by Initial Plant Construction. Mod to Replace Gearing Made to Motor operator.W/891130 Ltr 1998-10-22
[Table view] Category:RO)
MONTHYEARML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20045B3021993-06-11011 June 1993 LER 93-001-00:on 930513,discovered That One Channel of Rvlms Inoperable Since Probe Replaced in Oct 1992.On 930507, Discovered That Two Sensors in Rvlms Indicating Wet.Caused by Design Error.Wiring Polarity corrected.W/930611 Ltr ML20024H2281991-05-21021 May 1991 LER 91-003-00:on 910421,actuation of EFW Sys During Plant Heatup Occurred Due to Low Once Through Steam Generator Level.Caused by Leaking Feedwater Recirculation Valve.Plant Startup Procedure OP 1102.02 Will Be revised.W/910521 Ltr ML20024H0861991-05-10010 May 1991 LER 91-002-00:on 910410,inadvertent Actuations of Combined Control Emergency Ventilation Sys Occurred.Caused by Transient Noise Spike.Mod Will Be Completed by 910531 to Install Time Delay in Actuation circuitry.W/910510 Ltr ML20024G9781991-05-10010 May 1991 LER 90-004-01:on 900531,discovered Degraded Fire Barrier Penetration During Insp Per Generic Ltr 86-10.Caused by Failure to Identify Adequate Fire Barrier Seal During 1983 Plant Walkdown.Fire Watch posted.W/910510 Ltr ML20029C3771991-03-22022 March 1991 LER 91-006-00:on 910222,core Protection Calculator Reactor Coolant Sys Flow Channels Not Being Calibrated within Tech Spec.Caused by Personnel Error.Operations Manager Counseled Operators Involved in event.W/910322 Ltr ML20029B1331991-02-27027 February 1991 LER 91-004-00:on 910125,control Room Radiation Monitor Alarm/Trip Setpoint Greater than Normal.Caused by Personnel Error.Operations Manager Will Counsel Shift Supervisors & Night Order Will Be posted.W/910227 Ltr ML20028H6841991-01-21021 January 1991 LER 90-021-00:on 901222,potential RCS Leak Noted in Area of Pressurizer Upper Level Instrument Nozzle.Caused by Pure Water Stress Corrosion Cracking.New Nozzle Installed Into Penetration from Shell OD.W/910121 Ltr ML20043C6801990-05-31031 May 1990 LER 89-025-01:on 891221,identified That Portion of Wall Located in Auxiliary Bldg Had Not Been Previously Identified as Tech Spec Fire Barrier.Caused by Personnel Error.Wall Being Upgraded to Tech Spec status.W/900531 Ltr ML20043C3781990-05-30030 May 1990 LER 90-012-00:on 900430,18 Month Channel Calibr of Liquid Radwaste Effluent Line Flow Monitor Not Performed as Required.Caused by Inadequate Controls to Ensure Followup Actions Taken in Timely Manner.Amends revised.W/900530 Ltr ML20043C0361990-05-23023 May 1990 LER 90-003-01:on 900423,discovered That Incorrect Monitoring Instrumentation for Radiological Effluent Ventilation Sys Utilized to Comply W/Tech Specs.Caused by Mgt Oversight.Logs Process Monitors Will Not Be used.W/900523 Ltr ML20043A7411990-05-17017 May 1990 LER 90-004-01:on 900212,discovered That Backwater Valve in Floor Drain Pipe in Emergency Feedwater Pump Room Missing. Caused by Inadequate Configuration Control.Backwater Pumps Installed & Will Be Included in Maint program.W/900517 Ltr ML20042F7751990-05-0101 May 1990 LER 90-010-00:on 900401,personnel Failed to Complete Control Element Assembly Position Log.Caused by Surveillance Program Deficiencies & Lack of Mgt Involvement.Shift Briefing Completed & Procedure Change incorporated.W/900501 Ltr ML20042F7681990-05-0101 May 1990 LER 90-002-01:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Errors in Original Calculation Not Identified.Calibr Procedures revised.W/900501 Ltr ML20042E1981990-04-10010 April 1990 LER 90-008-00:on 900311,determined That Seal Leakage Test for Containment Personnel Air Lock Had Not Been Performed, Per Tech Specs.Caused by Personnel Error.Procedure Revs Initiated & Personnel counseled.W/900410 Ltr ML20012F5051990-04-0505 April 1990 LER 89-027-00:on 891005,determined That Leakage Rate for Containment Isolation Check Valve in Excess of Leakage Rate Allowed Per Tech Specs.Caused by Loose Weld Slag in Valve Seat Area.Valve Cleaned & reassembled.W/900405 Ltr ML20012F5031990-04-0505 April 1990 LER 90-007-00:on 900306,RCS Charging Line Rendered Inoperable Due to Deficient Piping Support Weld.Caused by Inadequate Work Controls & post-installation Insp Processes. Field Walkdowns & Weld Insps initiated.W/900405 Ltr ML20012F5741990-04-0404 April 1990 LER 90-006-00:on 900305,instrumentation Channels Declared Inoperable,Resulting in Manual Actuation of Reactor Protection Sys.Caused by Procedural Deficiencies.Functional Tests of Log Power Level Channels performed.W/900404 Ltr ML20012C7221990-03-14014 March 1990 LER 90-004-00:on 900212,identified That No Backwater Valve Located in Floor Drain Pipe in One of Emergency Feedwater Pump Rooms.Caused by Inadequate Configuration Control. Valves Installed on 900215.W/900314 Ltr ML20012C1821990-03-12012 March 1990 LER 85-029-00:on 850520,unusual Motor Vibrations Identified on Svc Water Pump 2PM4A.On 861028,high Vibrations Noted on Upper Motor Bearings of Pump 2PM4B.Caused by Improper Installation.New Bearings installed.W/900312 Ltr ML20012B7271990-03-0808 March 1990 LER 89-049-01:on 891220,discovered That Okonite T-95 Tape Not Used to Tape Internal Motor Lead Connections for Main Feedwater Containment Isolation Valves.Caused by Personnel Error.Valves Taped According to Design drawing.W/900308 Ltr ML20012B5701990-03-0505 March 1990 LER 90-003-00:on 900201,failure to Perform Monthly Source Check Surveillance on Three Radiation Process Monitors Occurred.Caused by Inadequate Procedure Change by Personnel. Source Check on Monthly Basis implemented.W/900305 Ltr ML20011F6741990-03-0202 March 1990 LER 90-002-00:on 900131,errors Identified in Calculation Used to Establish Calibr Tables for Steam Generator Water Level Transmitters.Caused by Incorrect Static Pressure Assumption.Trip Setpoint Bistable increased.W/900302 Ltr ML20011F6781990-03-0101 March 1990 LER 89-026-00:on 891112,gaps in Piping Supports on Supply & Return Piping for Containment Coolers Identified.Caused by Inadequate Design Technique Used in Original Support Design. Shims Added Before Restart from outage.W/900301 Ltr ML20011F5831990-02-27027 February 1990 LER 89-022-01:on 891114,normal Offsite Power Feeder Breaker to 4,160-volt Ac ESF Bus Opened,Resulting in Loss of Power to Bus 2A3.Caused by Inadequate post-maint Test Controls. Test Switch Opened & Job Order changed.W/900227 Ltr ML20011F7311990-02-23023 February 1990 LER 90-001-00:on 900126,identified That Required Visual Insps of Containment Bldg After Entry Made Not Documented as Being Performed.Caused by Inadequate Procedural Guidance. Administrative Controls to Be established.W/900226 Ltr ML20006D7391990-02-0606 February 1990 LER 89-034-01:on 891031,determined That Tech Spec 3.9.1 Had Likely Been Violated Re Independent Circuits of Control Room Emergency Air Conditioning Sys.Caused by Inadequate Guidance Re Equipment Svc Removal.Procedures revised.W/900206 Ltr ML20011E2371990-01-31031 January 1990 LER 89-012-01:on 890626,RCS Backleakage Through Safety Injection Sys Check Valve Occurred Three Times.Caused by Missing Rollpins Which Connect Valve Disc to Valve Disc Shaft.Rollpins Replaced & Valves reassembled.W/900131 Ltr ML20011E2291990-01-31031 January 1990 LER 89-039-01:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Latch Mechanism Missing. Caused by Abnormally High Differential Pressure Across Door. Ventilation Sys Flow Balance performed.W/900131 Ltr ML20011E1451990-01-30030 January 1990 LER 89-024-00:on 891231,loose Terminal in Feedwater Control Sys Cabinet Resulted in Reactor Trip.Caused by Loose Connection on Terminal.Loose Connection Reterminated properly.W/900130 Ltr ML20006C1451990-01-29029 January 1990 LER 89-048-00:on 891228,automatic Reactor Trip & ESF Actuation Occurred as Result of Loss of All Main Feedwater Flow Due to Inadvertent Tripping of Main Feedwater Pump. Caused by Personnel error.O-rings replaced.W/900129 Ltr ML20006A8671990-01-22022 January 1990 LER 89-042-01:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900122 Ltr ML20006A8661990-01-22022 January 1990 LER 89-041-00:on 891221,automatic Actuation of Emergency Feedwater Sys Initiated.Caused by Lack of Adequate Procedural Guidance.Valve Positioners CV-2623 & CV-2673 Adjusted & Guidance Procedures developed.W/900122 Ltr ML19354E3331990-01-22022 January 1990 LER 89-025-00:on 891221,two Piping Penetrations Located in Barrier Not Surveilled as Required by Tech Specs.Caused by Personnel Error.Fire Watch Posted When Necessary Per Tech Spec.W/900122 Ltr ML20006B6461990-01-18018 January 1990 LER 89-047-00:on 891219,RCS Temp Increased Above 250 F W/ Oxygen Concentration Greater than Tech Specs Limit.Caused by Inadequate Procedural Guidance.Plant Startup Procedure Revised to Require Chemistry Dept signoff.W/900118 Ltr ML20005F1551990-01-18018 January 1990 LER 89-023-01:on 891117,noted That Channel a Not Responding to Change in Power Level & Declared Inoperable.Caused by Defective Preamplifier.Evaluation of Sys Design & Channel Functional Test initiated.W/900108 Ltr ML19354D8291990-01-15015 January 1990 LER 89-044-00:on 891214,incorrect Assumptions & Calculational Errors Identified for Low Pressure Injection & Reactor Bldg Spray Pumps When Aligned to Take Suction from Reactor Bldg sump.W/900115 Ltr ML20005G1681990-01-0909 January 1990 LER 89-045-00:on 891210,discovered That U-bolt Supports on Two Containment Isolation Valves in Containment Bldg Not Installed & Pressurizer Sample Lines & Valves Considered Inoperable.Missing U-bolts installed.W/900109 Ltr ML20005F1481990-01-0808 January 1990 LER 89-042-00:on 891209,inadvertent Actuation of Control Room Emergency Ventilation Sys Occurred.Caused by Keying of Hand Held Radio in Vicinity of Chlorine Monitors by Technician.Technician counseled.W/900108 Ltr ML20005F1571990-01-0808 January 1990 LER 89-043-00:on 891208,discovered That Approx 50% of One Nut Ring Half Beneath Reactor Vessel Nozzle Flange Corroded Away.Caused by Gradual Deterioration of Gasket Matl.Design Change implemented.W/900108 Ltr ML20005F2071990-01-0404 January 1990 LER 89-040-00:on 891205 & 06,automatic Actuations of Emergency Diesel Generator Occurred as Result of Loss of Power to 480-volt ESF Bus.Caused by Personnel Error During Bus Transfer.Mgt Briefings conducted.W/900104 Ltr ML20005F0471990-01-0303 January 1990 LER 89-046-00:on 891204,reactor Bldg Isolation Valves Rendered Inoperable Due to Deficient Welds on Piping Supports Which Were Installed During Initial Plant Const. Deficient Supports Repaired Prior to restart.W/900103 Ltr ML20011D2521989-12-18018 December 1989 LER 89-039-00:on 891116,discovered That Door for Upper North Electrical Penetration Room Open & Missing Latch Mechanism. Caused by Extensive Use During 56-day Refueling Outage.More Frequent Insps of Door Condition to Be done.W/891218 Ltr ML20011D2501989-12-18018 December 1989 LER 89-023-00:on 891117,approach to Criticality Commenced After Seventh Refueling Outage W/Logarithmic Power Level Channels Inoperable.Caused by Electrical Noise in Circuitry. Defective Preamplifier replaced.W/891218 Ltr ML19354D5521989-12-14014 December 1989 LER 89-038-00:on 891114,reactor Trip Occurred as Result of Inadvertent Closure of Main Feedwater Isolation Valve.Caused by Personnel Error.Disciplinary Action Taken Against Individual & Senior Mgt Personnel Put on shift.W/891214 Ltr ML19351A6731989-12-14014 December 1989 LER 89-022-00:on 891114,inadequate post-maint Test Controls Resulted in de-energizing 4,160 Volt Ac ESFs Electric Bus Uexpectedly.Caused by Inadequate post-maint Test Controls. Job Order Instructions changed.W/891214 Ltr ML19351A4651989-12-11011 December 1989 LER 89-021-00:on 891111,when Low Level Radwaste Water in Waste Condensate Tank Aligned to Be Released,Discovered That Radiation Monitor Inoperable for Duration of Release.Caused by Personnel Error.Procedure revised.W/891211 Ltr ML19332F6171989-12-11011 December 1989 LER 89-037-00:on 891110,reactor Trip Occurred as Result of Inadvertent Grounding of Reactor Protection Sys Power Supply During Surveillance Testing.Caused by Inadequate Procedure. Procedures revised.W/891211 Ltr ML20005D6821989-12-0101 December 1989 LER 89-005-01:on 890518 & 25,damping Board Removed from Penetration Containing Cable Tray.On 890531,voids Noted in Penetration Seals.Caused by Erroneous Vendor Procedures. Penetrations Restored & Procedures revised.W/891201 Ltr ML19332E4821989-11-30030 November 1989 LER 89-019-00:on 890927,identified That Closing Torque on Valves May Be Insufficient Against Postulated Worst Case Differential Pressure.Caused by Initial Plant Construction. Mod to Replace Gearing Made to Motor operator.W/891130 Ltr 1998-10-22
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217L8931999-10-31031 October 1999 Rev 1 to BAW-10235, Mgt Program for Volumetric Outer Diameter Intergranular Attack in Tubesheets of Once-Through Sgs ML20212L1141999-10-0101 October 1999 Safety Evaluation Granting Request for Exemption from Technical Requirements of 10CFR50,App R,Section III.G.2.c 0CAN109902, Monthly Operating Repts for Sept 1999 for Arkansas Nuclear One,Units 1 & 2.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Arkansas Nuclear One,Units 1 & 2.With ML20216J6271999-09-27027 September 1999 Rev 0 to CALC-98-R-1020-04, ANO-1 Cycle 16 Colr ML20212F5261999-09-22022 September 1999 SER Approving Request Reliefs 1-98-001 & 1-98-200,parts 1,2 & 3 for Second 10-year ISI Interval at Arkansas Nuclear One, Unit 1 0CAN099907, Monthly Operating Repts for Aug 1999 for Ano,Units 1 & 2. with1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Ano,Units 1 & 2. with ML20211F4281999-08-25025 August 1999 Safety Evaluation Concluding That Licensee Provided Acceptable Alternative to Requirements of ASME Code Section XI & That Authorization of Proposed Alternative Would Provide Acceptable Level of Quality & Safety 0CAN089904, Monthly Operating Repts for July 1999 for Ano,Units 1 & 2. with1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Ano,Units 1 & 2. with ML20210K8831999-07-29029 July 1999 Non-proprietary Addendum B to BAW-2346P,Rev 0 Re ANO-1 Specific MSLB Leak Rates 0CAN079903, Monthly Operating Repts for June 1999 for Ano,Units 1 & 2. with1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Ano,Units 1 & 2. with ML20207E7231999-06-0202 June 1999 Safety Evaluation Authorizing Proposed Alternative Exam Methods Proposed in Alternative Exam 99-0-002 to Perform General Visual Exam of Accessible Areas & Detailed Visual Exam of Areas Determined to Be Suspect ML20196A0191999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Arkansas Nuclear One,Units 1 & 2.With ML20196A6251999-05-31031 May 1999 Non-proprietary Rev 0 to TR BAW-10235, Mgt Program for Volumetric Outer Diameter Intergranular Attack in Tubesheets of Once-Through Sgs ML20195D1991999-05-28028 May 1999 Probabilistic Operational Assessment of ANO-2 SG Tubing for Cycle 14 ML20206M7711999-05-11011 May 1999 SER Accepting Relief Request from ASME Code Section XI Requirements for Plant,Units 1 & 2 0CAN059903, Monthly Operating Repts for Apr 1999 for Ano,Units 1 & 2. with1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Ano,Units 1 & 2. with ML20206F0691999-04-29029 April 1999 Safety Evaluation Accepting Licensee Re ISI Plan for Third 10-year Interval & Associated Requests for Alternatives for Plant,Unit 1 ML20205M6941999-04-12012 April 1999 Safety Evaluation Granting Relief for Second 10-yr Inservice Inspection Interval for Plant,Unit 1 ML20205D6061999-03-31031 March 1999 Safety Evaluation Supporting Licensee Proposed Approach Acceptable to Perform Future Structural Integrity & Operability Assessments of Carbon Steel ML20205R6351999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Ano,Units 1 & 2. with ML20205D4711999-03-26026 March 1999 SER Accepting Util Proposed Alternative to Employ Alternative Welding Matls of Code Cases 2142-1 & 2143-1 for Reactor Coolant System to Facilitate Replacement of Steam Generators at Arkansas Nuclear One,Unit 2 ML20204B1861999-03-15015 March 1999 Safety Evaluation Authorizing Licensee Request for Alternative to Augmented Exam of Certain Reactor Vessel Shell Welds,Per Provisions of 10CFR50.55a(g)(6)(ii)(A)(5) 0CAN039904, Monthly Operating Repts for Feb 1999 for Ano,Units 1 & 2. with1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Ano,Units 1 & 2. with ML20212G6381999-02-25025 February 1999 Ano,Unit 2 10CFR50.59 Rept for 980411-990225 ML20203E4891999-02-11011 February 1999 Rev 1 to 97-R-2018-03, ANO-2,COLR for Cycle 14 ML20199F0351998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Ano,Units 1 & 2 ML20198M7841998-12-29029 December 1998 SER Accepting Util Proposal to Use ASME Code Case N-578 as Alternative to ASME Code Section Xi,Table IWX-2500 for Arkansas Nuclear One,Unit 2 0CAN129805, LER 98-S02-00:on 981124,security Officer Found Not to Have Had Control of Weapon for Period of Approx 3 Minutes Due to Inadequate self-checking to Ensure That Weapon Remained Secure.All Security Officers Briefed.With1998-12-11011 December 1998 LER 98-S02-00:on 981124,security Officer Found Not to Have Had Control of Weapon for Period of Approx 3 Minutes Due to Inadequate self-checking to Ensure That Weapon Remained Secure.All Security Officers Briefed.With ML20196F4911998-12-0101 December 1998 SER Accepting Request for Relief ISI2-09 for Waterford Steam Electric Station,Unit 3 & Arkansas Nuclear One,Unit 2 ML20198D2441998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Ano,Units 1 & 2. with ML20199F7401998-11-16016 November 1998 Rev 9 to ANO-1 Simulator Operability Test,Year 9 (First Cycle) ML20195B4801998-11-0707 November 1998 Rev 20 to ANO QA Manual Operations ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program 0CAN119808, Monthly Operating Repts for Oct 1998 for Ano,Units 1 & 2. with1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Ano,Units 1 & 2. with ML20197H0741998-10-29029 October 1998 Rev 1 to Third Interval ISI Program for ANO-1 ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual ML17335A7641998-10-22022 October 1998 LER 98-004-00:on 980923,inadvertent Actuation of Efs Occurred During Surveillance Testing.Caused by Personnel Error.Personnel Involved with Event Were Counseled & Procedure Changes Were Implemented.With 981022 Ltr ML20154J2471998-10-0909 October 1998 SER Accepting Inservice Testing Program,Third ten-year Interval for License DPR-51,Arkansas Nuclear One,Unit 1 0CAN109806, Monthly Operating Repts for Sept 1998 for ANO Units 1 & 2. with1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for ANO Units 1 & 2. with ML20154E2171998-09-28028 September 1998 Follow-up Part 21 Rept Re Defect with 1200AC & 1200BC Recorders Built Under Westronics 10CFR50 App B Program. Westronics Has Notified Bvps,Ano & RBS & Is Currently Making Arrangements to Implement Design Mods 0CAN099803, Monthly Operating Repts for Aug 1998 for ANO Units 1 & 2. with1998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for ANO Units 1 & 2. with ML20237B7671998-08-19019 August 1998 ANO REX-98 Exercise for 980819 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML20236X2351998-08-0505 August 1998 Part 21 Rept Re Defect Associated W/Westronics 1200AC & 1200BC Recorders Built Under Westronics 10CFR50,App B Program.Beaver Valley,Arkansas Nuclear One & River Bend Station Notified.Design Mod Is Being Developed 0CAN089804, Monthly Operating Repts for July 1998 for Ano,Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Ano,Units 1 & 2 ML20196C7831998-07-30030 July 1998 Summary Rept of Results for ASME Class 1 & 2 Pressure Retaining Components & Support for ANO-1 ML20155H7161998-07-15015 July 1998 Rev 1 to 96-R-2030-02, Revised Reactor Vessel Fluence Determination ML20236R0531998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Ano,Units 1 & 2 ML20249B7791998-06-22022 June 1998 Part 21 Rept Re Findings,Resolutions & Conclusions Re Failure of Safety Related Siemens 4KV,350 MVA,1200 a Circuit Breakers to Latch Closed ML20249B5091998-06-15015 June 1998 SG ISI Results for Fourteenth Refueling Outage 1999-09-30
[Table view] |
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Arkanees Power & Upht Company O 42 est Captal
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- Lt' tic R;ck AR 72203 Tot 501377 403D i
Octouer 12, 1989 ICAN198989 U. S. Nuclear Regulatory Commission Document Control Desk Mail Station P1-137 Washington, D. C. 20555
SUBJECT:
Arkansas Nuclear One - Unit 1 Docket No. 50-313 License No. DPR-51 Licensee Event Report No. 50-313/89-028-00 Gentlemen:
In accordance with 10CFR50.73(a)(2)(1)(B), (a)(2)(ii)(B), (a)(2)(v) and (a)(2)(vii), attache (t is the subject report concerning a wiring error due to inadequate configuratioa controls which resulted in two inoperable Service Water pumps.
Very truly yours, O -
E. . Ewing l
General Manager, l Technical Support and Assessment 1
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- Regional Administrator l Region IV U. S. Nuclear Regulatory Commission l
611 Ryan Plaza Drive, Suite 1000 Arlington, TX 76011 INPO Record *, Center 1500 Circle 75 Parkway r
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NRC Fore 366 U.$. Nuclear Regulatory Commission (9 83) Approved DMB No. 3150 01D4 Empires: 8/31/8b l L1CEN$EE EYENT REP 0R1 (L E R)
FACILITY NAME (1) Arkansas Nuclear One. Unit One IDOCAET NJMBIR (2) IPAGE (3) 10161010101 31 11 31110F1016 TITLE (4) Wiring Error Due to Inspequate Configuration Control Results in Two Inoperable Service water Pumps EVENT DATE (5) .ER NUMBER (6) 1 REPORT DATE (7) OTHER F AC]LITIf 51NVOLVED (8) l i i I Lequentiell lRevisioni i i i Month! Day lYear lYear l l Nuatier i i Number IMonthi Day lYear i Facility Names IDocket Nunber(s) 1 1 1 1 I i 1 i i i i 101 >10 010 1 1 Of 91 Il 21 81 91 81 91*-I 01 21 BI--I 01 01 11 01 11 21 81 91 101 ilo 000 t I
' 0PERATING l ITM11 REPORT 15 SUBMITTED PUR5 DANT TO THE REQUIREMENTS Of 10 CFR $;
MODE (9) i Ni (C 4ck one or more of the followinn) (11)
POWERI l__l 20.402(b) l__l 20.406(c) l__l 50.73(a)(2)(iv) l__l 73.71(b)
LEVELI l__l 20.415(a)(1)(1) l__l 50.36(c)(1) l_31 50.73(a)(2)(v) l__l 73.71(c)
(10) 1017141 1 20.4;5(a)(1)(11) l 60.36(c)(2) l_31 50.73(a)(2)(vit) l__l Other-(Specify in l__l 20.405(a)(1)(111) l[]ll50.73(a)(2)(1) l__l 50.73(a)(2)(viii)(A)I Abstract below and l__l 20.406(a)(1)(iv) l_31 60,73(a)(2)(11) l__l 60.73(a)(2)(v111)(B)l in Text. NRC Form I I 20.406(a)(1)(v) i 1 60.72fe)(2)(111) i 1 0.7)(a)(2)(x) I 366A)
L]CfM5ft CONTACT FOR THIS L R (12) l Telephone Number
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Name lArea l Julie D. Jacks. Nuclear safety and Licensing Specialist (Code i
!$10111916181-13111010 COMPLlT[ DN( LINf FOR ( ACH COMPONfNT FAILURE DESCR]p[D IN THIS RIPORT (13) i i i IReportablel I i i i IReportabiel Causel5vsteel Coenonent IManufactureel to N?RDS I ICausel5ysteel Component IManuf acterert to NPRDS I I i i l 1 i l i l i i l i l l l l I I l i i 1 I i l l I I i 1 I l l l 1 1 i i i i l i l i l i
! l I l l l l l l l 1 1 1 I I I I I l I I I 1 1 I SUPPLEM[NT REPORT EkPECTED (le) i EXPEC1ED l Month Day lYear
~ i SUBN!5510N 1 I l l Yes (if yes. conolete Expected Suboission Date) III No 1 DATf (15) l I i l i 1 A6? TRACT (Limit to 1400 spaces i.e.. approximately fif teen single space typewritten lines) (16)
On 09/12 13/89, an extra contact was found in the control circuits for Service Water pumps P4A and P4C which was not shown on the pumps' control circuit schematics. Under certain required starting conditions (e.g. , an Engineeren 5mfeguards actuation signal prior to or without a main ponerator lockout, causing a " slow" transfer to off-site power), the extra contacts would have caused the *enti-pump" circuit in the power supply breakers for the pumps to lockout the close signal to the breakers. This would prevent an automatic (as designed) or manual control room start of the pumps. Both P4A and P4C were declared inoperable until the circuit was modified and testen on 09/15/89. The event is considered safety significant due to the potential for loss of the Service Water System. The wiring error was detereined to be the result of inadequate configuration control during the design, construction, and startup phases of A40-1. A program of wiring inspections was initiated on both ANO-1 and AN0*2 to provide assurance that no additional safety significant wiring discrepancies existed. Although additional discrepancies have been identified, none have been found to be safety sigr.ificant. Further long-tere actions will resolve the identified discrepancies by revising drawings and/cr equipment as necessary.
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Form 1062.018 I NRC Fem M6A U.S. Nuclear Regulatory Coemission I (9-83) Approved One No. 31bO-0104 !
Empirest 4/31/85 LICENSEE TVENT REPORT (LER) TEXT CONTINUATION ]
FACILITY hapE (1) IDOCKET NVISER (2) l 1
.ER NLpMR ($1 1 PAGE (3) l l l lSeque3ttall luvisioni A konses Nuclear One, Unit One l l Vearl I Number I i n gggy,,1 ;
10161010101 31 11 31 el 91- I 01 21 81 -t 03 0101210F10lf> j YM(If more space is required, use asettional NRC fers 3MA's) (17) j
>4 A. Plant Status a
At the time of the discovery of this condition, Arkansas Nuclear One, Unit One (AND 1) was I operating at 74 percent of full power. l S. Event Description j During the recent NRC 01 agnostic Evaluation Team Inspection (August 21 - September 16, 1989), an issue relating to wiring discrepancies was brought to the attention of Arkansas Power & Light (AP6L) by the NRC evaluators. In response to this issue, AP&L performed selected inspections '
of the electrical schematic diagrams against the as built wirini' configuration of UtD-1 control room cabinets which contain Engineered Safeguards Actuation Systems control circuits. On .
i Septesener 12, 1989, a wiring disempancy was discovered relating to the ANO-1 Service Water pump !
j' [ti-P) control circuit. A relay contact not shown on the schematic diagram was found to be wired i in the control circuit located in the control room for the ' A' Service Water pump motor breaker.
- An evaluation of the discrepancy, completed September 13, 1999, determined that the exwa contact ;
would prevent the closure of the breaker for Service Water pump P4A if an Engineered Safeguards -
(ES) actuation signal occurred prior to or without a main generator lockout. The same wiring l trror was also found in the control circuit for Service Water pump P4C, ,
The Service Water pumps are powered from vital 4160V AC busses A3 and A4, which in turn are supplied by non-vital 4160V AC busses Al and A2. Busses Al and A2 are fed by either one of the two l transfomers which supply off site oower or by the unit sumiliary transformer (UAT), supplied by the ;
main generator. During nomal power operations, busses Al and A2 are supplied by the UAT. If a main generator lockout occurs (e.g.. a reactor trip), the UAT feeder breakers trip and busses A1 and A2 will " fast" transfer to en off site power source, provided that no out-of-synchronisation condition i saists between the UAT and the of f site source. When a " fast" transfer occurs, the busses do not .
see an undervoltage condition. An E5 signal will also trip the UAT feeder breakers to busses A1 !
and A21 however, without the generator lockout there is no "f ast" transfer enabled. Instead, !
busses Al and A2 will " slow" transfer to an off* site source on undervoltage on the busses. A i
" slow" transfer and its associated undervoltage condition causes a trip of the running Service Water pumps. The " slow" transfer is nomally completed in less than two seconfs and the running Service Water pumps are designed to automatically restart. An ses.rgency diesel generator for each vital bus, A3 and A4, would also start on the undervoltage condition but would not tie on to supply ;
power to the vital busses as a " dead bus" condition would not exist.
The extra contact in the P4A and P4C control circuit would have affected the ability of the pumps [
to restart if an E5 signal was present and busses Al and At completed a " slow" transfer to an ;
off-site source, e.g., a spurious E5 signal for both trains of E5 during power operations, or an ,
E5 signe) initiated prior to the ponerator lockout as could occur on a large break LOCA with a !
rapid depressurization of the Reactor Coolant System. an E5 signal alone (with no ponerator '
lockout) would result in a " slow" transfer of busses Al and A2, and the extra contact in the P4A
, and P4C control circuit would have caused the " anti pap" circuit in the breakers to lock out the l close signal to the breakers, effectively disabling P4A and P4C. Although the breakers could j still have been mechanically closed locally at the breakers, the extraneous contact in the circuit I would have prevented the breakers from being electrically closed, either automatically, manually ,
- l. from the handswitches in the Control Room, or locally at the breakers. l Seth pumps were declared inoperable at 2245 hours0.026 days <br />0.624 hours <br />0.00371 weeks <br />8.542225e-4 months <br /> on September 13, 1989, placing ANO 1 in a l 36 hour4.166667e-4 days <br />0.01 hours <br />5.952381e-5 weeks <br />1.3698e-5 months <br /> time clock in accordance with the Lietting Condition for Operation (LC0) associated with i.
Technical Specification 3.3.6. Service Water pump P48 was not affected by the wiring error and I was operable. On September 15, 1989, t oth pumps were declared operable af ter performance of a j modification to remove the contacts and functional testing of the breakers. Pump P4C was declared operable at 0255 hours0.00295 days <br />0.0708 hours <br />4.21627e-4 weeks <br />9.70275e-5 months <br /> and P4A at 2100 hours0.0243 days <br />0.583 hours <br />0.00347 weeks <br />7.9905e-4 months <br />.
l l Further investigations of the wiring error indicated that the error occurred during the initial l construction of ANO 1. Therefore, Service Water pumps P4A and P4C had been inoperable since that time.
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Form 1062.018 NRC Ft.m 366A U.S. Nuclear Regulatory Commission (9 83) Approved ONB No. 3150 0104 ,
Expires: 8/31/85 ;
LICENSEE EVENT REPORT (LER) TEXT CONT]NUATION <
I FACILITY NAME (1) l DOCKET NdNBER (2) l tfR Nt#SER (6) l PACL (3) l l l 15equentiall (Revision]
Arkansas Nuclear One. Unit One l . l Yearl i Number l Number l '
10151010101 31 11 31 81 91 -I 01 21 ti-- 01 Ol01310F1015 ,
- i. TEXT (If more space is required, use additionel NRC Fom 366A's) (17) i
't C. Safety Significance The Technical Speciffcations for ANO-1 require two out of three Service Water pumps to be operable whenuver containment integrity is required. Only one pump is necessary to mitigate the consequences of an accident. During the majority of the time that P4A and P4C were inoperable, P48 was operable and should have been available for accident mitigation had P4A and P4C faileo to start. However, there are several factors which make this event safety significant. Two Service Water pumps were effected by the wiring errors. Under the conditions described, the pumps would not have restarted automatically as designed nor could the operators have manually started the pumps from the control room handswitches. Also, the Service Water Sysr.em is a necessary support system for other E5 cosponents, such as the emergency diesel penarators, high pressure injection, and low pressure injection. A loss of Service Water could result in the f ailure of these systems to perfore their functions, which are necessary for safe shutdown of the unit and for accident mitigation.
D. Root Cruse A review of previous revisions of the applicable electrical schematic was conducted to determine when the extraneous contact was deleted from the drawing. Revision 10, issued in May 1974, revised the scheme to show the contact deleted. (Revisions 1 through 10 were issued during the design, construction, and startup phases on AND-1.) However, for reasons which could not be determined, the contact was not removed from the control circuits for P4A ..nd P4C, even though the schematic was revised to delete it. The related vendor connection drawings were not revised until approximately two years later. Apparently the vendor prints were not actually *as built" when turned over to AP&L by tie Architect /f ngineer (Sechtel) since the drawings show the extra contact in various states of being removed from the circuit.
The root cause of the event was inadequate configuration control during the design, construction, and startup phases of AND-1. A contributing cause was the failure to ptoperly implement a change to the circuit.
E. Basis for Reportability As two of the three Service Water pumps were inoperable for a period of time longer than allowed by the associated Technical Specification LCO, this condition resulted in operation prohibited by the Technical Specifications and is therefore reportable in accordance with 2f.CFR50.73(a)(2)(1)(B).
, Also, since the same condition was found to af fect both P4A and P4C, a loss of the Service Water 1 System could have occurred if P48 had been inoperable or had f ailed during the postulated sequence l
of events. As the Service Water System did not meet single failure criteria during the time P4A and P4C were inoperable, this condition is considered to be outside the design basis of the plant and is therefore reportable in accordance with 10CFR50.73(a)(2)(11)(B). This condition is also reportable in accordance with 10CFR50.73(a)(2)(v), a condition that alone could have prevented the fulfillment of the safety function of a system needed to maintain safe shutdown of the reactor.
l remove residual heat, or r,itigate the consequences of an accident. 51m11erty, in this event a j single cause or condition caused two independent trains to become inoperable in a system designed to maintain safe shutdown of the reactor, remove residual heat, or mitigate the consequences of an
( accident, and is therefore reportable in accordance with 20CFR50.73(a)(2)(vii).
1 l This condition was reported to the NRC Operations Center on September 13,1989, at 2330 hours0.027 days <br />0.647 hours <br />0.00385 weeks <br />8.86565e-4 months <br />, in I
accordance with 10CFR50.72(a)(2)(111).
F. Corrective Actions Due to the potential generic implications of this wirin0 discrepancy, AP&L promptly initiated an action plan to inspect selected additional safety related electrical equipment in the control rooms on both units at ANO. The objective of this action plan was to provide assurance through a sampling program that no additional safety significant wiring discrepancies existed between the as built configuration and the electrical schematic diagrams, connections diagrams, or vendor drawings, l
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Form 1062.018 ~j
' NRC F6m 36&A U.S. Nuclear Regulatory Commission i
"(9 83) Approved DNR No. 3160 0104 Iapires: 4/3) '% )
LIC(N$(( EV[NT REPORT (LER) T1X1 CONTIN 0AT10N ]
i FACit!TY NAML (1). 100ChEl NONDER (2) i .tk NueEtt (6) l PAGE (3) J l l l lioquentiall IRevisioni i Arkansas Nuclear One, Unit One l l Yearl I humber '
Number 1 )
10l$1010101 31 11 al el 91--I 01 21 8 --' 01 Ol014 M 10lb ,
TEKT (If more space is required, use additional NRC fore 3 %A's) (17) ,
i This inspection plan consisted of the following:
- 1. Identification of wiring by scheme numbers;
- 2. Field verification of schemes by visual inspection of control panels, teminal blocks and I internal component connections; I
- 3. Analysis of schematic wiring discrepancies for functional impact; and J
4 Initiation of additional actions as required based on the results of the analyses perfomed.
A three pttle approach was developed to perform the inspections. Phase 1 consisted of inspentons l and analyses of 4160V safety-related pump schemes in control panels for both units' control rooms. ;
Phase 2 consisted of inspections and analysis of additional teminal block connections in the same ,
l panels. Phase 3 currently in progress, consists of edditional inspections and verifications of a !
larger variety of electrical control cabinets and motor control centers both inside and outside !
the ANO 1 control room. This is being done to provide additional assurance that no further safety issues exist.
Phase 1 was completed on September 18, 1989, and Phase 2 was completed on September 19, 1989.
Although numerous drawing discrepancies were discovered, the results of the Phase 1 and 2 inspections ,
and evaluations indicate that significant safety concerns do not exist in the wiring configurations :
of safety related electrical equipment at ANO. Based on the results of these inspections, the ;
schemes have been detemined to accurately reflect the required logic, and equipment operation can be anticipated 6s designed. Other than the relay contact circuit found in the ' A' and 'C' Service ;
Water pumps, no ' sneak circuits or unknown failure modes of equipment were discovered during '
i Phases 1 and 2. The discr6pancies identified were primertly associated with the interna 3 connection diagrams (commonly referred to as vendor prints) and consisted mainly of errors such as deficient or incorrect labeitng and indications of spare wiring shown on internal connection diagrams that t does not exist physically in the plant.
Phase 3 of the inspection plan, which applied to AND*1 only, expanded the sample site to include additional safety-related cabinets and components both inside and outside the ANO-1 control room.
These inspections have been completed. A review of the identified discrepancies found none to be safety significant. The formal documentation and resolutions of the identified discrepancies are still pending. i Actions for ANO 2 beyond Phase 2 have been developed into e verification project plan which has !
been initiated during the current AND-2 refueling outage 2R7. Based on the results of the Phase I 1 and Phase 2 inspections, the following criteria were developed to determine priorities for f further wiring inspections: t
- 1. Nature of the cabinet construction Cabinets with many discrete components and single conductor wiring with torsinal blocks for external cables have many more field accessible teminations and therefore, the potential '
for more errors. ,
- 2. Date of installation Equipment installed in the last few years was installed with enhanceo configuration control (e.g., better labeling, more thorough testing) and is less Itkely to have had a significant number of modifications since installation. +
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- 3. Number of modifications performed .
Equipment with few modifications has had fewer deswing revisions, hence less chance of errors.
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Form 10f.t.018 i NRC Fem SMA U.S. Nuclear Regulatory Consission l (9-83) Approved DM8 No. 3160 0104 r Empires 8/11/85 L!rtfistt tel REPORT (LER) TEXT CONTINUATION !
~
s FACILITY NAME (1) lDOCKEl NMER (2) l LEW W M IR (6) l PAGL (3) l l l 15eguentiell lRevisioni Arkansas Nuclear One. Unit One- l 1. Year i N.ater i Nueuer i 10lbl010101 31 Il 31 el 9 1 Oi 71 St.- Oi 0101610Fl016 j TEXT (If more space is required, use eeditiona) NRC Fom 3MA's) (17)
- 4. Function of equipment ,
' Safety-related equipeer:t with the greatest potential fo4 plant impact w111 be verified first.
{
- l. Amount of internal single conductor wiring !
Equipment with a high number of teminations has the poteritial for more disempancies.
t Based on visual inspections *ngineering judgement, the known history of each cabinet, ano the I criteria listed above, the AND 2 cabinets which are designated 'Q' and '$' were evaluated and i the cabinets to be inspected during the 2R7 outage were selected. The 'Q' 480V actor contro) ;
centers were already scheduled to be inspected during this outaget the inspection criteria was enhanced due to this event. For the equipment selected to be inspected, scheme drawings will be marked up and evaluated for discrepancies in accordance with guidelines developed for the project.
For both AND 1 and AND 2, drawings with identified wiring discrepancies will be revised with a
Penting" note until the discrepancy 16 resolved and the drawing is updated appropriately. Also, t long tere plans for resolving the identified wiring discrepancies are being developed. Drawings !
and/or equipment will be corrected as appropriate. This effort will also include actions such as s'nsuring adequate labeling of components, verifying equipment meets housekeeping requirements, and verifying that fiberglass sleeving is adequate for separation criteria.
G. Additfonal Infomation The following Licensee Event Reports have been subettted concerning wiring errors which affected >
or potentially affected equipment operability
Testing :
t LER 50-313/88-004-00 Reactor Building Hydrogen Concentration Instrument Inoperable due to >
Inadequate Post-Modification Testing !
LER 50-313/88-013 01 Potential Failure of a High Pressure Injection Pump ts $ tart on Engineered Safeguards signal due to a treaker Wiring Error j Additionally, LER 50 313/89-002-00 discusses a reactor trip event which was coq 11cated by a wiring l error in the Integrated Control tystem af fecting the startup and low load feedwat6r control valves.
Energy Industry identification System (EIIS) codes are identified in the text as (KX). .
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