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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E5121994-05-12012 May 1994 LER 93-008-01:on 930706,high Pressure Injection Suction Valve Determined to Be Inoperable.Caused by Lack of Engineering Review for Motor Brake Voltage Requirements. Valves Locked & Brake removed.W/940512 Ltr ML20029D7671994-05-0303 May 1994 LER 94-002-00:on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures revised.W/940503 Ltr ML20046C5581993-08-0404 August 1993 LER 93-008-00:on 930706,possibility of MOV W/Brakes Failing to Perform Safety Function Under Degraded Voltage Conditions Due to Lack of Engineering Review.Identified & Reviewed MOV W/Motor Brakes for Safety significance.W/930804 Ltr ML20046B4121993-07-28028 July 1993 LER 93-007-00:on 930628,noticed That Hydrogen Pressure Setpoint Found to Be Set Above 10 Psig.Caused by Personnel Error.Mod Design Package Developed to Raise Pressure Regulator setpoint.W/930728 Ltr ML20045F7741993-06-30030 June 1993 LER 93-001-01:on 930305,cooldown Exceeding Limits of TS 3.4.9.1 Experienced After Switching from SG Cooling to Dh Sys Cooling.Caused by Failure of Cv Controller.Valve Repaired & Valve Operation Instructions Revised ML20045D7741993-06-18018 June 1993 LER 93-006-00:on 930520,inadequately Secured Separation Barrier Identified That Could Affect Control Switches for safety-related Equipment on Main Control Board.Caused by Human Error.Placard Posted to Restrict area.W/930618 Ltr ML20045B4381993-06-10010 June 1993 LER 93-005-00:on 930518,notified That Control Circuit for Makeup & Purification Sys Letdown Isolation Valve Did Not Meet Electrical Isolation Criteria Due to Human Error.Mod in Development Will Be expanded.W/930610 Ltr ML20044D2101993-05-10010 May 1993 LER 93-004-00:on 930408,inappropriate Personnel Action Resulted in Degraded Class 1E Bus Voltage & Actuation of Edg.Licensee Established Addl Administrative Controls on Switchyard activities.W/930510 Ltr ML20044D1651993-05-10010 May 1993 LER 93-003-00:on 930408,determined That Insufficient Instrument Error Considered When Operating Limits for Core Flood Tank Selected.Caused by Programmatic Deficiency.Alarm Bistables Reset & Allowed Margin expanded.W/930510 Ltr ML20024H2001991-05-20020 May 1991 LER 91-003-00:on 910420,emergency Feedwater Actuation & Manual Reactor Trip Occurred.Caused by Water Instrusion Into Pump Loss of Circulating Water Pump.Plant Modification Previously initiated.W/910520 Ltr ML20024H1741991-05-17017 May 1991 LER 90-002-02:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Design Basis Documents updated.W/910517 Ltr ML20029B0751991-02-28028 February 1991 LER 91-002-00:on 910129,startup Transformer Incapable of Maintaining Voltage Output Above Setpoint of Second Level Undervoltage Relays Under Es Actuation Conditions.New Offsite Power Supply installed.W/910228 Ltr ML20029A6531991-02-25025 February 1991 LER 91-001-00:on 910124,engineered Safeguards Train a HPI Recirculation Isolation Valve MUV-53 Declared Inoperable Due to Undersized Thermal Overload Elements for Motor Operator.Cause Undetermined.Elements replaced.W/910225 Ltr ML20028H7131991-01-21021 January 1991 LER 89-022-01:on 890614,erroneous Indication of Loss of Main Feedwater Pumps Occurred Resulting in Manual ESF Actuation. Temporary Loss of Supervisory Indicating Lights Expected During Bus Realignment.Procedures revised.W/910121 Ltr ML20043H5751990-06-22022 June 1990 LER 90-009-00:on 900523,discovered That Paperwork for Mod to Replace Feedwater Vent Valve Still Open 12 Months After Work Completed.Caused by Lost Blanket Work Request Re post-maint Testing.New Work Request initiated.W/900622 Ltr ML20043G6511990-06-14014 June 1990 LER 90-008-00:on 900514,determined That Fault Current Could Develop Across Engineered Safeguards 480-volt Bus Output Breakers.Caused by Failure to Perform Adequate Short Circuit Analysis.Deficient Trip Devices replaced.W/900614 Ltr ML20043C5221990-05-31031 May 1990 LER 89-035-01:on 890906,determined That Dc Powered Components Exhibited Discrepancy in Rated Voltages & Actual Voltages.Caused by Inadequate Control of Design Process.Inoperable Components replaced.W/900531 Ltr ML20043B8091990-05-23023 May 1990 LER 90-007-00:on 900112,discovered That Door Between Control Room Complex & Turbine Bldg Removed for Mod Work,Resulting in Inoperability of Both Trains of Emergency Ventilation Sys.Door Replaced & Warning Signs affixed.W/900523 Ltr ML20042G7641990-05-0909 May 1990 LER 90-006-00:on 900410,reevaluation of Design Calculations Discovered Deficient Valve Operator Installation.Sufficient Thrust Not Developed to Open or Close Valves Due to Undersized Spring Packs.Spring Packs ordered.W/900509 Ltr ML20042F9781990-05-0707 May 1990 LER 89-031-01:on 890828,480-volt Engineered Safeguards Stepdown Transformer a Faulted Causing Decay Heat Train Closed Cycle Cooling Pump a to Deenergize.Caused by Degraded Insulation.Transformer replaced.W/900507 Ltr ML20012D8091990-03-22022 March 1990 LER 90-003-00:on 900220,instrument Fluctuation Noted During Surveillance of Chilled Water Pump.Caused by Location of Flow Element within Chilled Water Sys.Relief Request Submitted & Field Problem Rept generated.W/900322 Ltr ML20012D0281990-03-19019 March 1990 LER 90-002-00:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Caused by Failure of Original Design Criteria to Address Need.Documentation updated.W/900319 Ltr ML20011F1731990-02-21021 February 1990 LER 90-001-00:on 900221,RCS Leakage Calculations Indicated That Unidentified Leakage Exceeded Tech Spec Limits.Caused by Failed Packing on Block Valve.Valve Repacked During Feb 1990 Maint outage.W/900221 Ltr ML19354D9091990-01-17017 January 1990 LER 89-016-03:on 890426,administrative Problems Caused Deficiencies in Environ Qualification Program That Resulted in Plant Equipment Not Being Properly Qualified.Effort to Correct Environ Qualification Deficiencies Underway ML20006E3941990-01-0808 January 1990 LER 89-041-00:on 891208,partial,simultaneous Withdrawal of Two Control Rod Safety Groups Occurred & Safety Group 3 Control Transferred to Auxiliary Power Supply.Cause Undetermined.Select Relays replaced.W/900207 Ltr ML20005F1601990-01-0808 January 1990 LER 89-040-00:on 891208,emergency Diesel Generators a & B Actuated Due to Degraded Voltage When Condensate Pump Started.Operator Guidelines & Procedures for Starting Condensate Pumps Being revised.W/900108 Ltr ML20011D8401989-12-22022 December 1989 LER 89-030-01:on 890824,determined That Pump Discharge Pressure & Flow Less than Required.On 890826,plant Entered Hot Standby.Caused by Installation of Incorrect Impeller in Pump.Original Impeller Reinstalled Upon repair.W/891222 Ltr ML20011D2281989-12-15015 December 1989 LER 89-026-01:on 890629,emergency Diesel Generator 1B Failed post-maint Test & Could Not Be Returned to Svc within Time Allowed by Tech Specs.Caused by Rotor Not Turning.Crankcase Vapor Ejector cleaned.W/891215 Ltr ML19332E7691989-12-0707 December 1989 LER 89-039-00:on 891107,determined That Control Circuits for Two Makeup Valves Did Not Meet Separation Criteria of 10CFR50 App R.Caused by Cognitive Personnel Error.Roving Fire Watch Patrol Confirmed in effect.W/891207 Ltr ML19332F0171989-11-30030 November 1989 LER 89-038-00:on 891029,util Engineers Discovered That Administrative Controls Not in Place for Three Makeup & Purification Sys Valves.Caused by Personnel Error.Plant Procedures revised.W/891130 Ltr ML19332D1391989-11-27027 November 1989 LER 89-037-00:on 891026,determined That Instrumentation Used to Balance HPI Flow Through Four Injection Lines During Small Break LOCA Inadequate.Caused by Inadequate Review of B&W Guidelines.Flow Instrument installed.W/891127 Ltr ML19327C2611989-11-17017 November 1989 LER 89-036-00:on 891018,determined That Plant Operating Outside Design Basis Since Borated Water Storage Tank Level Transmitters Not Seismically Qualified.Caused by Personnel Error.Unqualified Transmitters replaced.W/891117 Ltr ML19325F3371989-11-10010 November 1989 LER 89-033-00:on 890908,second Level Undervoltage Relay Sys Setpoint for Engineered Safeguards Buses Not Conservative & Led to Operation Outside Plant Design Basis.Caused by Personnel Error.Setpoint changed.W/891110 Ltr ML19325F3341989-11-10010 November 1989 LER 89-035-00:on 890906,discrepancy Noted in dc-powered Component Rated Voltages & Actual Voltages Seen by Components.Caused by Inadequate Control of Design Process. All Components Replaced Prior to startup.W/891110 Ltr ML19325E7371989-10-27027 October 1989 LER 85-034-01:on 850310,valve Alarm Function for Core Flood Tank Isolation Valves Failed to Meet Acceptance Criteria.On 850809,unit Entered Mode 3 & Then Raised RCS Pressure Above 750 Psig W/O Meeting Operability surveillances.W/891027 Ltr ML19324B3921989-10-26026 October 1989 LER 88-002-02:on 880107,emergency Feedwater Actuation Occurred on Loss of Both Main Feedwater Pumps.Caused by Instrumentation & Control Technician Error.Idle Feedwater Pump Started & Actuation reset.W/891026 Ltr ML19324B3871989-10-26026 October 1989 LER 89-034-00:on 890926,two Conditions Determined to Be Outside Plant Design Basis Re Solenoid Control Valves.Caused by Cognitive Personnel Error.Test Solenoid Valve Circuits Provided W/Isolation fuses.W/891026 Ltr ML19327B2301989-10-23023 October 1989 LER 89-016-02:from 890227-0601,deficiencies Re Environ Qualification of Plant Equipment Discovered.Caused by Deficiencies in Detailed Development & Implementation of Environ Qualification Program.Program reviewed.W/891023 Ltr ML20024D2501983-07-26026 July 1983 Updated LER 83-019/03L-1:on 830406,breaker in Engineered Safeguards Motor Control Ctr 3B1 Shorted Out,Causing Various Pieces of Equipment on Train B to Be Inoperable.Caused by Personnel Error.Breaker Removed & cleaned.W/830726 Ltr ML20024D1491983-07-26026 July 1983 Updated LER 82-003/01T-0:on 820128,RCS Leakage Calculations Showed Unidentified Leakage at Rate Greater than 1 Gpm. Caused by Thermally Induced Cyclic Failure.New Valve Will Be Installed in Improved location.W/830726 Ltr ML20024D1061983-07-26026 July 1983 Updated LER 82-004/01T-1:on 820129,while Performing Visual Insp of Reactor Coolant Pump a Seal Package,Rcpb Leakage Discovered from Crack in Seal Weld.Caused by Installation Error.Seal Replaced & Procedures revised.W/830726 Ltr ML20024C0951983-06-27027 June 1983 LER 83-023/01T-0:on 830613,fire Damper FD-86,in Duct Work Between Auxiliary Bldg & Control Complex,Discovered Missing. Cause Unknown.Continuous Fire Watch Established.Evaluation underway.W/830627 Ltr ML20023E0971983-06-0101 June 1983 LER 83-021/03L-0:on 830504,three Hydraulic Snubbers Failed Functional Test During Dec Outage & 107 Snubbers Failed Test During Refuel Iv.Caused by Seal Failure & Valve Assembly Contamination.All Snubbers modified.W/830531 Ltr ML20023C5251983-05-0909 May 1983 LER 83-020/03L-0:on 830409,discovered That Surveillance Interval for Fire Detection Instrumentation in Emergency Diesel Generator & Control Rooms Exceeded by 6 Months.Caused by Procedural Inadequacy.Procedure SP-411 Will Be Revised ML20023B4091983-04-27027 April 1983 LER 83-018/01T-0:on 830413,preliminary Repts Received from B&W Indicating That 51 of 120 Upper Core Barrel Bolts Ultrasonically Tested May Be Defective.Cause Unknown. Investigation Underway.Supplemental Rept Will Be Written ML20028E0561983-01-13013 January 1983 LER 82-075/03L-0:on 821215,during Cold Shutdown,Circuit Breaker on Control Complex Ventilation Radiation Monitor RMA-5 Tripped.Caused by Broken Pump Vane Binding Pump. Pump Replaced ML20028A5321982-11-10010 November 1982 LER 82-063/03L-0:on 821011,reactor Bldg Average Air Temp Exceeded 130 F Limit.Caused by Strain on Instrument Air Line Causing Line to Split.Line Replaced on 821011 ML20027D7021982-10-29029 October 1982 LER 82-061/03L-0:on 820929,fan Damper Operator on Industrial Cooler Failed,Resulting in Reactor Bldg Average Air Temp Exceeding 130 F.Caused by Water in Instrument Air Sys Due to Personnel Failing to Close Valve FSV-250.Dampers Wired Open ML20027B8881982-09-24024 September 1982 LER 82-055/03L-0:on 820825,feedwater Ultrasonic Flow Indicator FW-313-FI Found Inoperable.Caused by Instrument Failure Due to High Ambient Temp at Instrument Cabinet Location.Instrument Repaired.Flow Transmitters Replaced ML20027B9001982-09-24024 September 1982 LER 82-056/03L-0:on 820827,during Normal Operation,Primary Containment Average Air Temp Exceeded 130 F Tech Spec Limit. Caused by Failure of Pneumatic Control Line for Industrial Coolers.Control Line Replaced & Coolers Returned to Svc 1994-05-03
[Table view] Category:RO)
MONTHYEARML20029E5121994-05-12012 May 1994 LER 93-008-01:on 930706,high Pressure Injection Suction Valve Determined to Be Inoperable.Caused by Lack of Engineering Review for Motor Brake Voltage Requirements. Valves Locked & Brake removed.W/940512 Ltr ML20029D7671994-05-0303 May 1994 LER 94-002-00:on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures revised.W/940503 Ltr ML20046C5581993-08-0404 August 1993 LER 93-008-00:on 930706,possibility of MOV W/Brakes Failing to Perform Safety Function Under Degraded Voltage Conditions Due to Lack of Engineering Review.Identified & Reviewed MOV W/Motor Brakes for Safety significance.W/930804 Ltr ML20046B4121993-07-28028 July 1993 LER 93-007-00:on 930628,noticed That Hydrogen Pressure Setpoint Found to Be Set Above 10 Psig.Caused by Personnel Error.Mod Design Package Developed to Raise Pressure Regulator setpoint.W/930728 Ltr ML20045F7741993-06-30030 June 1993 LER 93-001-01:on 930305,cooldown Exceeding Limits of TS 3.4.9.1 Experienced After Switching from SG Cooling to Dh Sys Cooling.Caused by Failure of Cv Controller.Valve Repaired & Valve Operation Instructions Revised ML20045D7741993-06-18018 June 1993 LER 93-006-00:on 930520,inadequately Secured Separation Barrier Identified That Could Affect Control Switches for safety-related Equipment on Main Control Board.Caused by Human Error.Placard Posted to Restrict area.W/930618 Ltr ML20045B4381993-06-10010 June 1993 LER 93-005-00:on 930518,notified That Control Circuit for Makeup & Purification Sys Letdown Isolation Valve Did Not Meet Electrical Isolation Criteria Due to Human Error.Mod in Development Will Be expanded.W/930610 Ltr ML20044D2101993-05-10010 May 1993 LER 93-004-00:on 930408,inappropriate Personnel Action Resulted in Degraded Class 1E Bus Voltage & Actuation of Edg.Licensee Established Addl Administrative Controls on Switchyard activities.W/930510 Ltr ML20044D1651993-05-10010 May 1993 LER 93-003-00:on 930408,determined That Insufficient Instrument Error Considered When Operating Limits for Core Flood Tank Selected.Caused by Programmatic Deficiency.Alarm Bistables Reset & Allowed Margin expanded.W/930510 Ltr ML20024H2001991-05-20020 May 1991 LER 91-003-00:on 910420,emergency Feedwater Actuation & Manual Reactor Trip Occurred.Caused by Water Instrusion Into Pump Loss of Circulating Water Pump.Plant Modification Previously initiated.W/910520 Ltr ML20024H1741991-05-17017 May 1991 LER 90-002-02:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Design Basis Documents updated.W/910517 Ltr ML20029B0751991-02-28028 February 1991 LER 91-002-00:on 910129,startup Transformer Incapable of Maintaining Voltage Output Above Setpoint of Second Level Undervoltage Relays Under Es Actuation Conditions.New Offsite Power Supply installed.W/910228 Ltr ML20029A6531991-02-25025 February 1991 LER 91-001-00:on 910124,engineered Safeguards Train a HPI Recirculation Isolation Valve MUV-53 Declared Inoperable Due to Undersized Thermal Overload Elements for Motor Operator.Cause Undetermined.Elements replaced.W/910225 Ltr ML20028H7131991-01-21021 January 1991 LER 89-022-01:on 890614,erroneous Indication of Loss of Main Feedwater Pumps Occurred Resulting in Manual ESF Actuation. Temporary Loss of Supervisory Indicating Lights Expected During Bus Realignment.Procedures revised.W/910121 Ltr ML20043H5751990-06-22022 June 1990 LER 90-009-00:on 900523,discovered That Paperwork for Mod to Replace Feedwater Vent Valve Still Open 12 Months After Work Completed.Caused by Lost Blanket Work Request Re post-maint Testing.New Work Request initiated.W/900622 Ltr ML20043G6511990-06-14014 June 1990 LER 90-008-00:on 900514,determined That Fault Current Could Develop Across Engineered Safeguards 480-volt Bus Output Breakers.Caused by Failure to Perform Adequate Short Circuit Analysis.Deficient Trip Devices replaced.W/900614 Ltr ML20043C5221990-05-31031 May 1990 LER 89-035-01:on 890906,determined That Dc Powered Components Exhibited Discrepancy in Rated Voltages & Actual Voltages.Caused by Inadequate Control of Design Process.Inoperable Components replaced.W/900531 Ltr ML20043B8091990-05-23023 May 1990 LER 90-007-00:on 900112,discovered That Door Between Control Room Complex & Turbine Bldg Removed for Mod Work,Resulting in Inoperability of Both Trains of Emergency Ventilation Sys.Door Replaced & Warning Signs affixed.W/900523 Ltr ML20042G7641990-05-0909 May 1990 LER 90-006-00:on 900410,reevaluation of Design Calculations Discovered Deficient Valve Operator Installation.Sufficient Thrust Not Developed to Open or Close Valves Due to Undersized Spring Packs.Spring Packs ordered.W/900509 Ltr ML20042F9781990-05-0707 May 1990 LER 89-031-01:on 890828,480-volt Engineered Safeguards Stepdown Transformer a Faulted Causing Decay Heat Train Closed Cycle Cooling Pump a to Deenergize.Caused by Degraded Insulation.Transformer replaced.W/900507 Ltr ML20012D8091990-03-22022 March 1990 LER 90-003-00:on 900220,instrument Fluctuation Noted During Surveillance of Chilled Water Pump.Caused by Location of Flow Element within Chilled Water Sys.Relief Request Submitted & Field Problem Rept generated.W/900322 Ltr ML20012D0281990-03-19019 March 1990 LER 90-002-00:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Caused by Failure of Original Design Criteria to Address Need.Documentation updated.W/900319 Ltr ML20011F1731990-02-21021 February 1990 LER 90-001-00:on 900221,RCS Leakage Calculations Indicated That Unidentified Leakage Exceeded Tech Spec Limits.Caused by Failed Packing on Block Valve.Valve Repacked During Feb 1990 Maint outage.W/900221 Ltr ML19354D9091990-01-17017 January 1990 LER 89-016-03:on 890426,administrative Problems Caused Deficiencies in Environ Qualification Program That Resulted in Plant Equipment Not Being Properly Qualified.Effort to Correct Environ Qualification Deficiencies Underway ML20006E3941990-01-0808 January 1990 LER 89-041-00:on 891208,partial,simultaneous Withdrawal of Two Control Rod Safety Groups Occurred & Safety Group 3 Control Transferred to Auxiliary Power Supply.Cause Undetermined.Select Relays replaced.W/900207 Ltr ML20005F1601990-01-0808 January 1990 LER 89-040-00:on 891208,emergency Diesel Generators a & B Actuated Due to Degraded Voltage When Condensate Pump Started.Operator Guidelines & Procedures for Starting Condensate Pumps Being revised.W/900108 Ltr ML20011D8401989-12-22022 December 1989 LER 89-030-01:on 890824,determined That Pump Discharge Pressure & Flow Less than Required.On 890826,plant Entered Hot Standby.Caused by Installation of Incorrect Impeller in Pump.Original Impeller Reinstalled Upon repair.W/891222 Ltr ML20011D2281989-12-15015 December 1989 LER 89-026-01:on 890629,emergency Diesel Generator 1B Failed post-maint Test & Could Not Be Returned to Svc within Time Allowed by Tech Specs.Caused by Rotor Not Turning.Crankcase Vapor Ejector cleaned.W/891215 Ltr ML19332E7691989-12-0707 December 1989 LER 89-039-00:on 891107,determined That Control Circuits for Two Makeup Valves Did Not Meet Separation Criteria of 10CFR50 App R.Caused by Cognitive Personnel Error.Roving Fire Watch Patrol Confirmed in effect.W/891207 Ltr ML19332F0171989-11-30030 November 1989 LER 89-038-00:on 891029,util Engineers Discovered That Administrative Controls Not in Place for Three Makeup & Purification Sys Valves.Caused by Personnel Error.Plant Procedures revised.W/891130 Ltr ML19332D1391989-11-27027 November 1989 LER 89-037-00:on 891026,determined That Instrumentation Used to Balance HPI Flow Through Four Injection Lines During Small Break LOCA Inadequate.Caused by Inadequate Review of B&W Guidelines.Flow Instrument installed.W/891127 Ltr ML19327C2611989-11-17017 November 1989 LER 89-036-00:on 891018,determined That Plant Operating Outside Design Basis Since Borated Water Storage Tank Level Transmitters Not Seismically Qualified.Caused by Personnel Error.Unqualified Transmitters replaced.W/891117 Ltr ML19325F3371989-11-10010 November 1989 LER 89-033-00:on 890908,second Level Undervoltage Relay Sys Setpoint for Engineered Safeguards Buses Not Conservative & Led to Operation Outside Plant Design Basis.Caused by Personnel Error.Setpoint changed.W/891110 Ltr ML19325F3341989-11-10010 November 1989 LER 89-035-00:on 890906,discrepancy Noted in dc-powered Component Rated Voltages & Actual Voltages Seen by Components.Caused by Inadequate Control of Design Process. All Components Replaced Prior to startup.W/891110 Ltr ML19325E7371989-10-27027 October 1989 LER 85-034-01:on 850310,valve Alarm Function for Core Flood Tank Isolation Valves Failed to Meet Acceptance Criteria.On 850809,unit Entered Mode 3 & Then Raised RCS Pressure Above 750 Psig W/O Meeting Operability surveillances.W/891027 Ltr ML19324B3921989-10-26026 October 1989 LER 88-002-02:on 880107,emergency Feedwater Actuation Occurred on Loss of Both Main Feedwater Pumps.Caused by Instrumentation & Control Technician Error.Idle Feedwater Pump Started & Actuation reset.W/891026 Ltr ML19324B3871989-10-26026 October 1989 LER 89-034-00:on 890926,two Conditions Determined to Be Outside Plant Design Basis Re Solenoid Control Valves.Caused by Cognitive Personnel Error.Test Solenoid Valve Circuits Provided W/Isolation fuses.W/891026 Ltr ML19327B2301989-10-23023 October 1989 LER 89-016-02:from 890227-0601,deficiencies Re Environ Qualification of Plant Equipment Discovered.Caused by Deficiencies in Detailed Development & Implementation of Environ Qualification Program.Program reviewed.W/891023 Ltr ML20024D2501983-07-26026 July 1983 Updated LER 83-019/03L-1:on 830406,breaker in Engineered Safeguards Motor Control Ctr 3B1 Shorted Out,Causing Various Pieces of Equipment on Train B to Be Inoperable.Caused by Personnel Error.Breaker Removed & cleaned.W/830726 Ltr ML20024D1491983-07-26026 July 1983 Updated LER 82-003/01T-0:on 820128,RCS Leakage Calculations Showed Unidentified Leakage at Rate Greater than 1 Gpm. Caused by Thermally Induced Cyclic Failure.New Valve Will Be Installed in Improved location.W/830726 Ltr ML20024D1061983-07-26026 July 1983 Updated LER 82-004/01T-1:on 820129,while Performing Visual Insp of Reactor Coolant Pump a Seal Package,Rcpb Leakage Discovered from Crack in Seal Weld.Caused by Installation Error.Seal Replaced & Procedures revised.W/830726 Ltr ML20024C0951983-06-27027 June 1983 LER 83-023/01T-0:on 830613,fire Damper FD-86,in Duct Work Between Auxiliary Bldg & Control Complex,Discovered Missing. Cause Unknown.Continuous Fire Watch Established.Evaluation underway.W/830627 Ltr ML20023E0971983-06-0101 June 1983 LER 83-021/03L-0:on 830504,three Hydraulic Snubbers Failed Functional Test During Dec Outage & 107 Snubbers Failed Test During Refuel Iv.Caused by Seal Failure & Valve Assembly Contamination.All Snubbers modified.W/830531 Ltr ML20023C5251983-05-0909 May 1983 LER 83-020/03L-0:on 830409,discovered That Surveillance Interval for Fire Detection Instrumentation in Emergency Diesel Generator & Control Rooms Exceeded by 6 Months.Caused by Procedural Inadequacy.Procedure SP-411 Will Be Revised ML20023B4091983-04-27027 April 1983 LER 83-018/01T-0:on 830413,preliminary Repts Received from B&W Indicating That 51 of 120 Upper Core Barrel Bolts Ultrasonically Tested May Be Defective.Cause Unknown. Investigation Underway.Supplemental Rept Will Be Written ML20028E0561983-01-13013 January 1983 LER 82-075/03L-0:on 821215,during Cold Shutdown,Circuit Breaker on Control Complex Ventilation Radiation Monitor RMA-5 Tripped.Caused by Broken Pump Vane Binding Pump. Pump Replaced ML20028A5321982-11-10010 November 1982 LER 82-063/03L-0:on 821011,reactor Bldg Average Air Temp Exceeded 130 F Limit.Caused by Strain on Instrument Air Line Causing Line to Split.Line Replaced on 821011 ML20027D7021982-10-29029 October 1982 LER 82-061/03L-0:on 820929,fan Damper Operator on Industrial Cooler Failed,Resulting in Reactor Bldg Average Air Temp Exceeding 130 F.Caused by Water in Instrument Air Sys Due to Personnel Failing to Close Valve FSV-250.Dampers Wired Open ML20027B8881982-09-24024 September 1982 LER 82-055/03L-0:on 820825,feedwater Ultrasonic Flow Indicator FW-313-FI Found Inoperable.Caused by Instrument Failure Due to High Ambient Temp at Instrument Cabinet Location.Instrument Repaired.Flow Transmitters Replaced ML20027B9001982-09-24024 September 1982 LER 82-056/03L-0:on 820827,during Normal Operation,Primary Containment Average Air Temp Exceeded 130 F Tech Spec Limit. Caused by Failure of Pneumatic Control Line for Industrial Coolers.Control Line Replaced & Coolers Returned to Svc 1994-05-03
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217G0191999-10-15015 October 1999 Safety Evaluation Concluding That Licensee Followed Analytical Methods Provided in GL 90-05.Grants Relief Until Next Refueling Outage,Scheduled to Start on 991001.Temporary non-Code Repair Must Then Be Replaced with Code Repair 3F1099-19, Part 21 Rept Re Damage on safety-grade Cable Provided to FPC by Bicc Brand-Rex Co.Damage Was Created During Cabling Process While Combining Three Conducters.Corrective Action Program Precursor Card PC99-2868 Was Initiated1999-10-13013 October 1999 Part 21 Rept Re Damage on safety-grade Cable Provided to FPC by Bicc Brand-Rex Co.Damage Was Created During Cabling Process While Combining Three Conducters.Corrective Action Program Precursor Card PC99-2868 Was Initiated ML20217B0931999-10-0606 October 1999 Part 21 Rept Re Damaged Safety Grade Electrical Cabling Found in Supply on 990831.Damage Created During Cabling Process While Combining Three Conductors Just Prior to Closing.Vendor Notified of Reporting of Issue ML20212L0881999-10-0404 October 1999 SER Accepting Licensee Requests for Relief 98-012 to 98-018 Related to Implementation of Subsections IWE & Iwl of ASME Section XI for Containment Insp for Crystal River Unit 3 ML20212J8631999-10-0101 October 1999 Safety Evaluation Supporting Licensee Proposed Alternatives to Provide Reasonable Assurance of Structural Integrity of Subject Welds & Provide Acceptable Level of Quality & Safety.Relief Granted Per 10CFR50.55a(g)(6)(i) ML20212E9031999-09-30030 September 1999 FPC Crystal River Unit 3 Plant Reference Simulator Four Year Simulator Certification Rept Sept 1995-Sept 1999 3F1099-02, Monthly Operating Rept for Sept 1999 for Crystal River,Unit 3.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Crystal River,Unit 3.With ML20212E6911999-09-21021 September 1999 Safety Evaluation Supporting Proposed EALs Changes for Plant Unit 3.Changes Meet Requirements of 10CFR50.47(b)(4) & App E to 10CFR50 ML20211L1321999-08-31031 August 1999 EAL Basis Document 3F0999-02, Monthly Operating Rept for Aug 1999 for Crystal River,Unit 3.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Crystal River,Unit 3.With ML20212C1501999-08-31031 August 1999 Non-proprietary Version of Rev 0 to Crystal River Unit 3 Enhanced Spent Fuel Storage Engineering Input to LAR Number 239 ML20211B7291999-08-16016 August 1999 Rev 2 to Cycle 11 Colr ML20210P1111999-08-0505 August 1999 SER Accepting Evaluation of Third 10-year Interval Inservice Insp Program Requests for Relief for Plant,Unit 3 ML20210U5341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Crystal River,Unit 3 ML20209F5601999-07-31031 July 1999 EAL Basis Document, for Jul 1999 3F0799-01, Monthly Operating Rept for June 1999 for Crystal River,Unit 3.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Crystal River,Unit 3.With ML20210U5411999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Crystal River,Unit 3 3F0699-07, Monthly Operating Rept for May 1999 for Crystal River,Unit 3.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Crystal River,Unit 3.With ML20210U5601999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Crystal River,Unit 3 ML20195C6271999-05-28028 May 1999 Non-proprietary Rev 0 to Addendum to Topical Rept BAW-2346P, CR-3 Plant Specific MSLB Leak Rates ML20196L2031999-05-19019 May 1999 Non-proprietary Rev 0 to BAW-2346NP, Alternate Repair Criteria for Tube End Cracking in Tube-to-Tubesheet Roll Joint of Once-Through Sgs 3F0599-04, Monthly Operating Rept for Apr 1999 for Crystal River Unit 3.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Crystal River Unit 3.With ML20210U5631999-04-30030 April 1999 Revised Monthly Operating Rept for Apr 1999 for Crystal River,Unit 3 3F0499-04, Monthly Operating Rept for Mar 1999 for Crystal River Unit 3.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Crystal River Unit 3.With ML20204D9661999-03-31031 March 1999 Non-proprietary Rev 1,Addendum a to BAW-2342, OTSG Repair Roll Qualification Rept 3F0399-04, Special Rept 99-01:on 990310,discovered Containment Tendons That Required Grease Addition in Excess of Prescribed Limits During Recent Insp Activites.Six Tendons Were Refilled with Appropriate Amount of Grease1999-03-10010 March 1999 Special Rept 99-01:on 990310,discovered Containment Tendons That Required Grease Addition in Excess of Prescribed Limits During Recent Insp Activites.Six Tendons Were Refilled with Appropriate Amount of Grease 3F0399-03, Monthly Operating Rept for Feb 1999 for Crystal River Unit 3.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Crystal River Unit 3.With ML20203A4381999-02-0303 February 1999 Safety Evaluation Supporting EAL Changes for License DPR-72, Per 10CFR50.47(b)(4) & App E to 10CFR50 ML20206E9891998-12-31031 December 1998 Kissimmee Utility Authority 1998 Annual Rept ML20206E9021998-12-31031 December 1998 Florida Progress Corp 1998 Annual Rept ML20206E9701998-12-31031 December 1998 Ouc 1998 Annual Rept. with Financial Statements from Seminole Electric Cooperative,Inc 3F0199-05, Monthly Operating Rept for Dec 1998 for Crystal River Unit 3.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Crystal River Unit 3.With ML20206E9261998-12-31031 December 1998 Gainesville Regional Utilities 1998 Annual Rept 3F1298-13, Monthly Operating Rept for Nov 1998 for Crystal River,Unit 3.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Crystal River,Unit 3.With 3F1198-05, Monthly Operating Rept for Oct 1998 for Crystal River,Unit 3.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Crystal River,Unit 3.With ML20155F4071998-10-31031 October 1998 Rev 2 to Pressure/Temp Limits Rept ML20155J2701998-10-28028 October 1998 Second Ten-Year Insp Interval Closeout Summary Rept 3F1098-06, Monthly Operating Rept for Sept 1998 for Crystal River Unit 3.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Crystal River Unit 3.With ML20206E9461998-09-30030 September 1998 Utilities Commission City of New Smyrna Beach,Fl Comprehensive Annual Financial Rept Sept 30,1998 & 1997 ML20206E9561998-09-30030 September 1998 City of Ocala Comprehensive Annual Financial Rept for Yr Ended 980930 ML20206E9101998-09-30030 September 1998 City of Bushnell Fl Comprehensive Annual Financial Rept for Fiscal Yr Ended 980930 ML20206E9811998-09-30030 September 1998 City of Tallahassee,Fl Comprehensive Annual Financial Rept for Yr Ended 980930 ML20195E3121998-09-30030 September 1998 Comprehensive Annual Financial Rept for City of Leesburg,Fl Fiscal Yr Ended 980930 3F0998-07, Monthly Operating Rept for Aug 1998 for Crystal River Unit 3.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Crystal River Unit 3.With ML20236W6501998-07-31031 July 1998 Emergency Action Level Basis Document 3F0898-02, Monthly Operating Rept for Jul 1998 for Crystal River,Unit 11998-07-31031 July 1998 Monthly Operating Rept for Jul 1998 for Crystal River,Unit 1 ML20236V8801998-07-30030 July 1998 Control Room Habitability Rept 3F0798-01, Monthly Operating Rept for June 1998 for Crystal River Unit 31998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Crystal River Unit 3 ML20236Q4611998-06-30030 June 1998 SER for Crystal River Power Station,Unit 3,individual Plant Exam (Ipe).Concludes That Plant IPE Complete Re Info Requested by GL 88-20 & IPE Results Reasonable Given Plant Design,Operation & History 3F0698-02, Monthly Operating Rept for May 1998 for Crystal River Unit 31998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Crystal River Unit 3 1999-09-30
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- Novenber 27, 1989 ,
- 3F1189-19 ;
U. S. Nuclear Regulatory Ocmimission - [
! Attention: Document control Desk Washington, D. C. 20555
Subject:
Crystal River Unit 3 Docket No. 50-302 Operating License No. DPR-72 ;
Licensee Event Report No.89-037 l Daar Sir: ,
Enclosed is Licensee Event Report (IER)89-037 which is subnitted -
i in accordance with 10 CFR 50.73.
l: .i Should there be any questions, please contact this office.
l~
l -Very truly yours, ,
[ , Kenneth R. Wilson l' Manager, Nuclear Licensing WIR:Inag Enclosure I
t xc: Regional Administrator, Region II Senior Resident Inspector 8911300065 891127 p8 PDR ADOCK 05000302 S PDC Y
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i POST OFFICE BOX 219
- CRYSTAL RIVER, FLORIDA 32629-0219 * (904) 563-2943 /I A' Florida Progress Company ,
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O M NAO M N AND UDOET wA H Of C 03 FACILITY NAME ni DOCKti NUMSER (a) PAGE (3)
CRYSTAL RIVER UNIT.3 o 5 l 0 lo l o l3 g0 l2 1 lorl0 l5 '
ilPI.-Flow Instrumentation Accuracy Inadequate to Perform Flow Balancing During an llPI Lin, Break Due to Inadequate FPC Review & Inadequate Nuc. Steam Supply Sys. Vendor Cuideline s (VENT DAf t 451 LER NUMetR ISI REPORT DATE 476 OTHE R F ActLITIL5 INVOLVED (81 MONTH DAY YEAR YEAR "( (" k [tj,Q MONTH DAY YEAR F ACILIT. NAMES N/A DOCKE T NUMBt RtSi 0 16101010 1 I I Ig G 2g6 89 8g 9 Oj3 g 7 g0 1l 1 2g7 8g9 N/A 0 l5lo lo g o; l l OPERaf t.e0 THis REPORT 64 $UtMITTED PUR8UANT TO THE AkOUIRfMENTS OF 10 CFR { (Ch.ca on, o, snore ofthe follow <ng) 111)
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l On October 26, 1989, while operating in LODE 1 (IWER OPERATION) at 94% power, l Florida Power (FPC) detemined the accuracy of the High Pressure Injection .
(HPI) flow instrumentation was inadequate. 'Ihis instrumentation is used to l balance HPI flow through the four injection lines during a Small Break Loss of l Coolant Accident (SBLOCA) caused by an HPI line break to assure adequate HPI flow to the core. Initially, FPC began a power reduction to 50%. After additional calculation, nhk and Wilcox (B&W) informed FPC that operation at 50% power could not be justified and a plant shutdown was initiated.
This event was caused by an inadequate FPC review and followup in 1981 of B&W guidelines for SBIOCA caused by an HPI line break. This event was discovered during the investigation of a design basis issue associated with the Technical Specification Improvement prtgram. 'Ihis investigation revealed guidelines from B&W, which lacked supporting documentation, had been used to close the issue.
FPC installed more accurate, narrow range flow instrumentation. Engineering is evaluating alternatives to resolve the HPI line break issue for the long tem corrective action.
N..C Form 356 (64191-
(OneesesA - U.S. NUCL ELA (I t ULATOR Y COceMagaloN pp
, ~ l '. EXPIIES C/300 e
. LICENSEE EVENT REPORT (LER) f,U nf]Mo'd ER d Wo W;o"Jit].0pM y ,g,wt,wg TEXT CONTINUATION J"4"lo's!%WalMf!" !!'C' "f/!32 I;"I '
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1 P APE HWO Rt U TI'ON J d 4 0 IC 07 MANAGEMENT AND SUDGET, WASHINGTON,DC 30603.
FACILITY nae 84 H) DOCRET NUMOER (2) LER NUMetR ($1 PA05 (31 l
yygg St OVE N T o A L Mt v ts eph CRYSTAL RIVER UNIT 3 " " " " " "
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At 1600 on October 26, 1989, Florida Power (FFC) determined the accuracy of the High Pressure Injection (HPI) flow instrunentation [BQ,FI) was inadequate.
mis instrumentation is needed to balance HPI flow through the four injection ;
lines during a small Break loss of Coolant Accident (SBIDCA) caused by an HPI '
line break to assure adequate HPI flow to the core.
Wis issue was identified during the hchnical Specification Improvement (TSI) program and the re-evaluation of B&W Preliminary Safety Concern (PSC) 24-79, ,
- HPI Line Pinch Break. (An HPI Line pinch break is a specific type of SBLOCA !
which causes the broken HPI line to pinch and so automatically throttles HPI flow through the line.) At the time of discovery, Crystal River Unit 3 (CR-3) ,
was operating in MODE 1 (IVWER OPERATION) at approximately 94% power. At 1745 I on October 26, 1989, CR-3 began a power Ieduction to 50% power based on a B&W rammmrdation. During the power descension, at approximately 64% power, B&W informed FPC management that operation at 50% could not be supported. Wus, FPC declared both HPI trains inoperable based on the Technical Specification a definition of operability. 21s required entry into Technical Specification 3.0.3 which requires entry into MODE 5 (COLD SHUIDCTJN) within 36 hours4.166667e-4 days <br />0.01 hours <br />5.952381e-5 weeks <br />1.3698e-5 months <br />. At 2200, FPC increased the rate of power reduction ard entered an Unusual Event for a forced plant shutdown.
l During the MODE desccnsion, B&W review of previous analyses indicated Emergency i Core Cooling System limits of 10CFR50.46 could be maintained for the various ;
HPI flows and decay heat levels associated with MODE 3 (HCTP STANDBY) . Wis '
conclusion was based on engineering judgment and the assumption that HPI flows would not be balanced by the operators should an HPI actuation occur during '
MODE 3 op s tion. Operator action to balance HPI flows under these conditions i may result in inadequate flow to the core. Werefore, the MODE descension was L terminated at 0830 on October 27, 1989 with Reactor Coolant System (RG) temperature at 289 degrees and pressure at 550 psi. Wese actions are described in FPC letter, 3F1089-24, dated October 27, 1989. j l Wis event is required to be reported because it was a condition outside the ;
design basis per 10CFR50.73(a) (2) (ii) (B) and because it required a plant shutdown per 10CFR50.73 (a) (2) (1) (A) .
CAUSE:
We root cause of this event was an inadequate FPC review and followup in 1981 of B&W guidelines for a SBLOCA causal by an HPI line break. A contributing cause of this event was a B&W guideline and the lack of justification by B&W
!- for this guideline.
I NRC Form 306A 16491
ORM 38SA - U.S.EUCLEA3 E EIULATWY COMMISSIDN .,
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. UCENSEE EVENT REPORT (LER) M.M?o'#"8!!G",o"'50iy .!!!',Y ERJ'! 7 TEXT CONTINUATION i,7,',"45,41 Mi niE 'Mf/c',"f,'!#
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P APE RWO RE TO 9 J O IC OF MANAGEMENT AND BUDGET, WASHINGTON.DC 20603.
FACILITY NAME H) DOCKET NUtF3ER Q) LtR NUMSER ($1 PAOS tSi uaa " R' *er.
"'#3' CRYSTAL RIVER UNIT 3 o p lo lo j o l 3l0l 2 8l 9 __
0 l3 l7 .,_ 00 0 l3 or 0 l5 flXT (# mswo ausee 4 securest, asse esissecrW #4C Form J854 W Mi An HPI line break between the RCS nozzle and the first HPI check valve [B2,V]
was analyzed previously as not being a credible event, based on the physical configuration of CR-3. However, it turned out that regardless of physical configuration, the event had to be postulated. Berefore, the break became credible. Se root cause was B&W letter ESC-574 dated February 6,1981, which provided FPC with information on which we based the original position.
Snhwpst review of this letter during the TSI program followup revealed that the B&W information was not supported by any analysis as implied. B&W 1etter FPC-89-871 dated October.7, 1989, notified FPC of this finding thus requiring FFC to revisit this issue.
EVFWP EVAUATION:
Each HPI line and the normal makeup line is equipped with a flow instrument, as shown on the attached Figure. During a SBIDCA in the HPI line, instruments are needed to balance or isolate HPI flow. Balancing HPI flows is accomplished by throttling the injection valves [BQ,INV] to make the flow through each injection line nearly equal. We intent of balancing HPI flow is to maximize the HPI flow that actually gets to the core [RCT,AC). If an HPI line break exists, the broken line may have a much higher flow rate than in each of the unbroken lines. If the flow in the broken line is throttled, then more flow will go through each of the other lines to the RCS and less HPI water will be lost out of the broken line.
Rese instruments would also be used during a SBIDCA of the RCS cold leg to verify maximum flow to the core. For this accident, operators balance the flow to assure 70% of the operating HPI pump [BQ,P] flow is delivered to the core.
i Action based on the flow instruments is no*. reglired for this scenario because HPI valves are pre-throttled to assure adequate core coolirg.
Additional secondary functions of these instruments include:
- 1. -Determining if the injection valves have opened during an HPI actuation.
- 2. Informing operators of pump runaut conditions, in order to decrease flow or to align a recirculation flow path.
- 3. Diagnosing accidents. For example, they may be used alorg with other indications, to estimate the total leakage flow rate or to determine the location of a IDCA.
L me original HPI flow instruments have a range of 0-500 gpm cmd have an accuracy of +50/-100 gpn when used at low flow rates, 125 gpm. Rese instrument inaccuracies could mask an HPI line break, or could lead the operator to over-throttle the flow in the HPI lines. For example, during a SBIDCA with only one HPI pump available, the operator must balance flow through the four injection lines while maintaining a total flow above a l
l l
NRC Form 3GSA $8W
NR ORM SBSA U.6, NUCLE ARE AULaiORY COMMISSION 4.PPCOVED DMS NO. 31604104
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P ACILITY NAME til DOCKET NUM0ER (21 LER NUMeth (6) PAOf (31 CRYSTAL RIVER UNIT 3
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TEXT fit asses mese e menwed, uns edennmar N#C / cam Jll54 U 117; specified minimum, 500 gpn, but belw the punp runaut flow of 545 gpn. We HPI flow instruments may indicate a total ccanbined flow of 500 gpn but actual flow is 300 gpn. Under these conditions, SBLOCA ard only one HPI punp, adequate core cooling and satisfaction of the 10CFR50.46 ECCS criteria can not be assured.
- he accuracy of the 0 - 500 gpn instruments above 200 gpu is considered adequate for their functions. Additionally, stop check valves (BQ,V) on the makeup /HPI punp discharge are set to prevent punp runout. h erefore, it is not likely the flow instrument inaccuracy would have caused punp damage.
2 determine the significance of the flow instrument inaccuracies, FPC evaluated the probability of the critical scenario actually occurring. We frequency of a SBIOCA in one of the HPI lines has been calculated to be 3.2E-07 per year. When considering the probability of only one HPI punp being availablo ard the probability of an operator error due to the flow instrument, the cambined probability of actually threatenirs plant safety is very small.
vumox nVE ACITCNS:
On October 30, 1989, FN installed narrow range HPI flow instruments, range O-200 gpu, which have -an accuracy of +/-8 gpn between 85 and 200 gpm. Se .
original flow instruments still feed indicators on the main control board, but operators have been instructed to use the original instruments only above 200 gpn. FPC has revised emergency and abnormal procedures to reflect these guidelines.
FPC evaluated the effects of HPI line pinch and guillotine breaks for CR-3,
- such as HPI flow to the core and HPI pump runout, and did not identify any additional procedure or plant changes.
Be FPC Engineering procedures have been improved since 1981 to not allow statements made by verdors to be acx:epted at face value without either
- t. obtaining or reviewing the analysis or backup calculations to assure proper interpretation and application to CR-3 plant specific configuration. FPC is evaluating alternatives for resolving this problem on a long term basis.
PREVION STMIIAR EVENTS:
i A review of previous reports did not identify any previous events which would have lead FPC to fird this problem.
l NIC Form 386A (6 89)
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