LER-1977-110, /03L-0:on 771211,control Loss Occurred to Both Auxiliary Feed Pumps During Reactor Turbine Trip Test.Caused by Independent Component Failures.Auxiliary Feed Pumps Modified & Control Relays Replaced |
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U. S. NUCLEAR REGULATORY COMMISSICN NRC FOIM 366 (7 77,1 Cl LICENSEE EVENT REPORT
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EVENT OESCRIPTION AND PROBABLE CONSECUENCES started from a Steam and Feedwater l
l o 121 l Shortly af ter both Auxiliary Feed Pumps (AFP)
Rupture Control System (SFRCS) signal on 12/11/77 during the Reactor / Turbine Trip l
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,a i4; l Test, control of both AFP Turbines was lost.
AFFT l-1 would not vary from the h1gh l
The unit was ;
l speed stop while AFPT l-2 would not increase above the low speed stop.
Io isl l o is I l in Mode 3, " Hot Standby" which satisfied Limiting Condition for Operation 3.0.3 which [
There was no danger to l 0 l 7 l l requires the station to be in Hot Standby within one hour.
(NP-33-77-110) l
- the health and safety of the public or to unit personnel.
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- i, g 1-1 control was lost due to turbine governor mechanical binding.
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power was lost due to blown control power supply fuses caused possibly by sticking t
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Both Auxiliary Feed Pump Governors were modified by adding an oilite bush-j ing and both control relays were replaced on AFPT l-2.
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TOLEDO EDISON COMPANY DAVIS-BESSE UNIT CNE :.TCLEAR POWER STATION y-SUPPLD'E' ITAL INFORMATION FOR LER NP-33-77-110 1
DATE OF EVENT: December 11, 1977 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Loss of control to both Auxiliary Feed Pumps during Reactor / Turbine Trip Test Conditions Prior to Occurrence: The unit was in Mode 3, " Hot Standby", with Power (MWT) = 0 and Load (MWE) = 0.
Description of Occurrence: At 0710 hours0.00822 days <br />0.197 hours <br />0.00117 weeks <br />2.70155e-4 months <br /> on December 11, 1977, the reactor was tripped for the 40% " Reactor / Turbine Trip Test", TP 800.14.
During the trip recovery, both Steam Generators secondary side water level, decreased below the level trip set-point of the Steam and Feedwater Rupture Control System (SFRCS).
This automatically started both Auxiliary Feed Pumps.
Auxiliary Feed Pump 1-1 started properly and supplied feedwater but control was lost when the governor would not vary from the high speed stop. Auxiliary Feed Pump 1-2
'~ hstarted but later failed at the minimum speed, also indicating a loss of control.
This placed the unit in excess of the Action Statement of Technical Specification g,f3.7.1.2 which requires two independent Auxiliary Feed Pumps in Modes 1, 2 and 3.
The unit was in Mode 3, " Hot Standby" which satisfied Limiting Condition for Opera-tion 3.0.3 which requires the unit to be in Hot Standby within one hour and Cold Shutdown within the following thirty hours if the corrective action is not completed.
Designation of Apparent Cause of Occurrence: On Auxiliary Feed Pu=p Turbine (AFPT) 1-1, the governor (Woodward Type PG-PL) speed setting shaft was binding where it enters the governor housing, and at the governor receiver bracket (the bearing sur-face).
Also, the speed changer drive clutch was slipping which resulted in the governor not responding to the speed change signal. The cause of the binding was an improper initial installation of the roll pin (high speed stop pin) which allowed a bearing washer to stick.
On AFPT l-2, the control power fuses which also provide power for the governor speed changer motor were blown preventing the governor from responding to control signals.
The control power fuses were possibly blown by a momentary sticking of a relay in the speed control circuit.
Analysis of Occurrence: There was no danger to the health and safety of the public or to unit personnel.
ihe reactor was previously tripped and the unit was in Mode 3, " Hot Standby" at the cine of the occurrence.
No steam line or feedwater rupture r ~ occurred.
x_ /
3 TOLEDO EDISON COMPANY s
\\ DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE dSUPPLEMENTAL INFORMATION FCR LER NP-33-77-110 PACE 2'
Corrective Action
On AFPT l-1, the roll pin which caused the washer to bind was correctly positioned; the governor speed setting shaft bearing area was cleaned and lubricated; and the speed changer drive clutch tension was adjusted to pro-
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vide more torque before slipping.
On AFPT l-2, the blown fuses were replaced.
The roll pin was inspected and found properly positioned.
Both the relays were replaced in the speed control circuit to correct for the possible momentary sticking.
A modification was made (Facility Change kequest 77-301) on-born governors install-ing an oilite bushing for the speed setting shaft bearing surface in the governor housing to eliminate the binding experienced on AFFT l-1.
I After repairs, the governors for both turbines were tested through ten cycles (high speed to low speed). Auxiliary Feed Pump 1-2 was declared operable at 1200 hours0.0139 days <br />0.333 hours <br />0.00198 weeks <br />4.566e-4 months <br /> on December 11, and Auxiliary Feed Pump 1-1 was declared operable at 1430 hours0.0166 days <br />0.397 hours <br />0.00236 weeks <br />5.44115e-4 months <br /> on December 11, removing the unir from the Action " Statement of Technical Specification 3.0.3 and 3.7.1.2, respectively.
Surveillance Testing frequency has been increased to weekly pending outcome of
. engineering evaluation being made to increase reliability of AFPTs. Additionally, the method of Surveillance Testing has been modified-to allow additional exercis-ing of the governor.
Failure Data: Blown fuses have occurred in the AFPT governor speed changer circuits before because of relay failures (see Licensee Event Report NP-33-77-51 and NP-33-77-52). There has been no binding of the AFPT governor shafts previ*ously.
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| 05000289/LER-1977-016-01, /01T-0:on 770924,RCS Temp & Pressure Rose.Caused by Half Trip Condition from Steam & Feedwater Rupture Control Sys.Possible Cause of Half Trip Attributed to Loose Connection at Terminal Boards | /01T-0:on 770924,RCS Temp & Pressure Rose.Caused by Half Trip Condition from Steam & Feedwater Rupture Control Sys.Possible Cause of Half Trip Attributed to Loose Connection at Terminal Boards | | | 05000289/LER-1977-016, Forwards Supplemental Info to LER 77-016/01T-0 Re Half Trip in Steam Feedwater Rupture Control Sys | Forwards Supplemental Info to LER 77-016/01T-0 Re Half Trip in Steam Feedwater Rupture Control Sys | | | 05000320/LER-1977-016, /01T-0 on 770924:half Trip of Steam & Feedwater Rupture Control Sys Resulted in Opening of Pressurizer Power Relief Valve.Possibly Caused by Loose Connections at Terminal Boards | /01T-0 on 770924:half Trip of Steam & Feedwater Rupture Control Sys Resulted in Opening of Pressurizer Power Relief Valve.Possibly Caused by Loose Connections at Terminal Boards | | | 05000346/LER-1977-017, Forwards LER 77-017/01T-0 | Forwards LER 77-017/01T-0 | | | 05000346/LER-1977-017-01, /01T-0:on 771020,both Auxiliary Feed Pump Suctions Lined Up to Deaerator Storage Tanks W/O Cooling Water Supply Shifting to Svc Water,Resulting in Water Greater than 200 F as Cooling Water for Auxiliary Feed Pump Bearings | /01T-0:on 771020,both Auxiliary Feed Pump Suctions Lined Up to Deaerator Storage Tanks W/O Cooling Water Supply Shifting to Svc Water,Resulting in Water Greater than 200 F as Cooling Water for Auxiliary Feed Pump Bearings | | | 05000346/LER-1977-018, Forwards LER 77-018/01T-0 | Forwards LER 77-018/01T-0 | | | 05000346/LER-1977-018-01, /01T-0:on 771108,station Review Board Found Auxiliary Feed Pump Turbine Governor Valve Vibrational Closure Design Deficiency.Caused by Lack of Force to Hold Valve Open.Requests Design Mod for Pump Turbines | /01T-0:on 771108,station Review Board Found Auxiliary Feed Pump Turbine Governor Valve Vibrational Closure Design Deficiency.Caused by Lack of Force to Hold Valve Open.Requests Design Mod for Pump Turbines | | | 05000346/LER-1977-019-01, /01T-0:on 771117,auxiliary Feedwater Valves AF 599 & AF 608 Found Closed,Rendering Steam & Feedwater Rupture Control Sys Pressure Switch Inputs Inoperable.Caused by Procedural Deficiency.Tests Revised | /01T-0:on 771117,auxiliary Feedwater Valves AF 599 & AF 608 Found Closed,Rendering Steam & Feedwater Rupture Control Sys Pressure Switch Inputs Inoperable.Caused by Procedural Deficiency.Tests Revised | | | 05000346/LER-1977-019, Forwards LER 77-019/01T-0 | Forwards LER 77-019/01T-0 | | | 05000346/LER-1977-077-03, /03L-0:on 771010,decay Heat Valve Pit Cover Removed to Inspect Decay Heat Isolation Valves DH11 & DH12 & to Perform Wiring Change on DH12.Insp Required for Leakage & Preventive Maint | /03L-0:on 771010,decay Heat Valve Pit Cover Removed to Inspect Decay Heat Isolation Valves DH11 & DH12 & to Perform Wiring Change on DH12.Insp Required for Leakage & Preventive Maint | | | 05000346/LER-1977-077, Forwards LER 77-077/03L-0 | Forwards LER 77-077/03L-0 | | | 05000346/LER-1977-078-03, /03L-0:on 771011,during Functional Test,Reactor Protection Sys Channel 1 Accidentally de-energized.Caused by Error in Maint Work Order.Personnel Instructed | /03L-0:on 771011,during Functional Test,Reactor Protection Sys Channel 1 Accidentally de-energized.Caused by Error in Maint Work Order.Personnel Instructed | | | 05000346/LER-1977-078, Forwards LER 77-078/03L-0 | Forwards LER 77-078/03L-0 | | | 05000346/LER-1977-079-03, /03L-0:on 771011,source Range Defector NI-1 Indication Failed Low Twice,Then Returned to Normal Operation by Itself.Cause Unknown | /03L-0:on 771011,source Range Defector NI-1 Indication Failed Low Twice,Then Returned to Normal Operation by Itself.Cause Unknown | | | 05000346/LER-1977-079, Forwards LER 77-079/03L-0 | Forwards LER 77-079/03L-0 | | | 05000346/LER-1977-080, Forwards LER 77-080/03L-0 | Forwards LER 77-080/03L-0 | | | 05000346/LER-1977-080-03, /03L-0:on 771016,governor Valve on Auxiliary Feed Pump 1-2 Found Closed During Auxiliary Feedwater Sys Monthly Test Performance.Caused by Possible Design Deficiency. Excessive Vibration Under Investigation by Maint Personnel | /03L-0:on 771016,governor Valve on Auxiliary Feed Pump 1-2 Found Closed During Auxiliary Feedwater Sys Monthly Test Performance.Caused by Possible Design Deficiency. Excessive Vibration Under Investigation by Maint Personnel | | | 05000346/LER-1977-081, Forwards LER 77-081/03L-0 | Forwards LER 77-081/03L-0 | | | 05000346/LER-1977-081-03, /03L-0:on 771018,during Miscellaneous Instrument Shift Checks,Containment to Annulus Differential Pressure Exceeded Water Gauge Tech Spec Limit.Caused by Procedure & Personnel Error.Startup Procedure Modified | /03L-0:on 771018,during Miscellaneous Instrument Shift Checks,Containment to Annulus Differential Pressure Exceeded Water Gauge Tech Spec Limit.Caused by Procedure & Personnel Error.Startup Procedure Modified | | | 05000346/LER-1977-082-03, /03L-0:on 771019,discharge & Recirculation Dampers of Emergency Ventilation Sys 2 Failed to Open When Fan Started.Caused by Loose & Dirty Controller Contacts.Module Removed & Reinserted, & Contacts Cleaned | /03L-0:on 771019,discharge & Recirculation Dampers of Emergency Ventilation Sys 2 Failed to Open When Fan Started.Caused by Loose & Dirty Controller Contacts.Module Removed & Reinserted, & Contacts Cleaned | | | 05000346/LER-1977-082, Forwards LER 77-082/03L-0 | Forwards LER 77-082/03L-0 | | | 05000346/LER-1977-083, Forwards LER 77-083/03L-0 | Forwards LER 77-083/03L-0 | | | 05000346/LER-1977-083-03, /03L-0:on 771025,stop Valve AF3872 Failed to Stroke When Given Open Signal.Caused by Component Failure. Torque Switch Replaced on 771027 | /03L-0:on 771025,stop Valve AF3872 Failed to Stroke When Given Open Signal.Caused by Component Failure. Torque Switch Replaced on 771027 | | | 05000346/LER-1977-084, Forwards LER 77-084/03L-0 | Forwards LER 77-084/03L-0 | | | 05000346/LER-1977-084-03, /03L-0:on 771025,surveillance Test ST 5080.01 Not Performed.Caused by Personnel Error.Test Performed Immediately & Computer Program Revised | /03L-0:on 771025,surveillance Test ST 5080.01 Not Performed.Caused by Personnel Error.Test Performed Immediately & Computer Program Revised | | | 05000346/LER-1977-086-03, /03L-0:on 771028,safety Features Actuation Sys Channel 4 Radiation Monitor RIS 2007 Failed to Respond to Internal Check Source.Caused by Component Failure.Low Amplifier Board Replaced & Monitor Recalibr | /03L-0:on 771028,safety Features Actuation Sys Channel 4 Radiation Monitor RIS 2007 Failed to Respond to Internal Check Source.Caused by Component Failure.Low Amplifier Board Replaced & Monitor Recalibr | | | 05000346/LER-1977-086, Forwards LER 77-086/03L-0 | Forwards LER 77-086/03L-0 | | | 05000346/LER-1977-087, Forwards LER 77-087/03L-0 | Forwards LER 77-087/03L-0 | | | 05000346/LER-1977-087-03, /03L-0:on 771024,safety Features Actuation Sys Channel 3 Containment Radiation Reaqdings Unreliable . Caused by Design/Fabrication Error.Facility Change Request 77-437 Issued for Permanent Repair | /03L-0:on 771024,safety Features Actuation Sys Channel 3 Containment Radiation Reaqdings Unreliable . Caused by Design/Fabrication Error.Facility Change Request 77-437 Issued for Permanent Repair | | | 05000346/LER-1977-088, Forwards LER 77-088/03L-0 | Forwards LER 77-088/03L-0 | | | 05000346/LER-1977-088-03, /03L-0:on 771027,source Range Detector NI-1 Indication Failed Low.Cause Unknown.Updated Rept Forthcoming | /03L-0:on 771027,source Range Detector NI-1 Indication Failed Low.Cause Unknown.Updated Rept Forthcoming | | | 05000346/LER-1977-089-03, /03L-1:on 771107,radiation Monitor RIS 2007 Was Showing Erratic Readings.Caused by Victoreen Low Range Amplifier Board 847-1-20 Failure.Board Replaced | /03L-1:on 771107,radiation Monitor RIS 2007 Was Showing Erratic Readings.Caused by Victoreen Low Range Amplifier Board 847-1-20 Failure.Board Replaced | | | 05000346/LER-1977-089, Forwards LER 77-089/03L-1.W/o Encl | Forwards LER 77-089/03L-1.W/o Encl | | | 05000346/LER-1977-090-03, /03L-0:on 771107,during Review of Deficiency in Steam & Feedwater Rupture Control Sys Monthly Test,Reactor Coolant Pump Found Inoperable.Caused by Component Failure. Voltage Regulating Diode Replaced | /03L-0:on 771107,during Review of Deficiency in Steam & Feedwater Rupture Control Sys Monthly Test,Reactor Coolant Pump Found Inoperable.Caused by Component Failure. Voltage Regulating Diode Replaced | | | 05000346/LER-1977-090, Forwards LER 77-090/03L-0 | Forwards LER 77-090/03L-0 | | | 05000346/LER-1977-091-03, /03L-0:on 771107,containment Radiation Monitor RIS 2006 Spiked & Reset Twice Causing Safety Features Actuation Sys Incident Level 1 Trips.Caused by Design Error | /03L-0:on 771107,containment Radiation Monitor RIS 2006 Spiked & Reset Twice Causing Safety Features Actuation Sys Incident Level 1 Trips.Caused by Design Error | | | 05000346/LER-1977-091, Forwards LER 77-091/03L-0 | Forwards LER 77-091/03L-0 | | | 05000346/LER-1977-092, Forwards LER 77-092/03L-0 | Forwards LER 77-092/03L-0 | | | 05000346/LER-1977-092-03, /03L-0:on 771101,facility Review Board Meeting Revealed That Surveillance Requirement of Venting Hpis Valve HP 72 Not Performed.Caused by Personnel Error.High Point Valve Vented & Modified | /03L-0:on 771101,facility Review Board Meeting Revealed That Surveillance Requirement of Venting Hpis Valve HP 72 Not Performed.Caused by Personnel Error.High Point Valve Vented & Modified | | | 05000346/LER-1977-093, Forwards LER 77-093/03L-0 | Forwards LER 77-093/03L-0 | | | 05000346/LER-1977-093-03, /03L-0:on 771114,reactor Protection Sys Daily Heat Balance Check Not Completed When Station Above 15% Rated Thermal Power During Oct-Nov 1977.Caused by Personnel Error. Surveillance Test Placed on Daily Testing Schedule | /03L-0:on 771114,reactor Protection Sys Daily Heat Balance Check Not Completed When Station Above 15% Rated Thermal Power During Oct-Nov 1977.Caused by Personnel Error. Surveillance Test Placed on Daily Testing Schedule | | | 05000346/LER-1977-094-03, /03L-0:on 771116,emergency Ventilation Sys Dampers Pdv 5014A & B Failed to Modulate Correctly to Draw Down Annulus.Caused by Defective Pressure Differential Controller.Dampers Replaced & Sys Retested | /03L-0:on 771116,emergency Ventilation Sys Dampers Pdv 5014A & B Failed to Modulate Correctly to Draw Down Annulus.Caused by Defective Pressure Differential Controller.Dampers Replaced & Sys Retested | | | 05000346/LER-1977-094, Forwards LER 77-094/03L-0 | Forwards LER 77-094/03L-0 | | | 05000346/LER-1977-095-03, /03L-0:on 771127,control Room Ventilation Isolation Damper HV 5311A Failed to Close on Radiation Monitor Trip.Caused by Component Failure.Damper Dismantled & Sealing Surfaces Cleaned & Lubricated | /03L-0:on 771127,control Room Ventilation Isolation Damper HV 5311A Failed to Close on Radiation Monitor Trip.Caused by Component Failure.Damper Dismantled & Sealing Surfaces Cleaned & Lubricated | | | 05000346/LER-1977-095, Forwards LER 77-095/03L-0 | Forwards LER 77-095/03L-0 | | | 05000346/LER-1977-097, Forwards LER 77-097/03L-0 | Forwards LER 77-097/03L-0 | | | 05000346/LER-1977-097-03, /03L-0:on 771129,radiation Monitor Re 2006 Tripped Safety Features Actuation Sys Channel 3 Containment Radiation Due to Sporadic Spiking.Caused by Component Failure in Radiation Detector.Detector Replaced | /03L-0:on 771129,radiation Monitor Re 2006 Tripped Safety Features Actuation Sys Channel 3 Containment Radiation Due to Sporadic Spiking.Caused by Component Failure in Radiation Detector.Detector Replaced | | | 05000346/LER-1977-100-03, /03L-0:on 771201 & 05,source Range Neutron Detector NI-1 Indication Dropped to Zero & Returned to Normal Operation W/O Assistance.Cause Unknown.After First Failure,Detector Replaced & Retested | /03L-0:on 771201 & 05,source Range Neutron Detector NI-1 Indication Dropped to Zero & Returned to Normal Operation W/O Assistance.Cause Unknown.After First Failure,Detector Replaced & Retested | | | 05000346/LER-1977-100, Forwards LER 77-100/03L-0 | Forwards LER 77-100/03L-0 | | | 05000346/LER-1977-101-03, /03L-0:on 771201,diesel Generator 1-1 Inoperable Due to Failure to Perform Required Surveillance Testing on Diesel Generator 1-2 within Required Tech Spec Interval. Caused by Personnel Error | /03L-0:on 771201,diesel Generator 1-1 Inoperable Due to Failure to Perform Required Surveillance Testing on Diesel Generator 1-2 within Required Tech Spec Interval. Caused by Personnel Error | |
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