|
---|
Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20046B1481993-07-30030 July 1993 LER 93-012-00:on 930702,reactor Core Isolation Cooling Sys Declared Inoperable Due to Associated Bus Voltage Dropping Below TS Limits.Sent Operator to Cycle Timer Which Caused Affected Contact to reclose.W/930730 Ltr ML20045D9331993-07-0202 July 1993 LER 93-004-00:on 930604,unexpected CRD Low Charging Water Header Scram Received Followed by Charging Water Header A2/B2 Alarm.Caused by Crud or Foreign Matl Passing Through Suction Filter.Filters Cleaned & reused.W/930702 ML20045D7501993-06-23023 June 1993 LER 93-003-00:on 930524,Div 1 ECCS Initiation Signal Received & LPCS Pump,Lpci Pump 2A & EDG Unit 0 Automatically Started.Caused by Personnel Error.Pumps Secured & Event Documented in Personnel file.W/930623 Ltr ML20044E4161993-05-28028 May 1993 LER 92-009-01:on 920923,spurious Auto Start of CR Ventilation Emergency make-up Train Occurred Due to High Radiation Spike.Radiation Monitor Circuit modified.W/930528 Ltr ML20044E4191993-05-21021 May 1993 LER 93-011-00:on 930423,manual Scram Initiated.Caused by Disconnected Linkage on Valve Positioner on Heater Drain Valve Due to Loose Jam Nut.Tailgate Session Will Be Held W/ Instrument Maint Dept Re Jam nuts.W/930521 Ltr ML20044D5161993-05-15015 May 1993 LER 92-007-01:on 920613,high Radiation Spike Received from CR Ventilation Process Radiation Monitor,Initiating Emergency Makeup Train B.Caused by Normal Variations in Radiation Readings.Spike modified.W/930515 Ltr ML20044D5571993-05-14014 May 1993 LER 93-010-00:on 930414,DG Cooling Water Pump Automatically Tripped on Magnetic Overload.Caused by Inexperienced Trainee in Operation of Control Lever.Lesson Plans & Training Programs for Operators to Be reviewed.W/930514 Ltr ML20044C9801993-05-0707 May 1993 LER 91-010-01:on 910719 & 0805,CR a Ventilation Emergency Makeup Fan auto-started on Spurious Trip of CR Air Intake Process Radiation Monitor.Caused by Normal Variations in Background Radiation.Supply Board replaced.W/930507 Ltr ML20044B6161993-02-25025 February 1993 LER 93-002-00:on 930126,Unit 1 Manual Scram Due to a SRV Being Stuck Open Due to Duct Tape Being Over Actuators Air Valve Manifold Exhaust Port.Maint Procedures That Involve Cleanliness reviewed.W/930225 Ltr ML20024G9771991-05-10010 May 1991 LER 91-005-00:on 910410,determined That Tech Spec Required Surveillance of Suppression Chamber Oxygen Sampling Missed. Caused by Inadequate Review of Tech Spec Change.Drywell & Suppression Chamber Checked for oxygen.W/910510 Ltr ML20044A3851990-06-25025 June 1990 LER 90-008-00:on 900525,Tech Spec Hourly Fire Watch Missed Due to Miscommunications Between Security Personnel & Radiation Protection Personnel.Fire Watch re-established & Memo issued.W/900625 Ltr ML20043F1721990-06-0505 June 1990 LER 90-009-00:on 900510,RWCU Outboard Suction Isolation Valve 2G33-F004 Auto Closed Which Tripped RWCU Pump B. Caused by Procedure Deficiency.Procedure LTS-500-209 Will Be revised.W/900605 Ltr ML20043F1281990-06-0101 June 1990 LER 90-009-00:on 900511,apparent Ruptured Diaphragm Found on Pressure Differential Switch in RCIC Steam Line.Caused by Torn Diaphragm Inside Switch.Replacement Switch Installed, Calibr & Functionally Tested satisfactorily.W/900608 Ltr ML20043B5681990-05-23023 May 1990 LER 89-027-01:on 891113,primary Containment Isolation Sys Group 1 Isolation Occurred During Surveillance Testing. Caused by Burnt Out Window Light Bulbs on Alarm Window. Light Bulbs Replaced & Jumpers installed.W/900523 Ltr ML20043A7721990-05-18018 May 1990 LER 90-007-00:on 900421,reactor Protection Sys Bus a Transfer & Reactor Recirculation Hydraulic Power Unit a Inboard Isolation Valves Closed,Causing Partial Group II isolation.Out-of-svc Procedure revised.W/900518 Ltr ML20043D0591990-05-18018 May 1990 LER 90-008-00:on 900502,ESF Actuation of Control Room B Emergency Ctk Ventilation Makeup Fan Occurred.Caused by Procedure deficiency.LTS-800-205 & Similar Procedures Will Be revised.W/900601 Ltr ML20042H0211990-05-10010 May 1990 LER 90-006-00:on 900412,loop a Primary Containment Chilled Water Sys Inboard Isolation Valves & Reactor Bldg Closed Cooling Water Sys Inboard Isolation Valve Went Closed.Caused by Inadequate Procedure.Procedures revised.W/900510 Ltr ML20042F9001990-05-0404 May 1990 LER 90-005-00:on 900411,experienced Loss of Dc Power to Portion of Div I Primary Containment Isolation Sys Logic Which Resulted in Isolation Signal & Actuation.Caused by Failure to Update Drawings & procedures.W/900504 Ltr ML20042F1941990-04-30030 April 1990 LER 89-025-01:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Door Containing Undervoltage Relays Closed.Caused by Misalignment of Door.Door Repaired. W/900430 Ltr ML20012D5341990-03-16016 March 1990 LER 90-003-01:on 900201,RCIC Isolation Signal Occurred During Warmup.Caused by Spurious High Steam Flow Signal.Rcic Sys Piping Integrity Verified & Isolation Logic Reset.W/ 900316 Ltr ML20012D5371990-03-16016 March 1990 LER 90-002-01:on 900129,oil in Diesel Generator Governor 1A Found to Be Low & Could Not Be Seen in Sight Glass.Caused by Slow Leak from Compensation Needle Valve Plug.Proper Amount of Oil Added & Operability Test performed.W/900316 Ltr ML20012C4931990-03-15015 March 1990 LER 90-004-00:on 900213,control Room B HVAC Intake Radiation Monitor Lost Power Causing auto-start of Emergency make-up Train B.Caused by Blown Fuses.Fuses Replaced.Logic Revs for Radiation Monitors Will Be installed.W/900315 Ltr ML20012B6501990-03-0909 March 1990 LER 90-002-00:on 900209,Operating Surveillance LOS-TG-W1 Determined to Have Exceeded Required Testing Interval,Per Tech Spec 3/4.7.10.Caused by Personnel Error.Personnel Counseled & Ref Procedures Will Be revised.W/900309 Ltr ML20012B5521990-03-0808 March 1990 LER 90-001-00:on 900206,full Reactor Scram Occurred During Instrument Surveillance Testing.Caused by Actuation of APRM E Trip Circuitry.Shutdown Margin Revised & Caution Card Placed on Control Room Bench board.W/900308 Ltr ML20011F8251990-03-0202 March 1990 LER 90-003-00:on 900201,RCIC Received Div 2 Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal Generated When Steam/Water Mixture Admitted to RCIC Steam Line.Isolation Logic reset.W/900302 Ltr ML20011F5551990-02-28028 February 1990 LER 90-002-00:on 900129,after Filling Diesel Generator 1A Governor W/Oil,Generator Started & Declared Inoperable. Caused by Slow Leak Coming from Compensation Needle Valve Plug.Oil Added & Plug Washer replaced.W/900228 Ltr ML20006F5951990-02-21021 February 1990 LER 90-001-00:on 900122,RWCU Sys Received Div 1 Leakage Detection Ambient Temp High Isolation Signal,Causing Trips of RWCU Pumps a & C.Caused by Broken Thermocouple Input Lead.Lead Wire Reconnected & Isolation reset.W/900221 Ltr ML20011F4921990-02-16016 February 1990 LER 89-013-01:on 890907,Group I Isolation Received During Performance of Instrument Surveillance LIS-MS-401.Caused by Depressurization of Main Steam Line Low Pressure Switch. Surveillance Revised to Split Into Two parts.W/900216 Ltr ML20006E4501990-02-15015 February 1990 LER 89-010-01:on 890715 & 17,voltage Oscillations Noted on Div II Battery Charger,Resulting in Inoperability of HPCS Sys.Caused by Failure of Charger in High Voltage Shutdown Relay.Charger Energized & Relay replaced.W/900215 Ltr ML20006E4451990-02-14014 February 1990 LER 89-009-01:on 890619,diaphragm Leak Discovered in RCIC Steam Line High Flow Isolation Switch.Caused by 1 & 1/2-inch Tear in Diaphragm.Pressure Differential Switch Replaced & Calibr.Reported Per NRC Bulletin 86-002.W/900214 Ltr ML20006E3981990-02-14014 February 1990 LER 89-008-01:on 890228,reactor Vessel Low Water Level 2 Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.Channel Placed in Tripped Condition & All Static-O-Ring Pressure Switches to Be replaced.W/900214 Ltr ML20006E3951990-02-14014 February 1990 LER 89-010-01:on 890303,automatic Depressurization Sys Permissive Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.All Static-O-Ring Reactor Vessel Level Switches Will Be replaced.W/900214 Ltr ML19354D8361990-01-15015 January 1990 LER 89-018-00:on 891216,plant 250-volt Battery & RCIC Sys Declared Inoperable Due to Low Battery Electrolyte Temps. Caused by Failure of Div I Switchgear Heat Removal Sys Damper Actuators.Air Intake Dampers closed.W/900115 Ltr ML20042D3921990-01-0404 January 1990 LER 89-011-01:on 890826,spurious Reactor Protection Sys Actuation Occurred.Definite Cause of Trip Not Determined. Brief Disturbance in Reactor Protection Sys Allowed Some Contactors to Trip.Procedure revised.W/900104 Ltr ML20005E2741989-12-22022 December 1989 LER 89-028-00:on 891204,RHR Shutdown Cooling Suction Header Outboard Isolation Valve Automatically Isolated.Caused by Miscommunication Between Technician & Station Operator.Task Force Developed to Review event.W/891222 Ltr ML19351A6301989-12-15015 December 1989 LER 89-006-01:on 890214,reactor Vessel Low Water Level 3 Switch Setpoint Found Out of Tolerance.Caused by Setpoint Drift.Level Switch to Be Replaced by Analog Trip Sys During First Quarter 1990.W/891215 Ltr ML20011D1341989-12-14014 December 1989 LER 89-017-00:on 891117,flow Switch FS-2E22-N006 Found W/ Setpoint Out of Tolerance Above Reject Limit.Caused by Setpoint Drift.Work Request Written to Replace Flow Switch. W/891214 Ltr ML19351A6751989-12-12012 December 1989 LER 89-027-00:on 891113,primary Containment Isolation Sys Group I Isolation Occurred While Performing Instrument Surveillance.Caused by Loss of Power to Leak Detection Sys Logic.Isolation reset.W/891213 Ltr ML19332F0081989-12-0808 December 1989 LER 89-016-00:on 891109,RWCU Isolation Occurred While Instrument Surveillance on Ventilation Differential Temp Isolation Functional Test in Progress.Caused by Faulty Thermocouple.Thermocouple repaired.W/891208 Ltr ML20005D6621989-12-0606 December 1989 LER 89-026-00:on 891106,inadvertent Primary Containment Isolation Actuation Occurred While Clearing out-of-svc. Caused by Inadequate Logic Setup During Mod Installation. Trip Status & Output Switches repositioned.W/891206 Ltr ML19332F2431989-12-0101 December 1989 LER 89-025-00:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Equipment Operator Closed Door Containing Relays.Caused by Misalignment of Door.Isolations Reset,Bus Energized & Circuit Logic tested.W/891201 Ltr ML19332E6581989-11-29029 November 1989 LER 89-015-00:on 891030,shift Control Room Engineer Noted That Quarterly Standby Liquid Control Operating Surveillance LOS-SC-Q1 Was Past Critical Date.Caused by Clerical Data Entry Error.Missed Surveillance performed.W/891129 Ltr ML19332D5181989-11-22022 November 1989 LER 89-018-01:on 890515,RCIC Received Div I & Div II Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal When Steam Added to RCIC Steam Line. Special Test Initiated.Isolation Logic reset.W/891122 Ltr ML19327C2601989-11-17017 November 1989 LER 89-014-00:on 891020,primary Containment Isolation Sys Group 4 Isolation Occurred Causing Isolation Dampers to Close.Caused by Opening of Div 2 125-volt Dc Breaker.Power Supply replaced.W/891117 Ltr ML19325F3411989-11-13013 November 1989 LER 89-024-00:on 891013 & 30,unsealed Openings in Main Control Room Floor & Main Control Room West Wall Discovered. Caused by Wide Gap Between Structural Beam & Cable Tray. Openings Sealed & Fire Watch established.W/891113 Ltr ML19324C1751989-11-0808 November 1989 LER 89-012-01:on 890309,diaphragm Leak Found in Pressure Differential Switch 1E31-N013BB.Caused by Tear Found in Diaphragm.Replacement Switch Installed,Calibr & Functionally Tested satisfactorily.W/891108 Ltr ML20024E9121983-08-26026 August 1983 LER 83-093/03L-0:on 830801,discovered full-in Indication on Core Display for Control Rod 34-47 Inoperable.Caused by Failed Switching Transistor on Data Memory Board 19.Data Memory Board replaced.W/830826 Ltr ML20024B8381983-07-0505 July 1983 LER 83-060/03L-0:on 830606,following Turbine Trip & Scram Due to High Vibration on Main Turbine,Reactor Recirculation Breaker 4B Closed.Cause Undetermined.Auxiliary Contacts cleaned.W/830705 Ltr ML20024B0721983-06-16016 June 1983 Updated LER 83-012/03X-1:on 830210,w/reactor in Cold Shutdown,Setpoints for Switches 1E31-N612A/B Found Above Tech Spec Limits.Cause Unknown.Switches calibr.W/830616 Ltr ML20024A6961983-06-14014 June 1983 LER 83-051/03L-0:on 830516,reactor Protection Sys Trip Channel H2 Limit Switch Failed to Operate Properly.Cause Unknown.Limit Switch readjusted.W/830614 Ltr 1993-07-30
[Table view] Category:RO)
MONTHYEARML20046B1481993-07-30030 July 1993 LER 93-012-00:on 930702,reactor Core Isolation Cooling Sys Declared Inoperable Due to Associated Bus Voltage Dropping Below TS Limits.Sent Operator to Cycle Timer Which Caused Affected Contact to reclose.W/930730 Ltr ML20045D9331993-07-0202 July 1993 LER 93-004-00:on 930604,unexpected CRD Low Charging Water Header Scram Received Followed by Charging Water Header A2/B2 Alarm.Caused by Crud or Foreign Matl Passing Through Suction Filter.Filters Cleaned & reused.W/930702 ML20045D7501993-06-23023 June 1993 LER 93-003-00:on 930524,Div 1 ECCS Initiation Signal Received & LPCS Pump,Lpci Pump 2A & EDG Unit 0 Automatically Started.Caused by Personnel Error.Pumps Secured & Event Documented in Personnel file.W/930623 Ltr ML20044E4161993-05-28028 May 1993 LER 92-009-01:on 920923,spurious Auto Start of CR Ventilation Emergency make-up Train Occurred Due to High Radiation Spike.Radiation Monitor Circuit modified.W/930528 Ltr ML20044E4191993-05-21021 May 1993 LER 93-011-00:on 930423,manual Scram Initiated.Caused by Disconnected Linkage on Valve Positioner on Heater Drain Valve Due to Loose Jam Nut.Tailgate Session Will Be Held W/ Instrument Maint Dept Re Jam nuts.W/930521 Ltr ML20044D5161993-05-15015 May 1993 LER 92-007-01:on 920613,high Radiation Spike Received from CR Ventilation Process Radiation Monitor,Initiating Emergency Makeup Train B.Caused by Normal Variations in Radiation Readings.Spike modified.W/930515 Ltr ML20044D5571993-05-14014 May 1993 LER 93-010-00:on 930414,DG Cooling Water Pump Automatically Tripped on Magnetic Overload.Caused by Inexperienced Trainee in Operation of Control Lever.Lesson Plans & Training Programs for Operators to Be reviewed.W/930514 Ltr ML20044C9801993-05-0707 May 1993 LER 91-010-01:on 910719 & 0805,CR a Ventilation Emergency Makeup Fan auto-started on Spurious Trip of CR Air Intake Process Radiation Monitor.Caused by Normal Variations in Background Radiation.Supply Board replaced.W/930507 Ltr ML20044B6161993-02-25025 February 1993 LER 93-002-00:on 930126,Unit 1 Manual Scram Due to a SRV Being Stuck Open Due to Duct Tape Being Over Actuators Air Valve Manifold Exhaust Port.Maint Procedures That Involve Cleanliness reviewed.W/930225 Ltr ML20024G9771991-05-10010 May 1991 LER 91-005-00:on 910410,determined That Tech Spec Required Surveillance of Suppression Chamber Oxygen Sampling Missed. Caused by Inadequate Review of Tech Spec Change.Drywell & Suppression Chamber Checked for oxygen.W/910510 Ltr ML20044A3851990-06-25025 June 1990 LER 90-008-00:on 900525,Tech Spec Hourly Fire Watch Missed Due to Miscommunications Between Security Personnel & Radiation Protection Personnel.Fire Watch re-established & Memo issued.W/900625 Ltr ML20043F1721990-06-0505 June 1990 LER 90-009-00:on 900510,RWCU Outboard Suction Isolation Valve 2G33-F004 Auto Closed Which Tripped RWCU Pump B. Caused by Procedure Deficiency.Procedure LTS-500-209 Will Be revised.W/900605 Ltr ML20043F1281990-06-0101 June 1990 LER 90-009-00:on 900511,apparent Ruptured Diaphragm Found on Pressure Differential Switch in RCIC Steam Line.Caused by Torn Diaphragm Inside Switch.Replacement Switch Installed, Calibr & Functionally Tested satisfactorily.W/900608 Ltr ML20043B5681990-05-23023 May 1990 LER 89-027-01:on 891113,primary Containment Isolation Sys Group 1 Isolation Occurred During Surveillance Testing. Caused by Burnt Out Window Light Bulbs on Alarm Window. Light Bulbs Replaced & Jumpers installed.W/900523 Ltr ML20043A7721990-05-18018 May 1990 LER 90-007-00:on 900421,reactor Protection Sys Bus a Transfer & Reactor Recirculation Hydraulic Power Unit a Inboard Isolation Valves Closed,Causing Partial Group II isolation.Out-of-svc Procedure revised.W/900518 Ltr ML20043D0591990-05-18018 May 1990 LER 90-008-00:on 900502,ESF Actuation of Control Room B Emergency Ctk Ventilation Makeup Fan Occurred.Caused by Procedure deficiency.LTS-800-205 & Similar Procedures Will Be revised.W/900601 Ltr ML20042H0211990-05-10010 May 1990 LER 90-006-00:on 900412,loop a Primary Containment Chilled Water Sys Inboard Isolation Valves & Reactor Bldg Closed Cooling Water Sys Inboard Isolation Valve Went Closed.Caused by Inadequate Procedure.Procedures revised.W/900510 Ltr ML20042F9001990-05-0404 May 1990 LER 90-005-00:on 900411,experienced Loss of Dc Power to Portion of Div I Primary Containment Isolation Sys Logic Which Resulted in Isolation Signal & Actuation.Caused by Failure to Update Drawings & procedures.W/900504 Ltr ML20042F1941990-04-30030 April 1990 LER 89-025-01:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Door Containing Undervoltage Relays Closed.Caused by Misalignment of Door.Door Repaired. W/900430 Ltr ML20012D5341990-03-16016 March 1990 LER 90-003-01:on 900201,RCIC Isolation Signal Occurred During Warmup.Caused by Spurious High Steam Flow Signal.Rcic Sys Piping Integrity Verified & Isolation Logic Reset.W/ 900316 Ltr ML20012D5371990-03-16016 March 1990 LER 90-002-01:on 900129,oil in Diesel Generator Governor 1A Found to Be Low & Could Not Be Seen in Sight Glass.Caused by Slow Leak from Compensation Needle Valve Plug.Proper Amount of Oil Added & Operability Test performed.W/900316 Ltr ML20012C4931990-03-15015 March 1990 LER 90-004-00:on 900213,control Room B HVAC Intake Radiation Monitor Lost Power Causing auto-start of Emergency make-up Train B.Caused by Blown Fuses.Fuses Replaced.Logic Revs for Radiation Monitors Will Be installed.W/900315 Ltr ML20012B6501990-03-0909 March 1990 LER 90-002-00:on 900209,Operating Surveillance LOS-TG-W1 Determined to Have Exceeded Required Testing Interval,Per Tech Spec 3/4.7.10.Caused by Personnel Error.Personnel Counseled & Ref Procedures Will Be revised.W/900309 Ltr ML20012B5521990-03-0808 March 1990 LER 90-001-00:on 900206,full Reactor Scram Occurred During Instrument Surveillance Testing.Caused by Actuation of APRM E Trip Circuitry.Shutdown Margin Revised & Caution Card Placed on Control Room Bench board.W/900308 Ltr ML20011F8251990-03-0202 March 1990 LER 90-003-00:on 900201,RCIC Received Div 2 Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal Generated When Steam/Water Mixture Admitted to RCIC Steam Line.Isolation Logic reset.W/900302 Ltr ML20011F5551990-02-28028 February 1990 LER 90-002-00:on 900129,after Filling Diesel Generator 1A Governor W/Oil,Generator Started & Declared Inoperable. Caused by Slow Leak Coming from Compensation Needle Valve Plug.Oil Added & Plug Washer replaced.W/900228 Ltr ML20006F5951990-02-21021 February 1990 LER 90-001-00:on 900122,RWCU Sys Received Div 1 Leakage Detection Ambient Temp High Isolation Signal,Causing Trips of RWCU Pumps a & C.Caused by Broken Thermocouple Input Lead.Lead Wire Reconnected & Isolation reset.W/900221 Ltr ML20011F4921990-02-16016 February 1990 LER 89-013-01:on 890907,Group I Isolation Received During Performance of Instrument Surveillance LIS-MS-401.Caused by Depressurization of Main Steam Line Low Pressure Switch. Surveillance Revised to Split Into Two parts.W/900216 Ltr ML20006E4501990-02-15015 February 1990 LER 89-010-01:on 890715 & 17,voltage Oscillations Noted on Div II Battery Charger,Resulting in Inoperability of HPCS Sys.Caused by Failure of Charger in High Voltage Shutdown Relay.Charger Energized & Relay replaced.W/900215 Ltr ML20006E4451990-02-14014 February 1990 LER 89-009-01:on 890619,diaphragm Leak Discovered in RCIC Steam Line High Flow Isolation Switch.Caused by 1 & 1/2-inch Tear in Diaphragm.Pressure Differential Switch Replaced & Calibr.Reported Per NRC Bulletin 86-002.W/900214 Ltr ML20006E3981990-02-14014 February 1990 LER 89-008-01:on 890228,reactor Vessel Low Water Level 2 Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.Channel Placed in Tripped Condition & All Static-O-Ring Pressure Switches to Be replaced.W/900214 Ltr ML20006E3951990-02-14014 February 1990 LER 89-010-01:on 890303,automatic Depressurization Sys Permissive Switch Found W/Setpoint in Excess of Reject Limit.Caused by Setpoint Drift.All Static-O-Ring Reactor Vessel Level Switches Will Be replaced.W/900214 Ltr ML19354D8361990-01-15015 January 1990 LER 89-018-00:on 891216,plant 250-volt Battery & RCIC Sys Declared Inoperable Due to Low Battery Electrolyte Temps. Caused by Failure of Div I Switchgear Heat Removal Sys Damper Actuators.Air Intake Dampers closed.W/900115 Ltr ML20042D3921990-01-0404 January 1990 LER 89-011-01:on 890826,spurious Reactor Protection Sys Actuation Occurred.Definite Cause of Trip Not Determined. Brief Disturbance in Reactor Protection Sys Allowed Some Contactors to Trip.Procedure revised.W/900104 Ltr ML20005E2741989-12-22022 December 1989 LER 89-028-00:on 891204,RHR Shutdown Cooling Suction Header Outboard Isolation Valve Automatically Isolated.Caused by Miscommunication Between Technician & Station Operator.Task Force Developed to Review event.W/891222 Ltr ML19351A6301989-12-15015 December 1989 LER 89-006-01:on 890214,reactor Vessel Low Water Level 3 Switch Setpoint Found Out of Tolerance.Caused by Setpoint Drift.Level Switch to Be Replaced by Analog Trip Sys During First Quarter 1990.W/891215 Ltr ML20011D1341989-12-14014 December 1989 LER 89-017-00:on 891117,flow Switch FS-2E22-N006 Found W/ Setpoint Out of Tolerance Above Reject Limit.Caused by Setpoint Drift.Work Request Written to Replace Flow Switch. W/891214 Ltr ML19351A6751989-12-12012 December 1989 LER 89-027-00:on 891113,primary Containment Isolation Sys Group I Isolation Occurred While Performing Instrument Surveillance.Caused by Loss of Power to Leak Detection Sys Logic.Isolation reset.W/891213 Ltr ML19332F0081989-12-0808 December 1989 LER 89-016-00:on 891109,RWCU Isolation Occurred While Instrument Surveillance on Ventilation Differential Temp Isolation Functional Test in Progress.Caused by Faulty Thermocouple.Thermocouple repaired.W/891208 Ltr ML20005D6621989-12-0606 December 1989 LER 89-026-00:on 891106,inadvertent Primary Containment Isolation Actuation Occurred While Clearing out-of-svc. Caused by Inadequate Logic Setup During Mod Installation. Trip Status & Output Switches repositioned.W/891206 Ltr ML19332F2431989-12-0101 December 1989 LER 89-025-00:on 891101,sys Auxiliary Transformer Feed to Bus 142Y Tripped Open When Equipment Operator Closed Door Containing Relays.Caused by Misalignment of Door.Isolations Reset,Bus Energized & Circuit Logic tested.W/891201 Ltr ML19332E6581989-11-29029 November 1989 LER 89-015-00:on 891030,shift Control Room Engineer Noted That Quarterly Standby Liquid Control Operating Surveillance LOS-SC-Q1 Was Past Critical Date.Caused by Clerical Data Entry Error.Missed Surveillance performed.W/891129 Ltr ML19332D5181989-11-22022 November 1989 LER 89-018-01:on 890515,RCIC Received Div I & Div II Isolation on RCIC High Steam Line Flow.Caused by Spurious High Steam Flow Signal When Steam Added to RCIC Steam Line. Special Test Initiated.Isolation Logic reset.W/891122 Ltr ML19327C2601989-11-17017 November 1989 LER 89-014-00:on 891020,primary Containment Isolation Sys Group 4 Isolation Occurred Causing Isolation Dampers to Close.Caused by Opening of Div 2 125-volt Dc Breaker.Power Supply replaced.W/891117 Ltr ML19325F3411989-11-13013 November 1989 LER 89-024-00:on 891013 & 30,unsealed Openings in Main Control Room Floor & Main Control Room West Wall Discovered. Caused by Wide Gap Between Structural Beam & Cable Tray. Openings Sealed & Fire Watch established.W/891113 Ltr ML19324C1751989-11-0808 November 1989 LER 89-012-01:on 890309,diaphragm Leak Found in Pressure Differential Switch 1E31-N013BB.Caused by Tear Found in Diaphragm.Replacement Switch Installed,Calibr & Functionally Tested satisfactorily.W/891108 Ltr ML20024E9121983-08-26026 August 1983 LER 83-093/03L-0:on 830801,discovered full-in Indication on Core Display for Control Rod 34-47 Inoperable.Caused by Failed Switching Transistor on Data Memory Board 19.Data Memory Board replaced.W/830826 Ltr ML20024B8381983-07-0505 July 1983 LER 83-060/03L-0:on 830606,following Turbine Trip & Scram Due to High Vibration on Main Turbine,Reactor Recirculation Breaker 4B Closed.Cause Undetermined.Auxiliary Contacts cleaned.W/830705 Ltr ML20024B0721983-06-16016 June 1983 Updated LER 83-012/03X-1:on 830210,w/reactor in Cold Shutdown,Setpoints for Switches 1E31-N612A/B Found Above Tech Spec Limits.Cause Unknown.Switches calibr.W/830616 Ltr ML20024A6961983-06-14014 June 1983 LER 83-051/03L-0:on 830516,reactor Protection Sys Trip Channel H2 Limit Switch Failed to Operate Properly.Cause Unknown.Limit Switch readjusted.W/830614 Ltr 1993-07-30
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217C9121999-10-12012 October 1999 SER Input Authorizing Licensee Proposed Request to Modify Definition of Core Alteration in Section 1.0 of TS & Update Sections 3/4.1,3.4.3 & 3/4.9 to Reflect Proposed Definition Change ML20217F9091999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for LaSalle County Stations,Units 1 & 2.With ML20217A1691999-09-22022 September 1999 Part 21 Rept Re Engine Sys,Inc Controllers,Manufactured Between Dec 1997 & May 1999,that May Have Questionable Soldering Workmanship.Caused by Inadequate Personnel Training.Sent Rept to All Nuclear Customers ML20212C4501999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for LaSalle County Station,Units 1 & 2.With ML20210R0671999-07-31031 July 1999 Monthly Operating Repts for July 1999 for LaSalle County Station,Units 1 & 2.With ML20210C1681999-07-0909 July 1999 Seventh Refueling Outage ASME Section XI Summary Rept ML20209H1501999-06-30030 June 1999 Monthly Operating Repts for June 1999 for LaSalle County Station,Units 1 & 2.With ML20195J7871999-05-31031 May 1999 Monthly Operating Repts for May 1999 for LaSalle County Station,Units 1 & 2.With ML20209E1431999-05-31031 May 1999 Cycle 8 COLR, for May 1999 ML20195B2591999-05-19019 May 1999 Rev 66a to CE-1-A,consisting of Proposed Changes to QAP for Dnps,Qcs,Znps,Lcs,Byron & Braidwood Stations ML20206N2071999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for LaSalle County Station,Units 1 & 2.With ML20205L8421999-03-31031 March 1999 Rev 2 to EMF-96-125, LaSalle Unit 2 Cycle 8 Reload Analysis ML20205L8301999-03-31031 March 1999 Administrative Technical Requirements App B (Amend 26) LaSalle Unit 2 Cycle 8 COLR & Reload Transient Analysis Results, for Mar 1999 ML20205R2721999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for LaSalle County Station,Units 1 & 2.With ML20205L8391999-03-22022 March 1999 Rev 2 to 960103, Neutronics Licensing Rept for LaSalle Unit 2,Cycle 8 ML20204C8141999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for LaSalle County Station,Units 1 & 2.With ML20199E4601998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for LaSalle County Station,Units 1 & 2.With ML20207C7371998-12-31031 December 1998 Annual Rept for LaSalle County Station for Jan 1998 Through Dec 1998 ML20205M7061998-12-31031 December 1998 Unicom Corp 1998 Summary Annual Rept. with ML20198B3801998-12-14014 December 1998 SER Accepting one-time Request for Relief from Certain Provisions of Section XI of ASME Boiler & Pressure Vessel Code,Per 10CFR50.55a for Certain Plant Safety/Relief Valves ML20206N2261998-12-0909 December 1998 LER 98-S03-00:on 981116,protected Area Was Entered Without Current Authorization for Unescorted Access Due to Programmatic Deficiency Error.Changed Badge Control Process ML20197K0981998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for LaSalle County Station,Unts 1 & 2.With ML20196B1441998-11-23023 November 1998 Safety Evaluation Accepting Licensee Response to GL 95-07, Pressure Locking & Thermal Bindings of Safety-Related Power-Operated Gate Valves ML20196A4191998-11-19019 November 1998 Safety Evaluation Accepting QA TR CE-1-A,Rev 66 Re Changes in Independent & Onsite Review Organization by Creating NSRB ML20195D3191998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for LaSalle County Station.With ML20154H6781998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20153D0191998-09-18018 September 1998 Part 21 Rept Re Defect in Gap Conductance Analyses for co- Resident BWR Fuel.Initially Reported on 980917.Corrective Analyses Performed Demonstrating That Current Operating Limits Bounding from BOC to Cycle Exposure of 8 Gwd/Mtu ML20153C7621998-09-18018 September 1998 Safety Evaluation Acceping NRC Bulletin 95-002, Unexpected Clogging of RHR Pump Strainer While Operating in Suppression Pool Cooling Mode ML20153C6771998-09-17017 September 1998 Part 21 Rept Re Defect Relative to MCPR Operating Limits as Impacted by Gap Conductance of co-resident BWR Fuel at Facilities.Operating Limit for LaSalle Unit 2 & Quad Cities Unit 2 Will Be Revised as Listed ML20151W0241998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for LaSalle County Station.With ML20237E2921998-08-21021 August 1998 Special Rept:On 980811,channel 5 of Lpms Became Inoperable. Caused by Channel Failed pre-amplifier Located Inside Primary Containment at Inboard Side of Electrical Penetration E-19.Initiated Repairs of Channel ML20237E2331998-08-21021 August 1998 Revised Pages of Section 20 of Rev 66 to CE-1-A, QA Topical Rept ML20237B4861998-07-31031 July 1998 Monthly Operating Repts for July 1998 for LaSalle County Nuclear Power Station Units 1 & 2 ML20236V7701998-07-31031 July 1998 Revised LaSalle Unit 1 Cycle 8 COLR & Reload Transient Analysis Results ML20236P8231998-07-14014 July 1998 Special Rept:From 980614-17,various Fire Rated Assemblies Were Inoperable for Period Greater than Seven Days.Caused by Test Equipment Being Routed Through Fire Doors.Established Fire Watches & on 980619 Assemblies Were Declared Operable ML20236N6751998-07-0909 July 1998 Part 21 & Deficiency Rept Re Notification of Potential Safety Hazard from Breakage of Cast Iron Suction Heads in Apkd Type Pumps.Caused by Migration of Suction Head Journal Sleeve Along Lower End of Pump Shaft.Will Inspect Pumps ML20236L8041998-07-0606 July 1998 Safety Evaluation Granting Licensee 980304 Request for Second 10-yr Interval Pump & Valve IST Program Plan,Rev 2, Including Changes to 2 ASME Boiler & Pressure Vessel Code Relief Requests Previously Submitted in Rev 1 ML20236P3611998-06-30030 June 1998 Monthly Operating Repts for June 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20249C4891998-06-22022 June 1998 Special Rept:On 980522,Fire Detection Zone 1-31 Was Noted out-of-service for More than 14 Days.Detection Sys Was Taken out-of-service on 980508 to Prevent False Alarms During Hot Work Activities.Sys Was Returned to Operable Status 980528 ML20248M3101998-05-31031 May 1998 Monthly Operating Repts for May 1998 for LaSalle County Nuclear Power Station,Units 1 & 2 ML20236V7771998-05-31031 May 1998 Rev 1 to 24A5180, Supplemental Reload Licensing Rept for LaSalle County Station Unit 1 Reload 7 Cycle 8 ML20217Q7041998-05-0404 May 1998 Safety Evaluation Accepting Util Request to Leave Leak Chase Channels Plugged During Performance of Containment ILRT ML20247M4491998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for LaSalle County Station ML20216F4941998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for LaSalle County Station,Units 1 & 2 ML20217N6581998-03-30030 March 1998 Special Rept on Fire Detection,Deluge Sys & Fire Rated Assemblies During Period of 980303-25.Established Fire Watches Until Affected Equipment Is Returned to Operable Status ML20216D9511998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for LaSalle County Station,Units 1 & 2 ML20247M4631998-02-28028 February 1998 Rev Monthly Operating Rept for Feb 1998 for LaSalle County Station ML20203D7241998-02-20020 February 1998 Special Rept:On 980118,Fire Detection Zones 1-18 & 2-18 Taken out-of-svc to Prevent False Alarms During Hot Work Activities on Auxiliary Electric Equipment Room Ventilation Sys.Fire Watches Will Remain in Place ML20202G9851998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for LaSalle County Station,Units 1 & 2 ML20199K1651998-01-23023 January 1998 Rev 65h to Topical Rept CE-1-A, Comm Ed QA Tr 1999-09-30
[Table view] |
Text
, . __ .. __ ._ _.- ._. _ _ _ _ _ . - _ . . . -
t i.. - .
Comm:nwealth Edison q , LaSalle County Nuclear Station .
- j. Rural Route #1, Box 220 -
.3-
~
. Marseilles, Illinois 61341
. Telephone 815/357-6761 1
(j i
i December 6, 1989 I
1 Director of Nuclear Reactor Regulation U.S.-Nuclear Regulatory Commission.
Mail Station P1-137 Washington, D.C. 20555
Dear. Sir:
Licensee Event Report #89-026-00, Docket 9050-373 is being submitted to your office in accordance with
Wb G. J. Diederich h(stationManager LaSalle County Station OJD/DAC/kg '
Enclosure .
xc: Nuclear Licensing Administrator NRC Resid6c..t Inspector NRC Region III Administrator IMPO - Records Center m
e ,1 m e e 1 e1m
[DR ADOCK 05000373
- #,n PDC
. ~_. _ -. .. _ -. . - - - - - . _ _ - -
s LICENSEE EVENT REPORT (LER) p g Docket Neber (2) Pane (3)
Facility Name (I) 1 01 51 01 01 01 31 71 3 1 of 1 0
% 11e County Station unit i Title (4) Inadvertent Primary Containment Isolation Actuation Due to inadequate yakSetuoDurinoModificationInstallation 7;n-et Date (7) Other Facilities involved (8)
Event Date (5) LER Number (6)
Month Day Year Facility Names Docket N r ,er(s)
Sequential Revision Montt Day Year Year //
fg//
/ Neber
/f/
f
/// Neber 01 51 01 01 01 l i 81 9
~
01216
~
01 0 112 01 6 81 9 01 51 01 01 01 l l 11 1 01 6 81 9 HI U D NM TO THE REAMEMS M M OPERATING (Chock one or .e of the followine) (11) 20.405(c) ,, X,_ 50.73(a)(2)(lv) 73.71(b) 4 20.402(b) ,,_,_
50.36(c)(1) 50.73(a)(2)(v) 73.71(c)
P0hEER _
20.405(a)(1)(1) ,_
Other (Specify 20.405(a)(1)(ll) 50.36(c)(2) ,,__ 50.73(a)(2)(vii) _
LEVEL 0l0l0 50.73(a)(2)(1) 50.73(a)(2)(viii)(A) in Abstract (10) ,_
20.405(a)(1)(lii) ,,_,,,
below and in 50.73(a)(2)(ll) 50.73(a)(2)(vili)(B)
/'/ //////////// ///,///// 20.405(a)(1)(iv) 50.73(a)(2)(lii) 50.73(a)(2)(x) Text)
// // / /// / ,_,_
20.405(a)(1)(v) ,,_,_
f LICENSEE CONTACT FOR THIS LER (12)
TELEPHONE NUISER __
Name AREA CODE 8 l 1 15 31 51 71 -l 61 71 61 1 Don Crow 1. r; xlatory Assurance extension 2960 COWLETE ONE LINE FOR EACH C0fFONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE SYSTEM COMPONENT MANUFAC. REPORTA8LE SYSTEM COMPONENT MANUFAC- REPORTABLE CAUSE TURER TO NPRDS TURER TO NPRDS N I I I I I I l D I I I I I I I I I I I I I I I l l 1 I l i Expected Month I Day l Year SUPPLEMENTAL REPORT EXPECTED (14)
Submission
~"" lyes (if ves, s_-lete EXPECTED SUBMISSION DATE) TlNO l ll ll l
ABSTRACT (Limit to 1400 spaces, i.e, approximately fifteen single-space typewritten lines) (16)
On Novenber 6,1989 at 1919 hours0.0222 days <br />0.533 hours <br />0.00317 weeks <br />7.301795e-4 months <br /> with Unit 1 Defueled, a Primary Containment Isolation System (PCIS) Group 2, 6 and 7 isolations occurred while clearing an out-of-service in accordance with LaSalle Adninistrative Procedure LAP-900 4, " Equipment Out-of-Service Procedure." The PCIS Group 2, 6 and 7 resulted in closure of IVP113A Drywell Cooler 1A Inlet inboard Isolation valve, IVP114A Drywell Cooler IA Outlet inboard Isolation valve, the All other trip of IVP0lPA Primary Containment Chiller pop and IVPOICA Water Chiller unit on low flow.
components were isolated and out-of-service due to scheduled refueling outage work.
The PCIS Group 2, 6 and 7 isolations occurred because the Trip Output and Status switches on the Rosemount reactor level transmitter trip units were not in their required position. When the outage was cleared, junpers were removed that bypassed the contacts for the isolation logic and resulted in an isolation.
l The Trip Status and Trip Output switches were repositioned and the PCIS logic was reset without any further problems.
The Primary Containment Cooling Water system was on at the time to support work in the drywell and was not required for plant operation during this event.
The event is being reported pursuant to the requirements of 10CFR50.73(a)(2)(lv) due to the actuation of an Engineered Safety Feature system.
j 4- .
-' - LifM8 EVENT REPORT (LER) TEXT CONTINUATION Form Rev 2.0 DOCKET NUPSER (2) LER HUfGER (6) Pane (3)- ,
FACILITY NAfE (1)
Year //J Sequential f
/ Revision g/T/ thster l
/7/ thaber
% 11e County Station unit 1 oISloIo10131?l3 sIe - 01216 - 01 0 of2 0F 11 o TEXT: . Energy Industry Identification System (Ells) codes are identified in the text as [XX]
PLANT AND SYSTEM IDENTIFICATION -
J Qeneral Electric - Bolling blater Reactor Energy Industry identification System (Ells) codes are identified in the text as (XX).
l i
4 A. CON 0!T10N PRIOR TO EVENT Event Date: 11/16/89 Event Time: 1919 Hours Unit (s): 1 Defueled Mode (s)Itame: Defueled Power Level (s): _0L, Reactor Mode (s):
- 8. DESCRIPTION OF EVENT On Itovember 6,1989 at 1919 hours0.0222 days <br />0.533 hours <br />0.00317 weeks <br />7.301795e-4 months <br /> with Unit 1 Defueled, a Primary Containment isolation System (PCIS, PC) [JM] Group 2, 6 and 7 isolation occurred while clearing an out-of-service in accordance with LaSalle ,
fdninistrative Procedure LAP-900-4, " Equipment Out-of-Service Procedure." This was done following the-replacement of the Static-0-aing reactor level switches with Rosemount level transmitters and trip ,
units. The PCl$ Group 2, 6 and 7 resulted in closure of IVP113A Drywell Cooler IA Inlet inboard Isolation valve, IVP114A Drywell Cooler 1A outlet inboard Isolation valve, the trip of IVPOIPA Primary Containment Chiller pump and IVP01CA Water Chiller unit on low flow. All other components were Isolated and out-of-service due to scheduled refueling outage work.
Prior to the event Unit I was defueled for a planned refuel outage. The Residual Heat Removal (RNR, RH)
[80] Shutdown Cooling system was isolated and the Primary Containment ventilation loop 1A was in operation to support work activities in the drywell during the outage.
b On October 28, 1989, all outages associated with the Reactor Level Static-0-Ring switch replacement were.
authorized to be placed back in service following the completion of this work.
The Unit 1 Outage Shift Control Room Engineer (SCRE) and an Auxiliary Shift Supervisor (both Ilconsed Senior Reactor Operators) both reviewed the outages and detennined the sequence required to place the new Rosemount reactor vessel level transmitters back in service. The SCRE developed a written guideline to aid in coordinating the effort for clearing the outages and prevent inadvertent Engineered Safety Feature system (ESF) actuations. The guideline for clearing the outages was written to coordinate partially clearing the outages to allow testing of the new Rosemount level transmitters in preparation for reactor vessel flood-up following the vessel decontaminal .on.
The electrical construction testing was congleted for the new reactor level transmitter logic installation, which provides input to both the Reactor Protection System (RPS, RP) [JC] and the Primary Contaltunent Isolation system (PCIS) [JM] per Electrical Construction Test Procedure, ECTP 19-Control Circuits. This test involved inspecting the new devices installed per the modification for physical damage, proper labeling and tenninations.
Form Rev 2.0
- - LIC5K55 EVENT REPORT (LER) TEXT CONTINUATION Pane (3)
DOCKET NumER (2) LER NUSER (6)
FACILITY MAE (1) Sequential Revision Year /
g//
/ Number
/g/// Number L* lle County Station unit 1 015I01010131113 8I9 - 01216 - 01 0 01 3 0F 110 TEXT Energy Industry Identification System (Ells) codes are identified in the text as [XX]
- 8. DESCRIPT10N OF EVENT (Continued)
On October 28, 1989 the Operating Department partially returned to service the outages associated with 18214403A/8/C/D reactor water level transmitters. This was to provide power the 18214402A/B/C/D and to the master trip unit meters for calibration per LaSalle Instr aent Surveillances LIS 48-101A/8, " Unit i Reactor vessel Low Water Level 3 Scrm Trip Logic Al & A2 and RHR (Shutdown Cooling Mode) Isolation Refuel Calibration" and LIS-MS-107A/S, " Unit 1 Reactor Vessel Low Water Level 1 and Level 21 solation Instrumentation Chanael Calibration." Only a partial calibration was performed to verify the meters associated with the Master Trip Units would respond correctly to a given input signal; no functional check of the logic was completed at this time. Another partial return to service was authorized to allow the IB214402A/8/C/0 and 18214403A/B/C/D level transmitters to be backfilled and locally calibrated using a portable dead weight test ping per LIS-NB-107A/B. Again only a partial calibration This was perfonned to verify the level transmitter would respond correctly to a given input signal.
partial calibration process was done to allow verification of proper instrument trend response when the reactor vessel was refilled. Coupletion of the calibration required removal of all outages.
The Instrument Maintenance personnel coupleted their partial calibratlofts and on Novenber 4,1989, the Operating Department commenced flood-up of the Unit I reactor vessel in accordance with LaSalle Operating Procedure LOP-FC-17, "fliling the Reactor Well and Dryer / Separator Pit from the Suppression Pool through the RHR or Low Pressure Core Spray (LPCS, LP) (BM] System." During the flood-up Technical Staff and Instrument Maintenance Department personnel verified that the newly Installed Rosemount level instrumentation was responding correctly. No problems were found at this time.
Once the Unit I reactor vessel was filled to approximately 12 inches below the vessel flange all the Static-O-Ring level switch replacement outages were authorized to be completely cleared or returned to service in accordance with LAP-900-4. The isolation boundaries associated with the outages were returned to service in the following sequence:
- 1. The mechanical portion which consisted of the instrisnentation valves.
- 2. The power supplies to the new Rosemount level transmitters and logic.
- 3. The retennination of leads for the new instrumentation logic.
- 4. The removal of jumpers to prevent actual isolation during the replacement of the Static-0-Ring switches.
Prior to the completion of the clearing of the Static-0-Ring level switch replacement outages, the new Rosemount master trip units (a trip unit with a level indicating meter which receives its input directly from the level transmitter) were verified indicating upscale and all trip indicating langs were de-energi zed. Also no PCIS logic status lights were energized prior to clearing the outages. During the removal of the junper on panel IPA 14J, Division 21 solation Logic Auxiliary Relay Cabinet, at terminal points AA-15 to D0-89, a Group 2, 6 and 7 PCIS isolation occurred. Thisjumperbypassedthe Division 2 PCIS Group 2 inboard isolation valve logic. Because the Rosemount master and slave trip units (The slave trip units do not have a level indicating meter and receive their level input from the
. . _. _ ._ _ ~ _
- '* LirEEEE EVENT REPORf (LER) TEXT CONTINUATION Fons Rev 2.0 DOCKET NUMBER (2) LER NU SER (6) Pace (3)
-FACILITY NAE (1)
Year // Sequential //jj
/ Revision jg//
/ Neber j//
T Naber 0i216 01 0 01 4 0F 11 0 L W 11e County Station unit 1 015101010131713l B I 9 - -
TEXT Energy Industry Identification System (Ells) codes are identified in the text as [XX]
B. DESCRIPTION OF EVENT (Continued) master trip unit.) were not coupletely calibrated, it was not identified that the slave trip units were !
in t h tripped condition when the juper was removed. (See attached diagram.) Upon further Investigation the master trip units associated with reactor level 3 trips were also found in the trip condition. This prevented resetting the-logic, alarms and resulted in the operation of valves associated with the RPS and PCIS logic.
When the Division 2 PCIS Group 2 isolation logic initiated it resulted in closure of IVP113A Drywell '
Cooler IA Inlet Inboard Isolation valve, IVP114A Orywell Cooler 1A Outlet Inboard Isolation valve, the trip of the IVP01PA Primary Containment Chiller pop and IVPOICA Water Chiller unit on low flow. Prior to resetting the isolation logic all the relay panels associated with the PCIS and Reactor Protection System logic were inspected to determine which relays were energized or de-energized. The following relays were found in their tripped de-energized state:
- a. Relays IC71-K6A/B/C/D Reactcr Level 3 RPS and PCIS Group 6 and 7 logic
- b. Relays 1821H-Kl8 & C Reactor Level 2 PCIS logic PCIS Group 6 and 7 logic status lights were energized.
These relays were de-energized due to the outage to support the Static-0-Ring switch replacement.
Automatic initiations of Engineered Safety Feature conponents were prevented by junpering across contacts that would normally open when these relays were de-energized. When power was restored to these '
relays while clearing the out-of-services associated with them, the relays should have energized -
providing all trips associated with opening the contacts which supply power to these relays were reset.
Once the relays were energized and all associated contacts that were jupered are closed, the junipers could have been removed because they were no longer necessary.
De-energizing relays 1C71-K6A/B/C/D result in the following actions under nonnal circunstances:
- a. A full reactor scran and PCIS Group 6 and 7 isolations and Panel 1Hl3-P601 Control Room alanns B203, "CHAN Al REACTOR AUTO SCRAM" B505, "CHAN A1/B1 RX VESSEL WTR LVL 3 LO" B211, "CHAN A2 REACTOR AUTO SCRAM" B509, "CHAN A2/82 RX VESSEL WTR LVL 3 LO" B303, "CHAN 81 REACTOR AUTO SCRAM" B311. "CHAN 82 REACTOR AUT9 "UAM"
- b. Panel IH13-P601 RPS bus A and C F_ran solenoid group lights de-energized.
- c. Process Computer alanas D978, "LO RX WTR LEVEL DIV Al" 0985, "LO RX WTR LEVEL DIV A2" 0979, "LO RX WTR LEVEL DIV Bl" 0984, "LO RX WTR LEVEL Div B2"
. ~ . . . _ . - - ~ . . ._ . _ _ . _ _ _ . . ~ . _ _ _ _ _ __
I 'N LICi"if EVENT REPORT (LER) TEXT CONTINUAfl0N Fom Rev 2.0
+*
Pee (3)
FAClyTY MAfE (1) DOCKET NumER (2) LER NUMER (6)
Revision
//f Year- f W/
Sequential /,/,/
Naber W/ Naber i
% 11e County Station unit 1 o I 5 I o I o I o 1 31 Tl 3 sIg - oi216 - oIo of 5 0F 11 o TEXT Energy Industry identification System (Ells) codes are identified in the text as [XX] ,
B. DESCRIPTION OF EVENT (Continued)'
- d. Control Room back panel PCIS status lights 0531, 33 and 36 energized.
De-energizing relays 1821H-K1B and C result in the following actions under nomal circumstances: I
- a. .PCIS Group 2, 3, 4 and 5 isolations Panel IH13-P601 Control Room alarms t l
F504, "CHAN A1/A2 MSiv ISOL TRIP" E504, "CHAN B1/82 MSIV ISOL TRIP" t
- b. Panel 1H13-P603 control Room alams 9511, "CHAN A2/82 RX VESSEL WTR LVL 1 LO-LO-LO" A210. "CHAN A1/B1 RX VESSEL WTR LVL 1 LD-LD-LO" The Operating personnel completed clearing the outages for the Static-0-Ring reactor level switch -
replacement without any further problems. Once the inspection of all the relays associated with the RPS and PCIS logic was coupleted and the outage was coupletely cleared, the Operating personnel attempted to reset the PCIS logic; no change in relay status was observed. The Shift Engineer (SE, Ilconsed Senior Reactor Operator) instructed the Operating personnel to prepare and hang another outage to defeat the PCIS Groups 2, 3, 4 and 5 isolation logic from initiating due to troubleshooting the reactor level 2 logic. The Instriment Maintenance personnel were then requested to troubleshoot reactor level 2 and 3 l
> Rosemount = trip units to detemine why the Operator was unable to reset the logic. After performing a
[
t calibration and inspection of the master and slave trip units it was discovered that the Trip Status switch 51 and Trip output switch 52 located on the printed circuit board for these trip units were in the wrong position. (See attached diagram.) The Trip Status switch 51 was found in the "nomal" position (should have been in the reverse position) and the Trip Output switch S2 was found in the ^
" reverse" position (should have been in the normal position).
The Trip output switch in the " normal" position, controls the contact in the logic for the Master or l'.
l Slave. trip unit which opens to de-energize the RPS or PCIS relay that will initiate a scram or l' isolation. The Trip Status switch in the " reverse" position, contmis the trip indicating LEO located on the master or slave trip unit which should energize to indicate a trip during a trip condition. The Trip Output and Trip Status switches operate independently of each other, therefore the Trip Status light (LED, Light Emitting Diode) may not be lit when the Trip Output relay is in the trip condition.
The setting of the Trip Output and Trip Status switches are all a function of whether the system is energized to initiate or de-energize to initiate. The normal configuration is set to de-energize to initiate.
LICENSEE EVENT rep 0RT'(LER) TEXT CONTINUATION Fom Rev 2.0 LER NUMER (6) Pane (3)
FACILITY NAE (1); DOCKET NUMER (2)
Revislon Year /,/f Sequential W/ Number
//f j/// Nueer 01216 01 0 01 6 0F 11 0 0 1 5 1 0 1 0 1 0 1 31 71 3 819 i dalle County Station unit 1 -
TEXT Energy Industry identification System (Ells) codes are identified in the text as [XX]
- 8. DESCRIPTION Of EVENT (Continued)
The Trip output and Status switches were repositioned and calibrations conpleted in accordance with LIS-MS-107A/8 and LIS-NS-101A/B without any further probisms.
This event is reportable pursuant to the requirement of 10CFR$0.73(c)(2)(iv) due to an actuation of an ESF system.
C. APPARENT CAUSE OF EVENT The root cause of this event was that the nodification was installed with the Master and Slave trip unit Trip Output or Status switches improperly set. No written instructions were provided in the ,
modification package on how to set the switches. This caused the person in charge of the work to authorize restoring the level instroentation to service in an abnonnal condition. This allowed the level indicating meters on the Master Trip units to indicate upscale with the trip contacts open in the L
tripped condition with no trip indicating Ilght lilisninated on either the Master or Slave trip units.
When the Master and Slave trip units were inspected prior to clearing the outage no trip lasps were jl- 111isnineted. The jumpers were removed across the open contacts while clearing the outage resulting in de-energizing trip logic relays for reactor level 2 and 3 RPS and PCIS logic. This caused PCIS Group 2, 6 and 7 isolations to occur.
A contributing factor was that the Instrisment Maintenance personnel were unable to perfom a complete calibration of the new Rosemount reactor level Instrisnentation and logic until the outage for installing this instrumentation was cleared. Partial calibrations were perfomed on the level indicating meter and transmitters to verify proper response during the reactor vessel floodup. No functional testing of the level instrumentation logic was perfonned at this time, therefore alams and relays were not tested l preventing the Instrument Maintenance personnel from identifying a potential problem prior to returning the Rosemount reactor level instrumentation to service.
An additional contributing factor was the Operating personnel clearing this outage were not required and l
did not utilize the electrical schematics associated with preparing the outage to detemine which alarms l
l should have cleared in the Control Room and which relays should have energized. The outage checklist did not provide special instructions to the Operators clearing the outage to identify potential problems I that could occur when clearing the outage, such as alams not clearing or relays not energizing. This could have allowed them to discover that a trip existed prior to removing the jisuper which bypassed the trip.
Another contributing factor was the Operating personnel did not realize what modification or post maintenance testing was required for the new Rosemount reactor level instrumentation. They were under the impression the testing required for this modification was done and would operate properly when returned to service.
LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Fons Rev 2.0 1.ER 1RpWER (6) Pane (3) ;
FACILITY IIAfE (1) DOCKET NUPSER (2)
Year //,/, Sequential ///
W/
Revision thaber W/ thaber
% 11e County Station unit 1 olsIoIoIo 1 31 71 3 e19 - 01216 - oI o 017 0F 11 0 TEXT Energy Industry identification System (Ells) codes are identified in the text as [XK]
D. SAFETY ANALYSl$ OF EVENT (Continued)
The Primary Containment Chill Water (PCCW) system provides chilled water to the Primary Containment cooling units to meet the cooling load requirements in the drywell. The system cooling capacity is based on heat loses from piping and valves, equipment, reactor pressure vessel, and unidentified steam leakages.
The safety significance of this event is minimal since the unit was defueled. At the time of the isolation, most of the equipment affected was already in the isolated condition due to scheduled outage work that was in progress. This type of modification work would not be done in other than outage conditions. The problem with the trip units would have been corrected prior to declaring these instroents operable.
E. CORRECTIVE ACTIONS I The Operating personnel on shift prepared another outage in accordance with LAP-900-4 to bypass RPS and PCIS reactor level 2 and 3 trips. The outage was conpleted and logic reset.
1 Once the PCIS logic was reset the IVP113A Drywell Cooler IA Inlet inboard Isolation and IVPil4A Drywell Cooler lA outlet inboard Isolation valves were reopened. The IVPOIPA Primary Containment Chiller Pung and the IVPOICA Water Chiller unit was restarted.
l The Instroent Maintenance Department was requested to troubleshoot and calibrate the Rosemount reactor l
level instraentation in accordance with LIS-MS-107A/B and LIS-NB-101A/B. During the perfonnance of the l
I calibration the Instroent Maintenance personnel determined the problem was the 1821-N703A/8/C/D Master and 1821-N7048/C Slave trip unit Trip output and Status switches being in the wrong position. The Trip Output and Status switches for each of the trip units were repositioned and the calibration was conpleted without any further event, A review will be done to detennine if additional training is needed on vessel instrumentation and r
l available indications which can aid Operating personnel in the Control Room in detennining the actual status of RPS or PCIS logic. Action item Record (AIR) 373-200-89-10801 will track the progress of this review.
A revision of the LaSalle Adninistrative Procedure 1AP-900-4, " Equipment Out-of-Service Procedure" will be done to include the following revisions:
(1) Add a caution to consult with the Technical Staff or the working department for assistance in preparation, installation and removal of outages when technical expertise is required to prevent an Engineered Safety Featured system actuation. This revision will assist in developing special instructions when clearing an outage.
(2) Provide more guidance to the person in charge of the work to insure the work is completed such that equipment damage or an Engineered Safety Featured system actuation would not result when the outage is cleared or equipment is restored to service, if any special instructions are required the working department must provide them to the Operating Department.
- - - . - - - -. - - . . - ._ m .
LIC5aKEE EVENT REPORT (LER) TEXT CONTINUATION Fors Rev 2.0
. i DOCKET NumER (2) LER NUMER (6) Paee (3)
. FACILITY NAM (1)
Year /y/ Sequential //g Revision f
/// Weber /// Neber
% 11e County Station unit 1 0 1 5 1 0 1 0 1 0 1 31 71 3 e19 - 01216 - 01 0 01 8 0F tl 0
. TEXT' Energy Industry Identification System (Ells) codes are identified in the text as (XX]
E. CORRECTIVE ACTIONS (Continued)
(3) . The person in charge of the work wl11 be required to insW Wt testing of logic has been completed, when possible, prior to the authorization of fu 4 (aturning the equipment to service. Consideration should be given to partial clearing or temporary lifting the outage to
- acconpilsh this. Any untested logic must be reported to the Operating Department.
I (4) Concerning outage clearances, including temporary lifts and partial clearances a statement will be added to consider returning to so vice one channel at a time. This is to accospilsh I testing or allow the system to be placed back in service to troubleshoot without causing an Engineered Safety Featured system actuation.
AIR neber 373-200-89-10802 will track the progress of this review.
' A General Information Notification (GIN) will be developed to review this event with Operating,
' Maintenance, Substation Construction, Operational Analysis Department, Engineering and Construction
' Department and Technical Staff personnel. AIR neber 373-200-89-10003 will track the progress of this review.
F.- PREVIOUS EVENTS LER Nunber Title 373/64-015-00 Inadvertent Group 2 and 4 Containment isolation 373/96-011-00 Personnel Error Primary Containment Isolation 373/06-037-00 Group 2 and Group 4 Contalrunent Isolation Due to inadequate Out-of-Service 374/87-006-00 Unplanned Engineered Safety Feature Actuation During Modification Testing caused by Personnel Error G. COMPONENT FAILURE DATA None.
4
_ _ - _ _ _ ---- . _ _ _ _ _ _ _ _ _ _ _ . ~ _m-.- , er < . --..- -- w -- = .-,-w--=-- ,--nw. . - , -*-+-----+----=----r--- -.---,-m+
I .
L p -Fr tr 7. m (ER) TEHT CONTranMilal Fem Rev 2.0 i
~'
MR layimi (6) E-- (3)
FACll.lTY NAfE (1) 00CKET IANGER (2)
Year /H Sequential /n Revision ,
/T,/
ff/, .. _ --
tah lte county Statlan unit 1 015101010131713 819 - 01216 - 01 0 01 9 0F 11 0 <
TEXT Energ ladustry lesatification System (Ells) codes are identified in the text as [XX]-
\;
l f
I TRIP OUTPUT SWITCH l ~
I TRIP STATUS SWITCH
\ t
. *u ..
r---f ', ..
=
~'
~ ~
c O big
^
i .~.X. -
I
. r=c,,.ng -
a g ..
l,
- a. =.., .
i ty' --
ee
.. .. *".. a%."* ,, g
" ;,, g : g .~" d g.
= '
Q.* ~ 4 4 cE i .. .. (Mg....'. .OJ C A
,, r, ..... ..
r r*8...;: ::,,D .9 m c -
- .=. .
.:M: ~.
g ..el-l o
, n' . - 2, . .
- 63. .
g
- Drawing of the printed circuit board for a typical Master or Slave trip unit showing the " Trip Status" and " Trip Output" switches, O
r- * - -- - - - - - --,w-- -n--- .-r=mw-ew---+--=-*e.- ,-sm---r--
t
/*, : g.*
IJCNESEE EVENT REPORT (12R) TEXT CONTINUATION Form Rev 2.0 12R NUMBER (6) Page ll3)
FACI 1JTY NAME (1) DOCKET NUMBER (2)
Year 7 Sequential W/Revisl0n
' / Number 7/, Number taSalle County Sta'llon Unit 1 0l5l0l0l0l3l7l3 8l9 -
0l2l6 -
0l0 1l0 0F l' l 0 TEXT Energy Industry identification System (EDS) oodes are identified in the text as (XX}
..1 i
E 1
(Reest @, .
Treasentter Centeste Cletv gggg. m I A1
_g g.
C 300C O :- 8005 C tee Cleoed) 1951-N70SC C
3 3 g g 1M1A-k4C1 . 1W1A-E431 y,
teste Closed)'
1981-E103C
. 1981-K10SC . 1581-E103B 2 " (C teste Beesuse "
Were Out Of Postues)
.. Ess20 (D inboard leeleuen tiennel
~ ~ * " " ~ ~ ' '
I~I~I~ r- r- r- IIJ r-gxx1. xi.
\
J .l ',
r VP System laboard Isoleuen Yelves Deusse 1381-E103C Relay Simplified Schematic Diagram of the Channel C level 2 Logic
_.