LER-1980-088, /03L-0:on 801205,while Troubleshooting for Ground Problems in Safety Features Actuation Sys Channel 3 Cabinet, Station Experienced Channel 1/3 Simultaneous Actuation of Levels 1,2,3 & 5.Caused by Component failure.PS-07 Replaced |
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U. S. NUCLE AR REGUL ATORY COMMISSION NRC FORM 366 (7 77)
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E% ENT DATE 14 75 HEPORT D ATE 6J EVENT DESCRIPTION AND PROB ABLE CONSEQUENCES h I o l 2 l l (NP-33-80-113) on 12/ 5/80 at 2258 hours0.0261 days <br />0.627 hours <br />0.00373 weeks <br />8.59169e-4 months <br /> while I6C personnel were troubleshooting for I
f7T3, ; ground problems in Saf ety Features Actuation System (SFAS) Channel 3 cabinet, the sta-l
) tion experienced a channel 1/3 simultaneous actuation of SFAS icvels 1, 2, 3, and 5.
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lol51 lThe inadvertent loss of SFAS Channel 1 entered the station into the action statement l
Iols]lof T.S. 3.3.2.1, There was no danger to the health and safety of the pub !c or statiop j o l 7 l l personnel. The remaining three SFAS channels were available to trip if required.
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40 41 42 43 44 47 3J CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h liloj]The cause was component failure. SFAS Ch. 1 failed when a short occurred between powcq li 11 } l supply common and the cabinet causing a defective power supply in Ch. 1 (PS-07) to fai}.
After re-energizing Ch. 3l y[-} I s a part of troubleshooting, personnel de-energized Ch. 3.
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The short occurred when the lampj jone of the power "0N" lights was not on as required.
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TOLEDO EDISON COMPANY i
j LAVIF-BESSE NUCLEAR POWER STATION UNIT ONE f
SUPPLEMENTAL INFORMATION FOR LER NP4 3-80-113 t
4 i
DATE OF EVENT:
December 5, 1980 t
i FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Loss of power supply PS-07 in Safety Features Actuatioi System (SFAS) Channel l contributing to a levels 1, 2, 3, and 5 actuation l
n Conditions Prior to Occurrence: The unit was in Mode 3 with Power (MWT) = 0 and Load I
(Gross MWE) = 0, i
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Description of Occurrence:
On December 5, 1980 at 2258 hours0.0261 days <br />0.627 hours <br />0.00373 weeks <br />8.59169e-4 months <br /> the station-experienced a
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simultaneous actuation of SFAS levels 1, 2, 3, and 5.
Control room operators were aware i
that Instrument and Centrol (I&C) perconnel were troubleshooting for ground problems in
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the SFAS Channel 3 cabinet. It was immediately confirmed by the IEC personnel that their i
work had caused the inadvertent actuation. The station was in Mode 3 at the start of the event, and stable hot standby conditions and no Reactor Coolant System (RCS) leakage were verified. The reactor operators began restoring systems to pre-SFAS trip status.
The inadvertent loss of SFAS Channel l entered the station into the action statement of Technical Specification 3.3.2.1 which requires the failed SFAS unit to be placed in the tripped condition within one hour. The SFAS event had failed in the tripped condition.
4 i
Designation of Apparent Cause of Occurrence: The cause of the occurrence is component failure.
I&C personnel were trcubleshooting for the cause of the 120 VAC on the common i
in SFAS Channels 1 and 3.
As part of the process of trying to locate the source of the
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stray voltage, Channel 3 was de-energized. Later, when the channel was re-energized per l
SP 1105.03, the SEAS Procedure, it was noted that one of the power "on" lights was not on as required. When a lamp was removed from an output module in Channel 3, a short occurred between the power supply common and the cabinet ground. This short caused power supply PS-07 in Channel 1 to completely fail. PS-07 was aircady defective caus-ing the 120 VAC to be present on the power supply common. The short from common to
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ground caused complete failure of the power supply. This supply provides power to the following bistables: containment pressure fail, containment pressure high, containment pressure high high, Borated Water Storage Tank level fail, and Borated Water Storage i
Tadk level low.
In Channel 3, the containment pressure high and the Borated Water Storage Tank level Jow bistables were still tripped which caused the Channel 1/3 actua-l tion of levels 1, 2. 3, and 5.
Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel.When the power supply failed, the affected bistables tripped plac-ing the system in a 1 out of 3 trip condition for the affected bistables. The remaining three channels were available to trip if required. Even though the high pressure injec-tion and low pressure injection pumps started, there was no injection of water to the RCS since the RCS was at full system pressure prior to the actuation. This was verified by checking the injection flow indication. With the level 5 actuation, the suction for high pressure injection and low pressure injection pumps switched to the emergency sump.
i This caused a loss of suction for less than one minute until the pumps were stopped.
1 This did nor cause any pump damage as verified by the data obtained from the surveillance tests run after the event. Toledo Edison is investigating the consequences of the common between Channel 1 and Channel 3 and between Channel 2 and Channel 4.
LER #80-088 m
TOLEDO EDISON COMPANY CAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-80-113 PAGE 2
Corrective Action
All output modules for Channels 2, 3, and 4 were reset by 2320 hours0.0269 days <br />0.644 hours <br />0.00384 weeks <br />8.8276e-4 months <br /> on December 5, 1980. Under Maintenance Work Order IC-807-80 the failed power supply PS-07 in Channel 1 was replaced. The SFAS Monthly Test, ST 5031.01 was successfully run on Channels 1 and 3 removing the station from the action statement at 0750 hours0.00868 days <br />0.208 hours <br />0.00124 weeks <br />2.85375e-4 months <br /> on December 6, 1980. The high pressure injection pump test, ST 5051.09 run December 6, 1980, verified that there had been no pump damage.
Failure Data: There have been no previous reports of a ground in one channel causing the loss of a power supply in another channel.
LER #80-088
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| 05000346/LER-1980-001, Forwards LER 80-001/01T-0 | Forwards LER 80-001/01T-0 | | | 05000346/LER-1980-001-01, /01T-0:on 800103,during Plant Heatup,Safety Features Actuation Sys Channels 1 & 3 Tripped at 1,600 Psig, Causing Level 2 Actuation.Operators Correctly Tripped Reactor Coolant Pumps.Caused by Procedural Deficiency | /01T-0:on 800103,during Plant Heatup,Safety Features Actuation Sys Channels 1 & 3 Tripped at 1,600 Psig, Causing Level 2 Actuation.Operators Correctly Tripped Reactor Coolant Pumps.Caused by Procedural Deficiency | | | 05000346/LER-1980-002, Forwards LER 80-002/03L-0 | Forwards LER 80-002/03L-0 | | | 05000346/LER-1980-002-03, /03L-0:on 800103,after Actuating of Safety Features Actuation Sys Level 2,demin Water Valve DW68318 Did Not Indicate Closed & Monitor Light Did Not Indicate Properly.Caused by Maladjusted Position Indicator Switch | /03L-0:on 800103,after Actuating of Safety Features Actuation Sys Level 2,demin Water Valve DW68318 Did Not Indicate Closed & Monitor Light Did Not Indicate Properly.Caused by Maladjusted Position Indicator Switch | | | 05000346/LER-1980-003-03, /03L-0:on 800103,during Auxiliary Feedwater Pump Test,Pump l-1 Was Declared Inoperable.Caused by Improperly Adjusted Slip Clutch Between Governor Manual Speed Adjustment Shaft & Remotely Controlled Speed Changer Motion | /03L-0:on 800103,during Auxiliary Feedwater Pump Test,Pump l-1 Was Declared Inoperable.Caused by Improperly Adjusted Slip Clutch Between Governor Manual Speed Adjustment Shaft & Remotely Controlled Speed Changer Motion | | | 05000346/LER-1980-003, Forwards LER 80-003/03L-0 | Forwards LER 80-003/03L-0 | | | 05000346/LER-1980-004-03, /03L-0:on 800107,control Rod 5-11 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals.Possibly Caused by Isolation of Position Indication Cabling & Electrical Penetration | /03L-0:on 800107,control Rod 5-11 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals.Possibly Caused by Isolation of Position Indication Cabling & Electrical Penetration | | | 05000346/LER-1980-004, Forwards LER 80-004/03L-0 | Forwards LER 80-004/03L-0 | | | 05000346/LER-1980-005, Forwards LER 80-005/03L-0 | Forwards LER 80-005/03L-0 | | | 05000346/LER-1980-005-03, /03L-0:on 800110,Tech Spec Late Date Passed W/O Performance of Boric Acid Flowpath Heat Tracing Weekly Test. Caused by Known Deficiency in Design of Sys Resulting in Inability to Maintain Min Temp Necessary During Startup | /03L-0:on 800110,Tech Spec Late Date Passed W/O Performance of Boric Acid Flowpath Heat Tracing Weekly Test. Caused by Known Deficiency in Design of Sys Resulting in Inability to Maintain Min Temp Necessary During Startup | | | 05000346/LER-1980-006-03, /03L-0:on 800112,found Fiberglass Insulation Stuffed Into Open Wall Ventilator Between Water Treatment Bldg & Svc Water Valve Room,Causing Fire Damper to Be Inoperable.Figerglass Removed | /03L-0:on 800112,found Fiberglass Insulation Stuffed Into Open Wall Ventilator Between Water Treatment Bldg & Svc Water Valve Room,Causing Fire Damper to Be Inoperable.Figerglass Removed | | | 05000346/LER-1980-006, Forwards LER 80-006/03L-0 | Forwards LER 80-006/03L-0 | | | 05000346/LER-1980-007, Forwards LER 80-007/03L-0 | Forwards LER 80-007/03L-0 | | | 05000346/LER-1980-007-03, /03L-0:on 800116,ref Position Verification for Group 5,rod 11,was Made 1-h & 40 Minutes Late.Caused by Operator Oversight Due to Lack of Adequate Reminder Sys. Multiple Timer Sys Will Prevent Recurrence | /03L-0:on 800116,ref Position Verification for Group 5,rod 11,was Made 1-h & 40 Minutes Late.Caused by Operator Oversight Due to Lack of Adequate Reminder Sys. Multiple Timer Sys Will Prevent Recurrence | | | 05000346/LER-1980-008-03, Gap Discovered in Wall Where Five two-inch Conduits Go from Electrical Penetration Room 2 to Cable room.Six-inch Gap Around Ventilation Duct Also Found.Caused by Improper Initial Installation | Gap Discovered in Wall Where Five two-inch Conduits Go from Electrical Penetration Room 2 to Cable room.Six-inch Gap Around Ventilation Duct Also Found.Caused by Improper Initial Installation | | | 05000346/LER-1980-008, Forwards Revised LER 80-008/03L-1 | Forwards Revised LER 80-008/03L-1 | | | 05000346/LER-1980-009, Forwards LER 80-009/03L-0 | Forwards LER 80-009/03L-0 | | | 05000346/LER-1980-009-03, /03L-0:on 800122,discovered That NI-7 Indication on Computer Group 38 Was Reading Less than Heat Balance Power,Putting NI-7 Below Instrumentation Operability Limit Line.Caused by Extremely Tight Calibr Band at 100% Power | /03L-0:on 800122,discovered That NI-7 Indication on Computer Group 38 Was Reading Less than Heat Balance Power,Putting NI-7 Below Instrumentation Operability Limit Line.Caused by Extremely Tight Calibr Band at 100% Power | | | 05000346/LER-1980-010-01, /01T-0:on 800214,reanalysis of RCS Pipe Restraints Per IE Insp Rept 50-346/79-23 Revealed Design Deficiency on Two Reactor Coolant Hot Leg Pipe Whip Restraints at Top of Each RCS Hot Leg.Caused by Design Error | /01T-0:on 800214,reanalysis of RCS Pipe Restraints Per IE Insp Rept 50-346/79-23 Revealed Design Deficiency on Two Reactor Coolant Hot Leg Pipe Whip Restraints at Top of Each RCS Hot Leg.Caused by Design Error | | | 05000346/LER-1980-010, Forwards LER 80-010/01T-0 | Forwards LER 80-010/01T-0 | | | 05000346/LER-1980-011, Forwards LER 80-011/03L-0 | Forwards LER 80-011/03L-0 | | | 05000346/LER-1980-011-03, /03L-0:on 800131,during Normal Operation, Operations Personnel Received Half Trip on Steam & Feedwater Rupture Control Sys Channels 1/3.Caused by Spurious Trip from +25 Volt Dc Power Supply PS03 in Sglic Channel 1 | /03L-0:on 800131,during Normal Operation, Operations Personnel Received Half Trip on Steam & Feedwater Rupture Control Sys Channels 1/3.Caused by Spurious Trip from +25 Volt Dc Power Supply PS03 in Sglic Channel 1 | | | 05000346/LER-1980-012-03, /03L-0:on 800201,operator Noticed Loss of Control Room Position Indication for Letdown Cooler Isolation Valve MU2A.Caused by Design Deficiency.Apparently,Someone Brushed Up Against Disconnect Breaker Switch.Switch Reposition | /03L-0:on 800201,operator Noticed Loss of Control Room Position Indication for Letdown Cooler Isolation Valve MU2A.Caused by Design Deficiency.Apparently,Someone Brushed Up Against Disconnect Breaker Switch.Switch Repositioned | | | 05000346/LER-1980-012, Forwards LER 80-012/03L-0 | Forwards LER 80-012/03L-0 | | | 05000346/LER-1980-013, Forwards LER 80-013/03L-0 | Forwards LER 80-013/03L-0 | | | 05000346/LER-1980-013-03, /03L-0:on 800208,w/reactor Startup in Progress, Personnel Noted Control Rod 5-11 Absolute Position Indication Was Not Responding.Caused by Blown Fuse F14 in Position Ref Panel | /03L-0:on 800208,w/reactor Startup in Progress, Personnel Noted Control Rod 5-11 Absolute Position Indication Was Not Responding.Caused by Blown Fuse F14 in Position Ref Panel | | | 05000346/LER-1980-014, Forwards LER 80-014/03L-0 | Forwards LER 80-014/03L-0 | | | 05000346/LER-1980-014-03, /03L-0:on 800208,pressurizer Sample Sys Containment Isolation Valve RC240B Failed to Close Twice. Caused by Improper Torque Switch Setting & Stripped Screw on Closing Contactor.Settings Readjusted & Switch Replaced | /03L-0:on 800208,pressurizer Sample Sys Containment Isolation Valve RC240B Failed to Close Twice. Caused by Improper Torque Switch Setting & Stripped Screw on Closing Contactor.Settings Readjusted & Switch Replaced | | | 05000346/LER-1980-015, Forwards LER 80-015/03L-0 | Forwards LER 80-015/03L-0 | | | 05000346/LER-1980-015-03, /03L-0:on 800210,during Normal Startup,Control Rod 5-11 Absolute Position Indication Declared Inoperable.Caused by Numerous Asymmetric Rod Alarms.Data from Current Failure Evaluated | /03L-0:on 800210,during Normal Startup,Control Rod 5-11 Absolute Position Indication Declared Inoperable.Caused by Numerous Asymmetric Rod Alarms.Data from Current Failure Evaluated | | | 05000346/LER-1980-016, Forwards LER 80-016/03L-0 | Forwards LER 80-016/03L-0 | | | 05000346/LER-1980-016-03, /03L-0:on 800213,while Reviewing Station Log,Shift Foreman Discovered That Containment Airlock Seal Leakage Test Had Not Been Performed After Last Entry Into Containment During Startup.Caused by Procedural Inadequacy | /03L-0:on 800213,while Reviewing Station Log,Shift Foreman Discovered That Containment Airlock Seal Leakage Test Had Not Been Performed After Last Entry Into Containment During Startup.Caused by Procedural Inadequacy | | | 05000346/LER-1980-017-03, /03L-0:on 800217,operations Personnel Noted That Safety Features Actuation Sys Channel 3 Borated Water Storage Tank Level Indication Was Six Feet Higher than Other Meters.Caused by Freezing of Transmitter Sensing Line | /03L-0:on 800217,operations Personnel Noted That Safety Features Actuation Sys Channel 3 Borated Water Storage Tank Level Indication Was Six Feet Higher than Other Meters.Caused by Freezing of Transmitter Sensing Line | | | 05000346/LER-1980-017, Forwards LER 80-017/03L-0 | Forwards LER 80-017/03L-0 | | | 05000346/LER-1980-018-03, /03L-0:on 800226,safety Features Actuation Sys Channel 3 Borated Water Storatge Tank Level Indication Was Discovered Reading Four Feet Higher than Other Three Channels.Caused by Inadequate Design of Freeze Protection | /03L-0:on 800226,safety Features Actuation Sys Channel 3 Borated Water Storatge Tank Level Indication Was Discovered Reading Four Feet Higher than Other Three Channels.Caused by Inadequate Design of Freeze Protection | | | 05000346/LER-1980-018, Forwards LER 80-018/03L-0 | Forwards LER 80-018/03L-0 | | | 05000346/LER-1980-019, Forwards LER 80-019/01T-0 | Forwards LER 80-019/01T-0 | | | 05000346/LER-1980-019-01, /01T-0:on 800325 Reactor Flux/Flow Trip Setpoints Were Not Verified to Be Properly Reset within 4-h of Manual Shutdown of Rcp.Caused by Attention Given to Feedwater Swings.Trip Setpoints Verified Later | /01T-0:on 800325 Reactor Flux/Flow Trip Setpoints Were Not Verified to Be Properly Reset within 4-h of Manual Shutdown of Rcp.Caused by Attention Given to Feedwater Swings.Trip Setpoints Verified Later | | | 05000346/LER-1980-020, Forwards LER 80-020/03L-0 | Forwards LER 80-020/03L-0 | | | 05000346/LER-1980-020-03, /03L-0:on 800306,control Operator Noted No Control Room Indication for Containment Vacuum Relief Isolation Valve CV5072.Caused by Breaker BE1139 Being Closed,Probably Resulting from Someone Bumping Into Breaker | /03L-0:on 800306,control Operator Noted No Control Room Indication for Containment Vacuum Relief Isolation Valve CV5072.Caused by Breaker BE1139 Being Closed,Probably Resulting from Someone Bumping Into Breaker | | | 05000346/LER-1980-021, Forwards LER 80-021/03L-0 | Forwards LER 80-021/03L-0 | | | 05000346/LER-1980-021-03, /03L-0:on 800313,during Diesel Fire Protection Pump Weekly Test,Pump Could Not Be Stopped W/Control Button. Once Stopped,Pump Could Not Be Started.Cause Not Determined by Scheme Check.Retrial of Pump Proved Successful | /03L-0:on 800313,during Diesel Fire Protection Pump Weekly Test,Pump Could Not Be Stopped W/Control Button. Once Stopped,Pump Could Not Be Started.Cause Not Determined by Scheme Check.Retrial of Pump Proved Successful | | | 05000346/LER-1980-022-03, /03L-0:on 800317,operations Personnel Noticed Loss of Control Room Indication for Containment Dihydrogen Analyzer 2 Discharge Line Valve CV5010E.Caused by Const Personnel Accidentally Opening Breaker | /03L-0:on 800317,operations Personnel Noticed Loss of Control Room Indication for Containment Dihydrogen Analyzer 2 Discharge Line Valve CV5010E.Caused by Const Personnel Accidentally Opening Breaker | | | 05000346/LER-1980-022, Forwards LER 80-022/03L-0 | Forwards LER 80-022/03L-0 | | | 05000346/LER-1980-023, Forwards LER 80-023/03L-0 | Forwards LER 80-023/03L-0 | | | 05000346/LER-1980-023-03, /03L-0:on 800327,discovered That Control Rod Groups 3 & 4 Were Moving in on Their Own.Group 3 Was 0% Withdrawn.Group 4 Was 90% Withdrawn.Caused by Component Failure.Component Replaced | /03L-0:on 800327,discovered That Control Rod Groups 3 & 4 Were Moving in on Their Own.Group 3 Was 0% Withdrawn.Group 4 Was 90% Withdrawn.Caused by Component Failure.Component Replaced | | | 05000346/LER-1980-024-03, /03L-0:on 800327,following Normally Initiated Reactor Trip,Auxiliary Feed Pump Turbine 1-2 Main Steam Isolation Valve MS-107 Closed.Cause Unknown.Further Investigation of Valve & Operator Will Be Pursued | /03L-0:on 800327,following Normally Initiated Reactor Trip,Auxiliary Feed Pump Turbine 1-2 Main Steam Isolation Valve MS-107 Closed.Cause Unknown.Further Investigation of Valve & Operator Will Be Pursued | | | 05000346/LER-1980-024, Forwards LER 80-024/03L-0 | Forwards LER 80-024/03L-0 | | | 05000346/LER-1980-025-03, /03X-1:on 800330,control Rod Group 5,rod 11 Absolute Position Indication Declared Inoperable.Caused by Fluctuating Signals Resulting in Numerous Asymmetric Rod Alarms Due to Defective Reed Switch Assemblies | /03X-1:on 800330,control Rod Group 5,rod 11 Absolute Position Indication Declared Inoperable.Caused by Fluctuating Signals Resulting in Numerous Asymmetric Rod Alarms Due to Defective Reed Switch Assemblies | | | 05000346/LER-1980-025, Forwards LER 80-025/03X-1 | Forwards LER 80-025/03X-1 | |
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