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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3211994-10-0505 October 1994 LER 94-006-00:on 940909,failure to Perform Slave Relay Test Associated W/One Containment Isolation Valve Due to Improper Work Practices.Reviewed All Slave Relay Test Procedures & Trained All Qualified reviewers.W/941005 Ltr ML20046B5251993-08-0404 August 1993 LER 93-007-00:on 930705,TS Required Surveillance Was Not Performed Because of Inappropriate Action Because of Lack of Attention to Detail.Generated WO 93047633 to Perform Required Surveillance on Unit 1 IPE CA 9010.W/930729 Ltr ML20045H9821993-07-12012 July 1993 LER 93-005-00:on 930612,manual Rt in Unit 1 Occurred Due to Equipment Failure Due to Failure of L-13 Field Cable Between Data Cabinet B & Bulkhead for Undetermined Reasons.Replaced Field cable.W/930709 Ltr ML20045D9681993-06-25025 June 1993 LER 93-006-00:on 930526,discovered That Sample Blower for Radiation Monitor 1 EMF-43B Off & Monitor Declared Inoperable & Ventilation Sys Air Intakes Not Isolated.Caused by Deficient Procedures.Test Procedures Revised ML20045B2811993-06-11011 June 1993 LER 93-004-00:on 930513,both Trains of CR Ventilation Sys Declared Inoperable Due to Equipment Failure.Exact Cause of Failure Could Not Be Determined.Train B Nuclear Svc Water Sys Flow Balance completed.W/930611 Ltr ML20029C2091991-03-21021 March 1991 LER 91-003-00:on 910219,both Trains of Control Room Ventilation Sys Inoperable.Caused by Design Malfunction & Management Deficiency.Temporary Modifications,Removing Automatic Closure Function implemented.W/910321 Ltr ML20028G9561990-09-26026 September 1990 LER 90-025-00:on 900827,Unit 1 Shut Down Because of Unidentified RCS Leakage Exceeding Tech Spec Limits.Caused by Equipment Failure.Procedure AP/1/A/5500/10 Implemented. Valve 1NC-33 Will Be Repacked at Next outage.W/900926 Ltr ML20044A0091990-06-25025 June 1990 LER 90-015-00:on 900524,Tech Spec 3.0.3 Entered Because More than One Power Range Nuclear Instrumentation Channel Exceeded 5% Deviation.Caused by Mgt Deficiency.Boric Acid Added to Coolant sys.W/900625 Ltr ML20043H4991990-06-21021 June 1990 LER 90-012-00:on 900522,loose Matl,Consisting of Masslin Cloths & Stepoff Pad,Discovered in Upper Containment.Caused by Failure to Follow Procedures.Loose Items Removed & Cleanliness Procedures revised.W/900621 Ltr ML20043H2641990-06-20020 June 1990 LER 90-011-00:on 900521,noted That Valve 1RN-69A Auxiliary Feedwater Assured Supply from Train a Nuclear Svc Water Repositioned to Open Position After Start of Pump.Cause Unknown.Pump Shut Down & Valve closed.W/900620 Ltr ML20043F7471990-06-13013 June 1990 LER 90-010-00:on 900427,discovered That Annulus Ventilation & Control Room Ventilation Sys Headers Would Not Operate,As Designed,Under Postulated Operating Conditions. Caused by Design Deficiency.Change submitted.W/900613 Ltr ML20043F5071990-06-11011 June 1990 LER 90-009-00:on 900512,feedwater Isolation Occurred as Result of Steam Generator 1B Reaching hi-hi Level Setpoint of 82% Level.Caused by Inappropriate Action Because of Lack of Attention to Detail.Feedwater Logic reset.W/900611 Ltr ML20043D6541990-05-30030 May 1990 LER 90-007-00:on 881018,during Insp Ice Condenser Basket Found W/Bottom Screws Missing.Caused by Installation Deficiency Because of Improper Matl Selection.Work Request Initiated to Replace Improper screws.W/900530 Ltr ML20043D7121990-05-30030 May 1990 LER 90-006-00:on 900226,discovered Abnormal Degradation on Steel Containment Vessel.Corrosion Caused by Design Deficiency Caused by Unanticipated Environ Interaction. Detailed Insps conducted.W/900529 Ltr ML20043C8041990-05-30030 May 1990 LER 90-008-00:on 900430,radiation Monitor for Contaminated Parts Warehouse Ventilation & Sampler Min Flow Device Declared Inoperable.Caused by Personnel Error.Appropriate Procedures Enhanced to Prevent recurrence.W/900530 Ltr ML20012D1651990-03-19019 March 1990 LER 90-004-00:on 900208,determined That Holes Left in Auxiliary Shutdown Panel Could Allow Water Spray Into Cabinet.Cause Unknown.Holes Covered W/Duct Tape & Repaired. W/900319 Ltr ML20011F4261990-02-16016 February 1990 LER 90-002-00:on 900117,hold Down Screws on Sylvania Contactors in Motor Control Ctrs Found Loose.Caused by Mfg Deficiency.Contactor Screws Tightened.All Hold Down Screws Will Be Replaced W/Another type.W/900223 Ltr ML20006D5571990-02-0707 February 1990 LER 90-001-00:on 900108,reactor Trip Occurred Due to Clogged Strainer on Feedwater Pump a Speed Controller.Caused by Water in Oil Sys.Cause for Water Presence in Sys Unknown. Sludge Minimization Attempts pursued.W/900207 Ltr ML20006A8771990-01-21021 January 1990 LER 89-028-00:on 891204,self-initiated Technical Audit Team Personnel Identified Gap Around Control Room Ventilation Air Handling Unit Access Door.Caused by Possible Const/ Installation Deficiency.Door Sys modified.W/900122 Ltr ML19327C2581989-11-13013 November 1989 LER 89-031-00:on 891012,ac Power Supply Fuse Blew Resulting in Automatic Isolation of Four Outside Air Intakes on Ventilation Sys.Caused by Inappropriate Action.Intake Valves Returned to Svc & Tech Spec 3.3.3.1 exited.W/891113 Ltr ML19324C2031989-11-10010 November 1989 LER 89-024-00:on 890908,MSIV Stroke Timing Periodic Test Performed W/O Air Assistance & Three MSIVs Failed to Close within 5 S.Caused by Brass Guide Screws Excessively Tightened.Set Screws Properly set.W/891106 Ltr ML19324C2011989-10-31031 October 1989 LER 88-019-02:on 880719,damper Compartment Flows Did Not Meet Flow Requirements Due to Closure of Some Sys Dampers. Caused by Defective procedure.As-found Measurements Taken While Operating Fans for Damper positions.W/891030 Ltr ML19327B5611989-10-26026 October 1989 LER 89-030-00:on 890714,visual Insp Revealed 3/4 Inch Open Conduit Connection Which Would Have Prevented Successful Leak Test.Cause Unknown.Connection Removed & Hole Sealed. W/891026 Ltr ML19327B4771989-10-23023 October 1989 LER 89-029-00:on 890922,ESF Actuation Occurred When Diesel Generator 1A Started Due to Momentary Undervoltage Condition on Train a 4,160-volt Essential Switchgear.Cause Unknown. Offsite Power Source Returned to Normal svc.W/891023 Ltr ML19327B1511989-10-19019 October 1989 LER 89-026-00:on 890720,both Trains of Control Area Ventilation Sys Inoperable.Caused by Design Deficiency Because of Unanticipated Interaction of Components.Original Check Damper Reinstalled in Fan on Train B.W/891019 Ltr ML19351A4301989-10-18018 October 1989 LER 89-025-00:on 890918,jumper Came Loose & Inadvertently Made Contact W/Sliding Link B-14 Directly Above Link B-15, Resulting in Turbine Driven Feedwater Pump Automatically Starting.Caused by Inappropriate action.W/891018 Ltr ML19325D4991989-10-16016 October 1989 LER 89-027-00:on 890915,preheaters Did Not Start Because Air Flow Permissive Was Not Made & Cross Connect Dampers Were Closed & Tagged & Ventilation Sys Train a Remained Logged Inoperable.Caused by Design deficiency.W/891016 Ltr ML19325C4871989-09-28028 September 1989 LER 89-018-00:on 890829,both Trains of Control Area Ventilation (VC) & Chilled Water (Yc) Sys Declared Inoperable.Caused by Equipment/Failure Malfunction. Refrigerant Added to Vc/Yc chiller.W/890928 Ltr ML20043D7041989-09-25025 September 1989 LER 89-022-01:on 890826,reactor Trip Occurred Due to Failed Universal Board in Solid State Protection Sys Cabinet A. Caused by Equipment/Malfunction.Universal Board Replaced. W/900530 Ltr ML19325C4731989-09-18018 September 1989 LER 89-015-00:on 890722,discovered That Neutral Pressure Was Best That Could Be Achieved in Some Required Sys Configurations.Caused by Design Deficiency Due to Design Oversight.Outside Air Ref Point installed.W/891004 Ltr ML20024F2791983-08-29029 August 1983 LER 83-066/03L-0:on 830817,invalid Alarm Received for Fire Detection Zone Efa 90 Which Would Not Clear.Caused by Unusual Svc Conditions.Detector Cleaned & replaced.W/830829 Ltr ML20024D8101983-07-29029 July 1983 LER 83-050/03L-0:on 830629,control Area Ventilation Sys Train B Declared Inoperable.Caused by Automatic Reset Preheater Overtemp Cutout Switch Failure.Replacement Switch Will Be installed.W/830729 Ltr ML20024D7531983-07-27027 July 1983 LER 83-048/03L-0:on 830624,control Area Ventilation Sys Train B Declared Inoperable Following Low Refrigerant Temp Alarm Trip of Control Room Chiller B.Caused by Cleaning of Condenser tubes.W/830727 Ltr ML20024D7701983-07-27027 July 1983 LER 83-049/03L-0:on 830624,surveillance Compliance Review Revealed Three Time Response Tests Not Performed.Cause Not Stated.Remaining Channels Will Be Tested During Next refueling.W/830727 Ltr ML20024D8951983-07-27027 July 1983 LER 83-047/03L-0:on 830627,discovered That 18-month Insp of Fire Hose Station 180 Not Performed During Nov 1981.Caused by Order Preventing Personnel from Entering Area Due to High Radiation Levels.Procedural Change instituted.W/830727 Ltr ML20024C4091983-06-28028 June 1983 Updated LER 83-002/03X-1:on 830110,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable.Heat Damage Found at Heat Dissipating Resistor Connections.Caused by Design Defect in Contactor Coil circuit.W/830628 Ltr ML20024C3941983-06-28028 June 1983 LER 83-035/03L-0:on 830515,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable Per Tech Spec 3.4.3.Caused by Blown Fuse in Heater Contactor Control Circuit.Fuse replaced.W/830628 Ltr ML20024C0001983-06-27027 June 1983 LER 83-030/01T-0:on 830526,discovered Monthly Test of Containment Pressure Control Sys Failed to Satisfy Surveillance Requirements to Check Permissive/Termination Setpoint Accuracy.Alarm Modules recalibr.W/830627 Ltr ML20023C4691983-05-0505 May 1983 LER 83-017/03L-0:on 830405,during Draining of Refueling Cavity RHR (Nd) Pumps Began to Cavitate & Eventually Both Nd Pumps Stopped.Caused by Level Gauge Isolation.Cavity Refilled.Nd Sys Vented.Procedures Revised ML20028E0131983-01-10010 January 1983 LER 82-081/03L-0:on 821211,lower Personnel Airlock Declared Inoperable After Reactor Door Found Partially Closed W/Small Seal Ruptured & Large Seal Inflated.Cause Not Known.Seal Not Designed to Withstand Unrestrained Inflationary Forces ML20028A5301982-11-10010 November 1982 LER 82-073/03L-0:on 820403,during QA Audit of Test Procedures,Incore & Nuclear Instrumentation Sys Correlation Monthly Check Found Not Performed.Caused by Incorrect Test Schedule ML20027D3351982-10-22022 October 1982 LER 82-071/03L-0:on 820922,motor Control Ctr Lemxd Lost Power Causing Temporary Inoperability of Several Essential Sys/Components.Caused by Automatic Trip of Feeder Breaker. Breaker Reset & Closed.Power Restored ML20027B5051982-09-10010 September 1982 LER 82-067/03L-0:on 820813,two Auxiliary Feedwater Pump Turbine Low Suction Pressure Switches Failed to Perform During Functional Test.Caused by Switches Being Out of Calibr,Possibly Due to Instrument Drift or Misadjustment ML20027B5521982-09-0808 September 1982 LER 82-064/03L-0:on 820809,vent Flow Monitor Indicated Zero W/Vent in Operation During Process of Returning to Mode 1. Caused by Out of Calibr Differential Pressure Transmitter Due to Instrument Drift.Transmitter Recalibr ML20052H5831982-05-10010 May 1982 LER 82-027/03L-0:on 820326,one Channel of Position Indication for RCS Power Operated Relief Valves NC-32 & NC-36 Declared Inoperable When Closed Indicator Lights Failed.Caused by Loose Fitting Bulb Due to Crack in Socket ML20052G6791982-05-0707 May 1982 LER 82-030/01T-0:on 820423,diesel Generator 1A Declared Inoperable After Failing to Start for Periodic Test.Caused by Failure of Station Design Change Implementation Program to Control Work on Station Mods ML20052H7421982-05-0707 May 1982 LER 82-031/03L-0:on 820408,boric Acid Transfer Pump a Failed to Perform at Capacity & Declared Inoperable.Caused by Reverse Rotation Due to Improperly Connected Windings. Personnel Counseled & Maint Routine Modified ML20052H7481982-05-0606 May 1982 LER 82-029/03L-0:on 820402,investigation of Power Operated Relief Valve (PORV) & Pressurizer Code Safety Discharge Line High Temp Alarms Revealed Indications of Leakage for PORV NC-34.Cause Undetermined.Valve Will Be Repaired ML20052H6091982-04-30030 April 1982 LER 82-028/03L-0:on 820401,during Mode 1 Operation,Radiation Monitors EMF-31 & EMF-33 Lost Power.Caused by Monitor EMF-46 Tripping Circuit Breaker Due to Direct Short Across Power bulb.EMF-46 Isolated & EMF-31 & 33 Returned to Svc ML20052G3611982-04-29029 April 1982 LER 82-025/03L-0:on 820318,vol Control Tank Makeup Frequency Increased & Containment Floor & Equipment Sump 1A Level Increased During RCS Leak Test.Caused by Failure to Verify Isolation Valves Closed Due to Procedural Deficiency 1994-10-05
[Table view] Category:RO)
MONTHYEARML20024J3211994-10-0505 October 1994 LER 94-006-00:on 940909,failure to Perform Slave Relay Test Associated W/One Containment Isolation Valve Due to Improper Work Practices.Reviewed All Slave Relay Test Procedures & Trained All Qualified reviewers.W/941005 Ltr ML20046B5251993-08-0404 August 1993 LER 93-007-00:on 930705,TS Required Surveillance Was Not Performed Because of Inappropriate Action Because of Lack of Attention to Detail.Generated WO 93047633 to Perform Required Surveillance on Unit 1 IPE CA 9010.W/930729 Ltr ML20045H9821993-07-12012 July 1993 LER 93-005-00:on 930612,manual Rt in Unit 1 Occurred Due to Equipment Failure Due to Failure of L-13 Field Cable Between Data Cabinet B & Bulkhead for Undetermined Reasons.Replaced Field cable.W/930709 Ltr ML20045D9681993-06-25025 June 1993 LER 93-006-00:on 930526,discovered That Sample Blower for Radiation Monitor 1 EMF-43B Off & Monitor Declared Inoperable & Ventilation Sys Air Intakes Not Isolated.Caused by Deficient Procedures.Test Procedures Revised ML20045B2811993-06-11011 June 1993 LER 93-004-00:on 930513,both Trains of CR Ventilation Sys Declared Inoperable Due to Equipment Failure.Exact Cause of Failure Could Not Be Determined.Train B Nuclear Svc Water Sys Flow Balance completed.W/930611 Ltr ML20029C2091991-03-21021 March 1991 LER 91-003-00:on 910219,both Trains of Control Room Ventilation Sys Inoperable.Caused by Design Malfunction & Management Deficiency.Temporary Modifications,Removing Automatic Closure Function implemented.W/910321 Ltr ML20028G9561990-09-26026 September 1990 LER 90-025-00:on 900827,Unit 1 Shut Down Because of Unidentified RCS Leakage Exceeding Tech Spec Limits.Caused by Equipment Failure.Procedure AP/1/A/5500/10 Implemented. Valve 1NC-33 Will Be Repacked at Next outage.W/900926 Ltr ML20044A0091990-06-25025 June 1990 LER 90-015-00:on 900524,Tech Spec 3.0.3 Entered Because More than One Power Range Nuclear Instrumentation Channel Exceeded 5% Deviation.Caused by Mgt Deficiency.Boric Acid Added to Coolant sys.W/900625 Ltr ML20043H4991990-06-21021 June 1990 LER 90-012-00:on 900522,loose Matl,Consisting of Masslin Cloths & Stepoff Pad,Discovered in Upper Containment.Caused by Failure to Follow Procedures.Loose Items Removed & Cleanliness Procedures revised.W/900621 Ltr ML20043H2641990-06-20020 June 1990 LER 90-011-00:on 900521,noted That Valve 1RN-69A Auxiliary Feedwater Assured Supply from Train a Nuclear Svc Water Repositioned to Open Position After Start of Pump.Cause Unknown.Pump Shut Down & Valve closed.W/900620 Ltr ML20043F7471990-06-13013 June 1990 LER 90-010-00:on 900427,discovered That Annulus Ventilation & Control Room Ventilation Sys Headers Would Not Operate,As Designed,Under Postulated Operating Conditions. Caused by Design Deficiency.Change submitted.W/900613 Ltr ML20043F5071990-06-11011 June 1990 LER 90-009-00:on 900512,feedwater Isolation Occurred as Result of Steam Generator 1B Reaching hi-hi Level Setpoint of 82% Level.Caused by Inappropriate Action Because of Lack of Attention to Detail.Feedwater Logic reset.W/900611 Ltr ML20043D6541990-05-30030 May 1990 LER 90-007-00:on 881018,during Insp Ice Condenser Basket Found W/Bottom Screws Missing.Caused by Installation Deficiency Because of Improper Matl Selection.Work Request Initiated to Replace Improper screws.W/900530 Ltr ML20043D7121990-05-30030 May 1990 LER 90-006-00:on 900226,discovered Abnormal Degradation on Steel Containment Vessel.Corrosion Caused by Design Deficiency Caused by Unanticipated Environ Interaction. Detailed Insps conducted.W/900529 Ltr ML20043C8041990-05-30030 May 1990 LER 90-008-00:on 900430,radiation Monitor for Contaminated Parts Warehouse Ventilation & Sampler Min Flow Device Declared Inoperable.Caused by Personnel Error.Appropriate Procedures Enhanced to Prevent recurrence.W/900530 Ltr ML20012D1651990-03-19019 March 1990 LER 90-004-00:on 900208,determined That Holes Left in Auxiliary Shutdown Panel Could Allow Water Spray Into Cabinet.Cause Unknown.Holes Covered W/Duct Tape & Repaired. W/900319 Ltr ML20011F4261990-02-16016 February 1990 LER 90-002-00:on 900117,hold Down Screws on Sylvania Contactors in Motor Control Ctrs Found Loose.Caused by Mfg Deficiency.Contactor Screws Tightened.All Hold Down Screws Will Be Replaced W/Another type.W/900223 Ltr ML20006D5571990-02-0707 February 1990 LER 90-001-00:on 900108,reactor Trip Occurred Due to Clogged Strainer on Feedwater Pump a Speed Controller.Caused by Water in Oil Sys.Cause for Water Presence in Sys Unknown. Sludge Minimization Attempts pursued.W/900207 Ltr ML20006A8771990-01-21021 January 1990 LER 89-028-00:on 891204,self-initiated Technical Audit Team Personnel Identified Gap Around Control Room Ventilation Air Handling Unit Access Door.Caused by Possible Const/ Installation Deficiency.Door Sys modified.W/900122 Ltr ML19327C2581989-11-13013 November 1989 LER 89-031-00:on 891012,ac Power Supply Fuse Blew Resulting in Automatic Isolation of Four Outside Air Intakes on Ventilation Sys.Caused by Inappropriate Action.Intake Valves Returned to Svc & Tech Spec 3.3.3.1 exited.W/891113 Ltr ML19324C2031989-11-10010 November 1989 LER 89-024-00:on 890908,MSIV Stroke Timing Periodic Test Performed W/O Air Assistance & Three MSIVs Failed to Close within 5 S.Caused by Brass Guide Screws Excessively Tightened.Set Screws Properly set.W/891106 Ltr ML19324C2011989-10-31031 October 1989 LER 88-019-02:on 880719,damper Compartment Flows Did Not Meet Flow Requirements Due to Closure of Some Sys Dampers. Caused by Defective procedure.As-found Measurements Taken While Operating Fans for Damper positions.W/891030 Ltr ML19327B5611989-10-26026 October 1989 LER 89-030-00:on 890714,visual Insp Revealed 3/4 Inch Open Conduit Connection Which Would Have Prevented Successful Leak Test.Cause Unknown.Connection Removed & Hole Sealed. W/891026 Ltr ML19327B4771989-10-23023 October 1989 LER 89-029-00:on 890922,ESF Actuation Occurred When Diesel Generator 1A Started Due to Momentary Undervoltage Condition on Train a 4,160-volt Essential Switchgear.Cause Unknown. Offsite Power Source Returned to Normal svc.W/891023 Ltr ML19327B1511989-10-19019 October 1989 LER 89-026-00:on 890720,both Trains of Control Area Ventilation Sys Inoperable.Caused by Design Deficiency Because of Unanticipated Interaction of Components.Original Check Damper Reinstalled in Fan on Train B.W/891019 Ltr ML19351A4301989-10-18018 October 1989 LER 89-025-00:on 890918,jumper Came Loose & Inadvertently Made Contact W/Sliding Link B-14 Directly Above Link B-15, Resulting in Turbine Driven Feedwater Pump Automatically Starting.Caused by Inappropriate action.W/891018 Ltr ML19325D4991989-10-16016 October 1989 LER 89-027-00:on 890915,preheaters Did Not Start Because Air Flow Permissive Was Not Made & Cross Connect Dampers Were Closed & Tagged & Ventilation Sys Train a Remained Logged Inoperable.Caused by Design deficiency.W/891016 Ltr ML19325C4871989-09-28028 September 1989 LER 89-018-00:on 890829,both Trains of Control Area Ventilation (VC) & Chilled Water (Yc) Sys Declared Inoperable.Caused by Equipment/Failure Malfunction. Refrigerant Added to Vc/Yc chiller.W/890928 Ltr ML20043D7041989-09-25025 September 1989 LER 89-022-01:on 890826,reactor Trip Occurred Due to Failed Universal Board in Solid State Protection Sys Cabinet A. Caused by Equipment/Malfunction.Universal Board Replaced. W/900530 Ltr ML19325C4731989-09-18018 September 1989 LER 89-015-00:on 890722,discovered That Neutral Pressure Was Best That Could Be Achieved in Some Required Sys Configurations.Caused by Design Deficiency Due to Design Oversight.Outside Air Ref Point installed.W/891004 Ltr ML20024F2791983-08-29029 August 1983 LER 83-066/03L-0:on 830817,invalid Alarm Received for Fire Detection Zone Efa 90 Which Would Not Clear.Caused by Unusual Svc Conditions.Detector Cleaned & replaced.W/830829 Ltr ML20024D8101983-07-29029 July 1983 LER 83-050/03L-0:on 830629,control Area Ventilation Sys Train B Declared Inoperable.Caused by Automatic Reset Preheater Overtemp Cutout Switch Failure.Replacement Switch Will Be installed.W/830729 Ltr ML20024D7531983-07-27027 July 1983 LER 83-048/03L-0:on 830624,control Area Ventilation Sys Train B Declared Inoperable Following Low Refrigerant Temp Alarm Trip of Control Room Chiller B.Caused by Cleaning of Condenser tubes.W/830727 Ltr ML20024D7701983-07-27027 July 1983 LER 83-049/03L-0:on 830624,surveillance Compliance Review Revealed Three Time Response Tests Not Performed.Cause Not Stated.Remaining Channels Will Be Tested During Next refueling.W/830727 Ltr ML20024D8951983-07-27027 July 1983 LER 83-047/03L-0:on 830627,discovered That 18-month Insp of Fire Hose Station 180 Not Performed During Nov 1981.Caused by Order Preventing Personnel from Entering Area Due to High Radiation Levels.Procedural Change instituted.W/830727 Ltr ML20024C4091983-06-28028 June 1983 Updated LER 83-002/03X-1:on 830110,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable.Heat Damage Found at Heat Dissipating Resistor Connections.Caused by Design Defect in Contactor Coil circuit.W/830628 Ltr ML20024C3941983-06-28028 June 1983 LER 83-035/03L-0:on 830515,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable Per Tech Spec 3.4.3.Caused by Blown Fuse in Heater Contactor Control Circuit.Fuse replaced.W/830628 Ltr ML20024C0001983-06-27027 June 1983 LER 83-030/01T-0:on 830526,discovered Monthly Test of Containment Pressure Control Sys Failed to Satisfy Surveillance Requirements to Check Permissive/Termination Setpoint Accuracy.Alarm Modules recalibr.W/830627 Ltr ML20023C4691983-05-0505 May 1983 LER 83-017/03L-0:on 830405,during Draining of Refueling Cavity RHR (Nd) Pumps Began to Cavitate & Eventually Both Nd Pumps Stopped.Caused by Level Gauge Isolation.Cavity Refilled.Nd Sys Vented.Procedures Revised ML20028E0131983-01-10010 January 1983 LER 82-081/03L-0:on 821211,lower Personnel Airlock Declared Inoperable After Reactor Door Found Partially Closed W/Small Seal Ruptured & Large Seal Inflated.Cause Not Known.Seal Not Designed to Withstand Unrestrained Inflationary Forces ML20028A5301982-11-10010 November 1982 LER 82-073/03L-0:on 820403,during QA Audit of Test Procedures,Incore & Nuclear Instrumentation Sys Correlation Monthly Check Found Not Performed.Caused by Incorrect Test Schedule ML20027D3351982-10-22022 October 1982 LER 82-071/03L-0:on 820922,motor Control Ctr Lemxd Lost Power Causing Temporary Inoperability of Several Essential Sys/Components.Caused by Automatic Trip of Feeder Breaker. Breaker Reset & Closed.Power Restored ML20027B5051982-09-10010 September 1982 LER 82-067/03L-0:on 820813,two Auxiliary Feedwater Pump Turbine Low Suction Pressure Switches Failed to Perform During Functional Test.Caused by Switches Being Out of Calibr,Possibly Due to Instrument Drift or Misadjustment ML20027B5521982-09-0808 September 1982 LER 82-064/03L-0:on 820809,vent Flow Monitor Indicated Zero W/Vent in Operation During Process of Returning to Mode 1. Caused by Out of Calibr Differential Pressure Transmitter Due to Instrument Drift.Transmitter Recalibr ML20052H5831982-05-10010 May 1982 LER 82-027/03L-0:on 820326,one Channel of Position Indication for RCS Power Operated Relief Valves NC-32 & NC-36 Declared Inoperable When Closed Indicator Lights Failed.Caused by Loose Fitting Bulb Due to Crack in Socket ML20052G6791982-05-0707 May 1982 LER 82-030/01T-0:on 820423,diesel Generator 1A Declared Inoperable After Failing to Start for Periodic Test.Caused by Failure of Station Design Change Implementation Program to Control Work on Station Mods ML20052H7421982-05-0707 May 1982 LER 82-031/03L-0:on 820408,boric Acid Transfer Pump a Failed to Perform at Capacity & Declared Inoperable.Caused by Reverse Rotation Due to Improperly Connected Windings. Personnel Counseled & Maint Routine Modified ML20052H7481982-05-0606 May 1982 LER 82-029/03L-0:on 820402,investigation of Power Operated Relief Valve (PORV) & Pressurizer Code Safety Discharge Line High Temp Alarms Revealed Indications of Leakage for PORV NC-34.Cause Undetermined.Valve Will Be Repaired ML20052H6091982-04-30030 April 1982 LER 82-028/03L-0:on 820401,during Mode 1 Operation,Radiation Monitors EMF-31 & EMF-33 Lost Power.Caused by Monitor EMF-46 Tripping Circuit Breaker Due to Direct Short Across Power bulb.EMF-46 Isolated & EMF-31 & 33 Returned to Svc ML20052G3611982-04-29029 April 1982 LER 82-025/03L-0:on 820318,vol Control Tank Makeup Frequency Increased & Containment Floor & Equipment Sump 1A Level Increased During RCS Leak Test.Caused by Failure to Verify Isolation Valves Closed Due to Procedural Deficiency 1994-10-05
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217G7951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for McGuire Nuclear Station,Units 1 & 2 ML20217F3661999-09-22022 September 1999 Rev 18 to McGuire Unit 1 Cycle 14 Colr ML20212D1911999-09-20020 September 1999 SER Accepting Exemption from Certain Requirements of 10CFR50,App A,General Design Criterion 57 Closed System Isolation Valves for McGuire Nuclear Station,Units 1 & 2 ML20216E8851999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Units 1 & 2 ML20211B1281999-08-31031 August 1999 Dynamic Rod Worth Measurement Using Casmo/Simulate ML20217G8101999-08-31031 August 1999 Revised Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Unit 1 & 2 ML20211G5261999-08-24024 August 1999 SER Accepting Approval of Second 10-year Interval Inservice Insp Program Plan Request for Relief 98-004 for Plant,Unit 1 ML20211F3441999-08-17017 August 1999 Updated non-proprietary Page 2-4 of TR DPC-NE-2009 ML20210S2371999-07-31031 July 1999 Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20216E8951999-07-31031 July 1999 Revised Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209E4361999-07-0909 July 1999 SER Agreeing with Licensee General Interpretation of TS LCO 3.0.6,but Finds No Technical Basis or Guidance That Snubbers Could Be Treated as Exception to General Interpretation ML20196K6631999-07-0707 July 1999 Safety Evaluation Supporting Licensee 990520 Position Re Inoperable Snubbers ML20209H1631999-06-30030 June 1999 Monthly Operating Repts for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20210S2491999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209H1731999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206T4771999-05-31031 May 1999 Rev 3 to UFSAR Chapter 15 Sys Transient Analysis Methodology ML20196L1881999-05-31031 May 1999 Non-proprietary Rev 1 to DPC-NE-3004, Mass & Energy Release & Containment Response Methodology ML20195K3691999-05-31031 May 1999 Monthly Operating Repts for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206N3511999-05-11011 May 1999 Safety Evaluation Accepting Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety- Related Movs ML20195K3761999-04-30030 April 1999 Revised MORs for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206R0891999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205L2341999-04-0505 April 1999 SFP Criticality Analysis ML20206R0931999-03-31031 March 1999 Revised Monthly Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P8991999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205C4171999-03-25025 March 1999 Special Rept 99-02:on 801027,Commission Approved for publication,10CFR50.48 & 10CFR50 App R Delineating Certain Fire Protection Provisions for Nuclear Power Plants Licensed to Operate Prior to 790101.Team Draft Findings Reviewed ML20207K2051999-03-0505 March 1999 Special Rept 99-01:on 990128,DG Tripped After 2 H of Operation During Loaded Operation for Monthly Test.Caused by Several Components That Were Degraded or Had Intermittent Problems.Parts Were Replaced & Initial Run Was Performed ML20204C8911999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P9021999-02-28028 February 1999 Revised Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20204C8961999-01-31031 January 1999 Revised Monthly Operating Repts for Jan 1999 for McGuire Nuclear Station,Units 1 & 2 ML20199E0301998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for McGuire Nuclear Station,Units 1 & 2 ML20216F9931998-12-31031 December 1998 Piedmont Municipal Power Agency 1998 Annual Rept ML20198A4481998-12-11011 December 1998 Safety Evaluation Concluding That for Relief Request 97-004, Parts 1 & 2,ASME Code Exam Requirements Are Impractical. Request for Relief & Alternative Imposed,Granted ML20198D7561998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 ML20199E0491998-11-30030 November 1998 Revised Monthly Operating Rept for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 Re Personnel Exposure ML20199E9651998-11-24024 November 1998 Rev 1 to ATI-98-012-T005, DPC Evaluation of McGuire Unit 1 Surveillance Weld Data Credibility ML20196D4171998-11-24024 November 1998 Special Rept 98-02:on 981112,failure to Implement Fire Watches in Rooms Containing Inoperable Fire Barrier Penetrations,Was Determined.Repair of Affected Fire Barriers in Progress ML20196G0581998-11-0606 November 1998 Rev 17 to COLR Cycle 13 for McGuire Unit 1 ML20196G0761998-11-0606 November 1998 Rev 15 to COLR Cycle 12 for McGuire Unit 2 ML20198D7771998-10-31031 October 1998 Revised Monthly Operating Rept for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E5961998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154L6251998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E6021998-09-30030 September 1998 Revised Monthly Operating Rept for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154B4131998-09-22022 September 1998 Rev 0 to ISI Rept for McGuire Nuclear Unit 1 Twelfth Refueling Outage ML20151W3521998-09-0808 September 1998 Special Rept 98-01:on 980819,maint Could Not Be Performed on FPS Due to Isolation Boundary Leakage.Caused by Inadequate Info Provided in Fire Impairment Plan.Isolated Portion of FPS Was Returned to Svc ML20154L6321998-08-31031 August 1998 Rev 1 to MOR for Aug 1998 for McGuire Nuclear Station,Unit 1 ML20153B3741998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236U1601998-07-31031 July 1998 Non-proprietary DPC-NE-2009, DPC W Fuel Transition Rept ML20237B2381998-07-31031 July 1998 Monthly Operating Repts for July 1998 for McGuire Nuclear Station,Units 1 & 2 ML20153B3931998-07-31031 July 1998 Revised Monthly Operating Repts for Jul 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236P0451998-07-0808 July 1998 Part 21 Rept Re non-conformance & Potential Defect in Component of Nordberg Model FS1316HSC Standby Dg.Caused by Outer Spring Valves Mfg from Matl That Did Not Meet Specifications.Will Furnish Written Rept within 60 Days 1999-09-30
[Table view] |
Text
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~ ~
,. Duke Ibu'er Company ' '(704) 875-4000 '
McGuire Nudear Station c
?O Bar488 Cornelius, NC 28a11-0488 DUKEPOWER October 26, 1989 l
i U.S. Nuclear Regulatory Commission '!
. Document Control Desk !
Washington,-D.C. 20555
Subject:
McGuire Nuclear Station Units 1,and 2 Docket No. 50-369 Licensee Event Report 369/89-30 ,
Gentlemen: t Pursuant to 10 CFR 50.73 Sections (a)(1) and-(d), attached is Licensee' Event ,
Report 369/89-30 concerning an open conduit connection that~ rendered-the' Control- -
Room Ventilation System inoperabic. This report is being submitted in accordance -
with 10 CFR 50.73(a)(2)(1). This event is considered to be of no significance ~-
with respect to the health and safety of the public.
Very truly yours, T.L. cConnell DVE/ADJ/cbl Attachment xc: Mr. S.D. Ebneter American Nuclear Insurers l Administrator, Region II -c/o Dottie Sherman, ANI Library l U.S. Nuclear Regulatory Commission The Exchange, Suit 245. j
- l. 101 Marietta St.. NW, Suite 2900 270 Farmington Avenue 2 Atlanta, GA 30323 Farmington, CT 06032 l INPO Records Center Mr. Darl Hood Suite 1500 U.S. Nuclear Regulatory Commission 1100 Circle 75 Parkway Office of Nuclear. Reactor Regulation Atlanta, GA 30339 Washington, D.C. 20555 M&M Nuclear Consultants Mr. P.K. Van Doorn 1 1221 Avenue of the Americas NRC Resident Inspector
-New York, NY 10020 McGuire Nuclear Station 1 9
. n L
I..
1 LER'Covar-Lettsr Page 2 bxc: B.W. Bline A.S. Daughtridge R.C. Futrell -
R.L. Gill
~
R.M. Glover (CNS) >-
T.D. Curtis (ONS)
P.R. Herran i S.S. Kilborn (W)
S.E. LeRoy
-R.E. Lopez-Ibanez J.J. Maher R.O. Sharpe (MNS)
G.B. Swindlehurst-K.D. Thomas L.E. Weaver R.L. Weber
-J.W. Willis QA Tech. Services NRC Coordinator (EC 12/55)
MC-815-04 (20)
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"T seRC Form 348 U 5. NUCLE 12 E EGULATC%Y COesMISSION 8
. APPROVED OMS NO 3144 010s LICENSEE EVENT REPORT (LER) 'xP'a85 C*N FACILITV NAME til DOCKET NUMSER (21 PAGEi3a McGuire Nuclear Station, Unit 1 o ;5 ;o ;o ;o;3 g6 ;9 i l0Fl016
''' The Control Room Ventilation System Was Technically Inoperable Due To An Open Conduit Connection Because Of Unknown Reasons i EVENT DATE (Si LER NUMSER tel REPORT DATE (7) OTHER F ACILITIES INVOLVED (8) I MONTM DAY YEAR YEAR SE (ouv,6, MONTM DAY YEAR F ACILity hawis DOCKET NUMBEmisi (A L McGuire, Unit 2 o 9 5,o ; o g o i 3,7;0 j i
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OPE st ATING THit REPORT 18 $USMITTED PURSUANT TO THE RtOUIREMENTS OF 10 CPR { (Ched eae er more 8' f** fodo*'ael (118 MOOE m 1 to 73teH210,1 73.71tel 20 402ttil 20 406ts) 20 406teH110) 60 34WH11 50.730eH2 Het 73.711:1 20 406teH1Het 50.38isH2) 50.73teH2Hvu) O ME aec Py Aast ett i 4101 l l ,
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, NAME TELEPHONE NUMBER ARE A CODE Alan Sipe, Chairman, McGuire Safety Review Group 7,0,4 8;7, 5, ,4,,1,8,3 COMPLETE ONE LINE FOR E ACH COMPONENT F AILURE DESCRIBED IN TH18 REPORT (131 CAUSE SYSTEM COMPONENT M' C' "fg Oy"p,"fg'I I
CAUSE SYSYEM COMPONENT N C- R "
O NPR I I I I I I I I I I I I I I I I l I I I I ! l ! I I I SUPPLEMENT AL REPORT E XPECTED lien MONTH Dav vtAR Sv8vt$$ ION Y E$ III was comote,e EJr*ECTED SueMtsSION CA TE) NO l l l 1 37 R AC T m, , to ,e ,,-. . . .,.. . . ,y, me, r . ,,.. ei.., o .,
On July 14, 1989, Bahnson personnel were preparing to perform a visual inspection and a leak test (pressure test) on the modified Train B Outside Air Pressure Filter Train (OAPFT) filter housing of the Control Room Ventilation (VC) system. The visual inspection revealed a 3/4 inch open conduit connection which would have prevented a successful leak test. The Train B OAPFT filter housing was successfully leak tested after the conduit connection was removed and the hole plugged. The open condait connection allowed an additional inleakage of unfiltered air. This leakage could have resulted in the dose to Control Room personnel to exceed that assumed by the design basis analysis. Design Engineering performed a Past Operability Determination that concluded that, although the VC system was technically inoperable, no danger to the Control Room personnel existed for any credible accident which may have occurred. This event is assigned a cause of l
Unknown because it could not be determined why the open conduit connection was not removed, plugged, and sealed when the filter housing was originally modified.
The best estimate is that the original modification was performed in the third quarter of 1980, which was prior to Unit 1 initial fuel loading. Unit I was in, Mode 1 (Power Operation) at 100 percent power and Unit 2 was in Mode 6 (Refueling) when this event was discovered. Unit 2 had previously operated in Mode 1 at 100 percent I power with these conditions existing.
seetC Form ageA
. U.S. NUCLE 13 CEIULATORY COMMISBs0N
- UCENIEE EVENT REPORT (LER) TEXT CONTINUATION - <*:ovEo ove No 3iEo-cio4 i EXPlRES,8/31/5 FACILITY isAatt ni DOCKET NUMBER (2) . LER NUMBER tel P A0613) n vtan seg iA6 n eQ McGuire Nuclear Station, Unit l~ 015 l o l o l o l 3 ] 6l 9 8l 9 -
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EVALUATION: !
l
- 1 Background I J
There are two independent trains of the Control Area Ventilation (VC) system i
[EIIS:VI] which are designed to maintain the habitable environment in,the Control Room (EIIS:NA), Control Room Area and Switchgear Rooms, during normal and. accident .
conditions. Based on these criteria,_the system'is designed as an Engineered Safety Features-(ESF) system with absolute and carbon filtration in the outside air intakes and with equipment redundancies for use as conditions require.
The Control Room (CR) is designed to be maintained at a positive pressure during in accident to prevent entry of contaminants. Prior to implementation of Nuclear _-
Station Modification (NSM) MG-52009, each CR VC filter [EIIS':FLT] train assembly consisted of two 50 percent capacity CR pressurization fans [EIIS: FAN] and one
' filter train. Each filter train consists of a pre-filter, a HEPA filter,.a carbon absorber [EIIS: ABS], controls, ductwork [EIIS: DUCT), isolation dampers [EIIS:DMPl.
and two check dampers (EIIS:UDMP]. All of these components are mounted on a common steel channel [EIIS:CHA] base.
, NSM MG-52009 documented replacing the existing two 50 percent capacity fans that ,
serve each of the two redundant Outside Air Pressure Filter Trains-(OAPFT). The two 50 percent capacity fans were replaced with one nuclear grade 100 percent capacity fan in each train. The new 100 percent capacity CR pressurization fans i_ supply 2000 cubic feet per minute (CFM). The OAPFT is provided to_ filter the outside air used for pressurization of the CR and the recirculated air.
l ANSI N510-1975, Sections 5 and 6 require visual inspection and leak testing i follcwing structural changes to a filter housing.
Technical Specification (TS) 3/4.7.6 addresses the requirement where two independent VC systems shall be operable in all modes. In Mode 1 (Power Operation), Mode 2 (Startup), Mode 3 (Hot Standby), and Mode 4.(Hot Shutdown).
l TS requires that with one train of the VC system inoperable, the inoperable train must be restored to operable status within seven days or be in at least Hot Stana within the next six hours, and in Cold Shutdown within the next_ thirty hours. In Modes 5 (Cold Shutdown), and Mode,6 (Refueling) the TS requires the following:
- a. With one VC system train inoperable, restore the inoperable train to Operable status within 7 days or initiate and maintain operation of the remaining operable VC system train in the recirculation mode; and
- b. With both VC system trains inoperable or with the oper'able VC system train, required to be in the recirculati m mode by Action a. , not capabl.-
of being powered by an operable emergency power source, suspend all operations involving core alterations or positive reactivity. changes.
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TS 3/4.7.6 applies to both Unit 1 and Unit 2 because the VC system is shared by I both units. Also, TS 3/4.7.6 includes requirements that two independent VC trains shall be demonstrated operable at least once each 18 months by verifying a system ,
flow rate of 2000 CFM +/- 10 percent and a CR positive pressure of >/= 0.125 inches l water gauge, relative to outside atmosphere. l Description of Event On July 14, 1989, at approximately 1000, Bahnson personnel were preparing to perform the visual inspection and leak test"on the modified Train B OAPFT filter housing. Bahnson personnel were using Bahnson procedure SP-MNS-11.002, Leak Test For, Duct Housing NSM MG-11905 and 52009. The visual inspection prior to leak testing revealed a 3/4 inch open electrical conduit connection. This 3/4 inch open conduit connection would have prevented a successful leak test. Work request (WR) 953549 was initiated to remove the electrical conduit connection and plug the hole.
The Train B OAPFT filter housing was successfully leak tested after the 3/4 inch conduit connection was removed and the hole plugged.
The Train A OAPFT filter housing was examined to determine if a similar condition existed. This examination revealed that the conduit connection had been removed, plugged, and sealed.
On September 18, 1989, Design Engineering (DE) personnel completed a Pas
- Operability Determination. DE personnel determined that, although the VC system was technically inoperable, no danger to the CR personnel existed for any credible accident which may have occurred.
Conclusion This event is assigned a cause of Unknown, because it could not be determined during the course of this investigation why the 3/4 inch conduit connection on the Train B OAPFT filter housing was not removed, plugged, and sealed. It was determined that modification to the OAPFT filter housings, which resulted in the open conduit connection, was made prior to Unit 1 initial fuel loading. The best estimate is that the modification was performed in the third quarter of 1980. This time frame is based on a documented revision to the manufacturers manual, MCM 1211.00-1526, dated September 12,1980. This modification invelved welding the filter housing outlet dampers in the open position. Welding these dampers in a fixed position would also have necessitated the disconnection of the damper electric operators which could have resulted in the open conduit connection. This conclusion was supported by reviewing the Project Services computer. print outs, for the three types of Nuclear Production Department requested station modifications; Nuclear Problem Report (NPR), Nuclear Station Modification (NSM), and McGuire Exempt Variation Notice (KEVN). There were a total of 67 modification requests identified involving the VC system comprised of 6 NPRs, 45 NSMs, and 16 MEVNs.
None of these modification requests involved welding of the OAPFT outlet dampers in an open position. The WR computer program data base was also searched for a WR involving the removal of the conduit connection on Train A OAPFT housing. No WRs Ngeoxun.. .u.s. cro, u n - +e
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UCENSEE EVENT REPORT (LER) TEXT C3NTINUATION maoveo ove un mo-om ommes::ava .
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The leak testing pursuant to section 6 of ANSI N510-1975 is similar to the hydrostatic testing of pressure boundry components to verify structural integrity.
This-test is required on new filter housings or on filter housings that have been structurally modified. The periodic testing by station Performance personnel verifies TS requirements for flow rate versus pressure drop across the filter '
L package and the efficiencies of the HEPA filter bank and the charcoal adsorber l bank. The periodic testing would only identify breaches into the filter housing J l that were new, different then previously tested, and large enough to affect indicated test parameters. The effects of the additional inleakage on previous tests would be in a non-conservative direction, increasing the measured leakage by l approximately 1 to 2 percent of the test value. This effect is considered negligible because previous test results were sufficiently within the test acceptance criteria. This is also supported by the fact that Train A and Train B l '
tested filter efficiencies are similar. A visual examination of the filter housing is. performed under periodic test procedure PT/1,2/A/4450/15A, OAPFT OAPFT-2 Visual Inspection, prior to filter efficiency testing. The procedure specifies checks for structural soundness, missing or loose. fasteners, condition of access doors, etc. This procedure also requires that any abnormalities be identified in the provided comments section. A review of completed visual inspection records revealed that such problems as broken bolts and door latches have been identified and evaluated for effects on filter testing. The key issue here is the fact that the conduit connection was not an abnormality because it was there from the time of system turnover from construction. Also, none of the engineers or technicians that tested the system perceived the conduit connection as an opening or breach of the filter housing. Bahnson personnel had an advantage of recognizing the-conduit connection as an opening because they were working on the inside as well as on the outside of the filter housing.
This investigation revealed that WR 501212 was initiated to remove the conduit connection on September 14, 1988. Discussions with the WR initiator, Maintenance Engineering Services (MES) Specialist A, revealed that this WR was written based axi a housekeeping concern only. The MES Specialist did not recognize the conduit connection as being a breach of the filter housing.
A review of the McGuire LER data base for the past 12 months revealed one event, LER 369/88-37 that involved a TS violation with a root cause or contributing cause of Unknown. LER 369/88-37 involved the Ice Condenser system (EIIS:BC). Therefore, this event is not considered recurring since different systems were involved.
As a result of other events involving the VC system identified in LER 369/89-15 and LER 369/89-26, the problem with operability of the VC system in general is considered to be recurring.
This event is not Nuclear Plant Reliability Data System (NPRDS) reportable.
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~There were no personnel injuries radiation overexposures, or releases of radioactive material as a result of this event.
'I CORRECTIVE ACTIONS: I i
Immediate: I The conduit connection was removed and the hole was sealed.
Subsequent: None Planned: None !
SAFETY ANALYSIS:
The design requirements of the VC system are to supply filtered air at a controlled !
temperature and humidity to the CR and to pressurize the CR to prevent inleakage of unfiltered air. The VC system helps ensure that doses to CR personnel are ALARA j and remain below Code of Federal Regulations, Title 10, Part 50 (10CFR50), Appendix 1 A, Criteria 19 (GDC-19) limits.
During"a recent modification inspection and test, areas of possible inleakage to the VC system were discovered which could allow unfiltered air to enter the CR at an estimated maximum rate of 27 cfm. These possible sources of leakage were {
properly corrected.
The design basis analysis of the dose to CR personnel assumes an inleakage of 10 cfm to account for CR doors [EIIS:DR] being opened for personnel access. Using the j very conservative assumptions employed for design basis analysis, with.the 2 additional 27 cfm inleakage, the system would not maintain the CR environment in conformance with GDC-19 criteria. The system was thus inoperable according to design basis analysis.
The consequences of an accident with the VC system operation with 27 cfm inleakage would have been reduced by the following factors.which are not considered in the design basis analysis:
- 1) Dilution of air leaking into the CR by this path by the Auxilia'ry i Building (VA) system [E,IIS:VF]. .
- 2) Operation of the VA exhaust filters to remove iodine and particulates i from the air leaving the Auxiliary Building [EIIS:hT] . This .
substantially reduces the dose contribution from assumed Emergency Core Cooling System leakage.
- 3) Substantially lower iodine releases in realistic accidents than those ,
assumed in the design basis accident.
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- 4) The iodine removal capability of the Containment Spray (NS) system. l
[EIIS:BE] is much greater than that assumed in the design basis I calculation after recirculation of sump water begins. ;
l
- 5) The CR dose calculation assumes operation of only one train of AnnMus l Ventilation (VE) system [EIIS:VD] along with failure of one train of the "
I
( VC system. This double failure assumption adds conservatism.
- 6) Respirators are available to CR personnel which would reduce dose during _
periods when contaminated air is being drawn into the CR.
- 7) The average deposition factor assumed for inleakage is conservative and is assumed to exist for the entire 30 day accident period.
Consideration of these factors would result in CR doses well below GDC-19 limits.
Thus, although the system was technically inoperable, no danger to the CR personnel existed for any credible accident which may have occurred.
This event did not affect the health and safety of the public.
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