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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
[Table view] |
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, Sena V 0: hen.:1ent nso.w omeons HL-1504 001280 March 1. 1991 U.S. Nuclear Regulatory Commission ATIN: Docuuent Control Desk Washington, D.C. 20555 PLANT HATCH - UNITS 1, 2 NRC DOCKETS 50-321, 50-366 OPERATING LICENSES DPR-57 NPF-5 LICENSEE EVENT REPORT COMPONENT FAILURE AND PERSONNFL ERROR RESUtT IN UNPLANNED ESF ACTUATID!i Gentlemen:
In accordance with the requirements of 10 CFR 50.73(a)(2)(iv), Georgia Power Company is submitting the enclosed licensee Event Report (LLR) concerning a component failure and personnel error which resulted in ESF actuations. This event occurred at Plant Hatch - Units 1 and 2.
SincereJy, f, , Y fick W. G. Hairsto , 111 JKB/cr
Enclosure:
LER 50-321/1991-002 c: (See next p, age.)
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U.S. Nuclear Regulatory Comission March 1, 1991 Page Two c: Georaia Powar_ Company Mr. H. L. Sumner, General Manager - Nuclear Plant Mr. J. D. Heidt, Manager Engineering and Licensing - Hatch NORMS U.S. Nuclear Reculatory_CILmmission. Wuhington D.C.
Mr. K. Jabbour, Licensing Project Manager - Hatch Whcjfttt Regulatory Commission. Reaion iI Mr. S. D. Ebneter, Regional Administrator Mr. L. D. Wert, Senior Resident inspector - Hatch 4
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On 2/3/91 at approximately 0420 CST, Unit 1 and Unit 2 vere in the Run mode at an approximate power level of 2436 CHVT (approximately 100% rated thermal pover). At that time, a partial, outboard Group 2 Primary Containment-1 solation
- System (PCIS, EIIS Code JM)-isolation signal was generated resulting in closure of some outboard Group 2 Primary Containment Isolation Valves (PCIVs, EIIS Code
- JM).' This, in turn, resulted in the isolation of the Unit 2 Ilydrogen and oxygen Analyzer (EIIS Code IK) and Fisslon Products Nonitoring (FPH, EIIS Code IK) systems. The isolation signal occurred due to a failed relay. A second ESF actuation occurred during the replacement of the failed relay. A relay apparently was bumped resulting in actuation of the "B" trains of the Unit 1 and Unit 2 Standby Gas Treatment (SBGT, EIIS Code Bil) systems, isolation of the Unit I and Unit 2 Secondary Containments, and isolation of additional outboard Group 2-PCIVs.
The cause of the first event was component failure. The coil in relay 1C61-K24 -
failed, actuating the isolation logic for some of the outboard Group 2 PCIVs per design. The cause of the second event was personnel error. A plant electrician, while replacing relay IC61-K24, apparently bumped nearby relay .
IC61-K79. This actuated the initiation logic for the "B" tr: ins or both units' SBGT systems, and the isolation logic for both units' Secondary Containments and additional outboard Group 2 PCIVs.
Corrective actions for this event included replacing the failed relay and counceling involved personnel.
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- General Electric - Boiling Vater Beactot Energy Industry Identification System codes are identified in the text as (EIIS Code XX).
SUMMARY
OF EVENT On 2/3/91 at approximately 0420 CST, Unit 1 and Unit 2 vere in the Run mode at an approximate power level of 2436 CMVT (approximately 100% rated thermal pover). At that time, a partial, outboard Grouc 2 Primary Containment Isolation System (PCIS, E115 Code JM) isolation signal was generated resulting in closure of some outboard Group 2 Primary Containment Isolation Valves (PCIVs, EIIS Code !
JM). This, in turn, resulted in the isolation of the Unit 2 Ilydrogen and Oxygen
- i Analyzer (EIIS Code IK) and ilssion Products Monitoring (FPM, E11S Code IK) systems. The isolation signal occurred due to a failed relay. A second ESF actuation occurred during the replacement of the failed relay. A relay appatently was bumped.resulting in actuation of the "B" trains of the Unit 1 and Unit 2 Standby Gas Treatment (SBGT, EIIS Code BII) systems, isolation of the Unit 1 and Unit 2 Secondary Containments, and isolation of additionni outboard Group 2 PCIVs.
The cause of the first event was component failure. The coil in relay 1C61-K24 ;
-failed, actuating the isolation logic for some of the outboard Group 2 PCIVs per ;
design. The cause of the second event was personnel error. A plant ,
electrician, while replacing relay IC61-K24, apparently bumped nearby relay i 1C61-K79. This actuated the initiation logic for the "D" trains of both units' !
SBGT systems, and the isolation logic for both units' Secondary Containments and ,
additional outboard Group 2 PCIVs.
Corrective actions for this event included replacing the failed relay and counseling involved personnel.
DESCRIPTION OF EVENT on 2/3/91 at approximately 0420 CSf, a partial, outboard Group 2 PCIS isolation signal was received and the outboard Group 2 PCIVs in the Hydrogen and oxygen Analyzer and FFH syutens isolated as per design. No activities vete in progress
- which might have resulted in these actions nor vere-any system logie netuation signals (reactor vater lov level or dryvell high pressure) present.. Operations
~
-personnel initiated 1.imiting Condition for Operation (LCO) 1-91-50 on the FPH-system and LC0 1-91-51 on the Hydrogen and oxygen Analyzer system per Unit 1 Technical Specifications sections 3.6.G.3.c and 3.7.A.6.c. An investigation of the unexpected-isolatinn signal vas initiated.
At approximately 0525 CST, plant electricians found an open (failed) coil in relay IC61-K24. The failed coil caused the relay to go to its designed, fail-safe, de-energiaed position. Since this relay is in the PCIS trip logic, a partial, outboard Gsoup 2 PCIS isolation signal vas generated per design. The normally open outboard Group 2 PCIVs in the Hydrogen and Oxygen Analyzer and FPM systems-closed, isolating these systems.
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- The electricians proceeded to replace the coil in relay 1C61-K24 per Haintenance Vork Order (MVO) 1-91-551. At approximately 0755 CST, while the electricians were replacing the relay, the "B" trains of the Unit 1 and Unit 2 SBGT systems actuated, the Unit 1 and Unit 2 secondary Containments isolated, i.e., the Reactor Buildings and Refueling Floor normal ventilation systems (Ells Code VA) fans tripped and dampets isolated, and additional outboard Group 2 PCIVs isointed. Apparently, while replacing relay IC61-K24, an electrician inadvertently bumped relay IC61-K79, which is in close proximity to relay 1061-K24 an panel 1H11-P623.- Bumping relay IC61-K79 caused some or all of its contacts to change position momentarily. This resulted in downstream relay IC61-K75 de-energizing per design. Relay 1C61-K75 is in the actuation logic for the "B" trains of the SBGT systems, the isolation logic for the Secondary Containments, and the isolation _ logic for additional outboard Group 2 PCIVs.
These systems responded per design.
At approxfmately 0855 CST, the electricians completed the replacement of the coil in relay 1C61-K24 Operations personnel reset the PCIS isolation signals, restored the Reactor Buildings and Refueling Floor ventilation systems to normal service, returned the "B" trains of the Unit 1 and Unit 2 SBGT systems to the auto standby condition, and opened the outboard Group 2 PCIVs which had closed.
At approximately 1010 CST, after verifying the Hydrogen and Oxygen Analyzer and FpH systems vere operating properly, Operations personnel terminated LCOs 1-91-50 and 1-91-51.
CAUSE OF THE EVENT The cause of the first event was component failure. The coil in relay 1C61-K24 failed, actuating the isolation logic for some of the outboard Group 2 PCIVs per design. This-included the logic to the PCIVs in the Hydrogen and Oxygen Analyzer and FPH systems.
The cause of the second event was personnel error.- A plant electrician, while replacing relay 1C61-K24, apparently bumped nearby relay IC61-K79. This actuated the initiation logic for the "B" trains of both units' EBGT systems, and the isolation logic for both units' Secondary Containments and additional outboard Group 2 PCIVs.
REPORTABILITY ANALYSIS AND SAFETY ASSESSHENT This event is reportable per 10 CFR 50.73(a)(2)(iv) because unplanned actuations
, of Engineered Safety Features (ESFs) occurred. Specifically, the "B" trains of
, the Unit I and Unit 2 SBGT systems automatically started, the Unit I and Unit 2 Secondary Containments (i.e., Refueling Floor and Reactor Building ventilation systems) isolated, and partial Group 2 PCIS isolation signals _ vere generated closing selected PCIVs and isolating the Hydrogen and Oxygen Analyzer and Fission Products Monitoring systems.
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TEIT The SBGT systems are designed to limit the release of radioactivity to the environment following leakage of radioactivity into the Secondary Containment.
The SBGT systems automatically filter the air from the Secondary Containment following an accident and discharge it via the Main Stack. Each unit's SBGT system consists of tvo identical, redundant, parallel air filtration trains containing the r.ecessary heaters, filter, and exhaust f ans. Normal Secondary Containment ventilation systems isolate to allov the SBGT system to maintain a negative pressure in the Reactor building, including the Refueling Floor, and prevent leakage of the unfiltered building atmosphere to the environment.
The PCIS is designed to limit the release of radioactive materials from the Primary Containment in the event of an act.ident. PCIVs automatically isolate lines penetrating the Primary containment upon receipt of signals (e.g., reactor water lov level, dryvell high pressure) indicating an abnormal condition may exist.
In the events described in this report, the "B" trains of the SBGT systems started, the Secondary containments isolated, and a partial Group 2 PCIS isolation signal was generated resulting in selected open PCIVs closing per design. These a;.tions occurred when a relay coil f ailed and another, nearby relay was bumped during replacement of the failed coil. The first event was equivalent to a loss of power to the affected logic systems. Per IEEE Standard 279-1971, item 4.2, any single failure (including a loss of power) within the protection system shall not prevent proper system operation. Therefore, these logic systems are designed to actuate on loss of pover. This is a " fall-safe" condition.
The second event occurred when the contacts of a relay momentarily changed position due to the force of being bumped. The relay responded as if it had received an actuation signal. The logic downstream of the relay responded correctly to the apparent actuation signal.
All logic systems functioned per design based on the given event. As a result, the "B" SBGT trains vere available should they have been needed in the unlikely event of an accident because they already vere in the actuated condition with the Secondary Containments isolated. Similarly, the affected Group 2 PCIVs vould have isolated Primary Containment should the need have arisen because they already vere in the isolated position with a seal-in isolation signal ptesent.
In addition, proper and immediate actions vere taken when the Hydrogen and Oxygen Analyzer and FPM systems isolated to ansure continued compliance with applicable Technical Specifications requirements.
Based on the above, it is concluded these events had no adverse impact on nuclear safety. This analysis is applicable to all povet levels.
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PIM HA'!UI, tNTT 1 05000321 91 002 00 5 0F $ l me CORRECTIVE ACTION The coll =of relay 1C61-K24 vas replaced per HVO 1-91-551. The !!ydrogen and Oxygen Analyzer and FPM systems vere returned to service and LCOs 1-91-50 and l 1-91-51 vere terminated. The affected ventilation systems were returned to service, the Group 2 isolation signal was reset, and the "B" SBGT system trains were rentored to the standby condition. i
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Involved personnel were counseled concerning the need to exercise extreme care whenLvorking in panels containing sensitive equipment. Additionally, this event, its causes, and its consequences vill be. covered with Haintenance personnel during routine toolbox meetings. This action vill be completed by -
3/30/91.
ADDITIONAL-INF0kMATION
-1. Other Affected Plant Systems:
No plant systems other than those listed previously were affseted by this
. event.
- 2. Previous Similar Events l
.There have been three previously reported similar events in the last two years.in which a failed relay or blevn fuse resulted in an actuation of an ESP. Etese events were reported in LER 50-321/1990-016, dated 9/13/90, LER 50-366/1990-008, dated 10/18/90, and LER 50-366/1991-002, dated 2/18/91.
Corrective actions for these events vould not have prevented this event because different components were involved in each event. Failure of a >
CR120A model relay caused each events however, a. review of the Nuclear Plant Reliability Data System (NPRDS) data base for Plant flatch and other plants indicated a lov failure rate for these relays. Therefore, no additional corrective actions are deemed necessary at this time.
- 3. Failed Component Information:
Master Parts List Number 1061-K24 Hanufacturer General Electric Type Relay Model Number: CR120A06022AA-Hanufacturer Code: G080 EIIS System Code: Bil 1 EIIS Component Codes RLY Root Cause Codes X Reportable to NTROS: Yes i.
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