ML20036C355

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Insp Repts 50-424/93-07 & 50-425/93-07 on 930328-0501. Violations Noted.Major Areas Inspected:Plant Operations, Surveillance,Maint,Plant Mods,Refueling Activities,Review of Overtime Records & Followup of Open Items
ML20036C355
Person / Time
Site: Vogtle  
Issue date: 05/25/1993
From: Balmain P, Brian Bonser, Skinner P, Starkey R
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:
Shared Package
ML20036C352 List:
References
50-424-93-07, 50-424-93-7, 50-425-93-07, 50-425-93-7, NUDOCS 9306160171
Download: ML20036C355 (19)


See also: IR 05000424/1993007

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UNITED STATES

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NUCLE AR REGULATORY COMMISslON

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101 MARIETTA STREET, N.W.

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ATLANTA, GEORGI A 30323

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Report Nos.:

50-424/93-07 and 50-425/93-07

Licensee: Georgia Power Company

P.'O. Box 1295

Birmingham, AL 35201

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Docket Nos.:

50-424 and 50-425

License Nos.: HPF-68 and NPF-81

Facility Name: Vogtle 1 and 2

Inspection Conducted: March 28 - May 1, 1993

Inspector: h8

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nior Resident Inspector

Date Signed

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R. D. Stark y'

sident Inspector

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P. A. BO ma

dent Inspector

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Accompanied by: J . l,4 Starefos

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Approved by:

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P/ Skinnet,' Chief

Date Signed

Reactor Projects Section 3B

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Division of Reactor Projects

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SUMMARY

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Scope:

This routine, inspection entailed inspection in the following

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areas: plant operations, surveillance, maintenance, plant

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modifications, refueling activities, review of overtime records,

-and follow-up of open items.

Results:

One violation, three non-cited violations (NCV), and one

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unresolved item (URI) were identified.

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The violation occurred from a failure to take adequate corrective

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action when troubleshooting an illuminated bistable light on the

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main control board.

Inadequate preparation of the troubleshooting

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activities subsequently resulted in a Unit I loss of decay heat

removal (paragraph 8b). .

One-NCV involved the performance of a procedural step out of

sequence during performance of a Unit 1 Engineered Safety Features

g6260171 930525

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Actuation System Test resulted in the loss of Unit 1 Train B IE

switchgear (paragraph 2d). The second NCV involved a failure by

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reactor engineering to properly implement a procedure during Unit

I low power physics testing and resulted in a manually initiated

reactor trip. This event is also considered a weakness in

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implementing reactivity controls during low power physics testing

(paragraph 2f). A third NCV concerned the absence of written

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documentation for_ authorization to exceed Technical Specification

and procedural guidelines for excess overtime (paragraph 7).

One URI was identified concerning modifications made to the Unit 1

and Unit 2 sequencer automatic test insertion (ATI) features. The

modifications did not receive a 10 CFR 50.59 review because the

ATI feature is not explicitly discussed in the Final Safety

Analysis Report, although it.is; discussed in the licensing basis

Safety Evaluation Report (paragraph 5b).

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REPORT DETAILS

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Persons Contacted

Licensee Employees

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  • J. Beasley, Assistant General Manager Plant Operations

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S. Bradley, Reactor Engineering Supervisor

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  • W. Burmeister, Manager Engineering Support

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S. Chesnut, Manager Engineering Technical Support

  • C. Christiansen, SAER Supervisor

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  • C. Coursey, Maintenance Superintendent

R. Dorman, Manager Training and Emergency Preparedness

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  • W. Dunn, Unit Superintendent

G. Frederick, Manager Maintenance

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M. Griffis, Manager Plant Modifications

M. Hobbs, I&C Superintendent

K. Holmes, Manager Operations

  • D. Huyck, Nuclear Security Manager

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  • W. Kitchens, Assistant General Manager Plant Support
  • R. LeGrand, Manager Health Physics and Chemistry

G. McCarley, ISEG Supervisor

R. Moye, Plant Engineering Supervisor

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  • M. Sheibani, Nuclear Safety and Compliance Supervisor

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  • M. Slivka, ISEG Senior Tech Specialist

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W. Shipman, General Manager Nuclear Plant

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  • C. Stinespring, Manager Administration

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  • J. Swartzwelder, Manager Outage and Planning

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C. Tynan, Nuclear Procedures Supervisor

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J. Williams, Supervisor Work Planning and Controls

Other licensee employees contacted included technicians, supervisors,

engineers, operators, maintenance personnel, quality control inspectors,

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and office personnel.

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Oglethorpe Power Company Representative

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T. Mozingo

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NRC Resident Inspectors

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  • B. Bonser

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D. Starkey

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  • P. Balmain

J. Starefos

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  • Attended Exit Interview

An alphabetical list of abbreviations is located in the last paragraph-

.of the inspection report.

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2.

Plant Operations - (71707)

a.

General

The inspection staff reviewed plant operations throughout the

reporting period to verify conformance with regulatory

requirements, Technical Specifications, and administrative

controls.

Control logs, shift supervisors' logs, shift relief

records, LC0 status logs, night orders, standing. orders, and

clearance logs were routinely reviewed. Discussions were

conducted with plant operations, maintenance, chemistry health

physics, engineering support and technical support personnel.

Daily plant status meetings were routinely attended.

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Activities within the control room were monitored during shifts

and shift changes. Actions observed were conducted as required by

the licensee's procedures. The complement of licensed personnel

on each shift met or exceeded the minimum required by TS.

Direct

observations were conducted of control room panels,

instrumentation, and recorder traces important to safety.

Operating parameters were verified to be within TS limits.

The

inspectors also reviewed DCs to determine whether the licensee was

appropriately documenting problems and implementing corrective

actions.

Plant tours were taken during the reporting period on a routine

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basis. They included, but were not limited to the turbine

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building, the auxiliary building, electrical equipment rooms,

cable spreading rooms, NSCW towers, DG buildings, AFW buildings,

and the low voltage switchyard.

During plant tours, housekeeping, security, equipment status and

radiation control practices were observed.

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The inspectors verified that the licensee's health physics

policies / procedures were followed. This included observation of

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HP practices and review of area surveys, radiation work per=its,

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postings, and instrument calibration.

The inspectors verified that the security organization was

properly manned and security personnel were capable of performing

their assigned functions.

Inspectors observed that persons and

packages were checked prior to entry into the PA; vehicles were

properly authorized, searched, and escorted within the PA; persons

within the PA displayed photo identification badges; and personnel

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in vital areas were authorized.

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b.

Unit 1 Summary

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The unit began the period with the reactor defueled. The unit

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entered Mode 6 and began core reload on April 5.

The core reload

was completed on April 11, Reactor vessel head tensioning was

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completed and the unit entered Mode 5 on April 15. The unit

entered Mode 4 on April 21, Mode 3 on April 22, and Mode 2 on

April 24. The reactor was taken critical during physics testing

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on April 24 but reentered Mode 3 following a manual reactor trip

on April 25 due to an unexpected large negative reactivity

insertion. The unit was taken critical and returned to mode 2 on

April 26.

Physics testing was completed and the unit entered Mode

1 on April 26. At the close of the inspection period the unit had

reached 94% power.

c.

Unit 2 Summary

The unit began the period operating at 100% power and operated at

full power throughout the inspection period.

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d.

Loss of Unit 1 Train B IE Switchgear During ESFAS Test

On April 15, the licensee was performing procedure 14667-1, Train

B DG and ESFAS Test, section 5.2, Loss-of-offsite Power / Safety

Injection. The unit was in Mode 6, Refueling, with the reactor

head set, and RHR A was providing shutdown cooling.

Prior to the

manual initiation of the UV/SI signal as directed in the

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procedure, the IB DG had been paralleled to the safety-related

4160 V switchgear, 1BA03, and "B" Train RHR, CS, AFW, NSCW, and

CCW pumps had been started. When the UV/SI signal was manually

initiated the normal incoming supply breaker from the "B" RAT to

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1BA03 tripped as expected, the loads on 1BA03 were shed and then

sequenced back on to IBA03 which was still being powered by the IB

DG. All loads sequenced automatically on to IBA03 as expected.

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At 10:28 a.m., approximately five minutes after all loads had been

automatically sequenced onto IBA03, the IB DG output breaker

tripped open resulting in all power being lost to IBA03.

Consequently, all the "B" train safety related pumps tripped. Of

particular concern to the operators was the loss of NSCW which

supplies cooling water to the DG and they manually initiated an

emergency trip of the IB DG. During this entire evolution A Train

safety-related equipment was not affected and RHR A continued to

provide shutdown cooling. Operators also entered TS Action

Statement 3.9.8.2, since less than two trains of RHR were

operable. TS 3.9.8.2a requires that the inoperable train be

restored as soon as possible. At 10:40 a.m., power was restored

to IBA03 from' the normal supply via the "B" RAT. At 10:43 a.m.,

RHR "B" was available for operation and TS 3.9.8.2a was exited.

The cause of this event was the failure of personnel directing

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procedure 14667-1 to' perform procedure steps in the proper

sequence.

Specifically, step 5.2.20, which requires that the SI

signal be reset, was completed prior to step 5.2.19, which

requires that the 151V phase A time-overcurrent relay at the IB DG

be manually tripped. The time-overcurrent relay trips the 186B

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lockout relay. During a non-emergency start of the DG a trip of

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the 186B lockout relay will cause the DG to trip.

However, this

trip is bypassed during an emergency start of the DG.

In this

event, the SI signal had been prematurely reset and therefore the

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UV/SI signal, which initiated the DG emergency start and would

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have prevented a DG trip on a trip of the 186 B lockout relay, had

been removed.

Subsequently, when the Phase A time-overcurrent

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relay was tripped in step 5.2.19, which caused the 186B relay to

trip, resulting in the DG tripping.

The inspector was present in the control room during this ESFAS

test evaluation. The evolution was thoroughly briefed to all

participants by the test director and the Manager Operations.

During the test the test director became distracted when

questioned by other personnel in the control room as to when the

SI could be reset. He mistakenly directed that the SI be reset

and by doing so performed a procedural step out of sequence. The

test director was counseled. The inspector witnessed the

procedure again when it was successfully reperformed and was

satisfied that it was adequate and that the mistake which was made

previously was due to personnel error in not performing the

procedural steps in sequential order.

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Performing a procedural step out of sequence was a failure to

implement procedure 14667-1, Train B DG and ESFAS Test, section

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5.2, Loss-of-Offsite Power / Safety Injection; and represents a

violation of TS 6.7.la.

This violation will not be subject to

enforcement action because the licensees' efforts in identifying

and correcting the violation meet the criteria specified in

Section VII.B of the NRC Enforcement policy. This violation is

identified as NCV 50-424/93-07-01, Failure To Follow Procedure.

e.

Unit 1 Containment Ventilation Isolation

On April 11, with Unit 1 in Mode 6, a CVI occurred due to high

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radiation on containment low range area radiation monitors 1 RE-

002 and 1 RE-003, during placement of the reactor upper internals

in the reactor vessel. The highest reading on 1 RE-002/003 was

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approximately 50 mR/Hr which was expected for the evolution in

progress.

The CVI actuation setpoint was 15 mR/hr.

Procedure 12000-C, Post Refueling Operations, requires that 1RE-

002/003 be reset to a higher alarm setpoint during this evolution.

Several factors contributed to the setpoints not being increased

as required. The USS was involved with several activities and his

attention was diverted away from the task at hand which he felt

was to complete the setting of the upper reactor vessel internals

on his shift. The internals were set late in the shift while

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control room turnover activities were being conducted. The USS

was using procedure 12007-C, Refueling Operations, and had delayed

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transition to procedure 12000-C because step 4.6.1- of 12007-C

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could not be signed off until completion of " core alterations"

which includes setting of the upper internals. The USS felt that

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it was inappropriate to transition to procedure 12000-C until all

steps in procedure 12007-C had been signed off. These factors

contributed to the USS not reviewing ahead in procedure 12000-C to

the step which requires the adjustment of setpoints for 1RE-002

and 003 to a higher value to prevent a CVI from occurring.

A pre-job briefing had been conducted by the Manager Operations

but no caution was stated during that briefing about a possible

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CVI with regard to 1 RE-002/003.

Procedure 93240-C, Reactor

Vessel Assembly-Disassembly, which was used as a guide for that

briefing, did not have either a caution or a specific step

requiring notification to adjust the setpoints of 1 RE-002/003

prior to moving the upper internals.

The following corrective actions have or will be taken regarding

this event.

The USS was disciplined regarding the importance of

procedural compliance. Appropriate operations personnel will be

reminded of the importance of taking time to review upcoming

procedural steps. Steps in procedure 12007-C referring to Post

Refueling Operations will be deleted and will be added to

procedure 12000-C.

Procedure 93240-C will be revised to include a

step to verify with the USS that RE-002 and RE-003 setpoints have

been raised prior to movement of the reactor internals or head.

This event will be reviewed during licensed operator

requalification training and will be included in the operations

required reading book. The inspector will review the corrective

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actions during the review of the associated LER.

f.

Unit 1 Manual Reactor Trip Due to Large Negative Reactivity

Insertion During Physics Testing

On April 25, while performing Unit I reload low power physics

testing at less than one percent power, a large negative

reactivity insertion occurred during rod worth measurements. The

licensee determined that the reactivity insertion exceeded -40 pcm

and then initiated a manual reactor trip in accordance with

Abnormal Operating Procedure 18003-C, Rod Control' System

Malfunction, due to symptoms of a potentially dropped or

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misaligned rod.

The inspector reviewed the sequence of events with licensee

personnel.

Immed ately prior to the negative reactivity

insertion, rod worth measurements (rod swaps) were being taken in

accordance with procedure 88002-C, Reload Low Power Physics

Testing. A rod bank exchange of SDB and CBD was in progress.

SDB, the reference bank, which was nearly fully inserted was being

withdrawn and CBD was alternately being inserted. When both banks

were in the lower portion of the core and as CBD was being further

inserted the reactor operator observed a higher than normal

negative start up rate indication.

Reactor engineering test

equipment indications showed that reactivity went off-scale in the

negative direction and neutron flux had decreased rapidly.

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on these indications, reactor engineering personnel initially

concluded that this abnormality was potentially caused by a

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dropped RCCA. Control Room personnel then initiated a manual

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reactor trip in accordance with the abnormal operating procedure,

which is the appropriate action for the conditions observed.

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Following the reactor trip, the licensee took extensive actions to

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determine if a RCCA had dropped, or had become detached from its

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drive rod and dropped. The inspector noted that these were

conservative actions performed with the reactor shutdown and

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included performance of rod control system current measurements

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during the withdrawal of CBD and verifications of rod alignment on

DRPI while exercising all rod banks to determine that all RCCAs

were latched.

In addition, the NSSS vendor performed a computer

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analysis of the core response which modeled SDB and CBD in the

lower portion of the core.

This analysis determined that CBD had

a very large differential rod worth when inserted to approximately

80-100 steps.

The testing and analysis indicated that the

negative reactivity insertion was due to the insertion of CBD and

not due to a dropped RCCA.

This was also confirmed by flux

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mapping after the Unit I startup at about 30% power.

The inspector reviewed procedure, 88002-C, and noted that during

rod worth measurements the engineer responsible for performing the

test is required by steps 8.8.23.2 and 8.8.23.6 to control

reactivity insertions from -20 pcm to +20pcm. These steps note

that the insertions may be increased at the discretion of the

responsible engineer, however, the reactivity indication only

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measures a band from about -50 pcm to +50 pcm.

The inspector

reviewed with the reactor engineering supervisor the strip chart

data collected and noted that the magnitude of reactivity swings

during the withdrawal was allowed to approach the top of scale

prior to going off-scale when CBD was inserted from step 87.

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Based on the review of this' data, the inspector concluded that

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reactivity was allowed to move off-scale and was not controlled as

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procedure 88002-C intended.

In addition it was determined that

the responsible engineer was distracted for several seconds during

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the CBD insertion in this area of high worth.

Discussions with personnel conducting the test revealed that the

abnormality that resulted in the high worth of CBD and the

magnitude of the reactivity insertion was unexpected. The

inspector observed the reperformance of rod worth measurements for

CBD following the restart of Unit 1 on April 26 and noted that the

control of the test, communications, and attention in the control

room was very good.

Allowing reactivity to go off-scale while performing rod worth

measurements is a failure to implement procedure 88002-C and

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represents a violation of TS 6.7.la.

This violation will not be

subject to enforcement action because the . licensees' efforts in

identifying and correcting the violation meet the criteria

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specified in Section VII.B of the NRC Enforcement policy. This

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violation is identified as NCV 50-424/93-07-02, Failure To

Implement low Power Physics Test Procedures for Controlling

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Reactivity. This violation also represents a weakness in

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implementing reactivity controls during low power physics testing.

The inspector concluded that the corrective actions and successful

reperformance of the CBD rod worth measurement discussed above

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were adequate.

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g.

Unit 1 Unplanned ESFAS Actuation When Train A Undervoltage

Occurred During Sequencer Testing

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On May 10, during functional testing at the Train A sequencer

manual test panel following a design change, a signal was

initiated that caused the normal incoming feeder breaker to the

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Train A 4160V bus to open. The bus was energized through this

breaker and upon opening, an actual undervoltage condition

occurred on the bus which resulted in the actuation of a load shed

and UV Loading Sequence. The licensee determined that the cause

of the breaker opening was due to a test pulse which was not

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completely filtered by the sequencer's logic circuitry.

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sequencer manual test (System-UV) was being performed from the

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manual test panel at the sequencer to verify operation of the

sequencer logic for an UV signal. The licensee determined that

electrical interaction of circuit cards caused a synchronization

offset between two circuit cards and a 200 ms test pulse was not

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completely filtered allowing part of the signal to be processed as

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an actual signal.

The licensee corrected the deficiency by

decreasing the test signal to ensure that it is filtered. The

inspector will review the corrective actions during review of the

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LER.

Two non-cited violation were identified.

3.

Surveillance Observation (61726)

a.

General

Surveillance tests were reviewed by the inspectors to verify

procedural and performance adequacy. The completed tests reviewed

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were examined for necessary test prerequisites, instructions,

acceptance criteria, technical content, data collection,

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independent verification where required, handling of deficiencies

noted, and review of completed work. The tests witnessed, in

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whole or in part, were inspected to determine that approved _

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procedures were available, equipment was calibrated, prerequisites

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were met, tests were conducted according to procedure, test

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results were acceptable and systems restoration was completed.

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SURVEILLANCE NO.

TITLE

14460-2

ECCS Flow Path Verification

88002-C

Reload Low Power Physics Testing

T-ENG-93-10

DP Stroke Test for Valves 1HV-8116 and 1HV

8111A

28810-1

Battery Service Check and 18 Month

Inspection

54804-1

ATWS Mitigation System Actuation Circuitry

Quarterly Surveillance

14667-1

Train B D/G and ESFAS Test, Section 5.2

LOSP & Concurrent SI

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34324-C

Channel Calibration of 1RE-0003

b.

Air Vented from ECCS Return Line

On April 15, during the performance of surveillance procedure

14460-2, ECCS Flow Path Verification, the licensee observed that a

small volume of air vented from valve 2-1204-X4-451, RWST Return

Line Vent, before a clear stream of water appeared. The licensee

then initiated a DC to evaluate corrective actions.

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The inspector was initially concerned about the impact of this

condition on the ECCS and whether the surveillance performed on

April 15, met the acceptance criteria referenced in TS 4.5.2b.1.

The inspector was also concerned that this deficiency did not

receive a timely engineering evaluation.

The inspector reviewed these concerns with licensee management and

determined that the surveillance requirements of TS 4.5.2b.1,

Emergency Core Cooling Systems, were met. Confusion arose

initially regarding the acceptance criteria because the criteria

in procedure 14460-2 was not worded the same as the TS. The

licensee made a procedure revision to change the wording to

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reflect the TSs. The inspector concluded, based on these

discussions, that the volume of air was minimal and since it was

located in the return line to the RWST, there would be no impact

on the operability of the ECCS. The inspector reviewed the

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proposed troubleshooting plan with system engineering and found

the actions acceptable, and also determined that the engineering

evaluation was performed in a timely manner.

The inspector had no

concerns following this review.

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c.

Unit 1 D Train Battery Cell Failure

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On April 22, during the normal weekly battery. surveillance on the

Unit 1 D Train battery, cell number 16 was found to have a low

voltage of 2.086 volts. The cell was jumpered out and the battery

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was returned to service. On April 29, cell 16 was replaced.

The inspectors were concerned that battery ID was experiencing

cell failures again immediately following replacement of nine

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weaker cells during the ongoing refueling outage. After replacing

weaker cells with new cells it is not uncommon for the new cells

to force the voltage down on the weaker cells in the battery. A

review of this issue with an NRC battery expert identified that

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this phenomenon is not unexpected. The inspectors concluded from

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this event that battery cell failures during weekly surveillances

would probably continue on the Unit 1 A, B, and D batteries. The

C Train battery was completely replaced during the Unit I

refueling outage.

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No violations or deviations were identified.

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4.

Maintenance Observation (62703)

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The inspectors observed maintenance activities, interviewed personnel,

and reviewed records to verify that work was conducted in accordance

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with approved procedures, TSs, and applicable industry codes and

standards. The inspectors also verified that redundant components were

operable, administrative controls were followed, clearances were

adequate, personnel were qualified, correct replacement parts were used,

radiological controls were proper, fire protection was adequate,

adequate post-maintenance testing was performed, and independent

verification requirements were implemented. The inspectors

independently verified that selected equipment was properly returned to

service.

Outstanding work requests were reviewed to ensure that the licensee gave

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priority to safety-related maintenance activities.

The inspectors witnessed or reviewed the following maintenance

activities:

MWO NOS.

WORK DESCRIPTION

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19202661

Inspect Batteries in Unit IB Sequencer - Battery

Backup Module

19301557

Implement DCP 92-VIN 0171-0-2 Which Changes Out

Sequencer Controller A Circuit Board

19300565

Recalibrate Loop 2 Delta T Setpoints to

Implement Power Uprate DCPs

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MWO NOS.fcont.)

WORK DESCRIPTION (cont.)

19203444

Reland Wires on Junction Box on MSIV IHV- 3026B

19301796

Test and Rework IPSV-8510A

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AFW Trains A and B Hydro

No violations or deviations were identified.

5.

Plant Modifications (37828)

a.

Relocation of Containment Atmosphere Monitor DPM, IRX-2562

During the current Unit I refueling outage, IR4, the inspector

reviewed DCP 91-VIN 0194-0-1, DPM 1-RX-2562 Relocation. The

inspection included a review of the 10 CFR 50.59 Safety Evaluation

of the DCP, a review of the DCP, and a walkdown of work in

progress and final installation.

Radiation monitor 1RE-2562 has two sections which monitor

containment atmosphere. Section IRE-2562A monitors containment

atmosphere particulate and section IRE-2562C monitors radioactive

gas.

Prior to this design change, the DPM 1RX-2562, for radiation

monitor 1RE-2562 was located in the Auxiliary Building room B08.

This room is designed to maintain a temperature of 100 degrees F

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or less and the actual temperature is normally near 100 degrees F.

This hot environment is believed to have been the cause of various

DPM component failures. As an interim measure prior to this DCP,

the licensee had installed a portable air conditioning unit to

cool the DPH cabinet internals.

This DCP relocated the DPM to an

adjacent room with a cooler environment. The relocation involved

installation of a seismically mounted junction box, running new

conduit and cable to the new location, core drilling at the new

location, and mounting the DPM at the new location. Subsequently,

I&C and Chemistry performed testing to ensure mor.itor operability.

Radiation Monitor 1RE-2562 was returned to service prior to the

end of 1R4. The inspectors will monitor the performance of IRE-

2562 to confirm that the relocation design change achieved its

desired results. The inspector determined that the DCP, Safety

Evaluation, and installation were adequately performed. A similar

modification is planned for 2RX-2562 during a future refueling

outage.

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b.

Review of Sequencer Design Changes

During this inspection period the inspector reviewed the

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implementation of DCP 92-VIN 0171, Modify Sequencers IA and IB

Circuit Boards, and DCP 93-VIN 0003, Sequencer Automatic Reset.

The inspector also reviewed the completed documentation for

procedures T-ENG 93-04 and T-ENG 93-05, A Train and B Train

Sequencer Functional Tests, which were performed to demonstrate

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the operability of the sequencers.following the completion of the

DCPs.

Several problems occurred during functional testing which required

additional modifications to the original design change for the

controller A circuit cards or repairs to the cards.

Part of

procedure T-ENG 93-04 is performed in the manual test mode; on

several initial test attempts the sequencer would exit from this

mode. This condition was not desired and troubleshooting

activities found and repaired a broken capacitor which eliminated

this fault. An unplanned ESFAS actuation, which is described in

paragraph 29, also occurred during functional testing. The design

error that caused the actuation was determined when the condition

was recreated under procedure T-ENG 93-18, Sequencer Load Shed

Anomaly Test - A Train. The error was corrected by revising the

DCP to shorten a test pulse duration so that it will not process

as a valid signal in the sequencer logic. Another potentially

significant problem identified during testing was a 36 second

delay in the manual block function, which would have blocked any

operator initiated actions for equipment actuated through the

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sequencers for 36 seconds following the completion of a loading

sequence. The inspector discussed the test results with system

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engineering personnel and determined that the operability of the

Unit 2 sequencers was not affected.

Following the ESFAS actuation, the inspector reviewed the

licensing basis documented in the NRC SER for Vogtle and noted

that the ATI function is explicitly described in section 8.4.8,

Load Sequencing Design. During the previous Unit I refueling

outage, ATI was found to interfere with the sequencer logic and

would delay a valid stepping sequence; this problem applied to to

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both units. DCP 92-VIN 0171 was initiated to correct this design

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fl aw. The licensee prepared Temporary Modifications 1-92-008 and

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2-92-016 to disable ATI on the sequencers for both units. When

the temporary modifications were prepared the licensee did not

prepare a 10 CFR 50.59 evaluation since the ATI feature is not

explicitly described in the FSAR. Then the inspector discussed

the 50.59 evaluation process with engineering and

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engineering / technical support personnel, he identified that the

licensing basis in the SER is not generally referred to for 50.59

evaluation applicability determinations when plant modifications

are made.

The inspector was concerned that the sequencer modification

represented a change to the facility and was made without a 10 CFR 50.59 evaluation. The inspector. is also concerned that the

licensing basis documented in a NRC SER is not reviewed when plant

modifications are made. Additional information is needed to

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assess the significance of these concerns and this item is

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identified as Unresolved Item 50-424,425/93-07-03:

Licensing

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Basis Reviewed to Determine 10 CFR 50.59 Applicability.

One unresolved item was identified.

6.

Refueling Activities - Unit 1 Fuel f ailure Analysis (60710)

The inspectors reviewed results of the licensee's fuel inspection

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activities that were conducted following the Unit I refueling outage.

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The licensee's inspections identified two leaking fuel assemblies. One

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assembly, 2F22, was a first cycle Vantage 5 assembly. The other

assembly, SE34, was a second cycle LOPAR assembly. The Vantage 5

assembly was reconstituted and reloaded into the core, while the LOPAR

assembly was stored in the spent fuel pool.

During UT inspections of

the Vantage 5 assembly, one rod was found to be leaking. The damaged

rod was removed and examined with high resolution video. The inspector

reviewed the video and noted that it showed a small fretting hole

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located on the lower portion of the rod. The upper portion of the rod

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exhibited obvious hydriding of the cladding. One area in this hydrided

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region had weakened and resulted in a rupture of the cladding.

Based on

review of the video, the licensee determined the fuel rod failure was

caused by debris impinging on the bottom of this rod, which fretted

through the cladding. Water that subsequently entered the rod caused

hydriding of the upper portion of the rod. The licensee also performed

a reactor vessel F0SAR inspection to remove debris from the RCS. No

substantial debris which would have caused the fuel rod failures was

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identified. The cause of the failure of the second assembly was not

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determined since it was permanently removed.

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The inspectors concluded that the potential for future fuel failures was

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minimal, based on the review of the licensee's determination that the

fuel rod failures were confined to two fuel assemblies, and on the

results of the FOSAR inspections.

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No violations or deviations were identified.

7.

Review of Overtime Records

During this report period the inspector reviewed a sample of overtime

records for members of the plant staff who perform safety-related

functions. The review was to verify compliance with TS 6.1.le, Plant

Staff, which provides guidelines to limit the use of overtime, and

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procedure 00005-C, Overtime Authorization. A sampling of time sheets

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was reviewed for personnel in the operations, maintenance and health

physics / chemistry departments for the period of March 20-April 2, 1993,

during refueling outage IR4.

No concerns were identified in the

Operations, I&C Maintenance, or the Health Physics / Chemistry Department.

In the Electrical / Mechanical maintenance area the inspector identified

thirteen examples of personnel who worked more than 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> in a seven

day period without written authorization as required by procedure

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00005-C. The hours ranged from 76 hours8.796296e-4 days <br />0.0211 hours <br />1.256614e-4 weeks <br />2.8918e-5 months <br /> to 99 hours0.00115 days <br />0.0275 hours <br />1.636905e-4 weeks <br />3.76695e-5 months <br /> worked during a

seven day period. The Manager Maintenance stated that verbal approval

for the excessive overtime had been given, but neither the maintenance

department nor the inspector could locate the required written

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documentation.

The licensee subsequently completed documentation forms

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when the original forms could not be found.

T.S. 6.2.2.e requires that

any deviation from the overtime guidelines shall be authorized by the

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applicable department superintendent, or higher levels of management, in

accordance with established procedures and with documentation of the

basis for granting the deviation.

Procedure 00005-C further requires

that such overtime authorization and its basis shall be recorded on a

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form similar to Figure 1 of Procedure 00005-C. This is a violation of

TS 6.2.2.e.

This NRC identified violation is not being cited because

criteria specified in Section VII.B of the NRC Enforcement Policy were

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satisfied.

This non-cited violation is identified as NCV 50-424/93-07-

04, Failure To Document Approval of Excess Overtime.

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One non-cited violation was identified.

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8.

Follow-up (90712) (92700) (92701) (92702)

The Licensee Event Report and follow-up items listed below were reviewed

to determine if the information provided met NRC requirements. The

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determination included:

adequacy of description, verification of TS

compliance and regulatory requirements, corrective action taken,

existence of potential generic problems, reporting requirements

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satisfied, and relative safety significance of each event.

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a.

(Closed) Part 21, Potential Problem with DG Jacket Water Pump Gear

Cooper Energy Services notified the NRC by a letter dated March 9,

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1993, of a potential defect with the jacket water pump gear in

DSRV Enterprise Standby Diesel Generators.

Vogtle was identified

as having these gears installed on its emergency diesel

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generators.

Cooper stated that.the potential defect was the

result of incorrect machining by the gear supplier and that the

gear should be replaced in a scheduled manner based on the.

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availability of acceptable replacement parts.

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Cooper Energy Services issued Amendment #1 to its Part 21

notification on April 1.

That notification stated that in cases

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where the initial inspection of the pump idler gear shows no

indication of interference with the water pump gear teeth, no

further inspection or replacement would be required.

Cooper found

that interference in the idler / water pump gear mesh manifests

itself in only a few hours and that gears which have operated in

excess of twenty hours with no visual wear pattern should not be

affected.

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During Unit I refueling outage IR4 the licensee inspected the 1A

and IB DG jacket water pump gears and found no indication of the

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potential defect mentioned in the Part 21 notification. However,

the licensee, as a precautionary measure, replaced the gear with

an improved design gear. During the next Unit 2 refueling outage

the Unit 2 DG jacket water pumps will be inspected and the gears

replaced if necessary. Unit 2 jacket water pumps have operated in

excess of twenty hours each with no indication of pump gear

problems.

The inspector was satisfied that the licensee had

appropriately addressed the concern identified in the Part 21

notification.

b.

(Closed) URI 50-424/93-04-02, Review Causes of Loss of

Decay Heat Removal Event

The URI addressed inadequacies in design change package reviews

and the performance of a reactor protection system modification

with only one train of decay heat removal in service. This event,

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which resulted in a momentary loss of decay heat removal, was

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caused by the RHR inlet isolation valve,1HV-8701B, closing. As

discussed in NRC IR 50-424,425/93-04, the event occurred when an

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I&C technician, troubleshooting the cause of an illuminated

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bistable light prior to performing a functional test on the design

change to the reactor protection circuitry, removed a card in the

RHR valve autoclosure circuitry. The URI was opened pending

completion of the review of this event.

The inspectors concluded, after further review, that the cause of

this loss of decay heat removal was an inadequate review by I&C

personnel of the modification and other available material which

described the circuitry being modified. Prior to performing the

troubleshooting to clear the bistable light, I&C personnel did not

identify from their review, that the RCS wide range pressure loop

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P-408, shared the circuit card that was removed. A more thorough

review by the I&C foreman before directing the technician to

continue troubleshooting should have identified the potential

problem. As a result of the inadequate review, the technician was

poorly prepared to troubleshoot, creating additional problems

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which challenged core safety.

The inspectors also concluded that there were other contributing

causes to this event. The initial review of the DCP by I&C during

the implementation planning stages did not identify all the

circuit cards to required to be removed to deenergize each process

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loop prior to performing the DCP.

In this case, all power was not

removed from the loop before work was performed.

The RCS wide

range pressure loop was not identified as sharing part of the

process loop on which the design change was being performed and as

a result work was performed on a partially energized loop. The

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cause of the bistable light which initiated the troubleshooting

process and resulted in this event, was suspected to be a contact

between two pins on a multi-pin plug, one of which was still

energized. Also this DCP was scheduled during a period of higher

risk since, at the time of the event, RHR Train A was in the

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service for maintenance. Two SGs were available as a heat sink in

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accordance with TS 3.4.1.4.1.

The tie between the DCP work and

the single train of decay heat removal was not considered.

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Based on this review, URI 50-424/93-04-02, Review Causes of Loss

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of Decay Heat Removal Event, is closed. The loss of decay heat

removal which resulted from a failure to take adequate corrective

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action when troubleshooting an illuminated bistable light on the

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main control board is identified as violation 50-424/93-07-05,

Failure To Take Adequate Corrective Action Resulting In loss Of

De.ay Heat Removal .

c.

(0 pen) LER 50-424/91-015, Rev.1, Valve Manufacturing Defect Leads

to Containment Isolation Valve Failing Open.

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The casting mark on valve 1-2401-U4-034 was removed, LLRT testing

was completed satisfactorily, and the valve was returned to

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service.

The licensee was unable to find any similar occurrences

of this type of event. Additionally, the licensee committed to

inspect, during refueling outages 1R4 and 2R3, a representative

sample of these valves which are not inspected as part of the IST

program or the valve disassembly program. During outage IR4, a

sample of seven valves were inspected out of a total of twenty-one

possible valves.

None of the seven valves tested exhibited the

casting mark discrepancy described in the LER which would cause

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the disk to bind. During refueling outage 2R3 later this year,

the licensee will again perform a random sample of these

identified valves which are not inspected in other inspection

programs.

The inspectors will review the results of those

inspections following 2R3.

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One violation was identified.

9.

Exit Meeting

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The inspection scope and findings were summarized on April 30,

1993, with those persons indicated in paragraph 1.

The inspector

described the areas inspected and discussed in detail the inspection

findings listed below.

No dissenting comments were received from the

licensee. The licensee did not identify as proprietary any of the

material provided to or reviewed by the inspectors during the-

inspection.

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item No.

Description and Reference

NCV 50-424/93-07-01

Failure to Implement ESFAS Test Procedure

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Results in the loss of Unit 1 Train

B IE Switchgear (paragraph 2d)

NCV 50-424/93-07-02

Failure to Implement low Power Physics

Test Procedure For Controlling Reactivity

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(paragraph 2f)

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Item No. (cont.)

Description and Reference (cont.)

URI 50-424,425/93-07-03

Licensing Basis Reviewed to Determine

10 CFR 50.59 Applicability

(paragraph 5b)

NCY 50-424/93-07-04

Failure to Document Approval of Excess

Overtime (paragraph 7)

VIO 50-424/93-07-05

Failure to Take Adequate Corrective Action

Results in Loss of Decay Heat Removal

(paragraph 8b)

10.

Abbreviations

ACOT

- Analog Channel Operational Test

AFW

- Auxiliary Feedwater System

ANII

- Authorized Nuclear Inservice Inspector

ATI

- Automatic Test Insertion

ATWS

- Anticipated Transient Without Scram

CBD

- Control Rod Bank D

CCP

- Centrifugal Charging Pump

CCW

- Closed Cooling Water System

CFR

- Code of Federal Regulations

CR

- Control Room

CS

- Containment Spray

CVI

- Containment Ventilation Isolation

DC

- Deficiency Card

DCP

- Design Change Package

DG

- Diesel Generator

DPM

- Data Processing Module

DRPI

- Digital Rod Position Indication

ECCS

- Emergency Core Cooling Systems

E0P

- Emergency Operating Procedures

ERF

- Emergency Response Facilities-

ESF

- Engineered Safety Feature

ESFAS

- Engineered Safety Features Actuation System

F0SAR

- Foreign'0bject Search and Retrieval

FSAR

- Final Safety Analysis Report

I&C

- Instrumentation and Control

INPO

- Institute for Nuclear Power Operations

IR

- Inspection Report

ISEG

- Independent Safety Engineering Group

IST

- In-Service Test

LC0

- Limiting Condition for Operation

LDCR

- Licensing Document Change Request

LER

- Licensee Event Report

LOPAR

- Low Parasitic Fuel

LOSP

- Loss Of Off-Site Power

MOV

- Motor Operated Valve

mR

- Milli-Roentgen

ms

- millisecond

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MSIV

- Main Steam Isolation Valve

MWO

Maintenance Work Order

NCV

- Non-Cited Violation

NPF

- Nuclear Power Facility

NRC

- Nuclear Regulatory Commission

NSCW

- Nuclear Service Cooling Water System

NSSS

- Nuclear Steam Supply System

PA

- Protected Area

pcm

- Percent MilliRho

PE0

- Plant Equipment Operator

PERMS

- Process and Effluent Radiological Monitoring System

PSIG

- Pounds per Square Inch

PAT

- Reserve Auxiliary Transformer

RCCA

- Rod Control Cluster Assembly

RCS

- Reactor Coolant System

RHR

- Residual Heat Removal

R0

- Reactor Operator

RWST

- Refueling Water Storage Tank

SAER

- Safety Audit And Engineering Review

SDB

- Shut Down Rod Bank B

SER

- Safety Evaluation Report

SI

- Safety Injection

SPDS

- Safety Parameter Display System

TS

- Technical Specifications

URI

- Unresolved Item

USS

- Unit Shift Supervisor

UT

- Ultrasonic Testing

UV

- Undervoltage

V

- Volt

VIO

- Violation

WRT

- Work Request Tag

WWRB

- Waste Water Retention Basin

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