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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J2481994-10-0707 October 1994 LER 94-012-00:on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be revised.W/941007 Ltr ML20029E5581994-05-13013 May 1994 LER 94-005-00:on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth reviews.W/940513 Ltr ML20029D9941994-05-11011 May 1994 LER 94-006-00:on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024.W/940511 Ltr ML20045H4731993-07-15015 July 1993 LER 93-002-00:on 930615,reactor Tripped Due to High SG Level Caused by Failure of Feedwater Control Sys.Caused by Failure of Square Root Extractor in Feedwater Flow Circuit.Failed Components Replaced & Alarm Setpoints reviewed.W/930715 Ltr ML20029B6381991-03-0808 March 1991 LER 89-007-01:on 890331,inadequate Design of Air Accumulators Due to Inadequate Review of Design Requirements Implemented as Part of post-TMI Action Plan.Design Change 3195 Phase I implemented.W/910308 Ltr ML20029A8471991-02-28028 February 1991 LER 90-019-01:on 901212,both Trains of Control Room Heating Ventilation & Air Conditioning Sys Inoperable Due to Breach in Control Room Envelope.Caused by Air Flow Past Retaining Angle.Leakage Paths repaired.W/910228 Ltr ML20028G9631990-10-0202 October 1990 LER 90-013-00:on 900903,unsampled Gas Released from Gaseous Waste Mgt Sys.Caused by Internal Leakage Past Discharge Isolation Valves.Administrative Controls in Place to Ensure That Gas Decay Tanks Sampled Prior to release.W/901002 Ltr ML20028G9211990-09-24024 September 1990 LER 90-012-00:on 900825,reactor Tripped Due to Lightning Strike.Station Mod Request Issued to Provide Uninterruptable Power Source for Steam Bypass Control sys.W/900924 Ltr ML20044A6661990-06-27027 June 1990 LER 90-006-00:on 841218.determined That Shutdown Cooling Sys Relief Valve Setpoint Not Set,Per Tech Spec Requirement. Caused by Procedural Inadequacy.Procedure MM-007-006 revised.W/900627 Ltr ML20043G1961990-06-15015 June 1990 LER 90-001-01:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Developed to Govern Control of Air Lock doors.W/900615 Ltr ML20043G2041990-06-14014 June 1990 LER 89-006-01:on 870105,safety Class Break Requirements Not Met.Caused by Programmatic Breakdown in Administrative Controls.Valves Closed & Design Drawings & Procedures revised.W/900614 Ltr ML20043B1121990-05-21021 May 1990 LER 90-005-00:on 900420,condenser Vacuum Pump Discharge Wide Range Gas Monitor Setpoint Discovered to Be Incorrect.Caused by Inadequate Change Procedure for Data Base Manual. Administrative Procedures revised.W/900521 Ltr ML20042F7501990-05-0707 May 1990 LER 90-004-00:on 900408,partial Actuation of Emergency Feedwater Sys Occurred During Scheduled Test of Plant Protection Sys.Caused by Test Circuit Malfunction.Relay Hold Pushbutton Assembly replaced.W/900507 Ltr ML20012D6671990-03-23023 March 1990 LER 90-001-00:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Will Be developed.W/900323 Ltr ML19354E0181990-01-22022 January 1990 LER 89-024-00:on 891223,manual Trip of Plant Initiated in Response to Decreasing Level in Steam Generator.Caused Probably by Anomaly in Main Feed Regulating Valve Pneumatic Control Sys.Tent Erected Around valve.W/900122 Ltr ML19354E0171990-01-19019 January 1990 LER 89-023-00:on 890927,MSIV 2MS-124B,determined to Have Broken Stem.Caused by MSIV Hydraulic Control Unit Thermal Valve Leakage.Replacement MSIV Stems W/Increased Blend Radius Designed to Decrease Stress installed.W/900119 Ltr ML20005E0971989-12-29029 December 1989 LER 89-017-01:on 890819,automatic Reactor Trip Initiated by Plant Protection Sys Response to Variations in Core Axial Shape Index.Caused by Failure of Pulldown & Lower Gripper Coil Current Sensors.Equipment replaced.W/891229 Ltr ML20011D2541989-12-20020 December 1989 LER 89-022-00:on 891128,plant Operated in Condition Prohibited by Tech Specs When Emergency Diesel Generator a Inoperable More than 24 H.Caused by Personnel Error.Ltr Issued to All Shift supervisors.W/891220 Ltr ML20011F4591989-12-18018 December 1989 LER 89-021-00:on 891116,emergency Diesel Generator a Declared Inoperable When Essential Svcs Chiller a Declared Inoperable W/O Verifying Availability of Offsite Ac Power. Caused by Personnel Error.Supervisor counseled.W/891218 Ltr ML19332C5781989-11-20020 November 1989 LER 89-020-00:on 891031,containment Fan Cooler C Motor Ran in Reverse Direction Reducing Air Flow & Cooling Capacity. Caused by Personnel Not Performing Surveillance Testing. Motor Rewired for Correct Slow Speed operation.W/891120 Ltr ML19327C1111989-11-13013 November 1989 LER 89-002-01:on 890125,discovered That Safety Classification of Instrument Air Tubing That Supplies Outlet Isolation Valves Installed as non-nuclear Safety.Caused by Use of Weld Filler Matl.Tech Spec Change Sent ML19324C4611989-11-13013 November 1989 LER 89-019-00:on 891012,4.16-kV Bus 3A2 Metering Potential Transformer Fuse Door Inadvertently Opened,Causing Feeder Breaker & Supply Breaker to Open & Load Sequencer to Reset. Caused by Personnel Error.Drawers relabeled.W/891113 Ltr ML19327B3511989-10-23023 October 1989 LER 89-018-00:on 890921,while Testing Main Steam Safety Valve,Lift Pressure Found to Be Below Tech Spec Allowable Value.Caused by Error in Judgement by Plant Supervisors. Event Will Be Discussed by superintendent.W/891023 Ltr 1994-05-13
[Table view] Category:RO)
MONTHYEARML20024J2481994-10-0707 October 1994 LER 94-012-00:on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be revised.W/941007 Ltr ML20029E5581994-05-13013 May 1994 LER 94-005-00:on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth reviews.W/940513 Ltr ML20029D9941994-05-11011 May 1994 LER 94-006-00:on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024.W/940511 Ltr ML20045H4731993-07-15015 July 1993 LER 93-002-00:on 930615,reactor Tripped Due to High SG Level Caused by Failure of Feedwater Control Sys.Caused by Failure of Square Root Extractor in Feedwater Flow Circuit.Failed Components Replaced & Alarm Setpoints reviewed.W/930715 Ltr ML20029B6381991-03-0808 March 1991 LER 89-007-01:on 890331,inadequate Design of Air Accumulators Due to Inadequate Review of Design Requirements Implemented as Part of post-TMI Action Plan.Design Change 3195 Phase I implemented.W/910308 Ltr ML20029A8471991-02-28028 February 1991 LER 90-019-01:on 901212,both Trains of Control Room Heating Ventilation & Air Conditioning Sys Inoperable Due to Breach in Control Room Envelope.Caused by Air Flow Past Retaining Angle.Leakage Paths repaired.W/910228 Ltr ML20028G9631990-10-0202 October 1990 LER 90-013-00:on 900903,unsampled Gas Released from Gaseous Waste Mgt Sys.Caused by Internal Leakage Past Discharge Isolation Valves.Administrative Controls in Place to Ensure That Gas Decay Tanks Sampled Prior to release.W/901002 Ltr ML20028G9211990-09-24024 September 1990 LER 90-012-00:on 900825,reactor Tripped Due to Lightning Strike.Station Mod Request Issued to Provide Uninterruptable Power Source for Steam Bypass Control sys.W/900924 Ltr ML20044A6661990-06-27027 June 1990 LER 90-006-00:on 841218.determined That Shutdown Cooling Sys Relief Valve Setpoint Not Set,Per Tech Spec Requirement. Caused by Procedural Inadequacy.Procedure MM-007-006 revised.W/900627 Ltr ML20043G1961990-06-15015 June 1990 LER 90-001-01:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Developed to Govern Control of Air Lock doors.W/900615 Ltr ML20043G2041990-06-14014 June 1990 LER 89-006-01:on 870105,safety Class Break Requirements Not Met.Caused by Programmatic Breakdown in Administrative Controls.Valves Closed & Design Drawings & Procedures revised.W/900614 Ltr ML20043B1121990-05-21021 May 1990 LER 90-005-00:on 900420,condenser Vacuum Pump Discharge Wide Range Gas Monitor Setpoint Discovered to Be Incorrect.Caused by Inadequate Change Procedure for Data Base Manual. Administrative Procedures revised.W/900521 Ltr ML20042F7501990-05-0707 May 1990 LER 90-004-00:on 900408,partial Actuation of Emergency Feedwater Sys Occurred During Scheduled Test of Plant Protection Sys.Caused by Test Circuit Malfunction.Relay Hold Pushbutton Assembly replaced.W/900507 Ltr ML20012D6671990-03-23023 March 1990 LER 90-001-00:on 900223,discovered Controlled Ventilation Area Sys Airlock Doors D-170 & D-171 Open.Caused by Inadequate Administrative Controls.Procedural Instructions Will Be developed.W/900323 Ltr ML19354E0181990-01-22022 January 1990 LER 89-024-00:on 891223,manual Trip of Plant Initiated in Response to Decreasing Level in Steam Generator.Caused Probably by Anomaly in Main Feed Regulating Valve Pneumatic Control Sys.Tent Erected Around valve.W/900122 Ltr ML19354E0171990-01-19019 January 1990 LER 89-023-00:on 890927,MSIV 2MS-124B,determined to Have Broken Stem.Caused by MSIV Hydraulic Control Unit Thermal Valve Leakage.Replacement MSIV Stems W/Increased Blend Radius Designed to Decrease Stress installed.W/900119 Ltr ML20005E0971989-12-29029 December 1989 LER 89-017-01:on 890819,automatic Reactor Trip Initiated by Plant Protection Sys Response to Variations in Core Axial Shape Index.Caused by Failure of Pulldown & Lower Gripper Coil Current Sensors.Equipment replaced.W/891229 Ltr ML20011D2541989-12-20020 December 1989 LER 89-022-00:on 891128,plant Operated in Condition Prohibited by Tech Specs When Emergency Diesel Generator a Inoperable More than 24 H.Caused by Personnel Error.Ltr Issued to All Shift supervisors.W/891220 Ltr ML20011F4591989-12-18018 December 1989 LER 89-021-00:on 891116,emergency Diesel Generator a Declared Inoperable When Essential Svcs Chiller a Declared Inoperable W/O Verifying Availability of Offsite Ac Power. Caused by Personnel Error.Supervisor counseled.W/891218 Ltr ML19332C5781989-11-20020 November 1989 LER 89-020-00:on 891031,containment Fan Cooler C Motor Ran in Reverse Direction Reducing Air Flow & Cooling Capacity. Caused by Personnel Not Performing Surveillance Testing. Motor Rewired for Correct Slow Speed operation.W/891120 Ltr ML19327C1111989-11-13013 November 1989 LER 89-002-01:on 890125,discovered That Safety Classification of Instrument Air Tubing That Supplies Outlet Isolation Valves Installed as non-nuclear Safety.Caused by Use of Weld Filler Matl.Tech Spec Change Sent ML19324C4611989-11-13013 November 1989 LER 89-019-00:on 891012,4.16-kV Bus 3A2 Metering Potential Transformer Fuse Door Inadvertently Opened,Causing Feeder Breaker & Supply Breaker to Open & Load Sequencer to Reset. Caused by Personnel Error.Drawers relabeled.W/891113 Ltr ML19327B3511989-10-23023 October 1989 LER 89-018-00:on 890921,while Testing Main Steam Safety Valve,Lift Pressure Found to Be Below Tech Spec Allowable Value.Caused by Error in Judgement by Plant Supervisors. Event Will Be Discussed by superintendent.W/891023 Ltr 1994-05-13
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217F2891999-10-13013 October 1999 Drill 99-08 Emergency Preparedness Exercise on 991013 ML20217G7211999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Waterford 3 Ses. with ML20211Q2141999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Waterord 3 Ses.With ML20210Q6361999-07-31031 July 1999 Corrected Monthly Operating Rept for July 1999 for Waterford 3 ML20210S0581999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Waterford 3.With ML20210D8951999-07-23023 July 1999 Safety Evaluation Accepting First 10-yr Interval Inservice Insp Plan Requests for Relief ISI-018 - ISI-020 ML20209H3781999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Waterford 3 Ses. with ML20195J8951999-06-17017 June 1999 Safety Evaluation Granting Relief for Listed ISI Parts for Current Interval,Per 10CFR50.55a(g)(5)(iii) ML20207E8631999-06-0303 June 1999 Safety Evaluation Accepting Licensee 990114 Submittal of one-time Request for Relief from ASME B&PV Code IST Requirements for Pressure Safety Valves at Plant,Unit 3 ML20195K3391999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Waterford 3 Ses.With ML20195C3041999-05-28028 May 1999 Annual Rept on Abb CE ECCS Performance Evaluation Models ML20206S7401999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Waterford 3.With ML20205T2621999-04-22022 April 1999 LER 99-S02-00:on 990216,contract Employee Inappropriately Granted Unescorted Access to Plant Protected Area.Caused by Personnel Error.Security Personnel Performed Review of Work & Work Area That Individual Was Involved with ML20205N9671999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Waterford 3 Ses.With ML20205E8531999-03-30030 March 1999 Corrected Pages COLR 3/4 1-4 & COLR 3/4 2-6 to Rev 1, Cycle 10, Colr ML20205A6331999-03-25025 March 1999 SER Accepting Request to Use Mechanical Nozzle Seal Assemblies as an Alternative Repair Method,Per 10CFR50.55a(a)(3)(i) for Reactor Coolant Sys Applications at Plant,Unit 3 ML20204H1401999-03-23023 March 1999 Rev 1 to Engineering Rept C-NOME-ER-0120, Design Evaluation of Various Applications at Waterford Unit 3 ML20204H1231999-03-22022 March 1999 Rev 1 to Design Rept C-PENG-DR-006, Addendum to Cenc Rept 1444 Analytical Rept for Waterford Unit 3 Piping ML20204H2451999-03-22022 March 1999 Rev 2 to C-NOME-SP-0067, Design Specification for Mechanical Nozzle Seal Assembly (Mnsa) Waterford Unit 3 ML20204F0791999-03-17017 March 1999 Rev 1 to Waterford 3 COLR for Cycle 10 ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207F3491999-03-0505 March 1999 LER 99-S01-00:on 990203,contraband Was Discovered in Plant Protected Area.Bottle Was Determined to Have Been There Since Original Plant Construction.Bottle Was Removed & Security Personnel Performed Search of Area.With ML20204B5141999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Waterford 3.With ML20203H8591999-02-17017 February 1999 Safety Evaluation Accepting Licensee Second Ten Year ISI Program & Associated Relief Requests for Plant,Unit 3 ML20199H6261999-01-21021 January 1999 Safety Evaluation Accepting Classification of Instrument Air Tubing & Components for Safety Related Valve Top Works.Staff Recommends That EOI Revise Licensing Basis to Permit Incorporation of Change ML20199C9101998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Waterford 3.With ML20196F4911998-12-0101 December 1998 SER Accepting Request for Relief ISI2-09 for Waterford Steam Electric Station,Unit 3 & Arkansas Nuclear One,Unit 2 ML20206N4131998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Waterford 3.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 ML20195E5161998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Waterford 3.With ML20155C1351998-10-26026 October 1998 Rev B to Entergy QA Program Manual ML20154K0801998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Waterford 3 Ses. with ML20151W8331998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Waterford,Unit 3. with ML20237B6831998-08-17017 August 1998 LER 98-S01-00:on 980723,discovered That Waterford 3 Physical Security Plan,Safeguards Document Was Not Under Positive Control of Authorized Person at All Times.Caused by Human Error/Inappropriate Action.Counseled Employee Involved ML20237C5661998-08-17017 August 1998 Safety Evaluation Accepting Licensee Request for Exemption from Section Iii.O of Appendix R to 10CFR50 ML18066A2771998-08-13013 August 1998 Part 21 Rept Re Deficiency in CE Current Screening Methodology for Determining Limiting Fuel Assembly for Detailed PWR thermal-hydraulic Sa.Evaluations Were Performed for Affected Plants to Determine Effect of Deficiency ML20237B5261998-07-31031 July 1998 Monthly Operating Rept for July 1998 for Waterford 3 ML20236S9031998-07-22022 July 1998 SER Accepting Rev 19 to Quality Assurance Program for Waterford Steam Electric Station,Unit 3 ML20198H3911998-07-14014 July 1998 Non-proprietary Rev 5 to HI-961586, Thermal-Hydraulic Analysis of Waterford-3 Spent Fuel Pool ML20236N4181998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Waterford,Unit 3 ML20248E7781998-06-0101 June 1998 Annual Rept on Abb CE ECCS Performance Evaluation Models ML20249A4711998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Waterford 3 Ses ML20196A4051998-05-31031 May 1998 Rept of Facility Changes,Tests & Experiments,Per 10CFR50.59 for 970601-980531. with ML20198H4681998-05-20020 May 1998 Non-proprietary Rev 1 to HI-981942, Independent Review of Waterford Unit 3 Spent Fuel Pool Cfd Model ML20247A3891998-05-0101 May 1998 SG Eddy Current Examination (8th Refueling Outage) ML20247F6761998-04-30030 April 1998 Monthly Operating Rept for Apr 1998 for Waterford,Unit 3.W/ 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) ML20216B1751998-03-31031 March 1998 Monthly Operating Rept for Mar 1998 for Waterford 3 Ses ML20217M1411998-03-0303 March 1998 Rev 2 of Waterford 3 Cycle 9 Colr 1999-09-30
[Table view] |
Text
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Ref:1 10CFR50.73(a)(2)(iv)
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January 22, 1990, 'i U.S. Nuclear Regulatory Commission- ,
ATTENTION - Document Control Desk ,
Washington, D.C.- 20555.
Subjects.' Waterford 3.SES Docket No. 50-382~
. License No. NPF-38 Reporting of Licensee Event-Report.
Gentlemen Attached is Licensee Event Report Number LER-89-024-00 for Waterford Steam Electric-Station Unit 3. This Licensee Event Report is submitted pursuant to 10CFR50.73(a)(2)(iv).-
Very truly yours, i
J.R. McGaha- ( '
L-'
Plant Manager' . Nuclear cJRM/KTW/rk -
(w/ Attachment)'
cci Messrs. R.D. Martin
'J.T. Wheelock - INPO Records Center ::
E.L.-Blake W.M. Stevenson j ,. 'D.L. Wigginton- . .;
NRC Resident' Inspectors Office, '
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' #"h' AP'10VED oms NO.3160 0104 LICENSEE EVENT REPORT (LER) ""''8"'
F ACILITY NAME (1) DOCKE T NUMSER (2) PAGE G hterford Steam Electric ' Station Unit 3 0 15101010l 31812 1 lOFl 017 flTLE tes Renetor Trin due to Loss of Feedwater Flow to Steam Generator #1 EVENT DATE (S) LER NUMBER (61 REPORT DATE (h OTHER F ACILITIES INVOLVED (el MONTH DAY YEAR YEAR S'OU$f 75 % MONTH DAY YEAR f aciuTV NAMES DOCKET NUMBER 151 N/A 015l0l0l0l l l
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1l2 2b 89 8l9 0l 2 l4 0l0 0 l1 2 l2 9 l0 N/A 0l5l0 1 0gog l l OPE R ATING THIS REPORT IS SUOMITTED PURSUANT TO THE REQUIREMENTS OF 10 CFR % ICn.d oa, er . nog er the to,/owrapf 111)
"'# 1 20 4021st 20 4051e1 X 50.736el(2Hol 73.71M power 20 406deH1Hil 50.30 teHil 90.73teH2 Het 73.711s1 10 ' 110l0 20 40si.HiMei s0 m.im son.H2H. i OTHER GewW M AMmn to 40 Blah 1 Heit 60.78 tall 2HG S0.73(aH2 HvdiHA) 4A 20 404teH1Hlv) 50.73 eH2Hul so.73(aH2HeniHBI 20.405 eH1Het 50.78taH210ii) to 73lal(2Hal LICENSEE CONT ACT FOR THl$ LER (12)
NAME TELEPHONE NVM8ER ARE A CODE D.F. Packer, Assistant Plant Manager O M 51014 4l 614l-13 111314 COMPLETE ONE LINE FOR E ACH COMPONENT F AILURE DESCRISED IN TH18 REPORT 113) k REPORTA E ;
CAUSE SYSTEM COMPONENT "'yj'f g "fD NPR S' CAUSE SYSTEM COMPONENT MAMC 1
l I I I I i1 l l t l l l l t I I I I I I I I I I i l i l SUPPLEMENTAL REPORT E XPECTED (14) MONTH DAY YEAR
~5 vEs m ,... . ,.. emerso sU,wss,0N oA m -"]NO 0l5 3l 0 910 Aes,R ACT a,-,, M uoo Ma... . . . mm.w, un., ,,, Ma. n erw,1-.,> n e, At 1109 hours0.0128 days <br />0.308 hours <br />0.00183 weeks <br />4.219745e-4 months <br /> on December 23, 1989, control room operators initiated a manual reactor trip of Waterford Steam Electric Station Unit 3 while operating at 100%
power. The trip was initiated in response to decreasing level in Steam Generator (SG) #1 after Main Feed Regulating Valve (MFRV) #1 unexpectedly failed shut. Shortly after the reactor trip MTRV #1 opened inadvertently. A Reactor Coolant System (RCS) cooldown and a corresponding RCS pressure drop to approximately 1640 psia resulted, generating a Safety injection Actuation Signal (SIAS). An Emergency Feedwater Actuation Signal (EFAS) was also generated during the post-trip transient.
The root cause of this event appears to be an anomaly in the MFRV pneumatic control system brought about by cold weather effects on system components._-A-vendor diagnostic team will be contracted to provide.an indepth investigation to aid in root cause determination.- If the root cause can be positively identified it will be described in a. revision to this report. All safety systems functioned as designed; therefore, this event did not threaten the health and safety of the general public or plant personnel.
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. UCENSEE EVENT REPORT (LER) TEXT CONTINUATION Aremovfo oue no siso-oio4
. EXPIRES: 8/31's F ACILfTV psAME (1) , DOctLET feueSER (3) LER fiUMBER (6) . PAGE (3) - '
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Electric Station Unit 3 0 l5 l0 l 0 l 0 l 3l 812 819 --
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At 1103 hours0.0128 days <br />0.306 hours <br />0.00182 weeks <br />4.196915e-4 months <br /> on December 23, 1989, Waterford Steam Electric Station Unit 3 was operating at 100% power when a Steam Flow /Feedwater Flow signal deviation -
alarm (EIIS Identifier IB-FFA) was received for both steam generator's (SG) ,
(EIIS Identifier-SG), SG #1 level was observed decreasing with SG #2 level '
observed increasing. Control room. operators. assumed manual control of both main feedwater regulating valve (MFRV) (Ells Identifier SJ-FCV) and SG Feed e
Pump -(SGFP) (EIIS Identifier SG-P) controllers (EIIS Identifier-FCO). MFRV #2 responded'normally to operator input. signals; however,LMFRV #1' responded '
sluggishly by cycling between 5.0E6 and 8.0E6 lbm/hr..'At 1109 hours0.0128 days <br />0.308 hours <br />0.00183 weeks <br />4.219745e-4 months <br /> MFRV #1 ,
-unexpectedly failed shut and would not-respond-to manual input signals. Control room personnel tripped the reactor as'SG #1 level approached its reactor
. protection system (RPS) (EIIS Identifier-JC) low level trip setpoint, preempting a challenge to the RPS.
During the minute following the reactor trip, MFRV #1 opened to approximately 40%, inducing a reactor coolant system (RCS) (EIIS Identifier-AB) cooldown and l corresponding RCS pressure decrease. RCS pressure decreased below the safety injection actuation signal (SIAS) (EIIS ldentifier-JE) setpoint of 1684 psia (lowest pressure reached-1640 psia). All safety injection (SI) system (EIIS Identifier-BP/BQ) components started as designed; however, no SI flow was-injected into the RCS. Also initiated during the minute following'the reactor trip was an. emergency feedwater actuation signal'(EFAS) (EIIS Identifier-JE),
which started emergency feedwater system (EFW) (EIIS Identifier-BA) components.
After taking manual control of MFRV #1, control room personnel were able to shut MFRV #1, gain control of SG level and RCS pressure and stabilize plant conditions in Mode 3 (Hot Standby).
Earlier on December 23, 1989, at 0448 hours0.00519 days <br />0.124 hours <br />7.407407e-4 weeks <br />1.70464e-4 months <br />, a Steam Flow /Feedwater Flow signal deviation alarm was received and SG #2 level was observed to.be increasing.
Operators took manual control of MFRV #2 and SGFP controllers and were able to stabilize SG level. Instrumentation and Control (I&C) technicians were called in to investigate the problem but did not identify any abnormalities in the associated valve control circuitry. MFRV and SGFP control was placed in automatic at 0815 hours0.00943 days <br />0.226 hours <br />0.00135 weeks <br />3.101075e-4 months <br />.
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'5 LICENSEE EVENT REPORT (LER) TEXT C3NTINUATION. Aaeaovto ous No. 3i:o-oio.
(XPIRES: S!)1/W F ACILITY NAhtt (H DOCKlf NUMBER Q) LtR NUM9th ($1 PAGE 13)
Waterford-Steam Electri'c Station Unit 3 0 l5 l0 l 0 l 013 l 812- 819 -
0l2l4 -
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TEXT (# mom ausse 4 #seused ses asistaanst NNC Form 3E54 W IIM The root cause of the event is believed to_be a cold weather induced anomaly
'in the MFRV pneumatic positioning system.~ The MFRV's are 16-inch angle globe valves controlled by an electro-pneumatic. control. system.- An electrical signal
.from the feedwater control. system (FWCS) (EIIS Identifier-JB) is converted to '
a pneumatic signal in the electro-pneumatic (E/P) converter (EIIS: Identifier- ,
CNV) which in turn supplies instrument-air (IA) (EIIS Identifier-LD) to the valve positioner (Fisher Controls 'Inc. . .Model 3570) . Also in the pneumatic
. control system is an air regulator-(EIIS Identifier-RG),; volume booster relays, solenoid valves (EIIS Identifier SOL-V),- pneumatic valves, and a check valve. -
The majority of these components employ the use of ' diaphragms (primarily Buna-N .
and Viton) of which the most limiting are' designed.for temperatures in'the range of 0 to 150 degrees F. At the_ time of the MFRV failures,. ambient temperatures were 12-15 degrees F. Because these components.are externally mounted and were subjected'to abnormally low temperatures, it is-possible that MFRV response was affected by degraded-diaphragm performance (st1ffness) in one or more of the components mentioned above.
Another cause under investigation is ice particle formation in the,IA system which could have clogged small air flow passages-in the positioner or some other component. Valve filter regulator blowdowns conducted _after the trip did not indicate any moisture. Also, shiftly blowdowns of system low points had not indicated maisture content prior to or after this event. Dewpoint indications have routinely been well within allowed 1cvels-(-20 degree F p dewpoint alarm setpoint); however, due to the seriousness of this event the IA l
task force vill reexamine current practices to ensure that adequate measures exist to. preclude the presence of moisture in the IA system.
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NetC Perm asea - U.S. NUCLla IElULATDRY COMMiestON
"-4 LICENSEE EVENT REPORT (LER) TEXT CINTINUATION tre .ovio ows No. sioo-oio4
'* EXPIRES: $f31/W
$ ACILITY NAME 41) DOCKET NUMSER 12) . ggh NUMcER (el Pact (3) l
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Waterford Steam- **"" " " "
Electric Station Unit 3 016 0101013 l 812 819 -
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01 0 Ol4 OF gl7 TEXT I# niere w 4 #soussif, see esMooas/ #RC form W W (D) i It is important to note that within 30 minutes of both MFRV abnormalities on December 23-(0448 and 1103 hours0.0128 days <br />0.306 hours <br />0.00182 weeks <br />4.196915e-4 months <br />), similar problems were observed with #1 High Pressure (HP) Feedwater Heater level control valve (LCV) (E1IS Identifier +
SJ-LCV) and Moisture Separator Reheater (MSR) temperature control valves (TCVs)
(E11S Identifier SB-TCV). HP.Feedwater lleater LCVs and MSR TCVs utilize a similar pneumatic operating system..
These valves along with the FWCS valves are the only major control type valves at Waterford'3 that are. unprotected from the environment.- Other major valves.
outside plant enclosures are normally open or closed valves and not subject to changing positions as a result of small variations in plant parameters or
(; operatir<B level. This further supports our theory of a cold'veather induced i
j anomaly, t
Fisher Controls, Inc. personnel have been contacted regarding this issue; however, no definitive conclusions can be drawn as to the exact cause of the anomaly. .A Fisher troubleshooting team which utilizes pneumatic system-diagnostic equipment will be contracted during-the next practicsl opportunity i
(2-3 day shutdown period) to aid in root cause determination.-- If further investigation leads to an exact cause, a revision to this report will describe the additional findings. An NPRDS search for similar malfunctions was conducted.
Several symptomatically similar events have occurred, but no significant developments which aid in cause determination have arisen.
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JAC Form ageA .
U.S NUCLE 12 (_t1ULATDAY COMMIS$lON LICENSEE EVENT REPORT (LER) TEXT CCNTINUATION r.arRoveo ove sao. 3 iso-oio4 l (XPlHES: t/31/m ' .
7 ACILITY 8sAME (1) DOCKET NUMBER (U LER NUMSER (g) Pact (3)
YtAR se e At .
aps5,p p l Waterford Steam 2 Electric Station Unit'3-TEXT ## move apose 4 assuned see aswooner NaC Fems asers1(1h .
0 l5 l0 l0 l0 l3 l 8l 2 8l 9 -
0 l 2l 4 -
0l 0 0l 5 OF 0l7 The RCS cooldown and subsequent SIAS was caused by MFRV #1. opening independent ;
of operator action. While attempting to gain control of MFRV #1 after it had inadvertently shut, the operator initiated a-demand signal'to open MFRV #1. '
Unresponsive to this demand signal, MFRV.#1 remained shut and the reactor.was tripped. After tripping the reactor, the operat' ors properly carried out. actions required by plant procedures which included verifying the MFRVs shut. .The. '
operator assumed MFRV #1 had; failed closed:- No consideration was-given for an intermittent-failure that would immediately' correct itself. When the effects of the anomaly that caused MFRV # 1 to' shut subsided. MFRV #1 operated according to its demand signal (approximately 40% open)'. This'feedwater flow together with a failure of MSR #2 TCVs to fully-shut caused'the~RCS cooldown that followed the trip. Although not specifically required by Emergency Operating Procedures, entering a 0% demand signal to the FWCS manual / automatic;(M/A) station as a precautionary measure would have prevented MFRV #1-from opening.
Because of the nature of this problem, the consideration of a. potential intermittent FWCS failure will-be=added to operator initial and requalification training programs to prevent future occurrences.
Immediately following the trip a tent was erected around the MFRVs'and portable ;
heaters were installed to remove the effects of the low temperatures. After '
reactor startup with local temperatures still in the teens no further problems were observed with MFRV Control.
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at
.' FO.RM 3e6A eV.S* GPOs 1988 526 589/00070
.__ . . _ _ ~ .- .
NRC Feem 30$4 U.S. NUCLEJ4: CE!ULATORY COMM40840N j LICENSEE EVENT REPORT (LER) TEXT CONTINUAT13N uenovro oMe No. sino-o* -1 exrines: sesves
- ]
F ACILITY NAM 4 (1) DOCitti NUG.BER (2) ggg gygggg (g) - PAGE (3)
Waterford Steam- '" "Na DE'N I Electric Station Unit 3 ^
i TEXT W more nuese a rueusesf, use seistenner Mtc perm was 117) o l5 l0 l0 l0 l3 l 8l2 819 -
0l 2l 4 -
0l 0 0l6 OF 0l7 ;
j Plant systems (including SI and EFW) were aligned for startup and the plant
=vas placed back on the grid at 0634 hourc on December 24, 1989. To summarize, the following actions are being carried out to identify the cause and'to-prevent recurrence:
- 1. Evaluate the plant freeze protection procedure for possible enhancements that could preclude ~ future cold weather induced equipment malfunctions.
Any enhancements will be incorporated into procedures prior to July 31, ,
1990. A critique of this event has been prepared and applicabic portions will be implemented via an Operations department standing instruction if freezing temperatures'are encountered in the near term.
- 2. Reassemble-the IA task force to assess current practices pertaining to maintaining a moisture. free IA system. Changes to current practices-and/or plant design will be identified and a schedule for implementation:
established by March 15, 1990.
3.
Obtain vendor assistance during the next plant outage of at'least 2 to-3 days duration to aid in root cause determination.
- 4. Instruct operators to verify FWCS in automatic or to input a zero demand signal into the FWCS M/A station following a- trip as a precautionary measure when in manual control. These instructions-will befincorporated into operator initial and requalification training by March 23, 1990.
-Because all safety. systems functioned as designed, there was no threat-to the-
-health and safety of the general public or plant personnel during this event.
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4 senC form 3384 - U.S. NUCLE A2 (51 ult. TORY C0esMISSION <;
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LICENSEE EVENT REPORT (LER) TEXT CONTINUATION -~ ArezovEo oms No. Siso-oio -
- e. ' , * . EXPtRES: 8/31/95 FACILITV NAast til DOCKET NURSER (2) LER NUMetR (el PA05 (3) yyeg v5AR ..
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-Waterford Steam'
- l i Einetric Station Unit 3 o l5 l 0 l 0 l 0 l 3 l 8l 2,
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Q0 0 l7 ' 0F 0l 7 TEXT (# mee ausse e mouseet ser eatseenst 4RC Form JIBA W(17) -
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.t SIMILAR EVENTS:
1 LER 85-029 described a reactor trip which was caused.by high SG level due.to-MFRV positioners. being out of adjustment but was not cold weather < related.
PLANT CONTACT
.D.F. Packer., Assistant Plant Manager, Operations & Maintenance 504/464-3134. '
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