LER-1981-042, /01T-0:on 810522,Westinghouse Informed That Failure of One Vol Control Tank Level Transmitter Would Divert Letdown Flow,Causing Tank to Empty W/Suction Loss to Pumps.Caused by Design Error.Determined Reportable 810522 |
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U.S. NUCLEAR REGULATORY COMMISSION LICENSEE EVENT REPORT CONTROL BLOCK / / / / / / / (1)
(PLEASE PRINT OR TYPE ALL REQUIRED INFORMATION)
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LICENSEE CODE LICENSE NUMBER LICENSE TYPE CAT g/ (6)
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DOCKET NUMBER EVENT DATE REPORT DATE EVENT DESCRIPTION AND PROBABLE CONSEQUENCES (10)
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On May 21, 1981, Westinghouse informed Vepco that a failure of one volume
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control tank (VCT) level transmitter would divert VCT letdown flow, cause the _/
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VCT to empty and result in a loss of suction to the charging /HHSI pumps if no /
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operator action was taken. This event was determined to be reportable pursuant /
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to T.S. 6.9.1.8.i on May 22, 1981. Actions have been taken to insure operators /
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respond appropriately to prevent this scenario. The public health and safety /
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are not affected.
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SYSTEM
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CAUSE COMP.
VALVE CODE CODE SUBCODE COMPONENT CODE SUBCODE SUBCODE
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SEQUENTIAL OCCURRENCE REPORT REVISION LER/R0 EVENT YEAR ' REPORT NO.
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ACTION FUTURE EFFECT SHUTDOWN ATTACHMENT NPRD,
PRIME COMP. COMPONENT TAKEN ACTION ON PLANT METHOD HOURS SUBMITTED FORM SUB. GUPPLIER MANUFACTURER g/ (18) /_X/ (19) g/ (20) /_Z/ (21) /0/0/0/0/ (22) /Y/ (23) /N/ (24) /Z/ (25) /Z/9/9/9/ (26 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS (27)
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The cause of this event is design error. Changes to circuitry and procedur_es /
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are being evaluated. Operators have been informed of this design defect, are /
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prepared to properly evaluate a VCT level transmitter failure, and are prepared /
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to take appropriate action if a VCT level transmitter fails.
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FACILITY METHOD OF STATUS
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Notification from NSSS /
ACTIVITY CONTENT RELEASED OF RELEASE AMOUNT OF ACTIVI'lY (35)
LOCATION OF RELEASE (36)
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LOSS OF OR DAMAGE TO FACILITY (43)
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NRC USE ONLY
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gEOFPREPARER W. R. CARTWRIGHT PHONE (703) 894-5151 1
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$106090
Virginia Electric and Power Company North Anna Power Station, Unit #1
Attachment:
Page 1 of 2 Docket No. 50-338 Report No. LER 81-042/01T-0
Description of Event
On May 21, 1981, Westinghouse Electric Corpotation informed Vepco that a failure of one volume control tank level transmitter could cause the charging /high head SI pumps to lose suction. After reviewing electrical and instrument drawings on May 22, 1981, Vepco engineers determined that this event was possible at North Anna Units 1 and 2 and is reportable pursuant to T.S. 6.9.1.8.i.
The volume control tank (VCT) level instrumentation control system has two independent level transmitters. If either level transmitter fails high, letdown which is normally aligned to the VCT would be automatically diverted to the gas stripper. Without operator action, the VCT would empty causing the operating charging /HHSI pump to be damaged from loss of suction. Due to breaker coincidence or low charging pump discharge header pressure, the remaining charging pumps would receive an automatic start signal and could also fail due to loss of suction.
In the case described above, automatic charging pump suction realignment upon a low VCT level signal does not occur because the VCT to RWST swap over control contact sets from each transmitter are wired in series. A single transmitter failure in the high direction defeats the swap over action. This control circuitry arrangement is a violation of the Nuclear Regulatory Commission regulations related to separation of protection and control systems and single failure criteria as delineated in GDC-24 and IEEE-279.
Probable Consequences of Occurrence Since all direct control room VCT level indication (including alarm functions) are based on one transmitter (LT-115), most of the indication available to the operator would be consistent with a high VCT level if this transmitter failed high. A failed level channel could be detected from the control room by indirect indications such as RCS make up rate, RCS letdown rate, pressurizer level, VCT pressure, primary flow rate to the gas stripper, position indication of divert valve LCV-115A, and demand output from auto / manual divert valve controller LC-112C, which uses input from the other level transmitter (LT-112). Direct confirmation of a suspected failure of LT-115 could be confirmed by a check of a local level indicator in the auxiliary building which receives its signal from level transmitter LT-112. Failure of LT-112 in the high direction would be easier to evaluate since most control room indications in this case would be inconsistent with a high VCT level.
Discussions with Control Room Operators, Senior Reactor Operators, and Shift Supervisors indicates that most have experienced a failure of a single VCT level transmitter during training at the Surry Power Station simulator; however, many were unaware that auto charging /high head safety injection pump VCT to RWST suction swap over could be defeated by single level channel failure. All CRO's, SRO's, and STA's currently operating North Anna Units 1 and 2 have been informed of this design defect and are prepared to properly evaluate this event.
Attachment: Page 2 of 2 Probable Consequences of Occurrence (cont)
A standing order has been issued which delineates specific actions to be taken in the event that a VCT level transmitter fails. The actiens described in the standing order maximize operator time to evaluate VCT conditions when a VCT level transmitter fails and insures that in the unlikely event that charging /high head safety injection pump suction is lost, only one pump will be damaged. The actions insure that at least one pump will be available for safety injection. The actions have been reviewed and are consistent with the Basis section of the Technical Specifications.
The actions described in the standing order significantly reduce any consequences or this event. No adverse consequences are expected. The public health and safety are not affected.
Cause of Event
The cause of this event is design error. The system was built as described in the FSAR (see Sec. 9.3.4 page 25)._. ~
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Immediate Corrective Action
The standing order described above was issued. Operators were informed of the design defect.
Scheduled Corrective Action Changes to circuitry and procedures are being evaluated.
Actions Taken to Prevent Recurrence Actions to prevent recurrence are not required.
l Generic Implications l
This problem is generic to several Westinghouse plants. Westinghouse has notified affected units.
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| 05000339/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000339/LER-1981-001-03, /03L-0:on 810101,average RCS Temp Outside Tech Specs on Two Occasions.First Caused by Vol Control Tank Being Overborated;Second by Overcooling Primary.Steam Generator Blowdown Secured,Rods Withdrawn & RCS Diluted | /03L-0:on 810101,average RCS Temp Outside Tech Specs on Two Occasions.First Caused by Vol Control Tank Being Overborated;Second by Overcooling Primary.Steam Generator Blowdown Secured,Rods Withdrawn & RCS Diluted | | | 05000338/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000338/LER-1981-001-03, /03L:on 810318 & 19,nitrogen Supply Tank Pressure for Associated Pressure Operated Relief Valves Dropped Below Min Required to Operate Valves for Low Temp RCS Overpressurization Protection.Caused by Leaks in Tanks | /03L:on 810318 & 19,nitrogen Supply Tank Pressure for Associated Pressure Operated Relief Valves Dropped Below Min Required to Operate Valves for Low Temp RCS Overpressurization Protection.Caused by Leaks in Tanks | | | 05000338/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000338/LER-1981-002-03, /03L-0:on 801231,pressurizer Power Operated Relief Valve Declared Inoperable Because of Low Nitrogen Gas Supply Tank Pressure in 1-GN-TK-1A.Caused by Excessive Usage of Nitrogen to Cycle Relief Valves to Reduce RCS Pressure | /03L-0:on 801231,pressurizer Power Operated Relief Valve Declared Inoperable Because of Low Nitrogen Gas Supply Tank Pressure in 1-GN-TK-1A.Caused by Excessive Usage of Nitrogen to Cycle Relief Valves to Reduce RCS Pressure | | | 05000339/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000339/LER-1981-002-03, /03L-0:on 801230,w/unit in Mode 1,steam Flow Channel III Became Erratic W/O Any Annunciators or Computer Alarms.Cause Unknown.Channel Placed in Trip Condition, Calibr & Returned to Svc | /03L-0:on 801230,w/unit in Mode 1,steam Flow Channel III Became Erratic W/O Any Annunciators or Computer Alarms.Cause Unknown.Channel Placed in Trip Condition, Calibr & Returned to Svc | | | 05000338/LER-1981-003-03, /03L-0:on 810104,loop 3 Reactor Coolant Flow Protection Channel II,F-1435,found Out of Tolerance High. Caused by Voltage Drift in Flow Transmitter Serving Loop. Channel Recalibr | /03L-0:on 810104,loop 3 Reactor Coolant Flow Protection Channel II,F-1435,found Out of Tolerance High. Caused by Voltage Drift in Flow Transmitter Serving Loop. Channel Recalibr | | | 05000338/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000339/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000339/LER-1981-003-03, /03L-0:on 810104,casing Cool Tank Level Indication LI-RS-203B Failed High.Caused by Frozen Transmitter Due to Heat Tracing Failure.Transmitter Was Thawed Out & Redundant Heat Tracing Turned on | /03L-0:on 810104,casing Cool Tank Level Indication LI-RS-203B Failed High.Caused by Frozen Transmitter Due to Heat Tracing Failure.Transmitter Was Thawed Out & Redundant Heat Tracing Turned on | | | 05000338/LER-1981-004, Forwards LER 81-004/03L-0 | Forwards LER 81-004/03L-0 | | | 05000338/LER-1981-004-03, /03L-0:on 801229,three Motor Operated Valves Failed to Actuate During Containment Depressurization Actuation Functional Test.Caused by Loose Lead on Breaker/ Controller & Water in Motor.Valves Repaired | /03L-0:on 801229,three Motor Operated Valves Failed to Actuate During Containment Depressurization Actuation Functional Test.Caused by Loose Lead on Breaker/ Controller & Water in Motor.Valves Repaired | | | 05000339/LER-1981-004, Forwards LER 81-004/03L-0 | Forwards LER 81-004/03L-0 | | | 05000339/LER-1981-004-03, /03L-0:on 810104,during Mode 1 Operation,Flux Penalty Summing Amplifier Found Failed During Loop Calibr Check.Caused by Faulty NSA Card.Card Replaced & Calibr | /03L-0:on 810104,during Mode 1 Operation,Flux Penalty Summing Amplifier Found Failed During Loop Calibr Check.Caused by Faulty NSA Card.Card Replaced & Calibr | | | 05000338/LER-1981-005-03, /03L-0:on 810105,discovered That Control Room Floor Sleeve 1FC00108 Was Never Resealed After Being Previously Breached for Cable Installation.Caused by Failure of Personnel to Follow Procedures.Sleeve Resealed | /03L-0:on 810105,discovered That Control Room Floor Sleeve 1FC00108 Was Never Resealed After Being Previously Breached for Cable Installation.Caused by Failure of Personnel to Follow Procedures.Sleeve Resealed | | | 05000338/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000339/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000339/LER-1981-005-03, /03L-0:on 810106,greater than 12-step Disagreement Noted Between Individual Rod Position for Rod B08 in Control Bank D & Group Demand Position.Caused by Voltage Drift in Signal Conditioning Card.Indicator Channel Recalibr | /03L-0:on 810106,greater than 12-step Disagreement Noted Between Individual Rod Position for Rod B08 in Control Bank D & Group Demand Position.Caused by Voltage Drift in Signal Conditioning Card.Indicator Channel Recalibr | | | 05000338/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000338/LER-1981-006-03, /03L-0:on 810113,pressurizer Pressure Transmitter PT 1457 Found Out of Calibr.Caused by Instrument Drift. Channel Recalibr | /03L-0:on 810113,pressurizer Pressure Transmitter PT 1457 Found Out of Calibr.Caused by Instrument Drift. Channel Recalibr | | | 05000339/LER-1981-006-03, /03L-0:on 810107,w/unit at 1% Power,Average RCS Temp Less than 541 F on Two Occasions.Caused by Overfeeding Steam Generators Due to Feedwater Control Problems.Condenser Steam Dumps Closed & Reactor Temp Increased | /03L-0:on 810107,w/unit at 1% Power,Average RCS Temp Less than 541 F on Two Occasions.Caused by Overfeeding Steam Generators Due to Feedwater Control Problems.Condenser Steam Dumps Closed & Reactor Temp Increased | | | 05000338/LER-1981-007-99, Plug Found Missing from Tube at Row 1,column 12.On 810202,two More Plugs Found Missing.Caused by Bad Seals.One Tube Was Replugged on 810124.Other Two Tubes Replugged on 810303 | Plug Found Missing from Tube at Row 1,column 12.On 810202,two More Plugs Found Missing.Caused by Bad Seals.One Tube Was Replugged on 810124.Other Two Tubes Replugged on 810303 | | | 05000339/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000339/LER-1981-007-03, /03L-0:on 801230,boron Concentration in Boron Acid Storage Tank C & Boron Injection Tank Below Tech Spec. Probably Caused by Inleakage of Unknown Source.Boric Acid Transferred to Tank C.Investigation of Leak Underway | /03L-0:on 801230,boron Concentration in Boron Acid Storage Tank C & Boron Injection Tank Below Tech Spec. Probably Caused by Inleakage of Unknown Source.Boric Acid Transferred to Tank C.Investigation of Leak Underway | | | 05000338/LER-1981-007, Forwards Updated LER 81-007/99X-1 | Forwards Updated LER 81-007/99X-1 | | | 05000339/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000338/LER-1981-008-03, /03L-0:on 810117,steam Generator a Protection Channel 2 Narrow Range Level Transmitter LT-1475 Found Out of Calibr.Caused by Voltage Drift in Level Transmitter Serving Instrument Loop.Recalibr & Returned to Svc | /03L-0:on 810117,steam Generator a Protection Channel 2 Narrow Range Level Transmitter LT-1475 Found Out of Calibr.Caused by Voltage Drift in Level Transmitter Serving Instrument Loop.Recalibr & Returned to Svc | | | 05000338/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000339/LER-1981-008-03, /03L-0:on 810107,primary Coolant Iodine Isotopic Analysis Not Made within 2-6 Hour Per Tech Spec Re Power Changes Exceeding 15% Per Hour.Caused by Failure of Operations Personnel to Follow Procedures.Sample Analyzed | /03L-0:on 810107,primary Coolant Iodine Isotopic Analysis Not Made within 2-6 Hour Per Tech Spec Re Power Changes Exceeding 15% Per Hour.Caused by Failure of Operations Personnel to Follow Procedures.Sample Analyzed | | | 05000339/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000339/LER-1981-009-03, /03L-0:on 810107,during Leak Test Containment Personnel Hatch Outer Door Leaked Air Past Seals.Caused by Improper Fitup of Door Seals to Frame.Door Adjusted | /03L-0:on 810107,during Leak Test Containment Personnel Hatch Outer Door Leaked Air Past Seals.Caused by Improper Fitup of Door Seals to Frame.Door Adjusted | | | 05000338/LER-1981-009-03, Combined Leakage in Excess of Allowable Limits Noted from 14 Electrical Penetrations & 23 Valves.Valve Leakage Caused by Valve Seat Deterioration or Limit Switch Drift | Combined Leakage in Excess of Allowable Limits Noted from 14 Electrical Penetrations & 23 Valves.Valve Leakage Caused by Valve Seat Deterioration or Limit Switch Drift | | | 05000338/LER-1981-009, Forwards Updated LER 81-009/03X-1 | Forwards Updated LER 81-009/03X-1 | | | 05000338/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000338/LER-1981-010-03, /03L-0:on 810211,w/unit in Mode 6,containment Purge & Exhaust Isolation Sys Was Rendered Inoperable When Power to MOV-HV-100B,D Was Lost.Caused by Fault on High Resistance Connection.Defective Parts Replaced | /03L-0:on 810211,w/unit in Mode 6,containment Purge & Exhaust Isolation Sys Was Rendered Inoperable When Power to MOV-HV-100B,D Was Lost.Caused by Fault on High Resistance Connection.Defective Parts Replaced | | | 05000339/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000339/LER-1981-010-03, /03L-0:on 810113,w/unit at 100% Power,Overspeed Trip of Turbine Driven Auxiliary Feedwater Pump Occurred During Surveillance Testing.Caused by Failure of Turbine Governor to Control Speed.Governor Was Replaced | /03L-0:on 810113,w/unit at 100% Power,Overspeed Trip of Turbine Driven Auxiliary Feedwater Pump Occurred During Surveillance Testing.Caused by Failure of Turbine Governor to Control Speed.Governor Was Replaced | | | 05000338/LER-1981-011-03, /03L-0:on 810117,w/unit in Mode 6,loss of Power to Radiation Monitor Common Alarms Panel Was Experienced for Less than 5 Minutes.Caused by Failure of Electrician to Switch Power to Unit 2 During Unit 1 Trip | /03L-0:on 810117,w/unit in Mode 6,loss of Power to Radiation Monitor Common Alarms Panel Was Experienced for Less than 5 Minutes.Caused by Failure of Electrician to Switch Power to Unit 2 During Unit 1 Trip | | | 05000338/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000339/LER-1981-011-03, /03L-0:on 810114,w/unit at 100% Power,Breaker for 2-QS-P-1A Spray Pump Racked Out & Suction Valve MOV-QS-200A Closed & de-energized.Caused by Dirty Seat on Vent Valve. Valve Seat Cleaned & Disc Lapped | /03L-0:on 810114,w/unit at 100% Power,Breaker for 2-QS-P-1A Spray Pump Racked Out & Suction Valve MOV-QS-200A Closed & de-energized.Caused by Dirty Seat on Vent Valve. Valve Seat Cleaned & Disc Lapped | | | 05000339/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000338/LER-1981-012-03, /03L-0:on 810118,fuel Bldg Supply & Exhaust Fan Suction Dampers Switched to Failed Position,Bypassing Iodine Filter Bank When Control Bank Was Isolated.Caused by Low Outdoor Temp.Dampers Positioned to Exhaust Through Filter | /03L-0:on 810118,fuel Bldg Supply & Exhaust Fan Suction Dampers Switched to Failed Position,Bypassing Iodine Filter Bank When Control Bank Was Isolated.Caused by Low Outdoor Temp.Dampers Positioned to Exhaust Through Filter | | | 05000338/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000339/LER-1981-012-03, /03L-0:on 810121,containment Pressure Protection Channel 3 Failed Low.Caused by Blown Transistor on Loop Power Supply Card,Resulting in Power Loss to Each Comparator in Loop.Failed Card Replaced W/Calibr Card | /03L-0:on 810121,containment Pressure Protection Channel 3 Failed Low.Caused by Blown Transistor on Loop Power Supply Card,Resulting in Power Loss to Each Comparator in Loop.Failed Card Replaced W/Calibr Card | | | 05000339/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000339/LER-1981-013-03, /03L-0:on 810126,containment Hi & hi-hi Pressure Channel III Annunciator Energized.Caused by Instrument Drift in Nonisolated Power Supply Card S/N 5088,increasing Output Voltage.Card Replaced & Channel Calibr | /03L-0:on 810126,containment Hi & hi-hi Pressure Channel III Annunciator Energized.Caused by Instrument Drift in Nonisolated Power Supply Card S/N 5088,increasing Output Voltage.Card Replaced & Channel Calibr | | | 05000338/LER-1981-013, Forwards LER 81-013/03L-0 | Forwards LER 81-013/03L-0 | | | 05000339/LER-1981-013, Forwards LER 81-013/03L-0 | Forwards LER 81-013/03L-0 | |
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