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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E2061994-05-11011 May 1994 LER 93-025-01:on 931205,Loop a MSIVs Exceeded TS Leakage Limit.Caused by Failure of Fastner Locking Devices.Seating Surface of Main Disc in MSIV 1A Machined & Successfully Pass LLRT on 940116.W/940511 Ltr ML17352B2501993-10-0101 October 1993 LER 93-014-00:on 930902,discovered That IRM 11 & APRM Both in Bypassed Condition W/O Half Scram Being Inserted Due to Work Practices.Irm 11 Taken Out of Bypassed Condition & Individual Involved counselled.W/931001 Ltr ML17352B2511993-10-0101 October 1993 LER 93-019-00:on 930903,RHR Pump 1A Inadvertently Started Due to Personnel Error.Pump Immediately Secured & Individual Involved Counselled on Importance of self-check.W/931001 Ltr ML20046A1801993-07-21021 July 1993 LER 92-007-00:on 930624,Toxic Gas Analyzer Inoperable Due to Personnel Error Caused by Lack of Procedural Adherence. Isolated CR Ventilation,Restarted Sample Pump & Restored CR Ventilation Sys to Outside Air suction.W/930721 Ltr ML20045H5781993-07-13013 July 1993 LER 93-013-00:on 930613,internal Electrical Fault within Main Power Transformer Tripped & Caused Reactor Scram & Unexpected Group I Isolation.Caused by Turbine Stop Valve Closure.Transformer replaced.W/930713 Ltr ML20045G7291993-07-0909 July 1993 LER 93-005-00:on 930609,numerous Alarms Received in CR, Including HPCI Turbine Rupture Disc High Pressure Alarm. Caused by Ruptured Disk,Releasing Steam/Water Mixture. Test Will Be Conducted on Rupture disks.W/930709 Ltr ML20045G0951993-07-0202 July 1993 LER 93-011-00:on 930602,HPCI Declared Inoperable in Order to Perform Qcos 2300-13.Caused by MSC Stem & Stem Gear Being Scored & Worn from Age Causing Excessive Friction.C/As Include Disassembling Gearbox Every 10 yrs.W/930702 Ltr ML20045F3321993-06-30030 June 1993 LER 93-012-00:on 930601,U-2 DG Cooling Water Pump Inoperable Due to Inadequate lubrication.U-2 DG Cooling Water Pump replaced.W/930630 Ltr ML20045F3251993-06-28028 June 1993 LER 93-007-01:on 930307,B Loop MSIV Exceeded TS Leakage Limits for Containment Isolation Valves Caused by Damaged Flexitalic Bonnet Gasket.Replaced Bonnet Gasket & Valve Successfully Retested (WR Q061987).W/930622 Ltr ML20044E6171993-05-14014 May 1993 LER 93-006-00:on 930420,Unit 2 Nso Inadvertently Started Unit 1 DG When Attempting to Start Shared (1/2) Dg.Caused by Personnel Error.Unit 1 DG Shut Down & 1/2 DG Started & Loaded successfully.W/930514 Ltr ML20044C9511993-05-0707 May 1993 LER 93-009-00:on 930408,technician Discovered That Estimate of Sample Flow for U2 Reactor Bldg Vent Sampler Flow Rate Monitor Not Calculated.Caused by Personnel Error.Technician counseled.W/930428 Ltr ML20024G6811991-04-19019 April 1991 LER 91-008-00:on 910322,reactor Bldg Ventilation Isolation Occurred.Caused by Lightning Strike.Control Room Vents Reset & Toxic Gas Sample Point a Selected.Addl Trips Associated W/ Lightning Strike Immediately reset.W/910418 Ltr ML20029C1241991-03-0808 March 1991 LER 91-005-01:on 910131,1/2 B Standby Gas Treatment Sys Autostart During RPS B Power Swap Due to an Inadequate Procedure.Nso Reset 1/2 Scram & 1/2 Groups II & III isolations.W/910306 Ltr ML20029B5901991-03-0808 March 1991 LER 91-004-00:on 910211,standby Liquid Control Sys of Unit 1 & 2 Inoperable.Caused by Inadequate Mod Testing.Engineering Dept Evaluating Data & Temporary Procedure 6589 Generated. W/910308 Ltr ML20028H7841991-01-23023 January 1991 LER 90-032-00:on 901224,1/2A Diesel Fire Pump Taken out-of- Svc on 901217 & Not Returned to Svc Before Seven Day Time Allotment Expired.Caused by Mgt Deficiency.Fire Pump Successfully Tested & Returned to svc.W/910123 Ltr ML20028H6831991-01-21021 January 1991 LER 90-034-00:on 901223,high Chlorine Concentration Caused Control Room Ventilation Manual Isolation & ESF Actuation. Caused by Instrument Error Code & Misinterpretation of Analyzer Indication.Flow reduced.W/910121 Ltr ML20028G9141990-09-28028 September 1990 LER 90-018-00:on 900829,plant Outside Design Spec for Electrical Separation Criteria for Two Redundant Safety Sys. Caused by Inadequate Engineering Review During Leads installation.W/900928 Ltr ML20044B2401990-07-12012 July 1990 LER 90-012-00:on 900612,control Room Ventilation Emergency Air Filtration Unit Declared Inoperable.Caused by Heater Malfunction.Work Request initiated.W/900712 Ltr ML20044B0091990-07-11011 July 1990 LER 90-011-00:on 900611,diesel Fire Pump 1/2 a Out of Svc for Period Exceeding 7 Days Reporting Criteria,To Install New Suction Line.Caused by Required Maint Work.Repairs Completed & Pump Tested & Returned to svc.W/900711 Ltr ML20043H4831990-06-21021 June 1990 LER 90-010-00:on 900522,while Returning RWCU Sys to Svc, Nonregenerative HX High Temp Alarm Received,Challenging ESF Logic & Causing Group III Isolation.Caused by Leaking RWCU Check Valves.Work Requests issued.W/900621 Ltr ML20043H2931990-06-18018 June 1990 LER 90-009-00:on 900518,determined That Various Containment Vols Not Leak Rate Tested Due to Recent 10CFR50,App J Interpretation Re Licensing Design Criteria.Mod M4-1(2)-89-167 initiated.W/900618 Ltr ML20043H9521990-06-13013 June 1990 LER 90-016-01:on 900411,motor Control Ctr Relay 28/29-5 Setpoint Drift Occurred,Resulting in Analyzed Plant Condition.Caused by Utilizing Wrong Relay & Inadequate Review of GE Svc Info Ltr.Relay replaced.W/900613 Ltr ML20043E9121990-06-0707 June 1990 LER 90-006-00:on 900508,Unit 2 RCIC Declared Inoperable Due to Unstable Operation of RCIC Pump Flow Controller.Caused by Proportional Band of Controller Being Set to Respond to Changes in Flow Too Quickly.Flow controlled.W/900607 Ltr ML20043F2341990-06-0101 June 1990 LER 90-001-01:on 891208,seven Pathways Not Included in Type B & C Local Leak Rate Test Program.Caused by Misinterpretation of 10CFR50,App J Requirements.Required Vents & Test Taps Will Be installed.W/900601 Ltr ML20043F2161990-06-0101 June 1990 LER 89-024-01:on 891214,main Turbine Unexpectedly Tripped Following Isolation of Reactor Water Level Switch (Lits). Caused by Channel B Lits Having Been Previously Replaced W/ Switch That Operated Reverse function.W/900601 Ltr ML20042E4991990-04-17017 April 1990 LER 90-007-00:on 900318,ESF Actuation Occurred.Caused by Mgt Deficiency in Not Providing Sufficient Guidance for Review of Work Package After Scope Changed.New Work Package Preparation Procedures initiated.W/900417 Ltr ML20012C7231990-03-15015 March 1990 LER 90-004-00:on 900213,loss of Emergency Bus 23-1 Occurred Due to Shorted Conductor Cable While Performing Wiring Verification.Caused by Personnel Error & Improper Installation.Electric Power Supplies recovered.W/900315 Ltr ML20012C7171990-03-15015 March 1990 LER 90-003-00:on 900213,unit Diesel Generator Tripped on Overspeed Upon Manual Startup for Testing.Caused by Misadjustment of Diesel Generator Governor.Diesel Generator Equipment Reset & Governor adjusted.W/900315 Ltr ML20012B2931990-03-0505 March 1990 LER 90-002-00:on 900204,determined That Only Reactor Bldg Differential Pressure of 0.24-inch Water Vacuum Could Be Obtained,In Violation of Tech Spec Required 0.25 Inch.Caused by Testing Deficiency.Leak Paths sealed.W/900305 Ltr ML20012B2961990-03-0505 March 1990 LER 90-003-00:on 900205,determined That Leakage Rate for HPCI Sys Steam Exhaust Check Valve Exceeded Tech Spec Limits.Caused by Excessive Leakage.Check Valve Replaced W/ Mission Check Valve W/Carbon Steel springs.W/900305 Ltr ML20011E1821990-01-30030 January 1990 LER 90-002-00:on 900102,during Annual Water Sprinkler Sys Valve Position Insp,Discovered That Valve 2-4199-072 Not Cycled Per Tech Spec Surveillance Requirement 4.12.Caused by Procedural Deficiency.Procedure to Be revised.W/900130 Ltr ML19354D9431990-01-15015 January 1990 LER 89-025-00:on 891220,determined That Reactor Bldg Overhead Auxiliary Hook May Have Contacted Side of New Fuel Bundle on 891214,causing Extensive Damage.Caused by Personnel Error.Bundle Shipped Back to GE.W/900115 Ltr ML19354D9481990-01-15015 January 1990 LER 89-023-00:on 891219,identified Deficient Temporary Procedures Which Altered Intent of Original Procedure QAP 1100-7.Caused by Mgt Oversight in Preparation of Tech Spec Change.Temporary Procedures revised.W/900115 Ltr ML20005F5881990-01-0808 January 1990 LER 90-001-00:on 891208,seven Pathways Not Included in Type B & C Local Leak Rate Testing Program.Caused by Misinterpretation of 10CFR50,App J Testing Requirements.Mod of Sys to Be Performed as necessary.W/900108 Ltr ML20005G0231990-01-0202 January 1990 LER 88-020-01:on 880619,improper Valving Sequence Occurred Which Resulted in Various ESF Actuations.Caused by Inadequate Equipment out-of-svc Procedure.Procedure Revised & Training Lesson Plan developed.W/900102 Ltr ML20005E4531989-12-28028 December 1989 LER 89-022-00:on 891128,HPCI Declared Inoperable Following Unexpected Actuation of HPCI Pump Room Deluge Sys.Actuation Caused Dc Sys Grounds Due to Moisture Intrusion in Electrical Equipment.Equipment dried.W/891228 Ltr ML20005D9551989-12-22022 December 1989 LER 89-021-00:on 891124,HPCI Deluge Sys Functional Test Not Completed within Tech Spec Interval of 6 Months.Caused by Mgt Deficiency & Insufficient Procedure.Procedures Revised to Better Control Tech Specs.W/891222 Ltr ML19351A6391989-12-15015 December 1989 LER 89-020-00:on 891117,full Reactor Scram Occurred Due to Simultaneous Loss of Power to 1A & 1B 24/48-volt Distribution Panels During Panel Transfer.Caused by Personnel Error.Personnel Trained Re event.W/891215 Ltr ML19332E7581989-12-0505 December 1989 LER 89-019-00:on 891105,half Group II & III Isolation Occurred While Performing Valve Flow Check Surveillance. Caused by Leaky Isolation Valve on Transmitter.Surveillance Methods Will Be Reviewed & Procedures revised.W/891205 Ltr ML19332C7581989-11-20020 November 1989 LER 89-017-00:on 891022,discovered That 6-month Functional Test Procedure Qos 500-3 Re Functional Test for Reactor Protection Sys Electrical Assemblies Not Completed in Required Time.Caused by Mgt deficiency.W/891120 Ltr ML19327C0701989-11-0909 November 1989 LER 89-018-00:on 891012,notification Given of Potential Single Failure of Diesel Generator Voltage Regulator That Could Result in Loss of All But One ECCS Loop.Caused by Design Deficiency.New Procedure developed.W/891109 Ltr ML19327C0951989-11-0404 November 1989 LER 89-005-00:on 891012,reactor Scram Occurred Due to Turbine Stop Valve Closure.Caused by Personnel Error in That Work Analyst Overlooked Removal of Two Connections on Limit Switch.Maint Workers Immediately counseled.W/891104 Ltr ML19327C2631989-11-0101 November 1989 LER 87-009-01:on 870801,reactor Scram Occurred from Turbine Generator Load Mismatch Due to Generator Trip.Caused by Electrical Fault in Main Transformer C Phase Windings.Main Transformer Replaced w/spare.W/891103 Ltr ML19325E8261989-10-30030 October 1989 LER 87-012-01:on 870918,while Performing Qos 1600-1, Vacuum Breaker 2-1601-33E Remained Open After Testing.Caused by Binding in Test Cylinder Portion of Vacuum Breaker. Nuclear Work Requests completed.W/891030 Ltr ML19325E5921989-10-24024 October 1989 LER 87-017-01:on 870805,Group IV Isolation Received Which Resulted in Closure of HPCI Steam Supply Valves.Caused by Failed HPCI Steamline Differential Pressure Transmitter Due to Loss of Oil in Sensing cell.W/891024 Ltr ML19325E5971989-10-24024 October 1989 LER 88-003-01:on 880301,while Performing RCIC Monthly Test, RCIC Pump Could Only Achieve 400 Gpm Against Discharge Pressure of 500 Psig.Caused by Failed Hydraulic Actuator on Turbine Governor Valve.Actuator replaced.W/891024 Ltr ML19327B7901989-10-18018 October 1989 LER 89-016-00:on 890921,during Transfer of New Fuel,Fuel Assembly Released from Refueling Grapple & Fell Upon Spent Fuel Racks.Caused by Personnel Error & Procedural Deficiency.Fuel Handling Procedures Revised ML19327B0491989-10-16016 October 1989 LER 89-015-00:on 890916,during Transfer,Loss of Power to Off Gas Monitor a Caused Contacts to Open Giving Upscale Radiation Signal,Thus Starting Off Gas Timer.Caused by Inadequate Procedures.Off Gas Sys reset.W/891016 Ltr ML19325C5341989-10-0202 October 1989 LER 89-014-00:on 890910,determined That Combined Leakage Rate from All Penetrations & Valves Exceeded Tech Spec Limit.Root Cause Unknown.No Corrective Action Taken. Supplemental Rept Will Be issued.W/891002 Ltr ML18052B5541987-08-24024 August 1987 LER 87-015-00:on 870731,capacitor Failed on 1B Reactor Bldg & Refuel Floor Radiation Monitors Resulting in Safety Feature Actuation.Caused by Normal Aging.Capacitor replaced.W/870825 Ltr 1994-05-11
[Table view] Category:RO)
MONTHYEARML20029E2061994-05-11011 May 1994 LER 93-025-01:on 931205,Loop a MSIVs Exceeded TS Leakage Limit.Caused by Failure of Fastner Locking Devices.Seating Surface of Main Disc in MSIV 1A Machined & Successfully Pass LLRT on 940116.W/940511 Ltr ML17352B2501993-10-0101 October 1993 LER 93-014-00:on 930902,discovered That IRM 11 & APRM Both in Bypassed Condition W/O Half Scram Being Inserted Due to Work Practices.Irm 11 Taken Out of Bypassed Condition & Individual Involved counselled.W/931001 Ltr ML17352B2511993-10-0101 October 1993 LER 93-019-00:on 930903,RHR Pump 1A Inadvertently Started Due to Personnel Error.Pump Immediately Secured & Individual Involved Counselled on Importance of self-check.W/931001 Ltr ML20046A1801993-07-21021 July 1993 LER 92-007-00:on 930624,Toxic Gas Analyzer Inoperable Due to Personnel Error Caused by Lack of Procedural Adherence. Isolated CR Ventilation,Restarted Sample Pump & Restored CR Ventilation Sys to Outside Air suction.W/930721 Ltr ML20045H5781993-07-13013 July 1993 LER 93-013-00:on 930613,internal Electrical Fault within Main Power Transformer Tripped & Caused Reactor Scram & Unexpected Group I Isolation.Caused by Turbine Stop Valve Closure.Transformer replaced.W/930713 Ltr ML20045G7291993-07-0909 July 1993 LER 93-005-00:on 930609,numerous Alarms Received in CR, Including HPCI Turbine Rupture Disc High Pressure Alarm. Caused by Ruptured Disk,Releasing Steam/Water Mixture. Test Will Be Conducted on Rupture disks.W/930709 Ltr ML20045G0951993-07-0202 July 1993 LER 93-011-00:on 930602,HPCI Declared Inoperable in Order to Perform Qcos 2300-13.Caused by MSC Stem & Stem Gear Being Scored & Worn from Age Causing Excessive Friction.C/As Include Disassembling Gearbox Every 10 yrs.W/930702 Ltr ML20045F3321993-06-30030 June 1993 LER 93-012-00:on 930601,U-2 DG Cooling Water Pump Inoperable Due to Inadequate lubrication.U-2 DG Cooling Water Pump replaced.W/930630 Ltr ML20045F3251993-06-28028 June 1993 LER 93-007-01:on 930307,B Loop MSIV Exceeded TS Leakage Limits for Containment Isolation Valves Caused by Damaged Flexitalic Bonnet Gasket.Replaced Bonnet Gasket & Valve Successfully Retested (WR Q061987).W/930622 Ltr ML20044E6171993-05-14014 May 1993 LER 93-006-00:on 930420,Unit 2 Nso Inadvertently Started Unit 1 DG When Attempting to Start Shared (1/2) Dg.Caused by Personnel Error.Unit 1 DG Shut Down & 1/2 DG Started & Loaded successfully.W/930514 Ltr ML20044C9511993-05-0707 May 1993 LER 93-009-00:on 930408,technician Discovered That Estimate of Sample Flow for U2 Reactor Bldg Vent Sampler Flow Rate Monitor Not Calculated.Caused by Personnel Error.Technician counseled.W/930428 Ltr ML20024G6811991-04-19019 April 1991 LER 91-008-00:on 910322,reactor Bldg Ventilation Isolation Occurred.Caused by Lightning Strike.Control Room Vents Reset & Toxic Gas Sample Point a Selected.Addl Trips Associated W/ Lightning Strike Immediately reset.W/910418 Ltr ML20029C1241991-03-0808 March 1991 LER 91-005-01:on 910131,1/2 B Standby Gas Treatment Sys Autostart During RPS B Power Swap Due to an Inadequate Procedure.Nso Reset 1/2 Scram & 1/2 Groups II & III isolations.W/910306 Ltr ML20029B5901991-03-0808 March 1991 LER 91-004-00:on 910211,standby Liquid Control Sys of Unit 1 & 2 Inoperable.Caused by Inadequate Mod Testing.Engineering Dept Evaluating Data & Temporary Procedure 6589 Generated. W/910308 Ltr ML20028H7841991-01-23023 January 1991 LER 90-032-00:on 901224,1/2A Diesel Fire Pump Taken out-of- Svc on 901217 & Not Returned to Svc Before Seven Day Time Allotment Expired.Caused by Mgt Deficiency.Fire Pump Successfully Tested & Returned to svc.W/910123 Ltr ML20028H6831991-01-21021 January 1991 LER 90-034-00:on 901223,high Chlorine Concentration Caused Control Room Ventilation Manual Isolation & ESF Actuation. Caused by Instrument Error Code & Misinterpretation of Analyzer Indication.Flow reduced.W/910121 Ltr ML20028G9141990-09-28028 September 1990 LER 90-018-00:on 900829,plant Outside Design Spec for Electrical Separation Criteria for Two Redundant Safety Sys. Caused by Inadequate Engineering Review During Leads installation.W/900928 Ltr ML20044B2401990-07-12012 July 1990 LER 90-012-00:on 900612,control Room Ventilation Emergency Air Filtration Unit Declared Inoperable.Caused by Heater Malfunction.Work Request initiated.W/900712 Ltr ML20044B0091990-07-11011 July 1990 LER 90-011-00:on 900611,diesel Fire Pump 1/2 a Out of Svc for Period Exceeding 7 Days Reporting Criteria,To Install New Suction Line.Caused by Required Maint Work.Repairs Completed & Pump Tested & Returned to svc.W/900711 Ltr ML20043H4831990-06-21021 June 1990 LER 90-010-00:on 900522,while Returning RWCU Sys to Svc, Nonregenerative HX High Temp Alarm Received,Challenging ESF Logic & Causing Group III Isolation.Caused by Leaking RWCU Check Valves.Work Requests issued.W/900621 Ltr ML20043H2931990-06-18018 June 1990 LER 90-009-00:on 900518,determined That Various Containment Vols Not Leak Rate Tested Due to Recent 10CFR50,App J Interpretation Re Licensing Design Criteria.Mod M4-1(2)-89-167 initiated.W/900618 Ltr ML20043H9521990-06-13013 June 1990 LER 90-016-01:on 900411,motor Control Ctr Relay 28/29-5 Setpoint Drift Occurred,Resulting in Analyzed Plant Condition.Caused by Utilizing Wrong Relay & Inadequate Review of GE Svc Info Ltr.Relay replaced.W/900613 Ltr ML20043E9121990-06-0707 June 1990 LER 90-006-00:on 900508,Unit 2 RCIC Declared Inoperable Due to Unstable Operation of RCIC Pump Flow Controller.Caused by Proportional Band of Controller Being Set to Respond to Changes in Flow Too Quickly.Flow controlled.W/900607 Ltr ML20043F2341990-06-0101 June 1990 LER 90-001-01:on 891208,seven Pathways Not Included in Type B & C Local Leak Rate Test Program.Caused by Misinterpretation of 10CFR50,App J Requirements.Required Vents & Test Taps Will Be installed.W/900601 Ltr ML20043F2161990-06-0101 June 1990 LER 89-024-01:on 891214,main Turbine Unexpectedly Tripped Following Isolation of Reactor Water Level Switch (Lits). Caused by Channel B Lits Having Been Previously Replaced W/ Switch That Operated Reverse function.W/900601 Ltr ML20042E4991990-04-17017 April 1990 LER 90-007-00:on 900318,ESF Actuation Occurred.Caused by Mgt Deficiency in Not Providing Sufficient Guidance for Review of Work Package After Scope Changed.New Work Package Preparation Procedures initiated.W/900417 Ltr ML20012C7231990-03-15015 March 1990 LER 90-004-00:on 900213,loss of Emergency Bus 23-1 Occurred Due to Shorted Conductor Cable While Performing Wiring Verification.Caused by Personnel Error & Improper Installation.Electric Power Supplies recovered.W/900315 Ltr ML20012C7171990-03-15015 March 1990 LER 90-003-00:on 900213,unit Diesel Generator Tripped on Overspeed Upon Manual Startup for Testing.Caused by Misadjustment of Diesel Generator Governor.Diesel Generator Equipment Reset & Governor adjusted.W/900315 Ltr ML20012B2931990-03-0505 March 1990 LER 90-002-00:on 900204,determined That Only Reactor Bldg Differential Pressure of 0.24-inch Water Vacuum Could Be Obtained,In Violation of Tech Spec Required 0.25 Inch.Caused by Testing Deficiency.Leak Paths sealed.W/900305 Ltr ML20012B2961990-03-0505 March 1990 LER 90-003-00:on 900205,determined That Leakage Rate for HPCI Sys Steam Exhaust Check Valve Exceeded Tech Spec Limits.Caused by Excessive Leakage.Check Valve Replaced W/ Mission Check Valve W/Carbon Steel springs.W/900305 Ltr ML20011E1821990-01-30030 January 1990 LER 90-002-00:on 900102,during Annual Water Sprinkler Sys Valve Position Insp,Discovered That Valve 2-4199-072 Not Cycled Per Tech Spec Surveillance Requirement 4.12.Caused by Procedural Deficiency.Procedure to Be revised.W/900130 Ltr ML19354D9431990-01-15015 January 1990 LER 89-025-00:on 891220,determined That Reactor Bldg Overhead Auxiliary Hook May Have Contacted Side of New Fuel Bundle on 891214,causing Extensive Damage.Caused by Personnel Error.Bundle Shipped Back to GE.W/900115 Ltr ML19354D9481990-01-15015 January 1990 LER 89-023-00:on 891219,identified Deficient Temporary Procedures Which Altered Intent of Original Procedure QAP 1100-7.Caused by Mgt Oversight in Preparation of Tech Spec Change.Temporary Procedures revised.W/900115 Ltr ML20005F5881990-01-0808 January 1990 LER 90-001-00:on 891208,seven Pathways Not Included in Type B & C Local Leak Rate Testing Program.Caused by Misinterpretation of 10CFR50,App J Testing Requirements.Mod of Sys to Be Performed as necessary.W/900108 Ltr ML20005G0231990-01-0202 January 1990 LER 88-020-01:on 880619,improper Valving Sequence Occurred Which Resulted in Various ESF Actuations.Caused by Inadequate Equipment out-of-svc Procedure.Procedure Revised & Training Lesson Plan developed.W/900102 Ltr ML20005E4531989-12-28028 December 1989 LER 89-022-00:on 891128,HPCI Declared Inoperable Following Unexpected Actuation of HPCI Pump Room Deluge Sys.Actuation Caused Dc Sys Grounds Due to Moisture Intrusion in Electrical Equipment.Equipment dried.W/891228 Ltr ML20005D9551989-12-22022 December 1989 LER 89-021-00:on 891124,HPCI Deluge Sys Functional Test Not Completed within Tech Spec Interval of 6 Months.Caused by Mgt Deficiency & Insufficient Procedure.Procedures Revised to Better Control Tech Specs.W/891222 Ltr ML19351A6391989-12-15015 December 1989 LER 89-020-00:on 891117,full Reactor Scram Occurred Due to Simultaneous Loss of Power to 1A & 1B 24/48-volt Distribution Panels During Panel Transfer.Caused by Personnel Error.Personnel Trained Re event.W/891215 Ltr ML19332E7581989-12-0505 December 1989 LER 89-019-00:on 891105,half Group II & III Isolation Occurred While Performing Valve Flow Check Surveillance. Caused by Leaky Isolation Valve on Transmitter.Surveillance Methods Will Be Reviewed & Procedures revised.W/891205 Ltr ML19332C7581989-11-20020 November 1989 LER 89-017-00:on 891022,discovered That 6-month Functional Test Procedure Qos 500-3 Re Functional Test for Reactor Protection Sys Electrical Assemblies Not Completed in Required Time.Caused by Mgt deficiency.W/891120 Ltr ML19327C0701989-11-0909 November 1989 LER 89-018-00:on 891012,notification Given of Potential Single Failure of Diesel Generator Voltage Regulator That Could Result in Loss of All But One ECCS Loop.Caused by Design Deficiency.New Procedure developed.W/891109 Ltr ML19327C0951989-11-0404 November 1989 LER 89-005-00:on 891012,reactor Scram Occurred Due to Turbine Stop Valve Closure.Caused by Personnel Error in That Work Analyst Overlooked Removal of Two Connections on Limit Switch.Maint Workers Immediately counseled.W/891104 Ltr ML19327C2631989-11-0101 November 1989 LER 87-009-01:on 870801,reactor Scram Occurred from Turbine Generator Load Mismatch Due to Generator Trip.Caused by Electrical Fault in Main Transformer C Phase Windings.Main Transformer Replaced w/spare.W/891103 Ltr ML19325E8261989-10-30030 October 1989 LER 87-012-01:on 870918,while Performing Qos 1600-1, Vacuum Breaker 2-1601-33E Remained Open After Testing.Caused by Binding in Test Cylinder Portion of Vacuum Breaker. Nuclear Work Requests completed.W/891030 Ltr ML19325E5921989-10-24024 October 1989 LER 87-017-01:on 870805,Group IV Isolation Received Which Resulted in Closure of HPCI Steam Supply Valves.Caused by Failed HPCI Steamline Differential Pressure Transmitter Due to Loss of Oil in Sensing cell.W/891024 Ltr ML19325E5971989-10-24024 October 1989 LER 88-003-01:on 880301,while Performing RCIC Monthly Test, RCIC Pump Could Only Achieve 400 Gpm Against Discharge Pressure of 500 Psig.Caused by Failed Hydraulic Actuator on Turbine Governor Valve.Actuator replaced.W/891024 Ltr ML19327B7901989-10-18018 October 1989 LER 89-016-00:on 890921,during Transfer of New Fuel,Fuel Assembly Released from Refueling Grapple & Fell Upon Spent Fuel Racks.Caused by Personnel Error & Procedural Deficiency.Fuel Handling Procedures Revised ML19327B0491989-10-16016 October 1989 LER 89-015-00:on 890916,during Transfer,Loss of Power to Off Gas Monitor a Caused Contacts to Open Giving Upscale Radiation Signal,Thus Starting Off Gas Timer.Caused by Inadequate Procedures.Off Gas Sys reset.W/891016 Ltr ML19325C5341989-10-0202 October 1989 LER 89-014-00:on 890910,determined That Combined Leakage Rate from All Penetrations & Valves Exceeded Tech Spec Limit.Root Cause Unknown.No Corrective Action Taken. Supplemental Rept Will Be issued.W/891002 Ltr ML18052B5541987-08-24024 August 1987 LER 87-015-00:on 870731,capacitor Failed on 1B Reactor Bldg & Refuel Floor Radiation Monitors Resulting in Safety Feature Actuation.Caused by Normal Aging.Capacitor replaced.W/870825 Ltr 1994-05-11
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217A9931999-09-30030 September 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data SVP-99-204, Monthly Operating Repts for Sept 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Quad Cities Nuclear Power Station,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 ML20212J0501999-09-21021 September 1999 Safety Evaluation Re Licensee Implementation Program to Resolve USI A-46 at Plant,Per GL 87-02,Suppl 1 SVP-99-179, Monthly Operating Repts for Aug 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With ML20210L8661999-08-0202 August 1999 Safety Evaluation Accepting License 60-day Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety-Related Movs SVP-99-155, Monthly Operating Repts for July 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With SVP-99-148, Monthly Operating Repts for June 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With ML20196H8621999-06-30030 June 1999 NRC Regulatory Assessment & Oversight Pilot Program, Performance Indicator Data, June 1999 Rept ML20195K1481999-06-16016 June 1999 Safety Evaluation Authorizing Relief Request RV-23A for Duration of Current 10 Yr IST Interval on Basis That Compliance with Code Requirements Would Result in Hardship Without Compensating Increase in Level of Quality & Safety SVP-99-123, Monthly Operating Repts for May 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With 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 SVP-99-104, Monthly Operating Repts for Apr 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With SVP-99-102, Summary Rept of Changes,Tests & Experiments Completed, Covering Period 990201-0430. with1999-04-30030 April 1999 Summary Rept of Changes,Tests & Experiments Completed, Covering Period 990201-0430. with ML20205Q5291999-04-16016 April 1999 SER Concluding That Quad Cities Nuclear Power Station,Unit 1,can Be Safely Operated for Next Fuel Cycle with Weld O2BS-F4 in Current Condition Because Structural Integrity of Weld Will Be Maintained ML20205J6011999-04-0707 April 1999 Safety Evaluation Accepting Proposed Merger of Calenergy Co, Inc & Midamerican Holdings Co for Quad Cities Nuclear Power Station,Units 1 & 2 SVP-99-071, Monthly Operating Repts for Mar 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Quad Cities Nuclear Power Station,Units 1 & 2.With ML20205C5671999-03-19019 March 1999 Simulator Four-Yr Certification Rept ML20207D2341999-03-0101 March 1999 Post Outage (90 Day) Summary Rept, for ISI Exams & Repair/Replacement Activities Conducted 981207-1205 ML20204B1571999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Quad Cities,Units 1 & 2.With SVP-99-021, Quarterly Summary SER of Changes,Tests & Experiments Completed, Covering Period of 981101-990131,IAW 10CFR50.59 & 10CFR50.71(e).With1999-01-31031 January 1999 Quarterly Summary SER of Changes,Tests & Experiments Completed, Covering Period of 981101-990131,IAW 10CFR50.59 & 10CFR50.71(e).With ML20205D1311998-12-31031 December 1998 1998 Decommissioning Funding Status Rept for Yr Ending 981231 for Quad Cities Nuclear Power Station,Units 1 & 2 ML20205M7061998-12-31031 December 1998 Unicom Corp 1998 Summary Annual Rept. with SVP-99-007, Monthly Operating Repts for Dec 1998 for Quad Cities Nuclear Power Station,Units 1 & 2,IAW GL 97-02 & TS 6.9.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Quad Cities Nuclear Power Station,Units 1 & 2,IAW GL 97-02 & TS 6.9.With ML20196C8391998-11-30030 November 1998 Rev 0 to GE-NE-B13-01980-030-2, Assessment of Crack Growth Rates Applicable to Induction Heating Stress Improvement (IHSI) Recirculation Piping in Quad Cities Unit 1 SVP-98-364, Monthly Operating Repts for Nov 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With ML20196G1241998-11-30030 November 1998 COLR for Quad Cities Unit 1 Cycle 16 ML20196D9651998-11-30030 November 1998 Safety Evaluation Supporting Relief Requests CR-21 & CR-24, Respectively.Relief Request CR-23,proposed Alternative May Be Authorized,Per 10CFR50.55a & Relief Request CR-22 Was Withdrawn by Licensee ML20196C8731998-11-30030 November 1998 Rev 0 to GE-NE-B13-01980-30-1, Fracture Mechanics Evaluation on Observed Indications at Two Welds in Recirculation Piping of Quad Cities,Unit 1 Station ML20196A9761998-11-20020 November 1998 Safety Evaluation Re Licensee 180-day Response to GL 95-07, Thermal Binding 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 SVP-98-346, Monthly Operating Repts for Oct 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With SVP-98-358, Summary Rept of Changes,Tests & Experiments Completed, Including SEs Covering Period on 980716-1031.With1998-10-31031 October 1998 Summary Rept of Changes,Tests & Experiments Completed, Including SEs Covering Period on 980716-1031.With SVP-98-326, Monthly Operating Repts for Sept 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Quad Cities Nuclear Power Station,Units 1 & 2.With 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 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 ML20151T2711998-09-0404 September 1998 Safety Evaluation Accepting Licensee Response to NRC Bulletin 95-002 ML20151Y7261998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Quad Cities Nuclear Power Station ML20237E2331998-08-21021 August 1998 Revised Pages of Section 20 of Rev 66 to CE-1-A, QA Topical Rept ML20151Y7301998-07-31031 July 1998 Revised MOR for Jul 1998 for Quad Cities Nuclear Power Station,Units 1 & 2 ML20237A6251998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Quad Cities Nuclear Power Station,Unit 1 & 2 SVP-98-328, Summary Rept of Changes,Tests & Experiments Completed, Including SEs Covering Period of 971001-980715,per 10CFR50.59 & 10CFR50.71(e).With1998-07-15015 July 1998 Summary Rept of Changes,Tests & Experiments Completed, Including SEs Covering Period of 971001-980715,per 10CFR50.59 & 10CFR50.71(e).With SVP-98-249, Monthly Operating Repts for June 1998 for Quad Cities Nuclear Power Station,Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Quad Cities Nuclear Power Station,Units 1 & 2 SVP-98-215, Monthly Operating Repts for May 1998 for Quad Cities Nuclear Power Station Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Quad Cities Nuclear Power Station Units 1 & 2 ML20247N6281998-05-19019 May 1998 Rev 2 to COLR for Quad Cities Unit 2 Cycle 15 ML20216C0561998-04-30030 April 1998 Safe Shutdown Rept for Quad Cities Station,Units 1 & 2, Vols 1 & 2.W/22 Oversize Figures SVP-98-176, Monthly Operating Repts for Apr 1998 for Quad Cities Nuclear Power Station,Units 1 & 21998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Quad Cities Nuclear Power Station,Units 1 & 2 ML20217D0281998-04-22022 April 1998 Part 21 Rept Re Additive Constants Used in MCPR Determination for Siemens ATRIUM-9B Fuel by Core Monitoring Sys Were Found to Be non-conservative.SPC Personnel Notified All Customers w/ATRIUM-9B Lead Test Assemblies ML20217G3951998-04-0808 April 1998 TS 3/4.8.F Snubber Functional Testing Scope Quad Cities Unit 2 TS (Safety-Related) Snubber Population 129 Snubbers SVP-98-128, Monthly Operating Repts for Mar 1998 for Quad Cities Nuclear Station Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Quad Cities Nuclear Station Units 1 & 2 1999-09-30
[Table view] |
Text
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.. Commonwealth Edison 3
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'l22710 206 Avenue North - .
< Cordova, luires 61242 0740
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Telephone 309454 2241' 3
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. RLB-89-287i j '
December.28, 1989
, , c 'Ui S;; Nuclear _ Regulatory Commission '
Document Control Desk .!
Hashington, DC 20555
,1 '
Reference:
-Quad Cities Nuclear Power Station- l Docket Number 50-254, DPR-29, Unit One j
=. -
Enclosed:is: Licensee Event Report (LER)89-022, Revision 00, for Quad Cities '
Nuclear Power Station. This report covers a deluge actuation resultingiin >
, High Pressure Coolant Injection system incperability and the fire suppression )
system outage-notification. {
This report is submitted in accordance with the requirements of the Code of-. o Federal Regulations, Title 10. Part-50.73(a)(2)(v): The licensee shall report '
any. event or condition that alone could have prevented the fulfillment of the f . safety, function -of- structures or systems that are needed to mitigate- the' l
)~
consequences of an accident; and Technical Specification 3.12.C.3: Restore 1
- theisystem (fire suppression system) to operable status within-14 days or 1
. prepare- and submit a report to the Coniission pursuant to 1 Specification-6.3.A.1 within the next 30 days. ;
Respectfully, COMMONWEALTH EDISON COMPANY I QUAD CITIES NUCLEAR' POWER STATION h-R. L. Bax Station Manager RLB/MJB/ad Enclosure
.,' cc: R. Stols R. Higgins INPO Records Center NRC Region III gM
- groR8BESEiS!!B84 s ]
ho LittNSEE EVENT REPORT (LER)
Farm Rev 2.0 g Faciljty.Name (1) DMket Number (2) Pace f31
^" " titiet Unit One al El 01 01 01 21 El 4 1 of 0 E title (4)
Unit One HPCI Inonerable Due to inadvertent Delune System Actuation i Event Data fE1 LER *
- r (6) Reoort Date (7) Other Facilities involved fB)
Month Day Year- Year Sequential / Revision Month Facility Names {
/ Day Year Docket Numberft) j/j/j/
// **r j////jj/ Number 01 Sl Of DI 01 l l
~ ~
11 1 l21 ni 4 I I .; 0l2 6 2 0 10' 1 I2 21 B Bl 9 Of SI 01 01 01 l l TH!s REPORT !s suSMITTED PuR$uANT TO THE REQu!REMENTS OF 10CFR (Check one or more of the followino) (11) t 4 20.402(b) 20.405(c)
_ 50.73(a)(2)(iv) 73.7)(b)
POWER _ 20.405(a)(1)(1) 50.36(c)(1) L 50.73(a)(2)(v) 73.71(c)
LEVEL 20.405(a)(1)(11) _. 50.36(c)(2) 50.73(a)(2)(vii) _L Other (specify (101 0 0 20.405(a)(1)(iii) 50.73(a)(2)(1) 1 50.73(a)(2)(viii)(A) in Abstract
_., 20.405(a)(1)(iv) _ 50.73(a)(2)(It) 50.73(a)(2)(viii)(B) below and in 20.405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x) Text)
LICENSEE CONTACT FOR THIS LER (12)
Name TELEPHONE NUMBER AREA CODE K.'J. Hill. Technical Staff Enoineer. Ext. 2150 3 10 19 61 $! 41 -l 21 21 41 COMPLETE ONE LINE FOR EACH COM ON NT FAILURE DESCRIBED IN THIS REPORT f131 CAusE ' SYSTEM c0MPONENT MANUFAC- REPORTABLE / CAuSE SYSTEM COMPONENT MANUFAC- REPORTABLE TURER TO NPRDS /p TURER TC NPRDS l 1-l l l l l Y / l l 1 l l l l l l l l l l 'l / l l l l l l l SUPPLEMENTAL REPORT EXPECTED f14) Expected Month l Day l Year submission lyes fif ves. conolate EXPECTED SUBMISSION DATE) x ! NO l l l ABSTRACT-(Limit to 1400 spaces. i.e. approximately fifteen single-space typewritten lines) (16) '
At 0910 hours0.0105 days <br />0.253 hours <br />0.0015 weeks <br />3.46255e-4 months <br /> on November 28, 1989, the Unit One High Pressure Coolant Injection (HPCI) system was declared inoperable following an unexpected actuation of the HPCI Pump Room Deluge system. The actuation caused DC system grounds due to moisture intrusion in the various turbine auxiliary electrical equipment. The actuation occurred while operating personnel were in the process of returning the deluge system to service.
The root cause of the HPCI deluge actuation is not known. The electrical equipment affected by the deluge actuation was tested and dried as necessary to remove the DC grounds. The HPCI system was successfully tested and returned to service at 1045 hours0.0121 days <br />0.29 hours <br />0.00173 weeks <br />3.976225e-4 months <br /> on December 1, 1989.
Corrective actions will include a procedure revision and operator training.
The deluge system remains out of service to allow installation of a preaction system to prevent any future inadvertent actuations. Fire watch frequency will be increased and a temporary procedure will be initiatad. On December 11, 1989, the period of time that the deluge system was inoperab!e exceeded the 14-day reporting requirement of Technical Specification 3.12.C.3.
This event is being submitted in accordance with 10CFR50.73(a)(2)(v)(D) and Technical Specification 3.12.C.3.
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Litthift EVENT REPORT fLER) ftXT CONTINUAT10M Form Rev 2.0,,
j FACILITY.NAME (1) DOCKET NUMBER (2). LER NLBERER f A1 Pane (1)
= '
Year // seguential // Revision p/j/j
// ""= r /j/j/
f
/ W er thaad Citiet Unit One 0 I $ 1 0 l 0 l 0 1 21 El 4 Bl9 - 0l 2l2 - 0l0 Ol' 2 0F 01 E .
.. TEXT ' ' Energy Industry Identification-system (E!!s) codes are identified in the text as [xX)
-PLANT:AND SYSTEM IDENTIFICATION:
General Electric - Boiling Water Reactor - 2511 MWt rated core thermal power.
EVENT IDENTIFICATION: Unit One HPCI Inoperable Due to Inadvertent Deluge System Actuation
'A. = CONDITIONS ~ PRIOR TO EVENT: ,
Unit: One Event Date: November 28, 1989 Event-Time: 0910 i Reactor Mode: 4 Mode =Name: RUN Power Level: 10%
This; report was initiated by Deviation Report D-4-1-89-112 and Supp. 1.
RUN Mode (4) - In this position -the reactor system pressure is at or above 825 psig- and the reactor protection system is energized, with APRM protection and RBM interlocks in service (excluding'the 15% high flux scram).
B.. DESCRIPTION OF EVENT:
At 0910 hours0.0105 days <br />0.253 hours <br />0.0015 weeks <br />3.46255e-4 months <br /> on November 28,.1989, Quad Cities Unit One was operating in the RJN modeLat approximately 10 percent reactor [RCT] thermal power. At this time, the Unit One High Pressure Coolant Injection (HPCI) [BJ) Pump [P] Room Fire Suppression
~ Deluge System.[KP] actuated while operating personnel were in the process of
- returning the system to service.
The HPCI.-deluge system is an open head dry pipe system which consists of seven thermal detectors (DET), an alarm [ ALM] check valve [ISV) and associated piping
[ PSF] and spray nozzles [NZL). The thermal detectors and spray nozzles are spaced
.along the perimeter of the HPCI pump and turbine [TRB].
Prior to this' event, at 0645 hours0.00747 days <br />0.179 hours <br />0.00107 weeks <br />2.454225e-4 months <br /> on November 26, 1989, the Unit One HPCI Deluge 1 system automatically actuated during performance of 005.2300-7, HPCI System Turbine Overspeed Test. Because the HPCI system had been declared inoperable to perform the overspeed test, the event was nonreportable.. The deluge system was taken out of. service and a fire watch initiated as required by Technical Specification 3.12.C.2. The cause of the event had been determined to be a damaged thermal detector which caused the detector to trip at a temperature of 91 degrees Fahrenheit instead of the original setpoint of 190 degrees Fahrenheit. The system actuated as a result of room temperature increase from operation of the turbine for the overspeed test. The damaged detector was replaced and the system was being returned to service when the second actuation occurred.
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LICENEEE EVENT REPORT (LER) TEXT CONTINUATION ' Form Rev 210 k fFACIt!TY NAME (1). lDOCKETNUMBER(2) LER NUMBER f6) Pane (3)
,\ ,. Year ,/j/p/
sequential
//j/ Revision ;
pf i
/// Number /// Number Ouhd cities Unit One' O lE10l0 1 0 l 2l $1 4 8l9 - Ol2l2 - 010 of 3 0F 0[,,$
, .TExis -Energy Industry Identification system (E!!s) codes are identified in the text as [XX)
LThe-deluge system actuation on November 28, 1989, occurred as Operating personnel
'were in the process of returning the system to service after the previous event '
described above. The Equipment Attendant (EA) who was assigned the return to '
service found the deluge manual ~ isolation valve closed as expected and noted that a
< paper card was inserted between the valve [V) stem and a tamper switch [333 mounted '
C on the valve stem. The card had apparently been placed in order to silence the
, system trouble horn [ ALM] which is not the preferred practice. Normally the supervisory relay is blocked:to silence the system trouble alarm. The EA then '
proceeded.to return the system to service in accordance with QOP 4100-4, Resetting
- Fire System Deluge Valve. After checking the latching mechanism and verifying the valve was properly reset, the EA' slowly opened the valve until water could be hoard to fill the chamber. The EA stopped opening the valve and made a visual check of ;
!> the room to verify no water was being discharged from the spray nozzles. Following- -
.the visual check, the.EA proceeded to fully open the valve. However, before the
' valve was full open,.the card inserted between the valve stem and tamper switch [
fell out and the deluge system trouble horn sounded and fire alarm gong [ ALM] '
actuated indicating the system had actuated. The EA immediately closed tne valve to stop the spraying of water in the HPCI room.
The actuation of the deluge system resulted in the receipt of a 125 U C system ground alarm [ ALM] in.the Control Room which was caused by moisturr intrusion into the miscellaneous DC equipment in the HPCI room. The HPCI system was declared ,
inoperable at 0910 hours0.0105 days <br />0.253 hours <br />0.0015 weeks <br />3.46255e-4 months <br /> on November 28, 1989,-and HPCI System Outage Report,
- QOS 2300-01 was initiated. Work Request 080367 was written for Electrical Maintenance personnel to megger the DC equipment to detect any electrical shorts to ,
ground. :NRC notification of the HPCI system inoperability was completed via the Emergency Notification System (ENS) phone system at 1013 hours0.0117 days <br />0.281 hours <br />0.00167 weeks <br />3.854465e-4 months <br /> on November 28, l 1989, to comply with the requirements of 10CFR50.72(b)(2)(111)(D).
l L At 1030 hours0.0119 days <br />0.286 hours <br />0.0017 weeks <br />3.91915e-4 months <br /> on November 28, 1989, the HPCI DC motors located in the room were I
taken out of service. This. Included the turbine turning gear [TGR), turbine L auxillary oil pump-[P),' emergency bearing oil pump [P) . turbine gland seal leakoff ,
l: blower [BLO), gland seal condensate pump [P], turbine motor speed changer [M03-and l motor gear unit [M0]. Of the motors checked, only the gland seal leakoff blower-exhibited indications of a ground; however, the motor was subsequently dried and I readings returned to normal.
L The HPCI deluge system temperature switches were functionally tested per Temporary Procedure 5994 by Instrument Maintenance personnel. All the temperature switches :
L were found to trip at temperatures well above the ambient temperature of the room.
The switches were inspected for damage; none was found.
I> Personnel inside the room at the time of the deluge actuation did not observe any steam leaks or other heat sources which could have tripped the temperature switch.
, Ambient temperature at the time of the actuation was estimated to be 90 degrees Fahrenheit.
Mechanical Halntenance personnel removed all the spray nozzles, connected a drain hose to one nozzle fitting and plugged all others. The EA involved with the event then reset the multimatic valve under observation of the Station Fire Marshal and his action was determined to be correct in accordance with the procedure. The system was lef t in operation with the plugs installed for a 24-hour period and no problems were observed.
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' LICENSEE EVENT REPOR7 fLER) TEXT CONTINUATION Form Ray 2ID k.
FAc!)!,7YNAME(1); : 00cKET NuPSER (2) LER NLMIER f6) Pana (1)
I Year /// sequential Revision
//j/
g//
, /// Number / Number 4 Duad cities Unit One o i $'l 0 l 0 1 0 1 21 El 4 8I9I -
Ol2l2 - 0l0 01 4 DF 01 5 t
' TEXT Energy Industry.!dentification system (E!!s) codes are identified in the text as [XX] ,
A chart ~ recorder was-connected to the deluge control circuit and the EA's actions were repeated with a card placed between the tamper switch and the valve stem. '(he
. card ~ fell out as'it did during the event, but the system did not trip. The switch was manually operated more than seven times with no resultant system actuation;
! however, the chart recorder did detect small voltage spikes in the deluge control '
system. .The plugs were removed from the piping and the nozzles reinstalled; however, the deluge valve remains out of service in order to prevent an inadvertent actuation.
.At 1045 hours0.0121 days <br />0.29 hours <br />0.00173 weeks <br />3.976225e-4 months <br /> on December 1, 1989, the Unit One HPCI system was successfully tested ,
and returned _to service. The HPCI system outage report was terminated.
The Ubit One HPCI deluge system remained out of service, and a fire watch was initiated as required by Technical Specification 3.12.C.2, in order to allow time to evaluate the existing system to determine if the system can be modified to prevent any future inadvertent actuations. On December 11, 1989, the period of time that the deluge system was inoperable exceeded the 14-day reporting
. requirement of Technical Specification 3.12.C.3.
j C.- APPARENT CAUSE OF EVENT:
The HPCI system inoperability is being reported in accordance with 10CFR50.73(a)(2)(v)(D): The licensee shall report any event or condition that alone could have prevented the fulfillment of the safety function of structures or' 1 7 ' systems that are needed to mitigate the consequences of an accident. The fire
. sprinkler- system being inoperable greater than 14 days is being reported in accordance with Technical Specification 3.12.C.3: " Restore the system to operable 4
! status within 14 days, or prepare and submit a report to the Commission pursuant to l Specification 6.3.A.1 within the next 30 days outlining the cause of inoperability, the action taken, and the plans for restoring the system to operable status."
!. The root cause of the HPCI deluge actuation is not known. Many likely causes have been ruled out.- The actuation could have been caused by a trip of one or more of the thermal detectors. However, none of the switches were tripped prior to returning the system to service as it would have prevented the valve from being reset. Personnel in the room did not observe any steam leak or other source of heat which could have caused'a sporadic trip of a switch. Therefore, the actuation
- was not caused by a trip of a thermal switch. The actuation could have been caused by an error by the EA when returning the valve to service in that he may have l ' accidentally-tripped the operating relay for the system as it is located in a small l panel near the deluge isolation valve. This would have required that the EA
- physically contact the relay in order for it to trip. The EA repee.ted the l- operation under observation from the station Fire Marshal and the actuation could not be repeated. Since the EA was opening the valve when the actuation occurred, he could not have bumped the operating relay to trip the system.
The actuation could have been caused by a sudden voltage spike in-the control circuit for the deluge system. Minor voltage spikes were detected during testing following the event; however, the magnitude of the spikes was much less than that required for actuation of the deluge solenoid or thermal switch operating relay.
Also, this valve is cycled once per montn for operating surveillance and no problems have occurred.
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LICENCEE EVENT REPORT fLERh TEXT CONTINUATION' Form'Pav 2.0 Fl ~FACILIJY NAME (1)- DOCKET NUMBER (2)' LER NUMBER f6) Pane (3)
'1 h 'f . Year' seguential Revtston g NM r N*r Quad citiet unit one D i 5 1 0 l 0 1 0 l 21 El 46 R19 - 012 l2 - 0l0 al $ OF' of 5
, TEXT, Energy Industry IdentiftCation system (E!!s) codes are.10entified in the text as (XX]
I .D. SAFETY ANALYSIS OF EVENT:
o The safety of the plant and public was not affected during this event. Per Technical Specification 3.5.C.1,-the HPCI subsystem shall be operable whenever the
, , . reactor pressure is greater than 90 psig. After declaring Unit One HPCI inoperable. testing of backup-systems was initiated in accordance with the Limiting W Condition for 0peration as specified in Technical Specification 3.5.C.2. All
~ backup systems were found=to.be operable and all necessary testing was successfully performed until the time that-HPCI was declared operable. Therefore, adequate' y means to shut down the reactor and maintain it in a safe shutdown condition were !
N available throughout this event, j i
Per Technical Specification 3.5.C.2, continued reactor operation is permitted for a '
period of seven days after the date HPCI it found to be inoperable, provided all required backup systems are operable.
With the Unit-One HPCI Deluge system inoperable, the necessary backup fire suppression equipment was provided and fire watch established in'the area twice per
~
shift as required by Technical Specification 3.12.C.2.
E. CORRECTIVE ACTIONS:
The immediate. corrective action consisted of closing the HPCI deluge. valve to stop theLspray of water in.the HPCI room. The Unit One HPCI system and deluge system were taken out of service to investigate the cause of the actuation and determine j the: extent of damage to the. electrical equipment in the HPCI room. All HPCI electrical' equipment sprayed by the deluge system was inspected, tested and dried l as necessary to remove any moisture intrusion. .The HPCI system was successfully 4 tested and declared operable at 1045 hours0.0121 days <br />0.29 hours <br />0.00173 weeks <br />3.976225e-4 months <br /> on December 1, 1989. Procedure ,
L QOP 4100-4 will be revised to provide instructions for the out-of-service of the '
deluge system (NTS 2542008911201). Training will be completed on the procedure
.{
. revision (NTS 2542008911202). j l;
1- The~HPCI deluge system remains out of service to allow installation of a preaction system to prevent any inadvertent actuation in the future (NTS 2542008911203). As !
L .a contingency, the fire nozzles will remain installed so the system can be manually ;
I> operated. A temporary procedure will be written to provide operator action in the ;
event of a fire in the HPCI pump room (NTS 2542008911204). In the interim, the l fire watch inspections will be increased to once an hour (NTS 2542008911205). j F.- PREVIOUS EVENTS:
nThere have been no previous events involving inadvertent initiation of the HPCI ,
. deluge system. ;
G. COMPONENT FAILURE DATA:
No component failure could be identified in this event.
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