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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E5121994-05-12012 May 1994 LER 93-008-01:on 930706,high Pressure Injection Suction Valve Determined to Be Inoperable.Caused by Lack of Engineering Review for Motor Brake Voltage Requirements. Valves Locked & Brake removed.W/940512 Ltr ML20029D7671994-05-0303 May 1994 LER 94-002-00:on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures revised.W/940503 Ltr ML20046C5581993-08-0404 August 1993 LER 93-008-00:on 930706,possibility of MOV W/Brakes Failing to Perform Safety Function Under Degraded Voltage Conditions Due to Lack of Engineering Review.Identified & Reviewed MOV W/Motor Brakes for Safety significance.W/930804 Ltr ML20046B4121993-07-28028 July 1993 LER 93-007-00:on 930628,noticed That Hydrogen Pressure Setpoint Found to Be Set Above 10 Psig.Caused by Personnel Error.Mod Design Package Developed to Raise Pressure Regulator setpoint.W/930728 Ltr ML20045F7741993-06-30030 June 1993 LER 93-001-01:on 930305,cooldown Exceeding Limits of TS 3.4.9.1 Experienced After Switching from SG Cooling to Dh Sys Cooling.Caused by Failure of Cv Controller.Valve Repaired & Valve Operation Instructions Revised ML20045D7741993-06-18018 June 1993 LER 93-006-00:on 930520,inadequately Secured Separation Barrier Identified That Could Affect Control Switches for safety-related Equipment on Main Control Board.Caused by Human Error.Placard Posted to Restrict area.W/930618 Ltr ML20045B4381993-06-10010 June 1993 LER 93-005-00:on 930518,notified That Control Circuit for Makeup & Purification Sys Letdown Isolation Valve Did Not Meet Electrical Isolation Criteria Due to Human Error.Mod in Development Will Be expanded.W/930610 Ltr ML20044D2101993-05-10010 May 1993 LER 93-004-00:on 930408,inappropriate Personnel Action Resulted in Degraded Class 1E Bus Voltage & Actuation of Edg.Licensee Established Addl Administrative Controls on Switchyard activities.W/930510 Ltr ML20044D1651993-05-10010 May 1993 LER 93-003-00:on 930408,determined That Insufficient Instrument Error Considered When Operating Limits for Core Flood Tank Selected.Caused by Programmatic Deficiency.Alarm Bistables Reset & Allowed Margin expanded.W/930510 Ltr ML20024H2001991-05-20020 May 1991 LER 91-003-00:on 910420,emergency Feedwater Actuation & Manual Reactor Trip Occurred.Caused by Water Instrusion Into Pump Loss of Circulating Water Pump.Plant Modification Previously initiated.W/910520 Ltr ML20024H1741991-05-17017 May 1991 LER 90-002-02:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Design Basis Documents updated.W/910517 Ltr ML20029B0751991-02-28028 February 1991 LER 91-002-00:on 910129,startup Transformer Incapable of Maintaining Voltage Output Above Setpoint of Second Level Undervoltage Relays Under Es Actuation Conditions.New Offsite Power Supply installed.W/910228 Ltr ML20029A6531991-02-25025 February 1991 LER 91-001-00:on 910124,engineered Safeguards Train a HPI Recirculation Isolation Valve MUV-53 Declared Inoperable Due to Undersized Thermal Overload Elements for Motor Operator.Cause Undetermined.Elements replaced.W/910225 Ltr ML20028H7131991-01-21021 January 1991 LER 89-022-01:on 890614,erroneous Indication of Loss of Main Feedwater Pumps Occurred Resulting in Manual ESF Actuation. Temporary Loss of Supervisory Indicating Lights Expected During Bus Realignment.Procedures revised.W/910121 Ltr ML20043H5751990-06-22022 June 1990 LER 90-009-00:on 900523,discovered That Paperwork for Mod to Replace Feedwater Vent Valve Still Open 12 Months After Work Completed.Caused by Lost Blanket Work Request Re post-maint Testing.New Work Request initiated.W/900622 Ltr ML20043G6511990-06-14014 June 1990 LER 90-008-00:on 900514,determined That Fault Current Could Develop Across Engineered Safeguards 480-volt Bus Output Breakers.Caused by Failure to Perform Adequate Short Circuit Analysis.Deficient Trip Devices replaced.W/900614 Ltr ML20043C5221990-05-31031 May 1990 LER 89-035-01:on 890906,determined That Dc Powered Components Exhibited Discrepancy in Rated Voltages & Actual Voltages.Caused by Inadequate Control of Design Process.Inoperable Components replaced.W/900531 Ltr ML20043B8091990-05-23023 May 1990 LER 90-007-00:on 900112,discovered That Door Between Control Room Complex & Turbine Bldg Removed for Mod Work,Resulting in Inoperability of Both Trains of Emergency Ventilation Sys.Door Replaced & Warning Signs affixed.W/900523 Ltr ML20042G7641990-05-0909 May 1990 LER 90-006-00:on 900410,reevaluation of Design Calculations Discovered Deficient Valve Operator Installation.Sufficient Thrust Not Developed to Open or Close Valves Due to Undersized Spring Packs.Spring Packs ordered.W/900509 Ltr ML20042F9781990-05-0707 May 1990 LER 89-031-01:on 890828,480-volt Engineered Safeguards Stepdown Transformer a Faulted Causing Decay Heat Train Closed Cycle Cooling Pump a to Deenergize.Caused by Degraded Insulation.Transformer replaced.W/900507 Ltr ML20012D8091990-03-22022 March 1990 LER 90-003-00:on 900220,instrument Fluctuation Noted During Surveillance of Chilled Water Pump.Caused by Location of Flow Element within Chilled Water Sys.Relief Request Submitted & Field Problem Rept generated.W/900322 Ltr ML20012D0281990-03-19019 March 1990 LER 90-002-00:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Caused by Failure of Original Design Criteria to Address Need.Documentation updated.W/900319 Ltr ML20011F1731990-02-21021 February 1990 LER 90-001-00:on 900221,RCS Leakage Calculations Indicated That Unidentified Leakage Exceeded Tech Spec Limits.Caused by Failed Packing on Block Valve.Valve Repacked During Feb 1990 Maint outage.W/900221 Ltr ML19354D9091990-01-17017 January 1990 LER 89-016-03:on 890426,administrative Problems Caused Deficiencies in Environ Qualification Program That Resulted in Plant Equipment Not Being Properly Qualified.Effort to Correct Environ Qualification Deficiencies Underway ML20006E3941990-01-0808 January 1990 LER 89-041-00:on 891208,partial,simultaneous Withdrawal of Two Control Rod Safety Groups Occurred & Safety Group 3 Control Transferred to Auxiliary Power Supply.Cause Undetermined.Select Relays replaced.W/900207 Ltr ML20005F1601990-01-0808 January 1990 LER 89-040-00:on 891208,emergency Diesel Generators a & B Actuated Due to Degraded Voltage When Condensate Pump Started.Operator Guidelines & Procedures for Starting Condensate Pumps Being revised.W/900108 Ltr ML20011D8401989-12-22022 December 1989 LER 89-030-01:on 890824,determined That Pump Discharge Pressure & Flow Less than Required.On 890826,plant Entered Hot Standby.Caused by Installation of Incorrect Impeller in Pump.Original Impeller Reinstalled Upon repair.W/891222 Ltr ML20011D2281989-12-15015 December 1989 LER 89-026-01:on 890629,emergency Diesel Generator 1B Failed post-maint Test & Could Not Be Returned to Svc within Time Allowed by Tech Specs.Caused by Rotor Not Turning.Crankcase Vapor Ejector cleaned.W/891215 Ltr ML19332E7691989-12-0707 December 1989 LER 89-039-00:on 891107,determined That Control Circuits for Two Makeup Valves Did Not Meet Separation Criteria of 10CFR50 App R.Caused by Cognitive Personnel Error.Roving Fire Watch Patrol Confirmed in effect.W/891207 Ltr ML19332F0171989-11-30030 November 1989 LER 89-038-00:on 891029,util Engineers Discovered That Administrative Controls Not in Place for Three Makeup & Purification Sys Valves.Caused by Personnel Error.Plant Procedures revised.W/891130 Ltr ML19332D1391989-11-27027 November 1989 LER 89-037-00:on 891026,determined That Instrumentation Used to Balance HPI Flow Through Four Injection Lines During Small Break LOCA Inadequate.Caused by Inadequate Review of B&W Guidelines.Flow Instrument installed.W/891127 Ltr ML19327C2611989-11-17017 November 1989 LER 89-036-00:on 891018,determined That Plant Operating Outside Design Basis Since Borated Water Storage Tank Level Transmitters Not Seismically Qualified.Caused by Personnel Error.Unqualified Transmitters replaced.W/891117 Ltr ML19325F3371989-11-10010 November 1989 LER 89-033-00:on 890908,second Level Undervoltage Relay Sys Setpoint for Engineered Safeguards Buses Not Conservative & Led to Operation Outside Plant Design Basis.Caused by Personnel Error.Setpoint changed.W/891110 Ltr ML19325F3341989-11-10010 November 1989 LER 89-035-00:on 890906,discrepancy Noted in dc-powered Component Rated Voltages & Actual Voltages Seen by Components.Caused by Inadequate Control of Design Process. All Components Replaced Prior to startup.W/891110 Ltr ML19325E7371989-10-27027 October 1989 LER 85-034-01:on 850310,valve Alarm Function for Core Flood Tank Isolation Valves Failed to Meet Acceptance Criteria.On 850809,unit Entered Mode 3 & Then Raised RCS Pressure Above 750 Psig W/O Meeting Operability surveillances.W/891027 Ltr ML19324B3921989-10-26026 October 1989 LER 88-002-02:on 880107,emergency Feedwater Actuation Occurred on Loss of Both Main Feedwater Pumps.Caused by Instrumentation & Control Technician Error.Idle Feedwater Pump Started & Actuation reset.W/891026 Ltr ML19324B3871989-10-26026 October 1989 LER 89-034-00:on 890926,two Conditions Determined to Be Outside Plant Design Basis Re Solenoid Control Valves.Caused by Cognitive Personnel Error.Test Solenoid Valve Circuits Provided W/Isolation fuses.W/891026 Ltr ML19327B2301989-10-23023 October 1989 LER 89-016-02:from 890227-0601,deficiencies Re Environ Qualification of Plant Equipment Discovered.Caused by Deficiencies in Detailed Development & Implementation of Environ Qualification Program.Program reviewed.W/891023 Ltr ML20024D2501983-07-26026 July 1983 Updated LER 83-019/03L-1:on 830406,breaker in Engineered Safeguards Motor Control Ctr 3B1 Shorted Out,Causing Various Pieces of Equipment on Train B to Be Inoperable.Caused by Personnel Error.Breaker Removed & cleaned.W/830726 Ltr ML20024D1491983-07-26026 July 1983 Updated LER 82-003/01T-0:on 820128,RCS Leakage Calculations Showed Unidentified Leakage at Rate Greater than 1 Gpm. Caused by Thermally Induced Cyclic Failure.New Valve Will Be Installed in Improved location.W/830726 Ltr ML20024D1061983-07-26026 July 1983 Updated LER 82-004/01T-1:on 820129,while Performing Visual Insp of Reactor Coolant Pump a Seal Package,Rcpb Leakage Discovered from Crack in Seal Weld.Caused by Installation Error.Seal Replaced & Procedures revised.W/830726 Ltr ML20024C0951983-06-27027 June 1983 LER 83-023/01T-0:on 830613,fire Damper FD-86,in Duct Work Between Auxiliary Bldg & Control Complex,Discovered Missing. Cause Unknown.Continuous Fire Watch Established.Evaluation underway.W/830627 Ltr ML20023E0971983-06-0101 June 1983 LER 83-021/03L-0:on 830504,three Hydraulic Snubbers Failed Functional Test During Dec Outage & 107 Snubbers Failed Test During Refuel Iv.Caused by Seal Failure & Valve Assembly Contamination.All Snubbers modified.W/830531 Ltr ML20023C5251983-05-0909 May 1983 LER 83-020/03L-0:on 830409,discovered That Surveillance Interval for Fire Detection Instrumentation in Emergency Diesel Generator & Control Rooms Exceeded by 6 Months.Caused by Procedural Inadequacy.Procedure SP-411 Will Be Revised ML20023B4091983-04-27027 April 1983 LER 83-018/01T-0:on 830413,preliminary Repts Received from B&W Indicating That 51 of 120 Upper Core Barrel Bolts Ultrasonically Tested May Be Defective.Cause Unknown. Investigation Underway.Supplemental Rept Will Be Written ML20028E0561983-01-13013 January 1983 LER 82-075/03L-0:on 821215,during Cold Shutdown,Circuit Breaker on Control Complex Ventilation Radiation Monitor RMA-5 Tripped.Caused by Broken Pump Vane Binding Pump. Pump Replaced ML20028A5321982-11-10010 November 1982 LER 82-063/03L-0:on 821011,reactor Bldg Average Air Temp Exceeded 130 F Limit.Caused by Strain on Instrument Air Line Causing Line to Split.Line Replaced on 821011 ML20027D7021982-10-29029 October 1982 LER 82-061/03L-0:on 820929,fan Damper Operator on Industrial Cooler Failed,Resulting in Reactor Bldg Average Air Temp Exceeding 130 F.Caused by Water in Instrument Air Sys Due to Personnel Failing to Close Valve FSV-250.Dampers Wired Open ML20027B8881982-09-24024 September 1982 LER 82-055/03L-0:on 820825,feedwater Ultrasonic Flow Indicator FW-313-FI Found Inoperable.Caused by Instrument Failure Due to High Ambient Temp at Instrument Cabinet Location.Instrument Repaired.Flow Transmitters Replaced ML20027B9001982-09-24024 September 1982 LER 82-056/03L-0:on 820827,during Normal Operation,Primary Containment Average Air Temp Exceeded 130 F Tech Spec Limit. Caused by Failure of Pneumatic Control Line for Industrial Coolers.Control Line Replaced & Coolers Returned to Svc 1994-05-03
[Table view] Category:RO)
MONTHYEARML20029E5121994-05-12012 May 1994 LER 93-008-01:on 930706,high Pressure Injection Suction Valve Determined to Be Inoperable.Caused by Lack of Engineering Review for Motor Brake Voltage Requirements. Valves Locked & Brake removed.W/940512 Ltr ML20029D7671994-05-0303 May 1994 LER 94-002-00:on 940404,performance of Surveillance Check Power Distibution Breaker Alignment & Power Availability Verification Resulted in Entry Into LCO 3.0.3.Caused by Procedure Error.Procedures revised.W/940503 Ltr ML20046C5581993-08-0404 August 1993 LER 93-008-00:on 930706,possibility of MOV W/Brakes Failing to Perform Safety Function Under Degraded Voltage Conditions Due to Lack of Engineering Review.Identified & Reviewed MOV W/Motor Brakes for Safety significance.W/930804 Ltr ML20046B4121993-07-28028 July 1993 LER 93-007-00:on 930628,noticed That Hydrogen Pressure Setpoint Found to Be Set Above 10 Psig.Caused by Personnel Error.Mod Design Package Developed to Raise Pressure Regulator setpoint.W/930728 Ltr ML20045F7741993-06-30030 June 1993 LER 93-001-01:on 930305,cooldown Exceeding Limits of TS 3.4.9.1 Experienced After Switching from SG Cooling to Dh Sys Cooling.Caused by Failure of Cv Controller.Valve Repaired & Valve Operation Instructions Revised ML20045D7741993-06-18018 June 1993 LER 93-006-00:on 930520,inadequately Secured Separation Barrier Identified That Could Affect Control Switches for safety-related Equipment on Main Control Board.Caused by Human Error.Placard Posted to Restrict area.W/930618 Ltr ML20045B4381993-06-10010 June 1993 LER 93-005-00:on 930518,notified That Control Circuit for Makeup & Purification Sys Letdown Isolation Valve Did Not Meet Electrical Isolation Criteria Due to Human Error.Mod in Development Will Be expanded.W/930610 Ltr ML20044D2101993-05-10010 May 1993 LER 93-004-00:on 930408,inappropriate Personnel Action Resulted in Degraded Class 1E Bus Voltage & Actuation of Edg.Licensee Established Addl Administrative Controls on Switchyard activities.W/930510 Ltr ML20044D1651993-05-10010 May 1993 LER 93-003-00:on 930408,determined That Insufficient Instrument Error Considered When Operating Limits for Core Flood Tank Selected.Caused by Programmatic Deficiency.Alarm Bistables Reset & Allowed Margin expanded.W/930510 Ltr ML20024H2001991-05-20020 May 1991 LER 91-003-00:on 910420,emergency Feedwater Actuation & Manual Reactor Trip Occurred.Caused by Water Instrusion Into Pump Loss of Circulating Water Pump.Plant Modification Previously initiated.W/910520 Ltr ML20024H1741991-05-17017 May 1991 LER 90-002-02:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Design Basis Documents updated.W/910517 Ltr ML20029B0751991-02-28028 February 1991 LER 91-002-00:on 910129,startup Transformer Incapable of Maintaining Voltage Output Above Setpoint of Second Level Undervoltage Relays Under Es Actuation Conditions.New Offsite Power Supply installed.W/910228 Ltr ML20029A6531991-02-25025 February 1991 LER 91-001-00:on 910124,engineered Safeguards Train a HPI Recirculation Isolation Valve MUV-53 Declared Inoperable Due to Undersized Thermal Overload Elements for Motor Operator.Cause Undetermined.Elements replaced.W/910225 Ltr ML20028H7131991-01-21021 January 1991 LER 89-022-01:on 890614,erroneous Indication of Loss of Main Feedwater Pumps Occurred Resulting in Manual ESF Actuation. Temporary Loss of Supervisory Indicating Lights Expected During Bus Realignment.Procedures revised.W/910121 Ltr ML20043H5751990-06-22022 June 1990 LER 90-009-00:on 900523,discovered That Paperwork for Mod to Replace Feedwater Vent Valve Still Open 12 Months After Work Completed.Caused by Lost Blanket Work Request Re post-maint Testing.New Work Request initiated.W/900622 Ltr ML20043G6511990-06-14014 June 1990 LER 90-008-00:on 900514,determined That Fault Current Could Develop Across Engineered Safeguards 480-volt Bus Output Breakers.Caused by Failure to Perform Adequate Short Circuit Analysis.Deficient Trip Devices replaced.W/900614 Ltr ML20043C5221990-05-31031 May 1990 LER 89-035-01:on 890906,determined That Dc Powered Components Exhibited Discrepancy in Rated Voltages & Actual Voltages.Caused by Inadequate Control of Design Process.Inoperable Components replaced.W/900531 Ltr ML20043B8091990-05-23023 May 1990 LER 90-007-00:on 900112,discovered That Door Between Control Room Complex & Turbine Bldg Removed for Mod Work,Resulting in Inoperability of Both Trains of Emergency Ventilation Sys.Door Replaced & Warning Signs affixed.W/900523 Ltr ML20042G7641990-05-0909 May 1990 LER 90-006-00:on 900410,reevaluation of Design Calculations Discovered Deficient Valve Operator Installation.Sufficient Thrust Not Developed to Open or Close Valves Due to Undersized Spring Packs.Spring Packs ordered.W/900509 Ltr ML20042F9781990-05-0707 May 1990 LER 89-031-01:on 890828,480-volt Engineered Safeguards Stepdown Transformer a Faulted Causing Decay Heat Train Closed Cycle Cooling Pump a to Deenergize.Caused by Degraded Insulation.Transformer replaced.W/900507 Ltr ML20012D8091990-03-22022 March 1990 LER 90-003-00:on 900220,instrument Fluctuation Noted During Surveillance of Chilled Water Pump.Caused by Location of Flow Element within Chilled Water Sys.Relief Request Submitted & Field Problem Rept generated.W/900322 Ltr ML20012D0281990-03-19019 March 1990 LER 90-002-00:on 900216,determined That Fire Dampers May Not Be Operable Under Expected Ventilation Flow Conditions Due to Design Error.Caused by Failure of Original Design Criteria to Address Need.Documentation updated.W/900319 Ltr ML20011F1731990-02-21021 February 1990 LER 90-001-00:on 900221,RCS Leakage Calculations Indicated That Unidentified Leakage Exceeded Tech Spec Limits.Caused by Failed Packing on Block Valve.Valve Repacked During Feb 1990 Maint outage.W/900221 Ltr ML19354D9091990-01-17017 January 1990 LER 89-016-03:on 890426,administrative Problems Caused Deficiencies in Environ Qualification Program That Resulted in Plant Equipment Not Being Properly Qualified.Effort to Correct Environ Qualification Deficiencies Underway ML20006E3941990-01-0808 January 1990 LER 89-041-00:on 891208,partial,simultaneous Withdrawal of Two Control Rod Safety Groups Occurred & Safety Group 3 Control Transferred to Auxiliary Power Supply.Cause Undetermined.Select Relays replaced.W/900207 Ltr ML20005F1601990-01-0808 January 1990 LER 89-040-00:on 891208,emergency Diesel Generators a & B Actuated Due to Degraded Voltage When Condensate Pump Started.Operator Guidelines & Procedures for Starting Condensate Pumps Being revised.W/900108 Ltr ML20011D8401989-12-22022 December 1989 LER 89-030-01:on 890824,determined That Pump Discharge Pressure & Flow Less than Required.On 890826,plant Entered Hot Standby.Caused by Installation of Incorrect Impeller in Pump.Original Impeller Reinstalled Upon repair.W/891222 Ltr ML20011D2281989-12-15015 December 1989 LER 89-026-01:on 890629,emergency Diesel Generator 1B Failed post-maint Test & Could Not Be Returned to Svc within Time Allowed by Tech Specs.Caused by Rotor Not Turning.Crankcase Vapor Ejector cleaned.W/891215 Ltr ML19332E7691989-12-0707 December 1989 LER 89-039-00:on 891107,determined That Control Circuits for Two Makeup Valves Did Not Meet Separation Criteria of 10CFR50 App R.Caused by Cognitive Personnel Error.Roving Fire Watch Patrol Confirmed in effect.W/891207 Ltr ML19332F0171989-11-30030 November 1989 LER 89-038-00:on 891029,util Engineers Discovered That Administrative Controls Not in Place for Three Makeup & Purification Sys Valves.Caused by Personnel Error.Plant Procedures revised.W/891130 Ltr ML19332D1391989-11-27027 November 1989 LER 89-037-00:on 891026,determined That Instrumentation Used to Balance HPI Flow Through Four Injection Lines During Small Break LOCA Inadequate.Caused by Inadequate Review of B&W Guidelines.Flow Instrument installed.W/891127 Ltr ML19327C2611989-11-17017 November 1989 LER 89-036-00:on 891018,determined That Plant Operating Outside Design Basis Since Borated Water Storage Tank Level Transmitters Not Seismically Qualified.Caused by Personnel Error.Unqualified Transmitters replaced.W/891117 Ltr ML19325F3371989-11-10010 November 1989 LER 89-033-00:on 890908,second Level Undervoltage Relay Sys Setpoint for Engineered Safeguards Buses Not Conservative & Led to Operation Outside Plant Design Basis.Caused by Personnel Error.Setpoint changed.W/891110 Ltr ML19325F3341989-11-10010 November 1989 LER 89-035-00:on 890906,discrepancy Noted in dc-powered Component Rated Voltages & Actual Voltages Seen by Components.Caused by Inadequate Control of Design Process. All Components Replaced Prior to startup.W/891110 Ltr ML19325E7371989-10-27027 October 1989 LER 85-034-01:on 850310,valve Alarm Function for Core Flood Tank Isolation Valves Failed to Meet Acceptance Criteria.On 850809,unit Entered Mode 3 & Then Raised RCS Pressure Above 750 Psig W/O Meeting Operability surveillances.W/891027 Ltr ML19324B3921989-10-26026 October 1989 LER 88-002-02:on 880107,emergency Feedwater Actuation Occurred on Loss of Both Main Feedwater Pumps.Caused by Instrumentation & Control Technician Error.Idle Feedwater Pump Started & Actuation reset.W/891026 Ltr ML19324B3871989-10-26026 October 1989 LER 89-034-00:on 890926,two Conditions Determined to Be Outside Plant Design Basis Re Solenoid Control Valves.Caused by Cognitive Personnel Error.Test Solenoid Valve Circuits Provided W/Isolation fuses.W/891026 Ltr ML19327B2301989-10-23023 October 1989 LER 89-016-02:from 890227-0601,deficiencies Re Environ Qualification of Plant Equipment Discovered.Caused by Deficiencies in Detailed Development & Implementation of Environ Qualification Program.Program reviewed.W/891023 Ltr ML20024D2501983-07-26026 July 1983 Updated LER 83-019/03L-1:on 830406,breaker in Engineered Safeguards Motor Control Ctr 3B1 Shorted Out,Causing Various Pieces of Equipment on Train B to Be Inoperable.Caused by Personnel Error.Breaker Removed & cleaned.W/830726 Ltr ML20024D1491983-07-26026 July 1983 Updated LER 82-003/01T-0:on 820128,RCS Leakage Calculations Showed Unidentified Leakage at Rate Greater than 1 Gpm. Caused by Thermally Induced Cyclic Failure.New Valve Will Be Installed in Improved location.W/830726 Ltr ML20024D1061983-07-26026 July 1983 Updated LER 82-004/01T-1:on 820129,while Performing Visual Insp of Reactor Coolant Pump a Seal Package,Rcpb Leakage Discovered from Crack in Seal Weld.Caused by Installation Error.Seal Replaced & Procedures revised.W/830726 Ltr ML20024C0951983-06-27027 June 1983 LER 83-023/01T-0:on 830613,fire Damper FD-86,in Duct Work Between Auxiliary Bldg & Control Complex,Discovered Missing. Cause Unknown.Continuous Fire Watch Established.Evaluation underway.W/830627 Ltr ML20023E0971983-06-0101 June 1983 LER 83-021/03L-0:on 830504,three Hydraulic Snubbers Failed Functional Test During Dec Outage & 107 Snubbers Failed Test During Refuel Iv.Caused by Seal Failure & Valve Assembly Contamination.All Snubbers modified.W/830531 Ltr ML20023C5251983-05-0909 May 1983 LER 83-020/03L-0:on 830409,discovered That Surveillance Interval for Fire Detection Instrumentation in Emergency Diesel Generator & Control Rooms Exceeded by 6 Months.Caused by Procedural Inadequacy.Procedure SP-411 Will Be Revised ML20023B4091983-04-27027 April 1983 LER 83-018/01T-0:on 830413,preliminary Repts Received from B&W Indicating That 51 of 120 Upper Core Barrel Bolts Ultrasonically Tested May Be Defective.Cause Unknown. Investigation Underway.Supplemental Rept Will Be Written ML20028E0561983-01-13013 January 1983 LER 82-075/03L-0:on 821215,during Cold Shutdown,Circuit Breaker on Control Complex Ventilation Radiation Monitor RMA-5 Tripped.Caused by Broken Pump Vane Binding Pump. Pump Replaced ML20028A5321982-11-10010 November 1982 LER 82-063/03L-0:on 821011,reactor Bldg Average Air Temp Exceeded 130 F Limit.Caused by Strain on Instrument Air Line Causing Line to Split.Line Replaced on 821011 ML20027D7021982-10-29029 October 1982 LER 82-061/03L-0:on 820929,fan Damper Operator on Industrial Cooler Failed,Resulting in Reactor Bldg Average Air Temp Exceeding 130 F.Caused by Water in Instrument Air Sys Due to Personnel Failing to Close Valve FSV-250.Dampers Wired Open ML20027B8881982-09-24024 September 1982 LER 82-055/03L-0:on 820825,feedwater Ultrasonic Flow Indicator FW-313-FI Found Inoperable.Caused by Instrument Failure Due to High Ambient Temp at Instrument Cabinet Location.Instrument Repaired.Flow Transmitters Replaced ML20027B9001982-09-24024 September 1982 LER 82-056/03L-0:on 820827,during Normal Operation,Primary Containment Average Air Temp Exceeded 130 F Tech Spec Limit. Caused by Failure of Pneumatic Control Line for Industrial Coolers.Control Line Replaced & Coolers Returned to Svc 1994-05-03
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217G0191999-10-15015 October 1999 Safety Evaluation Concluding That Licensee Followed Analytical Methods Provided in GL 90-05.Grants Relief Until Next Refueling Outage,Scheduled to Start on 991001.Temporary non-Code Repair Must Then Be Replaced with Code Repair 3F1099-19, Part 21 Rept Re Damage on safety-grade Cable Provided to FPC by Bicc Brand-Rex Co.Damage Was Created During Cabling Process While Combining Three Conducters.Corrective Action Program Precursor Card PC99-2868 Was Initiated1999-10-13013 October 1999 Part 21 Rept Re Damage on safety-grade Cable Provided to FPC by Bicc Brand-Rex Co.Damage Was Created During Cabling Process While Combining Three Conducters.Corrective Action Program Precursor Card PC99-2868 Was Initiated ML20217B0931999-10-0606 October 1999 Part 21 Rept Re Damaged Safety Grade Electrical Cabling Found in Supply on 990831.Damage Created During Cabling Process While Combining Three Conductors Just Prior to Closing.Vendor Notified of Reporting of Issue ML20212L0881999-10-0404 October 1999 SER Accepting Licensee Requests for Relief 98-012 to 98-018 Related to Implementation of Subsections IWE & Iwl of ASME Section XI for Containment Insp for Crystal River Unit 3 ML20212J8631999-10-0101 October 1999 Safety Evaluation Supporting Licensee Proposed Alternatives to Provide Reasonable Assurance of Structural Integrity of Subject Welds & Provide Acceptable Level of Quality & Safety.Relief Granted Per 10CFR50.55a(g)(6)(i) ML20212E9031999-09-30030 September 1999 FPC Crystal River Unit 3 Plant Reference Simulator Four Year Simulator Certification Rept Sept 1995-Sept 1999 3F1099-02, Monthly Operating Rept for Sept 1999 for Crystal River,Unit 3.With1999-09-30030 September 1999 Monthly Operating Rept for Sept 1999 for Crystal River,Unit 3.With ML20212E6911999-09-21021 September 1999 Safety Evaluation Supporting Proposed EALs Changes for Plant Unit 3.Changes Meet Requirements of 10CFR50.47(b)(4) & App E to 10CFR50 ML20211L1321999-08-31031 August 1999 EAL Basis Document 3F0999-02, Monthly Operating Rept for Aug 1999 for Crystal River,Unit 3.With1999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Crystal River,Unit 3.With ML20212C1501999-08-31031 August 1999 Non-proprietary Version of Rev 0 to Crystal River Unit 3 Enhanced Spent Fuel Storage Engineering Input to LAR Number 239 ML20211B7291999-08-16016 August 1999 Rev 2 to Cycle 11 Colr ML20210P1111999-08-0505 August 1999 SER Accepting Evaluation of Third 10-year Interval Inservice Insp Program Requests for Relief for Plant,Unit 3 ML20210U5341999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Crystal River,Unit 3 ML20209F5601999-07-31031 July 1999 EAL Basis Document, for Jul 1999 3F0799-01, Monthly Operating Rept for June 1999 for Crystal River,Unit 3.With1999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Crystal River,Unit 3.With ML20210U5411999-06-30030 June 1999 Revised Monthly Operating Rept for June 1999 for Crystal River,Unit 3 3F0699-07, Monthly Operating Rept for May 1999 for Crystal River,Unit 3.With1999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Crystal River,Unit 3.With ML20210U5601999-05-31031 May 1999 Revised Monthly Operating Rept for May 1999 for Crystal River,Unit 3 ML20195C6271999-05-28028 May 1999 Non-proprietary Rev 0 to Addendum to Topical Rept BAW-2346P, CR-3 Plant Specific MSLB Leak Rates ML20196L2031999-05-19019 May 1999 Non-proprietary Rev 0 to BAW-2346NP, Alternate Repair Criteria for Tube End Cracking in Tube-to-Tubesheet Roll Joint of Once-Through Sgs 3F0599-04, Monthly Operating Rept for Apr 1999 for Crystal River Unit 3.With1999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Crystal River Unit 3.With ML20210U5631999-04-30030 April 1999 Revised Monthly Operating Rept for Apr 1999 for Crystal River,Unit 3 3F0499-04, Monthly Operating Rept for Mar 1999 for Crystal River Unit 3.With1999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Crystal River Unit 3.With ML20204D9661999-03-31031 March 1999 Non-proprietary Rev 1,Addendum a to BAW-2342, OTSG Repair Roll Qualification Rept 3F0399-04, Special Rept 99-01:on 990310,discovered Containment Tendons That Required Grease Addition in Excess of Prescribed Limits During Recent Insp Activites.Six Tendons Were Refilled with Appropriate Amount of Grease1999-03-10010 March 1999 Special Rept 99-01:on 990310,discovered Containment Tendons That Required Grease Addition in Excess of Prescribed Limits During Recent Insp Activites.Six Tendons Were Refilled with Appropriate Amount of Grease 3F0399-03, Monthly Operating Rept for Feb 1999 for Crystal River Unit 3.With1999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Crystal River Unit 3.With ML20203A4381999-02-0303 February 1999 Safety Evaluation Supporting EAL Changes for License DPR-72, Per 10CFR50.47(b)(4) & App E to 10CFR50 ML20206E9891998-12-31031 December 1998 Kissimmee Utility Authority 1998 Annual Rept ML20206E9021998-12-31031 December 1998 Florida Progress Corp 1998 Annual Rept ML20206E9701998-12-31031 December 1998 Ouc 1998 Annual Rept. with Financial Statements from Seminole Electric Cooperative,Inc 3F0199-05, Monthly Operating Rept for Dec 1998 for Crystal River Unit 3.With1998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Crystal River Unit 3.With ML20206E9261998-12-31031 December 1998 Gainesville Regional Utilities 1998 Annual Rept 3F1298-13, Monthly Operating Rept for Nov 1998 for Crystal River,Unit 3.With1998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Crystal River,Unit 3.With 3F1198-05, Monthly Operating Rept for Oct 1998 for Crystal River,Unit 3.With1998-10-31031 October 1998 Monthly Operating Rept for Oct 1998 for Crystal River,Unit 3.With ML20155F4071998-10-31031 October 1998 Rev 2 to Pressure/Temp Limits Rept ML20155J2701998-10-28028 October 1998 Second Ten-Year Insp Interval Closeout Summary Rept 3F1098-06, Monthly Operating Rept for Sept 1998 for Crystal River Unit 3.With1998-09-30030 September 1998 Monthly Operating Rept for Sept 1998 for Crystal River Unit 3.With ML20206E9461998-09-30030 September 1998 Utilities Commission City of New Smyrna Beach,Fl Comprehensive Annual Financial Rept Sept 30,1998 & 1997 ML20206E9561998-09-30030 September 1998 City of Ocala Comprehensive Annual Financial Rept for Yr Ended 980930 ML20206E9101998-09-30030 September 1998 City of Bushnell Fl Comprehensive Annual Financial Rept for Fiscal Yr Ended 980930 ML20206E9811998-09-30030 September 1998 City of Tallahassee,Fl Comprehensive Annual Financial Rept for Yr Ended 980930 ML20195E3121998-09-30030 September 1998 Comprehensive Annual Financial Rept for City of Leesburg,Fl Fiscal Yr Ended 980930 3F0998-07, Monthly Operating Rept for Aug 1998 for Crystal River Unit 3.With1998-08-31031 August 1998 Monthly Operating Rept for Aug 1998 for Crystal River Unit 3.With ML20236W6501998-07-31031 July 1998 Emergency Action Level Basis Document 3F0898-02, Monthly Operating Rept for Jul 1998 for Crystal River,Unit 11998-07-31031 July 1998 Monthly Operating Rept for Jul 1998 for Crystal River,Unit 1 ML20236V8801998-07-30030 July 1998 Control Room Habitability Rept 3F0798-01, Monthly Operating Rept for June 1998 for Crystal River Unit 31998-06-30030 June 1998 Monthly Operating Rept for June 1998 for Crystal River Unit 3 ML20236Q4611998-06-30030 June 1998 SER for Crystal River Power Station,Unit 3,individual Plant Exam (Ipe).Concludes That Plant IPE Complete Re Info Requested by GL 88-20 & IPE Results Reasonable Given Plant Design,Operation & History 3F0698-02, Monthly Operating Rept for May 1998 for Crystal River Unit 31998-05-31031 May 1998 Monthly Operating Rept for May 1998 for Crystal River Unit 3 1999-09-30
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Florida Power c o neo n aiinN Crystal River Unit 3 Docket No. 50-302 May 17, 1991 3F0591-10 U. S. Nuclear Regulatory Commission Attention: Document Control Desk Washington, D. C. 20555
Subject:
Licensee Event Report (LER) 90-02-02
Dear Sir:
Enclosed is Licensee Event Report (LER) 90-02-02 which is submitted in accordance witii 10 CFR 50.73.
This supplement includes additional information and provides the status of the subject item.
Sincerely, G. L. Boldt Vice President Nuclear Production WLR: mag Enclosure xt: Regional Administrator, Region II NRR Project Manager Senior Resident Inspector 9105290201 910517
[ [k f'DR A Florida Progress Company
.. ADOCV 05000302 PDR
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FIRE DAMPERS MAY NOT CLOSE UNDER VENTILATION FLOW CONDITIONS DUE TO FAILURE TO CONSIDER FLOW CONDITIONS IN ORIGINAL DESIGN CRITERIA PER NRC IEN 89 52 EVENT DAf f tSi Lt R NUMetR 16 R E POR T D A f t t h OTHE R 8 ACILITit $ thv0LVED iti Dev ttAR vtAR N DAV ' A D lit V N Awf 5 DOCK E T NJVBt R:5!
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On February 16,1990, at 1132, Crystal River Unit 3 determined that fire dampers may not be operable under expected ventilation flow conditions due to a design error. This conclusion was based on the results of testing and evaluation of plant fire dampers and ventilation flows performed as a result of Information Notice 89-52. Roving fire watch patrol routes were reviewed and revised to assure 100 percent coverage of the fire areas. Continuous fire watches were posted in areas where fire detectors were inoperable. The root cause of this event is the failure of the original design criteria to address the need to close the dampers under ventilation flow conditions. This condition had been identified in 1985 by an internal contractor evaluation but, due to personnel error,.
had not been pursued and resolved. Dampers which are installed in ,
locations with excessive ventilation flows will either be modified to assure closure under design air flow conditions or fans will be turned off during a fire to allow closure of the dampers under reduced air flow conditions. Design basis documents have been updated to reflect the need for fire dampers to close under ventilation flow conditions.
NRC Form 384 i64%
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" dm W,72 CRYSTAL RIVER UNIT 3 0F 0 l5 l0 l0 l0 l 3l0 l2 9 l0 0 l 0l 2 -
0l2 0 l2 0l 5 IEXT l# rnure spece e regiss( see e.Ateons/ MC form MA's)(1h EVERLRESCRIPTIONJ On February 16,1990, at 1132, Crystal River Ur.ii 3 (CR-3) determined that fire dampers [KP,DMP] may not be operable under expected ventilation flow conditions due to a design error. Several curtain-type fire dampers may not fully close with ventilation air flow.
On August 30, 1989, Florida Power Corporation (FPC) evaluated NRC Information Notice 89-52, " Potential Fire Damper Operational Problems", and determined the concerns identified by this notice may apply to CR-3. On November 10, 1989, FPC completed a review of damper flow rates and identified a representative sample of single section dampers corresponding to approximately 10% of the dampers to drop test under actual flow conditions. On January 26, 1990, CR-3 began drop testing the selected dampers.
On February 6,1990, when three out of five dampers tested failed, an action p' v was developed and a Nonconforming Operations Report was initiated. At this time, CR-3 was in MODE 1(POWER OPERATION), 97% power. The action plan included:
- i. Perform a root cause evaluation of the fire damper failures,
- 11. Assure the hourly fire watch patrol route included all areas associated with the Technical Specification required fire dampers.
iii. Assure a continuous fire watch is posted in areas with inoperable fire detectors (10,28].
iv. Begin repair of the failed fire dampers.
- v. Continue testing the selected dampers.
At 1132, on February 16, 1990, the root cause evaluation concluded the damper f ailures were caused by design deficiency. At the time, CR-3 was in MODE 5(COLD SHUIDOWN) with Reactor Coolant System temperature 95 degrees and at atmospheric pressure. CR-3 had been shutdown since February 12 to repair RCV-8, Pressurizer Code Safety / Relief valve [AB,RV]. At 1235, the NRC Operations Center was notified of this event per 10CFR50.72(a)(2)(i). This written report is being made per the requirements of 10CFR50.73(a)(2)(ii)(B) for operation outside the plant design basis.
The fire dampers are designed with several interlocking slats which are retracted in a configuration similar to a raised venetian blind. The fire dampers are actuated by fusible links. When the damper is released, the damper is pulled into position by retract ing springs and may be assisted by gravity. As the damper attempts to close, the increasing air velocity induced pressure can lock up the dampers and prevent them from fully closing. For some dampers, this may cause the closing spring to break. The fire dampers affected are various sizes and manufactured by Air Balance, Inc., Model Nos. N319ALV (vertical) and N319ALH (horizontal), three hour UL-rated.
NRC Poem MA (689!
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u n ~. .. . .~ .c ,- - ,n a, in June 1985, during an evaluation of CR-3 fire protection features by an fPC cor, tractor, the need to verify the ability of dampers, especially multi-section dampers, to close under ventilation flow conditions was identified. A summary of maximum acceptable velocit es through Air Balance type 319 fire dampers was provided by the contractor. As a result of the contractor's finding, a study was performed to determine the ability of multi-section dampers to close. This study concluded several dampers should have larger nine pound springs, rather than the currently installed four pound springs. No action was taken to follow up on these recommendations at that time.
ChMLI The root cause of this event is the failure of the original plant design to consider the need to close the dmapers under ventilation flow conditions. At the time the plant was designed, this was the standard practice since closure under air flow is not required by the NFPA code. When Appendix R was implemented at CR 3 a contractor performed a study to identify deficiencies in the air damper capabilities. The study resulted in several reco.nmendations for improvement of the fire dampers. Due to FPC engineering personnel error, the recominondations in the study were not pursued. This was a violation of engineering procedures which were in effect at the time of the study.
EVENT EVALVATIONi The purpose of these fire dampers is to help assure a fire is limited to a single area. By limiting the spread of the fire and by protecting certain trains of equipment, availability of alternate equipment located in adjacent areas, which may be needed for safe shutdown, is assured.
The design error affects ten of approximately 120 total fire dampers. Several damper desions include an automatic trip of the associated operating fans. Most of the dampers tested to date satisfactorily completed the closure test under ventilation flow conditions. The dampers which have failed are those installed in areas where the ventilation flow is very large. Attached is a list of the l
dampers affecti.d, their location and a general description of the areas protected l by the damper, i
Since 1985, CR-3 has main ^ained an liourly roving fi re watch. The roving fire watch is required to walk an eslebiBhed route each hour and observe for fires.
If a fire is observed, the watch repo ts the fire immediately and extinguishes the fire if possible. The route (s) established since 1985 cover approximately l
90 percent of the plant fire areas. b aMition, the operability of fire i
detectors on at least one side of each fire barrier has been maintained and monitored, hMC Form 3He A f649)
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0l 0l 2 0 l2 0 l4 or 0l5 Considering the safety aspects derived from the roving fire watch and existing fire detection and suppression systems in the areas of concern, the failure of some dampers to close under flow conditions does not create undue risk to the safety of the public.
CORRECTIVE ACTION:
Each fire damper flow rate has been compared to test data which reflects the maximum flow rate under which the damper is expected to successfully close.
Based on this review, dampers which were close to or exceeded the maximum allowable flow rate were drop tested. Additionally, certain dampers identified in the 1995 study were inspected to determine if larger nine pound spring. were installed. The dampers that failed the testing and inspection are identified in the Attachment.
To ensure the identified dampers close during a fire, FPC is pursuing the necessary improvements including:
o multiple closure springs and larger nine pound springs, i e o redesigned spring bracket,
, flow interrupters in the ducts, and e a temperature switch to turn off the associated fans and a higher temperature fusible link to allow the damper tc close under no flow conditions.
I Design basis documents have been updated to reflect the need for fire dampers to close under ventilation flow conditions.
Since 1985, several procedural and organizational changes have occurred which should prevent recurrence of the personnel error associated with the H85 Damper Study. These changes include strengthening engineering procedures by adding requirements for management review and approval of studies, improving and proceduralizing engineering problem reporting, establishing a Design Basis Engineering Group, and the addition of a Fire Protection Engineer to the fire Protection Staff.
PREVIOUS SIMILAR EVENTS 1 There have been three prior events related to fire dampers. Two of these events were related to design errors. This is the first event involving a design failure concerning damper closure under ventilation flow conditions.
i NRC Form 35&A i6497
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FD-223, 224, These multi-section dampers separate fire areas in the 164', 145' 225, 226, and 124' elevations of the Control Complex (NA). These fire areas 238, 239, include the Main Control Room (C0-134-1188) and Cable Spreading Room (CC-134-118A), Operations Office (CC-145-119), Control Complex Ventilation Equipment room (CC-164-121A) and the 124' elevation hallway (CC-124-111). In the event of a fire that spreads between these areas, control of safe shutdown equipment will be transferred to the Remote Shutdown Panel and the dedicated Control Complex HVAC will be used. The dedicated HVAC should not De affected by a fire in this area.
FD-266 This damper is located in the floor of the 119' elevation of the Auxiliary Building (NE]. It separates the Reactor Coolant Pump Seal Injection fiiter Room (AB-953Y) from the 119' elevation Hallway (AB-119-60). A fire could affect the safe shutdown equipment on the 95' elevation and then move upward through this damper to the 119' elevation. Should a design basis fire spread to both of these areas, then Decay Heat (BP] and Nuclear Service Closed Cycle Cooling Water (CC] systems may not be available for shutdown.
FD-271 This damper is located in the floor of the 119' elevation of the Auxiliary Building (NE]. It separates the Miscellaneous Radioactive Waste Rooms (AB-95-3K) from the 119' elevation Central Hallway (AB-119-6J). Should a design basis fire spread to both of these areas, then the Makeup Injection [BG) and Decay Heat (BP]
systems may not be available for shutdown.
FD-273 This damper is located in the floor r f the 119' elevation of the Auxiliary Building (NE]. It separates the 119' elevation Central Hallway (AB-119-6J) from the 95' elevation Central Hallway (AB 3G). Should a design basis fire spread to both of these areas, then Makeup Injection and Decay Heat systems may not be available for shutdown.
FD 278 This damper is located in the wall between the intermediate and Auxiliary (NE] Buildings on the 95' elevation. This damper separates the 95' elevation North Hallway Nuclear Sample Room (A8-95-38) from the Intermediate Building Fenetration and fan area (IB-95-200C). Should a design basis fire spread to both of these areas, at least one train of safe shutdown equipment will still be available.
- Evaluation is based on the Crystal River Unit 3 Updated fire Hazards Analysis, Revision 2, November 1989. Mitigating factors for a fire in the affected areas is discussed in " Event Evaluation".
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