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March 4. 1991 MP-91-194 U.S. Nuclear Regulatory Commission Document Control Desk Washington, D.C. 20555
Reference:
Facility Operating License No. NPF-49 Docket No. 50-423 Licensee Event Report 91-002-00 Gentlemen:
This letter forwards Licensee Event Report 91-002-00 required to be subrnitted within thirty (30) days pursuant to 10CFR50.75(a)(2)(i), any operation or condition prohibited by the plant's Technical Specifications.
Very truly yours, NORTHEAST NUCLEAR ENEROY COMPANY kejktA e eae.x
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Stephdn E.
cace Director, Millene Station SES/NDH:ljs Attachment: LER 91-002-00 cc:
T. T. Martin, Region 1 Administrator W. J. Raymonci, Senior Resident ins 3ector, Millstone Unit Nos.1, 2 and 3 D. H. Jaffe, NRC Project Manager, siillstone Unit No. 3
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l Between 0400 and 1600 hours0.0185 days <br />0.444 hours <br />0.00265 weeks <br />6.088e-4 months <br /> on February 2,1991, with the plant at b~r power in Mode 3 (Hot Standb 00$0 psia and f 4f deprees Fahrenhen, setpoint drift was identified wh'.se testing the Main Steam Sa ahes.
1 Nm out of twent,s vahes failed the a te tolerance band set br b Lnical Specification Table 3.7-3.
r No immediate cecrective acuan was necessary unce the plant wa, m Hot Standby.
l The cause of the safety valve setpoint dnft is inadequate dtsign. The safety vahes do not maintain their i
setpomt within the i 1Ce tolerance specified m Techmcal Specificauons. The highest / lowest deviation observed was +2.lc i-24 The setpomF on all of the failed safety valves were reset to Technical Specification r
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Desermtin, of Event Between 0400 and 1600 hours0.0185 days <br />0.444 hours <br />0.00265 weeks <br />6.088e-4 months <br /> on February 2,1091, with the plant at O'i power in Mode 3 (Hot s
Standbyh at 2250 psia and $46 degrees Fahrenhe t, setpoint drift was identihed while testing Mam Steam Safety Yalves. Nine of twenty vahes failed the A l'i tolerance band set b) Technical Specibcation Table 3.7-3. No immediate operator action was required since the plant was in Hot Standby at the time the valves were being tested.
The valves were being tested per an anproved Mamtenance Surseillance proced,d on the valves that fa ure. On iniual tests of the twent) valves, eight failed high and one failed low. The worst deviation obserse high was 2.19. The vahe that failed low had a deviation of 2Er. All of the failed vahes were reset to within the A l'i tolerance.
Cause nf Event The cause of the safety valves drifting from their setpoints is inadequate design. Setpoint drift is an acknowledged occurrence that is documented industry wide. and has previously occurred at Millstone Unit 3. Investigations have been performeci, and root causer, have been postulated. However, the manufacturer has been unable to identify any specific cause for the drift.
Ill.
Annhan of Event This event is reportable in accordance with the requirements of 10CFR50.73(al(2)(i). plant Technical Specihcation 3.7.1.1. Table 3.7-3 requires all Steam Lme Safety Yalves to lift at a l'i of their hit setting during plant operations. The lift setting pressure corresponds to ambient condiuons of the vahe at nominal operating temperature and pressure. It is n'sumed that the setpoint drift occurred on these valves sometime during plant operations smce it was discovered soon after gomg into Hot Standby. The valves had been satisf actorily tested previous to this incident.
Evaluation of the initial setpoint results have determined that the as-found setpoints did not result in any adverse safety implications. The safety vahes lifted within the lower pressure bounds analyzed for a Steam Generator tube rupture coincident with loss of offsite power, and the high pressure bounds of the Main Steam System design.
Setpoint drift on Main Steam Safeties has occurred in the past. This has been recognized by other utihties and, therefore, is not a problem unique to Millstone. Historical informauon provided by Nuuear Network and NPRDS entries has indicated a general concern that a l'1 safety valve tolerance is too restrictive. Millstone 3 is pursuing a relaxation of the i l'1 criteria in favor of a 139 tolerance, lY.
Correethectier, The nine out-of-tolerance valves were reset to within ihe specihed 21% tolerance.
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A&hoonM informntion Similar esents concerrung setpomt dnft have occurred to the Prewunrer Safets Yahes as well as the Ninin Steam Safety Vaives. The fouowing n a summary of the previously reponed setpomt drif t problems:
L_E P. Number luk 87-009 Earh Libiag of Prenun7er Salenes for Undetermined Reasons67-036 Setpomt Dnft on Ntam Steam Safety Yahes W-010 Setpomt Dnit on N1ain Steam Safety Yahes Due to Unknown Causes P-02f Lifting of Prenun7er Safeties Above the Allowed Tolerance The folloutng factors base been mvesugated as powible reasons for vahe dnft:
Problems associated with the h - oc assist devicertei,t method, Disc / seat bondmg which could cause high hft values.
Relaxation of the spnng matenal over a penod of time at elevated temperatures that would result in the low hit values.
A direct contnbutor to the high safet) vahe hit pressures was the use of an erroneous spnng constant for setpomt calculations. After a 10CFR21 nouficauon from the manufacturer. Niilistone Umt 3 personnel evaluated the effect of the error on the settmps for the mam steam safety vahes. The resuh was a : ic 7 psig merease m rehef prnsure when apphed to the "as-left" values recorded dunng the previous salety vah'e suncillance. None of the safety vahe settmg> exceeded the +1ci tolerance allowed by the Techmcal Spe:ihcotions. Howeser, the increase in the actual "as-left" rehef pressure settmgs resuhed in the values being closer to the +1ri tolerance and reduced the margin available for valve dnft. This i
reduced margin indicates why b of the 9 vahes exceeded the +1ri tolerance dunng the most recent tests.
The vahes were reset using the correct spnng constant. Also, more accurate digital test equipment, vice analog pressure pages, is currently being used, which shodd provide an increase m accurac). The change m test method measurement is expected tc favorabl3 t.ffect future *as-found" results.
Disc / seat bondmg was evaluated previousl> by Niillstone Unn 3 personnel, and found not to be contributing to setpoint drift, Yalves sent out to a repatt facihty for refurbishment have not displayed material defects m the seatmg surfaces which are mdicathe of disc bondi.4, Sho: term relaxauon of spring matenah aho has been evaluated by Niillstone Unit 3 penonnel. The sprmg matenal utihred f
would start to relax due to maienal creep if temperatures were to exceed 700 degrees Fahrenhen. Test resuhs have shown that 160 degrees Fahrenheit is the highest temperature seen by the spnngs.
Furthermore, the manuf acturer mdicates spnng relaxation would only occur over a ume penod of 10 to 20 3 cars. Therefore, spnng relaxation is not a factor in valve setpomt dnft.
Based on the recurrence of setpoint drift on N1ain Steam Safet) Valves, the need for a review of N1ain Steam Safeties setpomt tolerance has been identified. A recommended 2 3ri tolerance is still be:ng reviewed for Techmcal Specificauon implementauon.
This event has been diuemmated on Nuclear Network.
Ells Codes Snirm Comnenent Vendor N1ain Steam System Rehef Yahe - RV Drewer (D243) go.m m
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| 05000336/LER-1991-001, :on 910110,main Turbine Tripped on Low electro- Hydraulic Pressure.Caused by Failure of electro-hydraulic Control Sys Pumps.Pump Discharge Filters Changed Out & Replaced W/Spare Pump |
- on 910110,main Turbine Tripped on Low electro- Hydraulic Pressure.Caused by Failure of electro-hydraulic Control Sys Pumps.Pump Discharge Filters Changed Out & Replaced W/Spare Pump
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-001-02, :on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure Revised |
- on 910117,discovered That Source Check Surveillance Procedure to Verify Operability of Beta Scintillation Radiation Detectors Did Not Meet TS Requirements.Surveillance Procedure Revised
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-002-01, :on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance |
- on 910202,setpoint Drift Identified During Testing of Main Steam Safety Valves.Caused by Inadequate Design.Nine out-of-tolerance Valves Reset within Specified +1% Tolerance
| | | 05000336/LER-1991-002-01, :on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys Replaced |
- on 910118,engineering Evaluation Determined That Operation of Four Vital 120-volt Ac Buses,On Alternate Sources,Unsatisfactory.Caused by Failure to Update TS to Reflect Configuration.Inverter Sys Replaced
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2) | | 05000336/LER-1991-002, :on 910118,operation of Four Vital 120 Volt Ac Buses on Alternate Source Unsatisfactory.Caused by Failure to Update Tech Specs.Operating Procedure OP 2345B Changed |
- on 910118,operation of Four Vital 120 Volt Ac Buses on Alternate Source Unsatisfactory.Caused by Failure to Update Tech Specs.Operating Procedure OP 2345B Changed
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000423/LER-1991-003-01, :on 910203,spurious Control Bldg Isolation Signals Occurred.Caused by Deficient Design Resulting in Induced Noise Causing Spurious CBI Signals.Monitor Wiring, Cable Shielding & Grounding Scheme Modified |
- on 910203,spurious Control Bldg Isolation Signals Occurred.Caused by Deficient Design Resulting in Induced Noise Causing Spurious CBI Signals.Monitor Wiring, Cable Shielding & Grounding Scheme Modified
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) | | 05000336/LER-1991-003-01, :on 910212,loss of DC Switchgear Cooling During Loss of Instrument Air Due to Design Inadequacy.Loss of Air, Revised to Warn Operator of Loss of Normal Chill Water Flow to DC Switchgear Coolers & Vital Water Supply |
- on 910212,loss of DC Switchgear Cooling During Loss of Instrument Air Due to Design Inadequacy.Loss of Air, Revised to Warn Operator of Loss of Normal Chill Water Flow to DC Switchgear Coolers & Vital Water Supply
| 10 CFR 50.73(a)(2)(v)(A), Loss of Safety Function - Shutdown the Reactor | | 05000423/LER-1991-003, :on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector Replaced |
- on 910203 & 16,spurious Control Bldg Isolation Signals Received from Train a Control Bldg Ventilation Inlet Radiation Monitor.Caused by Equipment Malfunction.Detector Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-004, :on 910205,leak Rates for Four Containment Isolation Valves Occurred Exceeding Tech Spec Limits.Caused by Improper Valve Seating.Valves Opened & Inspected & Vendor of Valves Contacted |
- on 910205,leak Rates for Four Containment Isolation Valves Occurred Exceeding Tech Spec Limits.Caused by Improper Valve Seating.Valves Opened & Inspected & Vendor of Valves Contacted
| 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1991-004-01, :on 910216,unexpected Trip of B Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to SGFP Circuitry & Design Change Made |
- on 910216,unexpected Trip of B Steam Generator Feed Pump & Subsequent Manual Reactor Trip Occurred.Cause Unknown.Monitoring Capability Added to SGFP Circuitry & Design Change Made
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-005, :on 910216,control Building Isolation Signals Generated Due to Defective Breaker.Defective Ground Interrupter Breaker Permanently Replaced W/Equivalent Thermal Magnetic Circuit Breaker |
- on 910216,control Building Isolation Signals Generated Due to Defective Breaker.Defective Ground Interrupter Breaker Permanently Replaced W/Equivalent Thermal Magnetic Circuit Breaker
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000336/LER-1991-005-01, :on 910124,failure to Perform Required Inservice Exams Noted.Caused by Personnel Error.Containment Piping Penetrations Reviewed |
- on 910124,failure to Perform Required Inservice Exams Noted.Caused by Personnel Error.Containment Piping Penetrations Reviewed
| 10 CFR 50.73(a)(2) | | 05000336/LER-1991-006-01, :on 910330,missed Surveillance Occurred.Caused by Inadequate Planning & Supervisory Review.Complete Surveillance Procedure 21136 by Verifying Stroke of 2-SI-635 & Stroke Times of Two Valves in Question |
- on 910330,missed Surveillance Occurred.Caused by Inadequate Planning & Supervisory Review.Complete Surveillance Procedure 21136 by Verifying Stroke of 2-SI-635 & Stroke Times of Two Valves in Question
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications 10 CFR 50.73(a)(2)(1) | | 05000336/LER-1991-006, :on 910330,Surveillance Requirement Section 4.0.5 Re Inservice Insp of ASME Code Class 1,2 & 3 Components Not Performed within 92 Day Interval.Caused by Inadequate Planning.Schedule Enhanced |
- on 910330,Surveillance Requirement Section 4.0.5 Re Inservice Insp of ASME Code Class 1,2 & 3 Components Not Performed within 92 Day Interval.Caused by Inadequate Planning.Schedule Enhanced
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-006, :on 910224,failure to Fully Implement Radiation Monitor Action Statement.Caused by Inadequate Procedure. Temporary Log Immediately Used to Measured Process Flow at Least Once Every Four H |
- on 910224,failure to Fully Implement Radiation Monitor Action Statement.Caused by Inadequate Procedure. Temporary Log Immediately Used to Measured Process Flow at Least Once Every Four H
| 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1991-007, :on 910225,determined That Surveillance Requirement 4.9.16.1 Re Fuel Decay Time Not Performed within 72 H TS Time Interval.Caused by Inadequate Planning & Supervisory Review.Individuals Counseled |
- on 910225,determined That Surveillance Requirement 4.9.16.1 Re Fuel Decay Time Not Performed within 72 H TS Time Interval.Caused by Inadequate Planning & Supervisory Review.Individuals Counseled
| 10 CFR 50.73(a)(2)(i)(B), Prohibited by Technical Specifications | | 05000423/LER-1991-007-01, :on 910314,temporary Sample Pump Associated W/ Inoperable ESF Bldg Gaseous Effluent Radiation Monitor Turned Off,Causing Tech Spec Violation.Caused by Procedural Noncompliance.Chemistry Technician Counseled |
- on 910314,temporary Sample Pump Associated W/ Inoperable ESF Bldg Gaseous Effluent Radiation Monitor Turned Off,Causing Tech Spec Violation.Caused by Procedural Noncompliance.Chemistry Technician Counseled
| 10 CFR 50.73(a)(2)(i) 10 CFR 50.73(a)(2) | | 05000336/LER-1991-008, :on 910525,reactor Tripped Due to Low Steam Generator Pressure.Caused by Ineffective Coordination Between Reactor & Turbine Shutdown.Cr Operating Shift Completed Applicable Portions of EOP-2525 |
- on 910525,reactor Tripped Due to Low Steam Generator Pressure.Caused by Ineffective Coordination Between Reactor & Turbine Shutdown.Cr Operating Shift Completed Applicable Portions of EOP-2525
| 10 CFR 50.73(a)(2) | | 05000336/LER-1991-008-02, :on 910525,reactor Trip Occurred.Caused by Steam Generator Pressure.Actions to Address Coordination Shortcomings Exhibited by Opening Shift Implemented |
- on 910525,reactor Trip Occurred.Caused by Steam Generator Pressure.Actions to Address Coordination Shortcomings Exhibited by Opening Shift Implemented
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-008, :on 910318,two Channels Inoperable Causing Pressurizer Level Indicator Errors.Caused by Inadequate Design.Design Change During Refueling Outage,Condensate Pots Removed & Proper Temp Measurements |
- on 910318,two Channels Inoperable Causing Pressurizer Level Indicator Errors.Caused by Inadequate Design.Design Change During Refueling Outage,Condensate Pots Removed & Proper Temp Measurements
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000245/LER-1991-008-01, :on 910407,automatic Isolation of Isolation Condenser Occurred While Placing Sys in Svc.Caused by Fluctuations in Steam Line Flow Sensing Instrumentation. Isolation Logic Reset |
- on 910407,automatic Isolation of Isolation Condenser Occurred While Placing Sys in Svc.Caused by Fluctuations in Steam Line Flow Sensing Instrumentation. Isolation Logic Reset
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-009-01, :on 910408,Train a Svc Water Portion of Svc Water Sys Declared Inoperable Due to Pipe Wall Thinning Caused by Erosion.Eroded Section of Piping Replaced W/ Erosion Resistant Piping |
- on 910408,Train a Svc Water Portion of Svc Water Sys Declared Inoperable Due to Pipe Wall Thinning Caused by Erosion.Eroded Section of Piping Replaced W/ Erosion Resistant Piping
| | | 05000336/LER-1991-009, :on 910821,both EDGs Declared Inoperable.Caused by Load Swings Due to Oxidation Buildup on Relay Contacts. Governor Controls Sys on 12U DG & 13U DG Updated W/New Electronic Governor Actuator Controls |
- on 910821,both EDGs Declared Inoperable.Caused by Load Swings Due to Oxidation Buildup on Relay Contacts. Governor Controls Sys on 12U DG & 13U DG Updated W/New Electronic Governor Actuator Controls
| 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1991-009-01, :on 910821,DG Exhibited Erratic Load Control, Resulting in Erratic Load Swings on DG 12 U.Caused by Intermittent Failure of Woodward Governor EG-A Control Unit. Unit Replaced & Full Test Program Conducted |
- on 910821,DG Exhibited Erratic Load Control, Resulting in Erratic Load Swings on DG 12 U.Caused by Intermittent Failure of Woodward Governor EG-A Control Unit. Unit Replaced & Full Test Program Conducted
| 10 CFR 50.73(a)(2)(i) | | 05000245/LER-1991-009, :on 910408,discovered That Main Steam Header Stop Drain Valves 1-MS-5 & 1-MS-6 Exceeded Max Allowable Leakage Rate & Testing Revealed That Listed Valves/Manways Did Not Meet LLRT Requirements.Vane Replaced |
- on 910408,discovered That Main Steam Header Stop Drain Valves 1-MS-5 & 1-MS-6 Exceeded Max Allowable Leakage Rate & Testing Revealed That Listed Valves/Manways Did Not Meet LLRT Requirements.Vane Replaced
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000336/LER-1991-009-03, Forwards LER 91-009-03,reflecting Completion of Outstanding Corrective Action,Per 10CFR50.73(a)(2)(i) | Forwards LER 91-009-03,reflecting Completion of Outstanding Corrective Action,Per 10CFR50.73(a)(2)(i) | 10 CFR 50.73(a)(2)(i) | | 05000336/LER-1991-010, :on 911018,reanalysis of Main Steam Line Break Confirmed That Main Steam Line Break Exceeded Containment Design Limits.Caused by Incorrect Assumption in FSAR Analysis.Jco Developed & Mods Installed |
- on 911018,reanalysis of Main Steam Line Break Confirmed That Main Steam Line Break Exceeded Containment Design Limits.Caused by Incorrect Assumption in FSAR Analysis.Jco Developed & Mods Installed
| 10 CFR 50.73(a)(2)(ii)(B), Unanalyzed Condition 10 CFR 50.72(b)(3)(ii), Degraded or Unanalyzed Condition | | 05000423/LER-1991-010, :on 910410,discovered That CO2 Storage Tank Pressure Below TS Limits of 275 Psig.Caused by Pressure Control Switch Coming Out of Adjustment.Fire Patrols Established & Employee Counseled |
- on 910410,discovered That CO2 Storage Tank Pressure Below TS Limits of 275 Psig.Caused by Pressure Control Switch Coming Out of Adjustment.Fire Patrols Established & Employee Counseled
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-011, :on 910410,safety Injection Relief Valve Lifted While Performing Boundary Valve Test Procedure,Causing Inoperability of Both Trains of HPSI Sys.Caused by Relief Valve Leakage.Relief Valve Ungagged |
- on 910410,safety Injection Relief Valve Lifted While Performing Boundary Valve Test Procedure,Causing Inoperability of Both Trains of HPSI Sys.Caused by Relief Valve Leakage.Relief Valve Ungagged
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000336/LER-1991-012, :on 911106,reactor Manually Tripped Due to Plant Conditions Resulting from Rupture in Reheater Drain Tank to High Pressure Feedwater Heater Pipe.Rupture Pipe Replaced & Pipe Insp Program Expanded |
- on 911106,reactor Manually Tripped Due to Plant Conditions Resulting from Rupture in Reheater Drain Tank to High Pressure Feedwater Heater Pipe.Rupture Pipe Replaced & Pipe Insp Program Expanded
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-012, :on 910503,spurious Control Bldg Isolation Signals Occurred.Caused by Radiation Monitor Power Supply Failure.Single Channel Area Monitor Board Replaced & Satisfactorily Tested |
- on 910503,spurious Control Bldg Isolation Signals Occurred.Caused by Radiation Monitor Power Supply Failure.Single Channel Area Monitor Board Replaced & Satisfactorily Tested
| | | 05000336/LER-1991-012-01, :on 911106,8-inch Diameter Pipe Ruptured in Reheater Drain Tank to High Pressure Feedwater Heater Pipe, Resulting in Manual Reactor Trip.Caused by Erosion/Corrosion in Elbow.Ruptured Pipe Replaced |
- on 911106,8-inch Diameter Pipe Ruptured in Reheater Drain Tank to High Pressure Feedwater Heater Pipe, Resulting in Manual Reactor Trip.Caused by Erosion/Corrosion in Elbow.Ruptured Pipe Replaced
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2) | | 05000423/LER-1991-013-01, :on 910515,inoperable Train B EDG Identified. Caused by Improper Work Practices.Licensed Operator Involved Counselled on Importance of Reviewing Tech Spec Requirements Re Procedures |
- on 910515,inoperable Train B EDG Identified. Caused by Improper Work Practices.Licensed Operator Involved Counselled on Importance of Reviewing Tech Spec Requirements Re Procedures
| 10 CFR 50.73(a)(2)(i) | | 05000245/LER-1991-013, :on 910422,fuse Pulled in Order to Install LLRT Connections,Resulting in Unplanned Standby Gas Treatment Sys Initiation.Caused by Failure to Identify Affects of Removing Fuse.Removed Fuse Installed |
- on 910422,fuse Pulled in Order to Install LLRT Connections,Resulting in Unplanned Standby Gas Treatment Sys Initiation.Caused by Failure to Identify Affects of Removing Fuse.Removed Fuse Installed
| 10 CFR 50.73(a)(2)(iv), System Actuation | | 05000423/LER-1991-014-01, :on 910609,reactor Trip Occurred Due to Switchyard Malfunction.Broken Screw & Affected Wiring Repaired & Pilot Wire Relay Returned to Svc |
- on 910609,reactor Trip Occurred Due to Switchyard Malfunction.Broken Screw & Affected Wiring Repaired & Pilot Wire Relay Returned to Svc
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-014, :on 910609,reactor & Subsequent Turbine Trip Occurred.Caused by phase-to-ground Fault on 345 Kv Sys Transmission Line & Loose Restraint Tap of Relay.Tap Screw & Wiring Repaired & Relay Returned to Svc |
- on 910609,reactor & Subsequent Turbine Trip Occurred.Caused by phase-to-ground Fault on 345 Kv Sys Transmission Line & Loose Restraint Tap of Relay.Tap Screw & Wiring Repaired & Relay Returned to Svc
| 10 CFR 50.73(a)(2)(iv), System Actuation 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-015-01, :on 910617,both Trains of SLCRS Became Inoperable When Access Cover for Common Exhaust Duct Was Removed Due to Deficient Procedure.Applicable Damper Testing Procedure Will Be Revised |
- on 910617,both Trains of SLCRS Became Inoperable When Access Cover for Common Exhaust Duct Was Removed Due to Deficient Procedure.Applicable Damper Testing Procedure Will Be Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function | | 05000423/LER-1991-016, :on 910624,control Switch for Power Operated Relief Valve Discovered Inoperable.Caused by Inadequate Info Detailing Precise Switch.Individuals Involved Counseled on Need to Verify Proper Switch Functions |
- on 910624,control Switch for Power Operated Relief Valve Discovered Inoperable.Caused by Inadequate Info Detailing Precise Switch.Individuals Involved Counseled on Need to Verify Proper Switch Functions
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-017-01, :on 910702,both Supplementary Leak Collection & Release Sys Trains Discovered Inoperable.Caused by Design Deficiency.Fire Dampers Repaired |
- on 910702,both Supplementary Leak Collection & Release Sys Trains Discovered Inoperable.Caused by Design Deficiency.Fire Dampers Repaired
| | | 05000423/LER-1991-018-01, :on 910708,common Mode Failure Occurred Leaving Both Trains of Supplemental Leak Collection & Release Sys Inoperable.Caused by Design Deficiency.Fusible Links Replaced |
- on 910708,common Mode Failure Occurred Leaving Both Trains of Supplemental Leak Collection & Release Sys Inoperable.Caused by Design Deficiency.Fusible Links Replaced
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000245/LER-1991-018, :on 910417,hydraulic Snubber Visual Insp Procedure Inadequacy Identified.Caused by Misapplication of Bergen Patterson Technical Info Bulletin 1-104-5/79-300, Rev 0.Maint Procedure MP 739.5 Revised |
- on 910417,hydraulic Snubber Visual Insp Procedure Inadequacy Identified.Caused by Misapplication of Bergen Patterson Technical Info Bulletin 1-104-5/79-300, Rev 0.Maint Procedure MP 739.5 Revised
| 10 CFR 50.73(a)(2)(v), Loss of Safety Function 10 CFR 50.73(a)(2) | | 05000423/LER-1991-018, :on 910708,determined That Both Supplemental Leak Collection & Release Sys Trains Were Inoperable.Caused by Design Deficiency.Fusible Links Were Replaced & SLCRS Returned to Svc |
- on 910708,determined That Both Supplemental Leak Collection & Release Sys Trains Were Inoperable.Caused by Design Deficiency.Fusible Links Were Replaced & SLCRS Returned to Svc
| 10 CFR 50.73(a)(2)(vii), Common Cause Inoperability | | 05000423/LER-1991-019-02, :on 910725,plant Shutdown Initiated After Train B of Svc Water Declared Inoperable & Train B Could Not Be Restored within 72 H.Caused by Design Deficiency.Piping Cleaned & Will Be Flushed |
- on 910725,plant Shutdown Initiated After Train B of Svc Water Declared Inoperable & Train B Could Not Be Restored within 72 H.Caused by Design Deficiency.Piping Cleaned & Will Be Flushed
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-019, :on 910725,shutdown Per TS Due to Svc Water Mussel Fouling.Caused by Design Deficiency.Reactor Plant Component Cooling Water & Diesel Heat Exchangers Cleaned.W/ |
- on 910725,shutdown Per TS Due to Svc Water Mussel Fouling.Caused by Design Deficiency.Reactor Plant Component Cooling Water & Diesel Heat Exchangers Cleaned.W/
| | | 05000423/LER-1991-020-01, :on 910726,inadvertent Main Steam Isolation Signal Occurred.Caused by Wrong Switch Operation Due to Improper Work Practices.Importance of self-checking as Part of Routine Work Practices re-emphasized |
- on 910726,inadvertent Main Steam Isolation Signal Occurred.Caused by Wrong Switch Operation Due to Improper Work Practices.Importance of self-checking as Part of Routine Work Practices re-emphasized
| | | 05000423/LER-1991-021-01, :on 910728,containment Isolation Valve Found Locked Closed & Open.Caused by Improper Task Verification. Valve Opened & Instructions Re Tracking Valve Will Be Incorporated Into Training Program |
- on 910728,containment Isolation Valve Found Locked Closed & Open.Caused by Improper Task Verification. Valve Opened & Instructions Re Tracking Valve Will Be Incorporated Into Training Program
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-022-01, :on 910820,failure to Adequately Perform Overlap Testing of Containment Depressurization Actuation Loops Discovered.Caused by Mgt Deficiency.Review Will Be Performed to Identify Similar Concerns |
- on 910820,failure to Adequately Perform Overlap Testing of Containment Depressurization Actuation Loops Discovered.Caused by Mgt Deficiency.Review Will Be Performed to Identify Similar Concerns
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-022, :on 910820,discovered That Closure of One Camparator Trip Switch Auxiliary Contacts Was Not Being Verified.Caused by Mgt Deficiency.Monthly Surveillances Were Modified to Verify Contact Closure |
- on 910820,discovered That Closure of One Camparator Trip Switch Auxiliary Contacts Was Not Being Verified.Caused by Mgt Deficiency.Monthly Surveillances Were Modified to Verify Contact Closure
| 10 CFR 50.73(a)(2)(i) | | 05000423/LER-1991-023-01, :on 910831,Wyle Labs Notified Util That Pressurizer Safety Valves Lifted Above Allowed Tolerance. Caused by Setpoint Drift.Analyses Underway to Support Design Basis Change |
- on 910831,Wyle Labs Notified Util That Pressurizer Safety Valves Lifted Above Allowed Tolerance. Caused by Setpoint Drift.Analyses Underway to Support Design Basis Change
| | | 05000423/LER-1991-024-01, :on 910905,discovered That Triaxial Peak Recording Accelerograph Range Outside TS Requirements for Seismic Monitoring Instrumentation.Caused by Procedural Deficiency.New Accelerograph Installed |
- on 910905,discovered That Triaxial Peak Recording Accelerograph Range Outside TS Requirements for Seismic Monitoring Instrumentation.Caused by Procedural Deficiency.New Accelerograph Installed
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