LER-1981-053, Forwards LER 81-053/03L-0.Detailed Event Analysis Encl |
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Vec t Pet SI D EN T ICLEPHONE: ARE A 704 ser.- p Ooucv0N May 13, 1981 s'a-4o s s Mr. James P. O'Rei]'y, Director U.
S. Nuclear Regulatory Commission 9
m Region II 101 Marietta Street, Suite 3100 0
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Atlanta, Georgia 30303 A
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g Re: McGuire Nuclear Station Unit 1 JUL 1719816 Docket No. 50-369 6,,,, _m ia.
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Dear Mr. O'Reilly:
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N Please find attached Reportable Occurrence Report R0-369/81-53.
s report concerns liquid from the Ventilation Unit Condensatica Drain Tank being re-leased into the Condenser Discharge without prior analysis. This incident
..s considered to be of no significance with respect to the health and safety of the public.
Very truly yours, l
t William O. Parker, Jr.
RWO:pw Attachment cc:
Director Mr. Bill Lavallee Office of Management & Program Analysis Nuclear Safety Analysis Center U.S. Nuclear Regulatory Commission Post Office Box 10412 Washington, D.C.
20555 Palo Alto, CA 94303 i
i 8107200375 810513 PDR ADOCK 05000369 S
PDR
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e MCGUIRE NUCLEAR STATION INCIDENT REPORT Report Number:
81-53 Report Date: May 5, 1981 Occurrence Date: April 13, 1981; 1620 hours0.0188 days <br />0.45 hours <br />0.00268 weeks <br />6.1641e-4 months <br /> Facility:
McGuire Nuclear Station - Unit 1; Cornelius, N. C.
Identification of Occurrence:
Liquid from the Ventilation Unit Condensation Drain Tank (VUCDT) was released into the Condenser Discharge (RC) without prior analysis.
Conditions Prior to Occurrence: Mode 3; Hot Standby Description of Occurrence: On the afternoon of April 13, an indication was received in the control room of a high level in the VUCDT.
The tank was pumped out.
The next shift noted that the tank was empty and realized that the tank contents had been released via the RC discharge to the environment without the proper analysis.
This release violated the surveillarce require-ments stipulated by Technical Specification 4.11.1.1.1.
Apparent Cause:
The Control Room personnel who made the release were unaware of the importance of monitoring a batch release from the VUCDT.
Several're-leases had been made prior to fuel loading.
It was assumed that since the unit had nat yet become critical, and no radiation activity was present in any of the p?
systems or atmospheres, monitoring of the tank at that time was not
__ed.
Furthermore, it was believed that the VUCDT was auto-matically shunted to the Floor Drain Tank (FDT) and not to the RC discharge.
There was also a failure to follow step 2.4 of the procedure which stipulates:
"The transfer and handling of all waste shall be coordinated with the Chemistry Radwaste Group."
Shif t personnel were not informed that the VUCDT could n t be released via the RC discharge without the flow proportional sampler installed.
This led to some of the confusion which precipitated this incident.
Analysis of Occurrence:
Weeks before this incident, several informal dis-cussions had been conducted concerning the VUCDT; administrative controls sampling, releases, responsibilities, etc.
Since the VUCDT flow proportional sampler was not installed at that time, it was agreed that the contents could not be released via the RC discharge but rather be pumped to the FDT and be released via the Radioactive liquid waste system.
On the afternoon of April 13, the level indication for the VUCDT read 90% full.
Following confirmation of the level indication, the control room operators (unaware that the VUCDT was not lined up to go to the FDT, and unaware of any complications even if the contents were released to the environment) placed the pump in "AUT0" mode and proceeded to pump the tank contents into the RC discharge.
The release began at 1620 hours0.0188 days <br />0.45 hours <br />0.00268 weeks <br />6.1641e-4 months <br /> and was terminated at 1930 hours0.0223 days <br />0.536 hours <br />0.00319 weeks <br />7.34365e-4 months <br />.
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Report Number 81-53 Page 2 About 2230-2300 that evening, the STA and Shif t Supervisor who relieved the previous shift, became aware that the contents of the VUCDT had been released without the requi.ed sampling and analysis.
A 1000 nl. sample was collected and delivered to H. P. for analysis.
This sample war, counted 0 0115 and the lower limits of detection were not met.
Another sample was collected in a 3500 ml. container because the first sample did not meet the geometry require-ments for proper analysis.
A second sample was analyzed (no activity present) and the results were reported to the Control Rooe.
Safety Analysis
Radiation monitor EMF-44 was operable during the release and did nct isolate or alarm.
The results of the analysis performed on the remaining contents of the tank confirmed that no detectable radioactivity was preesnt in the VULDT. The health and safety of the public were, therefore, not affected by this incident.
A ilow proportional sampler has now been installed in the release lina so that a ecmposite sample can be obtained and analyzed during any future releases.
Corrective Action
Health Physics counted and analyzed the sample drawn from the VUCDT and reported the results.
A technician was dispatched to 1 WM 222 on April 14, and locked the valve closed.
A second lock was added to this valve for extra protection.
A new procedure,
" Ventilation Unit Condensate Drain Tank Operation", was written to eliminate the deficiencies found.
The flow proportional sampler for the VUCDT, which as in the process of being built at the time of incident, has been installe/..
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| 05000369/LER-1981-001, Forwards LER 81-001/03L-0 | Forwards LER 81-001/03L-0 | | | 05000369/LER-1981-001-03, /03L-0:on 810129-0212,several Fire Detection Instruments Were Inoperable for Periods Exceeding 1-h. Caused by Const in Area.Fire Watches & Patrols Established | /03L-0:on 810129-0212,several Fire Detection Instruments Were Inoperable for Periods Exceeding 1-h. Caused by Const in Area.Fire Watches & Patrols Established | | | 05000369/LER-1981-002-01, /01T-0:on 810130,during Test,Vent Valve VX-41 & Containment Isolation Valve XV-40 Found Open to Atmosphere, in Violation of Tech Spec 4.9.4.1.Caused by Lack of Valve Checklist & Lack of Periodic Test.Valves Closed | /01T-0:on 810130,during Test,Vent Valve VX-41 & Containment Isolation Valve XV-40 Found Open to Atmosphere, in Violation of Tech Spec 4.9.4.1.Caused by Lack of Valve Checklist & Lack of Periodic Test.Valves Closed | | | 05000369/LER-1981-002, Forwards LER 81-002/01T-0 | Forwards LER 81-002/01T-0 | | | 05000369/LER-1981-003-03, /03L-0:on 810129,conventional Waste Plant Discharge Flow Monitor Found Inoperable.Caused by Inaccurate Flow Readings Due to Inability of Instrument to Measure Continuous Discharge Flow.New Equipment Ordered | /03L-0:on 810129,conventional Waste Plant Discharge Flow Monitor Found Inoperable.Caused by Inaccurate Flow Readings Due to Inability of Instrument to Measure Continuous Discharge Flow.New Equipment Ordered | | | 05000369/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000369/LER-1981-004-03, /03L-0:on 810129-0212,various Firestops & Fire Doors Found Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established | /03L-0:on 810129-0212,various Firestops & Fire Doors Found Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established | | | 05000369/LER-1981-004, Forwards LER 81-004/03L-0 | Forwards LER 81-004/03L-0 | | | 05000369/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000369/LER-1981-005-03, /03L-0:on 810202,power Supply to Both Excore Range Monitors Was Interrupted.Caused by Maint Personnel Cutting Off Power to Investigate Steam Generator Status Lights & lo-lo Level Alarms.Personnel Instructed | /03L-0:on 810202,power Supply to Both Excore Range Monitors Was Interrupted.Caused by Maint Personnel Cutting Off Power to Investigate Steam Generator Status Lights & lo-lo Level Alarms.Personnel Instructed | | | 05000369/LER-1981-006-03, /03L-0:on 810202,leaking Seal Discovered on RHR Pump.Caused by Improperly Loaded Spring Which Holds Seal Faces Together.Seal Replaced | /03L-0:on 810202,leaking Seal Discovered on RHR Pump.Caused by Improperly Loaded Spring Which Holds Seal Faces Together.Seal Replaced | | | 05000369/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000369/LER-1981-007-03, /03L-0:on 810203,RHR Sys Train a Was Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys.Valves Repaired & Train a Returned to Svc | /03L-0:on 810203,RHR Sys Train a Was Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys.Valves Repaired & Train a Returned to Svc | | | 05000369/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000369/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000369/LER-1981-008-03, /03L-0:on 810203,control Area Ventilation Sys Train a Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys. Valves Repaired & Train a Returned to Svc | /03L-0:on 810203,control Area Ventilation Sys Train a Declared Inoperable.Caused by Draining Essential Header to Repair Leaking Valves in Nuclear Svc Water Sys. Valves Repaired & Train a Returned to Svc | | | 05000369/LER-1981-009-03, /03L-0:on 810205,flow to Reactor Coolant Loops Was Momentarily Lost.Caused by Failure of Throttle Valve to Close Due to Loosening of Nut Holding Linkage to Valve Stem. Linkage Repositioned & Nut Tightened | /03L-0:on 810205,flow to Reactor Coolant Loops Was Momentarily Lost.Caused by Failure of Throttle Valve to Close Due to Loosening of Nut Holding Linkage to Valve Stem. Linkage Repositioned & Nut Tightened | | | 05000369/LER-1981-009, Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | Forwards LER 81-009/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000369/LER-1981-010-03, /03L-0:on 810207,total RHR Flow Exceeded Tech Specs.Caused by Air Line Supplying Actuator on RHR Valve Breaking,Allowing Valve to Fail Open.Rhr Flow Reset.Rigid Air Supply Lines to Be Replaced W/Flexible Lines | /03L-0:on 810207,total RHR Flow Exceeded Tech Specs.Caused by Air Line Supplying Actuator on RHR Valve Breaking,Allowing Valve to Fail Open.Rhr Flow Reset.Rigid Air Supply Lines to Be Replaced W/Flexible Lines | | | 05000369/LER-1981-011-03, /03T-0:on 810210,both Pressure Seals on Inner Door of Lower Personnel Air Lock Failed.Caused by Hole in One Seal & Bubble in Other Seal.Seals Replaced & Returned to Manufacturer | /03T-0:on 810210,both Pressure Seals on Inner Door of Lower Personnel Air Lock Failed.Caused by Hole in One Seal & Bubble in Other Seal.Seals Replaced & Returned to Manufacturer | | | 05000369/LER-1981-011, Forwards LER 81-011/03T-0 | Forwards LER 81-011/03T-0 | | | 05000369/LER-1981-012-03, /03T-0:on 801211,isolation Valve NV-250 Found Not Verified Closed Under Administrative Control Per Tech Spec. Caused by Lack of Signoff Step in Daily Surveillance Items. Procedure Change Incorporated | /03T-0:on 801211,isolation Valve NV-250 Found Not Verified Closed Under Administrative Control Per Tech Spec. Caused by Lack of Signoff Step in Daily Surveillance Items. Procedure Change Incorporated | | | 05000369/LER-1981-012, Forwards LER 81-012/03T-0 | Forwards LER 81-012/03T-0 | | | 05000369/LER-1981-013-03, /03L-0:on 810212,radiation Detectors EMF 33,35,36, 37,38,39 & 40 Were Declared Inoperable Due to Loss of Sample Flows.Caused by Individual Nonrelated Failures of Each Emf. Repairs Performed & EMFs Declared Operable | /03L-0:on 810212,radiation Detectors EMF 33,35,36, 37,38,39 & 40 Were Declared Inoperable Due to Loss of Sample Flows.Caused by Individual Nonrelated Failures of Each Emf. Repairs Performed & EMFs Declared Operable | | | 05000369/LER-1981-013, Forwards LER 81-013/03L-0.Detailed Event Analysis Encl | Forwards LER 81-013/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-014, Forwards LER 81-014/03L-0 | Forwards LER 81-014/03L-0 | | | 05000369/LER-1981-014-03, /03L-0:on 810212,while in Mode 6,control Room Received High Groundwater Alarm.Caused by Localized Temporary High Groundwater Level.Proper Surveillance Conducted & Alarm Was Cleared within 2 Days | /03L-0:on 810212,while in Mode 6,control Room Received High Groundwater Alarm.Caused by Localized Temporary High Groundwater Level.Proper Surveillance Conducted & Alarm Was Cleared within 2 Days | | | 05000369/LER-1981-015-03, /03L-0:on 810213,various Firestops & Fire Doors Rendered Inoperable for Periods Exceeding 1-h from 810213-27.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established as Required | /03L-0:on 810213,various Firestops & Fire Doors Rendered Inoperable for Periods Exceeding 1-h from 810213-27.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrols Established as Required | | | 05000369/LER-1981-015, Forwards LER 81-015/03L-0 | Forwards LER 81-015/03L-0 | | | 05000369/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000369/LER-1981-016-03, /03L-0:on 810216,several Firestops Inadvertently Left Open W/O Fire Watches Being Posted.Caused by Omission of Stops from Maint List of Those Requiring Seals.Stops Sealed.Seals Will Be Verified Every 18 Months | /03L-0:on 810216,several Firestops Inadvertently Left Open W/O Fire Watches Being Posted.Caused by Omission of Stops from Maint List of Those Requiring Seals.Stops Sealed.Seals Will Be Verified Every 18 Months | | | 05000369/LER-1981-018, Forwards LER 81-018/03L-0.Detailed Event Analysis Encl | Forwards LER 81-018/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-018-03, /03L-0:on 810219,annunciator Alarm Indicated Loss of Sample Flow on Radiation Monitor 1-EMF-33.Monitor Vacuum Pump Internally Damaged Due to Water Inside Pump.Pump Vanes & Bearings Replaced & Water Removed | /03L-0:on 810219,annunciator Alarm Indicated Loss of Sample Flow on Radiation Monitor 1-EMF-33.Monitor Vacuum Pump Internally Damaged Due to Water Inside Pump.Pump Vanes & Bearings Replaced & Water Removed | | | 05000369/LER-1981-019-01, /01T-0:on 810306,during ESF Testing,Loss of Ac Power Was Experienced on Half of Station Security Sys.Caused by Blown Security Sys Power Inverter Fuse.Security Procedures Changed to Indicate Info Concerning Power Sys | /01T-0:on 810306,during ESF Testing,Loss of Ac Power Was Experienced on Half of Station Security Sys.Caused by Blown Security Sys Power Inverter Fuse.Security Procedures Changed to Indicate Info Concerning Power Sys | | | 05000369/LER-1981-019, Forwards LER 81-019/01T-0 | Forwards LER 81-019/01T-0 | | | 05000369/LER-1981-020, Forwards LER 81-020/03L-0.Detailed Event Analysis Encl | Forwards LER 81-020/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-020-03, /03L-0:on 810219,spurious High Radiation Alarm & Loss of Flow Alarm Sounded in Control Room on EMF-49. Personnel Cleared Radiation Alarm But Overlooked Closed Valve,Causing Loss of Flow Alarm.Monitor Repaired | /03L-0:on 810219,spurious High Radiation Alarm & Loss of Flow Alarm Sounded in Control Room on EMF-49. Personnel Cleared Radiation Alarm But Overlooked Closed Valve,Causing Loss of Flow Alarm.Monitor Repaired | | | 05000369/LER-1981-021, Forwards LER 81-021/03L-0.Detailed Event Analysis Encl | Forwards LER 81-021/03L-0.Detailed Event Analysis Encl | | | 05000369/LER-1981-021-03, /03L-0:on 810226,noble Gas Activity Monitor for Condenser Evacuation Sys EMF-33 Not Functioning.Caused by Excessive Amounts of Condensation in Sample Lines.Moisture Removed.Different Type of Moisture Separator to Be Used | /03L-0:on 810226,noble Gas Activity Monitor for Condenser Evacuation Sys EMF-33 Not Functioning.Caused by Excessive Amounts of Condensation in Sample Lines.Moisture Removed.Different Type of Moisture Separator to Be Used | | | 05000369/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000369/LER-1981-022-03, /03L-0:on 810301-16,various Portions of Fire Detection Sys Inoperable for Periods Exceeding 1-h.Caused by Const in Area.Fire Watches & Patrols Established as Required | /03L-0:on 810301-16,various Portions of Fire Detection Sys Inoperable for Periods Exceeding 1-h.Caused by Const in Area.Fire Watches & Patrols Established as Required | | | 05000369/LER-1981-023-03, /03L-0:on 810227-0313,various Firestops & Fire Doors Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrol Established as Required | /03L-0:on 810227-0313,various Firestops & Fire Doors Inoperable for Periods Exceeding 1-h.Caused by Const in & Through Areas Normally Closed Off.Fire Watches & Patrol Established as Required | | | 05000369/LER-1981-023, Forwards LER 81-023/03L-0 | Forwards LER 81-023/03L-0 | | | 05000369/LER-1981-024, Forwards LER 81-024/01T-0 | Forwards LER 81-024/01T-0 | | | 05000369/LER-1981-024-01, /01T-0:on 810316,Unit 1 Wedge Plates Discovered to Be Smaller than Required Size.Cause Not Stated.Calculations Reviewed to Determine Acceptance.Corrective Action Deemed Necessary.Bar Along Length of Washer Plate Added | /01T-0:on 810316,Unit 1 Wedge Plates Discovered to Be Smaller than Required Size.Cause Not Stated.Calculations Reviewed to Determine Acceptance.Corrective Action Deemed Necessary.Bar Along Length of Washer Plate Added | | | 05000369/LER-1981-025-01, /01T-0:on 810319,no Seismic Bracing or Calculations Found for 12 Reactor Bldg safety-related Electrical Cable Tray Hanger Stds.Cause Not Stated.Seismic Calculations Performed on Affected Hangers | /01T-0:on 810319,no Seismic Bracing or Calculations Found for 12 Reactor Bldg safety-related Electrical Cable Tray Hanger Stds.Cause Not Stated.Seismic Calculations Performed on Affected Hangers | | | 05000369/LER-1981-025, Forwards LER 81-025/01T-0 | Forwards LER 81-025/01T-0 | | | 05000369/LER-1981-026-03, /03L-0:on 810305,EMF Sys Panel Alarm in Control Room Indicated Malfunction of EMF-43A.Alarm Could Not Be Cleared & Control Room Outside Air Intake Gaseous Activity Monitor Inoperable.Caused by Broken Bnc Jack | /03L-0:on 810305,EMF Sys Panel Alarm in Control Room Indicated Malfunction of EMF-43A.Alarm Could Not Be Cleared & Control Room Outside Air Intake Gaseous Activity Monitor Inoperable.Caused by Broken Bnc Jack | | | 05000369/LER-1981-026, Forwards LER 81-026/03L-0.Detailed Event Analysis Encl | Forwards LER 81-026/03L-0.Detailed Event Analysis Encl | |
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