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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046C2121993-07-30030 July 1993 LER 93-004-01:on 930301,confirmed That Channel D Axial Shape Index (Asi) Being Calculated in Reverse Since 921031-930301 Due to Drawing Discrepancies Associated W/Control Channel B. Temporary Mod 92-078 & Standing Order 0-25 Revised ML20046A8691993-07-26026 July 1993 LER 93-011-00:on 930624,experienced Reactor Trip Due to Loss of Load.Caused by Lack of Proper Job Planning,Lack of Formal Decision Making Process & Incomplete Communications.Training Will Be Provided to Operations personnel.W/930726 Ltr ML20045H2561993-07-12012 July 1993 LER 93-010-00:on 930611,1 of 14 Halon Cylinders Did Not Meet Min Pressure Acceptance Criteria Listed in Semiannual Switchgear Rooms Surveillance Test.Caused by Failure of Test to Include Necessary Steps.Cylinder recharged.W/930712 Ltr ML20045D7201993-06-22022 June 1993 LER 93-009-00:on 930524,apparent Spurious Signal from Pressurizer Level Instrumentation Caused Backup Charging Pumps to Automatically Start,Due to Deterioration of Wiring. Instrument Loop Calibration Will Be performed.W/930622 Ltr ML20045D3741993-06-21021 June 1993 LER 93-008-00:on 930520,determined That TS SR Not Satisfied for Stack Flow Indicator,Per Amend 137 Issued on 910307. Caused by Lack of Attention to Detail.Calibr & Functional Test Procedures developed.W/930621 Ltr ML20044H5261993-06-0101 June 1993 LER 93-007-00:on 930430,unplanned Emergency Generator Start & Rt Signal Occurred.Caused by Inadequate Attention to Detail,Labeling of Fuse Drawers,Caution Signs & Training. Labeling & Caution Signs upgraded.W/930601 Ltr ML20044G4941993-05-26026 May 1993 LER 93-006-00:on 930118,Halon Fire Suppression Sys for Switchgear Rooms Disabled to Allow Repair/Replacement of Halon Sys Piping.On 930427,individual Responsible for Fire Watch Not Present.Individual Relieved of Responsibilities ML20044B6711993-02-22022 February 1993 LER 93-002-00:on 930122,determined That Current SG LP Signal Block Reset Values Greater than Allowed Ts.Caused by Improper Design.Test Procedures Will Be Revised by 930917 to Specify Desired Value for Block function.W/930222 Ltr ML20024G6821991-04-19019 April 1991 LER 91-007-00:on 910320,480 Volt Circuit Breaker Coordination Outside Design Basis.Caused by Deficiencies in Original Sys Design.Breaker/Fuse Coordination Study to Be Completed & Problems Will Be corrected.W/910419 Ltr ML20029C1591991-03-21021 March 1991 LER 91-004-00:on 910212,offsite Power Low Signal Outside Design Basis.Caused by Inadequate Mod Design at Time of Performance of Original Degraded Voltage Analysis. Engineering Analysis EA-FC-91-017 performed.W/910321 Ltr ML20029C1051991-03-18018 March 1991 LER 91-002-00:on 901209,ventilation Isolation Actuation Signal Generated by High Alarm on Process Radiation Monitor RM-062.Caused by Accumulation of Noncondensible Gases in Sample Piping.Valve Packing Leak repaired.W/910318 Ltr ML20029A2981991-02-0808 February 1991 LER 91-001-00:on 910109,determined That Containment Tendon Surveillances Performed in 1981 & 1985 Did Not Reflect Guidance in Tech Specs.Caused by Inadequate Administrative Controls.Testing Program Plan implemented.W/910208 Ltr ML20029A2971991-02-0606 February 1991 LER 90-022-02:on 900907,approx 460 Fire Barrier Penetration seals,60 Fire Dampers & 6 Fire Doors Declared Nonfunctional Per NRC Info Notice 88-004 Due to Lack of Documentation. Plant Outage Required to Implement Repairs/Replacements ML20028G9171990-09-28028 September 1990 LER 90-021-00:on 900829,inadvertent Reactor Protective Sys Actuation Occurred While Operator Changed Power Source. Caused by Operator Not Following Proper Procedures.Operator counseled.W/900928 Ltr ML20044B0131990-07-12012 July 1990 LER 90-018-00:on 900612,reactor Protective Sys (RPS) Trip Units for Axial Power Distribution Determined to Be Inoperable.Caused by Procedural Deficiencies.Procedure Revised & RPS Surveillance Tests reviewed.W/900712 Ltr ML20043F6301990-06-11011 June 1990 LER 90-016-00:on 900511,accident Scenarios Identified by Which Auxiliary Feedwater Piping from Discharge of Turbine Driven Auxiliary Feedwater Pump FW-10 Can Be Overpressurized.Caused by Design deficiency.W/900611 Ltr ML20043F2441990-06-0707 June 1990 LER 90-015-00:on 900507,PORV Variable Setpoints Used for Low Pressure Overpressure Protection Determined to Be Nonconservative for PORV Opening Time.Caused by Design Deficiency.Tech Spec Amend prepared.W/900607 Ltr ML20043C0991990-05-29029 May 1990 LER 90-014-00:on 900427,investigation Revealed That Component Cooling Water Piping to Reactor Coolant Pump Seal Coolers Could Be Targets of High Energy Line Break.Safety Analysis for Operability completed.W/900529 Ltr ML20042G7211990-05-10010 May 1990 LER 90-011-00:on 900402,inadvertent Actuation of Pressurizer Pressure Low Signal Occurred While Performing Calibr Procedure.Caused by Inappropriate Action by Technician Involved.Validation of Procedures reviewed.W/900510 Ltr ML20042E6871990-04-23023 April 1990 LER 90-007-01:on 900228,determined That Several Supports Would Be Overloaded During Seismic Event on Nonsafety Related & safety-related Main Steam Piping.Caused by Design Deficiency.Piping Supports modified.W/900423 Ltr ML20042E6861990-04-23023 April 1990 LER 90-009-00:on 900316,potential Overpressurization of Auxiliary Feedwater Piping Could Have Occurred During Thermal Expansion of Process Fluid Between Closed Valved. Caused by Design deficiencies.W/900423 Ltr ML20012E7641990-03-26026 March 1990 LER 90-005-00:on 900223,determined That Spent Fuel Pool Area Charcoal Filtration Unit VA-66 Was Outside Design Basis. Caused by Insufficient Airflow Into Unit.Affected Updated SAR Analysis Will Be updated.W/900326 Ltr ML20012D0121990-03-19019 March 1990 LER 90-004-00:on 900217,lift Pressures for 6 of 10 Main Steam Safety Valves Found Outside Acceptance Criteria. Caused by Overly Restrictive Operability Criteria.Valves Recalibr & License Amend Submitted to NRC.W/900319 Ltr ML20012D0101990-03-19019 March 1990 LER 90-003-00:on 900216,determined That Auxiliary Feedwater Piping Outside Normal Stress Limits of ASME Code & Design Basis Specified in Updated Sar.Caused by Design Deficiency.Valve Operators Will Be inspected.W/900319 Ltr ML20012B6361990-03-0909 March 1990 LER 89-017-01:on 890624,internal Valve Component from Check Valve Found Lying on Pump Discharge Vane.Repair or Replacement of Valve Internals Could Not Be Accomplished within Time Requirement of Tech Spec.W/900309 Ltr ML20006E1041990-02-0909 February 1990 LER 90-001-00:on 900108,fire Barrier for Wall Between Auxiliary Bldg Rooms 26 & 34 Breached But Hourly Fire Watch Patrol Not Established.Caused by Lack of Sufficient Training for Shift Supervisors.Standing Order revised.W/900209 Ltr ML20011E2691990-02-0505 February 1990 LER 89-024-00:on 891221,determined That Containment Spray Pumps & Suction Header Piping Not Constructed for Use as Backup to LPSI Sys for Shutdown Cooling.Caused by Inadequate Review of Assumptions.Firewatch established.W/900205 Ltr ML20011E2271990-02-0101 February 1990 LER 89-021-00:on 891010,util Informed by C-E of Potential Nonconservative Setpoint in Reactor Protection Sys Thermal Margin/Low Pressure Trip Unit.Caused by Error in Incorporating Transient Setpoint analyses.W/900201 Ltr ML20005F7151990-01-10010 January 1990 LER 89-023-00:on 891211,hourly Firewatch Patrol Entered Posted High Radiation Area W/O Meeting Entry Requirements for Area.Briefings on High Radiation Entry Requirements Held for Personnel W/Assigned dosimetry.W/900110 Ltr ML19354D6381989-12-20020 December 1989 LER 89-022-00:on 890805,change to Surveillance Procedure ST-CEA-1 Became Effective Which Would Have Made Both Emergency Diesel Generators Simultaneously Inoperable During Portion of Test.Change removed.W/891220 Ltr ML19332E7431989-12-0808 December 1989 LER 88-037-01:on 881214,one of Two Supply Headers Supplying Fire Suppression Headers in Auxiliary Bldg Isolated.Caused by Lack of Procedural Guidance & Inadequate Procedural Controls.Standing Order G-58 Will Be revised.W/891208 Ltr ML19332E2681989-12-0101 December 1989 LER 89-016-02:on 890616,for Unknown Period Since 890614, Auxiliary Feedwater Pump FW-10 Operated Outside Design Basis for Certain Accident Conditions.Caused by Inoperable Speed Control Loop.Action Plan implemented.W/891201 Ltr ML19351A4541989-11-22022 November 1989 LER 89-020-00:on 891012,determined That Two of Four Component Cooling Water HXs Simultaneously Inoperable for More than 24 H.Caused by Inadequate Controls Re Return of Equipment to Svc.Standing Order revised.W/891122 Ltr ML19327B5481989-10-24024 October 1989 LER 89-019-00:on 890924,indication of High Temp for Reactor Coolant Pump RC-3A Upper Motor Thrust Bearing Received in Control Room.Caused by Damaged Cable for Bearing Resistive Temp Device.Damaged Cable replaced.W/891024 Ltr ML19325D2471989-10-13013 October 1989 LER 89-012-01:on 890502,main Feedwater Isolation Valve to Steam Generator a Found Inoperable Due to Improperly Set Torque Switch.Caused by Inadequate Program for Maint of Motor Operated Valves.Torque Switches reset.W/891013 Ltr ML20028C7711983-01-0606 January 1983 LER 82-020/03L-0:on 821207,during Main Steam Safety Valve Test,Four Main Steam Safety Valves Had Lift Setpoints Out of Tolerance.Caused by Normal Drift of Valves Over Operating Cycle.Valves Readjusted ML20028B5451982-10-28028 October 1982 LER 82-019/03L-0:on 821024,MSIVs HCV-1041A & HCV-1042A Stopped Three to Four Degrees Off Seat When Signaled to Close.Caused by Binding Between Valve Packing & Shaft. Packings Sprayed W/Penetrant Oil ML20052J0631982-04-27027 April 1982 LER 82-009/03L-0:on 820411,while Exchanging Component Cooling Water Heat Exchangers,Associated Outlet Valves HCV-490B,HCV-491B & HCV-492B Failed to Open.Cause Not stated.HCV-491B Reassembled & Tested ML20052B2361982-04-0707 April 1982 LER 82-006/03L-0:on 820323,during Surveillance Test ST-ISI- WD-1,F.1,valve HCV-506A Failed to Close Via Control Room Switch.Caused by Solenoid Valve Malfunction.Solenoid Valve Disassembled,Cleaned & Reassembled ML20052D9291982-04-0606 April 1982 LER 82-008/03L-0:on 820330,during Performance of ST-FW-1, F.2(b)(6)per Tech Spec 3.9,steam Driven Auxiliary Feedwater Pump Failed to Start.Caused by Back Pressure Trip Lever in Tripped Position.Lever Reset ML20041G1291982-02-22022 February 1982 LER 82-005/03L-0:on 820210,at 98% Power,Control Element 24 Inserted Into Core.Emergency Procedure EP-13,CEDM Malfunctions,Implemented & Power Stabilized at 88%.Caused by Erroneous Operating Instruction.Instruction Changed ML20041F7481982-02-17017 February 1982 LER 82-003/03L-0:on 820203,containment Isolation Valve Associated W/Gas Vent Header HCV-507A Failed to Close on Demand.Caused by Solenoid Valve Plunger Sticking in Energized Position.Plunger Freed ML20041F6251982-02-0505 February 1982 LER 82-004/03L-0:on 820203,small Quantity of Radioactive Gas/Particulate Released to Auxiliary Bldg During Routine Operation.Caused by Failure of Stack Gas Monitor RM-062 to Alarm at Appropriate Setpoint Due to Faulty Alarm Module ML20041B1051982-01-28028 January 1982 LER 82-002/03L-0:on 820114,at 99% Power,Lockout Relay 86B1, Containment Radiation High Signal,Failed to Actuate on Demand by Plant Radiation Monitoring Sys.Caused by Burnt Coil on Lockout Relay.Coil Replaced & Tested Satisfactorily ML20041B1171982-01-19019 January 1982 LER 82-001/03L-0:on 820111,during Normal Operation,Two Fire Barrier Penetrations Found Nonfunctional.Shift Supervisor Immediately Notified;However,Fire Watch Not Posted.Insp & Supervisor Personnel Instructed on Proper Actions ML20039B4561981-12-11011 December 1981 LER 81-011/03L-0:on 811113,containment Isolation Valves Opened & Ventilation Process Initiated W/Containment Air Monitor RM-050/051 Inoperable.Caused by Personnel Error. Valves Closed ML20010H8581981-08-27027 August 1981 LER 81-008/03L-0:on 810813,86B/CRHS (Containment Radiation High Signal) Lockout Relay Failed to Actuate When RM-062 Was Placed in Alarm,Resulting in Failure of 86B1/CRHS Relay to Actuate.Caused by Dirt in Relay Latching Mechanism ML20041F6291981-08-27027 August 1981 LER 81-008/03L-1:on 810813,containment Radiation High Signal 86B Lockout Relay Failed to Actuate When Radiation Monitor RM-062 Placed in Alarm.Caused by Bound Relay Latching Mechanism Due to Dirt & Grease.Latch Cleaned ML20010C2271981-07-0707 July 1981 LER 81-006/03L-0:on 810624,reactor Protection Sys Nuclear Power Recorder Channel B Trip Setpoints Determined to Be Nonconservative.Caused by Faulty Temp Change Power Calculation Due to Grounded Hot Leg Temp Loop ML20004B1111981-05-0606 May 1981 LER 81-005/03L-0:on 810423,dc Sequencer Timers AC-3A (Component Cooling Water Pump) & AC-102A (Raw Water Pump) Failed to Time Out within Prescribed Limit.Cause Unknown Mechanisms Satisfactorily Inspected 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046C2121993-07-30030 July 1993 LER 93-004-01:on 930301,confirmed That Channel D Axial Shape Index (Asi) Being Calculated in Reverse Since 921031-930301 Due to Drawing Discrepancies Associated W/Control Channel B. Temporary Mod 92-078 & Standing Order 0-25 Revised ML20046A8691993-07-26026 July 1993 LER 93-011-00:on 930624,experienced Reactor Trip Due to Loss of Load.Caused by Lack of Proper Job Planning,Lack of Formal Decision Making Process & Incomplete Communications.Training Will Be Provided to Operations personnel.W/930726 Ltr ML20045H2561993-07-12012 July 1993 LER 93-010-00:on 930611,1 of 14 Halon Cylinders Did Not Meet Min Pressure Acceptance Criteria Listed in Semiannual Switchgear Rooms Surveillance Test.Caused by Failure of Test to Include Necessary Steps.Cylinder recharged.W/930712 Ltr ML20045D7201993-06-22022 June 1993 LER 93-009-00:on 930524,apparent Spurious Signal from Pressurizer Level Instrumentation Caused Backup Charging Pumps to Automatically Start,Due to Deterioration of Wiring. Instrument Loop Calibration Will Be performed.W/930622 Ltr ML20045D3741993-06-21021 June 1993 LER 93-008-00:on 930520,determined That TS SR Not Satisfied for Stack Flow Indicator,Per Amend 137 Issued on 910307. Caused by Lack of Attention to Detail.Calibr & Functional Test Procedures developed.W/930621 Ltr ML20044H5261993-06-0101 June 1993 LER 93-007-00:on 930430,unplanned Emergency Generator Start & Rt Signal Occurred.Caused by Inadequate Attention to Detail,Labeling of Fuse Drawers,Caution Signs & Training. Labeling & Caution Signs upgraded.W/930601 Ltr ML20044G4941993-05-26026 May 1993 LER 93-006-00:on 930118,Halon Fire Suppression Sys for Switchgear Rooms Disabled to Allow Repair/Replacement of Halon Sys Piping.On 930427,individual Responsible for Fire Watch Not Present.Individual Relieved of Responsibilities ML20044B6711993-02-22022 February 1993 LER 93-002-00:on 930122,determined That Current SG LP Signal Block Reset Values Greater than Allowed Ts.Caused by Improper Design.Test Procedures Will Be Revised by 930917 to Specify Desired Value for Block function.W/930222 Ltr ML20024G6821991-04-19019 April 1991 LER 91-007-00:on 910320,480 Volt Circuit Breaker Coordination Outside Design Basis.Caused by Deficiencies in Original Sys Design.Breaker/Fuse Coordination Study to Be Completed & Problems Will Be corrected.W/910419 Ltr ML20029C1591991-03-21021 March 1991 LER 91-004-00:on 910212,offsite Power Low Signal Outside Design Basis.Caused by Inadequate Mod Design at Time of Performance of Original Degraded Voltage Analysis. Engineering Analysis EA-FC-91-017 performed.W/910321 Ltr ML20029C1051991-03-18018 March 1991 LER 91-002-00:on 901209,ventilation Isolation Actuation Signal Generated by High Alarm on Process Radiation Monitor RM-062.Caused by Accumulation of Noncondensible Gases in Sample Piping.Valve Packing Leak repaired.W/910318 Ltr ML20029A2981991-02-0808 February 1991 LER 91-001-00:on 910109,determined That Containment Tendon Surveillances Performed in 1981 & 1985 Did Not Reflect Guidance in Tech Specs.Caused by Inadequate Administrative Controls.Testing Program Plan implemented.W/910208 Ltr ML20029A2971991-02-0606 February 1991 LER 90-022-02:on 900907,approx 460 Fire Barrier Penetration seals,60 Fire Dampers & 6 Fire Doors Declared Nonfunctional Per NRC Info Notice 88-004 Due to Lack of Documentation. Plant Outage Required to Implement Repairs/Replacements ML20028G9171990-09-28028 September 1990 LER 90-021-00:on 900829,inadvertent Reactor Protective Sys Actuation Occurred While Operator Changed Power Source. Caused by Operator Not Following Proper Procedures.Operator counseled.W/900928 Ltr ML20044B0131990-07-12012 July 1990 LER 90-018-00:on 900612,reactor Protective Sys (RPS) Trip Units for Axial Power Distribution Determined to Be Inoperable.Caused by Procedural Deficiencies.Procedure Revised & RPS Surveillance Tests reviewed.W/900712 Ltr ML20043F6301990-06-11011 June 1990 LER 90-016-00:on 900511,accident Scenarios Identified by Which Auxiliary Feedwater Piping from Discharge of Turbine Driven Auxiliary Feedwater Pump FW-10 Can Be Overpressurized.Caused by Design deficiency.W/900611 Ltr ML20043F2441990-06-0707 June 1990 LER 90-015-00:on 900507,PORV Variable Setpoints Used for Low Pressure Overpressure Protection Determined to Be Nonconservative for PORV Opening Time.Caused by Design Deficiency.Tech Spec Amend prepared.W/900607 Ltr ML20043C0991990-05-29029 May 1990 LER 90-014-00:on 900427,investigation Revealed That Component Cooling Water Piping to Reactor Coolant Pump Seal Coolers Could Be Targets of High Energy Line Break.Safety Analysis for Operability completed.W/900529 Ltr ML20042G7211990-05-10010 May 1990 LER 90-011-00:on 900402,inadvertent Actuation of Pressurizer Pressure Low Signal Occurred While Performing Calibr Procedure.Caused by Inappropriate Action by Technician Involved.Validation of Procedures reviewed.W/900510 Ltr ML20042E6871990-04-23023 April 1990 LER 90-007-01:on 900228,determined That Several Supports Would Be Overloaded During Seismic Event on Nonsafety Related & safety-related Main Steam Piping.Caused by Design Deficiency.Piping Supports modified.W/900423 Ltr ML20042E6861990-04-23023 April 1990 LER 90-009-00:on 900316,potential Overpressurization of Auxiliary Feedwater Piping Could Have Occurred During Thermal Expansion of Process Fluid Between Closed Valved. Caused by Design deficiencies.W/900423 Ltr ML20012E7641990-03-26026 March 1990 LER 90-005-00:on 900223,determined That Spent Fuel Pool Area Charcoal Filtration Unit VA-66 Was Outside Design Basis. Caused by Insufficient Airflow Into Unit.Affected Updated SAR Analysis Will Be updated.W/900326 Ltr ML20012D0121990-03-19019 March 1990 LER 90-004-00:on 900217,lift Pressures for 6 of 10 Main Steam Safety Valves Found Outside Acceptance Criteria. Caused by Overly Restrictive Operability Criteria.Valves Recalibr & License Amend Submitted to NRC.W/900319 Ltr ML20012D0101990-03-19019 March 1990 LER 90-003-00:on 900216,determined That Auxiliary Feedwater Piping Outside Normal Stress Limits of ASME Code & Design Basis Specified in Updated Sar.Caused by Design Deficiency.Valve Operators Will Be inspected.W/900319 Ltr ML20012B6361990-03-0909 March 1990 LER 89-017-01:on 890624,internal Valve Component from Check Valve Found Lying on Pump Discharge Vane.Repair or Replacement of Valve Internals Could Not Be Accomplished within Time Requirement of Tech Spec.W/900309 Ltr ML20006E1041990-02-0909 February 1990 LER 90-001-00:on 900108,fire Barrier for Wall Between Auxiliary Bldg Rooms 26 & 34 Breached But Hourly Fire Watch Patrol Not Established.Caused by Lack of Sufficient Training for Shift Supervisors.Standing Order revised.W/900209 Ltr ML20011E2691990-02-0505 February 1990 LER 89-024-00:on 891221,determined That Containment Spray Pumps & Suction Header Piping Not Constructed for Use as Backup to LPSI Sys for Shutdown Cooling.Caused by Inadequate Review of Assumptions.Firewatch established.W/900205 Ltr ML20011E2271990-02-0101 February 1990 LER 89-021-00:on 891010,util Informed by C-E of Potential Nonconservative Setpoint in Reactor Protection Sys Thermal Margin/Low Pressure Trip Unit.Caused by Error in Incorporating Transient Setpoint analyses.W/900201 Ltr ML20005F7151990-01-10010 January 1990 LER 89-023-00:on 891211,hourly Firewatch Patrol Entered Posted High Radiation Area W/O Meeting Entry Requirements for Area.Briefings on High Radiation Entry Requirements Held for Personnel W/Assigned dosimetry.W/900110 Ltr ML19354D6381989-12-20020 December 1989 LER 89-022-00:on 890805,change to Surveillance Procedure ST-CEA-1 Became Effective Which Would Have Made Both Emergency Diesel Generators Simultaneously Inoperable During Portion of Test.Change removed.W/891220 Ltr ML19332E7431989-12-0808 December 1989 LER 88-037-01:on 881214,one of Two Supply Headers Supplying Fire Suppression Headers in Auxiliary Bldg Isolated.Caused by Lack of Procedural Guidance & Inadequate Procedural Controls.Standing Order G-58 Will Be revised.W/891208 Ltr ML19332E2681989-12-0101 December 1989 LER 89-016-02:on 890616,for Unknown Period Since 890614, Auxiliary Feedwater Pump FW-10 Operated Outside Design Basis for Certain Accident Conditions.Caused by Inoperable Speed Control Loop.Action Plan implemented.W/891201 Ltr ML19351A4541989-11-22022 November 1989 LER 89-020-00:on 891012,determined That Two of Four Component Cooling Water HXs Simultaneously Inoperable for More than 24 H.Caused by Inadequate Controls Re Return of Equipment to Svc.Standing Order revised.W/891122 Ltr ML19327B5481989-10-24024 October 1989 LER 89-019-00:on 890924,indication of High Temp for Reactor Coolant Pump RC-3A Upper Motor Thrust Bearing Received in Control Room.Caused by Damaged Cable for Bearing Resistive Temp Device.Damaged Cable replaced.W/891024 Ltr ML19325D2471989-10-13013 October 1989 LER 89-012-01:on 890502,main Feedwater Isolation Valve to Steam Generator a Found Inoperable Due to Improperly Set Torque Switch.Caused by Inadequate Program for Maint of Motor Operated Valves.Torque Switches reset.W/891013 Ltr ML20028C7711983-01-0606 January 1983 LER 82-020/03L-0:on 821207,during Main Steam Safety Valve Test,Four Main Steam Safety Valves Had Lift Setpoints Out of Tolerance.Caused by Normal Drift of Valves Over Operating Cycle.Valves Readjusted ML20028B5451982-10-28028 October 1982 LER 82-019/03L-0:on 821024,MSIVs HCV-1041A & HCV-1042A Stopped Three to Four Degrees Off Seat When Signaled to Close.Caused by Binding Between Valve Packing & Shaft. Packings Sprayed W/Penetrant Oil ML20052J0631982-04-27027 April 1982 LER 82-009/03L-0:on 820411,while Exchanging Component Cooling Water Heat Exchangers,Associated Outlet Valves HCV-490B,HCV-491B & HCV-492B Failed to Open.Cause Not stated.HCV-491B Reassembled & Tested ML20052B2361982-04-0707 April 1982 LER 82-006/03L-0:on 820323,during Surveillance Test ST-ISI- WD-1,F.1,valve HCV-506A Failed to Close Via Control Room Switch.Caused by Solenoid Valve Malfunction.Solenoid Valve Disassembled,Cleaned & Reassembled ML20052D9291982-04-0606 April 1982 LER 82-008/03L-0:on 820330,during Performance of ST-FW-1, F.2(b)(6)per Tech Spec 3.9,steam Driven Auxiliary Feedwater Pump Failed to Start.Caused by Back Pressure Trip Lever in Tripped Position.Lever Reset ML20041G1291982-02-22022 February 1982 LER 82-005/03L-0:on 820210,at 98% Power,Control Element 24 Inserted Into Core.Emergency Procedure EP-13,CEDM Malfunctions,Implemented & Power Stabilized at 88%.Caused by Erroneous Operating Instruction.Instruction Changed ML20041F7481982-02-17017 February 1982 LER 82-003/03L-0:on 820203,containment Isolation Valve Associated W/Gas Vent Header HCV-507A Failed to Close on Demand.Caused by Solenoid Valve Plunger Sticking in Energized Position.Plunger Freed ML20041F6251982-02-0505 February 1982 LER 82-004/03L-0:on 820203,small Quantity of Radioactive Gas/Particulate Released to Auxiliary Bldg During Routine Operation.Caused by Failure of Stack Gas Monitor RM-062 to Alarm at Appropriate Setpoint Due to Faulty Alarm Module ML20041B1051982-01-28028 January 1982 LER 82-002/03L-0:on 820114,at 99% Power,Lockout Relay 86B1, Containment Radiation High Signal,Failed to Actuate on Demand by Plant Radiation Monitoring Sys.Caused by Burnt Coil on Lockout Relay.Coil Replaced & Tested Satisfactorily ML20041B1171982-01-19019 January 1982 LER 82-001/03L-0:on 820111,during Normal Operation,Two Fire Barrier Penetrations Found Nonfunctional.Shift Supervisor Immediately Notified;However,Fire Watch Not Posted.Insp & Supervisor Personnel Instructed on Proper Actions ML20039B4561981-12-11011 December 1981 LER 81-011/03L-0:on 811113,containment Isolation Valves Opened & Ventilation Process Initiated W/Containment Air Monitor RM-050/051 Inoperable.Caused by Personnel Error. Valves Closed ML20010H8581981-08-27027 August 1981 LER 81-008/03L-0:on 810813,86B/CRHS (Containment Radiation High Signal) Lockout Relay Failed to Actuate When RM-062 Was Placed in Alarm,Resulting in Failure of 86B1/CRHS Relay to Actuate.Caused by Dirt in Relay Latching Mechanism ML20041F6291981-08-27027 August 1981 LER 81-008/03L-1:on 810813,containment Radiation High Signal 86B Lockout Relay Failed to Actuate When Radiation Monitor RM-062 Placed in Alarm.Caused by Bound Relay Latching Mechanism Due to Dirt & Grease.Latch Cleaned ML20010C2271981-07-0707 July 1981 LER 81-006/03L-0:on 810624,reactor Protection Sys Nuclear Power Recorder Channel B Trip Setpoints Determined to Be Nonconservative.Caused by Faulty Temp Change Power Calculation Due to Grounded Hot Leg Temp Loop ML20004B1111981-05-0606 May 1981 LER 81-005/03L-0:on 810423,dc Sequencer Timers AC-3A (Component Cooling Water Pump) & AC-102A (Raw Water Pump) Failed to Time Out within Prescribed Limit.Cause Unknown Mechanisms Satisfactorily Inspected 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217B5401999-10-0606 October 1999 Safety Evaluation Supporting Amend 193 to License DPR-40 ML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data LIC-99-0096, Monthly Operating Rept for Sept 1999 for Fcs,Unit 1.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Fcs,Unit 1.With ML20211J9321999-09-0202 September 1999 Safety Evaluation Concluding That Licensee Proposed Alternatives Provide Acceptable Level of Quality & Safety. Proposed Alternatives Authorized for Remainder of Third ten- Yr ISI Interval for Fort Calhoun Station,Unit 1 LIC-99-0084, Monthly Operating Rept for Aug 1999 for Fort Calhoun Station.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Fort Calhoun Station.With ML20216E6431999-08-26026 August 1999 Rev 19 to TDB-VI, COLR for FCS Unit 1 ML20210R1961999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Fcs,Unit 1 ML20210G2181999-07-27027 July 1999 Safety Evaluation Supporting Amend 192 to License DPR-40 ML20210D9951999-07-22022 July 1999 Safety Evaluation Supporting Amend 191 to License DPR-40 ML20216E6361999-07-21021 July 1999 Rev 18 to TDB-VI, COLR for FCS Unit 1 ML20210R2081999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Fcs,Unit 1 LIC-99-0065, Monthly Operating Rept for June 1999 for Fort Calhoun Station,Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Fort Calhoun Station,Unit 1.With ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML20210P5461999-06-0808 June 1999 Rev 0,Vols 1-5 of Fort Calhoun Station 1999 Emergency Preparedness Exercise Manual, to Be Conducted on 990810. Pages 2-20 & 2-40 in Vol 2 & Page 4-1 in Vol 4 of Incoming Submittal Not Included ML20195B4581999-05-31031 May 1999 Rev 3 to CE NPSD-683, Development of RCS Pressure & Temp Limits Rept for Removal of P-T Limits & LTOP Requirements from Ts ML20207H7401999-05-31031 May 1999 Performance Indicators Rept for May 1999 LIC-99-0053, Monthly Operating Rept for May 1999 for Fort Calhoun Station,Unit 11999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Fort Calhoun Station,Unit 1 ML20195B4521999-05-17017 May 1999 Technical Data Book TDB-IX, RCS Pressure - Temp Limits Rept (Ptlr) ML20206L4241999-05-10010 May 1999 Safety Evaluation Supporting Corrective Actions to Ensure That Valves Are Capable of Performing Intended Safety Functions & OPPD Adequately Addressed Requested Actions Discussed in GL 95-07 ML20206M2601999-05-0606 May 1999 SER Concluding That Licensee IPEEE Complete Re Info Requested by Suppl 4 to GL 88-20 & IPEEE Results Reasonable Given FCS Design,Operation & History LIC-99-0047, Monthly Operating Rept for Apr 1999 for Fort Calhoun Station Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Fort Calhoun Station Unit 1.With ML20195E8621999-04-30030 April 1999 Performance Indicators, for Apr 1999 ML20205Q5831999-04-15015 April 1999 Safety Evaluation Supporting Amend 190 to License DPR-40 ML20210J4331999-03-31031 March 1999 Changes,Tests, & Experiments Carried Out Without Prior Commission Approval for Period 981101-990331.With USAR Changes Other than Those Resulting from 10CFR50.59 ML20206G2641999-03-31031 March 1999 Performance Indicators Rept for Mar 1999 LIC-99-0034, Monthly Operating Rept for Mar 1999 for Fcs,Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Fcs,Unit 1.With ML20205J8181999-02-28028 February 1999 Performance Indicators, for Feb 1999 LIC-99-0025, Monthly Operating Rept for Feb 1999 for Fort Calhoun Station,Unit 1.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Fort Calhoun Station,Unit 1.With ML20207F3291999-01-31031 January 1999 FCS Performance Indicators for Jan 1999 ML20203B0991998-12-31031 December 1998 Performance Indicators for Dec 1998 LIC-99-0026, 1998 Omaha Public Power District Annual Rept. with1998-12-31031 December 1998 1998 Omaha Public Power District Annual Rept. with LIC-99-0003, Monthly Operating Rept for Dec 1998 for Fort Calhoun Station.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Fort Calhoun Station.With ML20198S3771998-12-31031 December 1998 Safety Evaluation Supporting Amend 189 to License DPR-40 ML20198S4831998-12-31031 December 1998 Safety Evaluation Supporting Amend 188 to License DPR-40 ML20196G2251998-12-18018 December 1998 Rev 2 to EA-FC-90-082, Potential Over-Pressurization of Containment Penetration Piping Following Main Steam Line Break in Containment ML20198M3141998-11-30030 November 1998 Performance Indicators Rept for Nov 1998 LIC-98-0172, Monthly Operating Rept for Nov 1998 for Fort Calhoun Station,Unit 1.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Fort Calhoun Station,Unit 1.With LIC-98-0160, Special Rept:On 981113,MSL RM RM-064 Was Declared Inoperable Due to Leakage Past Isolation Valve HCV-922.Troubleshooting Has Indicated That Leakage Has Stopped & Cause of Leak Continues to Be Investigated1998-11-25025 November 1998 Special Rept:On 981113,MSL RM RM-064 Was Declared Inoperable Due to Leakage Past Isolation Valve HCV-922.Troubleshooting Has Indicated That Leakage Has Stopped & Cause of Leak Continues to Be Investigated ML20203B0721998-11-16016 November 1998 Rev 6 to HI-92828, Licensing Rept for Spent Fuel Storage Capacity Expansion ML20196E4981998-10-31031 October 1998 Performance Indicators Rept for Oct 1998 ML20196G2441998-10-31031 October 1998 Changes,Tests & Experiments Carried Out Without Prior Commission Approval. with USAR Changes Other than Those Resulting from 10CFR50.59 LIC-98-0154, Monthly Operating Rept for Oct 1998 for Fort Calhoun Station,Unit 1.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Fort Calhoun Station,Unit 1.With ML20154M4881998-10-19019 October 1998 Safety Evaluation Supporting Amend 186 to License DPR-40 ML20154N2411998-10-19019 October 1998 Safety Evaluation Supporting Amend 187 to License DPR-40 LIC-98-0136, Monthly Operating Rept for Sept 1998 for Fort Calhoun Station,Unit 1.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Fort Calhoun Station,Unit 1.With ML20155G4261998-09-30030 September 1998 Performance Indicators for Sept 1998 ML20154A1251998-08-31031 August 1998 Performance Indicators, Rept for Aug 1998 LIC-98-0122, Monthly Operating Rept for Aug 1998 for Fort Calhoun Station Unit 1.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Fort Calhoun Station Unit 1.With ML20238F7231998-08-17017 August 1998 Owner'S Rept for Isis 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 1999-09-30
[Table view] |
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J Omaha Public Power Olstrict )
1623 Harney Omaha, Nebraska 68102 2247 i 402/536 4000 ]
October 13, 1989 i LIC-89 863 l I
U. S. Nuclear Regulatory Commission l Attn: Document Control Desk .
Mail Station P1-137 l Washington, DC 20555 j
Reference:
- 1. Docket No. 50 285 !
2.- Licensee Event Report 89-012, June 2, 1989 (LIC-89 536) ;
Gentlemen:
SUBJECT:
Licensee Event Report 89 012, Revision 1 for the Fort Calhoun l Station i Please find attached Licensee Event Report 89 012, Revision 1 dated October 13, !
1989. The revised information includes the results of an evaluation of !
motor-operated valve operator parameters, and the status of the revised i motor operated valve maintenance program. This information is provided as ;
committed to in Reference 2 and is noted by vertical bars in the margin. This >
report is being submitted per requirements of 10 CFR 50.73(a)(2)(ii)(B). !
Sincerely, l l
. . is t vision Manager <
Nuclear Operations l KJM/pje c: R. D. Martin, NRC Regional Administrator A. Bournia, NRC Project Manager P. H. Harrell, NRC Senior Resident Inspector INPO Records Center 4
American Nuclear Insurers
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l At 1610 hours0.0186 days <br />0.447 hours <br />0.00266 weeks <br />6.12605e-4 months <br /> on May 2, 1989, plant management of Fort Calhoun Station ,
l determined that the main feedwater isolation valve to the "A" steam e l generator was inoperable due to an improperly set torque switch on the i valve's motor operator. The valve would not have closed completely before being tripped by the switch during certain accident conditions, and was therefore outside the design basis of the plant. At the time of
- the determination, the plant was operating at 10% power and >reparing to ,
go back on-line following a 3 day outage. In accordance witi 10 CFR 50.72(b)(1)(ii)(B),theNRCOperationsCenterwasnotifiedat1625 hours on the same day. This LER is submitted pursuant to 10 CFR 50.73(a)(2)(ii)(B).
l The cause of this event is an inadequate program for maintenance of Motor Operated Valves. The torque switches on this valve and on three I identical valve operators have been reset to ensure adequate closing i thrust is available. An extensively improved motor-operated valve
- maintenance program plan has been approved and is being implemented. l l
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At'1610 hours0.0186 days <br />0.447 hours <br />0.00266 weeks <br />6.12605e-4 months <br /> on May 2, 1989, plant management of Fort Calhoun Station determined that HCV-1386, the main feedwater isolation valve to the "A" i steam generator, was inoperable. The valve was inoperable because of an l improperly set torque switch on the valve's motor operator. The valve receives a signal to close from the Steam Generator Isolation Signal (SGIS) during a main steam line break inside or outside containment to minimize the resultant overcooling of the reactor coolant system due to the excessive heat extraction. With the improper torque switch setting, i it was determined that the valve could not be closed completely during a main steam line break, a condition outside the design basis of the plant. The plant was at approximately 10% power when inoperability of HCV-1386 was determined.
In accordance with 10 CFR 50.72(b)(1)(ii)(B), the NRC Operations Center was notified at 1625 hours0.0188 days <br />0.451 hours <br />0.00269 weeks <br />6.183125e-4 months <br /> on the same day. This LER is submitted ,
F rsuant to 10 CFR 50.73(a)(2)(ii)(B). ,
Investigation into the torque switch settings had been initiated when it t was discovered on May 1, 1989, that two other non-safety related main feedwater isolation valves, HCV-1103 and HCV-1104, could not be closed from the control room. The plant was preparing to increase power and re-synchronize the generator to the grid following a 3 day outage to test i the performance of the turbine overspeed trip. An initial condition of .
the start-up procedure in use was that HCV-1103 and HCV-1104 be closed. s At that point, it was discovered that the valves could be opened, but not closed, from the control room. The investigation of tne failure of these i valves to close determined that the torque switches on the valve motor :
operators had been set at 1, which corresponds to a .ctem thrust ranging from approximately 18,000 pounds for a non-lubricateu palve stem to 21,600 pounds for a well-lubricated stem. The minimum stem thrust .
required for a 1500 psi differential across the valves is 47,700 pounds.
The torque switches on HCV-1103 and HCV-1104 were reset to 2.75, which ,
corresponds to a stem thrust ranging from approximately 55,700 to 66,800 pounds (non-lubricated to well-lubricated stem).
It was then decided to check the torque switch settings on HCV-1386 and t HCV-1385, since these are identical type valves to HCV-1103 and HCV-1104, and are the primary feedwater isolation valves for the SGIS. HCV-1386 is the isolation valve downstream of HCV-1103 on the main feedwater header to the "A" steam generator, and HCV-1385 is the isolation valve downstream of HCV-1104 on the main feedwater header to the "B" steam generator. The minimum required stem thrust on these valves is also 47,700 pounds. The torque switch on HCV-1386 was found set at 1.75, teRC ,esm astA 4640)
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which corresponds to a stem thrust of approximately 34,200 to 41,000 f pounds (non-lubricated to well-lubricated). The torque switch on '
HCV-1385 was found set at 2.5, corresponding to a stem thrust of approximately 50 300 to 60,300 pounds (non-lubricated to well-lubricated),,whichwasacceptable. The torque switches on both valves were then reset to 2.75 to ensure adequate closing thrust, as on HCV-1103 and NCV-1104. >
Allfourvalves(HCV-1103,1104,1385,and1386)involvedreceivesignals to close from the SGIS; however, HCV-1385 was cons'dered able to perform l' its design function since its torque switches were net high enough (i.e.,
2.5)toclosethevalveunderthedesignbasisdifferentialpressure. ;
Following these discoveries, a review was performed of maintenance ;
records of all other safety-related valves with motor operators in the '
plant. The results of this review indicated that each torque switch was correctly set to provide the required stem thrust.
On the following day, May 3, 1989, vendor equipment was connected to measure the actual stem thrust on the valves, and the torque switches were reset as shown:
Torque switch Measured Thrust at settina Toraue Switch Trio ;
HCV-1103 2.5 77,808 pounds (lubricated stem) ,
HCV-1104 2.5 70,434 pounds (lubricatedstem) ,
HCV-1385 2.5 64,232 pounds (lubricatedstem)
HCV-1386 2.75 76,568 pounds (lubricatedstem)
The relationship between torque switch setting and stem thrust is dependent on variables such as spring pack condition, packing tightness, and stem lubrication. Stem thrust is the critical parameter of the two; therefore, torque switches are set after the desired stem thrust is verified by measurement. Normally when measuring the stem thrust, a load cell is attached to the top of the operator. This method of measurement requires that the operator have an upper thrust bearing to support the i
loads imposed by the testing. The Limitorque SMB 4T operators, used on I the valves noted previously, do not have the required upper thrust l bearing. Therefore, the stem thrust could not be measured on these l valves in the past using available test equipment, and the torque l switches could not be reliably set as part of routine valve maintenance.
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s Recently, testing equipment became available which measures stem thrust using a strain page attached to the stem, and does not require the ,
operator to have an upper thrust bearing. This equipment was used on May ,
3, 1989, when the torque switches were reset to their present settings. ;
A review of maintenance and test records related to torque switch '
settings for Limitorque valve operators was conducted and the results were evaluated. The thrust measurements and/or torque switch settings I were compared with originelly specified minimums. This evaluation concluded that the operator settings ensured availability of adequate thrust for operability of the associated valves.
The cause of the incorrect torque switch settings is lack of an adequate MOV maintenance program, particularly the inability to measure stem thrust and properly set torque switches for SMB-4T operators. Because these operators can deliver enough torque to damage valves if improperly adjusted, maintenance emphasis in the past was on valve protection rather than insuring capabilities of valves to perform their intended function.
In this case, this emphasis probably resulted in low torque switch ,
settings. The settings were therefore not adequately controlled by the existing maintenance procedures.
An extensive MOV maintenance plan has been approved and is being implemented. The plan is designed to develop a data base of all MOV's, create training programs for engineering and craft personnel, perform baseline testing of all MOV's, procure necessary spare parts, and initiate preventive and predictive maintenance of all M0V's. When fully i implemented this new program will provide assurance that all plant M0V's ,
are properly tested, maintained, and adjusted, thereby assuring the operability of the valves. I i There are only 5 safety-related motor operated valves in the plant for which stem thrust had not been measured: HCV-1385 and HCV-1386, HCV-383-3 and HCV-383-4 (Containment Sump Isolation Valves), and HCV-308 (ChargingPumpDischargetoHPSIIsolationValve). HCV-383-3 and HCV-383-4 are closed during normal operations, and are opened only in the -
emergency condition of a loss of coolant accident, with a low level in the Safety Injection Refueling Water Tank, to supply the safety injection and containment spray pumps with water from the containment sump. These ,
butterfly valves are currently tested under the station Inservice Inspection Test Program. Any differential pressure across these valves during a design basis event will aid in the opening of the valves.
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0 11 01 S OF 015 wt u . - e w uw nn Motor operated valve HCV-308 has a non-locking operator gear set. As a result, it currently can not be tested. Modification package MR-FC-86-91 is being generated to eliminate this problem. This package is scheduled for completion during the 1990 refueling outage. In addition, an air operated valve provides an alternate flow path.
Valves HCV-1103 and HCV-110% are the redundant valves upstream of valves HCV-1386 and HCV-1385, respectively. These valves receive a Steam Generator Isolation Signal (SGIS), but are not taken credit for in the accident analysis and are not censidered safety grade. The safety function of HCV-1386 is to isolate main feedwater flow to steam generator RC-2A upon receipt of a SGIS. SGIS is designed to minimize the cooldown of the reactor coolant system in the event of a main steam line break.
ItisassumedintheUpdatedSafetyAnalysisReport(USAR)thatfeedwater isolates within 30 seconds after SGIS is actuated. Therefore, in the event of a steam line break, feedwater to steam generator RC-2A may not have isolated (prior to resetting of the torque switches) in the assumed time with HCV-1386 inoperable. No valid SGIS was initiated during the time period that HCV-1386 was inoperable.
Although reports of inability to remotely operate valves have been submitted in the past this is the first reported case of inability to closeavalveduetoImproperlysettorqueswitches.
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