LER-1983-027, /03L-0:on 830408,during Valve Insp,Grease Discovered on Seats & Discs.Caused by Maint Procedures Not Prohibiting Personnel Placing Grease on Seat & Disc.Grease Removed,Valves Repaired & Procedures Will Be Revised |
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NRC FORM 366 U. S. NUCLEAR REGULATORY COMMISSION 17 77) **
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60 61 00CKET NU".98 ER 66 69 EVENT OATE 74 75 REPORT CATE 90 EVENT DESCRIPTION AND PROBABLE CONSEQUENCES h 10121l While performine an insnection of valves 2-201-1B. Ic_ in AO-7-1601 nnA i
1 I o 13 ! I 2-220-58A 58B. ernase was discovered on each valve sear nna d4=c.
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CAUSE CESCRIPTION AND CCARECTIVE ACTIONS h
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It i2Il repair. All grease was removed, valves repaired. and LLRT tested successfully.
I lt #3l l dxistine procedures will be reviewed and revised. A trainine module on noe l
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liiAi l of lubricants and sealants will be develoned.
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4 ATTACHMENT TO LICENSEE EVENT REPORT #83-27/03L-0 COMMONWEALTH EDISON COMPANY (CWE) m DRESDEN UNIT 2 (ILDRS-2)
DOCKET # 050-237 During the scheduled refueling outage, Mechanical Maintenance personnel inspected the seating surfaces of main steam isolation valves (MSIV's) 2-203-1B, 1C, and ID as the result of an anonymous allegation made to the resident NRC inspector. All three valves had recently been repaired and successfully local leak rate tested. The valves were disassembled, inspected, and Dow Corning 111 grease was-found on the disc and seat of each valve. The seating surface and disc of each valve was cleaned, the valves re-assembled, and local leak rate tests were performed. Valve 203-1B passed the local leak rate test without any further maintenance. However, valves 203-1C and ID failed successive leak rate tests. The valves were disassembled again, the seats relapped, and the valves re-assembled.
When all maintenance was completed and the valves rebuilt, both valves passed local leak rate tests. After grease had been discovered on the seating surface of each ?$IV, a list of those valves in which the valve seat was exposed this outage and could have been potentially greased l
during maintenance or repair, was prepared. A total of twenty valves forming part of the primary containment isolation boundary, including the MSIV's, were identified. After the list had been studied, it was determined that there was reason to believe that three valves had greased seats (2-220-58A and 58B and 2-1601-61). Additionally, a sample of three of the remaining valves believed to be. free of grease were selected for k
inspection to verify the condition.
The six additional valves were disassembled, inspected and grease was found as expected, on three of them. These were 2-220-58A and 58B and 2-1601-61.
The seating surface of the three greased valves were cleaned and all six valves were reassembled. All six valves except 2-220-58B were successfully local
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leak rate tested without further maintenance. Valve 2-220-58B was disassembled once again, the "0" ring seating surface between the valve seat assembly and the valve body was relapped, and the "0" ring replaced. When the valve was re-assembled, it was successfully local leak rate tested.
On April 11, 1983, shortly after grease had been discovered on the seating surface of the three MSIV's, members of the NRC Regional Staff were notified of the deficiency. As a result of a telephone conference call made between D. J. Scott and D. L. Farrar of Commonwealth Edison and C.E. Norelius and other members of the NRC Regional Staff, six action items j
were agreed upon and later verified by a confirmatory action letter to 3
Mr. Cordell Reed from James G. Keppler, dated April 13, 1983. A summary of the six action items agreed upon are listed as follows:
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1.
A review will be conducted of other isolation valves maintained during the current Unit 2 and the previous Unit 3 re-fueling outage. This review will be sufficiently comprehensive to eliminate concerns about the possible inappropriate use of grease during valves re-assemblies.
2.
The Quality Control Department will review the event and develop standard inspection plans for isolation valve maintenance requiring valve disassembly and re-assembly.
p 3.
A tailgate on the event will be prepared and presented to Mechanical Maintenance supervision in order to emphasize the critical nature of the decision to use lubricants where not specifically addressed in the procedure.
4.
Existing maintenance procedures dealing with assembly and disassembly of valves will be reviewed and revised as necessary to ensure appropriate precautions and controls are in place as regard to the use of lubricants and sealants.
5.
A training module will be prepared and incorporated into the maintenance training program dealing with the subject of the correct use of lubricants and sealants in various maintenance activities, n
6.
A repair manual will be developed specifically for disassembly and re-assembly of MSIV's.
In addition to the committment to complete the action items listed above, (j
Commonwealth Edison performed an internal audit of the incident. A committee was formed to investigate the maintenance practice of using grease during (Ib the re-assembly of valves subject to post maintenance local leak rate tests.
The goal of the committee was to investigate the particular circumstances [j
involved in the usage of grease during the re-assembly of MSIV's t'
203-1B, 1C, and ID and also to address the broader question of the implication of the maintenance practice on other critical valves at l
Dresden Station. As a result of the investigation, it was determined that the motivation behind the use of lubricants and/or grease in the re-assembly of the MSIV's and other valves was not to intentially bias the results of any local leak rate test, but to assist in the re-assembly of large and sometimes difficult to maintain equipment. Tracking of the six l,
action items will be done via the AIR System to ensure follow-up and completion.
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This incident had no effect on public health and safety since the second L
isolation valve for each line affected had minimal or no leakage. This was a first occurrence of this type.
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| 05000237/LER-1983-001-03, /03L-0:on 830101,cracked Weld Discovered at Feedwater Heater 2D2 Emergency Spill to Normal Drain Line Connector.Caused by Excessive Movement of Drain Line.Weld Will Be Repaired During Upcoming Refueling Outage | /03L-0:on 830101,cracked Weld Discovered at Feedwater Heater 2D2 Emergency Spill to Normal Drain Line Connector.Caused by Excessive Movement of Drain Line.Weld Will Be Repaired During Upcoming Refueling Outage | | | 05000237/LER-1983-001, Forwards LER 83-001/03L-0 | Forwards LER 83-001/03L-0 | | | 05000249/LER-1983-001-03, /03L-0:on 830104,source Range Monitor 24 High Rod Block Found in Excess of Tech Spec.Caused by Setpoint Drift. Monitor Readjusted & Returned to Svc | /03L-0:on 830104,source Range Monitor 24 High Rod Block Found in Excess of Tech Spec.Caused by Setpoint Drift. Monitor Readjusted & Returned to Svc | | | 05000249/LER-1983-001, Forwards LER 83-001/03L-0 | Forwards LER 83-001/03L-0 | | | 05000249/LER-1983-002-01, /01T-0:on 830105,leakage from RWCU Test Tap Valve 3-1299-13 Occurred.Caused by Seat Damage of Valve.Valve Replaced During 1983 Refueling Outage | /01T-0:on 830105,leakage from RWCU Test Tap Valve 3-1299-13 Occurred.Caused by Seat Damage of Valve.Valve Replaced During 1983 Refueling Outage | | | 05000249/LER-1983-002, Forwards LER 83-002/01T-0 | Forwards LER 83-002/01T-0 | | | 05000237/LER-1983-002, Forwards Updated LER 83-002/03X-1 | Forwards Updated LER 83-002/03X-1 | | | 05000237/LER-1983-002-03, Valve Mo 2-1501-19A Failed to Close During Test.Caused by Loose Wire 19A-CR109CO in Combination Starter.Terminal Tightened & Valve Successfully Cycled from Control Room | Valve Mo 2-1501-19A Failed to Close During Test.Caused by Loose Wire 19A-CR109CO in Combination Starter.Terminal Tightened & Valve Successfully Cycled from Control Room | | | 05000237/LER-1983-003-03, /03L-0:on 830108,during Surveillances Dis 1400-5 & DOS 6600-1,diesel Generator Low Water Pressure Alarm Received.Caused by Bad Low Cooling Water Pressure Switch. Switch Replaced W/Class 9012 Type GAW-5 | /03L-0:on 830108,during Surveillances Dis 1400-5 & DOS 6600-1,diesel Generator Low Water Pressure Alarm Received.Caused by Bad Low Cooling Water Pressure Switch. Switch Replaced W/Class 9012 Type GAW-5 | | | 05000237/LER-1983-003, Forwards LER 83-003/03L-0 | Forwards LER 83-003/03L-0 | | | 05000249/LER-1983-003, Forwards LER 83-003/03L-0 | Forwards LER 83-003/03L-0 | | | 05000237/LER-1983-004, Forwards LER 83-004/03L-0 | Forwards LER 83-004/03L-0 | | | 05000237/LER-1983-004-03, /03L-0:on 830113,during Core Unloading Operations, Grapple Control Rod Interlock Would Intermittently Clear While Grapple Was Over Core.Caused by Grapple Not Maintaining Full Contact W/Rail.Limit Switch Adjusted | /03L-0:on 830113,during Core Unloading Operations, Grapple Control Rod Interlock Would Intermittently Clear While Grapple Was Over Core.Caused by Grapple Not Maintaining Full Contact W/Rail.Limit Switch Adjusted | | | 05000249/LER-1983-004, Forwards LER 83-004/03L-0 | Forwards LER 83-004/03L-0 | | | 05000249/LER-1983-004-03, /03L-0:on 830204,while Disc Operations Sys 1600-1 Valve Timing Test in progress,MO-3-1301-3 Failed to Open. Caused by Valve Disc Wedged Too Tightly Against Seat.Valve Cycled from Control & Successfully Timed | /03L-0:on 830204,while Disc Operations Sys 1600-1 Valve Timing Test in progress,MO-3-1301-3 Failed to Open. Caused by Valve Disc Wedged Too Tightly Against Seat.Valve Cycled from Control & Successfully Timed | | | 05000237/LER-1983-005, Forwards LER 83-005/03L-0 | Forwards LER 83-005/03L-0 | | | 05000237/LER-1983-005-03, /03L-0:on 830112,during Refueling Outage,While Local Leak Rate Testing,Outboard MSIV 2-203-2B Leaking in Excess of Tech Specs.Caused by Valve Packing Leakage.Packing Tightened | /03L-0:on 830112,during Refueling Outage,While Local Leak Rate Testing,Outboard MSIV 2-203-2B Leaking in Excess of Tech Specs.Caused by Valve Packing Leakage.Packing Tightened | | | 05000249/LER-1983-005, Forwards LER 83-005/01T-0 | Forwards LER 83-005/01T-0 | | | 05000249/LER-1983-005-01, /01T-0:on 830208,diesel Generator Failed to Start. Caused by Failure of Air Starter Motor Vanes to Engage. Ingersoll-Rand Air Starter Motors,Air Filter & Air Regulating Valve Replaced | /01T-0:on 830208,diesel Generator Failed to Start. Caused by Failure of Air Starter Motor Vanes to Engage. Ingersoll-Rand Air Starter Motors,Air Filter & Air Regulating Valve Replaced | | | 05000249/LER-1983-006-01, /01T-0:on 830208,LPCI Pump Suction Valve M03-1501-5D Failed Open.Caused by Auxiliary Contact CR 105X Failure in Control Circuitry of Valve.Contact Replaced | /01T-0:on 830208,LPCI Pump Suction Valve M03-1501-5D Failed Open.Caused by Auxiliary Contact CR 105X Failure in Control Circuitry of Valve.Contact Replaced | | | 05000249/LER-1983-006-03, /03L-0:on 830208,while Performing DOS 1500-1 (LPCI Valve Operability Test),Torus Spray Isolation Valve MO3-1501-18A Failed in Open Position.Caused by Auxiliary Contact in Control Circuitry of Valve.Contact Replaced | /03L-0:on 830208,while Performing DOS 1500-1 (LPCI Valve Operability Test),Torus Spray Isolation Valve MO3-1501-18A Failed in Open Position.Caused by Auxiliary Contact in Control Circuitry of Valve.Contact Replaced | | | 05000237/LER-1983-007-03, /03L-0:on 830117,0305 & 0220,excessive Leakage Discovered Through Bypass Valves 1600-61,1601-23 & 1601-60, Respectively.Cause Not Stated.Valves Will Be Repaired & Vol Tested | /03L-0:on 830117,0305 & 0220,excessive Leakage Discovered Through Bypass Valves 1600-61,1601-23 & 1601-60, Respectively.Cause Not Stated.Valves Will Be Repaired & Vol Tested | | | 05000237/LER-1983-007, Forwards LER 83-007/03L-0 | Forwards LER 83-007/03L-0 | | | 05000249/LER-1983-008, Forwards LER 83-008/01T-0 | Forwards LER 83-008/01T-0 | | | 05000249/LER-1983-008-01, /01T-0:on 830212,during Normal Operations,Core Spray Pump 1401-3A Failed to Start During Test.Caused by Circuit Breaker Recharging Motor Toggle Switch Inadvertently Left in Off Position.Switch Changed to on Position | /01T-0:on 830212,during Normal Operations,Core Spray Pump 1401-3A Failed to Start During Test.Caused by Circuit Breaker Recharging Motor Toggle Switch Inadvertently Left in Off Position.Switch Changed to on Position | | | 05000249/LER-1983-009, Forwards LER 83-009/03L-0.Detailed Event Analysis Encl | Forwards LER 83-009/03L-0.Detailed Event Analysis Encl | | | 05000249/LER-1983-009-03, /03L-0:on 830307,steam Leak on Shell of 3C3 Low Pressure Feedwater Heater Found Near Extraction Steam Inlet Nozzle.Caused by Heater Shell Erosion by Deflected Extraction Steam.Eroded Area Cut Out & Replaced | /03L-0:on 830307,steam Leak on Shell of 3C3 Low Pressure Feedwater Heater Found Near Extraction Steam Inlet Nozzle.Caused by Heater Shell Erosion by Deflected Extraction Steam.Eroded Area Cut Out & Replaced | | | 05000237/LER-1983-009-03, /03L-0:on 830113,during Refuel Surveillance Dis 2300-7,HPCI Switch 2370A Tripped at 204.7 F,Exceeding Tech Specs.Caused by Switch Setpoint Drift.Setpoint Adjusted.Switches Calibr During Refueling Outages | /03L-0:on 830113,during Refuel Surveillance Dis 2300-7,HPCI Switch 2370A Tripped at 204.7 F,Exceeding Tech Specs.Caused by Switch Setpoint Drift.Setpoint Adjusted.Switches Calibr During Refueling Outages | | | 05000237/LER-1983-009, Forwards LER 83-009/03L-0 | Forwards LER 83-009/03L-0 | | | 05000237/LER-1983-010, Forwards LER 83-010/03L-0 | Forwards LER 83-010/03L-0 | | | 05000249/LER-1983-010-03, /03L-0:on 830312 & 18,during Normal Operation, Drywell & Torus Oxygen Indication Slowly Drifted Up on All Points.Caused by Faulty Oven Temp Switch in Oxygen Analyzer. Switch Replaced | /03L-0:on 830312 & 18,during Normal Operation, Drywell & Torus Oxygen Indication Slowly Drifted Up on All Points.Caused by Faulty Oven Temp Switch in Oxygen Analyzer. Switch Replaced | | | 05000249/LER-1983-010, Forwards LER 83-010/03L-0 | Forwards LER 83-010/03L-0 | | | 05000237/LER-1983-011, Forwards LER 83-011/01T-0 | Forwards LER 83-011/01T-0 | | | 05000249/LER-1983-011, Forwards LER 83-011/01T-0 | Forwards LER 83-011/01T-0 | | | 05000249/LER-1983-011-01, /01T-0:on 830314,LPCI Pump Suction Valve MO3-1501-5A Failed to Close.Caused by Mechanical Overload Which Broke Manual Operator Housing.Cause of Overload Undetermined.Valve Motor & Manual Operator Housing Replaced | /01T-0:on 830314,LPCI Pump Suction Valve MO3-1501-5A Failed to Close.Caused by Mechanical Overload Which Broke Manual Operator Housing.Cause of Overload Undetermined.Valve Motor & Manual Operator Housing Replaced | | | 05000237/LER-1983-012, Forwards LER 83-012/01T-0 | Forwards LER 83-012/01T-0 | | | 05000237/LER-1983-013-03, /03L-0:on 830211,during Refueling,W/Weld Reinforcement in Progress Inside Torus,Power Lead from Rack of Welding Machine Grounded to Torus Causing Arc Strike & Copper/Brass to Fuse Into Metal.Repair Program Underway | /03L-0:on 830211,during Refueling,W/Weld Reinforcement in Progress Inside Torus,Power Lead from Rack of Welding Machine Grounded to Torus Causing Arc Strike & Copper/Brass to Fuse Into Metal.Repair Program Underway | | | 05000249/LER-1983-013, Forwards LER 83-013/03L-0 | Forwards LER 83-013/03L-0 | | | 05000237/LER-1983-013, Forwards LER 83-013/03L-0 | Forwards LER 83-013/03L-0 | | | 05000249/LER-1983-013-03, /03L-0:on 830322,while Performing Main Steam Line High Flow Surveillance,Switch 3-261-21 Tripped Beyond Tech Spec Limit.Caused by Particle on Switch Gear Movement.Switch Cleaned & Retested | /03L-0:on 830322,while Performing Main Steam Line High Flow Surveillance,Switch 3-261-21 Tripped Beyond Tech Spec Limit.Caused by Particle on Switch Gear Movement.Switch Cleaned & Retested | | | 05000249/LER-1983-014-03, /03L-0:on 830405,main Steam Line Log Radiation Monitor 3A Experienced Loss of High Voltage Power Causing Monitor to Go Downscale.Caused by Burned Out Resistor on High Voltage Power Supply.Monitor 3A Replaced | /03L-0:on 830405,main Steam Line Log Radiation Monitor 3A Experienced Loss of High Voltage Power Causing Monitor to Go Downscale.Caused by Burned Out Resistor on High Voltage Power Supply.Monitor 3A Replaced | | | 05000237/LER-1983-014-03, /03L-0:on 830222,during Refueling Outage,Time Recorded for Offgas Discharge Valve A02-5406 to Fully Close Exceeded 15 Minute Tech Spec Limit.Cause Unknown.Timer Readjusted.Valve Timed to Close at 14 minutes,16 | /03L-0:on 830222,during Refueling Outage,Time Recorded for Offgas Discharge Valve A02-5406 to Fully Close Exceeded 15 Minute Tech Spec Limit.Cause Unknown.Timer Readjusted.Valve Timed to Close at 14 minutes,16 | | | 05000237/LER-1983-014, Forwards LER 83-014/03L-0 | Forwards LER 83-014/03L-0 | | | 05000249/LER-1983-014, Forwards LER 83-014/03L-0 | Forwards LER 83-014/03L-0 | | | 05000237/LER-1983-015-03, /03L-0:on 830225,leak Detected in 30-inch Suction Pipe 2223-6 of Connector Recirculation Pump a Due to Fine Edged Hole in Top Weld.Hole Caused by Stress Corrosion Cracking.Concentrator Taken Out of Svc & Pipe Repaired | /03L-0:on 830225,leak Detected in 30-inch Suction Pipe 2223-6 of Connector Recirculation Pump a Due to Fine Edged Hole in Top Weld.Hole Caused by Stress Corrosion Cracking.Concentrator Taken Out of Svc & Pipe Repaired | | | 05000249/LER-1983-015, Forwards LER 83-015/03L-0 | Forwards LER 83-015/03L-0 | | | 05000249/LER-1983-015-03, /03L-0:on 830406,during Normal Operation W/Dis 287-1 in Progress,Pressure Switch Ps 3-1554 F Would Not Operate at Required Pressure.Caused by Plugged Instrument Snubber.Snubber Cleaned & Switch Replaced | /03L-0:on 830406,during Normal Operation W/Dis 287-1 in Progress,Pressure Switch Ps 3-1554 F Would Not Operate at Required Pressure.Caused by Plugged Instrument Snubber.Snubber Cleaned & Switch Replaced | | | 05000237/LER-1983-015, Forwards LER 83-015/03L-0 | Forwards LER 83-015/03L-0 | | | 05000249/LER-1983-016-01, /01T-0:on 830504,station Notified That Hydraulic Snubber 16,replaced in Feb 1983,attached on One End Only. Caused by Insufficient Personnel Interface.Work Package Procedures Revised | /01T-0:on 830504,station Notified That Hydraulic Snubber 16,replaced in Feb 1983,attached on One End Only. Caused by Insufficient Personnel Interface.Work Package Procedures Revised | | | 05000237/LER-1983-016-03, /03L-0:on 830224,snubber 43 & Pipe Clamp Bolt & Nut 52 Found Loose.Caused by Personnel Omitting to Tighten Bolt & Nut During Installation.Bolt & Nut Tightened | /03L-0:on 830224,snubber 43 & Pipe Clamp Bolt & Nut 52 Found Loose.Caused by Personnel Omitting to Tighten Bolt & Nut During Installation.Bolt & Nut Tightened | |
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