LER-1981-020, /03L-0:on 810603,fire Protection Engineer Determined That 810224 Fire on 51-ft Elevation,Initially Reviewed Per Orc Meeting 81-39,should Be Reported.Caused by Failure to Follow Combustible Matl Removal Procedures |
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NRC PORM 3ss U. S. NUCLEA"l R EGULATORY COMMISSION n.m LICENSEE EVENT REPORT
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8 60 St OoCKET NUMSER 68 69 EVENT QATE is 75 REPORT OATE 80 EVENr OESCRIPTION AND PROSA8LE CONSEQUENCES h Io 121 10n May 27. 1981 a report of a February 24. 1981 fire nn the 51 fe_ p1pvarinn n f the I
- reactor building was reviewed in ORC Meeting No. 81-39.
'1he ORC reques ted additionall o
l o 141 I review of this event and reconsnendation from the fire protection engineer as to the I
loisl l reportability of this occurrence at the next regular ORC Meetine (No. 41). the ORC l
l o le 1 l reviewed the input frota the Fire Proteceinn Fnginaar and dararmined ehne rho even e l
IIIB l reauired recortine (see atenchman e).
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40 41 42 43 de 47 CAUSE DESCRIPTION AND CORRECTIVE ACTIONS li1o l l The cause of thia N ro was fnilure en fn11 ns.1 station orocedure number 1.5.5 1
regarding the removal of combustible materials. To prevent recurrence, con-l tractor work was stopped until they demonstrated an understanding of fire l
,,,,, l r dr.e PNPS administrative procedure No. 1.5.5 will be changed and a fire l
watch training program is being developed.
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DESCRIPTION
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7 3 2 70 Mr. M. Thomas McLoughlin 617-746-7900 NAME OF PREPARER PHONE:
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~ BOSTON EDISON COMPANY
' I PILGRIM NUCLEAR POWER STATION' DOCKET NO. 50-293
' Attachment to LER ' #81-020/03L-0 l'
Even t - Descrip tion At approximately 1140 hours0.0132 days <br />0.317 hours <br />0.00188 weeks <br />4.3377e-4 months <br /> on. February. 4,1981 a class A fire (Foam Rubber) 2 occurred in L the area above the Yarway rac'r-the 51' level in the reactor.
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building. - The firn was ignited by wel'du.., wads falling on foam rubber. that i
a contractor'had emplaced to prevent pipes from contacting temporary thermal shielding. installed for the welding operation. - The fire burned for approximately
. two minutes before it was identified and extinguished by-the contractor supplied fire watch using a portable dry chemical extinguisher.
' Contractor personne11 stated that they attempted to notify the control room using the emergency channel on the plant intercom system, however they did not mention a fire and gave up af ter three attempts because the fire was out.
The Fire Protection Engineer was notified when a Boston Edison employee noticed a large cloud of dry chemical hanging in the area, and called the FPPO Office.
Cause
a The cause of this fire was the failure to follow station procedure 1.5.5 re-garding removal of combustible materials.
Corrective Actions
All work'by the contractor involved was immediately stopped, and not allowed to resume until the contractor had demonstrated a thorough understanding of all applicable station procedures regarding fire protection p actices.
j The station cutting / welding procedure (1.5.5) is being revised to require appraval to start work each day from the fire protection engineer or his des-ignated ' alt.ernate, and a temporary procedure change was effected requiring that individuals assigned as fire watches in critical areas be qualified members of the plant fire briFade.
To prov!,de permanent corrective action to prevent occurrences of this type, a fire watch training program is being developed to ensure that individuals as-signed as fire watches receive instructions in fire protection techniques.
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| 05000293/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000293/LER-1981-001-03, /03L-0:on 801226,unidentified Drywell Leakage Measured at Rate Contrary to Tech Specs.Cause Not Known Excessive Leakage Eliminated by Backstating B Recirculation Pump Suction Valve Mo 202-4B & Discharge Valve Mo 202-5B | /03L-0:on 801226,unidentified Drywell Leakage Measured at Rate Contrary to Tech Specs.Cause Not Known Excessive Leakage Eliminated by Backstating B Recirculation Pump Suction Valve Mo 202-4B & Discharge Valve Mo 202-5B | | | 05000293/LER-1981-002-03, /03L-0:on 810107,main Stack Sample Flow Alarm Received Twice on Panel C903 in Control Room.Caused by Frozen Suction Line (First Occurrence) & Blown Power Supply Fuse (Second Occurrence) | /03L-0:on 810107,main Stack Sample Flow Alarm Received Twice on Panel C903 in Control Room.Caused by Frozen Suction Line (First Occurrence) & Blown Power Supply Fuse (Second Occurrence) | | | 05000293/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000293/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000293/LER-1981-003-03, /03L-0:on 810123,heat Detector Failed in Diesel Generator a Room.Detector Alarm Could Not Be Reset.Cause Not Stated.Jumper Added to Eliminate Alarm on Control Room Panel C-114 Until Sys Repaired.Detector Replaced & Jumper Re | /03L-0:on 810123,heat Detector Failed in Diesel Generator a Room.Detector Alarm Could Not Be Reset.Cause Not Stated.Jumper Added to Eliminate Alarm on Control Room Panel C-114 Until Sys Repaired.Detector Replaced & Jumper Removed | | | 05000293/LER-1981-004, Forwards LER 81-004/01T-0 | Forwards LER 81-004/01T-0 | | | 05000293/LER-1981-004-01, /01T-0:on 810225,review Indicated That If Backup Scram Solenoids Failed,Actuation of ATWS Sys Would Prevent Closure of Scram Discharge Vol Vent & Drain Valves,Violating Primary Containment.Cause Due to Oversight in Design | /01T-0:on 810225,review Indicated That If Backup Scram Solenoids Failed,Actuation of ATWS Sys Would Prevent Closure of Scram Discharge Vol Vent & Drain Valves,Violating Primary Containment.Cause Due to Oversight in Design | | | 05000293/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000293/LER-1981-005-03, /03L-0:on 810202,unidentified Reactor Drywell Coolant Leakage Rates Measured Above Tech Spec Level.Cause Not Stated.Recirculation Pump Suction Valves a & B & Discharge Valves Backseated | /03L-0:on 810202,unidentified Reactor Drywell Coolant Leakage Rates Measured Above Tech Spec Level.Cause Not Stated.Recirculation Pump Suction Valves a & B & Discharge Valves Backseated | | | 05000293/LER-1981-006-01, /01X-0:on 810219,review of Alleged Omission in Scheduling of 11 Once Per Cycle Instrumentation Verified Oversight.Caused by Misinterpretation of Special Circumstances Which Must Be Applied to Testing Definition | /01X-0:on 810219,review of Alleged Omission in Scheduling of 11 Once Per Cycle Instrumentation Verified Oversight.Caused by Misinterpretation of Special Circumstances Which Must Be Applied to Testing Definition | | | 05000293/LER-1981-007-03, /03L-0:on 810217,reactor Coolant Leak Detection Air Sampling Sys Declared Inoperable.Caused by Blown Fuses. Fuses Replaced.Pump Will Be Rebuilt | /03L-0:on 810217,reactor Coolant Leak Detection Air Sampling Sys Declared Inoperable.Caused by Blown Fuses. Fuses Replaced.Pump Will Be Rebuilt | | | 05000293/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000293/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000293/LER-1981-008-03, /03L-0:on 810313,inboard Isolation Valve Mo 2301-5 Was Determined to Be Inoperable.Caused by Manual Operation Disengagement Spring in Limitorque Operator Being Broken & Imbedded in Operator Gear Teeth,Jamming Gears | /03L-0:on 810313,inboard Isolation Valve Mo 2301-5 Was Determined to Be Inoperable.Caused by Manual Operation Disengagement Spring in Limitorque Operator Being Broken & Imbedded in Operator Gear Teeth,Jamming Gears | | | 05000293/LER-1981-009-03, Inboard Isolation Valve Failed to Open & HPCI Sys Declared Inoperable.Caused by Incorrect Min Torque Switch Setting of Motor Operator & Thermal Binding.Torque Switch Set at Max Value | Inboard Isolation Valve Failed to Open & HPCI Sys Declared Inoperable.Caused by Incorrect Min Torque Switch Setting of Motor Operator & Thermal Binding.Torque Switch Set at Max Value | | | 05000293/LER-1981-010, Forwards LER 81-010/04T-0 | Forwards LER 81-010/04T-0 | | | 05000293/LER-1981-010-04, /04T-0:on 810407,rept Received Indicating Excessive Co-60 Concentration in Mussel Sample Taken from Discharge Canal.Cause Not Stated.Dose Insignificant When Compared to Natural Background Dose | /04T-0:on 810407,rept Received Indicating Excessive Co-60 Concentration in Mussel Sample Taken from Discharge Canal.Cause Not Stated.Dose Insignificant When Compared to Natural Background Dose | | | 05000293/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000293/LER-1981-011-03, /03L-0:on 810402,recirculation Pump B Motor Generator Set Tripped Resulting in Drive Motor Trip & Generator Lockout Alarms Sounding.Cause Not Determined.Set Returned to Svc | /03L-0:on 810402,recirculation Pump B Motor Generator Set Tripped Resulting in Drive Motor Trip & Generator Lockout Alarms Sounding.Cause Not Determined.Set Returned to Svc | | | 05000293/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000293/LER-1981-012-03, /03L-0:on 810403,4 Kv Breaker A507,feeding Core Spray Pump P215A,inadvertently Closed During Routine Keep Fill Checks on Low Pressure ECCS Sys.Caused by Inconsistency in Automatic & Close/Trip Sequence Timings | /03L-0:on 810403,4 Kv Breaker A507,feeding Core Spray Pump P215A,inadvertently Closed During Routine Keep Fill Checks on Low Pressure ECCS Sys.Caused by Inconsistency in Automatic & Close/Trip Sequence Timings | | | 05000293/LER-1981-013, Forwards LER 81-013/04T-0 | Forwards LER 81-013/04T-0 | | | 05000293/LER-1981-013-04, /04T-0:on 810430,rept Received from Yankee Atomic Lab Re High Concentration of Co-60 in Irish Moss Sample Taken on 810218.Probably Caused by Fallout from Recent Atmospheric Weapons Tests | /04T-0:on 810430,rept Received from Yankee Atomic Lab Re High Concentration of Co-60 in Irish Moss Sample Taken on 810218.Probably Caused by Fallout from Recent Atmospheric Weapons Tests | | | 05000293/LER-1981-014-03, /03L-0:on 810414,pressure Instrument 261-39B Indicating Needle Went Beyond Mechanical Stop.Caused by Technician Error.Instrument Repaired.Technician Instructed | /03L-0:on 810414,pressure Instrument 261-39B Indicating Needle Went Beyond Mechanical Stop.Caused by Technician Error.Instrument Repaired.Technician Instructed | | | 05000293/LER-1981-014, Forwards LER 81-014/03L-0 | Forwards LER 81-014/03L-0 | | | 05000293/LER-1981-015-03, During Surveillance Testing,Nozzle on 23-ft Level Cardox Sys Hose Reel Failed to Deliver Adequate Stream.Caused by Operator Error.Fire Brigade Training Revised | During Surveillance Testing,Nozzle on 23-ft Level Cardox Sys Hose Reel Failed to Deliver Adequate Stream.Caused by Operator Error.Fire Brigade Training Revised | | | 05000293/LER-1981-016-03, /03L-0:on 810430,reactor Core Isolation Cooling Valve Mo 1301-17 Failed to Close on Demand Following Switch Actuation.Caused by Deteriorated Packing Jammed Between Valve Stem & Packing Gland.Packing Replaced | /03L-0:on 810430,reactor Core Isolation Cooling Valve Mo 1301-17 Failed to Close on Demand Following Switch Actuation.Caused by Deteriorated Packing Jammed Between Valve Stem & Packing Gland.Packing Replaced | | | 05000293/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000293/LER-1981-017-03, /03L-0:on 810503,refuel Floor Exhaust Radiation Monitor 1705-8A Failed Downscale.Caused by Drop in High Voltage Output Due to Failed Capacitor in High Voltage Power Supply Circuit.Capacitor Replaced | /03L-0:on 810503,refuel Floor Exhaust Radiation Monitor 1705-8A Failed Downscale.Caused by Drop in High Voltage Output Due to Failed Capacitor in High Voltage Power Supply Circuit.Capacitor Replaced | | | 05000293/LER-1981-017, Forwards LER 81-017/03L-0 | Forwards LER 81-017/03L-0 | | | 05000293/LER-1981-018, Forwards Updated LER 81-018/03X-1 | Forwards Updated LER 81-018/03X-1 | | | 05000293/LER-1981-018-03, Stack Gas Radiation Monitor 1705-18A Was Downscale & Inoperable Following Lightning Strike Near Main Stack.Caused by Voltage Surge Resulting in Preamplifier & Discriminator Circuits Failure | Stack Gas Radiation Monitor 1705-18A Was Downscale & Inoperable Following Lightning Strike Near Main Stack.Caused by Voltage Surge Resulting in Preamplifier & Discriminator Circuits Failure | | | 05000293/LER-1981-019-03, /03L-0:on 810514,level Recorder 5049 Was Found Indicating High.Caused by Calibr Shift Due to Jarring Instrument Sensing Lines During Installation of Torus Room Staging.Recorder & Transmitters Recalibr | /03L-0:on 810514,level Recorder 5049 Was Found Indicating High.Caused by Calibr Shift Due to Jarring Instrument Sensing Lines During Installation of Torus Room Staging.Recorder & Transmitters Recalibr | | | 05000293/LER-1981-019, Forwards LER 81-019/03L-0 | Forwards LER 81-019/03L-0 | | | 05000293/LER-1981-020, Forwards LER 81-020/03L-0 | Forwards LER 81-020/03L-0 | | | 05000293/LER-1981-020-03, /03L-0:on 810603,fire Protection Engineer Determined That 810224 Fire on 51-ft Elevation,Initially Reviewed Per Orc Meeting 81-39,should Be Reported.Caused by Failure to Follow Combustible Matl Removal Procedures | /03L-0:on 810603,fire Protection Engineer Determined That 810224 Fire on 51-ft Elevation,Initially Reviewed Per Orc Meeting 81-39,should Be Reported.Caused by Failure to Follow Combustible Matl Removal Procedures | | | 05000293/LER-1981-021, Forwards LER 81-021/01T-0 | Forwards LER 81-021/01T-0 | | | 05000293/LER-1981-021-01, /01T-0:on 810615,review of Analysis Responding to 10CFR50.44 Determined Inadequate.Mgt Controls Failed to Identify Effect of Rendering post-accident Nitrogen Supply Sys Inoperable.Caused by Inadequate Mgt Controls | /01T-0:on 810615,review of Analysis Responding to 10CFR50.44 Determined Inadequate.Mgt Controls Failed to Identify Effect of Rendering post-accident Nitrogen Supply Sys Inoperable.Caused by Inadequate Mgt Controls | | | 05000293/LER-1981-022-03, /03L-0:on 810519,reactor Coolant Leak Detection Air Sampling Sys C-19 Pump Motor Overheated & Blew Fuses. Cause Under Investigation | /03L-0:on 810519,reactor Coolant Leak Detection Air Sampling Sys C-19 Pump Motor Overheated & Blew Fuses. Cause Under Investigation | | | 05000293/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000293/LER-1981-023-03, /03L-0:on 810601 & 800721,two Primary Containment Nitrogen Supply Valves Made Inoperable & Valve in Same Line Placed in Isolated Condition.Caused by Lines Cut & Capped Due to Maint on post-accident Nitrogen Supply Sys | /03L-0:on 810601 & 800721,two Primary Containment Nitrogen Supply Valves Made Inoperable & Valve in Same Line Placed in Isolated Condition.Caused by Lines Cut & Capped Due to Maint on post-accident Nitrogen Supply Sys | | | 05000293/LER-1981-023, Forwards LER 81-023/03L-0 | Forwards LER 81-023/03L-0 | | | 05000293/LER-1981-024-03, /03L-0:on 810604,shutdown Transformer Primary & Secondary Breakers Opened Due to Fault in Offsite Power Supply.Caused by Failure of Cable Porcelain Clamps.Clamps removed.Post-type Insulators Installed | /03L-0:on 810604,shutdown Transformer Primary & Secondary Breakers Opened Due to Fault in Offsite Power Supply.Caused by Failure of Cable Porcelain Clamps.Clamps removed.Post-type Insulators Installed | | | 05000293/LER-1981-024, Forwards LER 81-024/03L-0 | Forwards LER 81-024/03L-0 | | | 05000293/LER-1981-025-03, /03L-0:on 810607,technician Failed to Document Jumper Installation.Caused by Shift Turnover During Installation.Personnel Instructed to Remain W/Job Until Completion,Regardless of Shift Times | /03L-0:on 810607,technician Failed to Document Jumper Installation.Caused by Shift Turnover During Installation.Personnel Instructed to Remain W/Job Until Completion,Regardless of Shift Times | | | 05000293/LER-1981-025, Forwards LER 81-025/03L-0 | Forwards LER 81-025/03L-0 | | | 05000293/LER-1981-026-01, /01X-0:on 810707,during Engineering Analyses, Components of Standby Gas Treatment Sys Were Found to Have Insufficient Documentation to Demonstrate Operation During Loca.Documentation Acquired | /01X-0:on 810707,during Engineering Analyses, Components of Standby Gas Treatment Sys Were Found to Have Insufficient Documentation to Demonstrate Operation During Loca.Documentation Acquired | | | 05000293/LER-1981-026, Forwards LER 81-026/01T-0 | Forwards LER 81-026/01T-0 | | | 05000293/LER-1981-027-03, /03L-0:on 810616,while Performing Rod Block Monitor Surveillance Test 8.M.2.3.1,step 31 High Rod Block Came on at 123% Vs 94% Power.Caused by Failed Trip Ref Card. Card Replaced in Kind | /03L-0:on 810616,while Performing Rod Block Monitor Surveillance Test 8.M.2.3.1,step 31 High Rod Block Came on at 123% Vs 94% Power.Caused by Failed Trip Ref Card. Card Replaced in Kind | |
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