LER-1981-046, /03L-0:on 810807,five Open Places Between Metal Decking & Ceiling Were Found.Insp Revealed Insufficient Koolwool Present to Maintain Fire Wall Integrity.Caused by Const Error.Holes Filled W/Required Quantity of Koolwool |
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EVENT CESCRIPTION AND PROB ASLE CONSEQUENCES h (10-33-81-52) On 8/7/81 at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br />, two architect engineers reported finding five l
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9 TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-81-52 DATE OF EVENT: August 7, 1981 FACILITY: Davis-Besse Unit 1 IDENTIFICATION OF OCCURRENCE: Penetrations in a safety-related fire wall were found to be unsealed Conditions Prior to Occurrence: The unit was in Mode 5 with Power (MWT) = 0 and Load (Gross MWE) = 0.
Description of Occurrence: On August 7, 1981 at 1530 hours0.0177 days <br />0.425 hours <br />0.00253 weeks <br />5.82165e-4 months <br />, two architect engineers reported finding five open places between tne corrugated metal decking in the ceiling of Ele hallway to the diesel generators and the high voltage switchgear rooms, Rooms 322 and 324, respectively. The ceiling is a fire barrier. Upon inspection, some Kaowool was found in the heles. However, sufficient Knowool was not present to maintain fire wall integrity.
When reported, Maintenance Work Order 81-3107 was written to stuff the holes with additional Kaowool. This effort was completed on August 7, 1981 at 1615 hours0.0187 days <br />0.449 hours <br />0.00267 weeks <br />6.145075e-4 months <br />.
'fhus, the action statement of Technical Specification 3.7.10 was not implemented.
Technical Specification 3.7.10 states "all penetration fire barriers protecting safety related areas shall be functional" with an applicability of "at all times".
The action statement reads "with one or more of the above penetration fire barriers non-functional, establish a continuous fire watch on at least one side of the affected penetration within one hour".
As Maintenance Work Order 81-3107 was com-pleted in less than one hour from the tLae of the holes' discovery, this action statement was not implemented.
Designation of Apparent Cause of Occurrence: The cause of this occurrence was due The construction per-to personnel error during initial construction of Davis-Besse.
l sonnel involved should have ensured the holes were sufficiently sealed with fire barrier material at the completion of their work activities.
l l
Analysis of Occurrence: There was no danget to the health and safety of the public or to station personnel.
There was no fire which required the fire wall to have its l
integrity intact.
Corrective Action
When reported, Maintenance Work Order 81-3107 was written to fill the holes with additional Kaowool. This effort was completed on August 7, l
1981 at 1615 hours0.0187 days <br />0.449 hours <br />0.00267 weeks <br />6.145075e-4 months <br />. The action statement of Technical Specification 3.7.10 was of not implemented as the maintenance work order was completed within one hout discovery of the holes, i
LER #81-046 l
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TOLEDO EDISON COMPANY DAVIS-BFSSE NUCLEAE POWER STATION UNIT ONE SUPPLEMENTAL INFORMATION FOR LER NP-33-81-52 PACE 2 ST 5016.11, Fire Protection System Barriers, is in the process of being modified to ensure complete c overage of the safety-related fire wall penetration seals by the surveillance test program. ?ersonnel responsible for the preparation of the modification are ensuring the safety-related ceilings / floors which act as fire barriers cre included in the surveillance test procedure.
Failure Data: Licensee Event Report NP-33-81-24 reported a similar occurrence on March 16, 1981 and Apr:J 3, 1981 when fire barrier holes were discovered.
Other violations of the integrity of a fire barrier were reported in Licensee Event Reports NP-33-80-11 (80-008), NP-33-79-063 (79-060), NP-33-79-061 (79-059),
and NP-33-78-137 (78-117).
LER #81-046 l
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| 05000346/LER-1981-001, Forwards LER 81-001/01X-1 | Forwards LER 81-001/01X-1 | | | 05000346/LER-1981-001-01, /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | /01X-1:on 810107,discovered Contractor Personnel on 801204 Disassembled Restraints Other than Those Requested & Failed to Perform Reassembly in Timely Manner. Caused by Inadequate Procedural Control | | | 05000346/LER-1981-002-03, /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | /03L-0:on 810102,reactor Coolant Pump 1-2 Was Shutdown Due to High Seal Return Temp & Deteriorating Seal Staging & on 810106,pump 2-1 Was Shutdown for Deteriorating Seal Staging.Caused by Seal Degradation.Seals Replaced | | | 05000346/LER-1981-002, Forwards LER 81-002/03L-0 | Forwards LER 81-002/03L-0 | | | 05000346/LER-1981-003-03, /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | /03L-0:on 810106,breaker HX02B Tripped, de-energizing Bus B Which Reduced Electrical Distribution Less than Tech Specs Required.Caused by Personnel Error. Breakers Restored.Operators Counselled Re Attentiveness | | | 05000346/LER-1981-003, Forwards LER 81-003/03L-0 | Forwards LER 81-003/03L-0 | | | 05000346/LER-1981-004, Forwards LER 81-004/03X-1 | Forwards LER 81-004/03X-1 | | | 05000346/LER-1981-005-03, /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | /03L-0:on 810114,RCS Chloride Concentration Exceeded Tech Spec Limit.Caused by Use of Spotcheck in Cleaning Reactor Coolant Pump Seal Cavities.Instructions Issued for Use of Solvents in RCS | | | 05000346/LER-1981-005, Forwards LER 81-005/03L-0 | Forwards LER 81-005/03L-0 | | | 05000346/LER-1981-006-03, /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | /03L-0:on 810119,power Lost to Safety Features Actuation Sys Channel 1 Cabinet.Caused by Blown Supply Fuse from Panel Y-1 Due to Procedure Deficiency.Fuse Replaced & Procedure Modified | | | 05000346/LER-1981-006, Forwards LER 81-006/03L-0 | Forwards LER 81-006/03L-0 | | | 05000346/LER-1981-007, Forwards LER 81-007/03L-0 | Forwards LER 81-007/03L-0 | | | 05000346/LER-1981-007-03, /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | /03L-0:on 810122,door 306 Found Partially Open,So That Spent Fuel Pool Emergency Ventilation Sys Could Not Have Maintained Area at Correct Pressure.Caused by Maladjusted Door Closure.Maint Work Order Issued | | | 05000346/LER-1981-008, Forwards LER 81-008/03L-0 | Forwards LER 81-008/03L-0 | | | 05000346/LER-1981-008-03, /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | /03L-0:on 810127,345 Kv Switchyard Bus K Tripped & Locked out,de-energizing Startup Transformer 02.Caused by Action from Directional Ground Current Relay & Charred Phase Lightning Arrestor C on Startup Transformer | | | 05000346/LER-1981-009-03, /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | /03L-0:on 810128,diesel Generator 1-2 Could Not Be Started W/Left Side Set of Air Start Motors During Diesel Generator Surveillance Test 5081.01.Caused by Failure of One Air Start Motor Due to Broken Solenoid Drive Shaft | | | 05000346/LER-1981-009, Forwards LER 81-009/03L-0 | Forwards LER 81-009/03L-0 | | | 05000346/LER-1981-010, Forwards LER 81-010/03L-0 | Forwards LER 81-010/03L-0 | | | 05000346/LER-1981-010-03, /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | /03L-0:on 810202,MSIV Bypass Valve Ms 100 a Failed to Close.Probably Caused by Component Failure.Actuator Spring Adjusted to Increase Tension Until Valve Would Close | | | 05000346/LER-1981-011, Forwards LER 81-011/03L-0 | Forwards LER 81-011/03L-0 | | | 05000346/LER-1981-011-03, /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | /03L-0:on 810205,post-accident Monitoring Instrument HPI Flow 1-2 Was Declared Inoperable.Caused by Bad Current Buffer.Current Buffer Was Repaired,Recalibr & Reinstalled.Hpi Flow 1-2 Was Returned to Operable Status | | | 05000346/LER-1981-012-03, /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | /03L-0:on 810212,control Rod 1-3 Absolute Position Indication Declared Inoperable Due to Fluctuating Signals Causing Asymmetric Rod Alarms.Exact Cause Undetermined,But Absolute Position Indication Leads Picking Up Noise | | | 05000346/LER-1981-012, Forwards LER 81-012/03L-0 | Forwards LER 81-012/03L-0 | | | 05000346/LER-1981-013-03, /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | /03L-0:on 810218,control Room Normal Ventilation Dampers Tripped Shut Resulting in No Power Available to Chlorine Detector 1 Above Control Room or in Block House. Caused by Failure of 10 Amp Fuse of Circuit Y111 | | | 05000346/LER-1981-013, Forwards LER 81-013/03L-0 | Forwards LER 81-013/03L-0 | | | 05000346/LER-1981-014-03, /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | /03X-1:on 810226,decay Heat Valve 64 Would Not Open During Testable ECCS Valves Quarterly Test.Caused by Loose Set Rod Bushing,Allowing Gear Box Set Rod to Move Which Unlocked Limit Switches from Adjusted Position | | | 05000346/LER-1981-014, Forwards LER 81-014/03X-1 | Forwards LER 81-014/03X-1 | | | 05000346/LER-1981-015-03, /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | /03L-0:on 810227,access Door 107 Found Propped Open from ECCS 2 Pump Room 115 to Miscellaneous Waste Monitor Tank & Pump Room 114.Caused by Failure to Follow Posted Signs While Clearing Odor from Room | | | 05000346/LER-1981-015, Forwards LER 81-015/03L-0 | Forwards LER 81-015/03L-0 | | | 05000346/LER-1981-016, Forwards LER 81-016/03L-0 | Forwards LER 81-016/03L-0 | | | 05000346/LER-1981-016-03, /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | /03L-0:on 810308,dose Equivalent I-131 Level Exceeded Tech Spec Limit.Caused by Gas Leakage Through Fuel Cladding.Levels Monitored | | | 05000346/LER-1981-017-03, /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | /03L-0:on 810309,train 2 Hpi/Low Pressure Injection cross-connect Isolation Valve Dh 63 Would Not Open from Control Room During Quarterly Valve Surveillance Test 5051.13.Caused by Faulty Torque Switch in Valve Operator | | | 05000346/LER-1981-017, Forwards LER 81-017/03L-0 | Forwards LER 81-017/03L-0 | | | 05000346/LER-1981-018-03, /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | /03L-0:on 810322 & 0401,chlorine Detector Ae 5358B Tripped.First Trip Probably Caused by Fouled Detector. Detector Cleaned.Detector & Circuit Board Replaced After Second Failure | | | 05000346/LER-1981-018, Forwards LER 81-018/03L-0 | Forwards LER 81-018/03L-0 | | | 05000346/LER-1981-019-03, /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | /03L-0:on 810323,fluctuating Signals W/Numerous Asymmetric Rod Alarms Received,Resulting in Control Rod 4-7 Absolute Position Indication Inoperability.Probably Caused by Electrical Penetration Module Deficiency | | | 05000346/LER-1981-019, Forwards LER 81-019/03L-0 | Forwards LER 81-019/03L-0 | | | 05000346/LER-1981-020-03, /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | /03L-0:on 810324,valve CV5011A,on Containment Air Sample Inlet Line to Hydrogen Analyzer,Would Not Stroke Closed W/Monitor Operator.Caused by Badly Worn Tripper in Motor Operator.Tripper Levers Replaced | | | 05000346/LER-1981-020, Forwards LER 81-020/03L-0 | Forwards LER 81-020/03L-0 | | | 05000346/LER-1981-021-03, /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | /03L-0:on 810401,half Trip Occurred from Steam & Feedwater Rupture Control Sys Channel 1 Low Steam Generator Level Trip.Caused by Power Supply Failure.Power Supply Replaced Per Work Order on 810402 | | | 05000346/LER-1981-021, Forwards LER 81-021/03L-0 | Forwards LER 81-021/03L-0 | | | 05000346/LER-1981-022, Forwards LER 81-022/03L-0 | Forwards LER 81-022/03L-0 | | | 05000346/LER-1981-022-03, /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | /03L-0:on 810316,NRC Site Inspector Reported Finding Four 0.5-inch Holes Through Control Room Equipment Room East Fire Wall.On 810403,two Holes Found in Wall of Room 427B.Caused by Personnel Error | | | 05000346/LER-1981-023-03, /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | /03L-1:on 810403,decay Heat Cooler Outlet Valve CC1467 Stroked Closed During Component Cooling Water Monthly Test & Would Not Reopen.Caused by Excessive Wear on Actuator Due to Design Deficiency.Actuator Rebuilt | | | 05000346/LER-1981-023, Forwards LER 81-023/03L-1 | Forwards LER 81-023/03L-1 | | | 05000346/LER-1981-024, Forwards LER 81-024/03L-0 | Forwards LER 81-024/03L-0 | | | 05000346/LER-1981-024-03, /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | /03L-0:on 810418,bus J Was Rapidly Taken Out of Svc W/O Providing for Alternate Power Supply for Decay Heat Pump 1-1.Caused by Personnel Error.Procedure Modified & Operator Informed of Mods | | | 05000346/LER-1981-025, Forwards LER 81-025/03L-0 | Forwards LER 81-025/03L-0 | | | 05000346/LER-1981-025-03, /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | /03L-0:on 810423,during Review of Safety Tagging Log,Unit Entered Mode 4 W/O Required Two Makeup Pumps Operable.Caused by Personnel Error.Pumps Restored to Operation.Personnel Reinstructed in Procedures | | | 05000346/LER-1981-026-03, /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | /03L-0:on 810428,reactor Protection Sys Channel 1 Tripped on Flux/Delta Flux/Flow.Caused by Failure of Flow Differential Pressure Transmitter Primary Power Transformer Shorting to Ground.New Amplifier Installed & Calibr | |
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