LER-1981-020, /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 |
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U. S. NUCLE AR RE:ULATORY COAiMISSION C'RC FORM 366 (7 77) ~
LICENSEE EVENT REPORT
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EVENT DESCRIPTION AND PROB ABLE CONSEQUENCES h o 2 l OIP-33-81-20) on 3/24/81 at 1325 hours0.0153 days <br />0.368 hours <br />0.00219 weeks <br />5.041625e-4 months <br /> durine the performance of the Miscellaneous f
o 3 l Valves Quarterly Test ST 5099.08, CV5011A could not stroke closed. This valve is on 1 l the containment air sample inlet line to the H9 analyzer.
The valve was declared in-1 0 4 t o Is l l operable, and the station entered the action statement of Technical Specification I
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There was no danger to the health and safety of the oublic or station cer-I Q l sonnel. The valve was closed and power removed from the motor operator to ensure it I g l remained in its safety position. The valve is outside containment and can be manun119 SN:
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4J 44 47 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS 27 l The cause was a badly worn tripper in the motor operator.
This prevented the manual l i O l operator from disengaging to allow the motor operation of the valve. Under Maintennnch i i i, i q i l Work Order 81-1889, the tripper levers were replaced. On 3/26/81. ST 5064.01. Con tainl-l l ment Isolation Valve Post Maintenance Test, was successfully performed at 1210 hours0.014 days <br />0.336 hours <br />0.002 weeks <br />4.60405e-4 months <br />.I l
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v TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-81-20 DATE OF EVENT: March 24, 1981 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Failure of Containment Hydrogen Sample Line #4 Isolation Valve CV5011A The unit was in Mode 1 with Power (MWT) = 2508 Conditions Prior to Occurrence:
and Load (Gross MRE) = 843 Description of Occurrence: On March 24, 1981 at 1325 hours0.0153 days <br />0.368 hours <br />0.00219 weeks <br />5.041625e-4 months <br />, during the performance of the Miscellaneous Valve Quarterly Test ST 5099.08, CV5011A would not stroke CV5011A is located outside of containment on the closed with its motor operator.
inlet line to the hydrogen analyzer.
This placed the unit in the action statement of Technical Specification 3.6.3.1, Containment Isolation Valves, which states that CV5011A must be operable with a maximum isolation time of fifteen seconds. Pursuant to this action statement, CV5011A was immediately shut using the hand operator and its breaker was de-energized to ensure the valve remained in its safety position.
Designation of Apparent Cause of Occurrence:
Under Maintenance Work Order 81-1889, the operator for CV5011A was inspected.
It was discovered that one tripper was There are two trippers and cams badly worn and was not riding on its tripper cam.
which disengage the manual operator and allow the motor operation of the velve.
With one disengaged from its cam, the operator could not reliably shift from hand operation to motor operation. The tripper had been installed in the proper manner but was sliE tly out of adjustment which caused the wear.
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There was no danger to the health and safety of the public Analysis of Occurrence:
or to station personnel. CV 5011A was immediately shut, isolating its containment penetration.
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Corrective Action
Under Maintenance Work Order 81-1889, the tripper levers were replaced. On March 26, 1981, ST 5064.01 was performed on CV5011A and the valve was l
declared operable at 1210 hours0.014 days <br />0.336 hours <br />0.002 weeks <br />4.60405e-4 months <br />. This removed the unit fre the action statement of Technical Specification 3.6.3.1.
Failure Data: No previous failures of this type have been reporced.
l LER #81-020 I
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| 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 | |
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