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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3201994-10-0707 October 1994 LER 94-022-00:on 940907,TS Violation Occurred Due to Inadequate Fire Watch.Retrained Personnel Associated W/ Painting activities.W/941007 Ltr ML20029E2001994-05-13013 May 1994 LER 94-006-00:on 940414,SS Recognized That Required Frequency for Performing STP 057-3705 Had Been Exceeded. Caused by Inadequate Supervisory Methods.Corrective Action: Inhouse Tracking Process Will Be created.W/940513 Ltr ML20029C8741994-04-26026 April 1994 LER 93-026-01:on 931117,isolation of RCIC Sys Occurred Due to Apparent Failure of Relay.Three Relays Associated W/ Isolation Replaced & Shipped to Mfg for Failure Analysis.W/ 940426 Ltr ML20029C7021994-04-19019 April 1994 LER 90-003-05:on 900206,discovered Deficiencies in Thermo-Lag Fire Barrier Envelope Around Redundant Safe Shutdown.Firewatches Established in Areas Where Thermo Lag Used as barrier.W/940419 Ltr ML20046C3891993-08-0202 August 1993 LER 93-014-00:on 930701,installed Sprinkler Sys as Substitute for Passive fire-rated Barrier Due to Deficiency Identified in Fire Barrier Separation Requirements.Declared Fire Barriers Surrounding Valves degraded.W/930802 Ltr ML20046B8981993-07-29029 July 1993 LER 93-013-00:on 930629,high Pressure Core Spray Pump Failed to Start & Run During Surveillance Test Due to Failed Overfrequency Relay.Relay Tested & Installed in Switchgear. W/930729 Ltr ML20046A2361993-07-22022 July 1993 LER 93-008-01:on 930429,relief Request Improperly Prepared for Insvc Testing Program Results in Noncompliance W/Main Steam Isolation Valve Testing Requirement.Caused by Personnel Error.Testing Frequency Revised ML20045G6111993-07-0202 July 1993 LER 93-012-00:on 930603,deficiency in Plant Surveillance Test Procedures Identified.Caused by Primary Causal Factor Inattention to Detail During Initial Procedure Development Process.Surveillance Test Procedures performed.W/930702 Ltr ML20045D6991993-06-21021 June 1993 LER 93-011-00:on 930521,determined That Mode Switch Placed in Refuel Position During Testing of Switch Interlock Functions.Caused by Conflicting Info in Surveillance Procedures.Operating Procedure revised.W/930621 Ltr ML20045C0141993-06-14014 June 1993 LER 93-010-00:on 930514,SDC Lost for Approx Three Minutes When One SDC Suction Valve Closed Due to Initiation of Spurious ESF Actuation Signal.Caused by Personnel Error. Procedural Guidance revised.W/930614 Ltr ML20045C0021993-06-14014 June 1993 LER 93-003-01:on 930225,incidents Discovered Which Caused Interlock Mechanism in Upper Containment Airlocks at Elevation 171 to Operate Improperly.Case Study Training Class Developed for Airlock incidents.W/930614 Ltr ML20045A1461993-06-0404 June 1993 LER 93-009-00:on 930504,discovered That Surveillance Test Procedure for Control Bldg Chilled Water Sys Quarterly Pump Missed Due to Cognitive Personnel Error.Administrative Procedure Will Be revised.W/930604 Ltr ML20045A4261993-06-0101 June 1993 LER 93-002-02:on 930212,discovered That TS SRs Not Properly Implemented in Logic Sys Functional Tests Due to Inattention to Detail While Preparing Revs of Relevant Surveillance Test Procedures (Stp).Relevant STPs revised.W/930601 Ltr ML20044H3571993-06-0101 June 1993 LER 93-008-00:on 930429,investigation Determined That Relief Request for Inservice Testing of Pumps & Valves in Conflict W/Msiv Testing Requirements.Caused by Personnel Error.Relief Request 40 revised.W/930601 Ltr ML20044G7401993-05-26026 May 1993 LER 93-006-00:on 930419,MSIV Failed to Stroke Closed When Given Close Signal from CR Due to Poppet Sticking.Caused by Insufficient poppet-to-guide Rib Clearance.Stricter Controls Imposed to Control clearances.W/930526 Ltr ML20044F2541993-05-20020 May 1993 LER 93-007-00:on 930420,noted That an Isolation of Inboard & Outboard MSIV & Ms Line Drains Occurred.Caused by Lack of Personnel Knowledge of Unique Maint Conditions.Precaution Will Be Added to Sys Operating procedure.W/930520 Ltr ML20044D8511993-05-17017 May 1993 LER 93-005-00:on 930415,discovered That RCIC Steam Line Flow - High Timer Function Never Performed on Monthly Basis. Caused by Failure to Include Test in Initial Procedure Development Process.Procedures revised.W/930517 Ltr ML20024H2381991-05-21021 May 1991 LER 91-003-01:on 910322,Div II Control Power Circuit Deenergized,Resulting in Deenergization of Charcoal Filter Train Suction Dampers.Caused by Inadequate Work Plan.Plan Revised to Document Restoration of wiring.W/910521 Ltr ML20024G7441991-04-22022 April 1991 LER 91-003-00:on 910322,control Bldg Local Air Intake Radiation Monitor Control Power Circuit Deenergized, Resulting in Isolation of air-operated Dampers.Caused by Inadequate Work Plan.Work Plan revised.W/910422 Ltr ML20024G7181991-04-19019 April 1991 LER 91-004-00:on 910321,RCIC Turbine Main Steam Supply Line Outboard Containment Isolation Valve Isolated.Caused by Negative Trip Setpoint of Trip Unit Being Reached.Caution Added to RCIC Sys Operating procedures.W/910419 Ltr ML20029C1211991-03-14014 March 1991 LER 91-001-00:on 910212,use of Inadequate Control Room Filter Initiation Signal Due to Discrepancies Between Logic Diagrams.Main Control Room Doses Due to MSLB Outside Containment recalculated.W/910314 Ltr ML20029B1341991-02-26026 February 1991 LER 90-033-01:on 901104,RWCU Sys Isolation Occurred While Performing Plant Mod to Power Supply Wiring in Control Room Panel 1H13-P642.Caused by Removal of Terminal Screw.Power Supply reterminated.W/910226 Ltr ML20028H3961990-12-18018 December 1990 LER 90-032-01:on 901021,discovered That Five Snubbers Removed from Standby Svc Water Sys Piping in Violation of Tech Spec 3.7.4.Caused by Scheduling Error & Inadequate Review.Training Will Be Completed on 910331.W/901218 Ltr ML20024F7481990-12-10010 December 1990 LER 90-040-00:on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually secured.W/901210 Ltr ML20044B1951990-07-12012 July 1990 LER 90-003-01:on 900206 to 08,deficiencies Found in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Fire Watch Established.Util Working W/Vendor to Resolve discrepancies.W/900712 Ltr ML20044A3781990-06-22022 June 1990 LER 90-023-00:on 900523,discovered That Annulus Ventilation Radiation monitor,1RMS*RE11A Inoperable.Caused by Failure of Radiation Monitor Sample Pump & Failure of Switch to Actuate.Flow Switches replaced.W/900622 Ltr ML20043F4721990-06-0808 June 1990 LER 90-021-00:on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel retrained.W/900608 Ltr ML20043D5831990-06-0101 June 1990 LER 90-020-00:on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to operators.W/900601 Ltr ML20043B8031990-05-24024 May 1990 LER 90-019-00:on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit replaced.W/900524 Ltr ML20043B3301990-05-21021 May 1990 LER 90-017-00:on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap seal.W/900521 Ltr ML20043C0281990-05-19019 May 1990 LER 90-018-00:on 900420,ESF Actuation Occurred Causing Reactor Water Sample Containment Isolation Valve to Close. Caused by Failure of Fuse Which Deenergized Isolation Logic of Valves.Fuse replaced.W/900518 Ltr ML20042G7981990-05-10010 May 1990 LER 90-016-00:on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal operation.W/900510 Ltr ML20042G8001990-05-0909 May 1990 LER 90-015-00:on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit logics.W/900509 Ltr ML20042G4501990-05-0707 May 1990 LER 90-013-00:on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet revised.W/900507 Ltr ML20042G4531990-05-0707 May 1990 LER 90-014-00:on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves replaced.W/900507 Ltr ML20042F4731990-05-0101 May 1990 LER 90-012-00:on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B.W/900501 Ltr ML20042E2231990-04-0909 April 1990 LER 90-007-00:on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of procedures.W/900409 Ltr ML20012C0741990-03-12012 March 1990 LER 90-004-00:on 900211,Div II Emergency 125-volt Dc Bus Experienced Voltage Spike,Causing Topaz Inverter to Trip & Resulting in Loss of Power to Control Room Panel.Cause Unknown.Setpoint Changes Being evaluated.W/900312 Ltr ML20012C4191990-03-0808 March 1990 LER 90-003-00:on 900206,found That Several Minor Deficiencies Existed in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Util Currently Working W/ Vendor to Resolve Identified discrepancies.W/900308 Ltr ML20011E2491990-01-31031 January 1990 LER 88-018-04:on 880825,reactor Scram Occurred Due to Main Generator Exciter Brush Failure.Preventive Maint Procedure Revised to Establish Specific Wear Criteria at Which Brushes to Be replaced.W/900131 Ltr ML20011E2461990-01-31031 January 1990 LER 89-036-01:on 891007,discovered That Various motor- Operated Valves Energized,Contrary to Assumptions Contained in Plant Fire Hazards Analysis.Cause Not Stated.Operations Initiated Required Fire Watches on valves.W/900131 Ltr ML20011E1191990-01-30030 January 1990 LER 90-001-00:on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on terminal.W/900130 Ltr ML20011E1181990-01-30030 January 1990 LER 89-033-01:on 890916,loss of Power to Div II 120-volt Ac Distribution Panel Caused auto-start of Standby Gas Treatment & Annulus Mixing Sys,Resulting in ESF Actuations. Caused by Transformer Failure.Valves opened.W/900130 Ltr ML20005G1641990-01-10010 January 1990 LER 89-044-00:on 891211,unplanned ESF Actuation Occurred, Resulting in Isolation of Rcic.Caused by Technician Failing to Perform Steps of Surveillance Test Procedure in Sequence.Div II Isolation Signal reset.W/900110 Ltr ML20005G1661990-01-10010 January 1990 LER 89-045-00:on 891212,Div I Standby Svc Water Pumps Received Automatic Start Signal Due to Spurious Low Svc Water Pressure Signal When Normal Svc Water Pump Secured. Signal Cleared & Sys Restored to Normal lineup.W/900110 Ltr ML20005E8521990-01-0202 January 1990 LER 89-043-00:on 891201.two Outboard MSIVs Inoperable Due to Failure of Corresponding Fast Closure solenoid-operated Valve.Caused by Incomplete Removal of Silicone Lubricant. Lubricant Removed by Application of Acetone.W/900102 Ltr ML20005E8511990-01-0202 January 1990 LER 89-042-01:on 891201,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Sensing Fault on Offsite 230 Kv Line.Sys Maint Procedure Being Revised to Include Test of Failed Portion of relay.W/900102 Ltr ML20005E1381989-12-26026 December 1989 LER 89-041-00:on 891125,unplanned ESF Actuation Occurred as Result of Two Leads Shorted Together During Testing of Control Circuitry,Causing Valve Isolation from Suppression Pool.Sys Lineup Restored to Normal position.W/891226 Ltr ML20011D6201989-12-18018 December 1989 LER 89-040-00:on 891117,surveillance Test of Div II Penetration Valve Leakage Control Sys Air Supply Header Pressure Not Performed within Allowable Tolerance.Addl Training of Scheduling Group Will Be provided.W/891218 Ltr ML20011D1371989-12-14014 December 1989 LER 89-039-00:on 891114,discovered That Required post-maint Overall Leak Rate Test on Upper Containment Airlock Not Performed After Replacement of Inflatable Seal.Caused by Personnel Error.Maint Procedure revised.W/891214 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20024J3201994-10-0707 October 1994 LER 94-022-00:on 940907,TS Violation Occurred Due to Inadequate Fire Watch.Retrained Personnel Associated W/ Painting activities.W/941007 Ltr ML20029E2001994-05-13013 May 1994 LER 94-006-00:on 940414,SS Recognized That Required Frequency for Performing STP 057-3705 Had Been Exceeded. Caused by Inadequate Supervisory Methods.Corrective Action: Inhouse Tracking Process Will Be created.W/940513 Ltr ML20029C8741994-04-26026 April 1994 LER 93-026-01:on 931117,isolation of RCIC Sys Occurred Due to Apparent Failure of Relay.Three Relays Associated W/ Isolation Replaced & Shipped to Mfg for Failure Analysis.W/ 940426 Ltr ML20029C7021994-04-19019 April 1994 LER 90-003-05:on 900206,discovered Deficiencies in Thermo-Lag Fire Barrier Envelope Around Redundant Safe Shutdown.Firewatches Established in Areas Where Thermo Lag Used as barrier.W/940419 Ltr ML20046C3891993-08-0202 August 1993 LER 93-014-00:on 930701,installed Sprinkler Sys as Substitute for Passive fire-rated Barrier Due to Deficiency Identified in Fire Barrier Separation Requirements.Declared Fire Barriers Surrounding Valves degraded.W/930802 Ltr ML20046B8981993-07-29029 July 1993 LER 93-013-00:on 930629,high Pressure Core Spray Pump Failed to Start & Run During Surveillance Test Due to Failed Overfrequency Relay.Relay Tested & Installed in Switchgear. W/930729 Ltr ML20046A2361993-07-22022 July 1993 LER 93-008-01:on 930429,relief Request Improperly Prepared for Insvc Testing Program Results in Noncompliance W/Main Steam Isolation Valve Testing Requirement.Caused by Personnel Error.Testing Frequency Revised ML20045G6111993-07-0202 July 1993 LER 93-012-00:on 930603,deficiency in Plant Surveillance Test Procedures Identified.Caused by Primary Causal Factor Inattention to Detail During Initial Procedure Development Process.Surveillance Test Procedures performed.W/930702 Ltr ML20045D6991993-06-21021 June 1993 LER 93-011-00:on 930521,determined That Mode Switch Placed in Refuel Position During Testing of Switch Interlock Functions.Caused by Conflicting Info in Surveillance Procedures.Operating Procedure revised.W/930621 Ltr ML20045C0141993-06-14014 June 1993 LER 93-010-00:on 930514,SDC Lost for Approx Three Minutes When One SDC Suction Valve Closed Due to Initiation of Spurious ESF Actuation Signal.Caused by Personnel Error. Procedural Guidance revised.W/930614 Ltr ML20045C0021993-06-14014 June 1993 LER 93-003-01:on 930225,incidents Discovered Which Caused Interlock Mechanism in Upper Containment Airlocks at Elevation 171 to Operate Improperly.Case Study Training Class Developed for Airlock incidents.W/930614 Ltr ML20045A1461993-06-0404 June 1993 LER 93-009-00:on 930504,discovered That Surveillance Test Procedure for Control Bldg Chilled Water Sys Quarterly Pump Missed Due to Cognitive Personnel Error.Administrative Procedure Will Be revised.W/930604 Ltr ML20045A4261993-06-0101 June 1993 LER 93-002-02:on 930212,discovered That TS SRs Not Properly Implemented in Logic Sys Functional Tests Due to Inattention to Detail While Preparing Revs of Relevant Surveillance Test Procedures (Stp).Relevant STPs revised.W/930601 Ltr ML20044H3571993-06-0101 June 1993 LER 93-008-00:on 930429,investigation Determined That Relief Request for Inservice Testing of Pumps & Valves in Conflict W/Msiv Testing Requirements.Caused by Personnel Error.Relief Request 40 revised.W/930601 Ltr ML20044G7401993-05-26026 May 1993 LER 93-006-00:on 930419,MSIV Failed to Stroke Closed When Given Close Signal from CR Due to Poppet Sticking.Caused by Insufficient poppet-to-guide Rib Clearance.Stricter Controls Imposed to Control clearances.W/930526 Ltr ML20044F2541993-05-20020 May 1993 LER 93-007-00:on 930420,noted That an Isolation of Inboard & Outboard MSIV & Ms Line Drains Occurred.Caused by Lack of Personnel Knowledge of Unique Maint Conditions.Precaution Will Be Added to Sys Operating procedure.W/930520 Ltr ML20044D8511993-05-17017 May 1993 LER 93-005-00:on 930415,discovered That RCIC Steam Line Flow - High Timer Function Never Performed on Monthly Basis. Caused by Failure to Include Test in Initial Procedure Development Process.Procedures revised.W/930517 Ltr ML20024H2381991-05-21021 May 1991 LER 91-003-01:on 910322,Div II Control Power Circuit Deenergized,Resulting in Deenergization of Charcoal Filter Train Suction Dampers.Caused by Inadequate Work Plan.Plan Revised to Document Restoration of wiring.W/910521 Ltr ML20024G7441991-04-22022 April 1991 LER 91-003-00:on 910322,control Bldg Local Air Intake Radiation Monitor Control Power Circuit Deenergized, Resulting in Isolation of air-operated Dampers.Caused by Inadequate Work Plan.Work Plan revised.W/910422 Ltr ML20024G7181991-04-19019 April 1991 LER 91-004-00:on 910321,RCIC Turbine Main Steam Supply Line Outboard Containment Isolation Valve Isolated.Caused by Negative Trip Setpoint of Trip Unit Being Reached.Caution Added to RCIC Sys Operating procedures.W/910419 Ltr ML20029C1211991-03-14014 March 1991 LER 91-001-00:on 910212,use of Inadequate Control Room Filter Initiation Signal Due to Discrepancies Between Logic Diagrams.Main Control Room Doses Due to MSLB Outside Containment recalculated.W/910314 Ltr ML20029B1341991-02-26026 February 1991 LER 90-033-01:on 901104,RWCU Sys Isolation Occurred While Performing Plant Mod to Power Supply Wiring in Control Room Panel 1H13-P642.Caused by Removal of Terminal Screw.Power Supply reterminated.W/910226 Ltr ML20028H3961990-12-18018 December 1990 LER 90-032-01:on 901021,discovered That Five Snubbers Removed from Standby Svc Water Sys Piping in Violation of Tech Spec 3.7.4.Caused by Scheduling Error & Inadequate Review.Training Will Be Completed on 910331.W/901218 Ltr ML20024F7481990-12-10010 December 1990 LER 90-040-00:on 901110,technician Inadvertently Shorted Relay Terminals,Energizing Relay & Causing Emergency Diesel Generator to Start Unexpectedly.Caused by Personnel Error. Generator Manually secured.W/901210 Ltr ML20044B1951990-07-12012 July 1990 LER 90-003-01:on 900206 to 08,deficiencies Found in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Fire Watch Established.Util Working W/Vendor to Resolve discrepancies.W/900712 Ltr ML20044A3781990-06-22022 June 1990 LER 90-023-00:on 900523,discovered That Annulus Ventilation Radiation monitor,1RMS*RE11A Inoperable.Caused by Failure of Radiation Monitor Sample Pump & Failure of Switch to Actuate.Flow Switches replaced.W/900622 Ltr ML20043F4721990-06-0808 June 1990 LER 90-021-00:on 900509,RWCU Sys Differential Flow High Trip Instrumentation Inoperable for Period Greater than Allowed by Tech Spec.Caused by Misinterpretation of Tech Spec 3/4.3.2,Table 3.3.2.-1.4.Personnel retrained.W/900608 Ltr ML20043D5831990-06-0101 June 1990 LER 90-020-00:on 900504,radwaste Operator Entered High Radiation Area W/O Dose Rate Meter,Alarming Dosimeter or Radiation Protection Technician Coverage.Caused by Personnel Error.Training Provided to operators.W/900601 Ltr ML20043B8031990-05-24024 May 1990 LER 90-019-00:on 900425,RWCU Sys Isolation & ESF Actuation Occurred After Completion of Channel Check of Riley Temp Trip Unit.Caused by Unit Exceeding Differential Temp Setpoint of 46 F.Unit replaced.W/900524 Ltr ML20043B3301990-05-21021 May 1990 LER 90-017-00:on 900419,inadequate Fire Barrier in Shake Space Occurred Contrary to Tech Spec.Caused by Oversight. Roving Fire Watch Scheduled.Maint Will Rework Voids & Install Seismic Gap seal.W/900521 Ltr ML20043C0281990-05-19019 May 1990 LER 90-018-00:on 900420,ESF Actuation Occurred Causing Reactor Water Sample Containment Isolation Valve to Close. Caused by Failure of Fuse Which Deenergized Isolation Logic of Valves.Fuse replaced.W/900518 Ltr ML20042G7981990-05-10010 May 1990 LER 90-016-00:on 900414,insulator Fault on Local Grid Resulted in Trip of 500 Kv Breaker.Caused by Spurious Alarm Signal from Control Room Local Intake Radiation Monitor 1RMS*RE13B.Sys Returned to Normal operation.W/900510 Ltr ML20042G8001990-05-0909 May 1990 LER 90-015-00:on 900409,loss of Div II Reactor Protection Sys Bus Occurred Due to Trip of Electrical Protection Assembly.Another Trip Also Occurred on 900415.Caused by Faulty Integrated Circuit logics.W/900509 Ltr ML20042G4501990-05-0707 May 1990 LER 90-013-00:on 900405,discovered That Control Bldg Chiller Motor Current Limiter C Set Incorrectly at 56% Instead of 100%.Caused by Incorrect Setting & Maint Activities.Loop Calibr Data Sheet revised.W/900507 Ltr ML20042G4531990-05-0707 May 1990 LER 90-014-00:on 900407,reactor Scram Occurred While Testing Main Turbine Combined Intermediate Valves.Caused by Low Pressure Signal from Emergency Trip Sys of Electrohydraulic Control Sys.Two Solenoid Valves replaced.W/900507 Ltr ML20042F4731990-05-0101 May 1990 LER 90-012-00:on 900401,ESF Actuations Occurred Due to Electrical Protection Assembly Breakers Trip.Caused by Voltage Regulator Failure.Replacement Voltage Regulator Card Installed in MG 1C71-S001B.W/900501 Ltr ML20042E2231990-04-0909 April 1990 LER 90-007-00:on 900311,control Bldg Ventilation Sys Isolated & Filtration Unit Initiated.Caused by Severe Electrical Transient.Performance of Radiation Monitors Improved Prior to Implementation of procedures.W/900409 Ltr ML20012C0741990-03-12012 March 1990 LER 90-004-00:on 900211,Div II Emergency 125-volt Dc Bus Experienced Voltage Spike,Causing Topaz Inverter to Trip & Resulting in Loss of Power to Control Room Panel.Cause Unknown.Setpoint Changes Being evaluated.W/900312 Ltr ML20012C4191990-03-0808 March 1990 LER 90-003-00:on 900206,found That Several Minor Deficiencies Existed in thermo-lag Fire Barrier Envelopes Redundant Safe Shutdown Circuits.Util Currently Working W/ Vendor to Resolve Identified discrepancies.W/900308 Ltr ML20011E2491990-01-31031 January 1990 LER 88-018-04:on 880825,reactor Scram Occurred Due to Main Generator Exciter Brush Failure.Preventive Maint Procedure Revised to Establish Specific Wear Criteria at Which Brushes to Be replaced.W/900131 Ltr ML20011E2461990-01-31031 January 1990 LER 89-036-01:on 891007,discovered That Various motor- Operated Valves Energized,Contrary to Assumptions Contained in Plant Fire Hazards Analysis.Cause Not Stated.Operations Initiated Required Fire Watches on valves.W/900131 Ltr ML20011E1191990-01-30030 January 1990 LER 90-001-00:on 900103,isolation of RCIC Steam Supply Inboard Isolation Valve Occurred During Surveillance Testing of RCIC Sys.Caused by Technician Lifting Wrong Lead,Causing ESF Actuation.Lead Relanded on terminal.W/900130 Ltr ML20011E1181990-01-30030 January 1990 LER 89-033-01:on 890916,loss of Power to Div II 120-volt Ac Distribution Panel Caused auto-start of Standby Gas Treatment & Annulus Mixing Sys,Resulting in ESF Actuations. Caused by Transformer Failure.Valves opened.W/900130 Ltr ML20005G1641990-01-10010 January 1990 LER 89-044-00:on 891211,unplanned ESF Actuation Occurred, Resulting in Isolation of Rcic.Caused by Technician Failing to Perform Steps of Surveillance Test Procedure in Sequence.Div II Isolation Signal reset.W/900110 Ltr ML20005G1661990-01-10010 January 1990 LER 89-045-00:on 891212,Div I Standby Svc Water Pumps Received Automatic Start Signal Due to Spurious Low Svc Water Pressure Signal When Normal Svc Water Pump Secured. Signal Cleared & Sys Restored to Normal lineup.W/900110 Ltr ML20005E8521990-01-0202 January 1990 LER 89-043-00:on 891201.two Outboard MSIVs Inoperable Due to Failure of Corresponding Fast Closure solenoid-operated Valve.Caused by Incomplete Removal of Silicone Lubricant. Lubricant Removed by Application of Acetone.W/900102 Ltr ML20005E8511990-01-0202 January 1990 LER 89-042-01:on 891201,main Turbine Generator Tripped, Resulting in Reactor Scram.Caused by Sensing Fault on Offsite 230 Kv Line.Sys Maint Procedure Being Revised to Include Test of Failed Portion of relay.W/900102 Ltr ML20005E1381989-12-26026 December 1989 LER 89-041-00:on 891125,unplanned ESF Actuation Occurred as Result of Two Leads Shorted Together During Testing of Control Circuitry,Causing Valve Isolation from Suppression Pool.Sys Lineup Restored to Normal position.W/891226 Ltr ML20011D6201989-12-18018 December 1989 LER 89-040-00:on 891117,surveillance Test of Div II Penetration Valve Leakage Control Sys Air Supply Header Pressure Not Performed within Allowable Tolerance.Addl Training of Scheduling Group Will Be provided.W/891218 Ltr ML20011D1371989-12-14014 December 1989 LER 89-039-00:on 891114,discovered That Required post-maint Overall Leak Rate Test on Upper Containment Airlock Not Performed After Replacement of Inflatable Seal.Caused by Personnel Error.Maint Procedure revised.W/891214 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARRBG-45144, Monthly Operating Rept for Sept 1999 for River Bend Station. with1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for River Bend Station. with ML20216G1201999-09-0909 September 1999 Rev 3 to Rbs,Cycle 9 Colr RBG-45110, Monthly Operating Rept for Aug 1999 for River Bend Station, Unit 1.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for River Bend Station, Unit 1.With RBG-45087, Special Rept:On 990510,LPCI a & LPCS Injected Into Rv for Less than Two Minutes.Caused by Electrical Transient in One of ECCS Power Supplies.Operators Verified Reactor Cavity Level & Closed Injection Valves to Stop Injection1999-08-0606 August 1999 Special Rept:On 990510,LPCI a & LPCS Injected Into Rv for Less than Two Minutes.Caused by Electrical Transient in One of ECCS Power Supplies.Operators Verified Reactor Cavity Level & Closed Injection Valves to Stop Injection ML20210K4721999-08-0303 August 1999 SER Accepting Licensee 180-day Response to GL 95-07, Pressure Locking & Thermal Binding of Safety-Related Power-Operated Gate Valves RBG-45091, Monthly Operating Rept for July 1999 for River Bend Station, Unit 1.With1999-07-31031 July 1999 Monthly Operating Rept for July 1999 for River Bend Station, Unit 1.With ML20210C6391999-07-0202 July 1999 Rev 2 to River Bend Station,Cycle 9 Colr RBG-45055, Monthly Operating Rept for June 1999 for River Bend Station, Unit 1.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for River Bend Station, Unit 1.With ML20196J8031999-06-24024 June 1999 Rev 1 to Rbs,Cycle 9 Colr RBG-45028, Monthly Operating Rept for May 1999 for River Bend Station, Unit 1.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for River Bend Station, Unit 1.With RBG-45016, Monthly Operating Rept for Apr 1999 for River Bend Station, Unit 1.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for River Bend Station, Unit 1.With ML20206A2111999-04-21021 April 1999 Safety Evaluation Authorizing Pump Relief Request PRR-001 & Valve Relief Request VRR-001 & Denying Valve Relief Request VRR-002 RBG-44969, Monthly Operating Rept for Mar 1999 for River Bend Station, Unit 1.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for River Bend Station, Unit 1.With ML20205S0601999-03-31031 March 1999 Rept on Status of Public Petitions Under 10CFR2.206 with Status Change from Previous Update,990331 ML20205D5481999-03-26026 March 1999 SER Accepting Util Proposed Alternative to Exam Weld AA with Weld Volume Coverage of 62 Percent for First 10-year Insp Interval Pursuant to 10CFR50.55a(a)(3)(ii) & 10CFR50.55a(g)(6)(ii)(A)(5) RBG-44930, Monthly Operating Rept for Feb 1999 for River Bend Station, Unit 1.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for River Bend Station, Unit 1.With RBG-44826, Monthly Operating Rept for Dec 1998 for River Bend Station Unit 1.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for River Bend Station Unit 1.With ML20198K2701998-12-22022 December 1998 Rev 1 to RBS Cycle 8 Colr RBG-44773, Monthly Operating Rept for Nov 1998 for River Bend Station, Unit 1.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for River Bend Station, Unit 1.With RBG-44727, LER 98-S01-00:on 981021,identified That Contract Employee with Temporary Access Authorization Failed to Disclose Complete Criminal & Employment History.Individual Denied Access to Plants for Five Years.With1998-11-17017 November 1998 LER 98-S01-00:on 981021,identified That Contract Employee with Temporary Access Authorization Failed to Disclose Complete Criminal & Employment History.Individual Denied Access to Plants for Five Years.With ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program ML20155H3491998-11-0303 November 1998 Safety Evaluation Granting Requests for Relief RR2-0001, RR2-0002 & RR2-0003 RBG-44719, Monthly Operating Rept for Oct 1998 for River Bend Station, Unit 1.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for River Bend Station, Unit 1.With ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual RBG-44677, Monthly Operating Rept for Sept 1998 for River Bend Station, Unit 1.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for River Bend Station, Unit 1.With ML20154E2171998-09-28028 September 1998 Follow-up Part 21 Rept Re Defect with 1200AC & 1200BC Recorders Built Under Westronics 10CFR50 App B Program. Westronics Has Notified Bvps,Ano & RBS & Is Currently Making Arrangements to Implement Design Mods ML20151S5421998-09-0303 September 1998 Safety Evaluation Opposing Licensee Thermal Model as Currently Implemented.Evaluation Recommended to Be Used in Any follow-up Site Insp RBG-44629, Monthly Operating Rept for Aug 1998 for River Bend Station, Unit 1.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for River Bend Station, Unit 1.With ML20236X2351998-08-0505 August 1998 Part 21 Rept Re Defect Associated W/Westronics 1200AC & 1200BC Recorders Built Under Westronics 10CFR50,App B Program.Beaver Valley,Arkansas Nuclear One & River Bend Station Notified.Design Mod Is Being Developed RBG-44600, Monthly Operating Rept for July 1998 for River Bend Station1998-07-31031 July 1998 Monthly Operating Rept for July 1998 for River Bend Station RBG-44564, Monthly Operating Rept for June 1998 for River Bend Station, Unit 11998-06-30030 June 1998 Monthly Operating Rept for June 1998 for River Bend Station, Unit 1 ML20249A6431998-06-12012 June 1998 SER Accepting 980427 Request for Change to River Bend QA Manual Program Description,Per 10CFR50.54(a)(3) RBG-44539, Monthly Operating Rept for May 1998 for River Bend Station, Unit 11998-05-31031 May 1998 Monthly Operating Rept for May 1998 for River Bend Station, Unit 1 RBG-44501, Monthly Operating Rept for Apr 1998 for River Bend Station, Unit 11998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for River Bend Station, Unit 1 ML20217M8951998-04-30030 April 1998 QA Program Manual ML20217P8281998-04-0707 April 1998 Safety Evaluation Accepting Relief Authorization for Alternative to Requirements of ASME Section Xi,Subarticle IWA-5250 Bolting Exam for Plants,Per 10CFR50.55a(a)(3)(i) RBG-44458, Monthly Operating Rept for Mar 1998 for River Bend Station, Unit 11998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for River Bend Station, Unit 1 RBG-44423, Monthly Operating Rept for Feb 1998 for River Bend Station Unit 11998-02-28028 February 1998 Monthly Operating Rept for Feb 1998 for River Bend Station Unit 1 ML20203L6631998-02-11011 February 1998 Rev 0 to River Bend Station,1998 Emergency Preparedness Exercise RBG-44385, Monthly Operating Rept for Jan 1998 for River Bend Station, Unit 11998-01-31031 January 1998 Monthly Operating Rept for Jan 1998 for River Bend Station, Unit 1 RBG-44353, Monthly Operating Rept for Dec 1997 for River Bend Station, Unit 11997-12-31031 December 1997 Monthly Operating Rept for Dec 1997 for River Bend Station, Unit 1 RBG-44460, Forwards Annual Radiological Environmental Operating Rept, for Period Jan-Dec 19971997-12-31031 December 1997 Forwards Annual Radiological Environmental Operating Rept, for Period Jan-Dec 1997 ML20203H9891997-12-12012 December 1997 Part 21 Rept Re Potential Manufacturing Defect of Enterprise DSR-4 & DSRV-4 Edgs.Cooper Energy Svcs Supplied 1A-7840 Adjusting Screw to Affected Utils & Sites.River Bend Station Replaced W/Acceptable Assemblies ML20202E9941997-12-0101 December 1997 ISI Plan Second Ten-Yr Interval (Dec 1,1997-Nov 30,2007) ML20199K9741997-11-30030 November 1997 Brief Aerial Photography Analysis of RBS at St Francisville,LA:1996-1997 RBG-44337, Monthly Operating Rept for Nov 1997 for River Bend Station, Unit 11997-11-30030 November 1997 Monthly Operating Rept for Nov 1997 for River Bend Station, Unit 1 ML20202F0191997-11-28028 November 1997 Safety Evaluation Approving Transfer of License NPF-47 for River Bend Station,Unit 1 ML20199H3711997-11-19019 November 1997 SER Accepting Approving Request Relief from Requirements of Section XI, Rule for Inservice Insp of NPP Components, of ASME for Current or New 10-year Inservice Insp Interval IAW 50.55(a)(3)(i) of 10CFR50 RBG-44295, Monthly Operating Rept for Oct 1997 for River Bend Station Unit 11997-10-31031 October 1997 Monthly Operating Rept for Oct 1997 for River Bend Station Unit 1 RBG-44243, LER 97-S03-00:on 970911,contract Employee Was Granted Temporary Access After Failing to List Prior Employment Termination & Access Denial.Caused by Employee Failure to Provide Accurate Info.Updated Info Re Employee1997-10-13013 October 1997 LER 97-S03-00:on 970911,contract Employee Was Granted Temporary Access After Failing to List Prior Employment Termination & Access Denial.Caused by Employee Failure to Provide Accurate Info.Updated Info Re Employee 1999-09-09
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c J GULF STATES ~ UTILETIES COMPANY IWER StND STATION . POST OrFICE BOX 720 St FA ANCfGylitt. totilssANA 7()776 ARE A COO ( $04 6h 60M 346 8661 November 28, 1989 RBG- 31812 File Nos. G9.5, G9.25.1.3 s
U.S. Nuclear Regulatory Ccmnission Document Control Desk p Washington, D.C. 205!5 ;
Gentlemen: ,
- River Bend Station - Unit 1 Docket No. 50-458 In accordance with 10CFR50.73, please find enclosed Licensee Event Report No.88-018, . Revision 3, " Reactor Scram Due to Main Generator ' Exciter Brush Failum". This supplemental report is
' being subnitted to keep you informed of the g w ess r of GSU's continuing evaluation of the effects of water hammer on the HPCS piping.~
Sincerely,
. fe
. E. Booker Y9 *
' Manager-River Bend Oversight :
River Bend Nuclear Group '
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/TFP/, /DCH /ch a
n-. cc: U.S. Nuclear Regulatory Ccmnission 611 Ryan Plaza Drive, Suite 1000 Arlington, TX 76011 ,
NRC Resident Inspector
-P.O. Box 1051 St. Francisville, IA 70775 INPO Records Center 1100 Circle 75 Parkway Atlanta, GA 30339-3064 gy/g/3GO,73 [I4ll97-goot A o s 0 0 04'W I
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, UCENSEE EVENT REPORT (LER) * =**u e tuo FACitif y esaast pl DOCE41 esumestR 13e Pauw a RIVER BEND STATION o 15 l 010 l 0 l 4l 5; 8 ijopl1,1 TIT 44 448 Reactor Scram Due to Main Generator Exciter Brush Failure tyt41 DAf t tll Ltm esungen les heront DAf t 171 OTMin p Acitifitt sesv0Lvt0 lei WONTM OAV vtAR vtAR "NNa ."'yM MONTu OAv vtAR 'achiT v hawlt DOCEEY muwgemisi
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D EA I i 1 2l 7 Wi l:210 Y B LlD ICIMlp lint /lA n D Tl L lElX IC Gl0l8l4 N l l l l l l l SupP48 MENT AL RtPOmf tartCT80 lidi l w0NT ee Day vtan SU4usStrON T'] vi: ,,, r. '""
e sureno svevissio= e4m -] no O l1 3 l1 9l0 Aest a ACT a. . e.oo .. ..,~e.,, a,w .,,. e . ,-ne. . , o i At 1232 on 8/25/88 with the unit at 100 percent power (Operational
! Condition 1), the reactor automatically scrammed due to a turbine l control valve fast closure caused by a loss of main generator field L excitation resulting in automatic main generator and turbine trips.
Immediately following the scram, reactor pressure spiked to a peak
[
between 1100 and 1117 psig causing the five low-low set safety relief valves to cycle per design. The turbine bypass valves opened as required and the reactor recirculation pumps transferred to slow speed per design. Reactor water level initially decreased to +4 inches as indicated by the wide range instruments due to the reactor pressure spike. The high pressure core spray (HPCS) and reactor core isolation cooling (RCIC) systems injected as a result of a spurious low reactor water level 2 signal caused by a hydraulic perturbation in the reactor water level instrument reference lines. As a result of the feedwater flow continuing (due to the "A" feedwater control valve being in the manual mode at 50 percent open) in conjunction with the HPCS and RCIC injections, reactor water level rapidly increased to level 8 causing l the HPCS injection valve and the RCIC steam supply valve to close and I the reactor feedwater pumps to trip per design.
1 There was no significant adverse impact on the safe operation of the plant or to the health and safety of the public as a result of this event since the reactor scram placed the unit in the safe shutdown condition.
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UCENSEE EVENT REPORT (LER) TEXT CONTINUATION o s avetimuvaroay commissios.
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Op Q2 0F 1 l1 rin ,,- . ac e muw nn REPORTED CONDITION At 1232 on 8/25/88 with the reactor at 100 percent power (Operational Condition 1), the main turbine (*TRB*) automatically tripped due to a generator (*TG*) trip on loss of field excitation, resulting in an j automatic reactor scram due to the turbine control 'ralve ( *FCV*) f ast closure.
Prior to the reactor scram, one of the main generator exciter brushes was identified as sparking. The control room exciter field volt meter
(*EI*) was showing erratic readings between 33 to 70 DC volts while 1 the voltage regulator (*RG*) was in the manual mode. Maintenance i personnel were finalizing work details in preparation for replacing i the worn exciter brushes when the main generator tripped on loss of field excitation. ., j 1
Concurrent with the generator / turbine trip, the reactor water i recirculation (*AD*) pumps (*P*) automatically transferred to the low frequency motor generator (LFMG) sets (*MG*) (slow speed) per design upon receiving an end-of-cycle recirculation pump trip (EOC RPT) -
signal.
Immediately following the scram reactor pressure spiked to a peak l between 1100 and 1117 psig causing the five low-low set safety relief )
valves (SRVs) (*RV*) to cycle per design. The turbine bypass valves
(*PCV*) also opened as required. The at-the-controls (ATC) operator ;
maintained control of reactor pressure via use of the turbine bypass valves.
Reactor water level initially decreased due to the collapse of steam voids as a result of the reactor pressure spike. The lowest actual water level reached was +11 inches, +10 inches and +6 inches as )
indicated by the "A", "B", and "C" channel narrow range instruments
(*LT*), respectively. The lowest wide range water level indication was +4 inches. However, the plant computer (* CPU *) showed evidence of i a hydraulic perturbation on the wide range level instrumentation .
(*LT*) resulting in a low level spike in excess of -29 inches.
During the voltage transient caused by the generator trip, non-safety related 4.16 KV switchgear (*SWGR*) INNS-SWGlA failed to transfer (fast and slow) from normal station service transformer (*XPT*)
ISTX-XNSlC to preferred station service transformer (*XPT*) 1RTX-XSRIC as a result of circuit breaker (*52*) INNS-ACB007 failing to close.
This resulted in a loss of power to the high pressure core spray (HPCS) (*BG*) safety-related 4.16 KV bus (*EB*) lE22*S004 and the non-safety related 4.16 KV bus (*SWGR*) INNS-SWGlC. Non-safety ,
related 4.16 KV bus (*SWGR*) INNS-SWG1B also failed to fast transfer but successfully completed a slow transfer upon automatic closure of circuit breaker (*52*) INNS-ACB015.
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RIVER BEND STATION og5;ojojo;4;5;8 qJoe ma n . . we =.mwim 8; 8 _. 0; 1l 8 0 ;3 1l1 As a result of_the-loss of power to the IE22*S004 bus, the division III standby service water (SSW) (*BI*) pump (*P*) (ISWP*P2C) automatically started from a low normal service water (NSW) system
_(*KG*) signal caused by the loss of power to the initiating instrumentation.
Additionally, the.HPCS diesel generator (*EK*) receivad an automatic initiation signal due to the undervoltage condition on the lE22*S004 bus. The HPCS diesel generator successfully started and its output breaker (*52*) automatically closed, restoring voltage to the bus per design.
Due to the loss of power to INNS-SWGlA as described above, the turbine plant component cooling water (TPCCW) system (*KB*) pumps (*P*)
1CCS-P1A and ICCS-PIC tripped. Operations personnel verified that ICCS-PIB automatically started. However, this pump alone was insufficient to maintain proper cooling to the plant instrument air system (*LD*) compressors (* CMP *). As a result, the instrument air compressors tripped on high temperature. Operations personnel restarted a second TPCCW pump after restoring power to INNS-SWG1A.
The. instrument air compressors were then restarted and continued to operate properly. The lowest instrument air header pressure indicated was 80 psig. Operations personnel reported no unanticipated cycling of any air operated valves (*V*) or dampers (*DMP*).
Additionally, power to reactor protection system (RPS) (*JC*) bus "A"
(*EC*) was lost. RPS bus "B" continued to operate with power supplied from the "B" RPS M-G (*MG*) set. RPS bus "A" was manually transferred to alternate supply, restoring power.
The loss of power to RPS bus "A" also resulted in an automatic initiation of the standby gas treatment (SGTS) (*BH*) and annulus mixing (.AM) (*VC*) systems and an automatic trip of the annulus pressure control (APC) system (*VC*). The three systems responded as designed upon the loss of RPS power.
A spurious high drywell pressure alarm (*PA*) also actuated as a result of the loss of power to RPS bus "A". The emergency response and information system (ERIS) computer (* CPU *) recordings verified that actual drywell pressure did not exceed 0.5 paid. The high drywell pressure trip setpoint is 1.68 psid.
The HPCS and reactor core isolation cooling (RCIC) (*BN*) systems received an automatic initiation signal and injected. These initiation signals resulted from a spurious reactor water level 2 signal caused by the hydraulic perturbation on the wide range reactor, water level instrumentation previously described. The controller
(*PMC*) for the "A" feedwater (*LC*) control valve (*FCV*) was in the manual mode at 50 percent position. As a result of feedwater flow continuing and the HPCS and RCIC injections, reactor water level
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smass swa Pace 6 sty haast m DOCEST NUtdB4R m . 40R humattR ISI Pa04 (31 ns= "M:' 2.n RIVER BEND STATION o p j o j o j o l 4l 5l 8 qE _ 0 l1 j 8 _
0l3 0l4 or 1 l1 vent . . . ac m assamm rapidly increased to level 8 ccusing the HPCS injection valve (*INV*)
and the RCIC steam supply valve (*ISV*) to automatically close and the
--three reactor feedwater pumps (*P*) to trip per design. The HPCS and RCIC systems responded as designed and injected to the reactor vessel for approximately 31 and 30 seconds, respectively. A notification of unusual event (NOUE) was entered at 1253 hours0.0145 days <br />0.348 hours <br />0.00207 weeks <br />4.767665e-4 months <br /> based on the emergency core cooling system (ECCS) injection into the reactor vessel. The NOUE was subsequently terminated at 1320 on 8/25/88.
At.approximately one hour after the reactor scram, plant personnel reported that-they observed heat radiating from the HPCS injection line upstream of the HPCS injection valve. The control room was notified and further investigation and evaluation began.
INVESTIGATION An investigation of the main generator trip determined that deterioration of the exciter brushes led to the loss of exciter field voltage resulting in the subsequent generator trip. The root cause of the exciter brush failure was determined to be a deficiency in the
- preventive maintenance. procedure. The investigation revealed that no specific requirement had been established within the procedure as to when to replace the exciter brushes. The exciter brushes were replaced prior to initiating subsequent startup procedures. A thorough investigation of the generator and turbine revealed no other damage.
An investigation into the cause of the HPCS and RCIC injections revealed the source of the initiation signals to be a spurious hydraulic perturbation in the reactor water level instrumentation reference lines and not an actual low reactor water level 2 signal.
The-hydraulic perturbation was caused by the 100 percent turbine trip induced reactor steam dome pressure spike. The pressure spike was immediately transmitted to the four reactor level reference lines located near the top of the reactor vessel but was not immediately sensed by the narrow and wide range variable line taps located lower in the reactor vessel. Using the Sequence of Events Report from the plant process computer, it was determined that a HPCS low water level signal was received on channels "G", "L", and "R" for 20, 38 and 42 i milliseconds, respectively. In addition, the RCIC initiation signals occurred at the same time. The instruments used to measure reactor water level for these initiation logics are Rosemount type 1154 transmitters which are fast acting instruments with no electronic dampening. As a result, the instruments caused the automatic initiation based upon sensing the pressure' spike of very short duration. ,
Using ERIS data, HPCS and RCIC instrumentation showed significant spikes 300 milliseconds after the scram. ERIS monitors these instrument signals in 100 millisecond intervals and showed reactor
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sN a q e RIVER BEND STATION o p p o n ; 4 5, 8 qf
.o,a 0 j ll8 _ 0; 3 0, 5 or I g1 no . .e water level spike magnitudes of -19, -29, -16, and -4 inches. The magnitude of.the signals recorded by ERIS cannot be considered-absolute due to the ERIS sample rate time intervals.
Additional evidence which shows that an actual low reactor water level 2 was not reached includes the fact that signals were not received on l the_following reactor water level instruments: 1) RPS level 3 scram,
- 2) nuclear steam supply shutoff system (*JM*) (NSSSS) level 2 balance of plant (BOP) and reactor water cleanup system (RWCU) (*CE*)
equipment isolation, 3) anticipated transient without scram (ATWS) level 2 trip and 4) feedwater low level annunciator / computer points.
The above signals are generated by Ronemount 1152-transmitters which have built in electronic dampening to slow the response of the instruments. These instruments also share common reference . lines with the Rosemount type 1154 transmitters. Therefore, it is concluded that the initiation signals for HPCS and RCIC were generated as,a result of the lack of electronic dampening in the Rosemount 1154 transmitters.
To support restart, a preliminary evaluation was conducted to determine the impact of the elevated temperatures in the HPCS
, injection line. Temperatures were taken to determine the profile and maximum temperatures that the system had seen. This conservative ,
evaluation concluded that there was no impact on the integrity of the '
piping system and in fact, the HPCS system could sustain at least one additional thermal transient of this type without affecting the designed life of the piping. A best-estimate maximum temperature profile for the HPCS injection pipe was calculated using RELAP5. This best-estimate temperature profile shows that the initial temperature i profile used to assess piping integrity was conservative.
Additionally, samples of the water in the injection line confirmed that the water did come from the reactor vessel.
It is believed that reverse flow through the HPCS injection check valve 1E22*AOVF005 was caused by the following events:
- 1. Check valve IE22*AOVF005 did not seat completely due to throttling of the flow upon termination of HPCS injection when high reactor
- water level was reached. As IE22*MOVF004 was throttled closed, the pressure between the MOV and 1E22*AOVF005 would be expected to slowly decrease to reactor pressure and then remain constant.
Since the pressure was the same both upstream and downstream of the check valve and no reverse flow occurred (i.e., pipe is full of water and no flow path available), the only closing force on the valve was gravity. It is believed that the slow flow reduction and the lack of a large closing force resulted in the ,
valve not seating properly.
During RF-2, lE22*AOVF005 passed its initial LLRT. The valve was then completely disassembled per MWO 126282 and inspected for u.. .u s ovo im om u.As gy.o.
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LICENSEE EVENT REPORT (LER) TEXT CONTINUATION maos to owe =o mo+o.
ineims a we pactuTv asaast o, occast muesta L8' tea =umean sei taos tai i.- " t!.r." "'#.3 RIVER BEND STATION O18
, ooa 4 5;8 88 j _ gg _ 0, 3 0, 6 o, 1;l vert . . me w ana v nn damage. Dimensions of selected internal components were recorded.
No damage or unusual conditions were noted; however, all seating surfaces were reworked prior to reassembly. The valve then passed ;
a second LLRT. The as found condition of the valve supports the !
theory that the valve did not seat completely due to throttling of HPCS flow.
- 2. The HPCS injection valve IE22*MOVF004 cycled as shown by ERIS computer data.
- 3. Minor leakage occurred through one or more of the following valves while IE22*MOVF004 was open: s
- a. 1E22*VF024 HPCS pump discharge check valve and IE22*MOVF012 HPCS pump minimum flow valve. j Any leakage through IE22*VF024 is assumed to have been mincr.
This assumption is supported by the closing of IE22*MOVF012 The closing of the minimum flow valve indicates that pressure upstream of the check valvo decreased below the closing
- setpoint for IE22*MOVF012. Major leakage or failure of the check valve would have resulted in the minimum flow valve remaining open (i.e., high discharge pressure and low flow).
ERIS data for HPCS system pressure (1E22*PTN051, ERIS point 1E22-N0002) supports this assumption.
- b. 1E22*MOVF023 HPCS test return to suppression pool.
IE22*MOVF023 received an LLRT during RF-2. The valve passed the initial LLRT and no rework was required. The results of the LLRT during RF-2 supports the conclusion that any leakage L which may have occurred was minor.
1 Other potential leakage paths are through IE22*MOVF010 and F011 HPCS test return to the condensate storage tank or IE22*RVF035 HPCS discharge relief valve.
It does not appear that the actual leakage path can be determined with certainty. The most probable leakage path is a combination of minor leaks through several valves.
1 Evaluation of the effects of a possible water hammer on the HPCS !
piping as it relates to this event has been performed. GSU has I evaluated two conditions where a water hammer could be postulated to have occurred in the HPCS piping following the reactor scram. The first is during automatic start up of the HPCS system after the scram.
If a void was present during system start up, a water hammer could have occurred. A water hammer under these conditions would have been characterized by large fluctuations in system flow and pressure. A review of the ERIS traces of HPCS flow and pressure indicate that no water hammer occurred during the system initiation, g.... . .v s o.o ...o 24 $a 4s I
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- INV* ) stroked after the HPCS pump was shutdown. In this case, the ERIS tracen do not provide any useful data that can be used to determine whether or not a water hammer actually occurred. The HPCS flow indicator (IE22* FIR 603)
(*FI*) was indicating zero flow and did not change. This instrument, however, is a differential pressure type. Under reverse flow conditions, it is expected that this instrument would " peg low" and thus the ERIS trace would not be expected to change. The HPCS pump discharge pressure indicator (IE22*PIR601) (*PI*) located upstream of the pump discharge check valvo (1E22*VP024) (*V*), did not show any pressure fluctuations. Due to its locatior., this pressure indicator would see pressure only if the pump discharge check valve was stuck open. Although the lack of pressure fluctuation indications.does not provide any information as to whether or not a water hammer actually occurred, it does provide evidence that the pump discharge, check valve operated properly.
Following the HPCS pipe thermal transient, a walkdown of the HPCS system was conducted. The HPCS piping and supports were visually inspected for damage and no damage was noted. Surface and volumetric examinations were also performed on those welds identified as having experienced the highest thermal stresses. These examinations revealed no unacceptable indications and, thus, verilled the structural integrity of the syster Based upon the above, no degradation to the system occurred.
Additionally, a turbine trip from full power reactor scram occurred on 9/6/88 with a HPCS system injection as reported in LER 88-021.
Following this scram, the HPCS pipe thermal transient experienced during the first reactor scram did not recur.
An evaluation was performed using RELAPS/ BLAZER to determine the plausibility of the two possible water hammer events. Results of the evaluation show that both events were possible. The impact of these events will be determined by comparing the calculated loads from the new postulated events with the design basis loads. The original design water hammer loadings are as follows:
- 1. Pump start with air void in discharge line,
- 2. Check valve slam from pump stop, and
- 3. HPCS system in test mode and then transfer to injection mode, i
Water hammer loads for the events, both actual and postulated, ,
associated with reactor scram 88-04 are being analyzed using the RELAP5 and BLAZER programs. The RELAPS/ BLAZER programs have been qualified for use in water hammer evaluation using approved procedures. The actual loadings that occurred after scram 88-04 have
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Therefore, the conclusion that there was no damage to the pipi'ng system as stated above is confirmed.
Additional analysis is in process for the evaluation of the postulated event of a HPCS pump start with a void created by reactor water backflow.- Preliminary loads have been developed for this situation.
The model used in developing the loads is being refined to more accurately reflect potential loadings. The preliminary loads that have been developed for this improbable event are being used to do a preliminary update to the pipe stress analysis. When the analyses are finalized, they will determine the adequacy of the piping system to withstand this unlikely event. The event being postulated.in this analysis did not occur after scram 88-04 and, as stated above, the thermal transient itself did not occur after the scram which occurred on 9/6/88. A supplemental response including the final analysis results will be provided by January 31, 1990.
Additionally, an evaluation has been performed for the V event (see WASH 1400) for high/ low pressure interface and the impact on the system piping as it relates to this event. The WASH 1400 V event, Interftcing System LOCA, is the rupture of low pressure piping initiated by the failure of components isolating the high pressure reactor coolant system from the low pressure piping. The high/ low pressure boundary of the HPCS system is the pump suction connection.
The pump discharge check valve (lE22*VF024) is on the high pressure !
side of this interface and acts as one of the barriers between the low pressure and high pressure piping.
HPCS pump discharge pressure is provided to ERIS by a transmitter between the pump discharge nozzle and the discharge check valve. ERIS traces are available which provide conclusive evidence that the suction piping was not overpressurized during the transient.
The final evaluation of the stresses that would have been experienced by the low pressure piping if it had been pressurized to reactor 3 pressure indicates that the piping would not have ruptured.
Based upon the above discussion, the transient experienced by the HPCS piping following the reactor scram does not impact the V event probabilities at River Bend Station.
During the transient which occurred concurrent with the reactor scram, INNS-SWGIA failed to transfer from normal station service transformer ISTX-XNS1C to preferred station service transformer 1RTX-XSRIC. An investigation has revealed the following events led to the failure to transfer. As a result of the fitshover of the main generator exciter
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0 l3 0 l9 of 1 l1 vini. .s - a css.anrwim brushes, the main generator output voltage decreased. This caused the voltage at the Fancy Point Substation to decrease and undervoltage relay (*59*) 59R-1NNSA08 to de-energize. This undervoltage relay must be energized in order for circuit breaker INNS-ACB07 to close to complete either a fast or slow bus transfer. Undervoltage relay 59R-INNSA08 monitors voltage on the off-site power line (*EA*) from '
the Fancy Point Substation which supplies preferred station service transformer 1RTX-XSRIC and ensures that sufficient voltage is available from the off-site power source prior to allowing the automatic transfer to take place.
When the generator output circuit breaker opened, the voltage at Fancy Point Substation began to stabilize. However, 10 cycles after the generator output breakers opened, relay (*62*) 62XG-1SPGN07 energized by design and disabled the fast closure portion of the INNS-ACD07 closing circuit. By the time the voltage at Fancy Point stabilized and undervoltage relay 59R-1NNSA08 re-energized, relay 62XG-1SPGN07 had disabled the fast closure portion of INNS-ACB07.
In order for INNS-ACB07 to close on a slow transfer, relay (*94*)
. 94B-1NNSA08 must be energized. Relay 94B-1NNSA08 is energized (after a short time delay) when both undervoltage relays (*27*) 27-1-1NNSA17 and 27-2-INNSA17 sense a low voltage on the INNS-SWGIA bus. According to operations personnel on duty, annunciator 0067 on panel 1H13-P808 had alarmed. This indicates that only one of the two 27 relays operated properly. Hence, INNS-ACB07 was also prevented from closing on a slow transfer. Additional evidence that relay 94B-lNNSA08 was not energized is that time delay relay (*62*) 62-1NNSA08 which activates 94B-INNSA08 did not indicate a target, and the process computer point which is also activated by the 62 relay did not operate. The 27-1 and 27-2 relays addressed in this evaluation are not used in safety related applications at River Bend Station (RBS).
Inspections of the 27-1 and 27-2 relays revealed no apparent problems although the contacts were slightly dirty. Problems have occurred in the past from dirty or oxidized contacts on these undervoltage relays.
The current preventive maintenance (PM) frequency is 24 months per the vendor's recommendations. The undervoltage relays which were suspected of not properly operating were replaced. The remaining relays and timers in the transfer circuit were successfully tested.
An evaluation of the loss of power to RPS bus "A" revealed that the motor generator set output breaker tripped as a result of the voltage and frequency transients that were generated concurrent with the exciter brush failure. In addition to providing overcurrent protection, the M-G set output breaker (*52*) will trip on overvoltage or underfrequency. The RPS bus is further protected by two EPA breakers (*52*) in series with the M-G set breaker. The EPA breakers will also trip on overvoltage, undervoltage, or underfrequency.
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Q3 h0 or 1l1 mv,, . we e won An analysis of the output breaker trip circuit revealed that actuation of the overvoltage relay (*59*) causes the circuit breaker undervoltage trip device (*27*) to trip the breaker and energize relay 3K, which energizes relay 2K, which is then sealed in through the reset pushbutton. Neither the underfrequency relay nor the breaker overcurrent function will energize the 2K relay requiring the reset button to be depressed prior to resetting the output breaker.
Therefore, it was determined that the M-G set. output breaker had tripped due to an overvoltage condition.
It cannot be determined conclusively from the evidence available if the M-G set breaker tripped prior to the EPA breaker trip or as a result of it. Since all three breakers are in series, the resulting effect on the RPS bus would have ultimately been the same.
A review of previous LERs submitted by River Bend Station revealed no previous reactor scrams as a result of a failure of the main generator exciter or brushes.
CORRECTIVE ACTION To assure that the main generator exciter brushes are replaced before deteriorating to a point which arcing occurs, the preventive maintenance procedure is being revised to establish specific wear criteria at which the brushes are to be replaced. The required procedure changes have been completed.
During the forced outage resulting from the reactor scram, maintenance personnel were trained by the vendor representative as to when and how to change the main generator exciter brushes. Following replacement of the brushes, an inspection was performed at 1800 rpm before synchronizing the generator to offsite power (*FK*) to ensure proper operation of the exciter brushes, holders, and collector rings.
No abnormal conditions were observed.
An engineering evaluation of the HPCS and RCIC initiation logic has been conducted to determine appropriate corrective actions for preventing unnecessary level 2 initiations caused by 100 percent turbine trip induced reactor water level instrument spikes. All eight Rosemount 1154 transmitters installed at River Bend Station which provide a trip function (including the transmitters which initiated the HPCS and RCIC systems reported in this LER) will be modified during the second refueling outage. This modification will include replacement of the amplifier circuit board and the calibration circuit board. This modification will provide similar electronic dampening features as those contained in the Rosemount 1152 transmitters. ,
The undervoltage relays which led to the failure to transfer of switchgear 1NNS-SWGIA have been replaced. The current preventive maintenance tasks for cleaning the undervoltage relay contacts are g ,. ~ .. .........o....
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Maintenance is presently revising these tasks to require a 6 month frequency. The required revisioas to the preventive maintenance tasks have been completed.
As noted above, investigation into the effects of reactor water .
entering the HPCS injection line is still continuing. Further corrective action, if required, will be developed when this investigation is complete. A supplemental report will be provided by January 31, 1990.
l SAFETY ASSESSMENT There was no significant adverse impact on the safe operation of the plant or the health and safety of the public as a result of this event since the reactor scram placed the unit in the safe shutdown conditions. The HPCS and RCIC systems, while actuation was unnecessary, did function properly to provide reactor water makeup and all other automatic safety system actions performed as designed.
NOTE: Energy Industry Identification System Codes are identified in the text as (*XX*).
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