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Category:LICENSEE EVENT REPORT (SEE ALSO AO RO)
MONTHYEAR05000382/LER-1999-014, :on 990910,reactor Shutdown Due to Loss of Controlled bleed-off Flow,Occurred.Caused by Rotating Baffle failure.Two-piece Rotating Baffle of Original Design Was Located & Installed,In Order to Repair RCP 2B1999-10-12012 October 1999
- on 990910,reactor Shutdown Due to Loss of Controlled bleed-off Flow,Occurred.Caused by Rotating Baffle failure.Two-piece Rotating Baffle of Original Design Was Located & Installed,In Order to Repair RCP 2B
05000382/LER-1999-013, :on 990825,exceeding TS Limits for RCS Cooldown Rate Was Discovered.Caused by Inadequate Content & Inadequate Implementation of TS Requirements.Page 2 of 2 in Attachment 2 of Incoming Submittal Not Included1999-09-23023 September 1999
- on 990825,exceeding TS Limits for RCS Cooldown Rate Was Discovered.Caused by Inadequate Content & Inadequate Implementation of TS Requirements.Page 2 of 2 in Attachment 2 of Incoming Submittal Not Included
05000382/LER-1999-012-01, :on 990812,potential Operation with Both Control Room Normal Outside Air Intakes Valves Inoperable Occurred.Cause for Event Was Indeterminate.Seat Leakage Requirements Calculated.With1999-09-13013 September 1999
- on 990812,potential Operation with Both Control Room Normal Outside Air Intakes Valves Inoperable Occurred.Cause for Event Was Indeterminate.Seat Leakage Requirements Calculated.With
05000382/LER-1999-011-01, :on 990801,with Plant Operating 100% Power, Lowering RCP Seal Pressures,Along with Dropping Controlled bleed-off (Cbo) & Increasing Cbo Temp Discovered.Caused by fatigue-induced Failure of Rotating Baffle of RCP 2B1999-08-31031 August 1999
- on 990801,with Plant Operating 100% Power, Lowering RCP Seal Pressures,Along with Dropping Controlled bleed-off (Cbo) & Increasing Cbo Temp Discovered.Caused by fatigue-induced Failure of Rotating Baffle of RCP 2B
05000382/LER-1999-009-01, :on 990727,discovered App R Noncompliance Condition Involving Inadequate Separation of Safe Shutdown Cables.Caused Design Analysis Deficiency.Compensatory Measures Were Established1999-08-26026 August 1999
- on 990727,discovered App R Noncompliance Condition Involving Inadequate Separation of Safe Shutdown Cables.Caused Design Analysis Deficiency.Compensatory Measures Were Established
05000382/LER-1999-010-01, :on 990726,discovered Inadequate Pumping Capacity in Dry Cooling Tower Area.Caused by Inadequate Design Control.Portable Pumps Were Installed in Each Dry Cooling Tower Areas to Ensure Sufficient Pumping Capacity1999-08-26026 August 1999
- on 990726,discovered Inadequate Pumping Capacity in Dry Cooling Tower Area.Caused by Inadequate Design Control.Portable Pumps Were Installed in Each Dry Cooling Tower Areas to Ensure Sufficient Pumping Capacity
05000382/LER-1999-008-01, :on 990629,failure to Perform Testing of ESF Filtration Units Per TS Was Noted.Cause for Testing Charcoal Samples Contrary to TS Could Not Be Determined.All Future Analysis Will Be Performed IAW ASTM D3803-1989,per GL 99-021999-07-29029 July 1999
- on 990629,failure to Perform Testing of ESF Filtration Units Per TS Was Noted.Cause for Testing Charcoal Samples Contrary to TS Could Not Be Determined.All Future Analysis Will Be Performed IAW ASTM D3803-1989,per GL 99-02
05000382/LER-1999-007-01, :on 990625,operation Outside Tornado Missile Protection Licensing Basis for turbine-driven EFW Pump & Steam Supply Piping,Was Discovered.Caused Indeterminent. Entergy Will Submit 10CFR50.90 to NRC Staff1999-07-23023 July 1999
- on 990625,operation Outside Tornado Missile Protection Licensing Basis for turbine-driven EFW Pump & Steam Supply Piping,Was Discovered.Caused Indeterminent. Entergy Will Submit 10CFR50.90 to NRC Staff
05000382/LER-1999-006-01, :on 990614,plant Experienced Automatic Reactor Trip Following Loss of 7kV Bus.Caused by Spurious Actuation of Relay on Either RCP 1A or 2A.Personnel Performed Final Switchgear Walkdown with Indications Normal.With1999-07-14014 July 1999
- on 990614,plant Experienced Automatic Reactor Trip Following Loss of 7kV Bus.Caused by Spurious Actuation of Relay on Either RCP 1A or 2A.Personnel Performed Final Switchgear Walkdown with Indications Normal.With
05000382/LER-1999-005-01, :on 980702,determined That Four Contacts in Control Circuits of EFW Control Valves Were Untested.Caused by Personnel Error.Untested Contacts Have Been Tested1999-06-24024 June 1999
- on 980702,determined That Four Contacts in Control Circuits of EFW Control Valves Were Untested.Caused by Personnel Error.Untested Contacts Have Been Tested
05000382/LER-1999-004-02, :on 990415,discovered That Complete Response Time for ESFAS Containment Cooling Function Had Not Been Performed.Caused by Response Time Testing Deficiency. Procedures Will Be Revised to Include Subject Testing1999-05-14014 May 1999
- on 990415,discovered That Complete Response Time for ESFAS Containment Cooling Function Had Not Been Performed.Caused by Response Time Testing Deficiency. Procedures Will Be Revised to Include Subject Testing
ML20205T2621999-04-22022 April 1999 LER 99-S02-00:on 990216,contract Employee Inappropriately Granted Unescorted Access to Plant Protected Area.Caused by Personnel Error.Security Personnel Performed Review of Work & Work Area That Individual Was Involved with 05000382/LER-1999-003-02, :on 990311,determined That Four Containment Vacuum Relief valves,CVR-101,CVR-201,CVR-102 & CVR-202,were Not Tested.Caused by Contractor Supply of Misinformation. Details of Event Discussed with Contractor.With1999-04-0909 April 1999
- on 990311,determined That Four Containment Vacuum Relief valves,CVR-101,CVR-201,CVR-102 & CVR-202,were Not Tested.Caused by Contractor Supply of Misinformation. Details of Event Discussed with Contractor.With
05000382/LER-1999-002-03, :on 990225,discovered RCS Pressure Boundary Leakage on Two Inconel 600 Instrument Nozzles.Caused by Axial Cracks Near HAZ of Nozzle Partial Penetration Welds Resulting from Pwscc.Leaking Nozzles Have Been Repaired1999-03-25025 March 1999
- on 990225,discovered RCS Pressure Boundary Leakage on Two Inconel 600 Instrument Nozzles.Caused by Axial Cracks Near HAZ of Nozzle Partial Penetration Welds Resulting from Pwscc.Leaking Nozzles Have Been Repaired
ML20207F3491999-03-0505 March 1999 LER 99-S01-00:on 990203,contraband Was Discovered in Plant Protected Area.Bottle Was Determined to Have Been There Since Original Plant Construction.Bottle Was Removed & Security Personnel Performed Search of Area.With 05000382/LER-1999-001, :on 990105,TS 3.0.3 Was Entered.Caused by Less than Adequate Chiller Thermostat Control.Placed Tamper Seal on Chiller Thermostat.With1999-02-0404 February 1999
- on 990105,TS 3.0.3 Was Entered.Caused by Less than Adequate Chiller Thermostat Control.Placed Tamper Seal on Chiller Thermostat.With
05000382/LER-1998-020, :on 981204,determined That Certain Core Power Distribution SRs Had Been Incorrectly Scheduled.Caused by TS Change Implementation Error.Will Perform Final Review of TS SRs with 4.0.4 Exemption.With1998-12-31031 December 1998
- on 981204,determined That Certain Core Power Distribution SRs Had Been Incorrectly Scheduled.Caused by TS Change Implementation Error.Will Perform Final Review of TS SRs with 4.0.4 Exemption.With
05000382/LER-1998-016, :on 980730,failed to Meet TS Requirements for for RT Bypasses.Cause Not Determined Because of Age of condition.1E-4% Bistables for All for Channels of Excore Log Power Channels Were Declared Inoperable 9807301998-08-27027 August 1998
- on 980730,failed to Meet TS Requirements for for RT Bypasses.Cause Not Determined Because of Age of condition.1E-4% Bistables for All for Channels of Excore Log Power Channels Were Declared Inoperable 980730
ML20237B6831998-08-17017 August 1998 LER 98-S01-00:on 980723,discovered That Waterford 3 Physical Security Plan,Safeguards Document Was Not Under Positive Control of Authorized Person at All Times.Caused by Human Error/Inappropriate Action.Counseled Employee Involved 05000382/LER-1998-013, :on 980701,IST Valve Surveillances Were Missed. Caused by Inadequate Processing of Info Transferred Between Operations Procedure Group & Programs Engineering.Procedure Revised1998-07-30030 July 1998
- on 980701,IST Valve Surveillances Were Missed. Caused by Inadequate Processing of Info Transferred Between Operations Procedure Group & Programs Engineering.Procedure Revised
05000382/LER-1998-012, :on 980609,TS Channel Check for TS Surveillance 4.3.1.1 Was Missed.Caused by Human Error.Involved Employees Were Counseled & All Licensed Operators Were Apprised of Event1998-07-0909 July 1998
- on 980609,TS Channel Check for TS Surveillance 4.3.1.1 Was Missed.Caused by Human Error.Involved Employees Were Counseled & All Licensed Operators Were Apprised of Event
05000382/LER-1998-011, :on 980603,TS 3.0.3 Entry Was Noted.Caused by Component Cooling Water Makeup Check Valve Failing Ist. Operability of a Train of CCW Was Restored Immediately & Check Valve Internals Were Replaced1998-07-0202 July 1998
- on 980603,TS 3.0.3 Entry Was Noted.Caused by Component Cooling Water Makeup Check Valve Failing Ist. Operability of a Train of CCW Was Restored Immediately & Check Valve Internals Were Replaced
05000382/LER-1998-007, :on 980317,discovered That No Allowance for Instrument Loop Uncertainity Included in Surveillance for Chilled Water Outlet Temp.Caused by Failure to Consider Instrument Loop Uncertainty.Revised Task1998-04-16016 April 1998
- on 980317,discovered That No Allowance for Instrument Loop Uncertainity Included in Surveillance for Chilled Water Outlet Temp.Caused by Failure to Consider Instrument Loop Uncertainty.Revised Task
05000382/LER-1998-006, :on 980306,increased Differential Pressure for Feedwater Isolation Valves Occurred.Caused by Failure to Consider All Pressure Source Affecting Mfivs.Admin Controls Have Been Enacted Requiring Entry Into TS 3.6.31998-04-13013 April 1998
- on 980306,increased Differential Pressure for Feedwater Isolation Valves Occurred.Caused by Failure to Consider All Pressure Source Affecting Mfivs.Admin Controls Have Been Enacted Requiring Entry Into TS 3.6.3
05000382/LER-1998-005, :on 980312,missed Thermal Overload TS Surveillance Were Noted.Caused by Inadequate Review of 1992 Rev to TS 3.8.4.2 IAW GL 91-08.Thermal Overloads for 8 MOVs Were Subsequently Tested & Determined to Be Operable1998-04-13013 April 1998
- on 980312,missed Thermal Overload TS Surveillance Were Noted.Caused by Inadequate Review of 1992 Rev to TS 3.8.4.2 IAW GL 91-08.Thermal Overloads for 8 MOVs Were Subsequently Tested & Determined to Be Operable
05000382/LER-1998-004, :on 980304,TS 4.0.3 Condition - CPC Channel Functional Test,Was Concluded from Preliminary CEOG Rept. Caused by Human Error.Cpc Channels A,B & C Were Satisfactorily Tested1998-04-0303 April 1998
- on 980304,TS 4.0.3 Condition - CPC Channel Functional Test,Was Concluded from Preliminary CEOG Rept. Caused by Human Error.Cpc Channels A,B & C Were Satisfactorily Tested
05000382/LER-1998-003, :on 980302,inoperable Hydrogen Analyzers Were Noted Due to Undersized Thermal Overloads.Engineering Personnel Conducted all-hands Meetings to Discuss Management Expectations for Verifying Critical Design Inputs1998-04-0101 April 1998
- on 980302,inoperable Hydrogen Analyzers Were Noted Due to Undersized Thermal Overloads.Engineering Personnel Conducted all-hands Meetings to Discuss Management Expectations for Verifying Critical Design Inputs
05000382/LER-1998-002, :on 980215,brief Loss of Command Function in CR Occurred.Caused by Inappropriate Action (Human Error) on Part of Shift Superintendent.Ss Was Counseled IAW Corporate Discipline Policy1998-03-18018 March 1998
- on 980215,brief Loss of Command Function in CR Occurred.Caused by Inappropriate Action (Human Error) on Part of Shift Superintendent.Ss Was Counseled IAW Corporate Discipline Policy
05000382/LER-1998-001-01, :on 980214,TSs 3.0.3 Condition Occurred Due to Inoperable Charging Pumps.Replaced Failed SX-1 Relay1998-03-16016 March 1998
- on 980214,TSs 3.0.3 Condition Occurred Due to Inoperable Charging Pumps.Replaced Failed SX-1 Relay
ML20198K3921998-01-12012 January 1998 LER 97-S05-00:on 971210,emergency Vehicles Entered Into Protected Area W/O Proper Security Search.Caused by Misinterpretation of Security Procedure Requirement.Security Personnel Searched Areas Where Drill Occurred 05000382/LER-1997-033, :on 971205,change in HPSI Flow Measurement Exceeded 10CFR50.46 Acceptance Criteria.Caused by Inadequate Procedures.Sbloca ECCS Performance Analysis Was Performed Using S2M Evaluation Model1998-01-0505 January 1998
- on 971205,change in HPSI Flow Measurement Exceeded 10CFR50.46 Acceptance Criteria.Caused by Inadequate Procedures.Sbloca ECCS Performance Analysis Was Performed Using S2M Evaluation Model
05000382/LER-1997-030, :on 971114,noncompliance W/Ts 3.6.3 Was Noted. Caused by Design Error Associated W/Cars Containment Isolation Valves.Valve CAR-201B Was Declared Inoperable1997-12-15015 December 1997
- on 971114,noncompliance W/Ts 3.6.3 Was Noted. Caused by Design Error Associated W/Cars Containment Isolation Valves.Valve CAR-201B Was Declared Inoperable
05000382/LER-1997-027, :on 971110,discovered That Controller for Valve ACC-126A Was Inadvertently Left in Manual Position.Caused by Personnel Error.Operations Manager Conducted Event Debriefing,Performed Walkdown & Revised Procedure1997-12-10010 December 1997
- on 971110,discovered That Controller for Valve ACC-126A Was Inadvertently Left in Manual Position.Caused by Personnel Error.Operations Manager Conducted Event Debriefing,Performed Walkdown & Revised Procedure
05000382/LER-1997-026, :on 971105,single Failure Effects Condensate Storage Pool Inventory Occurred.Caused by Design Deficiency. Procedure Change Initiated1997-12-0505 December 1997
- on 971105,single Failure Effects Condensate Storage Pool Inventory Occurred.Caused by Design Deficiency. Procedure Change Initiated
05000382/LER-1997-025, :on 971017,gag for Valve CC-835B Was Partially Engaged Restricting Valve to Approx 80% Open.Caused by Inadequate Work Instructions.Gag Was Completely Disengaged on Valve CC-835B1997-11-17017 November 1997
- on 971017,gag for Valve CC-835B Was Partially Engaged Restricting Valve to Approx 80% Open.Caused by Inadequate Work Instructions.Gag Was Completely Disengaged on Valve CC-835B
05000382/LER-1996-015, :on 961024,failure to Isolate Containment Penetration 20 Occurred.Caused by Failure of CR Staff Discussing Clearance to Identify,Containment Isolation Would Not Be Adequate If Hung as-is.Expectations Reinforced1997-10-20020 October 1997
- on 961024,failure to Isolate Containment Penetration 20 Occurred.Caused by Failure of CR Staff Discussing Clearance to Identify,Containment Isolation Would Not Be Adequate If Hung as-is.Expectations Reinforced
05000382/LER-1997-016, :on 970515,potential for Inadvertent Recirculation & EFASs Allowed by Ts,Existed.Caused by Deficiency in Ts.Ts Change Request Will Be Revised & Resubmitted for EFAS1997-10-16016 October 1997
- on 970515,potential for Inadvertent Recirculation & EFASs Allowed by Ts,Existed.Caused by Deficiency in Ts.Ts Change Request Will Be Revised & Resubmitted for EFAS
05000382/LER-1997-024, :on 970528,emergency Diesel Generator Autostart Occurred Due to start-up Transformer Failure.Implemented Procedures OP-901-311,OP-901-511 & OP-901-5131997-08-19019 August 1997
- on 970528,emergency Diesel Generator Autostart Occurred Due to start-up Transformer Failure.Implemented Procedures OP-901-311,OP-901-511 & OP-901-513
05000382/LER-1997-023, :on 970708,EDG Fuel Sys Surveillance Was Missed Due to Failure of Personnel to Determine Intended Start & End Dates for SR 4.8.1.1.2.h.2 Interval.Submitted Application for Emergency Amend for Removal of SR1997-08-0707 August 1997
- on 970708,EDG Fuel Sys Surveillance Was Missed Due to Failure of Personnel to Determine Intended Start & End Dates for SR 4.8.1.1.2.h.2 Interval.Submitted Application for Emergency Amend for Removal of SR
ML20151L6561997-08-0404 August 1997 LER 97-S03-00:on 970704,discovered Undetected Entry Into Plant Vital Area.Caused by Inadequate Communication Re Proper Hpt Encl Controls When Normal Steam Flow Was Absent. Developed Security Directive to Address Configurations 05000382/LER-1997-022, :on 970614,RWSP Boron Concentration Was Lower than Rcs,In Volation of TS 3.7.6.2b.Caused by Incorrect Assumptions by Operations Dept Staff & Mgt.Waterford 3 Will Submit TS Change for TS 3.7.6.2b1997-07-18018 July 1997
- on 970614,RWSP Boron Concentration Was Lower than Rcs,In Volation of TS 3.7.6.2b.Caused by Incorrect Assumptions by Operations Dept Staff & Mgt.Waterford 3 Will Submit TS Change for TS 3.7.6.2b
ML20149E2951997-07-16016 July 1997 LER 97-S02-00:on 970616,determined That Two Individuals Inappropriately Entered Vital Area.Caused by Faulty Security Keycard Reader.Repaired Security Keycard & Search Vital Area Entered 05000382/LER-1997-018, :on 970428,voluntary LER for Dropped New Fuel Assembly Was Issued.Caused by Human Error.Sfhm Grappling Tool Was Inspected for Damage or Misalignment1997-06-27027 June 1997
- on 970428,voluntary LER for Dropped New Fuel Assembly Was Issued.Caused by Human Error.Sfhm Grappling Tool Was Inspected for Damage or Misalignment
05000382/LER-1997-019, :on 970529,non-compliance with TS 3.3.3.6 for Containment Isolation Valve Position Indication Was Noted. Caused by Misinterpretation of Requirements of RG 1.97. Revised Submittal to NRC1997-06-27027 June 1997
- on 970529,non-compliance with TS 3.3.3.6 for Containment Isolation Valve Position Indication Was Noted. Caused by Misinterpretation of Requirements of RG 1.97. Revised Submittal to NRC
05000382/LER-1997-017, :on 970515,control Room Emergency Filtration Unit Common Mode Failed.Caused by Inadequate Design.Both Crefu Trains Declared Inoperable & TS 3.7.6.2 Was Entered & Emergency Work Authorization,Initiated1997-06-19019 June 1997
- on 970515,control Room Emergency Filtration Unit Common Mode Failed.Caused by Inadequate Design.Both Crefu Trains Declared Inoperable & TS 3.7.6.2 Was Entered & Emergency Work Authorization,Initiated
05000382/LER-1997-016, :on 970515,potential for Inadvertent Recirculation Actuation Signal Allowed by TS Discovered. Caused by Deficiency in TS Since Original Issuance.Performed Review of Esfa Sys Instrumentation1997-06-16016 June 1997
- on 970515,potential for Inadvertent Recirculation Actuation Signal Allowed by TS Discovered. Caused by Deficiency in TS Since Original Issuance.Performed Review of Esfa Sys Instrumentation
05000382/LER-1997-012, :on 970404,programmatic Breakdown of Overtime Program Occurred.Caused by Lack of Mgt Oversight in Administering & Implementing Plants Working Hour Policy. Ltr Issued Reemphasizing Working Hour Policy1997-06-0404 June 1997
- on 970404,programmatic Breakdown of Overtime Program Occurred.Caused by Lack of Mgt Oversight in Administering & Implementing Plants Working Hour Policy. Ltr Issued Reemphasizing Working Hour Policy
ML20148D0271997-05-19019 May 1997 LER 97-S01-00:on 970418,improperly Authorized Individuals Were Granted Access to Plant Protected Area.Caused by Inadequate Work Process.Keycard Badges Were Inactivated for All Individuals Not Fully Employed 05000382/LER-1997-015, :on 970418,ultimate Heat Sink Did Not Incorporate Conservative Assumptions.Caused by Design Errors Associated W/Original Design of Ultimate Heat Sink. Operability Evaluation Completed on 9704041997-05-19019 May 1997
- on 970418,ultimate Heat Sink Did Not Incorporate Conservative Assumptions.Caused by Design Errors Associated W/Original Design of Ultimate Heat Sink. Operability Evaluation Completed on 970404
05000382/LER-1997-007, :on 970309,discovered Addl Refueling Water Storage Pool Instrument Uncertainty.Caused by Inadequate Design for Reference Leg of Level Transmitters.Recalibrated Rwsp Transmitters & Conducted Tests1997-05-16016 May 1997
- on 970309,discovered Addl Refueling Water Storage Pool Instrument Uncertainty.Caused by Inadequate Design for Reference Leg of Level Transmitters.Recalibrated Rwsp Transmitters & Conducted Tests
1999-09-23
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217F2891999-10-13013 October 1999 Drill 99-08 Emergency Preparedness Exercise on 991013 05000382/LER-1999-014, :on 990910,reactor Shutdown Due to Loss of Controlled bleed-off Flow,Occurred.Caused by Rotating Baffle failure.Two-piece Rotating Baffle of Original Design Was Located & Installed,In Order to Repair RCP 2B1999-10-12012 October 1999
- on 990910,reactor Shutdown Due to Loss of Controlled bleed-off Flow,Occurred.Caused by Rotating Baffle failure.Two-piece Rotating Baffle of Original Design Was Located & Installed,In Order to Repair RCP 2B
ML20217G7211999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Waterford 3 Ses. with 05000382/LER-1999-013, :on 990825,exceeding TS Limits for RCS Cooldown Rate Was Discovered.Caused by Inadequate Content & Inadequate Implementation of TS Requirements.Page 2 of 2 in Attachment 2 of Incoming Submittal Not Included1999-09-23023 September 1999
- on 990825,exceeding TS Limits for RCS Cooldown Rate Was Discovered.Caused by Inadequate Content & Inadequate Implementation of TS Requirements.Page 2 of 2 in Attachment 2 of Incoming Submittal Not Included
05000382/LER-1999-012-01, :on 990812,potential Operation with Both Control Room Normal Outside Air Intakes Valves Inoperable Occurred.Cause for Event Was Indeterminate.Seat Leakage Requirements Calculated.With1999-09-13013 September 1999
- on 990812,potential Operation with Both Control Room Normal Outside Air Intakes Valves Inoperable Occurred.Cause for Event Was Indeterminate.Seat Leakage Requirements Calculated.With
ML20211Q2141999-08-31031 August 1999 Monthly Operating Rept for Aug 1999 for Waterord 3 Ses.With 05000382/LER-1999-011-01, :on 990801,with Plant Operating 100% Power, Lowering RCP Seal Pressures,Along with Dropping Controlled bleed-off (Cbo) & Increasing Cbo Temp Discovered.Caused by fatigue-induced Failure of Rotating Baffle of RCP 2B1999-08-31031 August 1999
- on 990801,with Plant Operating 100% Power, Lowering RCP Seal Pressures,Along with Dropping Controlled bleed-off (Cbo) & Increasing Cbo Temp Discovered.Caused by fatigue-induced Failure of Rotating Baffle of RCP 2B
05000382/LER-1999-010-01, :on 990726,discovered Inadequate Pumping Capacity in Dry Cooling Tower Area.Caused by Inadequate Design Control.Portable Pumps Were Installed in Each Dry Cooling Tower Areas to Ensure Sufficient Pumping Capacity1999-08-26026 August 1999
- on 990726,discovered Inadequate Pumping Capacity in Dry Cooling Tower Area.Caused by Inadequate Design Control.Portable Pumps Were Installed in Each Dry Cooling Tower Areas to Ensure Sufficient Pumping Capacity
05000382/LER-1999-009-01, :on 990727,discovered App R Noncompliance Condition Involving Inadequate Separation of Safe Shutdown Cables.Caused Design Analysis Deficiency.Compensatory Measures Were Established1999-08-26026 August 1999
- on 990727,discovered App R Noncompliance Condition Involving Inadequate Separation of Safe Shutdown Cables.Caused Design Analysis Deficiency.Compensatory Measures Were Established
ML20210Q6361999-07-31031 July 1999 Corrected Monthly Operating Rept for July 1999 for Waterford 3 ML20210S0581999-07-31031 July 1999 Monthly Operating Rept for July 1999 for Waterford 3.With 05000382/LER-1999-008-01, :on 990629,failure to Perform Testing of ESF Filtration Units Per TS Was Noted.Cause for Testing Charcoal Samples Contrary to TS Could Not Be Determined.All Future Analysis Will Be Performed IAW ASTM D3803-1989,per GL 99-021999-07-29029 July 1999
- on 990629,failure to Perform Testing of ESF Filtration Units Per TS Was Noted.Cause for Testing Charcoal Samples Contrary to TS Could Not Be Determined.All Future Analysis Will Be Performed IAW ASTM D3803-1989,per GL 99-02
05000382/LER-1999-007-01, :on 990625,operation Outside Tornado Missile Protection Licensing Basis for turbine-driven EFW Pump & Steam Supply Piping,Was Discovered.Caused Indeterminent. Entergy Will Submit 10CFR50.90 to NRC Staff1999-07-23023 July 1999
- on 990625,operation Outside Tornado Missile Protection Licensing Basis for turbine-driven EFW Pump & Steam Supply Piping,Was Discovered.Caused Indeterminent. Entergy Will Submit 10CFR50.90 to NRC Staff
ML20210D8951999-07-23023 July 1999 Safety Evaluation Accepting First 10-yr Interval Inservice Insp Plan Requests for Relief ISI-018 - ISI-020 05000382/LER-1999-006-01, :on 990614,plant Experienced Automatic Reactor Trip Following Loss of 7kV Bus.Caused by Spurious Actuation of Relay on Either RCP 1A or 2A.Personnel Performed Final Switchgear Walkdown with Indications Normal.With1999-07-14014 July 1999
- on 990614,plant Experienced Automatic Reactor Trip Following Loss of 7kV Bus.Caused by Spurious Actuation of Relay on Either RCP 1A or 2A.Personnel Performed Final Switchgear Walkdown with Indications Normal.With
ML20209H3781999-06-30030 June 1999 Monthly Operating Rept for June 1999 for Waterford 3 Ses. with 05000382/LER-1999-005-01, :on 980702,determined That Four Contacts in Control Circuits of EFW Control Valves Were Untested.Caused by Personnel Error.Untested Contacts Have Been Tested1999-06-24024 June 1999
- on 980702,determined That Four Contacts in Control Circuits of EFW Control Valves Were Untested.Caused by Personnel Error.Untested Contacts Have Been Tested
ML20195J8951999-06-17017 June 1999 Safety Evaluation Granting Relief for Listed ISI Parts for Current Interval,Per 10CFR50.55a(g)(5)(iii) ML20195J9741999-06-16016 June 1999 Safety Evaluation Supporting Amend 152 to License NPF-38 ML20207E8631999-06-0303 June 1999 Safety Evaluation Accepting Licensee 990114 Submittal of one-time Request for Relief from ASME B&PV Code IST Requirements for Pressure Safety Valves at Plant,Unit 3 ML20195D5491999-06-0303 June 1999 Safety Evaluation Supporting Amend 151 to License NPF-38 ML20195K3391999-05-31031 May 1999 Monthly Operating Rept for May 1999 for Waterford 3 Ses.With ML20195C3041999-05-28028 May 1999 Annual Rept on ABB CE ECCS Performance Evaluation Models 05000382/LER-1999-004-02, :on 990415,discovered That Complete Response Time for ESFAS Containment Cooling Function Had Not Been Performed.Caused by Response Time Testing Deficiency. Procedures Will Be Revised to Include Subject Testing1999-05-14014 May 1999
- on 990415,discovered That Complete Response Time for ESFAS Containment Cooling Function Had Not Been Performed.Caused by Response Time Testing Deficiency. Procedures Will Be Revised to Include Subject Testing
ML20206S7401999-04-30030 April 1999 Monthly Operating Rept for Apr 1999 for Waterford 3.With ML20205T2621999-04-22022 April 1999 LER 99-S02-00:on 990216,contract Employee Inappropriately Granted Unescorted Access to Plant Protected Area.Caused by Personnel Error.Security Personnel Performed Review of Work & Work Area That Individual Was Involved with ML20206A9641999-04-21021 April 1999 Safety Evaluation Supporting Amend 150 to License NPF-38 05000382/LER-1999-003-02, :on 990311,determined That Four Containment Vacuum Relief valves,CVR-101,CVR-201,CVR-102 & CVR-202,were Not Tested.Caused by Contractor Supply of Misinformation. Details of Event Discussed with Contractor.With1999-04-0909 April 1999
- on 990311,determined That Four Containment Vacuum Relief valves,CVR-101,CVR-201,CVR-102 & CVR-202,were Not Tested.Caused by Contractor Supply of Misinformation. Details of Event Discussed with Contractor.With
ML20205N9671999-03-31031 March 1999 Monthly Operating Rept for Mar 1999 for Waterford 3 Ses.With ML20205E8531999-03-30030 March 1999 Corrected Pages COLR 3/4 1-4 & COLR 3/4 2-6 to Rev 1, Cycle 10, Colr ML20205A6331999-03-25025 March 1999 SER Accepting Request to Use Mechanical Nozzle Seal Assemblies as an Alternative Repair Method,Per 10CFR50.55a(a)(3)(i) for Reactor Coolant Sys Applications at Plant,Unit 3 05000382/LER-1999-002-03, :on 990225,discovered RCS Pressure Boundary Leakage on Two Inconel 600 Instrument Nozzles.Caused by Axial Cracks Near HAZ of Nozzle Partial Penetration Welds Resulting from Pwscc.Leaking Nozzles Have Been Repaired1999-03-25025 March 1999
- on 990225,discovered RCS Pressure Boundary Leakage on Two Inconel 600 Instrument Nozzles.Caused by Axial Cracks Near HAZ of Nozzle Partial Penetration Welds Resulting from Pwscc.Leaking Nozzles Have Been Repaired
ML20204H1401999-03-23023 March 1999 Rev 1 to Engineering Rept C-NOME-ER-0120, Design Evaluation of Various Applications at Waterford Unit 3 ML20204H1231999-03-22022 March 1999 Rev 1 to Design Rept C-PENG-DR-006, Addendum to Cenc Rept 1444 Analytical Rept for Waterford Unit 3 Piping ML20204H2451999-03-22022 March 1999 Rev 2 to C-NOME-SP-0067, Design Specification for Mechanical Nozzle Seal Assembly (Mnsa) Waterford Unit 3 ML20204F0791999-03-17017 March 1999 Rev 1 to Waterford 3 COLR for Cycle 10 ML20207M9231999-03-12012 March 1999 Amended Part 21 Rept Re Cooper-Bessemer Ksv EDG Power Piston Failure.Total of 198 or More Pistons Have Been Measured at Seven Different Sites.All Potentially Defective Pistons Have Been Removed from Svc Based on Encl Results ML20207F3491999-03-0505 March 1999 LER 99-S01-00:on 990203,contraband Was Discovered in Plant Protected Area.Bottle Was Determined to Have Been There Since Original Plant Construction.Bottle Was Removed & Security Personnel Performed Search of Area.With ML20204B5141999-02-28028 February 1999 Monthly Operating Rept for Feb 1999 for Waterford 3.With ML20203H8151999-02-17017 February 1999 Safety Evaluation Supporting Amend 149 to License NPF-38 ML20203H8591999-02-17017 February 1999 Safety Evaluation Accepting Licensee Second Ten Year ISI Program & Associated Relief Requests for Plant,Unit 3 05000382/LER-1999-001, :on 990105,TS 3.0.3 Was Entered.Caused by Less than Adequate Chiller Thermostat Control.Placed Tamper Seal on Chiller Thermostat.With1999-02-0404 February 1999
- on 990105,TS 3.0.3 Was Entered.Caused by Less than Adequate Chiller Thermostat Control.Placed Tamper Seal on Chiller Thermostat.With
ML20202H9161999-02-0202 February 1999 Safety Evaluation Supporting Amend 148 to License NPF-38 ML20199H6261999-01-21021 January 1999 Safety Evaluation Accepting Classification of Instrument Air Tubing & Components for Safety Related Valve Top Works.Staff Recommends That EOI Revise Licensing Basis to Permit Incorporation of Change 05000382/LER-1998-020, :on 981204,determined That Certain Core Power Distribution SRs Had Been Incorrectly Scheduled.Caused by TS Change Implementation Error.Will Perform Final Review of TS SRs with 4.0.4 Exemption.With1998-12-31031 December 1998
- on 981204,determined That Certain Core Power Distribution SRs Had Been Incorrectly Scheduled.Caused by TS Change Implementation Error.Will Perform Final Review of TS SRs with 4.0.4 Exemption.With
ML20199C9101998-12-31031 December 1998 Monthly Operating Rept for Dec 1998 for Waterford 3.With ML20198F4691998-12-21021 December 1998 Safety Evaluation Supporting Amend 147 to License NPF-38 ML20196F4911998-12-0101 December 1998 SER Accepting Request for Relief ISI2-09 for Waterford Steam Electric Station,Unit 3 & Arkansas Nuclear One,Unit 2 ML20206N4131998-11-30030 November 1998 Monthly Operating Rept for Nov 1998 for Waterford 3.With ML20195C4841998-11-0606 November 1998 SER Accepting QA Program Change to Consolidate Four Existing QA Programs for Arkansas Nuclear One,Grand Gulf Nuclear Station,River Bend Station & Waterford 3 Steam Electric Station Into Single QA Program 1999-09-30
[Table view] |
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PO Box B
-~~ Operations r>>1eme ta 70000 Te: 504-464-3120 D. F. Packer r,c
, v'.1li. duf d 3 W3F1-94-0173 A4.05 PR V.S. Nuclear Regulatory Commission Attn:
Document Control Desk Washington, D.C.
20555
Subject:
Waterford 3 SES Docket No. 50-382 License No. NPF-38 Reporting of Licensee Event Report Gentlemen:
Attached is Licensee Event Report Number LER-94-012-00 for Waterford Steam Electric Station Unit 3.
This Licensee Event Report is submitted in accordance with 10CFR50.73(a)(2)(i) and 10CFR50.36(c)(2).
Very truly yours, Q3 jf
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D.F. Packer General Manager Plant Operations DFP/CJT/tjs Attachment cc:
L.J. Callan, NRC Region IV G.L. Florreich J.T. Wheelock - INPO Records Center R.B. McGehee N.S. Reynolds NRC Resident Inspectors Office Administrator - LRPD 9410130069 941007 f
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EEE*ReGENd%RD7N EJE%"T E iNFOOT2 AND RECORDS MANAGEMENT BRANCH (MNBB 7714), U.S. NUCLEAR REGULATORY COMM!SSION. WASHINGTON, DC 20S55 0001, AND TO THE PAPERWORK REDUCTION PRCUECT (3150-0104), OFFICE OF (See reverse for required number of digits / characters for each block)
MANAGEMENT AND BUDGET, WASHINGTON, DC 20S03, DOCKET NUMBER (2)
PAGE (3 F ACluTY NAME (d1 Steam Electric Station Unit 3 05000 Waterfor 382 3 op TITLE l4)
Noncompliance with EDG Surveillance Requirements Due to Inadequate Procedures EVENT DATE (5)
LER NUMBER (6i REPORT NUMBER (7)
OTHER FACILITIES INVOLVED (8)
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MODE (9) 1 20 402(b) 20 405(c) 50.73(a)(2)(iv) 73.71(b)
POWER 20 405(a)(1)(i) 50.36(c)(1) 50 73(a)(2)(v) 73.71(c)
LEVEL (10) 100 20 405(a)(1)(ii)
X 50.36(c)(2) 50.73(a)(2)(vii)
OTHER 20 405(a)(1)(m)
X 50.73(a)(2)(i) 50.73(a)(2)(viii)(A)
- P'c4 in Ab81'act 20 405(a)(1)(iv) 50.73(a)(2)(ii) 50.73(a)(2)(viii)(B) 3$[A 20 405(a)(1)(v) 50.73(a)(2)(iii) 50.73(a)(2)(x)
LICENSEE CONTACT FOR THIS LER (12)
NAMt TELEPHONE. NUM8EH pnclude Area Gode)
D.C. Matheny, Superintendent, Operations (504) 464-3178 COMPLETE ONE LINE FOR EACH COMPONENT FAILURE DESCRIBED IN THIS REPORT (13)
CAUSE
SYSTF M COMPONENT MANUFACTURER
CAUSE
SYSTEM COMPONENT MANUFACTURER PR g
SUPPLEMENTAL REPORT EXPECTED (14)
EXPFCTED MONTH DAY YEAR vEs SUBMISSION pf yes, complete EXPFr 40 SUBMSSION DATE)
X DATE (15)
ABSTRACT Nmit to 1400 spaces, i e., approximately 15 single spaced typewritten knes) (16)
On September 7,1994, Waterford 3 training personnel discovered the failure to perform Technical Specification (TS) Surveillance Requirements 4.8.1.1.2.d.3a and 3b and 4.8.1.1.2.d.5a and 5b for the 4160V Bus 3AB and 480V Bus 31AB load groups.
These surveillance requirements demonstrate operability of the Emergency Diesel Generators (EDGs) by ensuring that during a loss-of-offsite power by itself, or in conjunction with a safety injection actuation test signal, the emergency buses will deenergize, load shed, and properly reload.
By 1316 hours0.0152 days <br />0.366 hours <br />0.00218 weeks <br />5.00738e-4 months <br /> that same day, EDG B had been declared inoperable and TS Action 3.8.1.1.b entered.
Buses 3AB and 31AB were aligned to the B-train at that time. The most probable root cause of this event is an inadequate procedure.
Corrective actions include tests of loads from Buses 3AB and 31AB, reviews of selected surveillance procedures and appropriate procedure revisions.' TS Bases for 3/4.8.1 will be revised to clarify what is meant by permanently connected loads.
The missed surveillance requirements will be fully implemented prior to startup following Refuel 7.
This event did not compromise the health and safety of the public, we rORM u rs u
=
4 REQUIRED NUMBER OF DIGITS / CHARACTERS FOR EACH DLOCK BLOCK NUMBER OF LE NUMBER DIGITS / CHARACTERS 1
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VARIES PAGE NUMBER 4
UP TO 76 TITLE 5
EVENT DATE 2 PER BLOCK 7 TOTAL
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1 OPERATING MODE 10 3
POWER LEVEL 1
II REQUIREMENTS OF 10 CFR CHECK BOX THAT APPLIES TO 2 M N 12 LICENSEE CONTACT 14 FOR TELEPHONE CAUSE VARIES 2 FOR SYSTEM 13 4 FOR COMPONENT EACH COMPONENT FAILURE 4 FOR MANUFACTURER NPRDS VARIES SUPPLEMENTAL REPORT EXPECTED CHECK BOX THAT APPLIES 15 EXPECTED SUDMISSION DATE 2 PER BLOCK
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SEQJENTA REW5 ION NUMBER NUMBER 05000 382 2 OF g Waterford Steam Electric Station Unit 3 94
- - 012 00 TEXT pt more spece os reguorea, use acomorw copres of NRC Form assA) (17)
REPORTABLE OCCURRENCE This event constitutes a failure to meet the operability requirements of Technical Specification (TS) 3.8.1 and the action requirements TS 3.8.1.1.
This event is reportable as an operation prohibited by Technical Specifications pursuant to 10CFR50.73(a)(2)(i)(B) and 10CFR50.36(c)(2).
INITIAL CONDITIONS At the time this condition was identified, Waterford 3 was operating at approximately 100 percent power in Operational Mode 1 (Power Operation).
Bus 3AB, which can receive power from either Bus 3A or 3B, but not from both simultaneously, was aligned to receive power from Bus 38.
Both Emergency Diesel Generators (EDG; EIIS Identifier EK) were operable.
EVENT DESCRIPTION
In anticipation of receiving an Operating License, Waterford 3 began developing surveillance and preoperational test procedures.
As part of that effort, OP-903-069 (Revision 0), " Emergency Diesel Post Inspection Operability Check," received final approval on August 4,1982.
The procedure provided instructions for demonstrating EDG operability per Standard TS surveillance requirements 4.8.1.1.2.d.2 through 4.8.1.1.2.d.11.
However, the procedure was deficient in that it did not subject Buses 3AB (EIIS Identifier EB-BU) and 31AB (EIIS Identifier EC-BU) to the Integrated Emergency Diesel Generator / Engineering Safety Features tests required by the Technical Specifications.
Startup Integrated Test Procedure SIT-TP-200, " Integrated Engineered Safety Features," was also developed during that time. The main purpose of SIT-TP-200 was to demonstrate the proper operation of all the necessary equipment (including the diesel generators) required during a Loss of Coolant Accident (LOCA), main generator trip, loss of offsite power and ESF actuation test signal in conjunction with loss of offsite power.
Additionally, the test demonstrated load group assignments, operation of AB NAC FOAM.%s& JS 90
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FACILITY NAME (t)
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SEQUENT AL BEVISQN GR NUMBER NUMBER Waterford Steam Electric Station Unit 3 94
- - 012 00 i
TEX 1 pt more space a reqwe4 use acmoonal copres of NRC form 36tA) {17) equipment, operational sequencing of ESFAS, that accident loads did not exceed EDG rating, EDG load rejection capability, loading sequence and EDG regulation, and that sufficient equipment was available to perform a safe shutdown.
SIT-TP-200 was performed during December 1983 through February 1984.
The test demonstrated EDG operability by performing integrated tests of the 4160V Bus 3AB and the 480V Bus 31AB load groups.
Subsequent to the completion of preoperational testing, fuel loading and low power testing, Waterford 3 was issued Facility Operating License No.
NPF-38 on March 16, 1984.
Revision 1 to Surveillance Procedure OP-903-069,
" Emergency Diesel Post Inspection Operability Check," received final approval on March 20, 1984.
Like its predecessor, Revision 1 did not subject Buses 3AB and 31AB to the Integrated Emergency Diesel Generator / Engineering Safety Features Test.
For example, when testing Bus 3A, Bus 3AB was required to be aligned to Bus 38.
Sin,ilarly, when testing Bus 3B, Bus 3AB was required to be aligned to Bus 3A.
Although Revision 1 to OP-903-069 remained deficient, it appears that an 1
earlier draft to Revision 1 may have included provisions for testing Bus 3AB. During the review and approval process, a reviewer noted that High Pressure Safety Injection (HPSI) Pump AB (EIIS Identifier BQ-P), Component Cooling Water (CCW) Pump AB (EIIS Identifier CC-P) and Chiller AB (EIIS Identifier KM-CHU) could not operate in conjunction with HPSI Pump A, CCW Pump A, and Chiller A.
In response to that comment, the originator deleted all AB equipment from the test.
That rerponse was accepted by the reviewer.
It is not known whether or not the author intended to incorporate the AB tests into another procedure.
In 1990, Waterford 3 performed a Safety System Functional Inspection (SSFI) of the EDG System.
This inspection assessed the capability of the emergency electrical power system (as designed, installed and configured) to perform its intended safety function. No failures to appropriately implement TS surveillance requirements for Buses 3AB and 31AB were identified.
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05000 382 4 og Waterford Steam Electric Station Unit 3 94
- - 012 00 m w n. nc. v.v.a u,..xw. coo.- or wm (m On March 4, 1991, the NRC issued Information Notice (IN) 91-13, " Inadequate Testing of Emergency Diesel Generators (EDGs)."
IN 91-13 was issued to alert nuclear power plants to recently discovered inadequacies in the testing of EDGs.
Specifically, the notice describes events where some EDG testing has not adequately demonstrated the capability of the EDG to carry its maximum expected loads or to verify the operation of the load shedding logic for the EDG. Waterford 3's review of IN 91 1.3 resulted in a TS change request to modify TS 4.8.1.1.2.d.2 to increase the EDG voltage limit during load rejection from 4784V to 5023V. Additionally, the review recommended revisions to test procedures to accommodate that change.
Revision 7 and all prior revisions to OP-903-069 did not implement any significant changes -- the procedure remained deficient with respect to tests of Buses 3AB and 31AB.
In April 1991, Revision 7 to OP-903-069 was replaced by OP-903-ll5 (Revision 0), " Train A Integrated Emergency Diesel Generator / Engineering Safety Features Test," and OP-903-ll6 (Revision 0)
" Train B Integrated Emergency Diesel Generator / Engineering Safety Features Test." OP-903-115 and OP-903-116 received final approval on April 3,1991, and April 20, 1991, respectively.
New Procedure Request Forms indicate that the Integrated Emergency Diesel Generator / Engineering Safety Features Test was separated into an A-train test and a B-train test to allow quicker closure and transmittal of completed test documentation. Also, the change allowed each test to be formatted in accordance with a newly issued Writer's Guide.
On May 6,1992, during a review and walkdown of the emergency diesel generator system, Waterford 3 was informed that procedures OP-903-ll5 and OP-903-ll6 did not fully verify that the " turning gear engaged" lockout feature prevented the EDG from starting as required by TS surveillance requirement 4.8.1.1.2.d.12a.
Additionally, this condition was identified as a violation of NRC requirements (NOV 9208-02).
In response, Waterford 3
"~'
submitted LER 92-004 and committed to appropriately revise OP-903-115 and
)
OP-903-ll6.
On the basis of comprehensive reviews and no previously identified surveillance deficiencies, there was high confidence that TS surveillance requirements were fully implemented.
The surveillance requirement was incorporated into OP-903-ll5 and OP-903-116 on September 12, 1992.
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- - 012 00 TEXT (or more space os regrec, use adostoonal copies of NRC form 3664) (17)
In February 1993, Waterford 3 began implementing the Corrective Action improvement program with full management support.
By May 31, 1994, new corrective action procedures and site wide training had been implemented.
Additionally, a new single corrective action document, the Condition Report (CR), was created that lowered and better defined implementing thresholds and perceived barriers to condition identification.
dn Septe@r* 7,1994, a 'k* Factor Operator attsndiligTenibr h3actof trperattt*
(SRO) training class questioned why Surveillance Procedure CP-903-001,
" Technical Specification Logs," requires daily verification that the undervoltage coils (EIIS Identifier EB/EC-27-CL) on the AB buses are operating satisfactorily.
In response to that question, an SR0 Senior Instructor commenced a review of applicable Technical Specifications and Surveillance Procedures.
The SR0 Senior instructor could have stated that the 3 out of 3 logic associated with the undervoltage relays offers more chances of failure to react to a bonafide loss of voltage.
In order to test and ensure the readiness for operation of undervoltage relays 27-1, 27-2 and 27-3, one selector switch for each ESF bus has been provided in the main control room which simulates a loss of voltage by interrupting each relay AC circuit, one at a time. This relay test is performed once a day per OP-903-001 and is annunciated in the control room.
Instead of providing that answer, however, the SR0 Senior instructor reviewed lecht h ' Specifications 3.3.2 and 3/4.8.1 and discovered that Surveillance Procedures OP-903-115 and OP-903-116 may not adequately satisfy TS Surveillance Requirements for the EDGs.
The instructor immediately notified his supervisor (an individual who has filled the SR0 position on-shift for many years).
The supervisor informed the Control Room of the condition and directed the instructor to initiate a
^
CR. After initiating ine'CR, the instructor immediately hand carried the CR to the Control Room.
By 1316 hours0.0152 days <br />0.366 hours <br />0.00218 weeks <br />5.00738e-4 months <br /> that same day, the condition had been confirmed, EDG B was declared inoperable (the Bus AB was aligned to the B side at that time) and TS Action 3.8.1.1.b was entered.
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- - 012 00 m, m.,o.c.,,,.n.a....aa.~.. 1 ~R= rorm us> v n CAUSAL FACTORS A Root Cause Analysis Team formed to investigate this condition identified three factors that may have influenced the performance of individuals involved with this event:
1.
Misunderstanding of TS Surveillance Requirements. TS Surveillance
- -Requirements 4.8.-1:1.2.d.3b and 4.8.1.1;2:d".5b tequire (while "
~
simulating a loss of offsite power by itself and a loss of offsite power in conjunction with an SIAS actuation test signal) verification that the diesel will energize the emergency buses with permanently connected loads and the auto-connected emergency loads through the i
load sequencer.
It has been suggested that these surveillance requirements exclude the 4160V Bus 3AB and 480V Bus 31AB load groups.
That belief may be based on the interpretation that Bus 3AB is not a
" permanently connected load." The third-of-a-kind equipment on Bus 3AB may be utilized by connecting Bus 3AB to Bus 3A or 38. The reassignment of loads on Bus 3AB requires a " dead bus" transfer.
It is therefore not a normal practice to transfer Bus 3AB because the momentary deenergization of the bus results in a temporary loss of j
various auxiliary components.
l 2.
Inadequate Technical Reviews.
The development or major revision to a procedure that implements multiple TS surveillance requirements should receive concurrent input from various subject matter experts.
During the initial development of OP-903-069 in 1982, some individuals may have lacked the appropriate knowledge and training to detect this problem. That presumption may explain why Buses 3AB and 31AB were not included in the Integrated Emergency Diesel Generator / Engineering Safety Features Test.
However, it is not clear why the originator " deleted AB equipment" from the test in response to a reviewer's comment.
It should be noted that, due to insufficient information, the team could only speculate about conditions surrounding the development of OP-903-069.
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DOCKET NUMBER (2)
Lf R NUMBER (4)
PAGE (3)
SEQUENTtAL BEMION g
I NUMBER NUMBER 05000 382 7 OF g4 Waterford Steam Electric Station Unit 3
- - 94
- - 012 00 tex 1 pr more space os revea, use emons copues or Nkc form.m% (17) 3.
Potential Opportunities to Identify. While 3AB testing is not specifically mentioned in the following documents, a critical review reveals that potential opportunities to identify this condition may have existed prior to September 7, 1994:
the 1990 SSFI of the EDG System; reviews associated with IN 91-13; and the implementation of OP-903-115 and OP-903-116. After reviewing the depth, scope and purpose of these potential opportunities, n can be concluded that no
' corrective actions related to there review's are necessary.
'"~
Given the above, the team determined th at the most probable root cause of this event is an inadequate procedure ap r ent'v due to one or more of the following conditions.
First, there may have beea a possible misunderstanding of the concept of permanently connected loads as described in TS 4.8.1.
Second, the originator of Revision 1 to OP-903-069 acted inappropriately by deleting the AB equipment from an earlier draft and the technical reviews for that procedure were inadequate in that they did not detect the problem.
CORRECTIVE MEASURES Immediately following the identification of this event, a CR was generated and EDG B declared inoperable. A StaMing Order was issued that prohibits the alignment of any third-of-a-kind AB ccmponents.
On September 8,1994, the feeder breaker supplying the backup power supply to the Plant Monitoring Computer (PMC) Static Uninterruptible Power Supplies (SUPS; EIIS Identifier EF) was tagged in the open position.
On September 9, 1994, Waterford 3 asked the NRC to exercise enforcement discretion not to enforce compliance with TS 4.8.1.1.2.d surveillance requirements for 7 days.
The discretion was needed to allow approval of an emergency TS change permitting continued operation. As justification, Waterford 3 utilized previous surveillance testing, operational events, and load analyses. The NRC issued enforcement discretion at 1632 hours0.0189 days <br />0.453 hours <br />0.0027 weeks <br />6.20976e-4 months <br />.
Subsequently, Waterford 3 declared EDG B operable..
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NUMBER NUVBER 05000 382 8 OF9 Waterford Steam Electric Station Unit 3 TEXT (Ilsnore spect ss requut0, use OdQ'tronen C0 pres Of kRC form MSA) (11)
On September 22 and 25, 1994, and October 6, 1994, tests of CCW Pump AB, Chiller AB, HPSI Pump AB and Charging Pump AB (Ells Identifier CB-P) were conducted.
The tests subjected these components to loss of voltage (LOV)
)
and LOV in conjunction with SIAS (or simulation of these signals) that would be present in the integrated test required by the Technical Specifications for EDG B (Bus AB is currently aligned to the B side).
Additionally, the PMC SUPS alternate power supply was tested for shedding.
The tests demonstrated that these components performed satisfactorily per TS surveillance requirements.
ACTIONS TO PREVENT RECURRENCE Five corrective actions to prevent recurrence were identified:
1.
TS 3/4.8.1 will be reviewed to verify all surveillance requirements are appropriately implemented.
2.
OP-903-115 and OP-903-116 will be revised to appropriately implement TS Surveillance Requirements.
3.
The Integrated Emergency Diesel Generator / Engineered Safety Features tests regidred by the Technical Specifications will be implemented prior tc startup following Refuel 7.
4.
TS Bases for 3/4.8.1 will be revised to clarify what is meant by
" permanently connected loads."
5.
Selected surveillance procedures will be reviewed to assure that TS surveillance requirements are fully implemented.
Based on the results of that review additional actions will be taken as appropriate.
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NUMBER NUMBER 382 g OF g Waterford Steam Electric Station Unit 3 94
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SAFETY SIGNIFICANCE
In the Request for Enforcement Discretion, Waterford 3 utilized previous surveillance testing, operational events, and load analyses to demonstrate that shedding of the nonessential AB load: and energization of the AB emergency buses and respective loads by the aligned EDG would probably have occurred if required.
The tests conducted on September 22 and 25, 1994, and October 6, 1994, demonstrated that CCW Pump AB, Chiller AB, HPSI Pump AB and Charging Pump AB automatically shed and reloaded as designed and that the PMC SUPS alternate power supply shed as designed.
These tests demonstrate that the aligned diesel would have performed its safety function if req.iired.
Additionally, performance of the Integrated Emergency Diesel Generator / Engineering Safety Features Tests has demonstrated that the EDG not aligned to the AB Buses would have performed its safety function.
Therefore, this condition did not compromise the health and safety of the public or plant personnel.
SIMILAR EVENTS
A review of LERs dating back to 1992 revealed three LERs that document failures to perform TS required surveillances due to surveillance procedures not fully implementing TS surveillance requirements:
LERs92-004, 94-003 and 94-005.
LER 92-004 is the only LER in that group that documents a failure to implement TS 4.8.1 surveillance requirements.
NR0 FOAM 366A [5 92;
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05000382/LER-1994-001-02, :on 940118,discovered That Component Cooling Water Valves Open Approx 30% Due to Lack of Work Instructions.Valve Operators for Affected Valves Adjusted to Close Valves & Valves Locked Closed |
- on 940118,discovered That Component Cooling Water Valves Open Approx 30% Due to Lack of Work Instructions.Valve Operators for Affected Valves Adjusted to Close Valves & Valves Locked Closed
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) | 05000382/LER-1994-002-01, :on 840808,determined That Five Radioactive Sources Had Not Been Leak Tested.Caused by Programmatic Deficiency.Radioactive Sealed Sources Leak Tested |
- on 840808,determined That Five Radioactive Sources Had Not Been Leak Tested.Caused by Programmatic Deficiency.Radioactive Sealed Sources Leak Tested
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | 05000382/LER-1994-003-01, :on 940305,discovered Reactor Protection Inoperable Due to Missed Surveillances.Caused by Omission of Relevant Info from Procedures.Procedures Revised & Personnel Debriefed |
- on 940305,discovered Reactor Protection Inoperable Due to Missed Surveillances.Caused by Omission of Relevant Info from Procedures.Procedures Revised & Personnel Debriefed
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(1) | 05000382/LER-1994-004-01, :on 940307,degraded CCW HX Discovered While Shutdown Due to Biological Fouling.Ccw HXs a & B Cleaned.W/ |
- on 940307,degraded CCW HX Discovered While Shutdown Due to Biological Fouling.Ccw HXs a & B Cleaned.W/
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) | 05000382/LER-1994-005-01, :on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth Reviews |
- on 940415,dicovered That Several Valves Were Not Being Tested Per Requirements of ASME Section Xi.Caused by Inappropriate Action.Corrective Action:Pump & Valve Team Has Been Formed to Perform in Depth Reviews
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | 05000382/LER-1994-006, :on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024 |
- on 940415,determined That on 921103, Unidentified RCS Leak Rate of Greater than 1 Gpm Occurred. Caused by Error in RCS Mass Balance Equation.Approved Temporary Change to Procedure OP-903-024
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) | 05000382/LER-1994-007, :on 940426,automatic Reactor Trip Occurred Due to Low Pressurizer Pressure Core Protection Calculator Auxiliary Trip.Corrective Action:Replacing Faulty Relay & Removing Reactor Power System from Service |
- on 940426,automatic Reactor Trip Occurred Due to Low Pressurizer Pressure Core Protection Calculator Auxiliary Trip.Corrective Action:Replacing Faulty Relay & Removing Reactor Power System from Service
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(viii)(B) | 05000382/LER-1994-008, :on 940503,circuitry Problem Re Response Times of Temp Controllers & Time Delay Relays for ESF Filtration Unit Heaters.Caused by Personnel Missing Opportunities to Promptly Identify ESF Performance |
- on 940503,circuitry Problem Re Response Times of Temp Controllers & Time Delay Relays for ESF Filtration Unit Heaters.Caused by Personnel Missing Opportunities to Promptly Identify ESF Performance
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(i) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | 05000382/LER-1994-009-01, :on 940218,SRO Discovered Object Hanging from Spent Fuel Handling Machine.Caused by Inadequate Barriers. Power Strip to Computer Deengergized |
- on 940218,SRO Discovered Object Hanging from Spent Fuel Handling Machine.Caused by Inadequate Barriers. Power Strip to Computer Deengergized
| | 05000382/LER-1994-010-01, :on 940607,purge of Letdown RM Resulted in Inadvertent Boron Dilution in RCS Due to Inadequate Review of Station Mod Package (SMP-1817) Which Installed Subj Rm. Danger Tag Placed on Valve PMU-120 |
- on 940607,purge of Letdown RM Resulted in Inadvertent Boron Dilution in RCS Due to Inadequate Review of Station Mod Package (SMP-1817) Which Installed Subj Rm. Danger Tag Placed on Valve PMU-120
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | 05000382/LER-1994-011-01, :on 940720,addition of Improper Blend of Makeup Water to VCT Caused RCS Temp to Rise & Reactor Power to Increased.Caused by Personnel Error.Personnel Involved in Event Counseled |
- on 940720,addition of Improper Blend of Makeup Water to VCT Caused RCS Temp to Rise & Reactor Power to Increased.Caused by Personnel Error.Personnel Involved in Event Counseled
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) | 05000382/LER-1994-012-01, :on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be Revised |
- on 940907,discovered Failure to Perform TS Surveillance Requirements.Caused by Misunderstanding & Inadequate Technical Reviews.Ts Bases for 3/4.8.1 Will Be Revised
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2)(iii) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2)(viii)(A) 10 CFR 50.73(a)(2)(viii)(B) | 05000382/LER-1994-013-01, :on 940819,undesired Boron Dilution of Reactor Coolant Sys Occurred.Caused by Failure of BAM-146 to Function properly.BAM-146 Replaced & Increasing Operator Awareness on Reactivity Mgt Significance |
- on 940819,undesired Boron Dilution of Reactor Coolant Sys Occurred.Caused by Failure of BAM-146 to Function properly.BAM-146 Replaced & Increasing Operator Awareness on Reactivity Mgt Significance
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2)(viii) 10 CFR 50.73(a)(2) | 05000382/LER-1994-014-01, :on 941006,HLIV Circuit Breaker Left in Open Position Due to Personnel Error.Cognizant CRS Has Been Counseled in Accordance W/Waterford 3 Improving Human Performance Program |
- on 941006,HLIV Circuit Breaker Left in Open Position Due to Personnel Error.Cognizant CRS Has Been Counseled in Accordance W/Waterford 3 Improving Human Performance Program
| | 05000382/LER-1994-015-01, :on 940916,boric Acid Addition to RCS Occurred. Caused by Personnel Error Due to Lack of Self Checking. Primary Nuclear Plant Operator Counseled Re Improving Human Performance Program |
- on 940916,boric Acid Addition to RCS Occurred. Caused by Personnel Error Due to Lack of Self Checking. Primary Nuclear Plant Operator Counseled Re Improving Human Performance Program
| 10 CFR 50.73(a)(2)(x) 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition 10 CFR 50.73(a)(2) | 05000382/LER-1994-016-01, :on 940721,informed by Cooper Energy Svcs (CES) That CES Could Not Locate Documentation to Prove That Lube Oil Flow to Cooper Model ET-18 Turbocharger Would Be Adequate Under Loss of Control Air |
- on 940721,informed by Cooper Energy Svcs (CES) That CES Could Not Locate Documentation to Prove That Lube Oil Flow to Cooper Model ET-18 Turbocharger Would Be Adequate Under Loss of Control Air
| 10 CFR 50.73(a)(2) 10 CFR 50.73(c)(2) | 05000382/LER-1994-017-01, :on 941122,load Rejection Testing Requirements for EDG Not Met Due to Inadequate Procedure Re Misunderstanding of 498 Kw HPSI Pump.Condition Rept (CR-94-1108) Was Generated |
- on 941122,load Rejection Testing Requirements for EDG Not Met Due to Inadequate Procedure Re Misunderstanding of 498 Kw HPSI Pump.Condition Rept (CR-94-1108) Was Generated
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2)(x) 10 CFR 50.73(a)(2) 10 CFR 50.73(a)(2)(1) | 05000382/LER-1994-018-01, :on 941123,liquid Radwaste Released from Waste Condensate Tank a W/Incorrect & non-conservative Permit Release Setpoint on Liquid Waste Radiation Monitor.Caused by Human Error.Appropriate Personnel Counseled |
- on 941123,liquid Radwaste Released from Waste Condensate Tank a W/Incorrect & non-conservative Permit Release Setpoint on Liquid Waste Radiation Monitor.Caused by Human Error.Appropriate Personnel Counseled
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