|
---|
Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20024J3211994-10-0505 October 1994 LER 94-006-00:on 940909,failure to Perform Slave Relay Test Associated W/One Containment Isolation Valve Due to Improper Work Practices.Reviewed All Slave Relay Test Procedures & Trained All Qualified reviewers.W/941005 Ltr ML20046B5251993-08-0404 August 1993 LER 93-007-00:on 930705,TS Required Surveillance Was Not Performed Because of Inappropriate Action Because of Lack of Attention to Detail.Generated WO 93047633 to Perform Required Surveillance on Unit 1 IPE CA 9010.W/930729 Ltr ML20045H9821993-07-12012 July 1993 LER 93-005-00:on 930612,manual Rt in Unit 1 Occurred Due to Equipment Failure Due to Failure of L-13 Field Cable Between Data Cabinet B & Bulkhead for Undetermined Reasons.Replaced Field cable.W/930709 Ltr ML20045D9681993-06-25025 June 1993 LER 93-006-00:on 930526,discovered That Sample Blower for Radiation Monitor 1 EMF-43B Off & Monitor Declared Inoperable & Ventilation Sys Air Intakes Not Isolated.Caused by Deficient Procedures.Test Procedures Revised ML20045B2811993-06-11011 June 1993 LER 93-004-00:on 930513,both Trains of CR Ventilation Sys Declared Inoperable Due to Equipment Failure.Exact Cause of Failure Could Not Be Determined.Train B Nuclear Svc Water Sys Flow Balance completed.W/930611 Ltr ML20029C2091991-03-21021 March 1991 LER 91-003-00:on 910219,both Trains of Control Room Ventilation Sys Inoperable.Caused by Design Malfunction & Management Deficiency.Temporary Modifications,Removing Automatic Closure Function implemented.W/910321 Ltr ML20028G9561990-09-26026 September 1990 LER 90-025-00:on 900827,Unit 1 Shut Down Because of Unidentified RCS Leakage Exceeding Tech Spec Limits.Caused by Equipment Failure.Procedure AP/1/A/5500/10 Implemented. Valve 1NC-33 Will Be Repacked at Next outage.W/900926 Ltr ML20044A0091990-06-25025 June 1990 LER 90-015-00:on 900524,Tech Spec 3.0.3 Entered Because More than One Power Range Nuclear Instrumentation Channel Exceeded 5% Deviation.Caused by Mgt Deficiency.Boric Acid Added to Coolant sys.W/900625 Ltr ML20043H4991990-06-21021 June 1990 LER 90-012-00:on 900522,loose Matl,Consisting of Masslin Cloths & Stepoff Pad,Discovered in Upper Containment.Caused by Failure to Follow Procedures.Loose Items Removed & Cleanliness Procedures revised.W/900621 Ltr ML20043H2641990-06-20020 June 1990 LER 90-011-00:on 900521,noted That Valve 1RN-69A Auxiliary Feedwater Assured Supply from Train a Nuclear Svc Water Repositioned to Open Position After Start of Pump.Cause Unknown.Pump Shut Down & Valve closed.W/900620 Ltr ML20043F7471990-06-13013 June 1990 LER 90-010-00:on 900427,discovered That Annulus Ventilation & Control Room Ventilation Sys Headers Would Not Operate,As Designed,Under Postulated Operating Conditions. Caused by Design Deficiency.Change submitted.W/900613 Ltr ML20043F5071990-06-11011 June 1990 LER 90-009-00:on 900512,feedwater Isolation Occurred as Result of Steam Generator 1B Reaching hi-hi Level Setpoint of 82% Level.Caused by Inappropriate Action Because of Lack of Attention to Detail.Feedwater Logic reset.W/900611 Ltr ML20043D6541990-05-30030 May 1990 LER 90-007-00:on 881018,during Insp Ice Condenser Basket Found W/Bottom Screws Missing.Caused by Installation Deficiency Because of Improper Matl Selection.Work Request Initiated to Replace Improper screws.W/900530 Ltr ML20043D7121990-05-30030 May 1990 LER 90-006-00:on 900226,discovered Abnormal Degradation on Steel Containment Vessel.Corrosion Caused by Design Deficiency Caused by Unanticipated Environ Interaction. Detailed Insps conducted.W/900529 Ltr ML20043C8041990-05-30030 May 1990 LER 90-008-00:on 900430,radiation Monitor for Contaminated Parts Warehouse Ventilation & Sampler Min Flow Device Declared Inoperable.Caused by Personnel Error.Appropriate Procedures Enhanced to Prevent recurrence.W/900530 Ltr ML20012D1651990-03-19019 March 1990 LER 90-004-00:on 900208,determined That Holes Left in Auxiliary Shutdown Panel Could Allow Water Spray Into Cabinet.Cause Unknown.Holes Covered W/Duct Tape & Repaired. W/900319 Ltr ML20011F4261990-02-16016 February 1990 LER 90-002-00:on 900117,hold Down Screws on Sylvania Contactors in Motor Control Ctrs Found Loose.Caused by Mfg Deficiency.Contactor Screws Tightened.All Hold Down Screws Will Be Replaced W/Another type.W/900223 Ltr ML20006D5571990-02-0707 February 1990 LER 90-001-00:on 900108,reactor Trip Occurred Due to Clogged Strainer on Feedwater Pump a Speed Controller.Caused by Water in Oil Sys.Cause for Water Presence in Sys Unknown. Sludge Minimization Attempts pursued.W/900207 Ltr ML20006A8771990-01-21021 January 1990 LER 89-028-00:on 891204,self-initiated Technical Audit Team Personnel Identified Gap Around Control Room Ventilation Air Handling Unit Access Door.Caused by Possible Const/ Installation Deficiency.Door Sys modified.W/900122 Ltr ML19327C2581989-11-13013 November 1989 LER 89-031-00:on 891012,ac Power Supply Fuse Blew Resulting in Automatic Isolation of Four Outside Air Intakes on Ventilation Sys.Caused by Inappropriate Action.Intake Valves Returned to Svc & Tech Spec 3.3.3.1 exited.W/891113 Ltr ML19324C2031989-11-10010 November 1989 LER 89-024-00:on 890908,MSIV Stroke Timing Periodic Test Performed W/O Air Assistance & Three MSIVs Failed to Close within 5 S.Caused by Brass Guide Screws Excessively Tightened.Set Screws Properly set.W/891106 Ltr ML19324C2011989-10-31031 October 1989 LER 88-019-02:on 880719,damper Compartment Flows Did Not Meet Flow Requirements Due to Closure of Some Sys Dampers. Caused by Defective procedure.As-found Measurements Taken While Operating Fans for Damper positions.W/891030 Ltr ML19327B5611989-10-26026 October 1989 LER 89-030-00:on 890714,visual Insp Revealed 3/4 Inch Open Conduit Connection Which Would Have Prevented Successful Leak Test.Cause Unknown.Connection Removed & Hole Sealed. W/891026 Ltr ML19327B4771989-10-23023 October 1989 LER 89-029-00:on 890922,ESF Actuation Occurred When Diesel Generator 1A Started Due to Momentary Undervoltage Condition on Train a 4,160-volt Essential Switchgear.Cause Unknown. Offsite Power Source Returned to Normal svc.W/891023 Ltr ML19327B1511989-10-19019 October 1989 LER 89-026-00:on 890720,both Trains of Control Area Ventilation Sys Inoperable.Caused by Design Deficiency Because of Unanticipated Interaction of Components.Original Check Damper Reinstalled in Fan on Train B.W/891019 Ltr ML19351A4301989-10-18018 October 1989 LER 89-025-00:on 890918,jumper Came Loose & Inadvertently Made Contact W/Sliding Link B-14 Directly Above Link B-15, Resulting in Turbine Driven Feedwater Pump Automatically Starting.Caused by Inappropriate action.W/891018 Ltr ML19325D4991989-10-16016 October 1989 LER 89-027-00:on 890915,preheaters Did Not Start Because Air Flow Permissive Was Not Made & Cross Connect Dampers Were Closed & Tagged & Ventilation Sys Train a Remained Logged Inoperable.Caused by Design deficiency.W/891016 Ltr ML19325C4871989-09-28028 September 1989 LER 89-018-00:on 890829,both Trains of Control Area Ventilation (VC) & Chilled Water (Yc) Sys Declared Inoperable.Caused by Equipment/Failure Malfunction. Refrigerant Added to Vc/Yc chiller.W/890928 Ltr ML20043D7041989-09-25025 September 1989 LER 89-022-01:on 890826,reactor Trip Occurred Due to Failed Universal Board in Solid State Protection Sys Cabinet A. Caused by Equipment/Malfunction.Universal Board Replaced. W/900530 Ltr ML19325C4731989-09-18018 September 1989 LER 89-015-00:on 890722,discovered That Neutral Pressure Was Best That Could Be Achieved in Some Required Sys Configurations.Caused by Design Deficiency Due to Design Oversight.Outside Air Ref Point installed.W/891004 Ltr ML20024F2791983-08-29029 August 1983 LER 83-066/03L-0:on 830817,invalid Alarm Received for Fire Detection Zone Efa 90 Which Would Not Clear.Caused by Unusual Svc Conditions.Detector Cleaned & replaced.W/830829 Ltr ML20024D8101983-07-29029 July 1983 LER 83-050/03L-0:on 830629,control Area Ventilation Sys Train B Declared Inoperable.Caused by Automatic Reset Preheater Overtemp Cutout Switch Failure.Replacement Switch Will Be installed.W/830729 Ltr ML20024D7531983-07-27027 July 1983 LER 83-048/03L-0:on 830624,control Area Ventilation Sys Train B Declared Inoperable Following Low Refrigerant Temp Alarm Trip of Control Room Chiller B.Caused by Cleaning of Condenser tubes.W/830727 Ltr ML20024D7701983-07-27027 July 1983 LER 83-049/03L-0:on 830624,surveillance Compliance Review Revealed Three Time Response Tests Not Performed.Cause Not Stated.Remaining Channels Will Be Tested During Next refueling.W/830727 Ltr ML20024D8951983-07-27027 July 1983 LER 83-047/03L-0:on 830627,discovered That 18-month Insp of Fire Hose Station 180 Not Performed During Nov 1981.Caused by Order Preventing Personnel from Entering Area Due to High Radiation Levels.Procedural Change instituted.W/830727 Ltr ML20024C4091983-06-28028 June 1983 Updated LER 83-002/03X-1:on 830110,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable.Heat Damage Found at Heat Dissipating Resistor Connections.Caused by Design Defect in Contactor Coil circuit.W/830628 Ltr ML20024C3941983-06-28028 June 1983 LER 83-035/03L-0:on 830515,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable Per Tech Spec 3.4.3.Caused by Blown Fuse in Heater Contactor Control Circuit.Fuse replaced.W/830628 Ltr ML20024C0001983-06-27027 June 1983 LER 83-030/01T-0:on 830526,discovered Monthly Test of Containment Pressure Control Sys Failed to Satisfy Surveillance Requirements to Check Permissive/Termination Setpoint Accuracy.Alarm Modules recalibr.W/830627 Ltr ML20023C4691983-05-0505 May 1983 LER 83-017/03L-0:on 830405,during Draining of Refueling Cavity RHR (Nd) Pumps Began to Cavitate & Eventually Both Nd Pumps Stopped.Caused by Level Gauge Isolation.Cavity Refilled.Nd Sys Vented.Procedures Revised ML20028E0131983-01-10010 January 1983 LER 82-081/03L-0:on 821211,lower Personnel Airlock Declared Inoperable After Reactor Door Found Partially Closed W/Small Seal Ruptured & Large Seal Inflated.Cause Not Known.Seal Not Designed to Withstand Unrestrained Inflationary Forces ML20028A5301982-11-10010 November 1982 LER 82-073/03L-0:on 820403,during QA Audit of Test Procedures,Incore & Nuclear Instrumentation Sys Correlation Monthly Check Found Not Performed.Caused by Incorrect Test Schedule ML20027D3351982-10-22022 October 1982 LER 82-071/03L-0:on 820922,motor Control Ctr Lemxd Lost Power Causing Temporary Inoperability of Several Essential Sys/Components.Caused by Automatic Trip of Feeder Breaker. Breaker Reset & Closed.Power Restored ML20027B5051982-09-10010 September 1982 LER 82-067/03L-0:on 820813,two Auxiliary Feedwater Pump Turbine Low Suction Pressure Switches Failed to Perform During Functional Test.Caused by Switches Being Out of Calibr,Possibly Due to Instrument Drift or Misadjustment ML20027B5521982-09-0808 September 1982 LER 82-064/03L-0:on 820809,vent Flow Monitor Indicated Zero W/Vent in Operation During Process of Returning to Mode 1. Caused by Out of Calibr Differential Pressure Transmitter Due to Instrument Drift.Transmitter Recalibr ML20052H5831982-05-10010 May 1982 LER 82-027/03L-0:on 820326,one Channel of Position Indication for RCS Power Operated Relief Valves NC-32 & NC-36 Declared Inoperable When Closed Indicator Lights Failed.Caused by Loose Fitting Bulb Due to Crack in Socket ML20052G6791982-05-0707 May 1982 LER 82-030/01T-0:on 820423,diesel Generator 1A Declared Inoperable After Failing to Start for Periodic Test.Caused by Failure of Station Design Change Implementation Program to Control Work on Station Mods ML20052H7421982-05-0707 May 1982 LER 82-031/03L-0:on 820408,boric Acid Transfer Pump a Failed to Perform at Capacity & Declared Inoperable.Caused by Reverse Rotation Due to Improperly Connected Windings. Personnel Counseled & Maint Routine Modified ML20052H7481982-05-0606 May 1982 LER 82-029/03L-0:on 820402,investigation of Power Operated Relief Valve (PORV) & Pressurizer Code Safety Discharge Line High Temp Alarms Revealed Indications of Leakage for PORV NC-34.Cause Undetermined.Valve Will Be Repaired ML20052H6091982-04-30030 April 1982 LER 82-028/03L-0:on 820401,during Mode 1 Operation,Radiation Monitors EMF-31 & EMF-33 Lost Power.Caused by Monitor EMF-46 Tripping Circuit Breaker Due to Direct Short Across Power bulb.EMF-46 Isolated & EMF-31 & 33 Returned to Svc ML20052G3611982-04-29029 April 1982 LER 82-025/03L-0:on 820318,vol Control Tank Makeup Frequency Increased & Containment Floor & Equipment Sump 1A Level Increased During RCS Leak Test.Caused by Failure to Verify Isolation Valves Closed Due to Procedural Deficiency 1994-10-05
[Table view] Category:RO)
MONTHYEARML20024J3211994-10-0505 October 1994 LER 94-006-00:on 940909,failure to Perform Slave Relay Test Associated W/One Containment Isolation Valve Due to Improper Work Practices.Reviewed All Slave Relay Test Procedures & Trained All Qualified reviewers.W/941005 Ltr ML20046B5251993-08-0404 August 1993 LER 93-007-00:on 930705,TS Required Surveillance Was Not Performed Because of Inappropriate Action Because of Lack of Attention to Detail.Generated WO 93047633 to Perform Required Surveillance on Unit 1 IPE CA 9010.W/930729 Ltr ML20045H9821993-07-12012 July 1993 LER 93-005-00:on 930612,manual Rt in Unit 1 Occurred Due to Equipment Failure Due to Failure of L-13 Field Cable Between Data Cabinet B & Bulkhead for Undetermined Reasons.Replaced Field cable.W/930709 Ltr ML20045D9681993-06-25025 June 1993 LER 93-006-00:on 930526,discovered That Sample Blower for Radiation Monitor 1 EMF-43B Off & Monitor Declared Inoperable & Ventilation Sys Air Intakes Not Isolated.Caused by Deficient Procedures.Test Procedures Revised ML20045B2811993-06-11011 June 1993 LER 93-004-00:on 930513,both Trains of CR Ventilation Sys Declared Inoperable Due to Equipment Failure.Exact Cause of Failure Could Not Be Determined.Train B Nuclear Svc Water Sys Flow Balance completed.W/930611 Ltr ML20029C2091991-03-21021 March 1991 LER 91-003-00:on 910219,both Trains of Control Room Ventilation Sys Inoperable.Caused by Design Malfunction & Management Deficiency.Temporary Modifications,Removing Automatic Closure Function implemented.W/910321 Ltr ML20028G9561990-09-26026 September 1990 LER 90-025-00:on 900827,Unit 1 Shut Down Because of Unidentified RCS Leakage Exceeding Tech Spec Limits.Caused by Equipment Failure.Procedure AP/1/A/5500/10 Implemented. Valve 1NC-33 Will Be Repacked at Next outage.W/900926 Ltr ML20044A0091990-06-25025 June 1990 LER 90-015-00:on 900524,Tech Spec 3.0.3 Entered Because More than One Power Range Nuclear Instrumentation Channel Exceeded 5% Deviation.Caused by Mgt Deficiency.Boric Acid Added to Coolant sys.W/900625 Ltr ML20043H4991990-06-21021 June 1990 LER 90-012-00:on 900522,loose Matl,Consisting of Masslin Cloths & Stepoff Pad,Discovered in Upper Containment.Caused by Failure to Follow Procedures.Loose Items Removed & Cleanliness Procedures revised.W/900621 Ltr ML20043H2641990-06-20020 June 1990 LER 90-011-00:on 900521,noted That Valve 1RN-69A Auxiliary Feedwater Assured Supply from Train a Nuclear Svc Water Repositioned to Open Position After Start of Pump.Cause Unknown.Pump Shut Down & Valve closed.W/900620 Ltr ML20043F7471990-06-13013 June 1990 LER 90-010-00:on 900427,discovered That Annulus Ventilation & Control Room Ventilation Sys Headers Would Not Operate,As Designed,Under Postulated Operating Conditions. Caused by Design Deficiency.Change submitted.W/900613 Ltr ML20043F5071990-06-11011 June 1990 LER 90-009-00:on 900512,feedwater Isolation Occurred as Result of Steam Generator 1B Reaching hi-hi Level Setpoint of 82% Level.Caused by Inappropriate Action Because of Lack of Attention to Detail.Feedwater Logic reset.W/900611 Ltr ML20043D6541990-05-30030 May 1990 LER 90-007-00:on 881018,during Insp Ice Condenser Basket Found W/Bottom Screws Missing.Caused by Installation Deficiency Because of Improper Matl Selection.Work Request Initiated to Replace Improper screws.W/900530 Ltr ML20043D7121990-05-30030 May 1990 LER 90-006-00:on 900226,discovered Abnormal Degradation on Steel Containment Vessel.Corrosion Caused by Design Deficiency Caused by Unanticipated Environ Interaction. Detailed Insps conducted.W/900529 Ltr ML20043C8041990-05-30030 May 1990 LER 90-008-00:on 900430,radiation Monitor for Contaminated Parts Warehouse Ventilation & Sampler Min Flow Device Declared Inoperable.Caused by Personnel Error.Appropriate Procedures Enhanced to Prevent recurrence.W/900530 Ltr ML20012D1651990-03-19019 March 1990 LER 90-004-00:on 900208,determined That Holes Left in Auxiliary Shutdown Panel Could Allow Water Spray Into Cabinet.Cause Unknown.Holes Covered W/Duct Tape & Repaired. W/900319 Ltr ML20011F4261990-02-16016 February 1990 LER 90-002-00:on 900117,hold Down Screws on Sylvania Contactors in Motor Control Ctrs Found Loose.Caused by Mfg Deficiency.Contactor Screws Tightened.All Hold Down Screws Will Be Replaced W/Another type.W/900223 Ltr ML20006D5571990-02-0707 February 1990 LER 90-001-00:on 900108,reactor Trip Occurred Due to Clogged Strainer on Feedwater Pump a Speed Controller.Caused by Water in Oil Sys.Cause for Water Presence in Sys Unknown. Sludge Minimization Attempts pursued.W/900207 Ltr ML20006A8771990-01-21021 January 1990 LER 89-028-00:on 891204,self-initiated Technical Audit Team Personnel Identified Gap Around Control Room Ventilation Air Handling Unit Access Door.Caused by Possible Const/ Installation Deficiency.Door Sys modified.W/900122 Ltr ML19327C2581989-11-13013 November 1989 LER 89-031-00:on 891012,ac Power Supply Fuse Blew Resulting in Automatic Isolation of Four Outside Air Intakes on Ventilation Sys.Caused by Inappropriate Action.Intake Valves Returned to Svc & Tech Spec 3.3.3.1 exited.W/891113 Ltr ML19324C2031989-11-10010 November 1989 LER 89-024-00:on 890908,MSIV Stroke Timing Periodic Test Performed W/O Air Assistance & Three MSIVs Failed to Close within 5 S.Caused by Brass Guide Screws Excessively Tightened.Set Screws Properly set.W/891106 Ltr ML19324C2011989-10-31031 October 1989 LER 88-019-02:on 880719,damper Compartment Flows Did Not Meet Flow Requirements Due to Closure of Some Sys Dampers. Caused by Defective procedure.As-found Measurements Taken While Operating Fans for Damper positions.W/891030 Ltr ML19327B5611989-10-26026 October 1989 LER 89-030-00:on 890714,visual Insp Revealed 3/4 Inch Open Conduit Connection Which Would Have Prevented Successful Leak Test.Cause Unknown.Connection Removed & Hole Sealed. W/891026 Ltr ML19327B4771989-10-23023 October 1989 LER 89-029-00:on 890922,ESF Actuation Occurred When Diesel Generator 1A Started Due to Momentary Undervoltage Condition on Train a 4,160-volt Essential Switchgear.Cause Unknown. Offsite Power Source Returned to Normal svc.W/891023 Ltr ML19327B1511989-10-19019 October 1989 LER 89-026-00:on 890720,both Trains of Control Area Ventilation Sys Inoperable.Caused by Design Deficiency Because of Unanticipated Interaction of Components.Original Check Damper Reinstalled in Fan on Train B.W/891019 Ltr ML19351A4301989-10-18018 October 1989 LER 89-025-00:on 890918,jumper Came Loose & Inadvertently Made Contact W/Sliding Link B-14 Directly Above Link B-15, Resulting in Turbine Driven Feedwater Pump Automatically Starting.Caused by Inappropriate action.W/891018 Ltr ML19325D4991989-10-16016 October 1989 LER 89-027-00:on 890915,preheaters Did Not Start Because Air Flow Permissive Was Not Made & Cross Connect Dampers Were Closed & Tagged & Ventilation Sys Train a Remained Logged Inoperable.Caused by Design deficiency.W/891016 Ltr ML19325C4871989-09-28028 September 1989 LER 89-018-00:on 890829,both Trains of Control Area Ventilation (VC) & Chilled Water (Yc) Sys Declared Inoperable.Caused by Equipment/Failure Malfunction. Refrigerant Added to Vc/Yc chiller.W/890928 Ltr ML20043D7041989-09-25025 September 1989 LER 89-022-01:on 890826,reactor Trip Occurred Due to Failed Universal Board in Solid State Protection Sys Cabinet A. Caused by Equipment/Malfunction.Universal Board Replaced. W/900530 Ltr ML19325C4731989-09-18018 September 1989 LER 89-015-00:on 890722,discovered That Neutral Pressure Was Best That Could Be Achieved in Some Required Sys Configurations.Caused by Design Deficiency Due to Design Oversight.Outside Air Ref Point installed.W/891004 Ltr ML20024F2791983-08-29029 August 1983 LER 83-066/03L-0:on 830817,invalid Alarm Received for Fire Detection Zone Efa 90 Which Would Not Clear.Caused by Unusual Svc Conditions.Detector Cleaned & replaced.W/830829 Ltr ML20024D8101983-07-29029 July 1983 LER 83-050/03L-0:on 830629,control Area Ventilation Sys Train B Declared Inoperable.Caused by Automatic Reset Preheater Overtemp Cutout Switch Failure.Replacement Switch Will Be installed.W/830729 Ltr ML20024D7531983-07-27027 July 1983 LER 83-048/03L-0:on 830624,control Area Ventilation Sys Train B Declared Inoperable Following Low Refrigerant Temp Alarm Trip of Control Room Chiller B.Caused by Cleaning of Condenser tubes.W/830727 Ltr ML20024D7701983-07-27027 July 1983 LER 83-049/03L-0:on 830624,surveillance Compliance Review Revealed Three Time Response Tests Not Performed.Cause Not Stated.Remaining Channels Will Be Tested During Next refueling.W/830727 Ltr ML20024D8951983-07-27027 July 1983 LER 83-047/03L-0:on 830627,discovered That 18-month Insp of Fire Hose Station 180 Not Performed During Nov 1981.Caused by Order Preventing Personnel from Entering Area Due to High Radiation Levels.Procedural Change instituted.W/830727 Ltr ML20024C4091983-06-28028 June 1983 Updated LER 83-002/03X-1:on 830110,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable.Heat Damage Found at Heat Dissipating Resistor Connections.Caused by Design Defect in Contactor Coil circuit.W/830628 Ltr ML20024C3941983-06-28028 June 1983 LER 83-035/03L-0:on 830515,pressurizer Heater Group 1B Failed to Energize in Manual & Declared Inoperable Per Tech Spec 3.4.3.Caused by Blown Fuse in Heater Contactor Control Circuit.Fuse replaced.W/830628 Ltr ML20024C0001983-06-27027 June 1983 LER 83-030/01T-0:on 830526,discovered Monthly Test of Containment Pressure Control Sys Failed to Satisfy Surveillance Requirements to Check Permissive/Termination Setpoint Accuracy.Alarm Modules recalibr.W/830627 Ltr ML20023C4691983-05-0505 May 1983 LER 83-017/03L-0:on 830405,during Draining of Refueling Cavity RHR (Nd) Pumps Began to Cavitate & Eventually Both Nd Pumps Stopped.Caused by Level Gauge Isolation.Cavity Refilled.Nd Sys Vented.Procedures Revised ML20028E0131983-01-10010 January 1983 LER 82-081/03L-0:on 821211,lower Personnel Airlock Declared Inoperable After Reactor Door Found Partially Closed W/Small Seal Ruptured & Large Seal Inflated.Cause Not Known.Seal Not Designed to Withstand Unrestrained Inflationary Forces ML20028A5301982-11-10010 November 1982 LER 82-073/03L-0:on 820403,during QA Audit of Test Procedures,Incore & Nuclear Instrumentation Sys Correlation Monthly Check Found Not Performed.Caused by Incorrect Test Schedule ML20027D3351982-10-22022 October 1982 LER 82-071/03L-0:on 820922,motor Control Ctr Lemxd Lost Power Causing Temporary Inoperability of Several Essential Sys/Components.Caused by Automatic Trip of Feeder Breaker. Breaker Reset & Closed.Power Restored ML20027B5051982-09-10010 September 1982 LER 82-067/03L-0:on 820813,two Auxiliary Feedwater Pump Turbine Low Suction Pressure Switches Failed to Perform During Functional Test.Caused by Switches Being Out of Calibr,Possibly Due to Instrument Drift or Misadjustment ML20027B5521982-09-0808 September 1982 LER 82-064/03L-0:on 820809,vent Flow Monitor Indicated Zero W/Vent in Operation During Process of Returning to Mode 1. Caused by Out of Calibr Differential Pressure Transmitter Due to Instrument Drift.Transmitter Recalibr ML20052H5831982-05-10010 May 1982 LER 82-027/03L-0:on 820326,one Channel of Position Indication for RCS Power Operated Relief Valves NC-32 & NC-36 Declared Inoperable When Closed Indicator Lights Failed.Caused by Loose Fitting Bulb Due to Crack in Socket ML20052G6791982-05-0707 May 1982 LER 82-030/01T-0:on 820423,diesel Generator 1A Declared Inoperable After Failing to Start for Periodic Test.Caused by Failure of Station Design Change Implementation Program to Control Work on Station Mods ML20052H7421982-05-0707 May 1982 LER 82-031/03L-0:on 820408,boric Acid Transfer Pump a Failed to Perform at Capacity & Declared Inoperable.Caused by Reverse Rotation Due to Improperly Connected Windings. Personnel Counseled & Maint Routine Modified ML20052H7481982-05-0606 May 1982 LER 82-029/03L-0:on 820402,investigation of Power Operated Relief Valve (PORV) & Pressurizer Code Safety Discharge Line High Temp Alarms Revealed Indications of Leakage for PORV NC-34.Cause Undetermined.Valve Will Be Repaired ML20052H6091982-04-30030 April 1982 LER 82-028/03L-0:on 820401,during Mode 1 Operation,Radiation Monitors EMF-31 & EMF-33 Lost Power.Caused by Monitor EMF-46 Tripping Circuit Breaker Due to Direct Short Across Power bulb.EMF-46 Isolated & EMF-31 & 33 Returned to Svc ML20052G3611982-04-29029 April 1982 LER 82-025/03L-0:on 820318,vol Control Tank Makeup Frequency Increased & Containment Floor & Equipment Sump 1A Level Increased During RCS Leak Test.Caused by Failure to Verify Isolation Valves Closed Due to Procedural Deficiency 1994-10-05
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217G7951999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for McGuire Nuclear Station,Units 1 & 2 ML20217F3661999-09-22022 September 1999 Rev 18 to McGuire Unit 1 Cycle 14 Colr ML20212D1911999-09-20020 September 1999 SER Accepting Exemption from Certain Requirements of 10CFR50,App A,General Design Criterion 57 Closed System Isolation Valves for McGuire Nuclear Station,Units 1 & 2 ML20216E8851999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Units 1 & 2 ML20211B1281999-08-31031 August 1999 Dynamic Rod Worth Measurement Using Casmo/Simulate ML20217G8101999-08-31031 August 1999 Revised Monthly Operating Repts for Aug 1999 for McGuire Nuclear Station,Unit 1 & 2 ML20211G5261999-08-24024 August 1999 SER Accepting Approval of Second 10-year Interval Inservice Insp Program Plan Request for Relief 98-004 for Plant,Unit 1 ML20211F3441999-08-17017 August 1999 Updated non-proprietary Page 2-4 of TR DPC-NE-2009 ML20210S2371999-07-31031 July 1999 Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20216E8951999-07-31031 July 1999 Revised Monthly Operating Repts for July 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209E4361999-07-0909 July 1999 SER Agreeing with Licensee General Interpretation of TS LCO 3.0.6,but Finds No Technical Basis or Guidance That Snubbers Could Be Treated as Exception to General Interpretation ML20196K6631999-07-0707 July 1999 Safety Evaluation Supporting Licensee 990520 Position Re Inoperable Snubbers ML20209H1631999-06-30030 June 1999 Monthly Operating Repts for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20210S2491999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for McGuire Nuclear Station,Units 1 & 2 ML20209H1731999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206T4771999-05-31031 May 1999 Rev 3 to UFSAR Chapter 15 Sys Transient Analysis Methodology ML20196L1881999-05-31031 May 1999 Non-proprietary Rev 1 to DPC-NE-3004, Mass & Energy Release & Containment Response Methodology ML20195K3691999-05-31031 May 1999 Monthly Operating Repts for May 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206N3511999-05-11011 May 1999 Safety Evaluation Accepting Licensee Response to GL 96-05, Periodic Verification of Design-Basis Capability of Safety- Related Movs ML20195K3761999-04-30030 April 1999 Revised MORs for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20206R0891999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205L2341999-04-0505 April 1999 SFP Criticality Analysis ML20206R0931999-03-31031 March 1999 Revised Monthly Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P8991999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205C4171999-03-25025 March 1999 Special Rept 99-02:on 801027,Commission Approved for publication,10CFR50.48 & 10CFR50 App R Delineating Certain Fire Protection Provisions for Nuclear Power Plants Licensed to Operate Prior to 790101.Team Draft Findings Reviewed ML20207K2051999-03-0505 March 1999 Special Rept 99-01:on 990128,DG Tripped After 2 H of Operation During Loaded Operation for Monthly Test.Caused by Several Components That Were Degraded or Had Intermittent Problems.Parts Were Replaced & Initial Run Was Performed ML20204C8911999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20205P9021999-02-28028 February 1999 Revised Monthly Operating Repts for Feb 1999 for McGuire Nuclear Station,Units 1 & 2 ML20204C8961999-01-31031 January 1999 Revised Monthly Operating Repts for Jan 1999 for McGuire Nuclear Station,Units 1 & 2 ML20199E0301998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for McGuire Nuclear Station,Units 1 & 2 ML20216F9931998-12-31031 December 1998 Piedmont Municipal Power Agency 1998 Annual Rept ML20198A4481998-12-11011 December 1998 Safety Evaluation Concluding That for Relief Request 97-004, Parts 1 & 2,ASME Code Exam Requirements Are Impractical. Request for Relief & Alternative Imposed,Granted ML20198D7561998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 ML20199E0491998-11-30030 November 1998 Revised Monthly Operating Rept for Nov 1998 for McGuire Nuclear Station,Units 1 & 2 Re Personnel Exposure ML20199E9651998-11-24024 November 1998 Rev 1 to ATI-98-012-T005, DPC Evaluation of McGuire Unit 1 Surveillance Weld Data Credibility ML20196D4171998-11-24024 November 1998 Special Rept 98-02:on 981112,failure to Implement Fire Watches in Rooms Containing Inoperable Fire Barrier Penetrations,Was Determined.Repair of Affected Fire Barriers in Progress ML20196G0581998-11-0606 November 1998 Rev 17 to COLR Cycle 13 for McGuire Unit 1 ML20196G0761998-11-0606 November 1998 Rev 15 to COLR Cycle 12 for McGuire Unit 2 ML20198D7771998-10-31031 October 1998 Revised Monthly Operating Rept for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E5961998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154L6251998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20195E6021998-09-30030 September 1998 Revised Monthly Operating Rept for Sept 1998 for McGuire Nuclear Station,Units 1 & 2 ML20154B4131998-09-22022 September 1998 Rev 0 to ISI Rept for McGuire Nuclear Unit 1 Twelfth Refueling Outage ML20151W3521998-09-0808 September 1998 Special Rept 98-01:on 980819,maint Could Not Be Performed on FPS Due to Isolation Boundary Leakage.Caused by Inadequate Info Provided in Fire Impairment Plan.Isolated Portion of FPS Was Returned to Svc ML20154L6321998-08-31031 August 1998 Rev 1 to MOR for Aug 1998 for McGuire Nuclear Station,Unit 1 ML20153B3741998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236U1601998-07-31031 July 1998 Non-proprietary DPC-NE-2009, DPC W Fuel Transition Rept ML20237B2381998-07-31031 July 1998 Monthly Operating Repts for July 1998 for McGuire Nuclear Station,Units 1 & 2 ML20153B3931998-07-31031 July 1998 Revised Monthly Operating Repts for Jul 1998 for McGuire Nuclear Station,Units 1 & 2 ML20236P0451998-07-0808 July 1998 Part 21 Rept Re non-conformance & Potential Defect in Component of Nordberg Model FS1316HSC Standby Dg.Caused by Outer Spring Valves Mfg from Matl That Did Not Meet Specifications.Will Furnish Written Rept within 60 Days 1999-09-30
[Table view] |
Text
t; . ..
+
i Duke 1%uvr Cornpany (704) 815-4000
- %fcGuire Nuclear Station P O Bat 488 Cornelius, N C 28031-9488 DUKEPOWER January 22, 1990 U.S. Nuclear Regulatory Commission Document Control Desk Washington, D.C. 20555
Subject:
McGuire Nuclear Station Units 1 and 2 Docket No. 50-369 Licensee Event Report 369/89-28 Gentlemen:
Pursuant to 10 CFR 50.73 Sections (a)(1) and (d), attached is Licensee Event Report 369/89-28 concerning the Control Room Ventilation System being inoperable due to a gap around the control room air handling unit access door. This report is being submitted in accordance with 10 CFR 50.73(a)(2)(v)'and-(a)(2)(i).. This.
event is considered to be of no significance with-respect to'the health and safety of the public.
Very truly yours, L
T.L. McConnell DVE/ADJ/cb1 Attachment xc: Mr. S.D. Ebneter American Nuclear Insurers Administrator, Region Il c/o Dottie Sherman, ANI Library U.S. Nuclear Regulatory Commission The Exchange, Suit 245 101 Marietta St., NW, Suite 2900 270 Farmington Avenue Atlanta, GA 30323 Farmington, CT '06032 INPO Records Center Mr. Darl Hood-Suite 1500 U.S. Nuclear Regulatory Commission _
1100 Circle 75 Parkway Office of Nuclear Reactor' Regulation Atlanta, GA 30339 Washington,-D.C. 20555 M&M Nuclear Consultants Mr. P.K. Van Doorn 1221 Avenue of the Americas NRC Resident Inspector New York, NY 10020 McGuire Nuclear-Station 9001300406 900121 PDR ALOCKOSOOg9 ff%?
'/// ~
y , _ _ ..
. ~:n. . ~ . '> .
ELER C:v,ir Icttor P:ss; 2 '
Y
- bI xci-B.W.'Bline ~ j A.S. Daughtridge !
J.Si Warren R.L. Gill .
R.M. Glover (CNS)
T.D.-Curtis (ONS). ~
=:
P.R. Herran S.S. Kilborn (W) c, R.E. Lopez-Ibanez: ,
5
~J.J.-Maher
- R.O. Sharpe - (MNS) . ..".
Ji
-G.B.-Swindlehurst-- j K.D.: Thomas: _ _
L.E. Weaver '
.i
--R.L. Weber-
- ld J.D. Wylie (PSD) i J.W..Willis ,
t QA Tech. Services NRC Coordinator (EC'12/55)-
MC-815-04s (20)-
a i
q
.i s
..{
k L
l
. ~ ;;j
- l
-I I
?
, - ~ _ , ,, . -
, , . . , . , , _ . _ _ _ . , , . . - - , , , J.-~....
U S 88UCLE AN 4t tutaTNT C088Mitatose
' NaC Form att N .
APPhovt0 0ws eso titootos LICENSEE EVENT REPORT ILER) ooCa t t Numos a it. Am +
As,6 n,
.AC,h,,u, Me ire Nuclear Station, Unit 1 o95;oio;o9 3;6 ;9 3 jo,lg g
"' Control Room Ventilation Was Technically Inoperable Due To A Gap Around The Control Room Air Handlina Unit Access Door Because Of A Possible Installation Deficiency REPORT DAYS 176 OTMt m S ACILITill l'8v0 Lyt 0151 IVINT Daf t ISI Lt R 8eUedblR 468
- aC%it ' %awel DOCatt Neween ti MONTw Dav Vlam vlAm My ka 6 asj MONTw Dat vtAR McGuire Unit 2 o 15 l 0 ; o t o p ,7,0 l
li 2 Oi 4 89 -
0 i 218 -
Oi l 2i1 91 0 0151010101II l I 8l9 l l 0 l0 l I 1 e, aie,. en ra, e.*.. , nii twis afront is svowirf to runsu&NT to vut mLoviatutNrs oe to can 4 reaue .
MOO 4 m 20 402ibi 20 e06tel 60 73teH2Hivi 73 filti to 73iert2Hel 73 7t tei n 20 ectieHt Hil 80 36isHti X 20 406te H t itel to 341sH2I to 73teH2Hval OtME R I5eee *
- A,e e nel ] l to 73teH2HveuH Al J6648 20 408teH1Hwil X 60 73teH2H4
.0 ,3.H2 u., . ,3i.H2u.a.n.,
20 4 .eH,H , _
20 easieH1Hvi to 73ieH2 Hail to 73tsH2Hei LectNitt CONTACT FOR THil LER t12)
YtLipwoNE Nyveta NAvt AataCOOt Alan Sipe, Chairman, McGuire Safety Review Group 7, 0 ,4 8,7, 5, ,4 ,1,8;3 COMPLtit ONI LINE FOR 4 ACM COMPONENT f ailunt DE5CalSED IN THis atPoet et3i Cav58 SYSTtv CouPCNENT va)[ a f,8,, e,vas t Ca v$t sv $ttv Cov'ONENT " 'y 'g[ "'y'O N'a I I i 1 I I I I I ! I I I I I l l l l 1 l l 1 l ! I l I SUPettutNT AL asponT ExplCTto nes 90N'a C4' v t in l
Sutw$$ ION
] v ti m .. ,,, eorCreo su,wss,oN u rr, "s] No A.s t A C v w e c. , m .<. . . . -.r., " , .... . .,. . .. , . ,...., n i e l
On December 4, 1989, Self Initiated Technical Audit (SITA) Team personnel were performing a visual evaluation of Control Room Ventilation (VC) system components and identified a gap around the VC Air Handling Unit (AHU) access door. On l
December 5, 1989, SITA Team personnel documented their concern that the gap around the access door could allow an additional inleakage of unfiltered air into the Control Room (CR). This leakage could have resulted in the radiation dose to CR personnel exceeding that assumed by the design basis analysis. On December 22, 1989, Design Engineering personnel performed a Past Operability Determination that concluded that, although the CR portion of the VC system was technically inoperable, the inleakage of unfiltered air and radiation dose to the CR personnel would have been reduced by factors which are not considered in the design basis analysis. This event is assigned a cause of Possible Construction / Installation Deficiency because the access door does not fit sufficiently flush around the perimeter to maintain seal contact. A contributing cause of Management Deficiency is assigned because of the lack of direction in the ventilation system preventative maintenance programs to verify that access doors are sealed. The access door closure system will be modified to provide better sealing. The preventative maintenance program will be enhanced to include verification that access doors seal properly. Unit 1 and Unit 2 were in Mode 1 (Power Operation) at 100 percent power when this event was discovered.
- t. . Ii; NRC Form ateA US NUCttA'. EE!ULATORY COMMitt104 P LICENSEE EVENT CEPORT (LER) TEXT CONTINUATION - ***xovio oMe =o mo-oio4 EXPtRES: $!31/W
- ACILITV WMt m DOCR81 NUMBER W gga gygegn (66 9A06 3) ,
V6AR "
wNm [wnIn McGuire Nuclear Station, Unit 1 o ls j o j o j o l 3 l 6J 9 8l9 -
0l2l8 -
0l0 0l2 0F 0 l6 nxf ame. Mm.a o u. a mM wec r sasemm j EVALUATION:
Background
There are two independent trains of the Control Area Ventilation (VC) system ,
[EIIS:VI) which are designed to maintain the habitable environment in the Control !
Room (CR) [EIIS:NA), Control Room Area, and Switchgear Rooms during normal and accident conditions. Based on these criteria, the system is designed as an. .
Engineered Safety Features (ESF) system with high efficiency particulate (HEPA) and carbon filtration in the outside air intakes and with equipment redundancies for use as conditions require.
The CR is designed to be maintained at a positive pressure during an accident to prevent entry of contaminants. Each CR VC system train consists of one 100 percent capacity Air Handling Unit (AHU) [EIIS:AHU], one 100 percent capacity CR pressurization fan [EIIS: FAN] and one filter [EIIS:FLT] assembly. Each filter assembly consists of a pre-filter, a HEPA filter, a carbon absorber [EIIS: ABS], ,
controls, ductwork [EIIS: DUCT), and isolation dampers [EIIS:DMP). The filter assembly components are mounted on a common steel channel [EIIS:CHA] base. Both CR ;
ventilation system trains are interconnected through a common plenum located . i between the AHUs and the pressurization filter assemblies.
Technical Specification (TS) 3/4.7.6 addresses the requirement where two independent VC systems shall be operable in all modes. In Mode 1 (Power Operation), Mode 2 (Startup), Mode 3 (Hot Standby), and Mode 4 (Hot Shutdown), the TS requires that with one train of the VC system inoperable,.the inoperable' train must be restored to operable status within seven days or be -in at least Hot Standby within the next six hours, and in Cold Shutdown within the next thirty hours. In Modes 5 (Cold Shutdown), and Mode 6 (Refueling) the TS requires the following: d,
- a. With one VC system train inoperable, restore the inoperabie train to -
operable status within 7 days or initiate and maintain operation of.the remaining operable VC system train in the recirculation mode; and-
- b. With both VC system trains inoperable or with the operable VC-system train, required to be in the recirculation mode by Action a., not capable of being powered by an operable emergency power source, suspend all' operations involving core alterations or positive reactivity changes.
TS 3/4.7.6 applies to both Unit 1 and Unit 2 because the VC system is shared by both units. Also, TS 3/4.7.6 includes requirements that two independent VC trains shall be demonstrated operable at least once each 18 months by verifying a system flow rate of 2000 CFM +/-10 percent and a CR positive pressure of >/=0.125 inches water gauge, relative to outside atmosphere.
Description of Event On December 4, 1989, at approximately 1430, Self Initiated Technical Audit (SITA)
Team personnel identified gaps between the sealing surfaces of the.VC system CR AHU common plenum and the plenum access door (EIIS:DR]. The SITA team was examining _ '
$l ** '"' _ _ _ _ _
I .
=ac e.,a. maa oa evemmtvu.voanouuissio P LICENSEE EVENT REPORT (LER) TEXT CONTINUATION movio ous no mo-om
, txmats swee fACsLilyvA ut m DOCKET WMeta m Lg R NuustR (el Pact tai vtan Q8j,* k .
Q McGuire Nuclear Station, Unit 1 o l5 lo jo lo l 3l @ 9 8l 9 -_ q 2l8 Og 0 Ol 3 0F Ol6 nxi m an sna e .una m uewo ncie nwonm .
the components of the VC system as part of their audit evaluation. The gaps were '
located at the top right hinge side and lower left latch side of the access door.
On December 5,1989, SITA Team personnel originated Problem Investigation Report serial number 0-M89-0312 documenting the concern that gaps around the plenum. access door could allow inleakage of unfiltered air into the CR. At.approximately 1125, Work Request number 89121 was originated to place duct tape around the perimeter of the plenum access door. Mechanical Maintenance personnel taped around the plenum access door and performed a smoke test verification by approximately 1400.
On December 14, 1889, at approximately 1210, Performance personnel verified'the effect that the gap around the access door had on the ability to pressurize the CR.
Performance personnel used test procedure PT/0/A/4450/08C, Control Area Ventilation Performance Test. At 1210, the CR pressure stabilized at 0.15 inch water gauge >
(W.G.) with the access door sealed with tape. At 1220, the CR pressure stabilized at 0.17 inch W.G. with the taped removed from around the access door. At 1225, the CR pressure again stabilized at 0.15 inch W.G. after the access door was resealed with tape. The acceptance criteria for CR pressurization is greater than or equal to 0.125 inch W.G. relative to outside atmosphere. Although the sealed access door reduced the CR pressure, it was still above the minimum acceptance criteria.
On December 22, 1989, Design Engineering (DE) personnel completed a Past Operability Determination. DE personnel determined that, although the VC system was technically inoperable, the inleakage of unfiltered air and radiation dose to the CR personnel would have been reduced by factors, as defined in the Safety Analysis section of this report, which are not considered in the design basis analysis.
Conclusion This event is assigned a cause of Possible Construction / Installation Deficiency because the access door does not fit sufficiently flush around the perimeter to maintain a good seal ccatact. The door is slightly bowed outward. This bow is ,
transverse from the upper right hinge side to the lower left latch side. It is possible that the access door was bowed from the time it was manufactured. Also, the bow could have occurred from stresses that were induced during manufacture.
The door appears to be well built based on the manufacturer drawing detail, Duke Power Vendor Manual Drawing number MCM 1211.00-0712, Revision 2. The door is approximately 30 inches wide, 60 inches high, and 2 inches thick. The main door member is formed from 11 gauge (0.12 inch no'minal) galvanized steel. This member is formed to a two inch deep dish. A 0.75 inch wide lip is formed at a right angle-to the dish which provides the door sealing surfaces. A 22 gauge (0.03-inch nominal) galvanized steel outer door skin is crimped over the 0.75 wide lip of the main member. The door is reinforced with full thickness plywood core sections across the width at the three sets of hinges and latches locations. It seems highly unlikely that this door could have been deformed by normal use. Also there is no indication of service abuse to the door or to the AHU plenum frame.
A contributing cause of Management Deficiency is assigned because of the lack of direction in the ventilation system preventative maintenance program to verify the NXC 701 3eeA 'U.S. CPoi 1964 520 5s9.00070 WEM
s .
wac 7.= assa u s muctata EtrutivoRY commission LICENSEE EVENT REPORT (LER) TEXT C*NTINUATION uerovio oMe o mo-oio.
seimas: swa F AclLiiv A&Mt m Docuti NUMBER GI ttR NUMetR 16 Paos 43)
Ytaa 5If,{,4 $,8,y,"
McGuire Nuclear Station, Unit 1 o l5 jo lo lo l 3l 4 9 8l 9 --
4 2l 8 --
0l 0 0l4 OF 0l6 iExt a, ., ,k w ==c i amaw sin sealing of access doors. Step 11.7 of Mechanical Maintenance procedure l MP/0/A/7450/03, Fans And Air Handling Units Preventive Maintenance, states " Ensure all doors, panels, and openings to units are closed prior to leaving job." There is a corresponding sign-off on Enclosure 13.2. This step does not address the need to verify that these doors, panels, or openings are sealed. Investigations revealed that this step was added to the procedure only for verification of door or panel closure, since this process had been omitted on occasion in the past.- The need was not perceived to verify adequate sealing of these types of doors, panels, or openings.
A review of the Operating Experience Program (OEP) Data Base for the previous twelve months revealed no events involving Safety Function Impairment that was attributed to a Possible Construction / Installation Deficiency or a Management Deficiency because of the lack of direction. Therefore, this event is not !
recurring.
As a result of other events involving various ventilation systems' identified in ;
LERs 369/89-01, 369/89-02, 369/89-15, 369/89-17, 369/89-18, 369/89-21, 369/89-26, l 369/89-27, 369/89-30, and 369/89-31, the problem with operability of the I ventilation systems in general is considered to be recurring.
This event is not Nuclear Reliability Data System (NPRDS) reportable.
There were no personnel injuries, radiation overexposures, or uncontrolled releases of radioactive material as a result of this event. -l~
CORRECTIVE ACTIONS:
Immediate: The perimeter of the access door was sealed with duct tape.
Subsequent: Project Services personnel have initiated Work Request number 890177 which will provide additional closure latches and a new seal. 5 Planned: 1) Project Services personnel will initiate a request for additional door modification if the new latches and new seal fail to solve the problem. ,
i
- 2) Maintenance Engineering Services personnel will revise procedure MP/0/A/7450/03, Fans and Air Handling Units Preventive Maintenance, to include direction to verify that access doors are sealed on ventilation system as necessary.
SAFETY ANALYSIS:
The design requirements of the VC system are to supply filtered air at a controlled temperature and humidity to the CR and to pressurize the CR to prevent inleakage of unfiltered air. The VC system helps ensure that radiation doses to CR personnel are ALARA and remain below Code of Federal Regulation, Title 10, Part 50 (10CFR50),
Appendix A, Criteria 19 (GDC-19) limits.
N3tC FORM 36eA * '"'
$ sh
s- ,
Nac ten asea u s wuctsaa s stur, Atony cowwission UCENSEE EVENT REPORT (LER) TEXT CONTINUATl3N unovio ove =o mo-om EXPtRE S. S '31/IB F Cstif y haug gu DOCK 47 NUtettR (29 gga nuesegn (6) PAot (31
- a "tMP. 5P*#2 McGuire Nuclear Station, Unit 1 o l6 l0 lo j o j 3l q 9 8l 9 0g 0 0l5 OF 0l 2l 8 __
0 l6 texm m . . ,wucr., m mim During a recent visual inspection as a result of a VC system SITA audit, the plenum personnel access door at the inlet to CR AHU-1&2 was found to not fit flush against ;
the AHU plenum casing. This prevents the door from making contact with the plenum. '
This allows unfiltered air from the Control Room Area to leak into the AHU plenum at an estimated maximum rate of 155 cubic feet per minute (cfm). This source of leakage was promptly corrected.
The design basis analysis of the radiation dose to Control Room personnel assumes an inleakage of 10 cfm to account for doors being opened for personnel access.
Using the very conservative assumptions employed for design basis analysis, with the additional 155 cfm inleakage, the system would not maintain the CR environment in conformance with GDC-19 criteria. The system was thus inoperable according to I design basis analysis. l The consequences of an accident with the VC system operation with 155 cfm inleakage would have been reduced by the following factors, as identified in the Past Operability Determination, which are not considered in the design basis analysis: i 1
- 1) Dilution of any air leaking into the CR by this path by the Auxiliary i Building Ventilation (VA) system [EIId:VF].
- 2) Operation of the VA exhaust filters to remove radioactive iodine and particulates from the air leaving the Auxiliary Building [EIIS:NE]. This substantially reduces the radiation dose contribution from assumed Emergency Core Cooling System leakage.
- 3) Lower iodine releases in realistic accidents than those assumed in the ,
design basis accident due to the following factors: )
i A) The iodine removal capability of the containment spray system (EIIS:BE) is greater than that assumed in the design basis calculation af ter recirculation of sump water begins.
B) The release fraction of iodine and cesium iodide from the fuel into .
the gap is significantly lower than assumed in the design basis l accident. '
C) The realistic partition factor for iodine is lower than assumed in i the design basis accident.
- 4) The CR radiation dose calculation assumes operation of only one train of annulus ventilation along with failure of one train of the VC system.
This double failure assumption adds conservatism.
- 5) The presence of an area radiation monitor (EHF 12) (EIIS:IL] in the CR would alert the operators if there were contaminated air being drawn into }
the CR. The re fo re , the operators would use the respirators that are available to CR personnel. This would reduce radiation dose during periods when contaminated air is being drawn into the CR.
~
.v.s. cro, u m s m s w m o
~xg ox. 3 .
M C Poem 356A U.S NUCLE AR K62ULATO7.Y COFAMISSION LICENSEE EVENT REPORT (LER) TEXT CONTINUATION Arreovio ous No siso-cios EXPtRES 8/316 F4.Citaiv NAME (1: DOCKST NUMBlR (2) LER NUMe4R(4) PAGE (3)
'I'" Ne'[g'a v Ida m McGuire Nuclear Station, Unit 1 o ls j ogo j o l 3l q 9 8l 9_ q 2l 8 -
0l 00 [6 0F 0 l6 1'tXT f2 mye aam a segweg, ese admoonst 44C Form JERA'st (IM
- 6) The average dispersion factor assumed for inleakage is conservetive and is assumed to exist for the entire 30 day accident period.
Consideration of these factors would reduce the radiation dose to the CR personnel {
and its consequence.
l This event did not af fect the health and safety of the public.
I i
l l
I l
l l
I NRC FORM 346A 'U,3, GPCs 1989 52C-Sp+ 00070 19 83)