LER-1980-107, /03L-0:on 801208,svc Water Sys Primary Coolant Temp Reached 212F.Caused by Removal of Shutdown Cooling Capability for Maint W/Access to Primary Containment Open & Subsequent Heatup of Primary Coolant Due to Decay Heat |
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LICENSE _E EV6NT REPORT CONTRO(. BLOCK: I
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g l shutdown for a short maintenance outage, average primary coolant temnerneure va, chad I g [approximately 212*F with primary containment not u t.
A similar evene neencrad I
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LER AITACHMENT - R04 h80-107 1
Fac.ility: Unit No. 2 Event Date: 12-8-80 EVENT 1 DESCRIPTI0ll, At 2030 on December 7, 1980, RHR service water was secured in the "A" loop to repair a leak on a one-inch pipe to the RHR service water radiation monitor.
Shutdown cooling was lined up to thS "A" loop with an RHR pump running to recirculate the vessel and be'.n rev: tor recirculation pumps secured.
At 2330, shift turnover, the primary coolant temperature was 165'F with apprcximately a 20*F per hour heatup rate, and the estimated time for completion of the repairs was 0015 on December 8, 1980.
Difficulties were encountered during the work and temporary repairs to the pipe were completed at approximately 0230. Average coolant temperature at this time approached 212*F with a local maximum of 217'F.
The reactor head vents were open during this time with zero pressure in the reactor vessel.
Shutdown cooling was initiated and primary coolant temperature decreased to normal levels by 0301.
Shutdown cooling was not lined up to loop "B" because it was expected that loop "A" would be back in service prior to approaching 212*F and due to the length of time required to line up that loop for operation. Loop "B" was not initially used because of potential salt water leaks on a room cooler and inoperative pump suction valve motors. Primary containment could not be quickly established due to cables going through the personnel access hatch and the torus hatch being removed.
i EVENT 2 DESCRIPTION At 1420 on December 9, 1980, the conventional and nuclear service water systems were secured to repair the 2A conventional service water pump i
discharge check valve. Primary coolant temperature at this time was less j
than 120*F. At 1615, RHR pumps ("A" loop) were secured to reduce coolant heat input from the pumps. Primary coolant temperature at this time was l
approximately 150*F.
Due to unexpected problems, repairs to the valve took longer than anticipated. At 2015, the conventional and nuclear service water systems were returned to service following the check valva replacement.
Primary coolant temperature at this time as read at the vessel bottom head drain was 147'F.
At 2033, shutdown cooli'.g was initiated with the
~"B" loop of RHR and the average coolant temperature reached approximately 212*F with a local maximum of 256*F. Primary containment could not be
- - quickly established due to cables going through the personnel access hatch and tha torus hatch being i m ed.
1he reactor head vents were open during this time with zero pressure in.the reactor vest.e1. Primary coolant temperature was reduced to normal levels by 2336.
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CAUSE DESCRIPTION The causes for the above events are as follows:
1.
Maintenance in both events was not completed in the estimated time due to unexpected problems.
2.
During the first event the "B" lbop, although available, was not used due to potential leaks on a room cooler an.d the i
requirement for manual valve operation due to inoperative pump suction valve motors.
l 3.
Securing the RHR pumps while maintenance was in progress during the second event caused the loss of representative temperature indications. The temperature as read at the bottom head drain was not representative due to the low flow and the lack of vessel recirculation.
4.
FA. lure of the control room personnel to fully recognize i.he heat up rate in the second event.
5.
Pailure to plan and promptly impleueut contingency plans for the possibility of unexpected delays in maintenance.
ACTION TO PREVENT REOCCURRANCE The following actions have been or will be taken to prevent further events of this nature,:
1.
Appropriate licensed personnel were removed from licensed activities during the investigation of these events. These personnel were given special training on shutdown cooling, primary containment, and service water technical specifications.
2.
Instructions were issued to all shifts to prohibit operating shutdown cooling in a degraded mode without PNSC review and General Manager approved procedures.
3.
- - Operating procedures will be revised to provide operations
. personnel instruction for operating shutdown cooling in degraded modes.
4.
All licensed personnel will be provided with special training on shutdown cooling, primary containment, and service water technical specifications.
5.
Operating instructions will be revised to require prior PNSC review and approval prior to performing all new Operating Work Procedures.
6.
These events were discussed with all licensed personnel by the Manager-Operations.
The need for planning work, providing for contingencies, and maintaining good communications with amintenance personnel was stressed at these meetings..
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Appropriate disciplinary actions have been taken with the personnel involved.
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| 05000325/LER-1980-001, Forwards LER 80-001/03L-0 | Forwards LER 80-001/03L-0 | | | 05000325/LER-1980-001-03, /03L-0:on 800102,during Normal Operation, Containment Atmospheric Monitor Had Step Increase of Approx 2%.Caused by Instrument Drift.Instrument Recalibr & Returned to Svc | /03L-0:on 800102,during Normal Operation, Containment Atmospheric Monitor Had Step Increase of Approx 2%.Caused by Instrument Drift.Instrument Recalibr & Returned to Svc | | | 05000324/LER-1980-001, Forwards LER 80-001/03L-0 | Forwards LER 80-001/03L-0 | | | 05000324/LER-1980-001-03, /03L-0:on 800117,during Attempt to Start RHR Room Cooler 2A,breaker Tripped on Magnetics.Cause Could Not Be Determined Due to Inoperable Room Cooler 2B.Breaker Reset & Closed | /03L-0:on 800117,during Attempt to Start RHR Room Cooler 2A,breaker Tripped on Magnetics.Cause Could Not Be Determined Due to Inoperable Room Cooler 2B.Breaker Reset & Closed | | | 05000324/LER-1980-002, Forwards LER 80-002/03L-0 | Forwards LER 80-002/03L-0 | | | 05000324/LER-1980-002-03, /03L-0:on 800102,during Normal Reactor Startup,Rod Sequence Control Sys Would Not Allow Rods to Be Pulled Until Rod 34-27 Was Bypassed full-in. Caused by Defective full- in Reed Switch.Switch Will Be Repaired or Replaced | /03L-0:on 800102,during Normal Reactor Startup,Rod Sequence Control Sys Would Not Allow Rods to Be Pulled Until Rod 34-27 Was Bypassed full-in. Caused by Defective full- in Reed Switch.Switch Will Be Repaired or Replaced | | | 05000325/LER-1980-002-03, /03L-0:on 800106,during Normal Operation,Point 4 of Chloride Intrusion Monitor 1-CO-CR24 Was Reading Downscale.Caused by Defective Relay & Dirty Contacts.Relay Replaced,Contacts Cleaned & Recorder Returned to Svc | /03L-0:on 800106,during Normal Operation,Point 4 of Chloride Intrusion Monitor 1-CO-CR24 Was Reading Downscale.Caused by Defective Relay & Dirty Contacts.Relay Replaced,Contacts Cleaned & Recorder Returned to Svc | | | 05000325/LER-1980-002, Forwards LER 80-002/03L-0 | Forwards LER 80-002/03L-0 | | | 05000324/LER-1980-003, Forwards LER 80-003/03L-0 | Forwards LER 80-003/03L-0 | | | 05000324/LER-1980-003-03, /03L-0:on 800103,during Reactor Startup,Vessel Conductivity Exceeded 2 Umho for 31-h.Caused by Auxiliary Boilers Being Isolated for Months & Supply Lines Containing Stagnant,High Conductivity Water | /03L-0:on 800103,during Reactor Startup,Vessel Conductivity Exceeded 2 Umho for 31-h.Caused by Auxiliary Boilers Being Isolated for Months & Supply Lines Containing Stagnant,High Conductivity Water | | | 05000325/LER-1980-003, Forwards LER 80-003/03L-0 | Forwards LER 80-003/03L-0 | | | 05000325/LER-1980-003-03, /03L-0:on 800114,channel Calibr CST Level Switch 1E41-LSL-N002 Found to Actuate at 23 Feet Decreasing.Caused by Switch Out of Calibr.Instrument Calibr & Returned to Svc | /03L-0:on 800114,channel Calibr CST Level Switch 1E41-LSL-N002 Found to Actuate at 23 Feet Decreasing.Caused by Switch Out of Calibr.Instrument Calibr & Returned to Svc | | | 05000325/LER-1980-004, Forwards LER 80-004/03L-0 | Forwards LER 80-004/03L-0 | | | 05000325/LER-1980-004-03, /03L-0:on 800308,during Normal Plant Operation, Oxygen Channel of Containment Atmospheric Monitor CAC-AT- 1263-2 Experienced 1% Step Change.Caused by Possible Wiring or Connection Problem.Monitor Repair Is Underway | /03L-0:on 800308,during Normal Plant Operation, Oxygen Channel of Containment Atmospheric Monitor CAC-AT- 1263-2 Experienced 1% Step Change.Caused by Possible Wiring or Connection Problem.Monitor Repair Is Underway | | | 05000324/LER-1980-004, Forwards LER 80-004/03L-0 | Forwards LER 80-004/03L-0 | | | 05000324/LER-1980-004-03, /03L-0:on 800127,during Normal Operations, Containment Atmospheric Monitor CAC-AT-1263 Kept Shutting Down Due to Low Flow Following Inerting Operation of Drywell.Cause Undetermined.Instruments to Be Replaced | /03L-0:on 800127,during Normal Operations, Containment Atmospheric Monitor CAC-AT-1263 Kept Shutting Down Due to Low Flow Following Inerting Operation of Drywell.Cause Undetermined.Instruments to Be Replaced | | | 05000325/LER-1980-005-03, /03L-0:on 800113,while Performing Control Rod Operability Check,Control Rod 42-35 Had No Position Indication at Notch 47.Caused by Fault in Reed Switch in Prototypic Inlet Piping Probe | /03L-0:on 800113,while Performing Control Rod Operability Check,Control Rod 42-35 Had No Position Indication at Notch 47.Caused by Fault in Reed Switch in Prototypic Inlet Piping Probe | | | 05000325/LER-1980-005, Forwards LER 80-005/03L-0 | Forwards LER 80-005/03L-0 | | | 05000324/LER-1980-005-03, /03L-0:on 800105,during Normal Operation,Found Isolation Valve for Pressure Switch 2-E11-PS-N010D Shut. Cause Unknown.Counselled Personnel on Necessity to Follow Procedures to Ensure Proper Instrumentation Svc | /03L-0:on 800105,during Normal Operation,Found Isolation Valve for Pressure Switch 2-E11-PS-N010D Shut. Cause Unknown.Counselled Personnel on Necessity to Follow Procedures to Ensure Proper Instrumentation Svc | | | 05000324/LER-1980-005, Forwards LER 80-005/03L-0 | Forwards LER 80-005/03L-0 | | | 05000325/LER-1980-006-03, /03L-0:on 800225,while Working on Trouble Ticket Re Position Indication for RIP Valve 49B,discovered Valve Not Closing Fully When Given Closing Signal.No Cause Stated. Valve Will Be Repaired During 1980 Refueling Outage | /03L-0:on 800225,while Working on Trouble Ticket Re Position Indication for RIP Valve 49B,discovered Valve Not Closing Fully When Given Closing Signal.No Cause Stated. Valve Will Be Repaired During 1980 Refueling Outage | | | 05000325/LER-1980-006, Forwards LER 80-006/03L-0 | Forwards LER 80-006/03L-0 | | | 05000324/LER-1980-006, Forwards LER 80-006/03L-0 | Forwards LER 80-006/03L-0 | | | 05000324/LER-1980-006-03, /03L-0:on 800103,during Normal Startup,Control Rod 26-07 Had No Position Indication at Notch 48.During 800109 Startup,Rod 34-35 Had No Indication at Notch 7.Caused by Faulty Reed Switches in Prototypical Inlet Piping Probes | /03L-0:on 800103,during Normal Startup,Control Rod 26-07 Had No Position Indication at Notch 48.During 800109 Startup,Rod 34-35 Had No Indication at Notch 7.Caused by Faulty Reed Switches in Prototypical Inlet Piping Probes | | | 05000324/LER-1980-007-03, /03L-0:on 800204,when Plant Batteries Were Placed in Equalize,Steam Leak Detection a Logic Topaz Inverter, Model 125-GW 12560,tripped.Caused by Improper Setting on Inverter High Voltage Trip.Inverter Trips Recalibr | /03L-0:on 800204,when Plant Batteries Were Placed in Equalize,Steam Leak Detection a Logic Topaz Inverter, Model 125-GW 12560,tripped.Caused by Improper Setting on Inverter High Voltage Trip.Inverter Trips Recalibr | | | 05000324/LER-1980-007, Forwards LER 80-007/03L-0 | Forwards LER 80-007/03L-0 | | | 05000325/LER-1980-007, Forwards LER 80-007/03L-0 | Forwards LER 80-007/03L-0 | | | 05000325/LER-1980-007-03, /03L-0:on 800114,during Normal Operation,Torus Level Indicator CAC-LI-3342 on Remote Shutdown Panel Was Not in Agreement W/Others in Control Room.Caused by Air Trapped in Demineralizer Water Line to Ref Leg.Instrument Recali | /03L-0:on 800114,during Normal Operation,Torus Level Indicator CAC-LI-3342 on Remote Shutdown Panel Was Not in Agreement W/Others in Control Room.Caused by Air Trapped in Demineralizer Water Line to Ref Leg.Instrument Recalibr | | | 05000324/LER-1980-008-03, /03L-0:on 800110,while Performing Reactor Core Isolation Cooling Instrument Check,Reactor Core Isolation Cooling Trip & Throttle Valve MOV-V8 Would Not Trip.Caused by Burned Solenoid.Solenoid Repaired | /03L-0:on 800110,while Performing Reactor Core Isolation Cooling Instrument Check,Reactor Core Isolation Cooling Trip & Throttle Valve MOV-V8 Would Not Trip.Caused by Burned Solenoid.Solenoid Repaired | | | 05000324/LER-1980-008, Forwards LER 80-008/03L-0 | Forwards LER 80-008/03L-0 | | | 05000325/LER-1980-008-03, /03L-0:on 800115,while Attempting to Start RHR Svs Water Pump 1D to Check for Flange Leaks,Low Suction Pressure Annunciator Would Not Clear,Making B Loop Inoperable.Caused by Failure to re-energize Circuit 19 | /03L-0:on 800115,while Attempting to Start RHR Svs Water Pump 1D to Check for Flange Leaks,Low Suction Pressure Annunciator Would Not Clear,Making B Loop Inoperable.Caused by Failure to re-energize Circuit 19 | | | 05000325/LER-1980-008, Forwards LER 80-008/03L-0 | Forwards LER 80-008/03L-0 | | | 05000325/LER-1980-009, Forwards LER 80-009/03L-0 | Forwards LER 80-009/03L-0 | | | 05000325/LER-1980-009-03, /03L-0:on 800120,during Normal Operation,Control Operator Noticed Containment Atmospheric Monitor Had Step Change for No Apparent Reason.No Cause Determined.Components of Monitor Replaced & Recalibr | /03L-0:on 800120,during Normal Operation,Control Operator Noticed Containment Atmospheric Monitor Had Step Change for No Apparent Reason.No Cause Determined.Components of Monitor Replaced & Recalibr | | | 05000324/LER-1980-009, Forwards LER 80-009/03L-0 | Forwards LER 80-009/03L-0 | | | 05000324/LER-1980-009-03, /03L-0:on 800114,during Normal Operation, Containment Atmospheric Monitor CAC-AT-1259-1 Failed Upscale.Caused by Loose Ground Connection on Span Potentiometer.Connection Tightened | /03L-0:on 800114,during Normal Operation, Containment Atmospheric Monitor CAC-AT-1259-1 Failed Upscale.Caused by Loose Ground Connection on Span Potentiometer.Connection Tightened | | | 05000325/LER-1980-010-03, /03L-0:on 800122,while Performing Main Steam Line High Radiation Functional Check,Drawer 1D12-RM-K603B Found Out of Calibr.Instrument Drift Is Recurring Problem. Drawer Recalibr & Returned to Svc | /03L-0:on 800122,while Performing Main Steam Line High Radiation Functional Check,Drawer 1D12-RM-K603B Found Out of Calibr.Instrument Drift Is Recurring Problem. Drawer Recalibr & Returned to Svc | | | 05000325/LER-1980-010, Forwards LER 80-010/03L-0 | Forwards LER 80-010/03L-0 | | | 05000324/LER-1980-010-03, /03L-0:on 800114,during Normal Plant Operation, Nuclear Engineer Performed OD-1 & Found Max Critical Power Ratio to Exceed Limit.Caused by Low Power Range Monitor Having Two Levels Bypassed & Problems W/Core Flow Input | /03L-0:on 800114,during Normal Plant Operation, Nuclear Engineer Performed OD-1 & Found Max Critical Power Ratio to Exceed Limit.Caused by Low Power Range Monitor Having Two Levels Bypassed & Problems W/Core Flow Input | | | 05000324/LER-1980-010, Supplemental LER 80-010/03L-1:on 800114,during Normal Plant operation,OD-1 Determined That Max Critical Power Ratio Was Below Tech Specs for Bundle 43-28.Caused by Problems W/Low Power Range Monitor & Core Flow Input.Power Redu | Supplemental LER 80-010/03L-1:on 800114,during Normal Plant operation,OD-1 Determined That Max Critical Power Ratio Was Below Tech Specs for Bundle 43-28.Caused by Problems W/Low Power Range Monitor & Core Flow Input.Power Reduced | | | 05000325/LER-1980-011-03, /03L-0:on 800121,during 10-minute Run of HPCI Auxiliary Oil Pump,Stoppage Occurred When Switch Moved from Start to Auto Position.Caused by Loose Wire on RTGB Control Switch.Wire Reattached & Tightened | /03L-0:on 800121,during 10-minute Run of HPCI Auxiliary Oil Pump,Stoppage Occurred When Switch Moved from Start to Auto Position.Caused by Loose Wire on RTGB Control Switch.Wire Reattached & Tightened | | | 05000325/LER-1980-011, Forwards LER 80-011/03L-0 | Forwards LER 80-011/03L-0 | | | 05000324/LER-1980-011-03, /03L-0:on 800110,when Time Was Entered on Computer After Reinitialization,Computer Had Software Stall & Could Not Be Kept on Line,Causing Temp Recorder CAC-7R-1258 to Be Inoperable.New Points Added to Sys | /03L-0:on 800110,when Time Was Entered on Computer After Reinitialization,Computer Had Software Stall & Could Not Be Kept on Line,Causing Temp Recorder CAC-7R-1258 to Be Inoperable.New Points Added to Sys | | | 05000324/LER-1980-011, Forwards LER 80-011/03L-0 | Forwards LER 80-011/03L-0 | | | 05000325/LER-1980-012-03, /03L-0:on 800224,during Normal Plant Operation,Rip Valves,Variable Leg Isolation for Torus Level Transmitter & Variable Leg for Torus Level Pressure Switch Shut & Could Not Be Opened.Caused by Failure of Svc Air Compressors | /03L-0:on 800224,during Normal Plant Operation,Rip Valves,Variable Leg Isolation for Torus Level Transmitter & Variable Leg for Torus Level Pressure Switch Shut & Could Not Be Opened.Caused by Failure of Svc Air Compressors | | | 05000325/LER-1980-012, Forwards LER 80-012/03L-0 | Forwards LER 80-012/03L-0 | | | 05000324/LER-1980-012-03, /03L-0:on 800116,while Performing Torus Water Level Calibr & Functional Check,Level Switch E41-LSH-NOI5A Would Not Actuate.Caused by Switch Out of Calibr.Instrument Recalibr | /03L-0:on 800116,while Performing Torus Water Level Calibr & Functional Check,Level Switch E41-LSH-NOI5A Would Not Actuate.Caused by Switch Out of Calibr.Instrument Recalibr | | | 05000324/LER-1980-012, Forwards LER 80-012/03L-0 | Forwards LER 80-012/03L-0 | | | 05000324/LER-1980-013-03, /03L-0:on 800116,during Normal Operation, Containment Atmospheric Monitor CAC-AQH-1260 Monitor Breaker Had Tripped on Magnetics Rendering CAC-AQH-1262-2 Inoperable.Caused by Short in Power Lead.Lead Taped | /03L-0:on 800116,during Normal Operation, Containment Atmospheric Monitor CAC-AQH-1260 Monitor Breaker Had Tripped on Magnetics Rendering CAC-AQH-1262-2 Inoperable.Caused by Short in Power Lead.Lead Taped | | | 05000325/LER-1980-013-03, /03L-0:on 800125,while Performing Reactor Low Water Level 2 & 3 Channel Calibr & Functional Check,Low Pressure Switch 1B21-LITS-N031A-2 Failed to Actuate.Caused by Instrument Drift.Instruments to Be Replaced | /03L-0:on 800125,while Performing Reactor Low Water Level 2 & 3 Channel Calibr & Functional Check,Low Pressure Switch 1B21-LITS-N031A-2 Failed to Actuate.Caused by Instrument Drift.Instruments to Be Replaced | |
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