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Category:LICENSEE EVENT REPORT (SEE ALSO AO
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:RO)
MONTHYEARML20029E2071994-05-0909 May 1994 LER 94-004-00:on 940416,discovered That Surveillance Frequency for Sp 34SV-SUV-008-1S Not Correct for Seven Primary Containment Vent & Purge Valves Due to Personnel Error.Surveillance Brought Up to date.W/940509 Ltr ML20029C8681994-04-25025 April 1994 LER 94-003-00:on 940329,automatic Reactor Shutdown Occurred Due to Trip of Main Turbine.Caused by Loss of Main Generator Field Excitation.Damaged Main Generator Exciter Rotor replaced.W/940425 Ltr ML20029C6981994-04-19019 April 1994 LER 94-002-00:on 940325,personnel Error Resulted in ESF Actuations.Personnel Counseled & Trained & EDG Control Circuit Wire repaired.W/940419 Ltr ML20046D5941993-08-18018 August 1993 LER 93-006-00:on 930721,determined That Valves Could Not Be Closed by Use of Normal Motive Power Due to Inadequate Procedural Controls Resulting in Valve Actuators Being Set Up Improperly.Isolated Affected penetration.W/930818 Ltr ML20045H7441993-07-0909 July 1993 LER 93-012-00:on 930615,automatic Reactor Scram & Isolation of Inboard Group 2 PCIS Valves Occurred.Caused by Loose Packing Nut on Instrument Isolation Valve.Valve Repaired & Similar Installations on Units checked.W/930709 Ltr ML20045B0371993-06-10010 June 1993 LER 93-009-00:on 930514,scram Occurred When Mode Switch Moved to Run Position Due to Blown Fuses in Rps.Procedures 52PM-B21-005-1S,52PM-B21-005-2S & 52GM-MEL-007-0S Revised. W/930610 Ltr ML20045B0401993-06-10010 June 1993 LER 93-010-00:on 930514,unplanned ESF Actuation Occurred Due to Less That Adequate Procedures.Procedures 34SV-B21-001-1S & 34SV-B21-001-2S, MSIV Closure Instrument Functional Test revised.W/930610 Ltr ML20045B0761993-06-10010 June 1993 LER 93-011-00:on 930521,partial Group 1 Primary Containment Isolation Sys Actuation Occurred Due to Component Failure. MSLRM Returned to Svc,Failed electro-pneumatic Control Valve in MSIVs replaced.W/930610 Ltr ML20045B7111993-06-10010 June 1993 LER 93-005-00:on 930521,unplanned Insertion of Manual Scram Initiated Due to Personnel Error.Personnel Involved Temporarily Removed from License Duties & Being Subjected to Formal discipline.W/930610 Ltr ML20045A2121993-06-0303 June 1993 LER 93-008-00:on 930505,determined That B Train of SBGT Sys Had Been Inoperable.Caused by Procedure Error.C/As Included Bringing Missed Surveillances Up to Date,Revising Procedures & Counselling personnel.W/930603 Ltr ML20044F6021993-05-21021 May 1993 LER 93-007-01:on 930504,unplanned ESF Actuations Occurred. Caused by Inappropriate Jumper Placement by Plant Engineer. Personnel Performing LSFTs Made Aware of Event & Instructed Not to Install Jumpers on Relay Contact arms.W/930521 Ltr ML20044F5851993-05-18018 May 1993 LER 93-004-00:on 930419,isolation Valve Unexpectedly Closed While Trip Unit Was Tested.Cause for Valve Closing Undetermined.Logic of Trip Unit Correctly Configured to Prevent Closing.No Corrective Actions taken.W/930518 Ltr ML20044D5931993-05-15015 May 1993 LER 93-005-00:on 930414,fuse 1D11-A-f14B Blew,Resulting in Initiation of Train B of Both Standby Treatment Sys Units & Isolation of Damper B of Both Secondary Containments.Blown Fuse & Several Relays in Logic Replaced ML20044D4881993-05-14014 May 1993 LER 93-004-00:on 930414,unplanned ESF Sys Actuation Occurred When LPCI Valve Automatically Reclosed.Caused by Inadvertent Grounding of Logic Circuit,Resulting in Blown Fuse.Fuse Replaced & Operating Order Issued ML20044D1111993-05-10010 May 1993 LER 93-003-00:on 930412,determined That Monthly Operability Test for DG 1B Not Performed During Required Performance Window on 930328.Caused by Personnel Error.Surveillance Coordinator Aware of causes.W/930510 Ltr ML20044C9891993-05-0303 May 1993 LER 93-003-00:on 930407,scram Time Testing on All Control Rods Not Completed Prior to Exceeding 40% Rated Thermal Power.Caused by Personnel Error.Personnel Counseled & Procedures Will Be revised.W/930503 Ltr ML20024G6961991-04-25025 April 1991 LER 91-007-00:on 910326,unknown Inadequacy in Jumper Connection Results in Scram During Surveillance in Cold Shutdown.Cause Unknown.Functional Test Completed & Surveillance Procedure revised.W/910422 Ltr ML20024G7401991-04-24024 April 1991 LER 91-008-00:on 910327,main Steam Isolation Valve Local Leak Rate Test Failed Due to Normal Equipment Wear Resulting in Degradation of Valve Seating Surfaces.Valves Repaired & retested.W/910424 Ltr ML20029B0691991-03-0505 March 1991 LER 91-002-00:on 910203,partial Outboard Group 2 Primary Containment Isolation Sys Isolation Signal Resulted in Closure of Containment Isolation Valves.Caused by Failed Relay Coil.Coil replaced.W/910301 Ltr ML20029B0621991-02-26026 February 1991 LER 91-001-00:on 910129,determined That Setpoints for Condensate Storage Tank Level Switches Not Set to Initiate Required Transfer When 10,000 Gallons Water Available.Caused by Inadequate Documentation.Setpoints raised.W/910226 Ltr ML20028H8431991-01-27027 January 1991 LER 90-024-00:on 901228,pretreatment Monitoring Station Offgas Samples Not Collected & Analyzed within 4 H of Increased Fission Gas Release.Caused by Misinterpretation of Tech Specs.Personnel instructed.W/910125 Ltr ML20044A6411990-06-22022 June 1990 LER 90-011-00:on 900601,full Reactor Protection Sys Actuation Occurred When Mode Switch Moved to Run Position, Resulting in Scram Signal on MSIVs Less than 90% Open.Caused by Personnel Error.Individual counseled.W/900622 Ltr ML20043G7111990-06-15015 June 1990 LER 90-004-00:on 900521,personnel Error & FSAR Deviation Occurred & Resulted in Tech Spec Violation.Procedure 62CI-OCB-031-OS Incorrectly Directed Personnel to Periodically Open Airlock Doors.Memo issued.W/900615 Ltr ML20043G7141990-06-15015 June 1990 LER 90-009-00:on 900522,determined That Requirements of Tech Spec 3.14.2,Actions 105 & 107 Not Met.Caused by Inadequate Procedure.Normal Range Monitoring Sys Restored to Operable Status & Procedure 64CH-SAM-005-OS revised.W/900615 Ltr ML20043G7581990-06-0808 June 1990 LER 90-001-01:on 900112,component Failure & Inadequate Design Caused Group I Isolation & Scram W/Main Steamline Isolation Valves Less than 90% Open.Root Isolation Valves Replaced W/New Type of valve.W/900608 Ltr ML20043C7281990-05-31031 May 1990 LER 90-008-00:on 900505,determined That Reactor Vessel Head Vent Valves 1B21-F004 & 1B21-F005 Closed Contrary to Tech Spec 3.7.C.2.a(2) Requirements.Caused by Cognitive Personnel Error.Reactor Vessel Head Vent Valves reopened.W/900531 Ltr ML20043A5091990-05-14014 May 1990 LER 90-006-00:on 900418,discovered That Wiring Error Existed in Junction Box Leading to Strip Recorder That Resulted in Inadequate Tech Spec Surveillance.Caused by Personnel Error. Wiring Error Corrected & Personnel counseled.W/900514 Ltr ML20043A5131990-05-14014 May 1990 LER 90-007-00:on 900419,determined That Errors in Calculations for Measuring Feedwater Flow Resulted in Nonconservative Calibr of Flow Transmitters.Caused by Error in Design Calculation.Transmitters recalibr.W/900514 Ltr ML20042E6851990-04-27027 April 1990 LER 90-003-00:on 900328,reactor Scram & Group II Containment Isolation Occurred.Caused by Inadequate Procedure.Procedure Will Be Changed to Require Instruments to Be Pressurized to Process Pressure Before Valved Into svc.W/900423 Ltr ML20042E6841990-04-27027 April 1990 LER 90-005-00:on 900329,safety Relief Valves Experienced Setpoint Drift in Excess of Tolerance.Caused by corrosion- Induced Bonding of Surface Between Pilot Valve Disc & Seat. Valves refurbished.W/900424 Ltr ML20012D8861990-03-19019 March 1990 LER 99-004-00:on 900219,trip Setpoint for Isolation of Liquid Radwaste Effluent Line on Low Dilution Flow Not Set Correctly.Caused by Inadequate Procedure.Procedure Revised temporarily.W/900319 Ltr ML20012C2891990-03-12012 March 1990 LER 90-003-00:on 900212,determined That Surveillance Procedures for Monthly Functional Testing of Drywell High Pressure Instrumentation Logic Channels Less than Adequate. Caused by Personnel Error.Procedures revised.W/900312 Ltr ML20011F4291990-02-26026 February 1990 LER 90-002-00:on 900131,discovered That Functional Test of Turbine Stop Valve Position Limit Switches Not Performed. Caused by Personnel Error When Writing Recent Rev.Rev to Procedure 34SV-C71-001-1S/2S written.W/900226 Ltr ML20006E2891990-02-0707 February 1990 LER 90-001-00:on 900112,reactor Scrammed Because MSIVs Were Less than 90% Open.Caused by Component Failure & Configuration of Condenser Vacuum Sensing Lines & Instruments.Valves replaced.W/900207 Ltr ML20006E0111990-02-0606 February 1990 LER 90-002-00:on 900114,RWCU Experienced High Differential Flow,Indicating Possibility of Leak in Sys.Caused by Component Failure & Less than Adequate Mounting for Relay. Relay Replaced W/Time Delay relay.W/900206 Ltr ML20006A8881990-01-22022 January 1990 LER 90-001-00:on 900104,HPCI Pump Declared Inoperable Due to Rated Flow Not Maintained During Surveillance Testing. Caused by Component Failure.Defective Resistor Replaced & Procedure 34SV-E41-002-1S performed.W/900122 Ltr ML20005E6541990-01-0202 January 1990 LER 89-010-00:on 891204,determined That Plant Was Not Fully Meeting Surveillance Requirements of Tech Spec Table 4.3.6.4-1,item 10.b.Caused by Inadequate Procedure.Recorder Calibr Steps to Be Removed from procedure.W/900102 Ltr ML20005E1851989-12-27027 December 1989 LER 89-009-00:on 891129,reactor Protection Sys Actuation Occurred from Scram Discharge Vol High Level Condition. Caused by Equipment Failure.Backup Temporary Air Compressor Placed Into Svc & Blown Fuse replaced.W/891227 Ltr ML20005E5131989-12-22022 December 1989 LER 89-017-00:on 891128,discovered That Efficiency Factors Used for Old Liquid Radwaste Discharge Radiation Monitors Incorrect.Caused by Personnel Not Incorporating Updated Efficiency Factor Into Sys software.W/891222 Ltr ML19332F8691989-12-14014 December 1989 LER 89-018-00:on 891114,sys High Differential Flow Condition Occurred Causing Actuation of Primary Containment Isolation Sys Valve Group 5 Logic Resulting in Closure of RWCU Valve. Caused by Personnel Error.Personnel counseled.W/891214 Ltr ML19332E6141989-11-30030 November 1989 LER 89-016-00:on 891103,discovered That Procedures 57SV-C51-001-1/2S Did Not Fully Test Rod Block Monitor Function.Caused by Procedural Deficiency.Limiting Condition for Operation Initiated & Procedure revised.W/891130 Ltr ML19332D8791989-11-29029 November 1989 LER 89-008-00:on 891102,RWCU Sys Experienced Partial Primary Containment Isolation Sys Group 5 Isolation Involving Valve 2G31-F004.Caused by Component Failure of Relay 2G31-R616D. Relay replaced.W/891129 Ltr ML19324C3271989-11-0808 November 1989 LER 89-014-00:on 891010,primary Containment Isolation Sys Group 5 Isolation Occurred Due to Opening of Valve 1G31-D002A.Caused by Personnel Error.Personnel Counseled & Memo Issued Re Confirming commands.W/891108 Ltr ML19325F1781989-11-0606 November 1989 LER 89-015-00:on 891009,diesel Generator 1R43-S001B Failed to Start Manually During Monthly Generator Test.Caused by Personnel Error & Incorrect Model Number Assigned to Pump. Pump Replaced & Oil Drained from cylinders.W/891106 Ltr ML19332B6191989-10-31031 October 1989 LER 89-013-00:on 891003,RWCU Sys Valve 1G31-F020 Closed, Rendering Inservice Reactor Coolant Monitor Inoperable. Caused by Cognitive Personnel error.In-line Conductivity Surveillance Initiated & Personnel counseled.W/891031 Ltr ML19325E6911989-10-31031 October 1989 LER 89-012-00:on 891003,plant Operators Received Indication That RWCU Sys Experiencing High Differential Flow Which Resulted in Isolation of Primary Containment Isolation Sys Valves.Caused by Component failure.W/891031 Ltr ML19327B3281989-10-23023 October 1989 LER 89-007-00:on 890926,four Safety Relief Valves Had Exhibited Drift in Mechanical Lift Setpoints in Excess of 3% Tolerance Specified by Inservice Testing Requirements.Root Cause Being Investigated.Valves refurbished.W/891023 Ltr ML19327B2991989-10-23023 October 1989 LER 89-006-00:on 890926,Procedure 34SV-SUV-019-2S, Surveillance Checks Did Not Fully Implement Requirements of Tech Spec Table 4.3.2-1.Caused by Personnel Error. Personnel Counseled & Procedure revised.W/891023 Ltr ML20024F4081983-09-0101 September 1983 LER 83-079/03L-0:on 830809,main Steam Line & Reactor Water Sample Valve Relay 1A71-K7A Determined Operating in Degraded Mode.Caused by Component Failure.Coil & Contacts Replaced. W/830901 Ltr ML20024F3341983-09-0101 September 1983 LER 83-064/03L-0:on 830811,during post-maint Review of DCR 83-76 Determined Torus Vent Valves Instrument Air Piping Returned to Svc W/O Performance of HNP-6907.Caused by Personnel oversight.W/830901 Ltr 1994-05-09
[Table view] Category:TEXT-SAFETY REPORT
MONTHYEARML20217D3061999-10-13013 October 1999 SER Accepting Licensee Proposed Changes to Edwin I Hatch Nuclear Plant Emergency Classification Scheme to Add Emergency Action Levels Related to Operation of Independent Spent Fuel Storage Installation HL-5845, Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.With1999-09-30030 September 1999 Monthly Operating Repts for Sept 1999 for Ei Hatch Nuclear Plant.With ML20217A1691999-09-22022 September 1999 Part 21 Rept Re Engine Sys,Inc Controllers,Manufactured Between Dec 1997 & May 1999,that May Have Questionable Soldering Workmanship.Caused by Inadequate Personnel Training.Sent Rept to All Nuclear Customers ML20212A6641999-09-13013 September 1999 Safety Evaluation Authorizing Relief Request RR-V-16 for Third 10 Yr Interval Inservice Testing Program HL-5836, Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With1999-08-31031 August 1999 Monthly Operating Repts for Aug 1999 for Edwin I Hatch Nuclear Plant.With ML20210J9631999-08-0202 August 1999 SER Finding That Licensee Established Acceptable Program to Verify Periodically design-basis Capability of safety-related MOVs at Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20210J9271999-08-0202 August 1999 SER Finds That Licensee Performed Appropriate Evaluations of Operational Configurations of safety-related power-operated Gate Valves to Identify Valves at Plant,Susceptible to Pressure Locking or Thermal Binding HL-5818, Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-07-31031 July 1999 Monthly Operating Repts for July 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5805, Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-06-30030 June 1999 Monthly Operating Repts for June 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207E7631999-06-0303 June 1999 Safety Evaluation Concluding That Licensee Proposed Alternative to Use Code Case N-509 Contained in RR-4 Provides Acceptable Level of Quality & Safety.Considers Rev 2 to RR-4 & RR-6 Acceptable HL-5795, Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with1999-05-31031 May 1999 Monthly Operating Repts for May 1999 for Ehnp Units 1 & 2. with ML20206G1691999-05-0404 May 1999 SER Approving Requirements of Istb 4.6.2(b) Pursuant to 10CFR50.55a(a)(3)(ii) HL-5784, Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-04-30030 April 1999 Monthly Operating Repts for Apr 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5766, Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-03-31031 March 1999 Monthly Operating Repts for Mar 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20207M1891999-03-11011 March 1999 SER Accepting Relief Request for Authorization of Alternative Reactor Pressure Vessel Exam for Circumferential Weld HL-5755, Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With1999-02-28028 February 1999 Monthly Operating Repts for Feb 1999 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20206P6981999-01-0707 January 1999 Ehnp Intake Structure Licensing Rept HL-5726, Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-12-31031 December 1998 Monthly Operating Repts for Dec 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20196J4931998-12-0707 December 1998 Safety Evaluation Accepting Proposed Alternatives in Relief Requests RR-V-12,RR-V-15,RR-P-15,RR-V-7,RR-V-12,RR-V-14 & RR-V-15 HL-5714, Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-11-30030 November 1998 Monthly Operating Repts for Nov 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With HL-5706, Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With1998-10-31031 October 1998 Monthly Operating Repts for Oct 1998 for Hatch Nuclear Plant Units 1 & 2.With ML20155B6121998-10-28028 October 1998 Safety Evaluation of TR SNCH-9501, BWR Steady State & Transient Analysis Methods Benchmarking Topical Rept. Rept Acceptable HL-5691, Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With1998-09-30030 September 1998 Monthly Operating Repts for Sept 1998 for Ei Hatch Nuclear Plant,Units 1 & 2.With ML20153G2481998-09-24024 September 1998 SE Concluding That Licensee Implementation Program to Resolve USI A-46 at Plant Adequately Addressed Purpose of 10CFR50.54(f) Request ML20239A2531998-09-0303 September 1998 SER Accepting Licensee Request for Relief Numbers RR-17 & RR-18 for Edwin I Hatch Nuclear Plant,Units 1 & 2.Technical Ltr Rept on Third 10-year Interval ISI Request for Reliefs for Plant,Units 1 & 2 Encl HL-5675, Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-08-31031 August 1998 Monthly Operating Repts for Aug 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20238F7131998-08-31031 August 1998 9,change 2 to QAP 1.0, Organization HL-5667, Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-07-31031 July 1998 Monthly Operating Repts for July 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5657, Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures1998-07-30030 July 1998 Ro:On 980626,noted That Pami Channels Had Been Inoperable for More than Thirty Days.Cause Indeterminate.Licensee Will Replace Automatic Function W/Five Other Qualified Pamis of Like Kind in Drywell & Revised Procedures ML20236W3441998-07-30030 July 1998 Safety Evaluation Accepting Relief Requests for Second 10-yr ISI for Plant,Units 1 & 2 ML20236V5191998-07-28028 July 1998 Safety Evaluation Accepting Proposed License Amend Power Uprate Review ML20236N6751998-07-0909 July 1998 Part 21 & Deficiency Rept Re Notification of Potential Safety Hazard from Breakage of Cast Iron Suction Heads in Apkd Type Pumps.Caused by Migration of Suction Head Journal Sleeve Along Lower End of Pump Shaft.Will Inspect Pumps ML20236L1821998-07-0707 July 1998 Safety Evaluation Accepting 980428 Proposed Alternative to ASME Boiler & Pressure Vessel Code,Section Xi,Repair & Replacement Requirements Under 10CFR50.55a(a)(3) HL-5653, Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-06-30030 June 1998 Monthly Operating Repts for June 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5640, Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-05-31031 May 1998 Monthly Operating Repts for May 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20248B8651998-05-15015 May 1998 Quadrennial Simulator Certification Rept HL-5628, Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant1998-04-30030 April 1998 Monthly Operating Repts for Apr 1998 for Ei Hatch Nuclear Plant HL-5604, Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 21998-03-31031 March 1998 Monthly Operating Repts for Mar 1998 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20216B2711998-02-28028 February 1998 Extended Power Uprate Safety Analysis Rept for Ei Hatch Plant,Units 1 & 2 HL-5585, Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 21998-02-28028 February 1998 Monthly Operating Repts for Feb 1998 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5571, Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 11998-01-31031 January 1998 Monthly Operating Repts for Jan 1998 for Edwin I Hatch Nuclear Plant,Unit 1 HL-5551, Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-12-31031 December 1997 Monthly Operating Repts for Dec 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 ML20199B0561997-12-31031 December 1997 Rev 0 GE-NE-B13-01869-122, Jet Pump Riser Weld Flaw Evaluation Handbook for Hatch Unit 1 HL-5581, Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 21997-12-31031 December 1997 Annual Operating Rept for 1997, for Ei Hatch Nuclear Plant Units 1 & 2 HL-5533, Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 21997-11-30030 November 1997 Monthly Operating Repts for Nov 1997 for Ei Hatch Nuclear Plant,Units 1 & 2 HL-5514, Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 21997-10-31031 October 1997 Monthly Operating Repts for Oct 1997 for Edwin I Hatch Nuclear Plant,Units 1 & 2 ML20212A1981997-10-16016 October 1997 Safety Evaluation Denying Licensee Request for Relief from Implementation of 10CFR50.55a Requirements Re Use of 1992 Edition of ASME Code Section XI for ISI of Containments ML20211M6491997-10-0808 October 1997 Addenda 1 to Part 21 Rept Re Weldments on Opposed Piston & Coltec-Pielstick Emergency stand-by Diesel gen-set lube-oil & Jacket Water Piping Sys.Revised List of Potentially Affected Utils to Include Asterisked Utils,Submitted ML20211H5311997-10-0101 October 1997 Rev 2 to Unit 1,Cycle 17 Colr ML20211H5251997-10-0101 October 1997 Rev 3 to Unit 1,Cycle 17 Colr 1999-09-30
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- w. o. Hewston, m sew. n e m,2..e Noe,v onewo- HL-1497 001252 February 26, 1991 U.S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, D.C. 20555 lLANT HATCH - UNIT 2 NRC DOCKET 50-366 OPERATING LICENSE NPF-5 LICENSE EVENT REPORT INSTR'JMENT TRIP SETP0lNT3 DETERMfNED TO BE OUTSIDE TECHNICAL SPECIFICATIONS 1IMITS Gentlemen:
In accordance with the requirements of 10 CFR 50.73(a)(2)(1), Georgia Power t.ompany is submitting the enclosed License Event Report (LER) concers,ing incorrect setpoints for the Unit 2 Condensate Storage Tank level switches as a result of inadequate design documentation. This event occurred at Plant Hatch - Unit 2.
Sincerelv, hd W. G. Hairston, 111 JK0/cr
Enclosure:
LER 50-366/1991-001 c: (See next page.)
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U.S. Nuclear Regulatory Connission February 26, 1991 Page Two c: Georaia Power Company Mr. H. L. Sumner, Gent:ral Manager - Nuclear Plant Mr. J. D. Heidt, Manager Engineering and Licensing - Hatch NORMS U.S. Nuclear Rggylglory ConnisSign. Washtu9hnulLL.
Mr. K. Jabbour, Licensing Project Manager - Hatch U.S.. Nuclear Reculatory Commission. ReaJ.DD_11 Mr. S. D. Ebneter, Regional Administrator Mr. -L. D. Wert, Senior Resident inspector - Hatch l
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surror.MarrAt. karoht LaricTtu ut Mowfu bar vtAm carecTro SUhMISSION y resor y.e. c..piet. treterso sunMission safel ] no raft tis' O9 01 91 AhsTkAct i16e On 1/29/91 at approximately 0915 CST, Unit 2 vas in the Run mode at an approximate power level of 2436 CHVT (approximately 100% rated thermal pover).
At that time, it was determined the setpoints for Unit 2 Condensate Storage Tank (CST, EIIS Code KA) level svitches 2E41-N002 and 2E41-N003 vere not in compliance with the requirements of Unit 2 Technical Specifications Table 3.3.3-2, item 3.c. Specifically, the switches, which cause liigh Pressure Coolant Injection (ilPCI. EIIS Code BJ) system suction source transfer from the CST to the Suppression Pool (EIIS Code lit) on lov CST vater level, vere not set to initiate the transfer when 10,000 uscable gallons of water vere available to the llPCI system as intended by the Unit 2 Technical Specifications. it the time of discovery of this event, the llPCI system was aligned to take suction from the Suppression Pool. It vas left in this alignment until the CST vater ic"cl svitch setpoints could be raised.
The cause of this event was less than adequate design documentation. Although the level svitch setpoints vere designed such that 10,000 gallons of vater remained in the CST at the time of the suction source transfer, the design documents did not require 10.000 gallons of vater to be available to the llPCI system.
Corrective actions include raising the CST level svitch setpoints, initiating revisions to appropriate portions of the Unit 2 Technical Specifications and Final Safety Analysis Report, and revieving additional setpoints.
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74ET PLJd[AND SYSTEM TDENTIFICATION General Electric - Boiling Vater Reactot Energy Industry Idtntification System codes are identified in the text as i (EIIS Code XX).
SUMMARY
OF EVENT 4 On 1/29/91 at approximate'ly 0915 CST, Unit 2 was in the Run mode at an
-approximate power level of 2436 CMVT (approximately 100% rated thermal pover).
At that time, it was determined the setpoints for Unit 2 Condensate Storage Tank (CST, EIIS Code KA) level switches 2E41-N002 and 2E41-N003 vere not in compliance with the requirements of Unit 2 Technical Speellications Table i 3.3.3-2, item 3.c. Specifically, the svitches, which cause High hessure Coolant Injection (flPCI, EIIS Code BJ) system suction source transfer from the CST to the Suppression Pool (EIIS Code BT) on lov CST vater level, vere not set to initiate the transfer when 10,000 uscable gallons of vater vere available to the HPCI system as intended by the Unit 2 Technical Specifications. At the time of discovery of this event, the llPCI system was aligned to take suction from the Suppression Pool. It was left in this alignment until the CST vnter level switch setpoints could be raised.
The cause of this event was less than adequate design documentation. The original design specification called for 10,000 gallons of water to be in the CST at the start of suction source transfer. Although the level switch setpoints were designed such that 10,000 gallons of water remained in the CST at i the time of the suction source transfer, the design documents did not require !
10,000 gallons of water to be availabic to the HPCI system. Since the .
centerline of the HPCI system CST suction pipe is approximately 12 inches above !
the bottom-of the CST, the setpoints were not adequate to ensure a successful transfer of the Unit 2 IIPCI aystem suction source to the suppression pool on lov CST vater level. A contributing factor to delaying identification of this issue i was Technical Specifications requirements based on a literal reading of the original design specification.
Corrective actions include raising the CST level svitch setpoints, initiating i . revisions to appropriate portions of the Unit 2 Technical Specifications and Final Safety Analysis Report, and reviewing additional setpoints.
. DESCRIPTION OF EVENT On 12/19/90,:the Plant' Review Board (PRB) van performing a routine review of a revision to procedure 575V-SUV-015-1S, "HPCI/RCIC Pump Suction Source Instrument Functional Test and Calibration." -In the course of revieving the revision, a-concern was raised by the PRB members that-the current-instrument setpoint (el 130 feet 11-1/2 inches MSL.) was inconsistent with other CST level setpoints and thus might not meet the intent of Unit 2 Technical Specifications Table 3.3.3-2, item 3.c. PRB Open Item 90-186-1 was issued to the plant's Nuclear Safety and Compliance (NSLC) Department to address this concern, i
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3 nn After reviev of this concern with Corporate Licensing and Architect /Engineet l (A/E) personnel, it was determined the trip setpoint of 130 feet 11 1/2 inches
, did not meet the intent of the reluirements of the Unit 2 Technical Specifications. Calculat. ions by A/E personnel indicated that CST vater level vould decrease approximately 13 1/2 inches following suction source transfet initiation as the llPCI system Suppression Pool suction valves opened and the CST
. suction valves closed. Since the centerline of the HPCI suction line from the CST is at elevation 131 feet, only 7 1/2 inches of the suction pipe vould be covered at the time the transfer initiated: thus, the CST suction pipe vould be substantially uncoveted and-the HPCI system would likely trip on lov suction pressure before the suction source transfer could be empleted. Therefore, the lov CST vater level trip setpoint of 130 feet 11 1/2 inches was not adequate to ensure a successful transfer of the Unit 2 HPCI system suction cource to the ,
Suppression Pool on lov CST vater level. Upon this dt. termination, a Deficiency Card was vritten to document this condition as required by plant procedures.
-It was also detetmined no probleas existed with the Unit 1 CST vater level :
svitches'1041-N002 and 1E41-N003 because they are set to trip at 132 ieet 10 inches and 132 feet 8 inches, respectively. Additionally, the Unit 1 and Unit 2
- CST vater level svitches which in1tiate Reactor Core Isolation Cooling (RCIC,
- EIIS Code BN) suction source transfer vote also determined to be set correctly.
The llPCI system's suction source previously had been aligned to the Suppression
- Pool under Limiting Condition for Operation (LCO) 2-91-45. This was done on *
. 1/28/91 because Suppression Pool level instrument 2E41-H6620 had been temoved from service for calibre
- ion. CST level switches 2E41-N002 and 2E41-N003 vere declared inoperable and .dded to LCO 2-91-45 to ensure the HPCI system's suction source remained aligned to the Suppression Pool until the lov CST vater level tri; setpoint could be raised.
Design Change Request (DCR) 2H91-023 vas initiated to raise the lov CST vater level trip setpoint approximately 22 1/2 inches to 132 feet 10 inches. The DCR vas revieved and approved for implementation per plant administrative control procedures. Maintenance Vork Orders (MV0s) 2-91-419, 2-91-423, and 2-91-424 vere written to-perform the work required to implement the design change. ,
On 2/7/91, the work under the HV0s was completed. The CST level svitches vere
- then functionally' tested and calibrated per procedure 57SV-SUV-015-25, "IIPCI/RCIC Pump Suction Source Instrument Functional Test and Calibration." CST vater level svitches 2E41-N002 and 2E41-N003 vere declared operable and LCO 2-91-45 was closed on 2/8/91 at approximately 0400 CST. The HPCI system was aligned to take suction from the CST vhich is the system's normal lineup.
CAUSE OF THE EVENT The cause of this event was less than adequate design documentation. The original-setpoint specification, a design document, called for 10,000 gallons of water to be in the CST at the start of suction source transfer rather than
' 10,000 gallons of uscable vater. Because the centerline of the HPCI system CST suction pipe is approximately 12 inches above the bottom of the CST, the setpoints vete not adequate to ensure 10,000 useable gallons of vater vere y y,f te y- gw '
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Tt1T available to the flPCI system at the time of transfet initiation. A conttibuting factor to delaying identification of this issue was a Technical Specification requirement which was based on a litetal teading of the original design specification, i.e., 10,000 gallons of water in the CST instead of the intended 10,000 gallons of vater available to HPCI. Also several sections of the Unit 2 FSAR, including Table 7.3-1 and Sections 9.2.6.2 and 9.2.6.3, support this literal reading and, therefore, may have contributed to this event.
In addition, duting the investigation of this event, it was discoveted the CST vater level svitch setpoints vere determined in 1985 to be incottect. Proposed new setpoints vere transmitted to the site in April, 1985 as part of DCR 84-138.
At that time, the existing setpoints for these instruments vere identified as
" lover than the PSL (process safety limit)." This DCR vas initiated as patt of a program to establish an insttument setpoint index, establish consistency with Regulatory Guide 1.105 recommendations, and to implement setpoint changes calculated by the plant's A/Es. It is not clear why the setpoints fot these instruments were not raised in 1985. A review of the design modification transmittal packages associated with this prngram identified a potential foi a misunderstanding with regard to the necessity for implementing the new setpoints. For example, a previous setpoint index transmittal, dated 9/11/84, noted that the proposed setpoint changes do not constitute previous design deficiencies, but are upgrades of the design philosophy to present day standards. The proposed changes identified in the April, 1985 transmittal vere listed as more conservative than existing plant setpoints. Additionally, a subsequent transmittal stated that the proposed setpoint changes constitute an improved design. It appears that individuals involved in this development, reviev and implementation of the setpoint changes contained in DCR 84-138 may have failed to attach the approptiate level of significance to this concern since the setpoint vas in compliance with the literal vording of the existing Technical Specifications. Investigation of this aspect of the event vill continue.
REPORTABILITY ANALYSIS AND SAFETY ASSESSMENT This report is required by 10 CFR 50.73(a)(2)(1) because a condition existed which was prohibited by the plant's Technical Specifications. Specifically, it was determined the llPCI system's suction source vould not automatically ti nsfer from the CST to the Suppression Pool while 10,000 gallons of CSr water vote still available to the HPCI system. *!his is contrary to the tequitements of Unit 2 Technical Specifications Table 3.3.3-2, item 3.c.
The HPCI system is provided to assute the reactor is adequately cooled to limit fuel-clad temperatute in the event of a small break in the nuclear boiler system causing a loss of coolant which does not result in tapid depressurization of the reactor vessel. The HPCI system is provided with two suction sources: the CST, its normal source, and the Suppression Pool, its alternate source. On lov CST vater level or high Suppression Pool vater level, the liPCI system's suction source is designed to transfer automatically from the CST to the Supptession Pool.
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In this event, it was determined the trip setpoints for the CST vater level 4
svitches did not meet the intent of the Technical Specifications trip setpoint requirements. However, the plant's A/E has performed an analysis to show that
- in all transients and accidents involving HPCI operation its suction source vill l transfer to the Suppression Pool on high Suppression Pool vater level before lov i CST vater level is reached. The analysis assumed the Suppression Pool is at the ;
minimum Technical Specification alloved level of 12 feet 2 inches at the time an accident requiring the operation of HPCI occurs. Considering the Suppression Pool volume between the lov and high level setpoints, the water that could be held up in the dryvell and not reach the Suppression Pool, and the Reactor Vessel volume between the HPCI initiation setpoint (Level 2) and the !!PCI trip -
setpoint on high vater level (hevel 8), the maximum amount of makeup vater i
transferred by HPCI from the CST to the Reactor Vessel before suction source i transfer to'the Suppression Pool vas calculated to be less'than 62,000 gallons. i stand pipes installed in the CST for all non-essential equipment suction assure that-there is at least 100,000 gallons of CST _ vater available for the HPCI-system. The analysis assumed that the CST contained only the 100,000 gallons ,
assured by-the stand pipes; therefore, 38,000 gallons vould remain in the tank '
- after the suction source transfer is accomplished. Calculations shoved that approxim=tely 10 1/2 inches of vater in the CST is equivalent to a volume of 10,000 gallons. Thus, 38,000 gallons of water would reach a height of over 39 inches in the CST. Since the bottom of the CST is at elevation 130 feet 0 inches, 30,000 gallons of water is at 133 feet 3 inches, vell above the required lov CST vater level trip setpoint of 132 feet 10 inches. Consequently, the analysis concluded the suction source transfer vill be caused by a high level in the Suppression Pool and not by a lov level in the CST. Under no identified transients does the CST vater level switch serve the primary function of facilitating the transfer of the !!PCI system's suction source from the CST to the Supprossion Pool.
Based on the above analysis, it is concluded that this event had no adverse
- Impact on. nuclear safety. The analysis is applicable to all power levels.- i CORRECTIVE ACTIONS Upon determination the trip setpoints for CST vater level switches 2E41-N002 and 2E41-N003 vere not in compliance with Technical Specifications requirements,-
they were declared inoperable and added to existing LCO 2-91-45. This ensured
.the llPCI system would remain aligned to take suction from the Suppression Pool until_the setpoints could be raised.
DCR 2H91-023 vas implemented which raised the water level svitch setpoints approximately 22 1/2 inches. -The new trip setpoint of 132 feet 10 inches ensures the CST vater level falls no lover than approximately 131 feet 8 1/2 inches before the suction source transfer is complete. A/E calculations shov the HPCI system' vill have adequate flow and suction pressure throughout the l entire valve opening and closing sequences at this trip setpoint.
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! Level svitches 2041-N002 and 2E41-N003 vete functionally tested and calibrated per procedure $7SV-SUV-015 25 iollowing implementation of DCR 21191-923 ano declared operable on 2/8/91 at approximately 0400 CST. The llPCI system was '
aligned to take suction from the CST vhich is its normal suction source.
i A request to tevise the Unit 1 and Unit 2 Technical Specifications vill be initiated. The requestod revision vill clearly state the lov CST vater level
- trip setpoint is that equivalent to 10,000 gallons of wate, evallable to the IIPCI system. Additionally, applicable seetions of the Unit 1 and Unit 2 FSARs .
! vill be revised to indicate the trip setpoint is equivalent to 10.000 gallona of vater available to the itPCI syttem.
Additionally, all the setpoint changes covered under DCR 84-138 vill be revieved l by August 15, 1991 to ensure they have been implemented or the untr.odified l setpoints do not present any safety concerns. A supplement to this LPR vill be
- issued by 9/1/911 it vill include the results of the above mentioned
' investigation and any additional cortective actions as vartanted.
c ADDITIONAL INFORMATION
- 1. Other Systems Affected:
No systems other than the Unit 2 IIPCI system vere affected by this event.
- 2. Failed Components Identiiicattons-No failed components caused or resulted from this event.
- 3. Previous Similat Events:
No previous similar events in the last tva years in which an inadequate design resulted in setpoints not in compliance with the plant's Technical Specifications vere noted.-
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