LER-1981-005, /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS |
| Event date: |
|
|---|
| Report date: |
|
|---|
| 3461981005R03 - NRC Website |
|
text
NRC FORM ;5G U b LULLLAh HLuulAlUK k Lw.
.wu (7 77)
LICENSEE EVENT REPORT x
CONTROL BLOCK: l l
l l
l l
lh (PLE ASE PRINT OR TYPE ALL REQUIRED INFORMATION) 1 6
lo l 1 l l O l11 lD lB lS l 1l@l 0 l 0 l 0 l 0 l 0 l 0 l 0 l 0 l 0 l 0 l 0 l@l 4 l 1 l 1 l 1 l 1 l@ll l@
7 8 9 LICENSEE CODE 14 n
LickNM NW.*6LH 25 26 LICENSE TY PE JO 51 CA T $8 CON'T [ojij 3{C"' lL l@l 0l 5 l 0l -l 0 l 3l 4 l 6 @l 0 l ll ll 4 l 81 11@l0 l 2 l1 l 3 l 8 l1 l@
g t 7
8 60 61 OOCKET NUYSER M
63 EVENT D ATE 14 75 REPORT DATE 80 EVENT DESCRIPTION AND PROBABLE CONSEQUENCES h j o l 2 l l (NP-33-81-04) On 1/14/81 Ehe Reactor Coolant System (RCS) chloride concentration was ]
f und in excess of the steady state limit of 0.15 ppm.
The level was 0.64 ppm.
On l
[o l3 l 1 [o141l1/18/81 the level reached 1.28 ppm.
The limit was exceeded for two days each time.
J lts cause was determined to be from the use of Spotcheck in cleaning reactor coolant [
Iolsl l l o is_J l pump (RCP) seal cavities. To further clean the system required some heating to decomt lo l7] l pose the solvent so that chlorides could be removed by demineralization. This l
l o Ia l I caused the limits to be exceeded again on 1/26/81 and 1/27/81.
]
80 SYSTEM
CAUSE
cat!SE COMP.
VALVE CODE CODE SUBCODE COMPONENT CODE SUBCODE SUBCODE lolol l Rl Al@ W@ l Z l@ lZ lZ lZ lZ lZ lZ l@ {@ ]@
F 8
9 10 11 12 13 18 19 20 SEQUENTI AL oCCU R R E NCE REPORT REVISION EVENT YE AR REPORT No.
CODE TYPE NO.
h,"LE R Ro18 l1 l
[-,-j l 0l Ol 5l d
10 l3 l W
l-l l0 l g.hRT
_ 21 22 2J 24 2b 27 28 29 30 31 32 SUPPLIE k MAN PACTUPER A EN AC TION O PLA T ETH HOURS 22 S B 1T P
B.
l X [gl34H lg l35C [g
'l36 Zl@
l0 l0 l0 l9 l [Y l@
lNl@
]Z l@
lZ [9 l9 l9 l@
31 40 41__
42 43 44 di JJ CAUSE DESCRIPTION AND CORRECTIVE ACTIONS h lilollThe cause was a lack of adequate warning to indicate the detrinental effects to the I
[ilil l system if used improperly.
"Spotcheck" is labeled as nuclear nrade and chloride fron ]
l It is in fact a chlorinated hydrocarbon which when heated decomposes to chlorides.
[
j,g3g] Administrative Memorandum No. 4 was issued to provide specific instructions for the l
i
,,i,y l use of any solvent that could come in contact with the reactor coolant system.
l 30 7
e 9 STA S
% POWER oTHER STATUS ISCO RY DISCCVERY DESCRIPTION W@ l 0 l 0 l 0 ]@l NA l
l B l@l Routine sampling
]
i s ACTIVITY CO TENT nEtt ASEo Or aELE AsE AuOuNT OF ACTIVITY LOCATION oF RELE ASE l Zl @ l Z l@l NA l
l NA l
i c 7
8 9 10 11 44 45 80 PERSONNEL EXPOSURES N UPM E R TYPE DESCRIPTION -
1010101@l Zl@l NA l
i 7 so PEnSoNNabu'n',ES oESCn,PnON@
NumE R l
11 14 110101Ol@l NA 80 7
8 9 11 12 LOSS Of OR O AVAGE TO FACILITY TvrE L E ;c nip T I O N l
J @l NA 1
o s e m
NRC USE ONt v im E "5 cmPnOs.@
2 l
l1iiiiiiiiiIj?
Lxl81 x^
2 o
'8 ] O " 18 0 5 W DVR 81-007 naytor7HCPARER David W. Briden PHONE:
7
V TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION U'i1T ONE SUPPLLM:'NTAL INFORMATION FOR LER NP-33-81-04 DATE OF EVENT: January 14, 1981 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Reactor Coolant System Chloride Concentration Exceeded Steady State Limit Conditions Prior to Occurrence: The unit was in Mode 5 with Power (MWT) = 0 and Load (Gross IME) = 0.
Description of Occurrence: During the Reactor Coolant Pump (RCP) seal repair outage, the Reactor Coolant System (RCS) chloride concentration increased in excess of the 0.15 ppm steady state limit in Technical Specification 3.4.7.
On January 14, 1981 and January 18, 1981, chlorides reached 0.64 ppm and 1.28 ppm, respectively.
Both occur-rences have been attributed,to the liberal use of Spotcheck in cleaning RCP seal cavi-ties. Each time the 0.15 ppm limit was exceeded for about two days. The temperature during this entire period was about 110 F, and the system pressure was less than 500 psig with the decay heat pumps circulating only the reactor vessel.
During the RCS fill following completion of the seal repair work, purification flow was stopped on January 22 and January 23, 1981. During that time, chlorides gradually increased and on January 26, 1981 at 0130 hours0.0015 days <br />0.0361 hours <br />2.149471e-4 weeks <br />4.9465e-5 months <br /> it reached 0.24 ppm. At that time, two RCPs were started in order to heat the system to about 180 F to attempt to break down the organic chlorides and put them into solution as ionic Cl to facilitate remo-val by demineralization. The 0530 sample showed 0.83 ppm.
This large increase from 0.24 to 0.83 ppm confirmed the heat ef fects. Purification by demineralization con-tinued and at 2130 hours0.0247 days <br />0.592 hours <br />0.00352 weeks <br />8.10465e-4 months <br /> on January 27, 1981, one RCP in each loop was started to circulate the entire system. As expected, the chloride concentration increased from 0.11 ppm to 0.36 ppm.
The system was cleaned up to within specs by 0800 hours0.00926 days <br />0.222 hours <br />0.00132 weeks <br />3.044e-4 months <br /> on January 28, 1981. This cleanup was accelerated by the fact that Purification Demin-eralizer 1-2 was recharged with new resin and purification flow was increased from 40 gpm to 140 gpm for the first time at 0300 hours0.00347 days <br />0.0833 hours <br />4.960317e-4 weeks <br />1.1415e-4 months <br /> on January 27, 1981.
By exceeding the steady state limit, the station entered into the action statement which required that RCS pressure be limited to 500 psig.
It also required an engineer-The ing evaluation to determine the effects on the structural integrity of the RCS.
requirements were met.
Designation of Apparent Cause of Occurrence: During the reactor coolant pump seal outage of January 1981, Spotcheck was added to the reactor coolant system when the seal cavities were being cleaned. Spotcheck is a chlorinated hydrocarbon and heating accelerates the decomposition into chlorides. The individual who allowed the Spot-in the check to enter the system was not aware of the consequences of the solvent system since the label on the container states " certified to meet chloride purity".
The procedure did not have adequate warnings to indicate the solvent was detrimental to the sysven if used improperly.
LER #81-003
.=_.,
r TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR PO'JER STATION UNIT ONE SUPPLEMENTAL INFOR'!ATION FOR LER MP-33-81-04 PAGE 2 Analysis of Occurrence: There was no danger to the health and safety of the public or to station personnel. The cloride concentrations for all three excursions from January 14, 1981 through January 28, 1981 were less than the transient limit of 1.50 l
ppm. The RCS temperature never exceeded 200 and most of the time was less than 140 F.
The system pressure remained far less than 500 psig. The combination of these parameters diminishes the potential of any harm to the RCS. Material damage is definitely negligible.
In fact, very little damage could occur from any level of chlorides'less than 10 ppm if the technical specification action statement is followed.
4 4
Corrective Action
Administrative Memorandum No. 4 was prepared which provides speci-fic instructions regarding the use of any solvent when it is used for cleaning compon-ents which could come in contact with the reactor coolant system. This memorandum has been routed to the station personnel. The Maintenance Engineer has given special 1
j sessions to maintenance personnel to provide instructions on the controls required I
when reactor coolant system' components are cleaned.
Failure Data: No previous situations where the chloride concentration e::ceeded the steady state' limit for water in the reactor coolant system have occurred.
s l.
e Y
,w-.y
,.,,~.y-
.,-,4
+,.,,
,,m 3
.,,.,.g..
,,,-,e#r
,m
|
|---|
|
|
| | | Reporting criterion |
|---|
| 05000346/LER-1981-001, Forwards LER 81-001/01X-1 | Forwards LER 81-001/01X-1 | | | 05000346/LER-1981-001-01, /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | | | 05000346/LER-1981-002-03, /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | | | 05000346/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000346/LER-1981-003-03, /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | | | 05000346/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000346/LER-1981-004, Forwards LER 81-004/03X-1 | Forwards LER 81-004/03X-1 | | | 05000346/LER-1981-005-03, /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | | | 05000346/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000346/LER-1981-006-03, /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | | | 05000346/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000346/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000346/LER-1981-007-03, /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | | | 05000346/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000346/LER-1981-008-03, /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | | | 05000346/LER-1981-009-03, /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | | | 05000346/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000346/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000346/LER-1981-010-03, /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | | | 05000346/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000346/LER-1981-011-03, /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | | | 05000346/LER-1981-012-03, /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | | | 05000346/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000346/LER-1981-013-03, /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | | | 05000346/LER-1981-013, Forwards LER 81-013/03L-0 | Forwards LER 81-013/03L-0 | | | 05000346/LER-1981-014-03, /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | | | 05000346/LER-1981-014, Forwards LER 81-014/03X-1 | Forwards LER 81-014/03X-1 | | | 05000346/LER-1981-015-03, /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | | | 05000346/LER-1981-015, Forwards LER 81-015/03L-0 | Forwards LER 81-015/03L-0 | | | 05000346/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000346/LER-1981-016-03, /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | | | 05000346/LER-1981-017-03, /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | | | 05000346/LER-1981-017, Forwards LER 81-017/03L-0 | Forwards LER 81-017/03L-0 | | | 05000346/LER-1981-018-03, /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | | | 05000346/LER-1981-018, Forwards LER 81-018/03L-0 | Forwards LER 81-018/03L-0 | | | 05000346/LER-1981-019-03, /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | | | 05000346/LER-1981-019, Forwards LER 81-019/03L-0 | Forwards LER 81-019/03L-0 | | | 05000346/LER-1981-020-03, /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | | | 05000346/LER-1981-020, Forwards LER 81-020/03L-0 | Forwards LER 81-020/03L-0 | | | 05000346/LER-1981-021-03, /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | | | 05000346/LER-1981-021, Forwards LER 81-021/03L-0 | Forwards LER 81-021/03L-0 | | | 05000346/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000346/LER-1981-022-03, /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | | | 05000346/LER-1981-023-03, /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | | | 05000346/LER-1981-023, Forwards LER 81-023/03L-1 | Forwards LER 81-023/03L-1 | | | 05000346/LER-1981-024, Forwards LER 81-024/03L-0 | Forwards LER 81-024/03L-0 | | | 05000346/LER-1981-024-03, /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | | | 05000346/LER-1981-025, Forwards LER 81-025/03L-0 | Forwards LER 81-025/03L-0 | | | 05000346/LER-1981-025-03, /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | | | 05000346/LER-1981-026-03, /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | |
|