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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E1891994-05-13013 May 1994 LER 94-007-00:on 940418,meter Lead Inadvertently Touched Adjacent Terminal Resulting in RCIC Inboard Steam Valve Closure.Caused by Personnel Error.Corrective Action:Meetings Were Held & self-assessments in progress.W/940513 Ltr ML20029D6171994-04-29029 April 1994 LER 94-005-01:on 940330,potential Use of Less Conservative pressure-temp Limit Curves Identified.Caused by Inadequate Procedural Guidance.Corrective Actions:Adverse Condition Rept initiated.W/940429 Ltr ML20029D0051994-04-28028 April 1994 LER 94-005-00:on 940404,two PCIS Group 6 RIP Valves Had Dual Open/Closed (Red/Green) Indications.Cause Was Personnel Error.Corrective Action:Individuals Involved Counseled on event.W/940428 Ltr ML20029C8491994-04-25025 April 1994 LER 94-004-00:on 940329,penetration Leakage in Excess of TS Allowable Limit During Local Leak Rate Testing Identified. Troubleshooting & Analysis of Failure Mechanism in Progress. Suppl to Rept Will Be submitted.W/940425 Ltr ML20046B5601993-07-30030 July 1993 LER 92-004-01:on 920730,RWCU Sys Isolated During Substation E7 de-energization Due to Personnel Error.Preparation of Project Plan for Development of Electrical Load List Using Plant Staff Resources underway.W/930730 Ltr ML20045G5821993-07-0808 July 1993 LER 93-003-00:on 930608,RPS MG a Tripped,Resulting in Successful ESF Actuations & Isolations Due to Defective Procedure.Voltage Adjust Potentiometer for MG a Voltage Regulator Replaced on 930617.W/930708 Ltr ML20045F5201993-07-0202 July 1993 LER 93-010-00:on 930604,hourly Fire Watch TS Surveillance Missed During Radiography Due to HP & Operations Failed to Establish Other Means of Communication W/Radiographers. W/930702 Ltr ML20045D6371993-06-30030 June 1993 LER 93-005-01:on 930214,testing of SBGT Showed That Unthrottled Flow of Single Train Would Exceed TS Rated Flow Limit of 3,330 Cfm.Caused by Design Deficiency.Existing SBGT Heaters Upgraded & Rewired ML20045D7601993-06-30030 June 1993 LER 93-008-01:on 930313,spurious ESF Actuations Occurred Due to on-site Electrical Distribution Sys Voltage Depressions. Design of cross-over Points of Transmission Lines Emanating from Plant Being reviewed.W/930624 Ltr ML20045D1531993-06-21021 June 1993 LER-93-007-00:on 930522,discovered That MSL D High Flow Trip Unit Failed Downscale Due to Personnel Error.Appropriate Operations Personnel counselled.W/930617 Ltr ML20045D5881993-06-17017 June 1993 LER 93-006-00:on 930521,HCU 06-31 Declared Inoperable When CRD Accumulator Low Pressure/High Level Alarm Received in Cr.Hcu 02-23 Inoperable at Time.Hcu 02-23 Restored to Svc & Excess Water Drained from HCU 06-31.W/930617 Ltr ML20044E5241993-05-24024 May 1993 LER 93-007-00:on 930424,discovered That Sampling of Rv Coolant Conductivity Not Performed Due to Misinterpretation of RCS Chemistry Ts.Chemistry Sampling of Rv Coolant re-established.W/930521 Ltr ML20044E5411993-05-20020 May 1993 LER 93-009-00:on 930421,found That Design of SBGTS Would Allow Operation That Would Result in Sys Damage If Containment Venting in Progress & Experience Loca.Operating Procedures 1-OP-10 & 1-OP-24 revised.W/930520 Ltr ML20044B6761993-02-22022 February 1993 LER 93-001-00:on 930121,determined That Containment Atmospheric Control Airborne Particulate & Gaseous Radioactivity Monitors Not Seismically Qualified.Suppl to Rept Will Be submitted.W/930227 Ltr ML20029A9111991-02-25025 February 1991 LER 91-001-00:on 910125,reactor Scram Occurred During Calibr of Feedwater Computer Point.Caused by Incorrect Procedure in Summary Sheet.Maint Procedures Reviewed & revised.W/910225 Ltr ML20028H7141991-01-24024 January 1991 LER 90-019-00:on 901226,isolation Signal Caused Reactor Water Cleanup Inlet Inboard Isolation Valve to Automatically Close.Caused by de-energized HPCI Isolation Relay.Riley Scam Temp Switch Units Will Be replaced.W/910124 Ltr ML20024F7461990-12-13013 December 1990 LER 90-020-00:on 901117,primary & Secondary Containment Isolation Signals Received & Standby Gas Treatment Sys auto- Started.Caused by Scan Overload on Microprocessor.Updated Microprocessor Will Be obtained.W/901213 Ltr ML20028H0421990-09-28028 September 1990 LER 90-012-00:on 900830,Unit 2 Reactor Scram Occurred During Reactor Startup.Investigation Continuing.Level Recovered W/O Need for Safety Sys Injection & Unit Designed for Level Transient from Full power.W/900928 Ltr ML20028H0431990-09-28028 September 1990 LER 90-011-00:on 900830,RWCU Sys G31 Received Leak Hi & RWCU Leak Hi Hi Annunciators Although Actual Leak Had Not Occurred.Caused by Air in Instrument 2-G31-FT-N012 Sensing Lines.Investigation to Be conducted.W/900928 Ltr ML20043G0981990-06-15015 June 1990 LER 88-001-06:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Cause Still Undetermined.Vendor Insp Revealed Presence of Oil Base Film in Solenoid Valves.Determination Due by 900801.W/900615 Ltr ML20043G0711990-06-13013 June 1990 LER 90-005-00:on 900514,unplanned Closure of HPCI Isolation Valve Occurred During Maint Surveillance Test.Caused by Technician Placing RCIC Instead of HPCI Test Switch to Test Position.Personnel Counseled & trained.W/900613 Ltr ML20043F6291990-06-11011 June 1990 LER 90-008-00:on 900514,HPCI Sys Rendered Inoperable When Control Power Lost to Min Flow Bypass Valve to Suppression Pool.Probably Caused by Design Problem W/Ge Model CR2940 Sockets.Light Bulb & Fuse replaced.W/900611 Ltr ML20043F6181990-06-0808 June 1990 LER 90-007-00:on 900511,identified That Damper Would Fail to Close on Loss of Power to Solenoid Valve & on 900526,damper Found Approx 30 Degrees Open.Caused by Failure of Design to Include Fail Safe Damper.Damper modified.W/900608 Ltr ML20043C9001990-06-0101 June 1990 LER 90-009-00:on 900507,determined That Tech Spec 4.6.1.1 Requirements Not Met After Performing Monthly Periodic Test 2.2.4a.Caused by Inadequate Procedure.Recommended Procedure Revs to Prevent Recurrence Being evaluated.W/900601 Ltr ML20043B7971990-05-25025 May 1990 LER 90-006-00:on 900426,hydraulic Perturbation Occurred on Variable Leg of Instrumentation Used to Sense Reactor Water Level,Causing Isolation of RWCU Sys & Initiation of Standby Gas Treatment Sys.Diaphragm Assembly recalibr.W/900525 Ltr ML20043A6121990-05-11011 May 1990 LER 90-003-01:on 900312,full Group 1 Isolation Signal Received,Resulting in Automatic Closure of Msivs.Caused by Personnel Failing to Follow Procedures.Personnel Counseled & Procedure Separated Into Two tests.W/900511 Ltr ML20012E0581990-03-23023 March 1990 LER 90-002-00:on 900224,Group I Isolation Occurred When Undervoltage Relay Replaced.Caused by Lack of Recognition of Significance of Having Turbine Reset While Performing Electro Hydraulic Control evolutions.W/900323 Ltr ML20012B8071990-03-0909 March 1990 LER 90-001-00:on 900210,determined That Core Spray Loops a & B Inoperable Due to Missed Surveillance.Cause Not Stated. Investigation continuing.W/900309 Ltr ML20012A1671990-03-0202 March 1990 LER 89-013-01:on 890909,HPCI Turbine Auxiliary Oil Pump Developed Shaft Seal Leak of Approx 1 Gpm.Caused by Failure of Shaft Seal.Root Cause of Seal Failure Initiated.Pump Seal replaced.W/900302 Ltr ML20011F5541990-02-22022 February 1990 LER 90-002-00:on 900127,common Control Bldg HVAC Sys Isolated & Transferred to Recirculation Mode as Result of Spurious Actuation of Chlorine Detector.Sensor Connection checked.W/900222 Ltr ML20006E7751990-02-19019 February 1990 LER 88-001-05:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Caused by Numerous Leaks on Main Turbine & Main Steam Reheat Interconnecting Piping.Seating Matl installed.W/900219 Ltr ML20011F5311990-02-16016 February 1990 LER 89-026-01:on 891210,common Emergency Bus E3 Unexpectedly Deenergized,Causing Standby Gas Treatment Sys Isolation & Reactor Scram Signal.Caused by Procedural Inadequacy.Isolation Reset & Power restored.W/900216 Ltr ML20006E3681990-02-0909 February 1990 LER 88-006-02:on 880219,numerous Bolt Head Failures of 5/16- Inch X 1/2-inch Silicon Bronze Carriage Bolts Noted in Bus/ Bar Connections of Electrical Switchboards.Caused by Igscc. Bolts Replaced.Reportable Per Part 21.W/900209 Ltr ML20011E1601990-02-0101 February 1990 LER 90-001-00:on 900102,RCIC Removed from Svc & HPCI Rendered Inoperable,Placing Unit in Tech Spec 3.0.3.Caused by Personnel Error.Individual Counseled & Standing Instruction 90-003 issued.W/900201 Ltr ML19354E5651990-01-24024 January 1990 LER 89-021-00:on 891225,electrical Protection Assembly Output Breakers Associated W/Bus a of Reactor Protection Sys Tripped Open.Cause of Trip Unknown.Voltage & Frequency Output of Motor Generator a monitored.W/900124 Ltr ML19354E5611990-01-19019 January 1990 LER 89-025-00:on 891223,sample Lines for Stack Radiation Monitor Froze,Resulting in Samples Not Indicative of Ongoing Releases.Caused by Lack of Insulation on Lines Exiting Stack.Sample Lines insulated.W/900119 Ltr ML19354D8951990-01-16016 January 1990 LER 89-020-00:on 891217,relay in Reactor Protection Sys B Motor Generator Set Control Panel Burned Out,Resulting in Logic Trip of Bus B & Isolation of Standby Gas Treatment Sys.Caused by Circuit malfunction.W/900116 Ltr ML20005F0501990-01-0404 January 1990 LER 89-026-00:on 891210,loss of E3 Bus While Deenergizing Bus 2D for Scheduled Maint Occurred.Caused by Procedural Inadequacy of Plant Electric Sys Operating Procedures.Unit Reset & Sys Returned to normal.W/900104 Ltr ML20042D3551990-01-0202 January 1990 LER 89-019-00:on 891208,Group 6 Isolation Occurred W/Standby Gas Treatment Sys Auto Start During Performance of MST-SCIS21R.Caused by Inadequate Work Practices.Work Crew Counseled.Calibr Procedures May Be revised.W/900102 Ltr ML20005E3461989-12-27027 December 1989 LER 89-024-00:on 891127,17 Primary Containment Isolation Valves Not Tested Per Tech Spec Surveillance Requirement 4.6.1.1.a.Caused by Failure to Recognize Applicability of Testing.Test Rev completed.W/891227 Ltr ML20011D8411989-12-15015 December 1989 LER 89-009-01:on 890617,manual Reactor Scram Initiated Per NRC Bulletin 88-007 Due to Loss of Recirculation Pumps, Causing Loss of Offsite Power & Containment Isolation. Caused by Personnel Error.Hpci Sys secured.W/891215 Ltr ML20011D2251989-12-14014 December 1989 LER 89-023-00:on 891116,reactor Shutdown When Drywell to Suppression Chamber Vacuum Breaker Opened.Caused by Excessive Vibration & Lack of Proper Space Between Actuator Arm & Piston.Procedures Will Be revised.W/891214 Ltr ML19332E9001989-12-0707 December 1989 LER 89-022-00:on 891110,automatic Isolation of Units 1 & 2 Common Control Bldg HVAC & Emergency Air Filtration Sys Occurred.Cause Not Determined.Detectors auto-reset & Sys Returned to Normal svc.W/891207 Ltr ML19332D5791989-11-27027 November 1989 LER 89-018-00:on 891101,determined That Safety Relief Valves Did Not Actuate within Required +/- 1.0% of Setpoints.Cause Not Determined.Setpoints recertified.W/891127 Ltr ML19332C3861989-11-21021 November 1989 LER 89-021-00:on 891022,inadvertent LOCA Initiation Signal Occurred During Monthly Channel Calibr & Functional Test. Caused by Technician Miscommunication.Involved Technicians counseled.W/891121 Ltr ML19327C2021989-11-14014 November 1989 LER 89-019-01:on 890914,determined That Svc Water Sys May Not Have Met Design Requirements Under worst-case Conditions.Caused by Inadequate Component design.Cross-tie Valves Installed.Also Reported Per Part 21.W/891114 Ltr ML19324C3171989-11-0707 November 1989 LER 89-020-00:on 891011,HPCI F006 Valve Motor Control Ctr Indicating Light Socket Shorted & Blew Control Power Fuse for Valve.Caused by Inward Force Applied to Bulb During Removal.Lamp,Socket & Fuse replaced.W/891107 Ltr ML19324C1041989-11-0606 November 1989 LER 89-017-00:on 891010,low Level Signals Occurred,Causing Group 1 Isolation,Core Spray Initiation Signal & auto-start of Common Emergency Diesel Generators.Caused by Perturbation of Ref Leg.Procedures revised.W/891106 Ltr ML19327B9861989-11-0606 November 1989 LER 89-017-01:on 890624,HPCI Sys,Steam Line Break Delta Pressure High Signal,Channel A,Isolation Occurred.Root Cause Investigation Underway.Work Request/Job Order Initiated Requesting Verification of readings.W/891106 Ltr ML19354D4401989-11-0101 November 1989 LER 89-016-01:on 890614,determined That Some Valves Listed in Table 1 of LER Not Tested Per Tech Specs.Caused by Failure to Establish Proper Procedural Controls.Valve Acceptance Criteria Basis Sheets updated.W/891101 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20029E1891994-05-13013 May 1994 LER 94-007-00:on 940418,meter Lead Inadvertently Touched Adjacent Terminal Resulting in RCIC Inboard Steam Valve Closure.Caused by Personnel Error.Corrective Action:Meetings Were Held & self-assessments in progress.W/940513 Ltr ML20029D6171994-04-29029 April 1994 LER 94-005-01:on 940330,potential Use of Less Conservative pressure-temp Limit Curves Identified.Caused by Inadequate Procedural Guidance.Corrective Actions:Adverse Condition Rept initiated.W/940429 Ltr ML20029D0051994-04-28028 April 1994 LER 94-005-00:on 940404,two PCIS Group 6 RIP Valves Had Dual Open/Closed (Red/Green) Indications.Cause Was Personnel Error.Corrective Action:Individuals Involved Counseled on event.W/940428 Ltr ML20029C8491994-04-25025 April 1994 LER 94-004-00:on 940329,penetration Leakage in Excess of TS Allowable Limit During Local Leak Rate Testing Identified. Troubleshooting & Analysis of Failure Mechanism in Progress. Suppl to Rept Will Be submitted.W/940425 Ltr ML20046B5601993-07-30030 July 1993 LER 92-004-01:on 920730,RWCU Sys Isolated During Substation E7 de-energization Due to Personnel Error.Preparation of Project Plan for Development of Electrical Load List Using Plant Staff Resources underway.W/930730 Ltr ML20045G5821993-07-0808 July 1993 LER 93-003-00:on 930608,RPS MG a Tripped,Resulting in Successful ESF Actuations & Isolations Due to Defective Procedure.Voltage Adjust Potentiometer for MG a Voltage Regulator Replaced on 930617.W/930708 Ltr ML20045F5201993-07-0202 July 1993 LER 93-010-00:on 930604,hourly Fire Watch TS Surveillance Missed During Radiography Due to HP & Operations Failed to Establish Other Means of Communication W/Radiographers. W/930702 Ltr ML20045D6371993-06-30030 June 1993 LER 93-005-01:on 930214,testing of SBGT Showed That Unthrottled Flow of Single Train Would Exceed TS Rated Flow Limit of 3,330 Cfm.Caused by Design Deficiency.Existing SBGT Heaters Upgraded & Rewired ML20045D7601993-06-30030 June 1993 LER 93-008-01:on 930313,spurious ESF Actuations Occurred Due to on-site Electrical Distribution Sys Voltage Depressions. Design of cross-over Points of Transmission Lines Emanating from Plant Being reviewed.W/930624 Ltr ML20045D1531993-06-21021 June 1993 LER-93-007-00:on 930522,discovered That MSL D High Flow Trip Unit Failed Downscale Due to Personnel Error.Appropriate Operations Personnel counselled.W/930617 Ltr ML20045D5881993-06-17017 June 1993 LER 93-006-00:on 930521,HCU 06-31 Declared Inoperable When CRD Accumulator Low Pressure/High Level Alarm Received in Cr.Hcu 02-23 Inoperable at Time.Hcu 02-23 Restored to Svc & Excess Water Drained from HCU 06-31.W/930617 Ltr ML20044E5241993-05-24024 May 1993 LER 93-007-00:on 930424,discovered That Sampling of Rv Coolant Conductivity Not Performed Due to Misinterpretation of RCS Chemistry Ts.Chemistry Sampling of Rv Coolant re-established.W/930521 Ltr ML20044E5411993-05-20020 May 1993 LER 93-009-00:on 930421,found That Design of SBGTS Would Allow Operation That Would Result in Sys Damage If Containment Venting in Progress & Experience Loca.Operating Procedures 1-OP-10 & 1-OP-24 revised.W/930520 Ltr ML20044B6761993-02-22022 February 1993 LER 93-001-00:on 930121,determined That Containment Atmospheric Control Airborne Particulate & Gaseous Radioactivity Monitors Not Seismically Qualified.Suppl to Rept Will Be submitted.W/930227 Ltr ML20029A9111991-02-25025 February 1991 LER 91-001-00:on 910125,reactor Scram Occurred During Calibr of Feedwater Computer Point.Caused by Incorrect Procedure in Summary Sheet.Maint Procedures Reviewed & revised.W/910225 Ltr ML20028H7141991-01-24024 January 1991 LER 90-019-00:on 901226,isolation Signal Caused Reactor Water Cleanup Inlet Inboard Isolation Valve to Automatically Close.Caused by de-energized HPCI Isolation Relay.Riley Scam Temp Switch Units Will Be replaced.W/910124 Ltr ML20024F7461990-12-13013 December 1990 LER 90-020-00:on 901117,primary & Secondary Containment Isolation Signals Received & Standby Gas Treatment Sys auto- Started.Caused by Scan Overload on Microprocessor.Updated Microprocessor Will Be obtained.W/901213 Ltr ML20028H0421990-09-28028 September 1990 LER 90-012-00:on 900830,Unit 2 Reactor Scram Occurred During Reactor Startup.Investigation Continuing.Level Recovered W/O Need for Safety Sys Injection & Unit Designed for Level Transient from Full power.W/900928 Ltr ML20028H0431990-09-28028 September 1990 LER 90-011-00:on 900830,RWCU Sys G31 Received Leak Hi & RWCU Leak Hi Hi Annunciators Although Actual Leak Had Not Occurred.Caused by Air in Instrument 2-G31-FT-N012 Sensing Lines.Investigation to Be conducted.W/900928 Ltr ML20043G0981990-06-15015 June 1990 LER 88-001-06:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Cause Still Undetermined.Vendor Insp Revealed Presence of Oil Base Film in Solenoid Valves.Determination Due by 900801.W/900615 Ltr ML20043G0711990-06-13013 June 1990 LER 90-005-00:on 900514,unplanned Closure of HPCI Isolation Valve Occurred During Maint Surveillance Test.Caused by Technician Placing RCIC Instead of HPCI Test Switch to Test Position.Personnel Counseled & trained.W/900613 Ltr ML20043F6291990-06-11011 June 1990 LER 90-008-00:on 900514,HPCI Sys Rendered Inoperable When Control Power Lost to Min Flow Bypass Valve to Suppression Pool.Probably Caused by Design Problem W/Ge Model CR2940 Sockets.Light Bulb & Fuse replaced.W/900611 Ltr ML20043F6181990-06-0808 June 1990 LER 90-007-00:on 900511,identified That Damper Would Fail to Close on Loss of Power to Solenoid Valve & on 900526,damper Found Approx 30 Degrees Open.Caused by Failure of Design to Include Fail Safe Damper.Damper modified.W/900608 Ltr ML20043C9001990-06-0101 June 1990 LER 90-009-00:on 900507,determined That Tech Spec 4.6.1.1 Requirements Not Met After Performing Monthly Periodic Test 2.2.4a.Caused by Inadequate Procedure.Recommended Procedure Revs to Prevent Recurrence Being evaluated.W/900601 Ltr ML20043B7971990-05-25025 May 1990 LER 90-006-00:on 900426,hydraulic Perturbation Occurred on Variable Leg of Instrumentation Used to Sense Reactor Water Level,Causing Isolation of RWCU Sys & Initiation of Standby Gas Treatment Sys.Diaphragm Assembly recalibr.W/900525 Ltr ML20043A6121990-05-11011 May 1990 LER 90-003-01:on 900312,full Group 1 Isolation Signal Received,Resulting in Automatic Closure of Msivs.Caused by Personnel Failing to Follow Procedures.Personnel Counseled & Procedure Separated Into Two tests.W/900511 Ltr ML20012E0581990-03-23023 March 1990 LER 90-002-00:on 900224,Group I Isolation Occurred When Undervoltage Relay Replaced.Caused by Lack of Recognition of Significance of Having Turbine Reset While Performing Electro Hydraulic Control evolutions.W/900323 Ltr ML20012B8071990-03-0909 March 1990 LER 90-001-00:on 900210,determined That Core Spray Loops a & B Inoperable Due to Missed Surveillance.Cause Not Stated. Investigation continuing.W/900309 Ltr ML20012A1671990-03-0202 March 1990 LER 89-013-01:on 890909,HPCI Turbine Auxiliary Oil Pump Developed Shaft Seal Leak of Approx 1 Gpm.Caused by Failure of Shaft Seal.Root Cause of Seal Failure Initiated.Pump Seal replaced.W/900302 Ltr ML20011F5541990-02-22022 February 1990 LER 90-002-00:on 900127,common Control Bldg HVAC Sys Isolated & Transferred to Recirculation Mode as Result of Spurious Actuation of Chlorine Detector.Sensor Connection checked.W/900222 Ltr ML20006E7751990-02-19019 February 1990 LER 88-001-05:on 880102,manual Reactor Protection Sys Trip Initiated Due to Decreasing Condenser Vacuum.Caused by Numerous Leaks on Main Turbine & Main Steam Reheat Interconnecting Piping.Seating Matl installed.W/900219 Ltr ML20011F5311990-02-16016 February 1990 LER 89-026-01:on 891210,common Emergency Bus E3 Unexpectedly Deenergized,Causing Standby Gas Treatment Sys Isolation & Reactor Scram Signal.Caused by Procedural Inadequacy.Isolation Reset & Power restored.W/900216 Ltr ML20006E3681990-02-0909 February 1990 LER 88-006-02:on 880219,numerous Bolt Head Failures of 5/16- Inch X 1/2-inch Silicon Bronze Carriage Bolts Noted in Bus/ Bar Connections of Electrical Switchboards.Caused by Igscc. Bolts Replaced.Reportable Per Part 21.W/900209 Ltr ML20011E1601990-02-0101 February 1990 LER 90-001-00:on 900102,RCIC Removed from Svc & HPCI Rendered Inoperable,Placing Unit in Tech Spec 3.0.3.Caused by Personnel Error.Individual Counseled & Standing Instruction 90-003 issued.W/900201 Ltr ML19354E5651990-01-24024 January 1990 LER 89-021-00:on 891225,electrical Protection Assembly Output Breakers Associated W/Bus a of Reactor Protection Sys Tripped Open.Cause of Trip Unknown.Voltage & Frequency Output of Motor Generator a monitored.W/900124 Ltr ML19354E5611990-01-19019 January 1990 LER 89-025-00:on 891223,sample Lines for Stack Radiation Monitor Froze,Resulting in Samples Not Indicative of Ongoing Releases.Caused by Lack of Insulation on Lines Exiting Stack.Sample Lines insulated.W/900119 Ltr ML19354D8951990-01-16016 January 1990 LER 89-020-00:on 891217,relay in Reactor Protection Sys B Motor Generator Set Control Panel Burned Out,Resulting in Logic Trip of Bus B & Isolation of Standby Gas Treatment Sys.Caused by Circuit malfunction.W/900116 Ltr ML20005F0501990-01-0404 January 1990 LER 89-026-00:on 891210,loss of E3 Bus While Deenergizing Bus 2D for Scheduled Maint Occurred.Caused by Procedural Inadequacy of Plant Electric Sys Operating Procedures.Unit Reset & Sys Returned to normal.W/900104 Ltr ML20042D3551990-01-0202 January 1990 LER 89-019-00:on 891208,Group 6 Isolation Occurred W/Standby Gas Treatment Sys Auto Start During Performance of MST-SCIS21R.Caused by Inadequate Work Practices.Work Crew Counseled.Calibr Procedures May Be revised.W/900102 Ltr ML20005E3461989-12-27027 December 1989 LER 89-024-00:on 891127,17 Primary Containment Isolation Valves Not Tested Per Tech Spec Surveillance Requirement 4.6.1.1.a.Caused by Failure to Recognize Applicability of Testing.Test Rev completed.W/891227 Ltr ML20011D8411989-12-15015 December 1989 LER 89-009-01:on 890617,manual Reactor Scram Initiated Per NRC Bulletin 88-007 Due to Loss of Recirculation Pumps, Causing Loss of Offsite Power & Containment Isolation. Caused by Personnel Error.Hpci Sys secured.W/891215 Ltr ML20011D2251989-12-14014 December 1989 LER 89-023-00:on 891116,reactor Shutdown When Drywell to Suppression Chamber Vacuum Breaker Opened.Caused by Excessive Vibration & Lack of Proper Space Between Actuator Arm & Piston.Procedures Will Be revised.W/891214 Ltr ML19332E9001989-12-0707 December 1989 LER 89-022-00:on 891110,automatic Isolation of Units 1 & 2 Common Control Bldg HVAC & Emergency Air Filtration Sys Occurred.Cause Not Determined.Detectors auto-reset & Sys Returned to Normal svc.W/891207 Ltr ML19332D5791989-11-27027 November 1989 LER 89-018-00:on 891101,determined That Safety Relief Valves Did Not Actuate within Required +/- 1.0% of Setpoints.Cause Not Determined.Setpoints recertified.W/891127 Ltr ML19332C3861989-11-21021 November 1989 LER 89-021-00:on 891022,inadvertent LOCA Initiation Signal Occurred During Monthly Channel Calibr & Functional Test. Caused by Technician Miscommunication.Involved Technicians counseled.W/891121 Ltr ML19327C2021989-11-14014 November 1989 LER 89-019-01:on 890914,determined That Svc Water Sys May Not Have Met Design Requirements Under worst-case Conditions.Caused by Inadequate Component design.Cross-tie Valves Installed.Also Reported Per Part 21.W/891114 Ltr ML19324C3171989-11-0707 November 1989 LER 89-020-00:on 891011,HPCI F006 Valve Motor Control Ctr Indicating Light Socket Shorted & Blew Control Power Fuse for Valve.Caused by Inward Force Applied to Bulb During Removal.Lamp,Socket & Fuse replaced.W/891107 Ltr ML19324C1041989-11-0606 November 1989 LER 89-017-00:on 891010,low Level Signals Occurred,Causing Group 1 Isolation,Core Spray Initiation Signal & auto-start of Common Emergency Diesel Generators.Caused by Perturbation of Ref Leg.Procedures revised.W/891106 Ltr ML19327B9861989-11-0606 November 1989 LER 89-017-01:on 890624,HPCI Sys,Steam Line Break Delta Pressure High Signal,Channel A,Isolation Occurred.Root Cause Investigation Underway.Work Request/Job Order Initiated Requesting Verification of readings.W/891106 Ltr ML19354D4401989-11-0101 November 1989 LER 89-016-01:on 890614,determined That Some Valves Listed in Table 1 of LER Not Tested Per Tech Specs.Caused by Failure to Establish Proper Procedural Controls.Valve Acceptance Criteria Basis Sheets updated.W/891101 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217N3271999-10-21021 October 1999 Part 21 Rept Re non-linear Oxygen Readings with Two (2) Model 225 CMA-X Containment Monitoring Sys at Bsep.Caused by High Gain Produced by 10K Resistor Across Second Stage Amplifier.Engineering Drawings Will Be Revised BSEP-99-0168, Monthly Operating Repts for Sept 1999 for Bsep,Units 1 & 2. with1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Bsep,Units 1 & 2. with ML20212D0431999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Brunswick Steam Electric Plant,Units 1 & 2 ML20210P9441999-08-10010 August 1999 Safety Evaluation Accepting Licensee Assessment of Impact on Operation of Plant,Unit 1,with Crack Indications of 2.11, 6.36 & 1.74 Inches in Three Separate Jet Pump Risers ML20210P9181999-08-10010 August 1999 Safety Evaluation Authorizing Request for Reliefs CIP-01,02, 06,07,08,09,10 & 11 (with Certain Exceptions) & 12-18,for Second 10-year ISI Interval.Request CIP-04 & 05 Would Result in hardship,CIP-03 Not Required & CIP-11 Denied in Part ML20210N2341999-08-0505 August 1999 SER Accepting Response to NRC GL 87-02, Verification of Seismic Adequacy of Mechanical & Electrical Equipment in Operating Reactors,Unresolved Safety Issues (USI) A-46 ML20210R1191999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Bsep,Units 1 & 2 ML20210R1311999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Bsep,Unit 2 BSEP-99-0118, Monthly Operating Repts for June 1999 for Bsep,Units 1 & 2. with1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Bsep,Units 1 & 2. with BSEP-99-0095, Monthly Operating Repts for May 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20210M8581999-05-14014 May 1999 B214R1 RPV Hydrotest Bolted Connection Corrective Action Evaluation, Rev 0 ML20211L3711999-05-10010 May 1999 Rev 0 to ESR 98-00333, Unit 2 Invessel Feedwater Sparger Evaluation ML20206G1871999-05-0404 May 1999 Safety Evaluation Approving Third 10-year ISI Program Requests for Relief (RR) RR-08,RR-15 & RR-17 BSEP-99-0075, Monthly Operating Repts for Apr 1999 for Brunswick Steam Electric Plant,Unit 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Brunswick Steam Electric Plant,Unit 1 & 2.With ML20206N1791999-04-23023 April 1999 Rev 0 to 2B21-0554, Brunswick Unit 2,Cycle 14 Colr BSEP-99-0059, Monthly Operating Repts for Mar 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20205F9031999-03-30030 March 1999 Safety Evaluation Supporting Proposed Rev to BSEP RERP to Licenses DPR-62 & DPR-71,respectively ML20206N1831999-02-28028 February 1999 Rev 0 to Suppl Reload Licensing Rept for Bsep,Unit 2 Reload 13 Cycle 14 BSEP-99-0043, Monthly Operating Repts for Feb 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20203D7061999-02-0909 February 1999 SER Accepting Proposed Alternatives Contained in Relief Requests PRR-04,VRR-04,VRR-13,PRR-01,PRR-03,VRR-01.VRR-07, VRR-08 & VRR-09 Denied BSEP-99-0005, Monthly Operating Repts for Dec 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With BSEP-98-0231, Monthly Operating Repts for Nov 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With BSEP-98-0218, Monthly Operating Repts for Oct 1998 for Bsep,Units 1 & 2. with1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Bsep,Units 1 & 2. with BSEP-98-0210, Special Rept:On 980824,temp Element 2-CAC-TE-1258-22 Failed. Cause of Failed Temp Element Cannot Be Conclusively Determined.Temp Element Will Be Replaced & Cable Connections Repaired1998-10-30030 October 1998 Special Rept:On 980824,temp Element 2-CAC-TE-1258-22 Failed. Cause of Failed Temp Element Cannot Be Conclusively Determined.Temp Element Will Be Replaced & Cable Connections Repaired ML20154P8151998-10-16016 October 1998 SER Accepting Revised Safety Analysis of Operational Transient of 920117,for Plant,Unit 1 ML20154P8591998-10-16016 October 1998 SER Accepting Equivalent Margins Analysis for N-16A/B Instrument Nozzles for Plant,Units 1 & 2 BSEP-98-0202, Monthly Operating Repts for Sept 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20151Y6211998-09-14014 September 1998 BSEP Rept Describing Changes,Tests & Experiments, for Bsep,Units 1 & 2 ML20151Y6371998-09-14014 September 1998 Changes to QA Program, for Bsep,Units 1 & 2 BSEP-98-0185, Monthly Operating Repts for Aug 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With1998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Brunswick Steam Electric Plant,Units 1 & 2.With ML20151T5021998-08-0505 August 1998 Project Implementation Plan, Ngg Yr 2000 Readiness Program, Rev 2 BSEP-98-0164, Monthly Operating Repts for July 1998 for BSEP Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for BSEP Units 1 & 2 ML20236T1961998-07-0101 July 1998 Rev 1 to 2B21-0088, Brunswick Unit 2,Cycle 13 Colr ML20236T1921998-07-0101 July 1998 Rev 1 to 1B21-0537, Brunswick Unit 1,Cycle 12 Colr BSEP-98-0142, Monthly Operating Repts for June 1998 for BSEP Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for BSEP Units 1 & 2 ML20236T1971998-06-30030 June 1998 Rev 2 to 24A5412, Supplemental Reload Licensing Rept for Brunswick Steam Electric Plant Unit 2 Reload 12 Cycle 13 ML20249B9691998-06-11011 June 1998 Rev 1 to VC44.F02, Brunswick Steam Electric Plant,Units 1 & 2,ECCS Suction Strainers Replacement Project,Nrc Bulletin 96-003 Final Rept BSEP-98-0129, Monthly Operating Repts for May 1998 for Bsep,Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Bsep,Units 1 & 2 ML20151S9041998-05-31031 May 1998 Revised Pages to Monthly Operating Rept for May 1998 for Brunswick Steam Electric Plant,Unit 1 BSEP-98-0104, Monthly Operating Repts for Apr 1998 for Brunswick Steam Electric Plant,Units 1 & 21998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Brunswick Steam Electric Plant,Units 1 & 2 ML20151S8991998-04-30030 April 1998 Revised Pages to Monthly Operating Rept for Apr 1998 for Brunswick Steam Electric Plant,Unit 1 ML20247N7501998-04-30030 April 1998 Rev 0 to BSEP Unit 1,Cycle 12 Colr ML20247N7721998-04-30030 April 1998 Rev 0 to J1103244SRLR, Supplemental Reload Licensing Rept for BSEP Unit 1,Reload 11,Cycle 12 ML20217K8461998-04-24024 April 1998 Safety Evaluation Approving Proposed Use of Code Case N-535 at Brunswick Unit 1 During Second 10-yr Interval,Pursuant to 10CFR50.55a(a)(3)(i).Authorizes Use of Code Case N-535 Until Code Case Included in Future Rev of RG 1.147 ML20217K3941998-04-24024 April 1998 SER Approving Relief Request for Pump Vibration Monitoring, Brunswick Steam Electric Plant,Units 1 & 2 ML20217E6841998-04-23023 April 1998 Safety Evaluation Accepting Code Case N-547, Alternative Exam Requirements for Pressure Retaining Bolting of CRD Housings ML20217E7471998-04-21021 April 1998 Safety Evaluation Accepting Alternative to Insp of Reactor Pressure Vessel Circumferential Welds ML20217B5241998-04-20020 April 1998 SE Accepting Licensee Request for Approval to Use Alternative Exam Requirement for Brunswick,Unit 1,reactor Vessel Stud & Bushing During Second 10-yr ISI Interval Per 10CFR50.55a(a)(3)(ii) BSEP-98-0080, Monthly Operating Repts for Mar 1998 for Bsep,Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Bsep,Units 1 & 2 ML20216B1041998-03-0404 March 1998 SER Approving Alternative to Insp of Reactor Pressure Vessel Circumferential Welds for Brunswick Steam Electric Plant, Unit 1 1999-09-30
[Table view] |
Text
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. ~*4 i.?E Carolina Power & Light Company t
Brunswick Nuclear Project P. O. Box 10429 .
Southport,.NC 28461-0429 !
t November 6, 1989 FILE: B09-13510C 10CFR50.73 SERIAL: BSEP/89-0086 1
U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555 BRUNSWICK STEAM ELECTRIC PLANT UNIT 1 DOCKET NO. 50-325 1ICENSE NO, DPR-71 3 ,
SUPPLEMENTAL LI.CENSEE EVENT REPORT 1-89-017-01 Gentlemen:
In accordance with Title 10 to the Code of Federal Regulations, the enclosed Supplemental Licensee Event Report is submitted. The original report fulfilled the requirement for.a written report within thirty (30) days of a reportabic occurrence and was in accordance with the format set forth in NUBEG-1022, i September.1983.
Very truly yours, J. L. Harness, Geni al Manager Brunswick Nuclear Project TMJ/mcg '
Enclosure cc: Mr. S. D. Ebneter '
Mr. E. G. Tourigny t BSEP NRC Resident Office 8911140345 891106 PDR ADOCK 05000325 "IE2A ,
S PDC
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We%c persi 3os UCENSEE EVENT REPORT u(LER) 5 Nuctt Am atovtatomv CtWMi&4 '
- ActLtiv NAME m "APPROVID
OMS NC 3%D 0104
'"Brunswick
Spu r i ou s Steam Elect ric Plant Unit 1 Doch t ? NUMet a m Failure
$VINT DA tt (Si of Rosemountisolation 510 DD gh Pressureof frip Unit lii Coolant F AGE 43+
heQNTH Das v t Apt vtAM L a m Nia.est a toi ! Injection Channel A Caused 1lbFl0l4 b0 l6 l0 {0 { 0
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Ort J uli e 24, 1989, System, steam Iine at 2105 !tou rs , a li t gtt l'r ess u t e C(x>latit occurred ,n l'n i t 1. break deIta pressute No other act ivi t ies At the t ime of t high signa 1, A chanw l't j 1e( t ioli t ilit l )
of the were event ,
iso 1ation the ins t rument at ion wh initiates ichinand progress,he no the un i t was in personnel were cold shutdown.
isolation was caused the found in the area unit by a spurious trip te'erenced signal .
it has1-E41-PDTM-N004-1.
been replaced. The re fe r enced of It is believed cause invest.igation of A similat event was trip unitredundant is a Division i ECCS11ip this reported in Rosemount 510 DU, and investigatiag similar problems have event has beon A root I been es t ab)ished actions will be industry. based upon w i t h510bot DI' h 1
. mo r id and husemou n tt rip un i t s aid cont.nts 1 ime iwt i(i ktishalsoRos emoun tin continuing e f f ort: by the Finai c or iet t ive This event vendor aul tin alt ernat ive would conditions not have been more detigned. as the tailureseveie mode under reasonable and caused the systems to cred.ble tutuite as 3)
Form M
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UCENSEE EVENT REPORT RER) TEXT CENTINUAT13N mawso 0Me No mo-me
. wines- eme i N M n) Docetti NUMDSM (Il LOR tWMSGR ($) P&OS @
Brunswick Steam Electric Plant 'f'" " Wa" MU Unit 1 0l6l0loloj3l2l5 8l9 -
0l1l7 -
0 l1 0l 2 0F 0 [4 uut a ese ese e assuns, essnaw auc ame uns w on Event A spurious isolation of the A chainnel, liigh Pressure Coolant Injection (llPCI/E41) (EIIS/BJ) System occurred.
Initial Conditions The Unit I reactor was in cold shutdown during the 20-day June 1989 outage for the replacement of the A Core Spray (CS/E21) pump motor (EIIS/BM/MO). The Automatic Depressurization System (ADS /B21) (EIIS/*), Reactor Core Isolation Cooling system (RCIC/E51) (EIIS/BN) and HPCI System were not required to be operable. HPCI and RCIC were isolated on low steam pressure as per design.
The B CS System and the A and B loops of the Residual licat Removal / Low Pressure Coolant Injection (RllR/LPC1/E11) (EIIS/BO) Systems wnre oparable.
The A loop of RHR was being utilir.cd in the shutdown cooling mode of operation. No testitig or evolv.clons were in progress at the time of the event.
Event Description On June 25, 1989, at 2105 hours0.0244 days <br />0.585 hours <br />0.00348 weeks <br />8.009525e-4 months <br />, the annunciators HPCI STEAM LINE BREAK delta j PRESSURE 111 end IIPCI ISOLATION TRIP SIGNAL A INITI ATED were received. The steam line break delta pressure signal immediately reset, and therefore, did not seal in when the Control Operator (CO) responded to the annunciation. The isolation annunciator and the A isolation channel indicating light remained illuminated. The A isolation valves did not change position as they were aircady closed. 1-E41-F041 is normally closed and the 1-E41-F003 was closed due to low steam pressure automatic isolation because the unit was in cold i shutdown. The C0 dispatched an A0 to the HPCI area and investigated the llPCI l Steam line High delta Pressure instrument, 1-E41-PDTM-N004-1, (EIIS/BJ/PDT) !
located in the analog cabinets of the Control Room back panel area. The j instrument was found to be reading approximately minus twenty-five, which was ,
l within its expected range for the given conditions, and neither a gross failure or a trip was indicated on the master or slave analog unit. There i were no personnel noted in the area of the analog units or the llPCI System. A l l work request and job order (WR/JO 89-ANYV1) was initiated for the Instrument {'
& Control (I&C) personnel to investigate the cause of the isolation and tracking limiting conditions for operation (LCOs), TI-89-1159 and 1160, were initiated. The isolation was not reset until the I&C personnel had the opportunity to investigate a possibic cause. The I&C personnel checked the voltage across the instrument contacts which would have resulted in the isolation signal but no problem was indicated. The analog trip unit was replaced with a spare trip module and the tracking LCOs were cancelled on June 26, 1989, at 1215 hours0.0141 days <br />0.338 hours <br />0.00201 weeks <br />4.623075e-4 months <br /> after successful completion of applicable i portions of surveillance test procedure IMST-ilPCI21M, HPCI St.com Line Break High D/P Trip Unit Channel Calibration, for the postmaintenance testing of 1-E41-PDTM-N004-1. The original trip unit was turned over to Technical Support (T/S) for a root cause evaluation.
- EIIS component identifier not found.
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U s. NUCLE A% ELIULiTORY COMM198 EON
. UCENSEE EVENT REPCRT (LER) TEXT CONTINUATl3N Area w o ews =c. v io-e m
- (KPIRES: $/31/N I PAS $40?T N4AAt nl , EK8 CELI NUMDER LI LE2NUM98211 *All (3 BrunBWick Steam Electric P.lant P" U*E Unit 1 or 0 l5 l0 l0 l013 l 215 81 9 0 l 1l 7 -
d1 0l3 0l4- i
, 13tf a sino ausse e soceent use ensuunst Anc paue asseW 6:n Event Investigation The root cause of the N004-1 trip is still under investigation. A similar event was reported in LER 2-89-008. Both events involved Rosemount 510 DU trip unita, which were apparently tripped without a trip indication. These units were the first analog trip units Rosemount marketed, and the components of the 510 DU trip uni.ts are, in general, approximately 10 years old, even though they were not installed until the early 1980s at Brunswick. A search of NPRDS data resulted in eleven other possibic similar problems at Branswick, beginning in 1982, as well as others at different plants. The Ic arick plant has experienced similar problems over the past two years and has been conducting an investigation but has not yet determined the problem. In addition, Rosemount is researching the problem on a generic basis and has not identified the cause. Selected Brunswick equipment which has experienced problems was being bench tested and Technical Support was abic to duplicate the problem. The testing consisted of monitoring the voltage output of the analog trip unit as the ambient temperature increased and the input voltage was varied. Testing indicates that. these failures can occur in one of two ways:
- 1. The voltage output of the trip unit increasing and maintaining at above 0.0 volts direct current (VDC).
- 2. . The voltage output of the trip unit momentarily increasing above 0.0 VDC.
l l Voltages of 11-16 VDC have been observed. These increases pick up the instruments 24 VDC slave relay (Ells /JE/RLY) resulting in the observed l spurious trips. t l
l Root Cause An investigation as to the root cause is still underway by the vendor.
l i Corrective Actions As a result of the event reported in LER 2-89-008, a WR/JO was initiated requesting that the voltage output readings on ot.her, normally deenergized, analog trip units be verified. Normally energized units would trip if their voltage output were to be checked. This, combined with the fact that the l
energized units have not exhibited spurious trips, has limited the voltage i
output verifications to normally deenergized units. On July 7, 1989, two additional trip units were found to have an elevated voltage output. The 2-B21-PTS-N023 B-2 was found to be putting out approximately 13 volts DC but 1
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, . UCENSEE EVENT REPORT (LER) TEXT CONTINUATl3N uP .oveo ove no. mo-oio.
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was not tripped. The referenced unit supplies a Reactor Pressure liigh annun-clator only. The 2-D21-LTM-N017 B-2 was found to be putting out approximately 16 or 17 volts DC and was tripped but did not indicate a tripped or failed condition. This instrument is not a Technical Specification instrument and supplies one half of the high level trip circuitry for the HPCI System. In both instances, the associated analog cards were pulled and the contact stabs were cleaned. Af ter clenning, the voltage output for the trip units dropped to less than I volt DC. The WR/JO was lef t open to see if cleaning the contacts had solved the problem or had simply masked it. On July 10, 1989, the voltage output for the af fected units was rechecked. The 2-B21-LTM-N017 B-2 high 1cvel trip unit for HPCI was again found to be tripped without indication. At that time the unit was replaced and bench testing of the original unit was commenced.
The testing did not determine the root cause, but a slight output voltage increase was noted with increasing ambient temperature.
As a temporary measure, special procedure (SP)89-038 was developed to periodically check the output voltage of inservice Rosemount 510 DU trip units for both Unit 1 and 2. This procedure outlines the steps to be taken in the event a trip unit is found to have an output voltage different from what is expected. l In addition, the stock Ictel of Rosemount 710 DU trip units has been raised. ;
These trip units are the newer models furnished by Rosemount. Although the '
schematics of both models are virtually identical, the physical layout of the components are different and the 710 DU trip units have been " life qualified" i by Rosemount where as the 510 DU units were not. A unit is considered " life qualified" by the vendor after test data is collected, under varying and ,
extreme environmental conditions, and utilized to develop a curve indicating )
the expected time that the instrument will function in given conditions.
i Technical Support hand carried 510 DU trip units to Rosemount and worked with !
them to set up a test facility to determine the root cause of the trip !
problems. The vendor hr.s been successful in duplicating the failurec and is
. continuing testing and analysis to determine the root cause(s). Final I corrective actions will be based upon continuing efforts by the vendor and the industry, which the NRC is following f rom a generic standpoint.
Event Assessmeg J This event would not have been more severe under other reasonable and credible alternative conditions as the failure mode caused the systems to actuate as k designed.
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F ACILITY N AME H) DOCERT NUMf dR Qi PAGE W
> Brunswick Steam Electric Plant Unit 1 0 l 5 l 0 l 0 l 0 l 312 ] 5 1 lOFl0 14 -
l nT'ai* Spurious Isolation of High Pressure Coolant Injection Channel A Caused by Suspected Failure of Rosemount 510 DU Trip Unit EVENT DATE 19) LER NUMSER (6) REPORT DATE (7) OTHE R F ACitlTIES INVOtVED ISI YEAR YEAR sto 6ai MONTH DAY YEAR P ACILITv h AMts DOChtT NUMSER(si MONTH l DAY p ,
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,,,,,,,,, teus AsPORT is susMiriaD PURSUANT TO THa RioUiR MENTs or 30 Cem 6: tCa.ca one or mem et ea se isomans oli Masm 4 n .o.i.i n timi n .0m, x unisiQiovi 20 406(aH110) 50.36(ell 1) 60.73talQHet 73.711el n0) 0 :0 i 0 n ieinH.) _
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LICEN8tt CONT ACT FOR THis LER H2) . j NJ.M E TELEPHONE NUM84R !
ARE A CODE i T. M. Jones, Specialist - Regulatory Comp 11arece 9 l1l9 4;5;7l i 2l0 ;3;9 i COMPLETE ONE LINE FOR EACH COMPONENT F AILURE DESCRIBED IN THis REPORT tt31 Rt *OR i A Lt R ORfA i -
CAUSE SY8itM COMPONENT M A% AC. y pn g CAush SYST E M COMPONENT MAMAC- pp X JE t lPt DlT R 1 3l6l9 Y_ i i 1 l l l 1 l l I l l l ! l l l i I I l M SUPPLEMENTAL REPORT EXPICTED (14) MONTH DAY YEAR SUOMISSION i Yt5 III ven. tonswere futCTED SU66,13SION DMll f NO l l l A 72. AC r m,=, e. vuo e ,.e . ,e.-.., ,= ey, e ,, ,,el.m e, H.,
On June 24, 1989, at 2105 hours0.0244 days <br />0.585 hours <br />0.00348 weeks <br />8.009525e-4 months <br />, a liigh Pressure Coolant injection (llPCI) !
System, steam line break delta pressure high signal, A channel, isolation occurred on Unit 1. At the time of the event the unit was in cold shutdown.
No other activities were in progress, and no personnel were found in the crea of the instrumentation which initiates the referenced signal. It is believed the isolation was caused by a spurious trip of redundant Division 1 ECCS trip unit 1-E41-PDTM-N004-1. The referenced trip unit is a Rosemount 510 DU, and 1 l it has been replaced. A similar event was reported in LER 2 89-008. A root l I
l cause investigation of this event has been inconclusive. Limerick is also l investigating similar problems with Rosemount 510 DU trip units and contacts ,
have been established with both Limerick and Rosemount. Pinal corrective l actions will be based upon continuing ef forts by the vendor and the i industry. !i 0 This ever.t would not have been more severe under reasonable and credible ,
alternative conditions as the f ailure modo caused the systems to actuate as l i designed. l 1
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UCENSEE EVENT REPORT (LER) TEXT CCNTINUATION u*aoveo ove no. aiso-oio4
- , soiais ema ooCatt avMeta til l WA5BbffT IRAAls he ten muusen tel paos t3e Brunswick Steam Electric Plant 'faa U!E ' 3*M l
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Event ,
i L ' A spurious isolation of the A channel, liigh Pressure Coolant Injection (llPCI/E41) (EIIS/BJ) System occurred, e
Initial Coniltions The Unit i reactor was in cold shutdown during the 20-day June 1989 outage for the replacement of the A Core Spray (CS/E21) pump motor (EIIS/BM/MO). The Automatic Depressurization System (ADS /B21) (EIIS/*), Reactor Core Isolation Cooling system (RCIC/E51) (EIIS/BN) and IIPCI System were not required to be operable.' IIPCI and RCIC were isolated on low steam pressure as per design.
The B CS System and the A and B loops of the Residual lleat Removal / Low
~
Pressure Coolant Injection (RllR/LPCI/ Ell) (EIIS/BO) Systems were operable. 2 The A loop of RilR was being utilized in the shutdown cooling mode of )
. operation. No testitig or evolutions were in progress at the time of the event. j Event Description On June 25, 1989, at 2105 hours0.0244 days <br />0.585 hours <br />0.00348 weeks <br />8.009525e-4 months <br />, the annunciators llPCI STEAM LINE BREAK delta PRESSURE III and flPCI ISOLATION TRIP SIGNAL A INITIATED were received. The i steam line break delta pressure signal immediately reset, and therefore, did j not seal in when the Control Operator (CO) responded to the annunciation. The :
Isolation annunciator and the A isolation channel indicating light remained illuminated. The A isolation valves did not change position as they were already closed. 1-E41-F041 is normally closed and the 1-E41-F003 was closed j due to low steam pressure automatic isolation because the unit was in cold !
shutdown. The C0 dispatched an AO to the llPCI area and investigated the llPCI ,
Steam line liigh delta Pressure instrument, 1-E41-PDTM-N004-1,-(EIIS/BJ/PDT) i located in the analog cabinets of the Control Room back panel area. The '
instrument was found to be reading approximately minus twenty-five, which was within its expected range for the given conditions, and neither a gross failure or a trip was indicated on the master or slave analog unit. There were no personnel noted in the area of the analog units or the llPCI System. A work request and job order (WR/JO 89-ANYW1) was initiated for the Instrument
& Control (ISC) personnel to investigate the cause of the isolation and tracking limiting conditions for operation (LCOs), TI-89-1159 and 1160, were initiated. The isolation was not reset until the I6C personnel had the opportunity to investigate a possible cause. The 160 personnel checked the i s voltage across the instrument contacts which would have resulted in the J isolation signal but no problem was indicated. The analog trip unit was i replaced with a spare trip module and the tracking LCOs were cancelled on l June 26, 1989, at 1215 hours0.0141 days <br />0.338 hours <br />0.00201 weeks <br />4.623075e-4 months <br /> after successful completion of applicable i portions of surveillance test procedure IMST-llPCI21M, llPCI Steam Line Break Iligh D/P Trip Unit Channel Calibration, for the postmaintenance testing of l 1-E41-PDTM-N004-1. The original trip unit was turned over to Technical i Support (T/S) for a root cause evaluation. I
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d1 0l3 0F 0 l4 init c me= som a seemos em masu-w me e=== asse w on Event Investigation The root cause of the N004-1 trip is still under investigation. A similar event was reported in LER 2-89-008. Both events involved Rosemount 510 DU trip units, which were apparently tripped without a trip indication. These units were the first analog trip units Rosemount marketed, and the components of the 510.DU trip units are, in general, approximately 10 years old, even though they were not installed until the early 1980s at Brunswick. A search of NPRDS data resulted in eleven other possibic similar problems at Brunswick, beginning in 1982, as well as others at different plants. The Limerick plant has experienced similar problems over the past two years and has been conducting an investigation but has not yet determined the problem. In addition, Rosemount is researching the problem on a generic basis and has not identified the cause. Selected Brunswick equipment which has experienced problems was being bench tested and Technical Support was able to duplicate the problem. The testing consisted of monitoring the veltage output of the analog trip unit as the ambient temperature increased and the input voltage was varied. Testing indicates that these failures can occur in one of two ways:
- 1. The voltage output of the trip unit increasing and maintaining at above 0.0 volts direct current (VDC).
2, . The voltage output of the trip unit momentarily increasing above 0.0 VDC.
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Voltages of 11-16 VDC have been observed. These increases pick up the
! instruments 24 VDC slave relay (EIIS/JE/RLY) resulting in the observed f spurious trips.
F poot Cause An investigation as to the root cause is still underway by the vendor.
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Corrective Actions As.a result of the event reported in LER 2-89-008, a WR/JO was initiated requesting that the voltage output readings on other, normally deenergized, analog trip units be verified. Normally energized units would trip if their voltage output were to be checked. This, combined with the fact that the energized units have not exhibited spurious trips, has limited the voltage output verifications to normally deenergized units. On July 7, 1989, two additional trip units were .found to have an elevated voltage output. The 2-B21-PTS-N023 B-2 was found to be putting out approximately 13 volts DC but g,,m .u.o.o...........
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\n was not tripped. The referenced unit supplies a Reactor Pressure liigh annun-clator only. The 2-B21-LTM-N017 B-2 was found to be putting out approximately 16 or 17 volts DC and was tripped but did not indicate a tripped or failed condition. This instrument is not a Technical Specification instrument and supplies one half of the high 1cvel trip circuitry for the IIPCI System. In both instances, the associated analog cards were pulled and the contact stabs were cleaned. After cleaning, the voltage output for the trip units dropped to less than 1 volt DC. The WR/JO was left open to see it cleaning the contacts had solved the problem or had simply masked it. On July 10, 1989, the voltage output for the affected units was rechecked. The 2-821-LTM-N017 B-2 high level trip unit for HPCI was again found to be tripped without indication. At that time the unit was replaced and bench testing of the original unit was commenced.
The testing did not determine the root cause, but a slight output voltage increase was noted with increasing ambient temperature.
As a temporary measure, special procedure (SP)89-038 was developed to periodically check the output voltage of inservice Rosemount 510 DU trip units for both Unit 1 and 2. This procedure outlines the steps to be taken in the event a trip unit is found to have an output voltage different from what is expected.
In addition, the stock level of Rosemount 710 DU trip units has been raised.
These trip units are the newer models furnished by Rosemount. Although the t schem.itics of both models are virtually identical, the physical layout of the components are different and the 710 DU trip units have been " life qualified" by Rosemount where as the 510 DU units were not. A unit is considerud " life qualified" by the vendor after test data is collected, under varying and extreme environmental conditions, and utilized to develop a curve indicating the expected time that the instrument will f'metion in given conditions.
Technical Support hand carried 510 DU trip units to Rosemount and worked with them to set up a test facility to determine the oot cause of the trip problems. The vender hr.s been successful in duplicating the failures and is ,
continuing testing and analysis to determine the root cause(s). Final corrective actions will be based upon continuing efforts by the vendor and the industry, which the NRC is following from a generic standpoint.
Event Assessment This event would not have been more severe under other reasonabic and credible alternative conditions as the failure mode caused the systems to actuate as des ig;ned.
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