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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:RO)
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217D3061999-10-13013 October 1999 SER Accepting Licensee Proposed Changes to Edwin I Hatch Nuclear Plant Emergency Classification Scheme to Add Emergency Action Levels Related to Operation of Independent Spent Fuel Storage Installation HL-5845, Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.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 ML20212A6641999-09-13013 September 1999 Safety Evaluation Authorizing Relief Request RR-V-16 for Third 10 Yr Interval Inservice Testing Program HL-5836, Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With ML20210J9631999-08-0202 August 1999 SER Finding That Licensee Established Acceptable Program to Verify Periodically design-basis Capability of safety-related MOVs at Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20210J9271999-08-0202 August 1999 SER Finds That Licensee Performed Appropriate Evaluations of Operational Configurations of safety-related power-operated Gate Valves to Identify Valves at Plant,Susceptible to Pressure Locking or Thermal Binding HL-5818, Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5805, Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207E7631999-06-0303 June 1999 Safety Evaluation Concluding That Licensee Proposed Alternative to Use Code Case N-509 Contained in RR-4 Provides Acceptable Level of Quality & Safety.Considers Rev 2 to RR-4 & RR-6 Acceptable HL-5795, Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with ML20206G1691999-05-0404 May 1999 SER Approving Requirements of Istb 4.6.2(b) Pursuant to 10CFR50.55a(a)(3)(ii) HL-5784, Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5766, Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207M1891999-03-11011 March 1999 SER Accepting Relief Request for Authorization of Alternative Reactor Pressure Vessel Exam for Circumferential Weld HL-5755, Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20206P6981999-01-0707 January 1999 Ehnp Intake Structure Licensing Rept HL-5726, Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20196J4931998-12-0707 December 1998 Safety Evaluation Accepting Proposed Alternatives in Relief Requests RR-V-12,RR-V-15,RR-P-15,RR-V-7,RR-V-12,RR-V-14 & RR-V-15 HL-5714, Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5706, Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With ML20155B6121998-10-28028 October 1998 Safety Evaluation of TR SNCH-9501, BWR Steady State & Transient Analysis Methods Benchmarking Topical Rept. Rept Acceptable HL-5691, Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20153G2481998-09-24024 September 1998 SE Concluding That Licensee Implementation Program to Resolve USI A-46 at Plant Adequately Addressed Purpose of 10CFR50.54(f) Request ML20239A2531998-09-0303 September 1998 SER Accepting Licensee Request for Relief Numbers RR-17 & RR-18 for Edwin I Hatch Nuclear Plant,Units 1 & 2.Technical Ltr Rept on Third 10-year Interval ISI Request for Reliefs for Plant,Units 1 & 2 Encl HL-5675, Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20238F7131998-08-31031 August 1998 9,change 2 to QAP 1.0, Organization HL-5667, Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5657, Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures1998-07-30030 July 1998 Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures ML20236W3441998-07-30030 July 1998 Safety Evaluation Accepting Relief Requests for Second 10-yr ISI for Plant,Units 1 & 2 ML20236V5191998-07-28028 July 1998 Safety Evaluation Accepting Proposed License Amend Power Uprate Review ML20236N6751998-07-0909 July 1998 Part 21 & Deficiency Rept Re Notification of Potential Safety Hazard from Breakage of Cast Iron Suction Heads in Apkd Type Pumps.Caused by Migration of Suction Head Journal Sleeve Along Lower End of Pump Shaft.Will Inspect Pumps ML20236L1821998-07-0707 July 1998 Safety Evaluation Accepting 980428 Proposed Alternative to ASME Boiler & Pressure Vessel Code,Section Xi,Repair & Replacement Requirements Under 10CFR50.55a(a)(3) HL-5653, Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5640, Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20248B8651998-05-15015 May 1998 Quadrennial Simulator Certification Rept HL-5628, Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant1998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant HL-5604, Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20216B2711998-02-28028 February 1998 Extended Power Uprate Safety Analysis Rept for Ei Hatch Plant,Units 1 & 2 HL-5585, Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5571, Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 11998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 1 HL-5551, Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-12-31031 December 1997 Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20199B0561997-12-31031 December 1997 Rev 0 GE-NE-B13-01869-122, Jet Pump Riser Weld Flaw Evaluation Handbook for Hatch Unit 1 HL-5581, Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 21997-12-31031 December 1997 Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 2 HL-5533, Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-11-30030 November 1997 Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5514, Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 21997-10-31031 October 1997 Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20212A1981997-10-16016 October 1997 Safety Evaluation Denying Licensee Request for Relief from Implementation of 10CFR50.55a Requirements Re Use of 1992 Edition of ASME Code Section XI for ISI of Containments ML20211M6491997-10-0808 October 1997 Addenda 1 to Part 21 Rept Re Weldments on Opposed Piston & Coltec-Pielstick Emergency stand-by Diesel gen-set lube-oil & Jacket Water Piping Sys.Revised List of Potentially Affected Utils to Include Asterisked Utils,Submitted ML20211H5311997-10-0101 October 1997 Rev 2 to Unit 1,Cycle 17 Colr ML20211H5251997-10-0101 October 1997 Rev 3 to Unit 1,Cycle 17 Colr 1999-09-30
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T, HL-960' y , 000197-February 7, 1990 l U.S.: Nuclear Regulatory Commission VATTN: . Document Control Desk:
Washington..D.C. .20555 i
PLANT HATCH.- UNIT 2 NRC= DOCKET 50-366
-OPERATING LICENSE NPF 1 LICENSEE: EVENT REPORT
!b COMPONENT FAILURE AND INADEQUATE DESIGN CAUSE GROUP I ISOLATION AND SGM N Gentlemen: :
- In accordance with the requirements =of 10 CFR 50.73(a)(2)(iv), Georgia-Power Company
- -is ; submitting the enclosed Licensee Event Report (LER)~
concerning7 the. unanticipated actuation of some Engineered Safety Features-(ESFs). LThis' event occurred lat Plant Hatch - Unit 2.
Sincerely,
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W. G. Hairston, III JJP/ct y i
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Enclosure:
LER 50-366/1990-001
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,' LMr. H. C.- Nix,. General Manager - Nuclear Plant
.Mr.-J. D. Heidt, Manager Engineering and Licensing - Hatch i
GO-NORMS
.U.S. Nuclear Regulatory Commission. Washinaton. D.C. 1 L Mr. L. P. Crocker, Licensing Project Manager - Hatch 1
. U.S. ' Nuclear Reaulatory Commission. Reaion II 1
- l. Mr. S. D.:Ebneter, Regional Administrator Mr.1 J. E.'Menning, Senior Resident Inspector - Hatch ,
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NIME TELEPHONE NUMBER Astt A CODE Steven B. -Tipps, Manager Nuclear Safety and Compliance, Hatch 9 l12 3 6i 7l-i 7l 81Si l 1
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On 1/12/90 at approximately 1610 CST, Unit 2 was in the Run mode at an approximate power !
of 2436 CMWT (approximately 100% of rated thermal power). At that time, the reactor l scrammed because the Main Steamline Isolation Valves (MSIVs) were less than 90% open. The !
MSIVs had-isolated on a Group 1 Primary Containment Isolation System (PCIS) signal which !
resulted from a false low condenser vacuum signal. The High Pressure Coolant Injection'
!. (HPCI) system automatically initiated and injected on low reactor water level as !
. required. 'Following water level recovery, HPCI injection valve 2E41-F006 closed i automatically on high water level; however, it could not be re-opened when Operations personnel subsequently attempted to start HPCI manually. The Reactor Core Isolation Cooling system 'and two Control Rod Drive system pumps were used to control water level- :
following -the failure of valve 2E41-F006 to open. 3 The root causes of the scram are component failure and the configuration of the condenser !
i vacuum sensing lines and instruments. The disc of root isolation valve 2N61-F588D separated from its stem isolating the common sensing line for vacuum switches 2821-N056C l and D. Consequently, these switches then sensed a low condenser vacuum and, because they !"
input to the:A and B trip systems respectively of the isolation logic, the MSIVs isolated. .The cause of valve 2E41-F006 failing to open appears to be component failure.
The heater strip of a thermal overload relay in the valve motor's local starter failed causing an open circuit to the motor. Further information will be provided in an update to'this report.
1 Corrective actions for this event included replacing the root isolation valves with a new l type of valve, replacing the thermal overload relays in the local starter, and 1 reconfiguring the tubing for the vacuum switches.
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i PLANT AND SYSTEM IDENTIFICATION r
. General. Electric - Boiling Water Reactor . .
Energy Industry Identification System codes are identified in~ the text as' (EIIS J' Code XX).
SUMMARY
40F EVENT- ,
L On 1/12/90 at approximately 1610. CST, Unit 2 was in the Run mode atLan ' approximate'
.po'wer of 2436 CMWT .(approximately 100% of rated thermal power). At that' time, the reactor. scrammed because-the Main Steamline Isolation Valves (MSIVs, EIIS Code:SB) ,
t were less than -90% open. The MSIVs had isolated on a Group 1 Primary Containment.
L
' Isolation System (PCIS, EIIS Code JM)~ signal which resulted from a sensed low condenser vacuum. Vacuum switches 2B21-N056C and D, which provide input- to the At s
' and-B trip systems of the PCIS Group 1 isolation-logic, respectively, sensed low '
condenser vacuum after root isolation valve 2N61-F5880 failed and isolated the switches'E common'. sensi ng :1_ine. - During normal scram recovery activities, the HighL Pressure' Coolant Injection (HPCI, EIIS: Code BG) system; automatically' initiated and -
-injected'on low reactor water level as required. Following water level recovery,-
HPCI injectionivalve 2E41-F006 closed automatically on high water level; Lhowever, it could not be re-opened when Operations personnel subsequently attempted to start -
HPCI manually. The Reactor Core Isolation Cooling (RCIC, EIIS Code BN) system and two Control. Rod' Drive (CRD, EIIS Code AA) system pumps were used to control water level following-the failure of valve 2E41-F006 to open.
The.: root causes of the scram are component failure and the configuration of the- I
. condenser vacuum sensing lines and instruments. The disc of root' isolation valve-2N61-F588D separated from its stem isolating.the common sensing line for vacuum .
switches 2B21-N056C and D. These switches then sensed a low condenser vacuum and, '
because they input to the A and.B trip. systems respectively of. the isolation logic, the MSIVs isolated. The cause of valve 2E41' F006 failing to open; appears to be W component' fail ure. The heater strip of a thermal overload relay in the valve motor'sLlocal ~ starter failed causing an open circuit to the motor. Further
, . information will be provided in an update to this report.
l l- Corrective actions for this event included replacing the root isolation valves with L' .a new type of valve, replacing the thermal overload relays in the local starter, and
- reconfiguring the tubing for the vacuum switches, retaining the acceptability of the i design relative to single ~ failure criterion and reducing the potential for
' unnecessary full- Group 11 isolation logic actuations.
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DESCRIPTION OF EVENT On 1/12/90 at-approximately 1508 CST, Unit 2 was in the Run modo at an approximate power of 2436 CMWT (approximately 100% of rated thermal power). At that time, a Group 1 PCIS signal was received in-the B isolation logic trip system. Operations and Instrument and Controls (180) personnel investigated the unexpected one-half Group 1 isolation signal. They discovered relay 2A71-K680 in the PCIS logic was de-energized. This relay de-energizes when vacuum switch 2B21-N0560 trips on low -
condenser vacuum. It appeared at the time that relay _2A71-K68D had de-energized due to a failure of vacuum switch 2B21-N056D; chart recorder 2N21-R602 showed ~no indication of actual loss of condenser vacuum.
i At approximately 1610 CST, before I&C technicians had gone to examine vacuum switch L 2B21-N0560, the A isolation logic trip system actuated when vacuum switch 2B21-N056C L tripped and a full Group 1 isolation signal resulted. The MSIVs began to close in i
response to the full Group 1 isolation signal as designed. When the MSIVs closed to :
> less than 90% open, a full Reactor Protection System (RPS, EIIS Code JC) trip signal was generated as designed and the reactor scrammed.
With the MSIVs' fully closed, the reactor was isolated from the condenser (EIIS Code SQ) and reactor pressure began to increase. Safety Relief Valves (SRVs, EIIS Code JE) 2B21-F013A, D, E, and H lif ted to relieve pressure as designed. This action, in.
conjunction with the high pressure portion of the Low Low Set (LLS) arming logic having been fulfilled, armed LLS logic and LLS SRVs 2B21-F0138, F, and G lifted to control reactor pressure in the LLS mode. Reactor pressure peaked at approximately 1117 psig and LLS maintained pressure between 850 psig and 990 psig thereafter as ,
designed. 1 As the SRVs actuated to relieve reactor pressure, water inventory was -lost to the Suppression Pool (EIIS Code BT) as expected. Reactor water level decreased to !
approximately minus 40 inches relative to instrument zero (to approximately 10.4 feet above top of active fuel). PCIS Group 2 and 5 isolation signals were received and all Group 2 and 5 Primary Containment Isolation Valves closed as designed.
Additionally, both Recirculation Pumps (EIIS Code AD) tripped, HPCI automatically started and injected to the vessel (RCIC had been started manually by Operations personnel prior to reactor water level reaching RCIC's automatic injection point),
and both trains of the Standby Cas Treatment (EIIS Code BH) system started.
With HPCI and RCIC injecting water into the reactor, water level increased to the ~
high reactor water level setpoint (approximately 52 inches above instrument zero)
. and HPCI and RCIC tripped per design. Reactor Feedwater Pumps A and B (EIIS Code SJ) also received a trip signal although they had stopped injecting water into the reactor vessel earlier in the event; with the MSIVs closed, no steam was available to drive their turbines. As the LLS SRVs continued to cycle to maintain reactor pressure between 850 psig and 990 psig, water level again began to decrease. i Operations personnel attempted to start HPCI manually to control reactor water level; however, HPCI injection valve 2E41-F006 could not be opened from the Main Control Room using its Remote Manual Switch. Operations personnel proceeded to use i
RCIC and both CRD pumps to recover and maintain reactor water level. HPCI was used l in the' Full Flow Test Mode to assist in controlling reactor pressure.
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approximately 37. inches above instrument zero, Reactor. pressure was being '
- maintained at 'approximately 800 psig. j 3
CAUSE.0F THEL EVENT The root causes of the scram are . component failure and the configuration of the- ,
, condenser vacuum sensing lines and instruments. The disc in root ! solation valve i
L-
_2N61-F588D separated from its stem as a result of excessive wear due to vibration- !
.in the -vacuum sensing line from- the condenser. The keeper ring and stem shoulder had worn!to the point where the disc fell off the stem. When the disc fell off the stem, it isolated the vacuum sensing line which feeds vacuum switches L 2821-N056C and D. Over an unknown period of time, the isolated line lost vacuum, l probably from small ~1nleakages through various sources. The line lost vacuum to the point where, at approximately 1508 CST, switch 2B21-N056D tripped. Due to slight differences in _ actual trip setpoints (the as-found trip. setpoints- of the two switches were within procedural tolerances, but slightly different), the line had to further lose vacuum to actuate the second vacuum switch; therefore, switch 2B21-N056C did not _ trip until approximately 1610 CST.
p 'The configuration of the condenser vacuum sensing lines and instruments relative l
to plant-reliability considerations resulted in an unnecessary full Group 1 isolation and the subsequent scram. Two vacuum switches were fed by one of two sensing lines off the-condenser; two more vacuum switches were fed by the other - ,
sensing line. Each-vacuum switch, in turn, provided input to one of four channels L' in the Group 1 isolation logic. These four channels- (A1, A2, B1, and B2) are ,
divided'into-two trip systems-(A and B). One of the two channels in each system -
must. actuate to trip: the system and both systems must trip to generate a full Group 1 isolation signal and cause the MSIVs to close. Vacuum switch 2B21-N056D lprovided input to the B2 channel (the B trip system) and vacuum switch 2B21-N056C '
provided input to the A2 channel (the A trip system). With the two switches fed by the same sensing line providing inputs to channels in different trip systems, a single failure can cause false trips in both systems and a full Group 1 isolation signal. This design was implemented to meet single failure criterion should one of the two sensing lines fail in the Lbility to sense low condenser vacuum; however, it also resulted in an increased potential for unnecessary full isolation logic actuations. It should be noted that the low condenser vacuum (pressure)
- switches for the turbine (EIIS Code TA) trip logic are arranged the same way as V the switches for the Group 1 -isolatio'1 logic. The' trip logics also are the same.
/T " Because a turbine trip will result in a reactor scram, the design of the turbine trip switches and logic is also inadequate.
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- The cause of HPCI injection valve 2E41-F006 failing to' open appears to be
, component failure. The heater strip of a thermal overload relay in the valve motor's local starter failed. The heater strip (a metallic strip which is part of the thermal overload: relay) fused as attempts were made to open the valve. This created an open circuit to the motor. No current could reach the motor; therefore, it could not be energized to move the valve. The design configuration was reviewed and found to be in accordance with the applicable regulatory. guidance and industry standards. The review of the design configuration confirmed that, under the condition experienced, the thermal overload heater strip would be predicted to fail before other components in the motor circuitry. Investigation is: continuing into the cause of the failure'of the heater strip.
REPORTABILITY ANALYSIS AND SAFETY ASSESSMENT This report is required per 10 CFR 50.73 (a)(2)(iv) .because an unplanned actuation of the RPS and Engineered Safety Features (ESF) occurred. Specifically, the RPS-was initiated automatically on MSIVs less than 90% open. The other ESFs which activated during this event were the PCIS valve Groups 1, 2, and 5; the HPCI System; LLS; and the Standby Gas Treatment System. This report also is required per 10 CFR 50.73 (a)(2)(v) because the HPCI system did not function as designed following initial recovery of reactor water level. The injection valve's motor control circuitry failed thereby preventing HPCI from being used for continued reactor water level control.
The RPS automatically initiates a reactor scram to ensure the radioactive materials barriers (such as fuel cladding and pressure system boundary) are maintained and to mitigate the consequences of transients and accidents. The MSIV closure scram is provided to limit the release of fission products from the nuclear system. Automatic closure of the MSIVs can be initiated as a result of E various conditions. One of these is low condenser vacuum. Lcw condenser vacuum L indicates a possible leak in the condenser. Closing the MSIVs prevents potential loss of reactor coolant and potential release of radioactive material from the nuclear system process barrier.
L The MSIVs have position switches installed on the valves. These switches provide
, RPS trip signals. If the MSIVs were to close suddenly, this could cause a rapid pressure increase in the reactor vessel. This pressure increase would affect the !
reactor vessel (due -to the pressure increase) and result in a positive reactivity '
insertion (due to void collapse). The MSIV closure scram anticipates the neutron '
flux scram and the high pressure scrams. In this event all of the three RPS L scrams $SIV closure, neutron flux and high pressure) were operable and the MSIV .
E position scram functioned as designed to terminate power production prior to the l other variables (pressure and neutron flux) exceeding their trip setpoints.
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Following the scram, reactor water level was restored via the automatic initiation of HPCI and the manual = initiation of RCIC (RCIC was initiated manually prior to its automatic initiation setpoint). The SRVs operated in their relief and, later, LLS modes to control reactor pressure. Consequently, reactor vessel pressure was
. maintained well below vessel design pressure and ' vessel level did not decrease below approximately 10.4 feet above the top of the active fuel.
The HPCI system is provided to assure that the reactor is adequately cooled to limit fuel-clad temperature in the-event of a small break in the nuclear boiler system causing a loss of coolant.which does not result in rapid depressurization i of the reactor -vessel . . The Automatic Depressurization System ( ADS, EIIS Code JE) is a backup for the HPCI system. Upon ADS initiation, the reactor is depressurized to a point where either the Low Pressure Coolant Injection (LPCI, EIIS Code B0) system or the Core Spray (CS, EIIS Code BM) system can operate to maintain adequate' core cooling.-
- In this event, the HPCI system was rendered inoperable following successful automatic initiation when its injection valve failed in the closed position when a manual re-start of HPCI was attempted. The LPCI pumps and their associated equipmsnt, ADS, and both loops of CS were operable. Based upon the Unit 2 Final Safety Analysis Report (FSAR), either loop of the CS system or the LPCI system can supply sufficient cooling to the reactor for any rupture of the nuclear safety boundary up to and including the Design Basis Accident (DBA).
Based on the above _information, it is concluded that this event had no adverse 4 impact on nuclear plant safety. The above analysis is applicable to all- reactor power levels.
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010 0 17 of 0l0 TEXT w ouro apose 4 #seured esse esidennet NRC Form JE4W (17) i CORRECTIVE ACTIONS i Root isolation valves 2N61-F588B and D (in the sensing lines for Group 1 isolation j logic vacuum switches) and 2N61-F061 and F064 (in the sensing lines for turbine trip-
' logic vacuum switches) were removed and replaced. They were replaced with gate valves
'that are not susceptible to the failure mode of valve 2N61-F588D. The gate valves' disc and stem are one piece; therefore, sensing line vibration can not cause the disc to rotate and wear any disc retaining parts as was the case with the failed valve. The valves also were installed upside down so any catastrophic failure of the disc / stem will not result in tne disc falling into and isolating the sensing line. Additionally, the disc'was removed from root isolation valves 2B21-R462A and B, and 2N61-F009 and F010 to prevent any sensing line vibration from causing the disc to separate and isolate its vacuum sensing line. Two isolation valves still remain in each sensing line, i.e., the new gate valve and the instrument isolation valve. (This latter valve is located on the instrument rack and is not subject to effects from sensing line vibration.) Design Change Request (DCR) 2H90-003 was developed and approved, in accordance with plant administrative controls, to allow for these changes to the valves in the condenser vacuum sensing piping. The new valves were installed and the discs removed in the other isolation valves on 1/14/90.
The vacuum sensing lines (3/8 inch stainless tubing) were reconfigured such that each of the four sensing lines off the condenser now has one Group 1 isolation logic vacuum switch and one turbine trip logic vac.uum switch. The new arrangement is single failure proof and prevents spurious trips due to single failures. The sensing lines were reconfigured on 1/14/90. Design Change Request 2H40-003 alco provided for
'reconfigun tion of the vacuum sensing lines.
The thermal overload relays in the motor's local starter for HPCI injection valve 2E41-F006 were removed and replaced under a Maintenance Work . Order. The valve was functionally tested using the Motor Actuator Characterizer (MAC) test equipment to ensure the torque switch settings were correct and the valve was functioning properly.
As-found torque switch settings were acceptable and the valve stroked open and closed properly. HPCI was declared operable and returned to service at approximately 1950 CST on 1/14/90. Engineering continues to investigate the cause(s) of the heater strip
. fail ure. Further corrective actions will be taken, as necessary, based on the results of the investigation. An update to this LER detailing the cause(s) of the heater strip failure and corrective actions taken will be submitted by approximately 4/1/90.
The Unit 1 vacuum sensing lines, root isolation valves, and Group 1 isolation and turbine trip logics were examined to determine if similar problems existed. It was found that the root isolation valves, and the sensing line and logic arrangements were f the same as Unit 2. Unit 1, therefore, is vulnerable to a spurious reactor scram in the event of certain failures in any one vacuum sensing line. Design Change Request lH90-009 has been generated to implement a change to Unit 1 similar to the change implemented on Unit 2. The Unit 1 design change will be implemented prior to startup i from the Unit 1 Refueling Outage currently scheduled to begin 2/17/90.
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[ .1.. Previous Similar Events:
4 There was one similar event in which the reactor scrammed due to MSIVs less than-90% open.- This event was: reported in LER 50-321/1988-009, dated 6/20/68.- In that event, the MSIVs drifted closed from loss of air due to an incorrect instrument-air system valve lineup. Corrective actions taken for that event would not have
- prevented the event described in this LER because the causes of the MSIVs closing-are different.
- 2. Failed Components Identification:
- a. Master Parts List Number: 2N61-F588D Manufacturer: Hancock Root Cause Code: X l Model . Number: 5500W- EIIS Component Code: RTV I Type: Root Isolation Valve l Manufacturer Code: H037 i EIIS System Code: DL
.l Reportable to NPRDS: No j
'3 r _ b. . - Master Parts List Number: None Manufacturer: General Electric Root Cause Code: X F Model Number: CR 124LO28 EIIS Component Code: RLY Type: Thermal 0verload Relay Manufacturer Code: G080 EIIS System Code: BG Reportable to NPRDS: Yes
- 3. Other Affected Equipment:
L L No systems other than the RPS, LLS,' PCIS, and HPCI were affected by this event.
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