LER-1980-031, /04L-0:on 800806,determined That Established Procedures Were Not Adhered to in Carrying Out Environ Monitoring Program.Caused by Contractor Errors.Procedures for Three of Eight Identified Areas Will Be Clarified |
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NRC ' ORn4 064 (7 771 U. S. NUCLIA2 RECULA70s;Y 00wMi*.::C 's
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[3,,j [ This is the first occurrence of this type reported.
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Procedures related to three of the g,,3j j identified areas will be revised for clarification.
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SUPPLEMENTAL INFORMATION 1.
Report No: 80-031/04L-0 2.
Facility: Crystal River - Unit 3 3.
Report Date: August 25, 1980 4.
Occurrence Dates: June, July 1980 (discovered July 25,1980)
(determined at plant August 6, 1980) 5.
Identif1 cation of Occurrence:
Contrey to Appendix B (Environmental) ',e-hnical Specifica-tion 5.5.1, explicit written procedures were not adhered to for operation of all systems and components involved in carry-ing out the environmental monitoring programs.
6.
Conditions Prior to Occurrences:
N/A 7.
Description of Occurrence:
Audits by the FPC Quality Programs Department (pursuant to Environmental Technical Specification 5.3.9.c) of the contrac-tors that perform portions of the environmental monitoring program, revealed that, in all cases, these contractors were not adhering to their written procedures.
These audits were Audits ETS-110,
- 111, 112 and 113 performed on Connell, Metcalf, and Eddy; State of Florida, Department of Health and Rehabilitative Services; University of Florida, Department of Engineering Services, Dr.
H.
T.
Odum; and University of Florida, Department of Engineering Services, Dr. W. E. Bloch.
Audit Finding 110-1:
Failure to adjust time of comencement of days sampling to a given angle of the sun on a seasonal basis.
Audit Finding 110-4:
Pollychaetes samples not completed with all information required. No locations and dates.
Audit Finding 110-5:
Failure to revise procedure to reflect cur-rent QA/QC comittee membership list.
Audit Finding 110-6:
Annual report does not contain independent review.
Audit finding 111-1:
Index of procedures has not been updated to current level of revision.
Audit Finding 112-1:
Biweekly sampling schedules are not within prescribed limits.
Bright (SupInfo)DN101-2 i
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Audit Finding 113-1:
Calculations for time on sample C43 was not considered. TLD QC logbook reflects shorter time.
Audit Finding 113-2:
C41 samples from FPC do not have complete documentation on 10/26/79 and 11/2/79.
8.
Designation of Apparent Cause:
Audit Finding 110-1:
Sample times were not based on criteria in the procedures.
Audit Finding 110-4:
Portions of voucher collection have been relabelled to meet procedures but the Pollychaetes were not completed.
Audit Finding 110-5:
The new members were approved by FPC but the procedures have not been revised.
Audit Finding 110-6:
The independent review of the annual report was not completed by the specified individual.
Audit Finding 111-1:
The index of procedures is only updated from time-to-time, but not for every revision.
Audit Finding 112-1:
The biweekly sample schedules were based on an incorrect definition of surveillance interval.
Audit Finding 113-1:
The TLD QC logbook for each month in the quarter was not checked for all short time periods.
Audit Finding 113-2:
The documentation for C41 samples was not completed by FPC personnel.
9.
Analysis of Occurrence:
Audit Finding 110-1:
The personnel performing the sampling did not follow their procedures as to the adjustment of the days of sampling to a given angle of the sun on a seasonal basis.
Audit Finding 110-4:
Portions of the voucher collection were being relabelled to meet the procedures and the Pollychaetes had not been completed.
Audit Finding 110-5:
The procedures had not been revised even though FPC had approved the changes.
Audit Finding 110-6:
The individual specified to independently review the annual report did not do so.
Audit Finding 111-1:
The index was not considered part of the procedures and as such was not updated with each revision.
Bright (SupInfo)DN101-2
I Audit Finding 112-1:
The contractor considered the surveillance interval to be fran the end of the last surveillance to the beginning of the next surveillance.
Audit Finding 113-1: The TLD QC logbook was not checked for possi-ble shorter time periods of TLD deployment.
10. Corrective Actions
Audit Findings 110-1, 110-4, 110-5 and 110-6:
Corrective actions
have not yet been established.
Audit Finding 111-1: Procedures will be revised to require that an updated index be sent with each transmittal of revised procedures.
Audit Finding 112-1:
Corrective actions have not yet been established.
Audit Finding 113-1:
Procedures will be revised to require the Project Manager to check to TLD QC logbook to ensure that proper times are given for each TLD.
Audit Finding 113-2:
A memorandum has been developed and will be sent to FPC when sample documentation is not completed.
This memo will identify the missing documentation so that it may be completed and returned to the contractor.
11.
Failure Data:
This is the first occurrence cf this type.
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Bright (SupInfo)DN101-2
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| 05000302/LER-1980-001-01, /01T-0:on 800107,in Mode 1,determinted That Plant Was Taken Into Operational Mode While in Action Statement of Limiting Condition for Operation.Caused by Personnel Error.Revision to Tech Specs Has Been Submitted | /01T-0:on 800107,in Mode 1,determinted That Plant Was Taken Into Operational Mode While in Action Statement of Limiting Condition for Operation.Caused by Personnel Error.Revision to Tech Specs Has Been Submitted | | | 05000302/LER-1980-001, Forwards LER 80-001/01T-0 | Forwards LER 80-001/01T-0 | | | 05000302/LER-1980-002-03, /03L-0:on 800105,following Normal Reactor Shutdown,Chem/Rod Sampling Revealed Reactor Coolant Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Leaking Fuel Pins & Anticipated Iodine Transient Following Shutdown | /03L-0:on 800105,following Normal Reactor Shutdown,Chem/Rod Sampling Revealed Reactor Coolant Dose Equivalent I-131 Exceeded Tech Spec Limit.Caused by Leaking Fuel Pins & Anticipated Iodine Transient Following Shutdown | | | 05000302/LER-1980-002, Forwards LER 80-002/03L-0 | Forwards LER 80-002/03L-0 | | | 05000302/LER-1980-003, Forwards LER 80-003/03L-0 | Forwards LER 80-003/03L-0 | | | 05000302/LER-1980-003-03, /03L-0:on 800104,following Pressurizer Degassification Operations,Pressurizer Steam Space Sample Isolation Valve CAV-1 Would Not Close.Cause Unknown.Threads on Valve Stem Assembly Found Stripped.Evaluation Scheduled | /03L-0:on 800104,following Pressurizer Degassification Operations,Pressurizer Steam Space Sample Isolation Valve CAV-1 Would Not Close.Cause Unknown.Threads on Valve Stem Assembly Found Stripped.Evaluation Scheduled | | | 05000302/LER-1980-004, Supplemental Info to LER 80-004/04L-0:during Jan 1980, Analyses of Seawater Samples Collected at Six Sample Stations Not Performed Correctly Due to Equipment Malfunctions.Samples Recollected & Analyzed | Supplemental Info to LER 80-004/04L-0:during Jan 1980, Analyses of Seawater Samples Collected at Six Sample Stations Not Performed Correctly Due to Equipment Malfunctions.Samples Recollected & Analyzed | | | 05000302/LER-1980-005-03, /03L-0:on 800116,during Surveillance Schedule Review,Discovered Incore Neutron Detector Sys Calibr Surveillance SP-140 Not Performed within Required Time Interval.Caused by Misinterpretation of Requirements | /03L-0:on 800116,during Surveillance Schedule Review,Discovered Incore Neutron Detector Sys Calibr Surveillance SP-140 Not Performed within Required Time Interval.Caused by Misinterpretation of Requirements | | | 05000302/LER-1980-005, Forwards LER 80-005/03L-0 | Forwards LER 80-005/03L-0 | | | 05000302/LER-1980-006-03, /03L-0:on 800123,during Routine Surveillance, Reactor Bldg Charcoal Filter Bank Efficiency Was Less than 99%.Caused by Natural End of Life for Filter.Filters Replaced | /03L-0:on 800123,during Routine Surveillance, Reactor Bldg Charcoal Filter Bank Efficiency Was Less than 99%.Caused by Natural End of Life for Filter.Filters Replaced | | | 05000302/LER-1980-006, Forwards LER 80-006/03L-0 | Forwards LER 80-006/03L-0 | | | 05000302/LER-1980-007, Forwards LER 80-007/03L-0 | Forwards LER 80-007/03L-0 | | | 05000302/LER-1980-007-03, /03L-0:on 800130,during Daily Plant Operating Surveillance SP-300,discovered Average Reactor Bldg Temp of 130.5F.Caused by Temp Transmitter CI-563-TT Being Stuck,Due to Operation Outside Design Temp Range | /03L-0:on 800130,during Daily Plant Operating Surveillance SP-300,discovered Average Reactor Bldg Temp of 130.5F.Caused by Temp Transmitter CI-563-TT Being Stuck,Due to Operation Outside Design Temp Range | | | 05000302/LER-1980-008, Forwards LER 80-008/03L-0 | Forwards LER 80-008/03L-0 | | | 05000302/LER-1980-008-03, /03L-0:on 800206,during ECCS Pump Operability Demonstration Surveillance SP-340,decay Heat Pump a Discharge Throttle Valve Would Not Control Flow Automatic Phase.Caused by Loose Wires on auto-manual Selector Switch | /03L-0:on 800206,during ECCS Pump Operability Demonstration Surveillance SP-340,decay Heat Pump a Discharge Throttle Valve Would Not Control Flow Automatic Phase.Caused by Loose Wires on auto-manual Selector Switch | | | 05000302/LER-1980-009, Forwards LER 80-009/03L-0 | Forwards LER 80-009/03L-0 | | | 05000302/LER-1980-009-03, /03L-0:on 800209,following Power Reduction & on 800211,during Startup Operations,Rcs Sampling Revealed Dose Equivalent I-131 Exceeded Tech Specs.Caused by Leaking Fuel Pins & Iodine Transient Following RCS Transient | /03L-0:on 800209,following Power Reduction & on 800211,during Startup Operations,Rcs Sampling Revealed Dose Equivalent I-131 Exceeded Tech Specs.Caused by Leaking Fuel Pins & Iodine Transient Following RCS Transient | | | 05000302/LER-1980-010-01, /01T-1:on 800226,during Routine Operation,Power Supply Failure Initiated Transient Condition,Resulting in Reactor Trip,Turbine Trip & Engineered Safeguards Actuation. Caused by Failure of Nni Voltage Buffer Card 4-7-10(4) | /01T-1:on 800226,during Routine Operation,Power Supply Failure Initiated Transient Condition,Resulting in Reactor Trip,Turbine Trip & Engineered Safeguards Actuation. Caused by Failure of Nni Voltage Buffer Card 4-7-10(4) | | | 05000302/LER-1980-010, Forwards LER 80-010/01T-1 | Forwards LER 80-010/01T-1 | | | 05000302/LER-1980-011-04, /04L-0:on 800222,discovered Representative Sample Not Obtained for Feb from Test Well 4,contrary to Tech Spec. Apparently Caused by Intake Canal Mod Const Activity.Tech Spec Change Request Will Be Submitted to Delete Require | /04L-0:on 800222,discovered Representative Sample Not Obtained for Feb from Test Well 4,contrary to Tech Spec. Apparently Caused by Intake Canal Mod Const Activity.Tech Spec Change Request Will Be Submitted to Delete Requirement | | | 05000302/LER-1980-011, Forwards LER 80-011/04L-0 | Forwards LER 80-011/04L-0 | | | 05000302/LER-1980-012, Forwards LER 80-012/04L-0 | Forwards LER 80-012/04L-0 | | | 05000302/LER-1980-012-04, /04L-0:on 800229,discovered That Environ Samples Were Not Taken from Locations at Required Frequencies.Caused by Personnel Error.Incident Occurrence Infrequent Therefore No Corrective Actions Necessary | /04L-0:on 800229,discovered That Environ Samples Were Not Taken from Locations at Required Frequencies.Caused by Personnel Error.Incident Occurrence Infrequent Therefore No Corrective Actions Necessary | | | 05000302/LER-1980-013, Forwards LER 80-013/04L-0 | Forwards LER 80-013/04L-0 | | | 05000302/LER-1980-013-04, /04L-0:on 800304,more than Two Std Deviations Were Discovered Between Preoperational Study & Operational Study in Metabolic Function of Discharge Salt Marshes.Possibly Caused by Natural or Seasonal Variations | /04L-0:on 800304,more than Two Std Deviations Were Discovered Between Preoperational Study & Operational Study in Metabolic Function of Discharge Salt Marshes.Possibly Caused by Natural or Seasonal Variations | | | 05000302/LER-1980-015, Forwards LER 80-015/03L-0 | Forwards LER 80-015/03L-0 | | | 05000302/LER-1980-015-03, /03L-0:on 800306,while Performing Engineered Safeguards Functional Test,Decay Heat Suction Isolation Valve Began to Close Inadvertently.No Apparent Cause for Event.Investigation Underway | /03L-0:on 800306,while Performing Engineered Safeguards Functional Test,Decay Heat Suction Isolation Valve Began to Close Inadvertently.No Apparent Cause for Event.Investigation Underway | | | 05000302/LER-1980-016-01, /01T-0:on 800401,inadvertent Actuation of Fire Svc Deluge Sys Resulted in Damage to Auxiliary Bldg Ventilation Exhaust Filter AHFL-2A.Caused by Personnel Error During Reset of Fire Svc Panel alarm.AHFL-2A Media Replaced | /01T-0:on 800401,inadvertent Actuation of Fire Svc Deluge Sys Resulted in Damage to Auxiliary Bldg Ventilation Exhaust Filter AHFL-2A.Caused by Personnel Error During Reset of Fire Svc Panel alarm.AHFL-2A Media Replaced | | | 05000302/LER-1980-016, Forwards LER 80-016/01T-0 | Forwards LER 80-016/01T-0 | | | 05000302/LER-1980-017-03, /03L-0:on 800405,during Repair of B once-through Steam Generator Feedwater swing-disc Check Valve FWV-46, Discovered Valve Disc Retainer Pin Missing.Caused by Deficiency Occurring During Initial Manufacturer Assembly | /03L-0:on 800405,during Repair of B once-through Steam Generator Feedwater swing-disc Check Valve FWV-46, Discovered Valve Disc Retainer Pin Missing.Caused by Deficiency Occurring During Initial Manufacturer Assembly | | | 05000302/LER-1980-017, Forwards LER 80-017/03L-0 | Forwards LER 80-017/03L-0 | | | 05000302/LER-1980-018-03, /03L-0:on 800413,during Chemistry Surveillance, Discovered That RCS Chloride & Fluoride Concentrations Were 0.24 Ppm & 0.274 Ppm.Caused by Chloride & Fluoride Contamination on Walls & Floors of Fuel Transfer Canal | /03L-0:on 800413,during Chemistry Surveillance, Discovered That RCS Chloride & Fluoride Concentrations Were 0.24 Ppm & 0.274 Ppm.Caused by Chloride & Fluoride Contamination on Walls & Floors of Fuel Transfer Canal | | | 05000302/LER-1980-018, Fowards LER 80-018/03L-0 | Fowards LER 80-018/03L-0 | | | 05000302/LER-1980-019-01, /01T-0:on 800517,crack Indication Discovered During Insp of Fuel Assembly NJ018E Upper End Fitting Holddown Spring.Investigation of Cause Underway.When Determined,Rept W/Corrective Actions Will Be Sent | /01T-0:on 800517,crack Indication Discovered During Insp of Fuel Assembly NJ018E Upper End Fitting Holddown Spring.Investigation of Cause Underway.When Determined,Rept W/Corrective Actions Will Be Sent | | | 05000302/LER-1980-019, Forwards LER 80-019/01T-0 | Forwards LER 80-019/01T-0 | | | 05000302/LER-1980-020-03, /03L-0:on 800501,during Review of Surveillance Procedures,Discovered That Procedure for Weekly Battery Check SP-510 Was Not Performed for Wk of 800406.Caused by Damaged Hydrometer Used to Perform Surveillance | /03L-0:on 800501,during Review of Surveillance Procedures,Discovered That Procedure for Weekly Battery Check SP-510 Was Not Performed for Wk of 800406.Caused by Damaged Hydrometer Used to Perform Surveillance | | | 05000302/LER-1980-020, Forwards LER 80-020/03L-0 | Forwards LER 80-020/03L-0 | | | 05000302/LER-1980-021-03, /03L-0:on 800506,during Insp of Feedwater swing- Disc Check Valve FWV-45,valve Hinge Pin Was Discovered Missing.Caused by Deficiency During Initial Assembly of Valve by Manufacturer.Valve Is Being Repaired | /03L-0:on 800506,during Insp of Feedwater swing- Disc Check Valve FWV-45,valve Hinge Pin Was Discovered Missing.Caused by Deficiency During Initial Assembly of Valve by Manufacturer.Valve Is Being Repaired | | | 05000302/LER-1980-021, Forwards LER 80-021/03L-0 | Forwards LER 80-021/03L-0 | | | 05000302/LER-1980-022, Forwards LER 80-022/04L-0 | Forwards LER 80-022/04L-0 | | | 05000302/LER-1980-022-04, /04L-0:on 800528,samples Not Obtained for Apr from Test Wells 1 & 4 & Ph Results Not Reported for Waste Water Ponds,Test Well 5 & Discharge Canal.Caused by Elimination of Test Well Sites Due to Canal Mod & Loss of Ph Data | /04L-0:on 800528,samples Not Obtained for Apr from Test Wells 1 & 4 & Ph Results Not Reported for Waste Water Ponds,Test Well 5 & Discharge Canal.Caused by Elimination of Test Well Sites Due to Canal Mod & Loss of Ph Data | | | 05000302/LER-1980-023-03, /03L-0:on 800517,radioactive Matl in Form of Bagged Contaminated Waste & Poly Wrapped Scrap Lumber Was Taken to Site Dump.Caused by Apparent Communication Problem Between Health Physics Personnel & Bldg Servicemen | /03L-0:on 800517,radioactive Matl in Form of Bagged Contaminated Waste & Poly Wrapped Scrap Lumber Was Taken to Site Dump.Caused by Apparent Communication Problem Between Health Physics Personnel & Bldg Servicemen | | | 05000302/LER-1980-023, Forwards LER 80-023/03L-0 | Forwards LER 80-023/03L-0 | | | 05000302/LER-1980-024, Forwards LER 80-024/04L-0 | Forwards LER 80-024/04L-0 | | | 05000302/LER-1980-024-04, /04L-0:on 800523,discovered That I-131 Charcoal Cartridge for Wk Ending 800401 Was Inadvertently Discarded. Caused by Personnel Error.Responsible Personnel Were Instructed on Proper Procedures | /04L-0:on 800523,discovered That I-131 Charcoal Cartridge for Wk Ending 800401 Was Inadvertently Discarded. Caused by Personnel Error.Responsible Personnel Were Instructed on Proper Procedures | | | 05000302/LER-1980-025-03, /03L-0:on 800609,while Performing SP-112 Calibr of Reactor Protection Sys,Count Rate Amplifier for Channel a Source Range Neutron Flux Monitor Found out-of-tolerance Caused by Defective Pulse & Output Amplifier Cards | /03L-0:on 800609,while Performing SP-112 Calibr of Reactor Protection Sys,Count Rate Amplifier for Channel a Source Range Neutron Flux Monitor Found out-of-tolerance Caused by Defective Pulse & Output Amplifier Cards | | | 05000302/LER-1980-025, Forwards LER 80-025/03L-0 | Forwards LER 80-025/03L-0 | | | 05000302/LER-1980-026-03, /03L-0:on 800714,while Performing SP-710 Rc Decay Heat Removal & Rc Makeup Sys Chemistry Surveillance Program, Chloride & Fluoride Concentrations Exceeded Limits.Caused by High Temp of Decay Heat Sys & Migration of Elements | /03L-0:on 800714,while Performing SP-710 Rc Decay Heat Removal & Rc Makeup Sys Chemistry Surveillance Program, Chloride & Fluoride Concentrations Exceeded Limits.Caused by High Temp of Decay Heat Sys & Migration of Elements | | | 05000302/LER-1980-026, Forwards LER 80-026/03L-0 | Forwards LER 80-026/03L-0 | | | 05000302/LER-1980-027-01, /01T-0:on 800728,in Mode 5,while Performing OP-401 Core Flooding Sys,Check Valve CFV-79 Failed Allowing About 500 Gallons of Liquid to Enter Nitrogen Sys Via NGV-4. Apparently Caused by CFV-79 Failure & Open NGV-4 | /01T-0:on 800728,in Mode 5,while Performing OP-401 Core Flooding Sys,Check Valve CFV-79 Failed Allowing About 500 Gallons of Liquid to Enter Nitrogen Sys Via NGV-4. Apparently Caused by CFV-79 Failure & Open NGV-4 | |
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